Psychological Therapy Services
- Specialising in evidenced and individualised psychological treatment services.
- Treatment for adults, adolescents and children
- Assessment for children and adolescents
Evidenced & Individualised Psychological Treatment
Millstream Psychology provides Clinical Psychology Therapy services for children, adolescents & adults. Therapy is individualised addressing presenting issues in alignment with therapy goals and preferences.
Individuals are supported through mental health vulnerability with evidenced treatment approaches applied and new ways of coping facilitated.
Psychology Services run from the conveniently located Millstream clinic in Applecross.
Treatment Areas
- Depression
- Anxiety, Fears & Excessive Worries
- Rapid Mood Shifts, Irritability & Anger
- Depression, Grief & Loss
- Life Changes and Adjustment
- Low Confidence & Low Self-Esteem
- Adverse Life Exposures
- Emotional Dysregulation
- Anger outbursts
- Co-sleeping
- Excessive Screen Time Use
- Reward Seeking Behaviours
- School Reluctance & Avoidance
- Transition to High School
- Attachment Disruption
- Family Tension & Ruptures
- Unsafe Thoughts
- Self-Harm
- Autism Support
- ADHD Support
- Learning Difficulties Support
Psychology Treatment for Children, Adolescents, Families & Adults
- Individualised treatment based on your presenting issues and your preferences in how to work.
- Comprehensive support with psychoeducation, techniques and strategies aligned with evidenced treatment approaches and personal preferences.
- MSP Clinicians understand the importance of providing an emotionally safe and secure space to talk about difficult experiences.
- Cognitive Behaviour Therapy (CBT) empowers individuals to reshape their thoughts & behaviours to feel better.
- Schema Therapy guides personal growth through understanding core schemas/beliefs.
- Psychodynamic Therapy provides deep insights into emotional patterns that are often unconscious.
- Attachment-Based Family Therapy strengthens familial bonds to foster security and stability.
- Eye Movement Desensitization & Reprocessing (EMDR) effectively processes trauma for healing.
Cognitive Behaviour Therapy is an evidenced based treatment for anxiety and depression, across a child and adult population.
- CBT centres on an understanding that there is a relationship of influence between thoughts, feelings and behaviours.
- Millstream therapist help individuals identify unhelpful thoughts, emotions and behaviours and apply two therapeutic approaches: Behaviour therapy, and Cognitive therapy
- Behaviour is learned and can
be changed using techniques such as exposure, activity scheduling, relaxation, and behaviour modification.
- Cognitive recognises distressing emotions and maladaptive behaviours as part of faulty or unhelpful patterns of thinking, and techniques such as cognitive restructuring and self-instructional training can challenge and replacing such thoughts.
- With more helpful thoughts and behaviours in place, an individual can alleviate problematic thoughts, emotions and behaviours and feel better.
- Another component of CBT is skills training (e.g., stress management, social skills training, parent training, and anger management).
Schema Therapy focuses on identifying and changing maladaptive schemas and associated ineffective coping strategies.
- Schemas are psychological constructs that include beliefs that we have about ourselves (e.g., ‘I’m not good enough’), the world (e.g., ‘unsafe’) and other people (e.g., ‘I can’t trust others’).
- Schemas can arise from our childhood experiences and the potential of unmet needs.
- Schema change requires both cognitive and experiential work.
- Techniques include cognitive-behavioural techniques to identify and change automatic thoughts, identify cognitive distortions.
- Experiential work can include visual imagery, understanding different parts of ourselves, creative work to symbolise positive experiences, and using the therapeutic space in a re-parenting understanding.
Psychodynamic psychotherapy is therapeutic approach that helps individuals to explore inner workings at deeper levels to understanding unconscious patterns in decision making and relationships.
- It works to link childhood experiences with an individual’s current situation.
- It works to understand unconscious conflicts and link unmet childhood needs with current unconscious drives and motivations.
Attachment-based therapy works to strength family connections, creating a greater sense of stability and security across the family unit.
- Linking how you were parented with your current parenting style
- Understanding your parent’s influence on you with helpful and unhelpful parenting projections.
- Understanding how you influence your children with your helpful and unhelpful projections.
- Strengthening relationships by understanding your parenting style.
- Strengthening an emotionally and physically safe, secure and stable relationship with your family members.
EMDR is a structured therapy that encourages an individual to briefly focus on the trauma memory while simultaneously experiencing bilateral stimulation (typically eye movements), which is associated with a reduction in the vividness and emotion associated with the trauma memories.
- EMDR is a key intervention in treating trauma. The World Health Organization (WHO, 2013) and the International Society for Traumatic Stress Studies (ITSS, 2019) recommend EMDR therapy as one of the treatments for adults and children with posttraumatic stress disorder (PTSD).
EMDR therapy uses a structured eight-phase approach that includes:
- Phase 1: History-taking
- Phase 2: Preparing the client
- Phase 3: Assessing the target memory
- Phases 4-7: Processing the memory to adaptive resolution
- Phase 8: Evaluating treatment results
- Projection, often a subtle and unconscious defence mechanism, involves the transfer of uncomfortable feelings towards another person.
- Project is often difficult to talk about and services a key purpose that can often be traced back as a childhood experience.
- Project underscores the need for professional intervention to understand and address it.
Projection can occur in a variety of contexts, including an isolated incident with a casual acquaintance to a regular pattern as a parent or in a romantic relationship.
- In parenting projections, parents can transmit their emotional problems to a child and this can contribute to relationship problems and behaviour responses that can be difficult and challenge families. It can also affect the relationship the child has with themselves and others.
- Becoming aware of projects can assist with resolving relationships and emotional dysregulation in the home environment.
Books:
- The Explosive Child (R. Greene) – understanding behaviours that challenge from a communication need and skill deficit model.
- Brain-Body Parenting (M. Delahooke) – parenting approach that considers a child’s nervous system.
- The Whole Brain Child (D Siegel) – Demistifying ‘meltdowns’ and aggravation using a brain-science model.
- The Tech Diet (B Marshall) – for parents wishing to adopt healthy boundaries with device and technology use in the home.
E-Safety:
Programs:
There are many programs and courses available to parents. With each family being unique, finding the right program that works for your family is important. Some programs available throughout Perth include:
- Circle of Security
- Triple P – Positive Parenting
- Behaviour Tonics
- 1-2-3 Magic
- Zone your home (zones of regulation)
Parenting can be challenging, and supportive and non-judgmental assistance can make all the difference.
Here are some strategies that support a positive family environment.
Shifting your Ideas about behaviours that challenge.
- Viewing your child’s challenging behaviours as a communication of a problem, or an unmet need, or an understanding that they have exceeded their coping strategies, is a helpful first step. With this idea, challenging behaviours become behaviours that challenge.
- By prioritising understanding the behaviour rather than stopping it can assist with it resolving faster.
- Don’t presume to know what is happening for your child and remaining curious and asking them questions about their actions and underlying feelings can be helpful.
- Don’t presume to know you child understands their behaviour and/or feelings. If they say, “I don’t know”, it is because they don’t know.
Remaining Calm and Providing a Positive Family Environment.
- Support a low conflict environment by modelling calmness and respectful communication.
- Provide a positive, loving, and safe environment is ideal for children to grow and learn.
- With angry child responses, slow communication down and support their regulation before continuing the communication.
- Give your child time to talk in communication, slow talks down and allow them time to finish what they wish to say.
Consistency and Clear Boundaries.
- To define family expectations, be consistent in your parenting practices (e.g., device time).
- Maintain clear boundaries to help children feel secure.
Use Positive Attention.
- Use praise frequently and try to be specific (e.g., “I liked the way you put the plate in the dishwasher without me asking.”).
- Use encouraging messages frequently to reinforce expectations, family values and desired behaviours. This is more effective than a punitive approach.
- Learn about your child. Ask them questions about their likes, dislikes and who they are or wish to be in the world.
Challenging Other Beliefs
- Typically, children are motivated to do well.
- An unmotivated child doesn’t mean they are lazy.
- Skill gaps may make it difficult for a child to do well.
- A child who is not understood, has difficulties understanding their challenges or struggles, and is repeatedly told they aren’t trying enough, may give up and stop caring – now looking like they are unmotivated to change.
Reflective Functioning is often called Mentalisation and can be a very useful, if not powerful parent tool.
It refers to the capacity of a parent to understand and interpret their own internal mental state, and simultaneously that of their child. It is a multifaceted concept that involves recognising and processing emotions, desires, intentions, and perspectives.
Arietta Slade
A prominent researcher in attachment theory and mentalisation, has extensively studied and contributed to the understanding of how this technique improves parent-child relationships.
Practice Makes Perfect
Mentalisation or Reflective Functioning focuses on understanding your child’s undesired behaviour rather than stopping it from occurring. By slowing down and learning new ways of communicating with your child, the behaviour can shift, and your relationship with your child can strengthen.
Supporting Parents
Millstream clinicians can facilitate this powerful technique.
Play Therapy is an effective approach in counselling children. This approach of therapy recognises that children often communicate and process their experiences through play, making it a natural and developmentally appropriate medium for therapeutic intervention.
Here’s why Play Therapy can be beneficial for children:
Developmentally Appropriate
Play is the primary language of young children. Through play, children can express their thoughts, emotions, and experiences in a safe and non-threatening way. Play Therapy leverages a fun communication tool and provides children with a familiar and comfortable environment to explore their feelings and experiences.
Expression of Feelings:
Children may not have the verbal skills to articulate their emotions or experiences directly. Play allows them to express complex feelings and experiences symbolically, through toys, games, and imaginative play scenarios. This process helps children process difficult emotions and experiences at their own pace.
Therapeutic Relationship:
Play Therapy involves a supportive and trusting relationship between the child and the therapist. The therapist provides a safe and accepting space for the child to explore and express themselves without judgment. This relationship serves as a foundation for trust, opening up and delving deeper into problems.
Effectiveness Approach:
Play Therapy is grounded in research and theory, with therapists accessing specific techniques and interventions tailored to each child’s needs. While it may appear as “play” it is a method that facilitates therapeutic outcomes.