Dr Georgina Gould | Helping Adults
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Helping Adults

My Approach

I have training, clinical experience and expertise in a variety of therapeutic methods.  This means that I will draw from a number of psychological theories and evidence-based methods to create a coherent, individualised approach that best suits you and the personal difficulties you are experiencing.


The relationship between client and therapist is, however, the most important factor in bringing about change and research confirms this is be the case.  A safe, confidential and friendly space in which to explore troubles is the first step in establishing the grounding for this relationship and sometimes this process of exploration is enough to bring about change. For most people, however, change may need to be negotiated with family, friends, work and other external commitments as well as within themselves in order to enhance mood and wellbeing in a sustainable way.  This is often a positive and empowering process.   

The way that we feel within the therapeutic relationship also offers rich information about the way in which we experience relationships – both present and past – in general, and this forms a central part of my work. Many people, for example, notice repeat patterns within their relationships that often lead to their ending.  Some examples include being attracted to unattainable or unavailable partners, sabotaging relationships with friends or partners that initially felt satisfying, and feeling overly ‘needy’ or distant within relationships.  Gaining understanding of why such patterns formed enables us to break free from their negative impact upon lives and wellbeing.

Working with Managers and Leaders

I have a special research interest in leadership and the specific issues that managers and leaders face.  I completed my doctoral research in this field, interviewing female and male leaders of FTSE 250 companies and equivalent to gain understanding of the contemporary pressures and often competing demands placed upon real-world leaders.  I have published work within this subject area and presented my findings at conferences. Prior to training as a Psychologist and psychotherapist, I worked within the corporate world, completing a Masters in Business Administration during this time.

Therapeutic Methods

Some of the methods I use to understand difficulties and reduce emotional distress include:

Psychodynamic Psychotherapy

Psychodynamic therapy explores our developmental journey from childhood.  It seeks to uncover and understand unconscious processes that may have evolved from childhood experiences, and which influence our choices, relationships and beliefs in adulthood.  Unearthing such processes in this manner allows us to break free from unconscious drivers motivating thoughts and behaviour and make informed, positive choices.

Clients are encouraged to explore issues that evoke strong feelings and are therefore considered to be unresolved.  The insight and clarity that psychodynamic therapy brings about has powerful, wide-reaching implications.

Cognitive-Behavioural Therapy

Cognitive Behavioural Therapy, or CBT, is recommended by the government produced National Institute for Clinical Excellence (NICE) guidelines and therefore used in many NHS settings.  The essence of CBT is that our thoughts, feelings and behaviours are interconnected.  It seeks to identify and challenge negative thinking patterns and behaviours that could be maintaining our problems in order to reduce emotional distress.  It seeks to understand such patterns and behaviours within the context of our past experiences, but tends to focus on changing things in the present rather than exploring the past in an in-depth manner.

CBT can be suited to many difficulties, although the evidence base is stronger for mild to moderate experiences of depression, anxiety, panic, phobias and obsessive-compulsive disorder.

Humanistic Therapy

Humanistic, or person-centred, therapy is based on the philosophy that all individuals have within them the potential for growth.  It is grounded on the belief that people are innately ‘good’ and that adverse life experiences are responsible for deviations from natural tendencies.  Through the right circumstances, therefore, we all have the capacity within us for growth and fulfilment.

Such client-centred and humanistic values form the foundation of all my therapeutic work that I provide alongside other methods because I share such values.  I therefore ensure to provide a supportive, non-judgemental, empathic and accepting space in which individuals may explore their difficulties and work towards achieving their full potential.

Mindfulness-Based Therapy

Mindfulness helps us to be more present and to accept, rather than attempt to eliminate thoughts and feelings experienced as negative and painful.  It is based on the idea that our minds operate on automatic pilot: that our thoughts wander from the present moment to thinking about the past or worrying about the future.  It is this process of rumination that Mindfulness-Based Therapy considers to be the source of psychological conflict.  Clients are encouraged, therefore, to break this cycle through a variety of mediation techniques that encourage us to pay active attention to our minds and bodies in the present moment, and to bring this state of active awareness and compassionate acceptance into our everyday lives.

Mentalization-Based Therapy

Mentalisation-Based Therapy (MBT) is a form of psychodynamic therapy designed for individuals thought to suffer from Borderline Personality Disorder.  A large feature of MBT is to think about and interpret the actions of ourselves and others to increase the capacity to regulate and manage emotions, control behaviour that might feel impulsive, enter more intimate and gratifying relationships and achieve life goals.

The philosophy and goals of MBT I find to be useful in my work with a variety of struggles.  Indeed, I find that we all have within us the capacity to act without thinking, particularly when distressed, and MBT offers a way of slowing down and thinking about our own feelings as well as the feelings of others before acting.

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