The main services we offer to individuals are asssessments, reviews and debriefing, and therapy. These are offered face to face, or remotely by Skype, telephone or other channels.
In an assessment we will talk with you to work out what your mental health needs are. An assessment is usually a single appointment lasting 90 minutes to 3 hours, though occasionally it can extend across more than one appointment, or may involve gathering information (with your consent) from others.
We can assess couples or families together or separately, as requested.
Assessments can be carried out before deployment but can be offered mid-assignment.
After our assessment we will give a conclusion and recommendations, which may include some of the following: no action needed; action for you or your company to take to help you on assignment; or further action required before you start or continue your assignment.
Particularly if you have a specific psychological need in mind, we also offer psychological assessments after assignment as distinct from a review or debriefing.
If requested, with your consent, we will provide feedback to your organisation about the outcome of assessment.
Reviews and debriefing
A review (also known as personal debriefing) is a specialist kind of assessment offered post-assignment or during home assignment. We aim to review with you the positive and negative aspects of your assignment and to identify what will help you thrive on your return to your host or passport country. Reviews usually last a minimum of 2-3 hours, and are available to individuals, couples, and families. We will usually conclude with recommendations, and will report to organisations only if requested.
If you have experienced a critical incident (usually a life-threatening experience), we also offer critical incident stress debriefing to individuals, families, couples, and groups who have been affected by the same event. This involves talking through your experience and helping you to begin to move on from it.
Is there a problem with debriefing?
You may have heard of problems with debriefing. We have written extensively on the topic. See our publications or contact us for more details.
We offer psychotherapy, a "talking treatment", in which the therapist works with you to achieve goals over a number of sessions. Though occasionally we use other approaches, our therapy is usually based on cognitive-behavioural therapy (CBT). This type of therapy focuses on how your thoughts, feelings, and behaviour affect each other, and look at practical ways to help you achieve your goals.
After an initial assessment we will discuss whether you need a further appointment. We may agree to meet for a set number of sessions and then review treatment, or to discuss at each appointment whether another is needed.
We work collaboratively with you to help you gain more control over your life, and may ask you to complete tasks between sessions.
Working with children and families
How we work with children changes depending on their emotional maturity. We usually involve parents, but less so as children grow older, depending on children's preferences and consent.
In an assessment, there is a choice between the whole family coming together, or our assessing children and adults' needs separately. Sometimes it is important to consider each family member's needs in the context of the whole family, and to help the family work together on functioning better. At other times it is more helpful to focus on individual needs within the family.
To assess a child's needs, we usually begin with the whole family together, and may see children alone for part of the time, but will normally need to speak with at least one parent for most of the appointment. If you are coming as a family and want us to assess fully the needs of both children and parents, you may need to make a separate appointment for parents.
Where children in a family have been living in a host country together, or have been affected by the same critical event, it is good to offer them the opportunity of debriefing together with their siblings and parents, but parents and children can sometimes be debriefed separately.
Our therapeutic approach tends to emphasise the child's behaviour more than their thoughts and feelings, again depending on their emotional maturity. Especially with younger children, we tend to work closely with parents and aim to help them find the best ways to help their children.