Cognitive Behavioural Therapy
BABCP Accredited Cognitive and Behavioural Psychotherapist
BSc (Hons), MSc, PgDip, PgDip
Email: andystreatfieldpsychology@outlook.com
Website: www.andystreatfieldcognitivebehaviouraltherapy.co.uk
I provide evidence-based Cognitive Behavioural Therapy (CBT) for individuals looking to better understand and overcome persistent patterns of anxiety, low mood, trauma, stress, obsessive thinking, and other psychological difficulties that may be affecting daily life.
Therapy is available both online and face to face.
CBT is one of the most widely researched and scientifically supported approaches to psychological therapy and is recommended by the National Institute for Health and Care Excellence (NICE) as a first-line treatment for a broad range of mental health difficulties. However, effective therapy is rarely about simply treating a diagnosis. Many psychological difficulties that appear very different on the surface often share common underlying processes that keep distress ongoing over time.
You may find yourself caught in cycles of excessive worry, overthinking, avoidance, self-criticism, emotional overwhelm, low motivation, or repeatedly feeling stuck in patterns you understand logically but struggle to change. Often these patterns persist because the brain has learned ways of responding to stress, threat, uncertainty, or difficult experiences that may once have served a purpose but are now maintaining suffering in the present.My approach to therapy is transdiagnostic, meaning we do not focus purely on labels such as anxiety, depression, trauma, or OCD in isolation. Instead, we work to identify the deeper psychological mechanisms driving distress beneath the surface. This may include patterns in attention, thinking style, behavioural habits, emotional regulation, nervous system responses, underlying beliefs about yourself or others, troubling memories, or biases within the brain’s threat detection systems.
The aim of therapy is not simply short-term symptom relief. It is to help you develop a clear understanding of why certain patterns exist, what may be maintaining them, and how to build practical evidence-based strategies that create meaningful and lasting change. The ultimate goal is for you to develop the confidence and skills needed not only to feel better now, but to manage future challenges independently.Because CBT is skills focussed, therapy is designed to maximise your ability to maintain good mental health after therapy has ended rather than the therapy becoming an open-ended process that continues indefinitely. For many people, a typical course of therapy ranges between 8–12 sessions, although this can vary depending on the complexity of difficulties and the goals you would like to work toward. Once therapy has ended we can book in occasional top up sessions to help with the post-therapy transition as well.
• Generalised Anxiety Disorder
• Depression and persistent low mood
• Obsessive Compulsive Disorder (OCD)
• Panic attacks
• Social anxiety
• Health anxiety
• Trauma, PTSD and Complex PTSD
• Stress and burnout
• Insomnia and sleep difficulties
• Low self-esteem and self-criticism
• Low motivation and behavioural avoidance
How Therapy Works
Therapy begins with a comprehensive initial assessment. This allows us to develop a detailed understanding of the difficulties you are experiencing and begin identifying the patterns and processes likely contributing to them.
Following this, we move into a process known as formulation, which usually takes place over one or two sessions. This is often one of the most valuable parts of therapy. Together, we build a personalised psychological map of the factors maintaining your difficulties, identifying the specific patterns, cycles, and mechanisms that may be keeping you stuck. By the end of this stage, most clients develop a much clearer understanding of why they are experiencing these difficulties and, importantly, where change needs to occur.
From there, treatment focuses on implementing practical strategies designed specifically around your individual formulation. This may involve changing behavioural patterns, addressing cognitive biases, reducing avoidance, improving emotional regulation, working through trauma responses, or learning new skills that help retrain the patterns maintaining distress.
Throughout therapy, we regularly review progress to ensure the work remains focused on your goals and that you are getting maximum benefit from treatment.
Fees and Session Structure
Sessions are £85 per appointment and typically last between 50 minutes and one hour.
Alongside sessions, I may provide worksheets, exercises, psychoeducational resources, and information packs designed to help consolidate learning and maximise progress between appointments. These materials are included as part of treatment.
Where relevant, I may occasionally recommend additional reading or external resources to support progress. Any recommended books or are entirely optional and not included within session fees.
I also offer a free initial consultation call. This provides an opportunity for us to briefly discuss what you are looking for, answer any questions you may have, and help you decide whether my approach to therapy feels like the right fit for your goals.