Is it time for a radical rethink, on NHS psychological treatments, waiting Lists?

depression_eleiocounsellingThis morning’s radio fours woman’s hour interviewed the health minister regarding waiting lists for psychological treatments, on the NHS. The Minister promised an improvement, should the current government be re-elected. The Minister responded to claims that there is no choice in psychological treatments and that cognitive behavioural therapy (CBT ) is often offered as the only treatment.

The Minister promised that other treatments such as psychodynamic, person centered, and solution focused therapy would be offered as a choice should the present government be re-elected.

Unfortunately, people are generally waiting up to 12 weeks to see the therapist, and then offered anything from 2 to 6 sessions. Research has shown, that it takes up to 4 sessions for a client/patient  to build up a good enough relationship with the therapist.

A spokesman for the Tavistock Institute in London quoted as saying that it takes up to 12 to 20 sessions for a potential client have good enough therapy.

The longer people wait for therapy more risk they are, often people will find a private therapist, which can see them right away. Of course, with private therapy, there’s no limit to the amount of sessions, one can have, if one can afford it.

May be if the NHS were to outsource psychological treatments to the private sector and individual therapists, in private practice, using the vast amount of experienced therapists in private practice, perhaps even local health providers could pay for a proportion of the treatment? Also, the patient or client is able to make an informed choice as to what type of therapy, he or she  has. A point raised in the programme is that, currently, only 10% of therapy is offered on the IAPT scheme are non-CBT.


At Eleos counselling, we offer a reduced rate counselling. The clients who are on family tax credit, income support can access psychological treatments at a reduced rate We feel, that this is the way of plugging the gap between the private sector and the therapies that are available, under the NHS scheme. One of the ethos  of Eleos counselling is to offer affordable therapy for anyone who needs it.



Men’s Mental Health



Homeless man, Male Mental Health Over the last few days social media have highlighted the case of a homeless man from Kent, who froze to death on the patio of a disused property. The coroner’s inquest stated that the man has suffered from mental health problems, such as depression, which had been exasperated by problem drinking.

Reading the report was indeed sobering, as this is one more example of a man that could have possibly been helped. We are told, traditionally, men are reluctant to seek any form of help and often have higher levels of isolation; rates of drug and alcohol misuse, furthermore, homelessness is greater for men, than women. Males are more likely to be involved in the justice system because of antisocial behaviour. Indeed, when men are jailed for there he may be incarcerated with other men who have themselves mental health problems, in fact, 90% of all male prisoners have a mental health problem(Unknown, 2015) and 70% having what is called  a comorbidity, that is, having two or more mental health problems

Men often looked at as the bad boys, portrayed as perpetrators and villains, it could be said that the justice system is to focus on externalising behaviour, often exasperated by alcohol abuse, such behaviour, is often responded to harshly.

For some, it is hard to see men as vulnerable; nevertheless, men often experience physical and sexual abuse and are victims of domestic violence; although statistically, this number is small compared to women the shame of coming forward and talking about this could be something to do with the low numbers.

I society often sees being a man is a positive advantage, that maybe for some, if you’re young, wealthy, whites, middle-class, what happens if you sit outside these parameters. If you’re old; some statistics say this is over 50, black or ethnic, and not in the top bracket of earnings.

Even if you are in this advantageous group that doesn’t make you invulnerable, even this group suffers adversity and psychological difficulties such as breakdown of relationships, substance misuse, and physical elements. Men often seen as protectors, and sent, as last year’s World War One commemorations remind us, at a young age to fight war’s.

Indeed, looking at the coroner’s report regarding this individual, we find out that he too had a family and people who loved him, but somehow fell through the net.

So where is all this leading, having a more empathic understanding of male mental health problems men can experience, should be paramount.  It would take a generation to change this, but it could be changed.






Unknown. (2015). Mental health statistics: prison.   Retrieved 2nd January 2015, 2015, from