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Assessment & treatment

We work with individuals, families, clinicians, case managers and solicitors to deliver high-quality interventions tailored to individual needs. We are experienced in working with those whose care is funded by insurance or litigation, as well as by statutory bodies (e.g. NHS, social care) or self-funded. Our services include:

Psychological assessment

Psychological assessments aim to understand difficulties experienced in psychological, cognitive, communication or behavioural functioning, and make recommendations for treatment. This typically involves meeting with the person to talk through their situation and needs, as well as completing questionnaires and other measures. It may also involve talking with others in the person’s personal or professional support network (e.g., family members, a case manager or involved clinician) or observing the person going about activities in daily life.

Neuropsychological assessment

Neuropsychological assessments focus on understanding a person’s cognitive functioning using standardised tests alongside interviews, questionnaires and clinical observations. A neuropsychological assessment can help identify strengths and weaknesses, plan and implement effective rehabilitation, and monitor recovery. It can also help identify what might be causing any cognitive difficulties (for example, whether these are due to a brain injury, other health condition, or are associated with mood difficulties such as anxiety or depression)

Talking therapies

Talking therapies focus on treating psychological or emotional difficulties by talking through difficulties with a psychologist and identifying and practising coping strategies for these. Our interventions are based on person-centred, collaborative formulations of a person’s strengths and difficulties, and draw on a range of evidence-based approaches to work with the person towards their identified goals. Examples of therapeutic approaches available include Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), Eye Movement Desensitisation and Reprocessing (EMDR), Behavioural Couples Therapy (BCT), psychodynamic, mindfulness, systemic and narrative approaches. 

Neuropsychological rehabilitation

Neuropsychological rehabilitation is an integrative approach that targets difficulties with cognition, communication, emotional wellbeing, behaviour and social functioning that can arise due to changes within the brain (for example, as a result of a neurological or psychological condition). It can involve working directly with the individual (e.g., neuropsychological assessment, talking therapies) and/or with their personal and professional support network (e.g. psychoeducation for family members, training/supervision of carers). It is a collaborative process led by neuropsychological principles requiring close interdisciplinary working with our therapy and medical colleagues such that a ‘whole team approach’ supports the individual to progress towards their goals.  

"There is no way I would have got to where I did without somebody I could open up to and be honest with... choice is important."

Empowerment Behaviour Management Approach (EBMA)

We specialise in the Empowerment Behaviour Management Approach (EBMA). This is an approach to neuropsychological rehabilitation that is particularly useful in supporting individuals with complex cognitive or behavioural difficulties associated with a neurological condition and who often require a high level of care and support from others to maintain their safety, wellbeing or independence.

Integrating well-established psychological techniques (e.g., cognitive-behavioural, motivational interviewing and systemic approaches) within a formulation-driven approach, EBMA seeks to empower the person to be as involved as possible in the support they access, thereby facilitating the person to take responsibility for managing their own cognitive or behavioural difficulties in collaboration with their care team. EBMA can therefore be particularly useful when supporting individuals whose capacity to make decisions may fluctuate, as the person is actively engaged in deciding in advance how they wish those around them to support them.

Agreed support plans are documented in formal behavioural agreements (i.e. contracts) which strike a balance between protection and autonomy. Deciphering the appropriate level of support, mindful of the principles of the Mental Capacity Act (2005) and safeguarding legislation, is a highly complex process and therefore EBMA needs to be implemented by an appropriately trained clinician. This is usually the treating neuropsychologist during the implementation phase; over time the neuropsychologist works closely with other therapists and the case manager to ensure therapy and support interventions are effectively coordinated to address the patient’s needs and goals. This enables the whole system of support around a person to deliver an EBMA and achieve sustainable changes that are maintained over time.

Additional information and resources, as well as training we provide to other clinicians to deliver EBMA, can be found on our training page.