Brighton Psychology Service
Frequently Asked Questions
How do I know whether you are a good fit for me or which type of therapy might be best for me, can we have an initial call to discuss things?
Yes. In the first instance I will suggest we have a phone call in which you can ask me questions and say a little about what you might like support with and we can figure out together whether our working together might be useful. This is free of charge, and there is no obligation afterwards to take things forward.
What will happen during our initial appointment?
The first time we meet is an assessment in which you tell me a little about yourself and what you might want help with and I can tell you a little about the therapy approach that might suit. Our work is a collaboration and so we figure out between us what might be a good way forwards. Its normal to feel a little anxious at the outset and I will do everything I can to help you feel safe.
If I feel I am not the right person to help you, I may be able to direct you to another colleague or service.
How long does each therapy session take? How many sessions will I need?
Each therapy session will take 50 minutes, and meeting weekly is usually the best rhythm, to begin with at least. In some case a time limited piece of work may be useful (10-20 sessions). For lifelong difficulties in relationships, very severe difficulties, and problems based in a traumatic or abusive childhood, therapy can take considerably longer.
When we meet for assessment, I'll tell you about how long a treatment I believe you're likely to need so that you can make an informed decision about whether to go ahead.
Where will sessions take place?
We can have in-person sessions in Brighton. My base is here:
18a Clermont Road
Brighton
East Sussex
BN1 6SG
Or we can have sessions online via Zoom. Over the past couple of years we have had to adapt to remote working and it can work very well and can offer a useful flexibility.
Clinical Supervision
I have always been passionate about the value of good quality clinical supervision as a means of providing the best care and outcomes for clients, and as a vehicle for professionals to grow in regard to their clinical skills.
I have extensive experience of supervising clinical psychologists, counselling psychologists, psychotherapists, psychiatrists, and other allied health professionals in both CBT and Schema Therapy.
I am an accredited teacher/trainer of ST meaning that I can supervise individuals who are pursuing their own accreditation in ST. I have experience of supervising individuals pursuing the Oxford Cognitive Therapy Diploma and of individuals working within an IAPT setting. I have also supervised teams in inpatient and forensic settings and clinicans working in secondary care and specialist clinical settings.
Please get in contact via email or telephone if you'd like to discuss clinical supervision.
Books and Chapters
Heath, G., & Startup, H. (Eds.). (2020). Creative Methods in Schema Therapy: Advances and Innovation in Clinical Practice. Routledge.
Oldershaw, A., & Startup, H. (2020). Building the Healthy Adult in Eating Disorders: A Schema Mode and Emotion-Focused Therapy Approach for Anorexia Nervosa. In Creative Methods in Schema Therapy (pp. 287-300). Routledge.
Schmidt, U., Startup, H., & Treasure, J. (2018). A Cognitive Interpersonal Therapy Workbook for Treating Anorexia Nervosa: The Maudsley Model. Routledge.
Peer Reviewed Journals (I have around 70 journal publications and below are a selection)
Eating Disorders
Oldershaw, A., Lavender, T., Basra, R., & Startup, H. (2022). SPEAKS study: study protocol of a multisite feasibility trial of the Specialist Psychotherapy with Emotion for Anorexia in Kent and Sussex (SPEAKS) intervention for outpatients with anorexia nervosa or otherwise specified feeding and eating disorders, anorexia nervosa type. BMJ open, 12(2), e050350.
Drinkwater, D., Holttum, S., Lavender, T., Startup, H., & Oldershaw, A. (2022). Seeing Through the Façade of Anorexia: A Grounded Theory of Emotional Change Processes Associated With Recovery From Anorexia Nervosa. Frontiers in Psychiatry, 1316.
Startup, H., Franklin-Smith, M., Barber, W., Gilbert, N., Brown, Y., Glennon, D., ... & Schmidt, U. (2021). The Maudsley Anorexia Nervosa Treatment for Adults (MANTRA): a feasibility case series of an integrated group based approach. Journal of Eating Disorders, 9(1), 1-12.
Oldershaw, A., Startup, H., & Lavender, T. (2019). Anorexia nervosa and a lost emotional self: a psychological formulation of the development, maintenance, and treatment of anorexia nervosa. Frontiers in Psychology, 10, 219.
Startup, H., Mountford, V., & Lavender, A. (2015). Cognitive behavioural case formulation in complex eating disorder. In Case Formulation in Cognitive Behaviour Therapy (pp. 257-282). Routledge.
Startup, H., Lavender, A., Oldershaw, A., Stott, R., Tchanturia, K., Treasure, J., & Schmidt, U. (2013). Worry and rumination in anorexia nervosa. Behavioural and Cognitive Psychotherapy, 41(3), 301-316.
Schmidt, U., Oldershaw, A., Jichi, F., Sternheim, L., Startup, H., McIntosh, V., ... & Treasure, J. (2012). Out-patient psychological therapies for adults with anorexia nervosa: randomised controlled trial. The British Journal of Psychiatry, 201(5), 392-399.
Personality Disorder
Smith, E., Brooks, C. P., Clifford, E., Giles, E., Dring, J., & Startup, H. (2022). Enhancing member engagement in a Tier 3 personality disorder service during COVID-19: evaluation of a virtual group programme. Behavioural and Cognitive Psychotherapy, 50(6), 629-643.
Barber, W., Apps, F., Strauss, C., Startup, H., & Couche, J. (2021). Subthreshold personality disorder: how feasible is treatment in primary care? The Cognitive Behaviour Therapist, 14.
McCusker, L., Turner, M. L., Pike, G., & Startup, H. (2018). Meaningful ways of understanding and measuring change for people with borderline personality disorder: A thematic analysis. Behavioural and Cognitive Psychotherapy, 46(5), 528-540.
Parenting and Mental Health
Dunn, A., Startup, H., & Cartwright‐Hatton, S. (2022). Adult mental health service engagement with patients who are parents: Evidence from 15 English mental health trusts. British Journal of Clinical Psychology, 61(2), 335-348.
Dunn, A., Cartwright-Hatton, S., Startup, H., & Papamichail, A. (2020). The parenting experience of those with borderline personality disorder traits: practitioner and parent perspectives. Frontiers in Psychology, 11, 1913.
Petfield, L., Startup, H., Droscher, H., & Cartwright-Hatton, S. (2015). Parenting in mothers with borderline personality disorder and impact on child outcomes. Evidence-Based Mental Health, 18(3), 67-75.
Psychosis
Freeman, D., Loe, B. S., Kingdon, D., Startup, H., Molodynski, A., Rosebrock, L., ... & Bird, J. C. (2021). The revised Green et al., Paranoid Thoughts Scale (R-GPTS): psychometric properties, severity ranges, and clinical cut-offs. Psychological Medicine, 51(2), 244-253.
Freeman, D., Dunn, G., Startup, H., Pugh, K., Cordwell, J., Mander, H., ... & Kingdon, D. (2015). Effects of cognitive behaviour therapy for worry on persecutory delusions in patients with psychosis (WIT): a parallel, single-blind, randomised controlled trial with a mediation analysis. The Lancet Psychiatry, 2(4), 305-313.
Freeman, D., Waite, F., Startup, H., Myers, E., Lister, R., McInerney, J., ... & Yu, L. M. (2015). Efficacy of cognitive behavioural therapy for sleep improvement in patients with persistent delusions and hallucinations (BEST): a prospective, assessor-blind, randomised controlled pilot trial. The Lancet Psychiatry, 2(11), 975-983.
Startup, H., Freeman, D., & Garety, P. A. (2007). Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence. Behaviour Research and Therapy, 45(3), 523-537.
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Updated 04 may 2018
Schema-informed Time-limited CBT:
Formulation and Experiential Skills Masterclass
Two-day workshop: 25th and 26th June, 2018
BPS Building, London, EC2A 4UE
with Dr Helen Startup and Janis Briedis, Applied Psychologists
This is a unique workshop designed for clinicians with experience in cognitive behavioural approaches (or other allied modalities) who are interested in expanding their skills for working with individuals with complex needs and where there are significant relational challenges, or where the client does not respond to standard treatment. The workshop will cover the fundamental concepts and techniques of schema theory. There will be a practical emphasis on supporting attendees to feel confident in (1) formulating complex presentations via mode mapping, and (2) in the change techniques of: chair work, imagery work, limited reparenting and empathic confrontation. We will also explore methods for enhancing the ‘Healthy Adult’ mode where individuals have limited positive internal dialogues. We will discuss strategies for their integration within time-limited CBT.
TRAINERS:
Dr Helen Startup is a Consultant Clinical Psychologist and Senior Research Fellow with Sussex Partnership NHS Foundation Trust.
She oversees personality disorder research for the trust and is a founder and co-director of the Sussex Parenting Clinic which is a recently commissioned service set up to support the parenting needs of adults who are seeking help for their own mental health difficulties.
She is an accredited CBT therapist and Schema Therapy Supervisor and Trainer, and is passionate about improving outcomes for those with complex mental health needs.
Janis Briedis is a Counselling Psychologist and Schema Therapy Supervisor and Trainer, working in private practice in London and having worked in a complex case service in the NHS for over a decade. He is a trained CBT, EMDR, compassion-focussed and sensorimotor therapist working with complex cases. Janis has taught Schema Therapy, CBT, trauma-focussed approaches and mindfulness in the NHS as well as the academic setting, and is a visiting lecturer at a number of universities.
£345 for two-day workshop (£315 early bird rate before 25th May 2018)
For more details see: www.brightonpsychologyservice.co.uk/workshops
Email:
Telephone: +44 (0) 77 3493 1562 (Janis Briedis)
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Brighton Psychology Services
18a Clermont Road
Brighton
East Sussex, BN1 6SG