To help monitor and improve quality care and service, I use standardized measures PHQ-9 (for depression) and GAD-7 (for anxiety).  They are used to monitor clinical outcomes as part of Efficacy's Clinical Governance strategy and are being used at an increased rate with CBT (Cognitive Behavioral Therapy) services.


CBT therapy involves listing the problems you want to address and the negative feelings associated with them.  Then you develop realistic, flexible and frequently reviewed goals you want to achieve.  The most important gains from CBT are in-between sessions where you will apply new skills and techniques to replace old patterns of thinking and behaving.  

You will look at the impact of your past and present experiences on yourself and, if relevant, your relationships.  You will look at and understand the relationship between unhelpful behaviors, thinking distortions, being in negative emotional states and physical symptoms.


Often clients report that they "just want to feel better".  That's understandable! But experience has shown that changing our behaviors helps to change how we think, which, in turn, helps to improve the way we feel about ourselves and others.  CBT and supportive, strengths-based counseling, can help you to turn things around, and greatly diminish, if not fully eliminate your symptoms.