‘THE ESSENCE OF SELF’ & IDENTITY

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SELF-CONFIDENCE & SELF-CONSCIOUSNESS

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ISSUES TO DO WITH HOW YOU VIEW LIFE 

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EMOTIONAL ‘STATES’

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OUTBURSTS OR MELTDOWNS WITH EMOTIONAL ELEMENTS/TRIGGERS

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UNRESOLVED & UNRESOLVING DRAINING NEGATIVE EMOTIONS:
SADNESS / GRIEF / GUILT

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UNRESOLVED CHARGED NEGATIVE EMOTIONS:
ANGER / FEAR /ANXIETY

CONSTANTLY INTRUDING NEGATIVE THOUGHTS OR MEMORIES

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ISSUES TO DO WITH YOUR INTERACTIONS WITH OTHERS

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HAPPINESS & A WANTING TO BE HAPPY

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ISSUES INVOLVING YOUR SENSE OF WELLBEING

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DEPRESSION – & LOWNESS, SOCIAL WITHDRAWAL, LOSS OF ABILITY TO ENJOY LIFE ETC

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THE RESOLUTION OF STRESS
(NOT STRESS ‘MANAGEMENT’)

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THE RESOLUTION OF ANXIETY &
INACTIONS / REACTIONS DRIVEN BY ANXIETY
(NOT JUST ‘MANAGING ANXIETY’)

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DEALING WITH ABUSE / BEING ABUSED &/OR THE EFFECTS OF HAVING BEEN ABUSED

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PSYCHOLOGICAL ISSUES WHERE YOU HAVE NO CLUE WHAT IT IS ABOUT

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CHALLENGES INVOLVING YOUR PURPOSE, WHERE YOU ARE ‘AT’ ON YOUR HIGHWAY IN LIFE, AND MEANING

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CHALLENGES INVOLVING THE BEING OF YOU, INDIVIDUALITY, BEING ‘DIFFERENT’ OR DIVERSITY

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LIFE SITUATIONS – DIFFICULT TO MANAGE SITUATIONS OR CONCERNS ABOUT FORTHCOMING SITUATIONS

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PSYCHOLOGICAL ‘STATES’
EG OBSESSION / PREOCCUPATION / OVERWHELM ETC

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DISTRESS & BEING ‘IN A STATE’

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TRAUMA & SHOCK CODINGS

TRAUMA IS ONE OF THE MOST COMPLEX OF ALL PSYCHOLOGICAL CHALLENGES – HOWEVER DR ALEX HAS DEVELOPED A BRAND NEW WAY FOR ‘TRIAGING’ (‘DIAGNOSING’) YOUR TRAUMA, AND *RESOLVING IT. USUALLY VERY QUICKLY.

Given the hugeness of this subject, and the degree to which we have something different to offer here, we also talk about trauma in the separate category of ‘Psychological Issues Requiring a Systematic Structural Approach For RESOLUTION’.

TRAUMA IS PERSONAL:
While trauma can affect anyone and is extremely common, the way it ‘exists’, the extent and ‘relevance’ of it to your daily life, and the effects that it has as a consequence, are always individual and deeply personal.

TRAUMA REQUIRES RESOLUTION:
Any decent psychotherapist can work with you to examine all that with their support – and ‘come to terms’ with it, or ‘manage’ it, in a process which usually requires many sessions, and ongoing focus and vast energy.

However the far better approach is to actually RESOLVE it. And very few psychotherapists can do that, or do that with finesse.

TREATMENT OF TRAUMA:
Resolving trauma defies most treatment approaches. This is partly because most psychotherapists do not understand the neuroscience and psycho-neurology of trauma; indeed most psychotherapists do not even study psychology.

Trauma codings are neurologically completely different from other neuro-psychological ‘codings’. Then beyond that, the exact way a trauma is coded depends on many factors, which affect the way that it can be treated and resolved.

MANY FACTORS AFFECT HOW TRAUMA IS CODED:
It matters what was involved, or who (near death? violation and infringement? other people?), what emotions were involved and the intensity of them (and how often those emotions feature in other aspects of your ‘normal daily life’), whether that information is accessible to you, and whether how it is encoded affects how you see yourself as a individual, or is at odds with it (for example, as a good person, or a smart person, a broken person…).

The context also matters – both now and with regards to the backdrop of how things were for you right then. The time it took to encode it is pivotally important – and the frequency / level of exposure, your vulnerability at the time, and now, especially if involving multiple events. Was this once? sudden? repetitive? the same each time or vastly unpredictable? Did you develop a tolerance? Did you reach a threshold?

Were you morally compromised (eg by an act against you, or your own actions eg in a theatre of war)? Were you caught completely unawares (eg a car accident) or had you in any way predicted such an event could happen?

Did the trauma involve risks or threats to other people; and who were they to you? For example, trauma can involve ‘locked-in’ facets of fear for other individuals – thereby creating an ongoing or intermittent ‘externally-focused element’ which may affect your behaviour, and relationships, and transactions, in complex and multi-faceted ways. Similarly, ‘what happened’ may affect your ‘world’ on account of whatever else had gone on outside of you at that time (eg if the trauma was encoded in a ‘survival’ environment, or in conjunction with coincident external hardship, or an insecure environment…) – or critically changed ‘how things are’ ‘beyond you’ ever since.

In Dr Alex’s hands, all these factors are taken into account when she works out how to help your resolve it. We are unaware of other therapists who have a whole system of trauma resolution that is deliberately structured according to these key nuances.

THE SNOWBALLING EFFECT:
Trauma is complex in itself, but then many other issues can ‘coalesce’ around the trauma, psychologically-speaking, such that there is a snowballing effect of patient pathways related to the compensations, reactions, inactions, and consequences, etched into and around the trauma coding, as you try and work around the trauma and the effects of the trauma itself.

DETECTING THE TRAUMA:
Even knowing that trauma codings ‘are there’ requires specialist expertise. Some trauma follows a gargantuan event / extreme situation and is therefore suspected or readily known, especially if associated with relevant symptoms.

However the way the brain creates trauma codings as ‘ringfenced entities’, is a mechanism that it may deploy in widely varied circumstances, and it’s not always clear without specialist help, that the issues affecting you exist in ‘trauma format’.

The nature of the event may give us a clue but not always – for example a sudden, life-threatening event. However shock events may be coded as trauma, or they may be coded in a different way, depending on whether the individual unconsciously CONTAINED the shock (trauma coding) or DISSIPATED the shock (which can be with or without physical symptoms).

LAYERS OF TRAUMA:
For trauma, there can be severe trauma resulting from one incident. Less severe trauma may be coded in a different way – or it could be coded in the same way as the severe trauma but ‘buried under it’, making it difficult to pre-detect the fact that there is more than one traumatic coding at play.

Meaning the specialist needs to be ahead of it, or suspect it, and agile and clear-minded enough to be able to resolve whatever there is to deal with. This takes specialist knowledge, a lot of experience, and in-the-moment diagnostic clarity using a structural approach.

For example, for you there might be a load of different adverse instances all piled on top of one another as ‘ringfenced traumatic codings’. This may be because for you, diverse adversities were relentless for an enduring period of your life. Or because your brain felt that ringfencing problems had worked successfully in the past – and unbeknown to you, ‘decided’ to do it again and again.

So some of the issues you’ve encoded this way will involve humongous issues, and some much less serious – and the therapist needs to be smart enough to know the hierarchy of what to deal with first then next, and why. Also enough of a pile up of traumatic codings can cause someone to present as if ‘fractured’ as a Being, which raises a different set of therapeutic considerations involving the fabric of your Self.

TRAUMA TRIAGE:
These are examples of key reasons why Dr Alex believes there should be a clear Triage for any psychological presentation – but none more so than when trauma is suspected. And that if you wish to *fundamentally move on with your life, you might best seek the professional input of someone who can help you resolve it, not just manage it.

TRAUMA IS DOMINANT:
Trauma is one of the most complex of all psychological issues. And because it is a ‘dominant’ coding in the brain, if you don’t deal with it effectively, you will always be working around it.

TRAUMA CAN INVOLVE PHYSIOLOGY (body systems):
Similarly, while trauma is located in the brain and affects brain function in particular ways, it can also be dissipated in the body, or keep dissipating because every trigger event changes your individual physiology – and health – alongside. So it helps if you are working with someone who is a specialist in that domain too.

WE CAN RESOLVE TRAUMA:
Please do not assume that you have no choice but to struggle on and suffer with trauma that you have, or problems that may have been encoded as traumas, that you have not managed to get rid of if you’ve had psychotherapy before.

Dr Alex has devised a new way of RESOLVING trauma and traumatic encodings, based on a very advanced system of deduction as to the precise composition psycho-neurologically. And the application of her ground-breaking approaches that directly reflect the structure and characteristics of your trauma – whereby we dismantle the traumatic coding with the same speed with which it was created. Like pulling a thorn out of a festering wound, instead of continually dealing with the sepsis.

Please let Dr Alex help you. Our process is really slick – and does not require that ‘you churn stuff up’.

If your aim is to RESOLVE your trauma, please get connected.

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PSYCHOLOGICAL CONDITIONS DUE TO CHANGES IN AN INDIVIDUAL’S PHYSIOLOGY

THIS IS WHERE THERE ARE PSYCHOLOGICAL SYMPTOMS THAT ARE REFLECTIVE OF A CHANGE IN THE INDIVIDUAL’S INTERNAL PHYSIOLOGICAL ENVIRONMENT:

There are many instances where people have psychological issues (challenges or deficits) that aren’t actually about ‘the brain’ or ‘nervous system’, but yet they have psychological elements as part of a profile of changes involving other body systems, or body tissues.

This is important because no matter how hard you try to treat these with ‘simple’ or ‘pure’ psychology, you will never make good or sustainable headway. Pardon the pun.

> For example, people who have inflammatory disorders – whether they are aware of them or not.

So certain nutritional or metabolic ‘skewing’ can create a pro-inflammatory internal environment. The same happens with ‘leaky gut’ and a less than ideal ‘gut microbiota’ (gut bacteria / bugs). These are, for example, associated with learning impairments and low mood in children, and depression in adults.

Similarly there can be mental health elements of Rheumatoid Arthritis that are directly related to the inflammation.

> For example, people with hormonal changes – such as the menopause, or andropause, or thyroid disease – are well-known to have psychological problems.

> For example, people with metabolic changes – such as diabetes mellitus. In these sorts of complex, chronic conditions, psychological impairment and adverse psychological changes can be subtle and/or slowly-pervasive.

In these situations it is very useful that Dr Alex is a leading ‘patho-physiologist’ and patho-psychophysiologist – that is, someone especially trained and experienced in identifying and treating changes in how the body systems are working, and how that affects the function of the brain and mind.

For people in these situations, Dr Alex would start with the physiology and then move onto the psychology, in order to achieve fast and sustainable results.

Dr Alex also accepts referrals from all psychologists and psychotherapists who realise that there may be a physiological basis to psychological manifestations.

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PSYCHOLOGICAL ISSUES ASSOCIATED WITH CHANGES IN A PERSON’S MOLECULAR BIOLOGY OR BIOCHEMISTRY

THIS IS THE SITUATION WHERE PEOPLE DEVELOP OFTEN CHRONIC AND DETERIORATING PSYCHOLOGICAL CHALLENGES ON ACCOUNT OF A MEDICAL, PHYSICAL OR PSYCHIATRIC PROBLEM:

This is different from when people have psyche issues that co-exist with a psychiatric or medical disease where the psychological issues are part and parcel of the fabric of that condition…

In this category, people have developed a psychological overlay to their existing condition because of the exhaustion and/or isolation and/or challenges and/or despair of dealing with the condition that they have.

This is especially the case if the underlying condition is one that has not achieved a clear medical diagnosis, or where there are inadequate meaningful treatment options and the person feels frustrated or in despair trying to get answers and a good way forward.

For example, with Chronic Fatigue, or Chronic Fatigue Syndrome (CFS).

And in all situations where people are trying to deal with loss of function and altered life circumstance, and the anxiety and distress, of a chronic and/or disabling condition.

Especially where there is the prospect of interminable added effort and uncertainty involved, to add to the distress and stress, in what may not only not be regarded as ‘effort-for-progress’ but in fact is energy involved in taking ‘backward steps’ (eg moving to a place the individual hates) because of the consequent circumstances (eg financial impediments).

This may happen with any chronic progressive disease, for example, Multiple Sclerosis (MS). Or with any serious disease that cannot easily be managed alongside work, and often for a long period of time – such as with cancer of one sort or another.

In additon there can be the loss of identity that goes hand-in-hand, loss of self-worth, loss of hope, loss of purpose, curtaillment of enjoyment activities, loss of prospects etc. And an indeterminable amount of energy involved in managing basic human tasks and functions of living, alongside.

Psychological issues in this category may also can co-incide with psychological problems that are part of the actual fabric of disease, making it even more important to consult a specialist who can unpick the problems by ‘root cause’ and ‘causative profile’….and treat them accordingly, directly.

And Dr Alex is one of the only Specialist Physicians in the world who not only has at her disposal fast and effective new ways to deal directly with the psychology, but who can actually also target whatever is most relevant – the disease itself, the addition of psyche elements to the profile of the disease, or elements consequential of the disease, in new ways, as a result of all her own research and development over decades.

A similar profile can occur where there is chronic pain and/or physical impedance as a result of physical injury. Again Dr Alex has new approaches for these issues, and also liaises directly with world-leading Physical/Pain Specialists (some of whom also practice in NI).

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PSYCHOLOGICAL ELEMENTS AS PART OF THE DISEASE PROCESS IN A MEDICAL OR PSYCHIATRIC DIAGNOSIS

THIS IS WHERE THERE ARE PSYCHOLOGICAL SYMPTOMS THAT ARE PART & PARCEL OF AN ESTABLISHED MEDICAL OR PSYCHIATRIC CONDITION OR SITUATION:

> This includes people who have psychological issues as part of the spectrum of symptoms and problems they have with the medical condition that they have.

For example, anger and angry outbursts are more common in people with Multiple Sclerosis (MS). Now that can be a reaction to the issue of being ill (please see next category) OR it can be because of the disease itself, actually ‘causing’ anger AND/OR because of loss of ‘disinhibition’ that might otherwise lead to that anger being suppressed.

For example, in Lupus (SLE), there are a host of neuro-psychiatric problems that include psychological manifestations. This is because Lupus can directly involve your nervous system and cause symptoms such as memory problems, difficulty concentrating, mood swings, and confusion.

> And it includes people who have psychological symptoms as part of the psychiatric condition that they have.

For example, depression in individuals with Schizophrenia. Very many people with Schizophrenia also have depression as part of the fabric of the actual condition. And while Dr Alex does not treat Schizophrenia as such, she may treat depression in Schizophrenia.

In all these types of psychological presentation, it helps that Dr Alex is also a Medical Doctor who works across (rather than within) all of the different clinical disciplines and specialties. The key is always to pinpoint what we are ‘seeing’ from the outset, and to marshall and target resources accordingly.

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PSYCHOLOGICAL ELEMENTS CONSEQUENTIAL OF THE TEDIUM & CHALLENGES OF A MEDICAL OR PSYCHIATRIC DIAGNOSIS

THIS IS THE SITUATION WHERE PEOPLE DEVELOP OFTEN CHRONIC AND DETERIORATING PSYCHOLOGICAL CHALLENGES ON ACCOUNT OF A MEDICAL, PHYSICAL OR PSYCHIATRIC PROBLEM:

This is different from when people have psyche issues that co-exist with a psychiatric or medical disease where the psychological issues are part and parcel of the fabric of that condition…

In this category, people have developed a psychological overlay to their existing condition because of the exhaustion and/or isolation and/or challenges and/or despair of dealing with the condition that they have.

This is especially the case if the underlying condition is one that has not achieved a clear medical diagnosis, or where there are inadequate meaningful treatment options and the person feels frustrated or in despair trying to get answers and a good way forward.

For example, with Chronic Fatigue, or Chronic Fatigue Syndrome (CFS).

And in all situations where people are trying to deal with loss of function and altered life circumstance, and the anxiety and distress, of a chronic and/or disabling condition.

Especially where there is the prospect of interminable added effort and uncertainty involved, to add to the distress and stress, in what may not only not be regarded as ‘effort-for-progress’ but in fact is energy involved in taking ‘backward steps’ (eg moving to a place the individual hates) because of the consequent circumstances (eg financial impediments).

This may happen with any chronic progressive disease, for example, Multiple Sclerosis (MS). Or with any serious disease that cannot easily be managed alongside work, and often for a long period of time – such as with cancer of one sort or another.

In additon there can be the loss of identity that goes hand-in-hand, loss of self-worth, loss of hope, loss of purpose, curtaillment of enjoyment activities, loss of prospects etc. And an indeterminable amount of energy involved in managing basic human tasks and functions of living, alongside.

Psychological issues in this category may also can co-incide with psychological problems that are part of the actual fabric of disease, making it even more important to consult a specialist who can unpick the problems by ‘root cause’ and ‘causative profile’….and treat them accordingly, directly.

And Dr Alex is one of the only Specialist Physicians in the world who not only has at her disposal fast and effective new ways to deal directly with the psychology, but who can actually also target whatever is most relevant – the disease itself, the addition of psyche elements to the profile of the disease, or elements consequential of the disease, in new ways, as a result of all her own research and development over decades.

A similar profile can occur where there is chronic pain and/or physical impedance as a result of physical injury. Again Dr Alex has new approaches for these issues, and also liaises directly with world-leading Physical/Pain Specialists (some of whom also practice in NI).

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PSYCHOLOGICAL ISSUES WITH OR WITHOUT A DIAGNOSIS WHERE ‘STANDARD’ TREATMENT APPROACHES AREN’T VERY EFFECTIVE IF NOT SUFFICIENTLY WELL-INFORMED

OFTEN PEOPLE PRESENT TO DR ALEX’S CLINIC WITH A NAMED PSYCHOLOGICAL CONDITION FOR WHICH ‘STANDARD’ TREATMENTS HAVE BEEN INEFFECTIVE:

This can be for any number of reasons – some of which are covered here in other categories. For example, psychological issues coincident in the disease process, or consequent to it… or issues which are actually rooted in the physiology or biochemistry of an individual’s make-up or status.

Apart from that, for ‘pure’ psychological issues (if there is any such thing), there are loads of reasons as to why this is. Mainly to do with how the presentation (ie you) is assessed AND with what treatment is offered.

The generic issues are (generally):
a) that presentations aren’t actually wholly assessed at the outset – they’re ‘picked at’, as you go along, and
b) the therapist’s approach is often largely invariant (ie not chosen according to the exact fabric of your own challenge, and then not targeted/delivered with the exactitude that is warranted to deconstruct YOUR challenge as it is specifically composed).

In other words, the ‘standard’ treatment that you have been offered may be mis-directed given the precise composition, origin or drivers, and neuroscience of your own problems.

Now bear in mind most psychotherapists don’t even do systematic ‘diagnoses’ of the precise make-up of your presentation in these terms, so they are unlikely to be carefully matching their approaches, and indeed the sequence of their own work, to marry precisely with your own profile (including in tiers and stages). But also note that most therapists only practice one approach anyway – it’s an artefact of way most professionals are trained.

For example, Cognitive Behavioural Therapy (CBT) may be helpful if you want to want to change your behaviour and reflex/instant/habituated cognitive thought processes… BUT the cognitive centres of the brain are not usually the drivers of psychological issues, nor where psychological issues are ‘stored’, nor the reason why many issues arise in the first place. For one straightforward but rather huge example, the cognitive mind is not where emotions come from!

So albeit CBT may be great for some people, it is a relatively superficial approach for many others and possibly misplaced. It might though be great for helping you to sideline, side-step, ‘manually’ change or become aware of relatively simple issues that you have merely ‘routinised’ in your activity.

For example, Mindfulness and/or Meditation may be helpful in, let’s say, relieving some stress. But if you are not addressing the root causes of the stress at a fundamental and, conversely, superficial level, even the centres of your brain that benefit from these approaches while you are doing them, will protest as soon as you’ve stopped, or intrude while you’re trying to sleep, or whatever. Because ‘they’ (you!) want to bring ‘stuff’ to your attention to sort out ‘properly’.

That is absolutely not to say that you can’t acheive great benefits from these approaches. But they may not be enough, they may be mis-directed, they may be addressing mere ‘crumbs’ around the edges, and not the whole ‘cake’, and they may be relatively slow because they aren’t ‘scientifically’ focused on YOUR exact ‘problem’ composition.

Dr Alex has developed an entirely new way of ‘doing’ psychotherapy to overcome these limitations. A new way of ‘diagnosing’ (triaging) your presentation / need – and applying up-to-the-minute psychology, neuro-psychology and neuroscience in the very exact, highly-focused, direct, comparatively fast, manner that will allow her to deconstruct your challenge and reconstruct YOU, using a ‘HOLONIC’ approach.

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WELL-KNOWN PSYCHOLOGICAL ISSUES REQUIRING SPECIALIST TREATMENT & A SYSTEMATIC STRUCTURAL APPROACH FOR RESOLUTION

JUST BECAUSE A PSYCHOLOGICAL CONDITION IS COMMON, IT DOESN’T MEAN EFFECTIVE TREATMENTS ARE READILY AVAILABLE, OR THAT AVAILABLE TREATMENTS ARE EFFECTIVE IN EVERYONE’S HANDS:

The perfect example of this, relates to the treatment of trauma. Because trauma is very common, in one form or another, many psychotherapists set about treating trauma because they find that ‘it’s there’ – and because, if it is there, at some point, for a patient to feel better, that trauma will need to be ‘dealt with’.

There are however very few approaches that aim to RESOLVE A TRAUMA (eg EMDR), neuro-psychologically, as opposed to DEALING WITH HOW YOU THINK OR FEEL ABOUT IT (eg CBT) and trying to get control back in your life.

Yet many psychotherapists don’t appreciate the difference, nor realise that trauma is neurally vastly different. Obviously this depends on a psychotherapist’s own training and experience – where clearly a psychologist will have a far more in-depth knowledge of, and respect for, trauma, and greater discernment, than someone who has not studied psychology, or who has not got an evolved, relevant, and systematic ‘structure’ to their methodology. In addition, of course, there are some therapists who are beyond excellent at treating trauma. Just don’t assume – care to find out first!

Even when a therapist ‘knows’ a procedure, if they deploy it without knowing the anatomy of your problems, they are unlikely to be successful – imagine being in the hands of someone wielding a scalpel, offering to resect a ‘cancer’, but who doesn’t know where you arteries are… or indeed enough about the structure and nature of the tumour they are seeking to remove.

One of the key issues here is, again, the ‘diagnostic’ element of the therapeutic process. And generally no proper or elaborate assessment is made in advance of starting a therapeutic process, of the STRUCTURE & COMPOSITION of your own presentation. Most psychotherapists will ask about symptoms, but not elicit structure.

Trauma is the arch-example of why specialism and structure matter, because while trauma is extremely common (if all sorts of trauma are taken into account), it has a completely different ‘format’ from other psychological ‘codings’. And ‘random’ approaches and attempts to treat trauma in standard ‘talk therapy’ ways, can both aggravate the trauma, and compound it. Potentially making it worse for the patient, and rendering it more difficult for a subsequent specialist trauma psychotherapist to treat effectively.

Also, trauma, and the exact coding of traumas in different individuals, are extremely varied. Even for one individual, there can be multiple traumatic codings of different kinds, encoded differently – or indeed ‘formatted’ with the same kind of coding, even though resulting from different incidents, with different triggers, and arising from different circumstances – all melded together. There are many reasons why that can happen. And the codings will have a hierarchy of dominance which means that there is an order and sequence to how they need to be ‘dealt with’, if resolution is the aim.

In coding terms, it matters whether the trauma was, for example, due to a fear of loss of one’s life, or whether it was due to violation, or other source of conflict – including conflict with one’s own sense of Self and what an individual thinks ‘they are about’ (eg morally). And whether there were other individuals involved, their relationship to and with them, and reaction to their involvement.

It also matters why their brain unconsciously elected to employ a ‘trauma coding’ as the best option for coping at that exact time. Including everything to do with whatever else was going on right then – as well as the context and backdrop – and the degree to which the individual was resourced, under-resourced, or compromised.

The time it took to encode also matters – not just with regards to understanding the fabric of the coding, but also to working out how to release it. Was this a sudden massive threat? Multiple repeated events? A surprise shock event? A pre-empted shock event? A shock event that wasn’t initially traumatic but then became so after-the-fact?

The trauma may be located in the brain and affect brain function in a particular way. Or it could be dissipated in the body, and every trigger changes the individual’s physiology alongside.

Clearly even eliciting all this information without triggering a trauma and/or entrenching it, is a specialist professional training in itself!

If your aim is to RESOLVE your trauma, please contact us to find out how Dr Alex has developed treatment in this specialist domain of psychology. Or check out our separate section on ‘Trauma & Shock’ on this page.

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