What kind of treatment do CDS UK offer?
What is the ISSTD 3-phased psychotherapeutic approach?
FAQs about treatment
- One double session (100 minutes) of intensive specialist dissociation and trauma- informed psychotherapy per week. This is to allow enough time for different identities to work during the session if needed, whilst ensuring that the patient is safe and stable enough to leave.
- Provision for additional support therapy for 2 hours per week to provide additional contact and support to the patient (e.g., during the main psychotherapist’s holiday break times or crises). This is usually provided remotely via email, telephone or online. This need will be assessed within the first 3 months of treatment beginning,
- Provision of 4-5 hours of specialist support work per week. This is typically face to face contact, to encourage the patient to engage more fully with the community and develop their independence, where this is needed.
- Access to a reasonable level of out-of-hours and emergency support, which can be provided via e mail, telephone or text message if required. Emergencies will be managed in partnership with appropriate local services.
- Access to the CDS UK’s support and administration team, including an allocated case manager who is a senior clinician experienced in working with complex dissociation.
We are a national service and work with people from all over the country. We have a network of psychotherapists working in various locations across the UK and as far as possible, we offer treatment close to a patient’s home. We also see patients at our main office in North London. We can be flexible and offer remote modalities at times when face to face contact is not possible.
- A more stable sense of wellbeing and more resilient and robust mental health.
- An ability to experience and manage feelings and to express these in a constructive way in relationships.
- An ability to develop and maintain more secure and nurturing relationships with others (including good communication and collaboration between identities).
- An ability to function well in day-to-day life and engage in activities that are satisfying and supportive of the person’s mental health.
- Effective management and significant reduction or elimination of risk behaviours
- Reduced reliance on crisis services.
We use a variety of validated outcome measures to monitor the therapeutic process, in conjunction with patient experience questionnaires and regular detailed therapist reports for the patient’s local NHS funding organisation. CDS UK are currently actively supporting research into therapeutic treatment approaches and outcomes.
There is currently no evidence that medication alone is effective in the treatment of dissociative disorders. However, some people may find certain medications helpful, for example to help manage chronic problems such as depression, anxiety or insomnia. As the presence of a severe dissociative disorder can significantly affect the way people respond to medication, CDS UK can offer psychiatric consultation when needed with our specialist Consultant Psychiatrist.
At CDS UK we aim to prepare our patients for the end of therapy as far as possible. This will include discussion of any ongoing needs and liaison with local mental health or social care services where needed. We are able to offer consultation and training to local teams where understanding of dissociative disorders is lacking. We can offer less intensive aftercare packages for patients who need a lower level of ongoing specialist support.