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Types of Counselling therapies

At Peace of Mind, Keren Ludski uses a wide range of theoretical frameworks and therapeutic methods, which will vary to meet the needs of each client.  She may focus on one therapy or use a combination of therapies depending on the needs of the client.

A brief description outlining the main types of therapies has been provided below:

Acceptance Commitment Therapy (ACT) helps clients to accept what is out of their personal control, and commit to action that improves and enriches your life.

The aim of ACT is to maximise human potential for a rich, full and meaningful life. ACT (which is pronounced as the word 'act', not as the initials) does this by:

a) teaching  psychological skills to deal with  painful thoughts and feelings effectively

b) helping people to clarify what is truly important and meaningful to them - i.e their values - then use that knowledge to guide, inspire and motivate you to change your life for the better.

Cognitive Behavioural Therapy (CBT) assists individuals by providing strategies to change negative thinking patterns and behaviours.

Solution Focused Therapy is a therapeutic approach which focuses on what clients want to achieve through therapy, rather than on the past problems which have caused them to seek help.

Gestalt Therapy is a form of therapy that focuses on the here-and-now experience of what is being thought, felt and done during the counselling session, rather than what could be, or should be done. It promotes personal responsibility and self-awareness, and aims to identify past traumatic experiences that are affecting the client in the present.

Systemic Approach looks at people not at an individual level, but as people in a relationship in terms of interactions and how people act and react together. The approach is often used for the family counselling.

Person Centred Therapy believes that people have all the resources within them to move through their difficulties; Keren's role is to support you in that process. It involves a therapeutic relationship which is based on honesty, respect, acceptance and being supported. The client is given the time and space to fully direct the course of the sessions.

How long do I need to commit to counselling?

Keren will not pressure you in to long term counselling. Keren can offer brief, medium or long term support depending on what your issues are. In your first session Keren will discuss with you the reasons for seeking counselling and the outcomes you are aiming for. She will then try and present you with the number of sessions you will need and the sort of treatment needed.

What areas of Counselling does Peace of Mind cover?

Keren Ludski is able to work with individuals, couples, families, children or groups across the following disciplines

Please select an option from the list below to read more.

Grief and Loss

From the time we are babies we experience change and loss. The more we attach ourselves to our environment, the greater the chance that we will grieve. The stronger our attachment with people, places and possessions the greater our sense of loss will be when we lose them. We can grieve for the loss of hopes, dreams and aspirations. Grief is a normal process of expressing our hurt. Loss, change and grief affect everyone differently. People may be affected physically, emotionally, mentally and spiritually.

Keren can help you work through your grief. Your session will be personalised using a combination of disciplines to create something very powerful… or the focus can be on one method because it works well for you. It's all about being flexible and working through the grief that is weighing you down.

Keren aims to create an environment where the client feels safe, comfortable and supported. Counselling offers people the opportunity to express their grief and have it acknowledged by an objective person. Keren will help to normalize the grief so that the client doesn't feel so alone. It is an environment that allows the client to say and feel what ever they need to without fear of judgement.

Counselling is a partnership between the counsellor and the client. The ultimate aim is being able to integrate the grief in to your life so that you are able to live with it more comfortably.

Family Counselling

Families can be complex, and a number of challenges can arise which can affect relationships between family members. A common challenge faced by many families comes from responding to changing family structures which can be hard on all family members, especially children. These changing structures can come about during events such as separation, divorce and re-marriage. During these times, a range of issues can develop such as relationship problems between partners, new living arrangements, financial adjustments and issues relating to the care of children.

Family Counselling can also be helpful in aiding families in adjusting to different life stages within the family. This may include children starting school, issues with teenagers, aging parents and many others.

Keren works with families to increase effective communication and maintain relationships, fostering stronger, more honest relationships. Keren is highly skilled in remaining neutral, ensuring that each family member feels safe to express their feelings…without being judged.

Family counselling aims at supporting families, couples, individuals, adolescents and children through a range of issues including:

  • Family break-ups resulting from separation or divorce, including custody issues
  • Blended family issues arising from re-marriage
  • Behavioural problems
  • Conflict between siblings
  • Conflict arising from different values
  • Adolescence
Anger Management

Everyone experiences anger at varying degrees throughout their lives. It can range from mild annoyance and frustration to intense rage and explosive outbursts. Anger can often mask other hidden feelings such as hurt, anxiety, and sadness. Anger often leads to a range of overt behaviours such as yelling, criticising, throwing objects, or hitting something. However, anger can also be accompanied by less overt behaviours such as ignoring someone or becoming withdrawn. Furthermore, at the extreme level anger can lead to acts of violence and abuse such as pushing, grabbing, or hitting someone.

There are a number of factors that contribute to our levels of anger and how we express this emotion. These factors typically include genetic components and what we learned about showing and expressing anger while growing up. Furthermore, life stressors can increase our likelihood of becoming angry while drugs can reduce our ability to control our aggression. Anger may seem more frequent in men, as it is often perceived as a more masculine and socially acceptable emotion for men to express.

When is anger a problem?

Anger can become a problem when it affects relationships with other people such as family, friends or colleagues. Anger can also impact your health by increasing your heart rate, blood pressure, and levels of stress hormones in your body. Anger can also cause legal trouble, particularly when physical violence and abuse are involved.

Some signs that anger may be a problem include:

  • Your anger is accompanied by verbal, emotional, physical or psychological abuse
  • You feel angry a lot of the time
  • Your anger is affecting relationships
  • You frequently get angry over minor or trivial things
  • Anger lasts for a long time after the event that triggered it
  • You are becoming anxious or depressed about your anger
  • You tend to blame other people or circumstances for your anger
  • Others around you are concerned about your anger

How counselling can help

If anger issues are not managed, your anger can begin causing problems for you and others around you. It is important to manage anger before it leads to other serious problems such as health issues or psychological conditions such as anxiety or depression.

Anger management counselling focuses on where anger comes from, allowing you to understand the causes of your anger, and therefore how to manage it. Counselling sessions are not aimed at suppressing or bottling up your anger; rather teaching you methods to express feelings of anger in a controlled way. Anger management also focuses on learning the triggers and early warning signs of anger, and effective techniques to calm down and manage a potential problematic situation before it gets out of control.


Everyone can feel anxious from time to time. But when anxiety starts to interfere with your everyday life, it is probably time to get some help. Recovery is possible through a range of effective anxiety treatments.

Anxiety is a natural reaction that everyone experiences in certain life situations. It is the physiological response that people feel when faced with a threat, a potentially dangerous situation, or intense or prolonged periods of stress. Because feelings of anxiety are very common, it can be hard to determine when anxiety has become a problem.

When is anxiety a problem?

Anxiety is a problem when someone's feelings of anxiety become so regular and extreme that it interferes significantly with their day to day lives.

Symptoms of anxiety

In addition to anxiety affecting the way you think, it can also trigger physical responses. Symptoms may include:

  • Feelings of helplessness
  • Confusion
  • Faintness/ dizziness
  • Pounding heartbeat
  • Breathing difficulties
  • Nausea/ stomach ache
  • Restlessness
  • Increased blood pressure
  • Muscle tension
  • Hot and cold sweats
  • Irritability

How Counselling can help

There are a number of effective treatments for anxiety. Keren may use a combination of the following for anxiety treatment:

  • Psychological treatments. For the majority of anxiety disorders, psychological treatments are the most successful forms of treatment. These treatments aim to change patterns of behaviour, thoughts and beliefs which may trigger anxiety. Common treatments include cognitive behavioural therapy, solution-focussed therapy and behaviour therapy. Keren may also use desensitisation, which is a slow and gradual process of exposing a person to the trigger which causes anxiety in order to desensitise the person to the point where the fear no longer poses a threat.
  • Anxiety management techniques are used to help treat anxiety and include challenging unhelpful thoughts, learning new coping strategies, controlled breathing exercises and relaxation training.
Marriage/Relationship Counselling

The aim of relationship counselling is to promote open communication between partners. Relationshipsare an essential ingredient in anyone's life. They can provide support, love, connection, pleasure, comfort, and friendship. At times they can also be a source of distress, disappointment and frustration and may significantly impact on a person's well-being. Individuals in a relationship may be faced with issues they find overwhelming and unable to confront, 'fix' and cope with. If left unresolved, the result may lead to a relationship ending, impacting upon a person and their family life, heightening their risks of psychological, physical and emotional distress.

With willing participation and positive changes from both parties, harmful patterns can be changed, trust can be restored and resentments can be overcome.

Lack of communication is a common problem and the one that probably needs most attention when dealing with relationship problems. One partner or sometimes both simply don't know how to put into words what they feel. They may have grown up in a family where personal feelings were never shared openly, and so they lack the confidence to be open with their partner for fear of looking silly or being rejected.

Problems can arise at all stages of a relationship from dating through to a marriage or break-up. It is important to address these issues when they occur in order to have the best chance of resolution.

Some of the warning signs that a relationship may not be working effectively include:

  • Feelings of unhappiness from one or both partners
  • Reoccurring arguments that fail to be resolved
  • Less and less time spent together and pursuing separate lives
  • Loss of loving feelings from one or both partners
  • Extra martial affairs

Couples may seek relationship counselling to improve their already healthy relationship by enhancing their fulfilment in areas such as intimacy and communication. Couples may also seek counselling for relationship problems, which can be caused by a number of issues, including:

  • Poor communications skills – including emotional reactive behaviour; stone walling where one individual shuts out another by not communicating; emotional detachment
  • Issues relating to house tasks and responsibilities – including cultural expectations; lack of role clarity
  • Differences in child rearing styles – including different personal experiences and beliefs
  • Poor work/ life balance for either or both partners
  • Relationship intimacy issues – including impotence; differences in libido levels; health issues
  • Lack of quality time between partners
  • Pressures caused by major life transitions – such as immigration; loss of loved one; work or career change; having a baby
  • Undefined, shifting or split loyalties between extended family and/or in-laws
  • Financial Issues – including addictions, such as gambling, alcohol and drugs
  • Extra marital affairs – including trust issues

Relationship counselling involves both partners working together with Keren to resolve problems that are affecting the quality of their relationship. Couples counselling provides partners with tools to assist them in increasing positivity in their relationship, building resilience and assisting in resolving differences.
Through the counselling process, a variety of techniques may be used including cognitive behavioural therapy (CBT), person centred and/or solution-focused therapy, which all aim to change patterns of behaviour.

Psycho-Education is an important component where Keren can assist couples in enhancing the quality of their relationships through educating them about proven tools and strategies. Skill building and coaching also assists couples to improve their understanding and communication of individual differences as well as gain a greater level of commitment and fulfilment from the relationship.

If relationship problems cannot be overcome, counselling can help individual partners cope with a relationship that has broken down.

Self - Esteem & Confidence

Self-esteem can be seen as an integral component of one's psychological well-being. Many people at different points in their life feel low self-esteem and confidence. This may be the result of the way they look, or the way they feel about who they are. Low self-esteem and confidence can stem from many areas of one's life and can be extremely hindering for a person who experiences it. Counselling helps you work at an emotional level in terms of your self-esteem and confidence and allows you the opportunity to explore the origins of self negating feelings. By doing so, it allows you to understand where the problem has originated from and to be able to take the relevant steps to overcome low self-esteem and confidence allowing you to charge forward in life, being the person you want to be.

Weight Loss

The issue of body image and the desire to be healthy and comfortable with one's body is common for many people. Keren uses her skills to help you understand the connection between what is going on in your head and your relationship with food. She has had considerable success with clients who have been able to get a better understanding of their triggers and their ability to make changes in their lifestyle to achieve the weight loss they desire.
Keren will develop a plan that is right for you as well as provide the support you need a long the way.