Treatment

The approach to treatment depends on your issues, our insights, the specialisations of your practitioner and your preferences. Your treatment will often contain techniques from Cognitive Behavioural Therapy (CBT), Schematic Therapy or Acceptance and Commitment Therapy (ACT). Face-to-face sessions can also be supplemented with E-health modules (blended care). The most important thing is that you feel heard and seen and that you work together with your practitioner on your personal development. Homework assignments are often part of the treatment. This ensures you can work on your development not only during the sessions, but also outside the sessions, and apply new insights directly in your daily life.

How a treatment is structured

– The first contact starts with a telephone registration with one of our psychologists. This is a pre-intake where we listen carefully to what is needed and make an initial screening to see whether a DSM diagnosis is (likely) present. This way we increase the chance that we can help you properly and that you will be placed with the right practitioner for further intake and treatment.
– During the intake interview, we discuss in detail the questions you have or the issues you experience and how these influence your life. We check whether you yourself have an idea as to the origin of these questions or issues and the factors that maintain them. We also look at any steps you may have already taken. Afterwards, we will send a questionnaire to fill in at home.
– In our second meeting, we discuss your list of issues and the treatment plan. By means of a brief summary from our first meeting, we check whether we have a correct impression of your issues. Furthermore, we create a (provisional) diagnosis of your issues and set up a proposal for treatment. If you agree to the proposal, we schedule follow-up sessions, taking into consideration your personal goals for treatment.
– Halfway through your treatment, we evaluate together whether we are still on the right track and to what extent you have achieved your goals.
– At the end of your treatment, we pay attention to relapse prevention. You fill in the list of issues again and we discuss the differences between when you started your sessions and the end point. After your treatment, you receive a questionnaire to measure your satisfaction of the entire process.

Shared information and involvement of family

We generally inform your GP both after we discuss your treatment plan and at the end of your treatment process. This only takes place with your permission. Sometimes, it can also be useful to involve a partner or other close relative in your treatment. Of course, we only carry this out if you’re open to it. If so, we take some time before the joint meeting to discuss together the purpose of the meeting and to define what we will and will not discuss. Would your family members like to know how to help you? They can contact www.naasteninkracht.nl (dutch) for information, tips and support.

Documents required for your first appointment

– A referral from your general practitioner via Zorgdomein (if you want to have the care reimbursed by your insurance provider)
– Valid proof of identity with your citizen service number (BSN) on it

ACT (Acceptance and Commitment Therapy) is a relatively new form of therapy that combines proven elements of cognitive behavioural therapy with acceptance and mindfulness.

Much psychological suffering is caused by trying to avoid psychological or physical suffering. By avoiding these, you often fight against things that are beyond your control and try to control what cannot be controlled. In this struggle, you actually achieve the opposite of your goals. You put all your attention and energy into combating negative experiences, making this an increasingly important part of your life. This struggle frustrates you and stands in the way of valuable experiences that can enrich your life.

In therapy, you use all manner of exercises to become aware of your thoughts and feelings, to accept them as they are now and learn to take a healthy distance from them. Learning to look at your thoughts and feelings means you are less absorbed by them and that they no longer determine your behaviour – or your life. This realisation gives you room to move in a new direction. Letting go of old beliefs and practicing unknown behaviours is often challenging, but you will see that it’s precisely in these times of tension that valuable moments and positive energy are released.

ACT teaches you to take a gentle attitude towards everything you think, feel and experience. At the same time, you notice that you’re closer to achieving your goals and dreams. The desired outcome is a rich and meaningful life, in accordance with your values, even if you encounter inevitable suffering.

Accept what is beyond your control and commit to doing the things that enrich your life.

For whom?

As a third-generation cognitive-behavioural therapy, ACT is widely applicable. This is because it works beyond the issue(s) at hand. ACT can be used to treat anxiety, depression, burnout, grief processing, ADHD, autism and chronic physical complaints.

Cognitive Behavioural Therapy (CBT) is a therapy that teaches you to look at and deal with problematic situations differently. Here, you examine how your thoughts relate to your feelings and behaviour by registering moments when a problem occurs. The starting point of CBT is that the events themselves don’t give you negative feelings and a certain behaviour pattern, it’s the ‘coloured glasses’ through which you see things. If you learn to interpret these ‘coloured’ thoughts differently, you will gain a more objective view of your own feelings and observations. This can reduce negative feelings and you can learn to behave differently during those moments and let more helpful thoughts and feelings guide your behaviour.

CBT is a structured form of therapy that focuses on the present and the future. Treatments are issue- or problem-oriented and generally last for shorter periods of time. A lot of research has been done on the effectiveness of cognitive behavioural therapy.

For whom?

Cognitive behavioural therapy is used effectively for various psychological issues. This includes depression, anxiety disorders, compulsive issues, ADHD, autism, burnout and sleeping disorders.

Schematic therapy is a form of therapy for people who often get stuck in the same pitfalls. These pitfalls are also known as schematics. Schematics are fixed ways of thinking about yourself, the other person and the world around you. This way of thinking is one that evolves over the course of your life. Schematic therapy helps you to understand and change the origin of your behavioural patterns. We examine the influence that childhood experiences have had on your patterns and daily life. For example, the way your elementary school teachers treated you can influence the development of certain schematics. Every child has basic emotional needs such as security and safety, but, for whatever reason, these may not have always been met. This can lead to problems later in life.
These are the basic emotional needs that can be affected by certain schematics:

– Having a safe relationship with other people
– Defining clear boundaries and leadership
– Making your own choices, and being allowed to be independent
– Being able to express spontaneity and fun
– Having the freedom to express your needs and emotions

When one or more basic emotional needs are not met during childhood, negative schematics can arise. 16 schematics have been researched and developed. Examples of schematics include emotional deficit/neglect, abandonment, distrust, social isolation, inferiority, self-sacrifice, and dependence.

Schematics work like tugging on strings. They can ensure, among other things, that moods change quickly, often causing problems when you come in contact with others (withdrawal behaviour, attracting behaviour or attacking the other person). Schematic therapy teaches you to recognise and challenge your own schematics. You learn to recognise the situations that tug on the sensitive strings and which state of mind arises within you when this is done. We look at how you can behave differently in the situation and how you can deal with emotions and with other people in a unique way. You learn to feel what your needs are and how to stand your ground in a healthier way.

For whom?

Schematic therapy is used for persistent patterns, personality problems, frequently recurring depression or structural anxiety problems. Note! We do work in Basic GGZ with short-term pathways. If more is needed, a specialized institution such as G-kracht is more appropriate.

EMDR (Eye Movement Desensitization and Reprocessing) is a therapy to help you process trauma. Our therapist will ask you to think back to the event, including the associated images, thoughts and feelings. We start with this to collect more information about your traumatic experience. Then we start processing. Our therapist will ask you again to recall the event. But now in combination with distracting stimuli. For example, through the therapist’s hand or through sounds that are presented alternately left and right by means of headphones. You experience that the memory gradually loses its power and emotional charge. So it becomes easier and easier to remember the original event. In many cases, the memory images themselves also change and become, for example, blurred or smaller. But it may also be that less unpleasant aspects of the same situation emerge. Another possibility is that you gain new thoughts or insights spontaneously that give a different, less threatening meaning to the event. These effects contribute to the fact that the shocking experience increasingly finds a quieter place in your life history.

Years of scientific research have been carried out to study the effectiveness of EMDR, and the results show that clients respond well to this therapy. EMDR is a short-term protocolled form of therapy. When it comes to releasing trauma after a one-time major event, people are often able to resume their daily activities after just a few sessions. Treatment often takes longer for people who have experienced long-term trauma and for more complex problems.

For whom?

EMDR is intended for the treatment of people with PTSD (post-traumatic stress disorder) and other trauma-related anxiety issues. These are issues that have arisen as a direct result of a concrete, unpleasant event, where the thought of it still evokes an emotional response.

E-health stands for electronic health, or care via the internet. Increased attention is being paid to so-called blended care, in which regular face-to-face sessions are combined with online interventions such as chat, video calling and online treatment modules. This enables you to use not only time-independent but also location-independent care via a tablet or smartphone.

Within our practice, we have the opportunity to work with Therapieland. Therapieland contributes to a new world of care. A world in which you as a client are in control of your own mental well-being and decide for yourself what your recovery process looks like. Here, care is available to you always and everywhere, and you can work on your issues at your own pace. In addition to the face-to-face contact with your practitioner, you can follow one of the E-health programmes and work on your issues between sessions, wherever and whenever you want.
Therapieland has a modern, social media look and feel, making it accessible and fun to work with. It offers videos, animations and creative assignments. Within Therapieland you can join a group to share experiences with each other. You can also involve your social environment, for example your partner, friend or family member. These people will then receive tips on how they can best support you.

Available treatment programs: – ACT – ADHD – Alcohol Under Control – Autism – Balance – Day Structure – Depression – Compulsion – First Step to Recovery – Generalized Anxiety – G-Scheme – Cancer – Sweet Sleep – Mindfulness – Dealing with Emotions – Relaxation – Standing Up for Yourself – Stress & Burnout – Panic – Peaking – Grief – Schematherapy – Social Anxiety – SOLK – Somberness – Specific Phobia – Stressless – Relapse Prevention – Self-Esteem – Self-Compassion

Study time is a time in which you develop personally, form your identity, make friends, gain new experiences, discover what you find important in life and commit yourself to it. This phase of life is characterized as a transition phase in which you are confronted with important developments such as:

  • Separating from parents and living independently
  • Building your own circle of friends
  • Entering into love relationships
  • Searching for your individuality, who am I and what do I want
  • Succeeding in your studies

This often goes well, but sometimes you get stuck somewhere. Maybe you are not making progress in your studies, you are not sure what you want, complaints are limiting you from following your own path, you are experiencing problems in dealing with your family or you are having difficulty building friendships or relationships. You may experience complaints such as insecurity, negative self-image, perfectionism, fears, depression, loneliness, excessive worrying, concentration problems.

Because we see many students who experience similar complaints and are in the same phase of life, we have developed a training course for them (dutch only). We meet 8 times for 2 hours on Wednesday afternoons. In the training we use techniques based on Acceptance and Commitment Therapy (ACT). ACT is a scientifically based therapy that has proven effective for a variety of complaints (such as anxiety, depression, autism, ADHD, addiction and chronic physical complaints).

The ACT model

ACT consists of 6 steps that can be performed in any order:

  • Acceptance: making room for unpleasant experiences
  • Defusion: distancing yourself from your thoughts
  • The self: dealing flexibly with your self-image
  • Here and now: attention to the here and now
  • Values: reflect on what you really find important
  • Acting with dedication: investing in your values

The goal of ACT is to become more mentally resilient. We focus on improving the quality of your life and dealing with the obstacles that stand in your way. The training uses all kinds of exercises to become aware of thoughts and feelings, to accept them as they are now and to learn to maintain a healthy distance from them. Learning to look at thoughts and feelings means that you are less absorbed by them and that they determine your behavior – and therefore your life – less. This gives space to move in a new, self-chosen direction. ACT helps you shape your life the way you want, no matter what (difficult) feelings or thoughts you have.

In designing your treatment, we observe the valid guidelines within our profession. Nationally, care standards and generic modules have been developed as guidelines for the treatment of psychological issues. In our treatments, Lijn 1 psychologenpraktijk has integrated the care standards for ADHD, anxiety and anxiety disorders, autism, depression disorders, somatically unexplained physical issues and the care standard adjustment disorder (including stress and burnout).

These guidelines (currently only available in Dutch) also contain information that you can use for yourself.

General psychological issues

ADHD

Anxiety issues

Autism

Unexplained physical issues

Overexertion / burn-out

Despression / gloom

Lijn 1 Psychologenpraktijk

Lijn 1

Psychologenpraktijk