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As a Newcastle Therapist and Accredited Mental Health Social Worker who specialises in talk therapy, I often see clients wrestling with how they relate to themselves, especially those who've been raised to value achievement, drive and pushing through adversity. For high achievers, self compassion can seem easy, wishy washy or even downright risky. There is a common belief that holding ourselves to high standards is the only way to excel, and that self compassion might undermine our motivation or sound suspiciously like self pity. But what if self pity and self criticism are simply two ends of a spectrum, with self compassion right in the middle? What if, in fact, self pity and self blame actually get in the way of living out your values and reaching your goals? The Spectrum Explained: From Self Pity to Self Criticism Let's break it down. Self pity can be described as too much empathy for ourselves but not enough self awareness. It's the space where we recognise our pain, but become so absorbed but it, that we lose sight of our ability to take action. On the other side, self criticism is all about intense self awareness without enough empathy. It's the harsh inner voice that tells us we're never good enough, driving us to push harder - sometimes to the point of exhaustion or inaction. It's easy to fall into the trap of believing that effort equals results, and while hard work is important, relentless self criticism can destroy confidence, lead us to seek approval from others, and leave us feeling burnt out. Self compassion, however, sits squarely in the middle. It's about understanding yourself, acknowledging your struggles and mistakes, without enabling unhelpful patterns. Self compassion offers a balanced approach: we see how we are contributing to our circumstances, but we don't buy into stories that rob us of our power and agency. It's not an excuse to give up or ignore your values. Instead, it is a way of responding to challenges with empathy and care, helping build resilience and motivation to change. Why Self Compassion Matters Many people fear that practising self compassion means lowering the bar or letting themselves off the hook. In reality, self compassion helps us recognise our suffering, validate our feelings, and gently encourage ourselves to move forwards. It's not about ignoring responsibility or pretending that everything is fine. Rather it is about responding to setbacks with kindness, the same kindness you would offer a friend who is having a rough period. This shift is crucial for self awareness and growth. The Difference Between Self Pity and Self Compassion by Newcastle Therapist Self Pity: Getting Stuck in the Struggle Self pity feels heavy and hopeless. It's when you become stuck in a story, overwhelmed by emotion and empathy for yourself, but without enough self awareness to break the cycle. This mindset can leave you feeling powerless, letting yourself off the hook and avoiding real change. If you find yourself stuck here, try asking: How am I making myself powerless with these thoughts? What would I need to believe about myself to feel more empowered? How could I be kind to myself without denying my own agency? Self Criticism: Turning Hardship Inwards On the flip side, self criticism involves too much critical awareness, but not enough empathy. When you're overly self critical, it is hard to feel empowered. This kind of self awareness assumes the worst, sets unrealistic standards, and can use harshness or even abuse as a misguided way to motivated change. Instead of building confidence, it tears it down and can lead to a constant hustle for validation and approval from others, all in an attempt to soothe the pain of self criticism. If you notice this pattern, consider: Are these thoughts I would want a friend or child to think about themselves? How could I acknowledge my agency while also being kinder to myself and not try to take responsibility for things I can't control? What would it sound like if I believed in my own worth and goodness even if I saw ways I am not being my best self here? Practical Ways to identify the difference between Self Pity and Self Criticism and Cultivate Self Compassion by Newcastle Therapist, Kristen Fraser Picking the difference between self pity and self compassion Newcastle Therapist Kristen knows is a skill that takes practice. As a local Newcastle Therapist, I often see clients struggling to find the middle ground, often oscillating between self criticism or self pity, and while this happens to all of us at times, it can be helpful to have some strategies for when we are feeling stuck. Notice your self talk . Pay attention to how you speak to yourself, and try swapping criticism for gentle encouragement. Need ideas? This free Newcastle counselling printable on Compassionate Self Talk by Newcastle Therapist, might help. Practice mindfulness . Take time to acknowledge your feelings without getting swept up in them. Newcastle therapist, Kristen specialises in emotional regulation skills using focused psychological strategies from Acceptance and Commitment Therapy and Dialectical Behavioural Therapy. Ask yourself questions . Being curious and asking yourself questions, like the abovementioned questions, can help find the balance on the spectrum between self pity and self criticism. Final Thoughts on Self Compassion by Newcastle Therapist Understanding the difference between self pity, self criticism and self compassion can be transformative. While it can be easy to fall into patterns at either end of the spectrum - whether you are prone to self criticism or self pity, or both, choosing self compassion is what helps you heal and grown. If you're finding it hard to make that shift or need help with practical emotional regulation, mindfulness, challenging self talk or other psychological strategies, reach out to local Newcastle Therapist Kristen and start a conversation.

Looking After Your Wellbeing During the Festive Season Setting Healthy Boundaries, Kristen Fraser Counselling Newcastle Introduction: The Importance of Boundaries at Christmas Christmas is often described as the most wonderful time of the year, however, for many people Christmas brings stress, overwhelm and family tension. Social events, family gatherings and the pressure to please everyone can leave us feeling exhausted and stretched thin. This is why setting boundaries is so important, especially at Christmas. At Kristen Fraser Counselling Newcastle, I believe it is possible to find ways to enjoy the holidays in a way that supports wellbeing. What Are Boundaries? Boundaries are limits and rules we set for ourselves in relationships and situations. Boundaries help define what we are comfortable with and what we are not comfortable with. Boundaries guide how we connect with others. Boundaries can come in different forms: Physical Boundaries: space and touch (e.g. hugging and personal space) Emotional Boundaries: protecting your feelings and emotional energy Time Boundaries: how you choose to spend your time Material Boundaries: sharing or loaning your belongings Why Boundaries Matter Boundaries are essential for maintaining emotional wellbeing and healthy relationships. When we set clear limits, we protect ourselves from burnout, resentment and feeling overwhelmed. Boundaries help us to: Take care of our own needs Communicate our priorities and values Foster respect in relationships Reduce stress and anxiety Enjoy social events on your own terms Without boundaries, it is easy to say "yes" to everyone and everything only to end up feeling drained or overlooked. How to Set Boundaries: Practical Steps and Communication Setting boundaries doesn't have to be confrontational or harsh. Boundaries are not punishment, they are clarity. In fact, setting boundaries is both healthy and considerate by helping others know how to treat us. Here are some tips for setting healthy boundaries by Kristen Fraser Counselling Newcastle, especially during Christmas: Know your limits and take time to reflect on what feels comfortable and what doesn't, without judging yourself for your needs and preferences Communicate clearly by using simple and direct language, often a single sentence is enough Be consistent by sticking to your decisions, even if others push back and be ready to remind others of your boundary Practice self care by checking in with your own needs Use 'I' statements to express your needs without blaming others Why Setting Boundaries is Hard Setting boundaries doesn't have to be hard, but like all skills, it can feel hard if we haven't seen it done by caregivers or other role models. Setting limits can also be hard if we haven't had any practice at it. Some reasons it can be challenging to set limits include worrying or disappointing others, fear of conflict, fear of being seen as selfish, guilt about putting our needs first, not wanting to disrupt family traditions or expectations. Remember, setting boundaries isn't about rejecting others, it's about protecting the relationship so the relationship can continue in a way that works for everyone. The relationship will feel safer and more comfortable for everyone with healthy boundaries in place. Ways To Say No It can help to practice sentences or ways to say no, in words that feel comfortable or resonate with you. Some ways to say no are below, or look at this free 'ways to say no' printable that can be downloaded and kept handy. Thanks for thinking of me, but I can't make it this time. I appreciate the invite, but I'm keeping things low key this Christmas. That doesn't work for me, but I hope you have a great time. I need to prioritise my own wellbeing this year, so I'll have to pass. I'm not comfortable with that, but thank you for understanding. I've got other plans, but let's catch up another time. I'm focusing on family/quiet time this season, so I'll have to say no. No, thank you. Remember, a respectful and direct "no" is perfectly okay, there is no need to over explain or apologise for setting boundaries and communicating your needs. Family and Specific People: Unique Difficulties with Loved Ones Boundaries can feel even harder to set with family or certain people. Family dynamics, history and expectations often make it harder to say "no". You might feel pressure to go along with what's always been done, or to meet the needs of parents, siblings, or in-laws. Sometimes, loved ones may take it personally or push back against new limits. It's important to remind yourself that your needs and boundaries are valid. You can care about others while still looking after yourself. Examples of Christmas Boundaries Some examples of boundaries that might be helpful during the Christmas holiday season are listed below. Consider these examples ahead of time, so you have self awareness and know your own limits. Once you know what you feel more comfortable with, it will be easier to communicate a boundary. Choosing which gatherings to attend, and which to skip Limiting gift spending or opting out of gift exchanges altogether Setting time limits for visits, for example, "we will come for lunch, but not stay for dinner" Declining alcohol or certain foods Taking breaks from socialising for some quiet time Letting family know you won't discuss certain topics Asking for help or delegating Christmas tasks Protecting your children's routines or boundaries with relatives The Difference Between Boundaries and a Request A boundary is a limit you set for yourself, while a request is an ask for someone else to change their behaviour. Boundaries are about what you can control. When we set a boundary, we are making clear what our actions will be. A good example of the difference between a request and a boundary is below: Request: "Can you text me before dropping by, so I can make sure I am available?" Boundary: "I won't answer the door for unannounced visits". How a Newcastle Counsellor Can Help If you're finding it tough to set boundaries or handle the pressure of Christmas, you're not alone. A Newcastle counsellor can support you to: Identify your values and what is important to you Explore why boundaries feel difficult with certain people Develop assertive communication skills Role play challenging conversations Build confidence in saying "no" Manage guilt, anxiety, or fear around boundary setting At Kristen Fraser Counselling Newcastle, we offer a safe, non judgemental space to work through family dynamics, holiday stress, and any worries you have about setting boundaries. Together we can develop strategies so you can enjoy a more peaceful Christmas. Setting Healthy Boundaries with Kristen Fraser Counselling Newcastle Setting boundaries isn't always easy, but it is key to fostering and maintaining healthy connection and relationships. Boundaries help protect our time, energy and wellbeing - no matter what season we are in. A therapist can help you navigate tricky family situations and build confidence in setting limits. If you would like to talk more about boundaries or any other challenges, contact Kristen Fraser Counselling Newcastle for a confidential chat or book online.

Insights from a Newcastle Counselling Private Practice Therapist Newcastle Counselling Room used by Kristen Fraser, Private Practice Therapist Understanding Cognitive Flexibility Our ability to adapt and respond to new challenges has never been more important. At my Newcastle counselling practice, one concept that frequently arises in therapy sessions is cognitive flexibility, alongside mental and emotional resilience. Cognitive flexibility is an essential skill for good mental health, problem solving and overall wellbeing. What is Cognitive Flexibility? Cognitive flexibility refers to the mental ability to switch between thinking about different concepts, adapt to new situations, and adjust behaviour when faced with unexpected changes. It is the 'mental agility' that helps move us from one idea to another, and see situations from multiple perspectives. For example, when facing a setback at work, or a conflict in a relationship, cognitive flexibility enables us to consider alternative solutions, reframe challenges, and find constructive ways forward. Cognitive flexibility is about letting go of rigid thinking patterns and learning to 'bend without breaking'. Why does Cognitive Flexibility Matter? Research shows that people with higher cognitive flexibility are better equipped to handle stress, navigate transitions and bounce back from adversity. In my Newcastle counselling sessions, I often observe individuals who practice flexible thinking are more resilient, less prone to anxiety, and able to foster healthier relationships. Resilience: Cognitive flexibility helps us adapt to change and recover from setbacks. Problem solving: Cognitive flexibility helps us find solutions and avoid getting 'stuck' in unhelpful thought patterns. Emotional regulation: Flexible thinkers can shift emotional responses, making it easier to manage uncomfortable feelings. Interpersonal relationships: Cognitive flexibility allows us to see things from a different perspective and respond more empathetically. Ways to cultivate Cognitive Flexibility The good news is that cognitive flexibility can be strengthened, just like a muscle. Some practical start up strategies to strengthen cognitive flexibility can include: Challenge assumptions - when you notice an 'all or nothing' thought, brainstorm other possibilities Emotional Resilience Tools - mindfulness and other emotional regulation exercises can help step through thoughts and emotions, making it easier to shift gears when needed Try new experiences - stepping outside comfort zones, learning a new skill, visiting a new place or meeting new people all help with flexible thinking. Novelty encourages cognitive flexibility Whether you are currently in a difficult situation or looking to strengthen up your flexible thinking and emotional resilience, it can help to seek personalised counselling. My Newcastle counselling practice based in Hamilton can work with you to provide personalised psychological strategies to increase cognitive flexibility and resilience. My approach to developing cognitive flexibility is to facilitate practical exercises during the therapy session. I use psychological strategies from Cognitive Behavioural Therapy, Acceptance and Commitment Therapy, and Dialectical Behavioural Therapy. By practising skills in the counselling session, you walk away not only with a practical skills, but also with an experience of what the psychological tool feels like to use. Final thoughts Cognitive flexibility is not about being indecisive, or lacking conviction. Rather it's about being open to growth, learning and change. Whether you are facing a major life transition or just want to enhance your every day problem solving skills, developing cognitive flexibility can make a significant difference. If you would like to explore this topic further or need support in building resilience, consider reaching out to a Newcastle counselling professional and starting a conversation today. With my online bookings , it has never been easier to start learning psychological tools and strategies.

Understanding Grief and Accessing Grief and Loss Counselling Newcastle Introduction: The Importance of Grief Counselling in Newcastle Grief is a natural part of life, but navigating the pain of loss can sometimes feel like a lonely journey and the path to healing can be overwhelming. This article explores understanding the different types of grief, practical coping strategies, and guidance for finding a face-to-face grief counsellor in Newcastle. Understanding Grief: What Is It and How Does It Feel? Grief is a deeply personal response to loss. While it’s most commonly associated with the death of a loved one, grief can arise after any significant change, such as a relationship breakdown, job loss, or moving away from home. Everyone’s grief experience is unique; there’s no right or wrong way to grieve, and no set timeline. Many people are familiar with the idea of the “stages of grief”—denial, anger, bargaining, depression, and acceptance. However, these stages aren’t always linear. You might find yourself moving back and forth between emotions, or experiencing them all at once. The important thing to remember is whatever you feel is valid. There are several types of grief, each with its own characteristics and challenges. Anticipatory grief  is experienced before an actual loss occurs, often when someone receives a terminal illness diagnosis for a loved one. Normal grief , sometimes referred to as common grief, is the natural and healthy process that begins after a loss and gradually lessens in intensity, allowing individuals to adapt and continue with their lives. Complicated grief , also known as prolonged grief disorder, is a persistent and overwhelming form that does not ease over time and can significantly impact daily life and functioning, sometimes relating to the traumatic circumstances surrounding the loss. Disenfranchised grief  arises when a person cannot openly express their feelings of loss because society does not recognise or support the loss. Traumatic grief is experienced following a sudden, unexpected, or violent death—such as through suicide or an accident—and the shock of the event can make the grieving process especially challenging. Lastly, collective grief  is felt by a community or group in response to a shared loss, such as during a natural disaster, pandemic, or war. What is Complex Grief? For some individuals, the pain of loss doesn't lessen with time, or it becomes all-consuming and disruptive to daily life, this is known as complex grief and is sometimes called complicated grief. Complex grief is an intense, prolonged and debilitating form of grief that prevents a person from coping with a significant loss and resuming daily life. Complex grief can involve preoccupation with the deceased, persistent yearning, difficulty accepting the death, avoidance of reminders of the loss and disbelief. Symptoms must be present for at least one year after the loss for adults to be considered Complex Grief, including at least three of the following symptoms: disbelief about the death difficulty accepting the reality of the loss avoidance of reminders about the death intense emotional pain difficulty reintegrating with relationships and activities emotional numbness a sense of meaninglessness EMDR or Eye Movement Desensitisation and Reprocessing can treat complicated grief by addressing traumatic memories and emotions that can 'block' the normal grieving process. EMDR not only desensitises the complex grief symptoms, but helps with re-processing to enable a shift in insights, feelings and beliefs about the event. Disenfranchised Grief Disenfranchised Grief is a profound sense of loss that goes unacknowledged or unrecognised, making it difficult for individuals to process emotions and creates a sense of isolation. Circumstances that can result in Disenfranchised Grief: losses that are considered 'less significant' such as the loss of a pet or a relationship breakdown, job loss, divorce unrecognised relationships including a former spouse, a secret relationship or loss of a co-worker stigmatized losses such as dying by suicide, an overdose or stigmatised illness losses that are misunderstood such as infertility, termination or miscarriage Disenfranchised Grief can prolong the grieving process, the lack of validation can cause individuals to doubt their right to grieve or feeling their response is inappropriate or exaggerated. Individuals can experience isolation without social support being unable to share their pain. What is Traumatic Grief? Traumatic grief refers to the intense and challenging grief experienced after a sudden, unexpected, or violent loss, such as a suicide or accident. The shock and traumatic nature of the event can make it particularly difficult for individuals to process their emotions and begin healing, often complicating the normal grieving process and making it harder to move forward. EMDR can be helpful individuals cope with traumatic grief by reducing the intensity of trauma symptoms such as intrusive thoughts, flashbacks and physiological responses. EMDR reduces the emotional distress of memories of the traumatic loss through processing. You can read more information on what EMDR is and how EMDR works here , including how to find an EMDR practitioner in Newcastle. Ways to Cope with Grief: Practical Strategies and Self-Care Tips While the journey through grief is different for everyone, there are some practical ways to support yourself as you heal: Reach out for support: Talk to friends, family, or a trusted community member. Even a chat over a coffee at your local café can make a difference. Look after your health: Try to maintain regular meals, get some rest, and spend time outdoors—take a walk along Newcastle Beach or through King Edward Park. Express your feelings: Journalling, art, music, or even gardening can help you process emotions that are hard to put into words. Set small, achievable goals: Simple tasks like tidying up, making a meal, or visiting the shops can help create a sense of normality. Allow yourself to grieve: Remember, it’s okay to have bad days. Give yourself permission to feel whatever comes up, without judgement. See your GP who can keep an eye on your grief journey and provide support through assessment and referrals if required. Finding a Face to Face Grief and Loss Counselling in Newcastle Face-to-face grief counselling offers a personalised, empathetic approach to healing. If you’re considering reaching out for support, here’s how to get started with face to face grief and loss counselling in Newcastle: 1.       Ask your GP: Your doctor can refer you to a local counsellor or psychologist and may help you access Medicare rebates for mental health support. 2.       Search local directories: Websites such as EMDRAA Find A Therapist , AASW Find A Social Worker , the Australian Counselling Association , or Psychology Today list qualified counsellors in Newcastle. You can filter by location and areas of expertise. 3.       Community organisations: Local groups like Lifeline Newcastle and Hunter can provide names for local Newcastle counselling services that provide support for grief and loss. 4.       Word of mouth: Don’t hesitate to ask friends or community members if they can recommend a good counsellor—they might know someone who’s made a real difference. You Don't Have to Face Grief Alone Grief can be isolating, but face to face or telehealth grief counselling is available in Newcastle. Whether you have lost a loved one, grappling with complex grief or disenfranchised grief, specialised grief and loss counselling can help you find relief, clarity and healing. If you or someone you know is struggling considering contacting a local Newcastle counsellor, Lifeline (13 11 14) or your GP. EMDR for Grief Counselling in Newcastle Kristen offers Eye Movement Desensitisation and Reprocessing also known as EMDR for complex grief and traumatic grief from her local Newcastle therapy rooms based in Hamilton. If you would like to use a Mental Health Care Plan for EMDR, your GP can refer you. To see Kristen's fee breakdown including Medicare rebat e and online bookings follow these links. Don't hesitate to reach out today and start a conversation to bring relief and healing today.

Menopause and mental health: Where does one begin and the other end? Menopause and Mental Health The interplay between menopause and mental health is not always easy to separate with each influencing the other in subtle and various ways. For many, the onset of menopause can coincide with increased emotional sensitivity or bouts of anxiety and low mood—responses not solely rooted in external circumstances, but in the body’s shifting internal chemistry. It’s not simply that menopause causes mental health challenges, nor that mental health exists apart from the changes of menopause; rather, the two can be intertwined, highlighting the importance of a biopsychosocial approach. A holistic biopsychosocial approach encompasses not only biological treatments, but factors in social issues as well as psychological support. This article explores the interplay that can happen between menopause and mental health. Understanding perimenopause and menopause Menopause specifically refers to the final menstrual period a woman experiences, marking the end of the reproductive years. Menopause can understood literally using the greek roots of the words. The word 'meno' means month, and 'pause' means to cease. Menopause therefore translates as the end of monthly menstrual periods. Similarly, perimenopause can be translated as 'peri' meaning around or near, reflecting the transitional period leading up to menopause. In summary, Perimenopause is the transitional period before menopause where as menopause is defined as the cessation of menstruation for 12 consecutive months. Signs of perimenopause irregular or skipping periods periods that are heavier or lighter than usual changes in mood like irritability, depression or mood swings low libido hot flashes night sweats vaginal dryness brain fog (trouble concentrating, easily distracted, forgetting appointments The biology of perimenopause and menopause During perimenopause and menopause the body's production of oestrogen and progesterone, two hormones made by the ovaries, decline. The average age of menopause is 51, however, it can actually happen anytime from the 30s until mid 50s or later. As a woman ages, the number of eggs in the ovaries decrease. This decline in egg supply eventually leads to a decrease in ovulation. It is the ovulation that produces the hormones oestrogen and progesterone, therefore, less ovulation causes less production of these hormones. The link between hormones and mental health During perimenopause and menopause hormone levels fluctuate and decline, namely oestrogen and progesterone. This means there are a lack of hormones stimulating the receptors. These changing hormones affect levels of neurotransmitters, including dopamine and serotonin. Dopamine and serotonin are crucial neurotransmitters in the brain, and imbalances are strongly linked symptoms of depression such as low mood, lack of pleasure and sleep disturbances. Dopamine is associated with motivation and reward, while serotonin plays a role in mood regulation, sleep and emotional processing. In some women, these shifts in hormone levels can affect mood and cognition. Research suggests that individuals in perimenopause and menopause can be at increased risk for certain mental health challenges including depression, anxiety, sleep disturbances, irritability and mood swings and cognitive changes such as brain fog, memory lapses and difficulty concentrating. Common Mental Health Symptoms During Menopause There are several associated mental health symptoms and conditions that can occur during menopause ranging from symptoms of depression and anxiety to mood changes as well as cognitive changes and sleep disturbances. Depression: The risk of developing depressive symptoms increases during perimenopause, even for those without a prior history. Symptoms may range from persistent sadness and hopelessness to loss of interest in previously enjoyed activities. While not everyone will develop clinical depression, the emotional turbulence of menopause can be distressing. The MENO-D is a free self rating scale for Menopausal Depression devised by Professor Jayashri Kulkarni and a useful tool to increase awareness and identify areas of support. Anxiety: Heightened anxiety, including excessive worry, panic attacks, and a sense of being overwhelmed, is also common. Hormonal changes, coupled with life stressors that often coincide with midlife (such as career changes, children leaving home, or caring for ageing parents), can exacerbate feelings of anxiety. Sleep Disturbances: Sleep problems, such as insomnia, frequent waking, and non-restorative sleep, are frequently reported. Disrupted sleep can be both a cause and consequence of poor mental health, creating a cycle that perpetuates mood disturbances. Cognitive Changes: Many report issues with memory, attention, and word-finding. While these changes are usually mild and temporary, they can be frustrating and distressing, especially when coupled with other symptoms. Mood Swings and Irritability: Rapid, unpredictable shifts in mood, increased irritability, and feelings of anger are commonly linked to fluctuating hormone levels. These can affect relationships at home and work, sometimes leading to misunderstandings or conflict. Practical strategies for managing mental health and menopause While menopause is an inevitable biological transition, its impact on mental health can be managed with thoughtful strategies and supportive practices. Stay Informed: Educate yourself about the physical and emotional changes associated with menopause. Reliable information can demystify the process and empower you to make informed choices about your health. The All About Her Centre is an Australian healthcare team for women impacted by menopause and perimenopause. They also have a directory of menopause experts. The Jean Hailes for Women's Health answer the top 5 questions that GPs are asked about menopause and mental health . Prioritize Self-Care: Healthy lifestyle habits such as balanced nutrition, regular physical activity, and sufficient sleep support both physical and mental wellbeing. Gentle exercise, mindfulness, and relaxation techniques can ease stress and improve mood. Seek Professional Support: Don’t hesitate to consult with healthcare providers about troubling symptoms. Mental health professionals, gynaecologists, and menopause specialists can offer tailored advice, therapy, or medical treatments to address both mood changes and physical discomfort. Foster Social Connections: Maintain strong relationships with friends, family, and support groups. Open conversations reduce feelings of isolation and normalize the menopause experience. Practice Mindfulness and Stress Reduction: Techniques such as meditation, deep breathing, and yoga help manage anxiety, irritability, and other mood symptoms. Consider Therapeutic Options: Cognitive-behavioral therapy (CBT) and other evidence-based therapies have been shown to help with mood swings, depression, and anxiety during menopause. Evaluate Medical Treatments Carefully: Hormone replacement therapy (HRT) and other medications may be appropriate for some individuals. Discuss benefits and risks with a healthcare provider, considering personal and family medical history. Set Realistic Expectations: Accept that menopause may come with challenges, but also opportunities for personal growth and self-discovery. Celebrate your strengths and resilience throughout the process. How can psychological support help with menopause? Psychological support, including counselling and therapy can help women navigate the emotional and mental health challenges associated with menopause. Therapies like Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT) can help women manage mood swings, anxiety, and other hormonal changes while also developing strategies for sleep disturbances and hot flashes. Schema therapy can help by addressing ingrained patterns of thinking and behaviour that can contribute to emotional distress and Interpersonal Therapy focuses on improving relationships and social functioning. Seeking support for menopause and mental health Managing mental health and menopause requires a holistic biopsychosocial approach that look not only at medical treatments, but psychological support, addressing social issues/life stressors and lifestyle adjustments. While hormonal changes are at its core, the psychological and social dimensions are equally important. By fostering open conversations, seeking timely support, and prioritizing self-care, individuals can navigate menopause with greater resilience and wellbeing. When to see your doctor for menopause and mental health If you are experiencing strong emotions or symptoms of anxiety or depression, or menopausal symptoms are impacting your quality of life or getting in the way of daily activities. Your GP can not only look at medical treatments and referrals, but also assist with linking you in with psychological support. More menopause and mental health resources For more information on menopause and mental health, there are several organisations including Jean Hailes for Women's Health a not for profit organisation and HER Centre Australia through Monash University. In summary, the journey through perimenopause and menopause is a uniquely individual experience, filled with both physiological and emotional changes that can significantly affect mental health. Understanding the intricate relationship between hormonal shifts and psychological wellbeing empowers individuals to approach this life stage with patience, self-compassion, and resilience. If you would like support navigating menopause symptoms with psychological support face to face in Newcastle or via telehealth, book online today.

Kristen Fraser | Psychological Strategies | Newcastle Therapist A Looking to find a therapist in Newcastle can feel overwhelming. There are lots of clinicians to choose from and finding the right fit can start with asking yourself a few simple questions to narrow it down. If you're not sure where to start, use these Finding a Therapist in Newcastle tips. Why Do People Seek Therapy? There are many reasons people seek therapy from treatment for a mental health condition through to personal growth and a space to reflect. To help you find a therapist that meets your needs, consider what kind of therapy you are looking for, it can help to ask yourself the following questions: Am I looking for: Support with a mental health condition such as anxiety, depression or PTSD Support with neurodivergence such as autism or adult ADHD Life challenges or transitions (new job, becoming a parent, finishing university, retirement, the loss of a relationship or loved one, relationship separation/divorce, ageing parents, a medical diagnosis or traumatic event, parenting as children grow into adolescents, menopause) Improving relationships (with yourself or with others, navigating new relationships or boundaries within existing relationships) Personal growth (in order to gain self awareness, develop new skills and a space to reflect) If you are looking for therapy treatment for a mental health condition , this article on how to choose a mental health professiona l is a good overview of different kinds of therapists and their training and professional bodies. The article looks at the difference between counsellors, psychologists, psychotherapists and Accredited Mental Health Social Workers. In addition, if you are looking to find a therapist in Newcastle for a mental health condition, you may be eligible for a Mental Health Care Plan . What Type of Therapy? The type of therapy can be based on the presenting issue, for example, CBT is widely recognised as evidence-based talk therapy treatment for mental health conditions such as anxiety and depression. Additionally, personal preferences and previous experiences and responses with different talk therapy approaches tried in the past are also a consideration and may influence therapist choice. Knowing the therapeutic approach can be another way to find a therapist that is a good fit for you and help to narrow down the search. Am I looking for: Cognitive Behavioural Therapy (CBT) Acceptance and Commitment Therapy (ACT) Interpersonal Therapy (ITP) Psychodynamic Therapy Dialectical Behaviour Therapy (DBT) Schema Therapy Internal Family Systems (IFS) Mindfulness and Relaxation Strategies Eye Movement and Desensitization and Reprocessing (EMDR) Psychoeducation Skills Training Narrative Therapy Motivational Interviewing Support or Solutions Therapist? Another consideration for finding a therapist is the kind of style of therapist. This can be hard to tell from a website bio or Psychology Today listing , so it can be helpful to ask yourself a few questions first from the below list. You might send an email inquiry to a few therapists and ask for more information once you are clearer on your needs and what you are looking for. Am I looking for: concrete tangible action items I could try outside of therapy? ideas on ways to improve a situation curious questions about why I may have felt that way about a particular situation which leads to interesting reflections and insights exercises to assist with emotional responses to feel empowered or reflective or have an aha-moment after the session has ended specific clinical expertise for a mental health condition specific skills and experience in a life transition someone who will primarily listen someone who actively problem solves someone who assists with perspective shifting a new insight around how patterns in my past or present may be influencing my stress levels a new technique to try learning more about something or improve something time management and planning tools self advocacy tools fostering healthy relationships with myself or others time management and planning tools self advocacy tools fostering healthy relationships with myself and others rituals to assist with transitions The Best Way to Find a Therapist  The best way to find a therapist is by looking at online listing s, send some online inquiries or make some phone calls and make an appointment. Do allow 1-3 sessions with a new therapist to build rapport and get past the initial history taking appointments, but if at any time you don't feel comfortable with your therapist, then change. Ending With a Therapist People may change therapists for a variety of reasons, finding a good fit is very important to build trust and feel supported to make changes. If you have had a few sessions with a new therapist and still don't feel it is the right fit, then change. Do let your therapist know, it can be as simple as an email advising that you no longer wish to continue. Mental Health Professionals want the best for clients and are supportive of you finding the therapist that best suits your needs and therapy style. Finding a Therapist in Newcastle Tips consider your why - why are you seeking therapy? consider if there is a type of therapy you do or don't like consider the type of therapist and what they might do using the questions above ask your GP or trusted friends or referral service for a starting point check online directories and professional governing bodies try a therapist for a few sessions and be open to trying a different therapist if it isn't a fit Kristen Fraser Therapist Newcastle Kristen is an experienced Accredited Mental Health Social Worker offering evidenced based therapy face to face in Newcastle or via telehealth . Kristen is based in the central Newcastle suburb of Hamilton, NS W. Kristen specialises in stress, depression, anxiety, burnout, grief and loss, medical diagnosis including cancer and adult ADHD, and trauma. In addition to clinical expertise in mental health conditions, Kristen also offers therapy for life transitions such as separation and divorce, medical diagnosis including cancer, transitioning through studying, working and retirement, and ageing. Kristen works from a range of evidence-based therapeutic models including Cognitive Behavioural Therapy, Acceptance and Commitment Therapy, Narrative Therapy, Dialectical Behavioural Therapy, Motivational Interviewing, skills training around anger management and other emotional regulation and Eye Movement Desensitization and Reprocessing (EMDR). Kristen offers psychological strategies as well as tangible exercises to assist with decision making and skill building in areas such as emotional regulation, communication skills and navigating relationships. Kristen is Medicare Approved and accepts private clients seeking therapy with or without a Mental Health Care Plan. To see more about Kristen, visit her Psychology Today listing and view Kristen's video. Want to work with Kristen? It's never been easier to begin working on your mental wellbeing goals with Kristen. Kristen accepts online bookings for face to face or telehealth therapy. Still have questions? Read the Frequently Asked Questions or her Terms of Service and Confidentiality . Need more information? Send Kristen an email : kristenfrasercounselling@gmail.com and start a conversation today.

EMDR Overview for GPs referring under Mental Health Treatment Plans EMDR and GP Mental Health Treatment Plans This article covers key points for GPs on EMDR and Medicare Mental Health Treatment Plans. EMDR is an evidenced based psychotherapy that is considered first line treatment for PTSD, however, what is not as well known is that EMDR can be used for other mental health presentations. Another key point for GPs is that EMDR is an approved Medicare psychological strategy under Mental Health Treatment Plans. This overview looks at the research behind EMDR, what mental health conditions EMDR can be used for, how EMDR fits under the Medicare Mental Health Treatment Plan and when GPs should considering referring for EMDR. What is EMDR? EMDR is an evidenced based psychotherapy treatment developed by psychologist Francine Shapiro in the 1980's, specifically to treat PTSD in war veterans. EMDR is now used to reduce psychological distress not only for PTSD and trauma, but for a range of mental health conditions. EMDR involves processing traumatic memories while engaging in bilateral stimulation. Bilateral stimulation is often applied using eye movements from left to right, but other stimulation might include tapping, the use of a light bar for the eyes to follow or EMDR tappers in the hands that pulse. The alternating stimulation activates both hemispheres of the brain to strengthen existing neural pathways and form new ones, as well as helps the amygdala to decrease physical arousal associated with distressing memories. To read more on the mechanisms behind EMDR click here for a more in depth explanation of how EMDR therapy works . What are the benefits of EMDR? EMDR has numerous benefits. EMDR doesn't required talking in detail about a distressing issue. EMDR addresses the emotional, cognitive and physical aspects of trauma by changing how memories are stored in the brain. Distressing memories become less vivid and upsetting. EMDR improves emotional regulation skills and clients often experience symptom relief within a few EMDR sessions. Most importantly, EMDR doesn't only address present and past triggers, but also looks at future templates to help individuals with lasting change. EMDR for broader Mental Health Treatment EMDR was initially developed to treat PTSD in war veterans in the 1980's and over the decades EMDR has been used to treatment trauma more broadly. However, more recent research indicates effectiveness for other mental health conditions including anxiety, depression and complex grief. EMDR is gaining news coverage, with this article published on the 6th June 2025 by the ABC outlining the benefits for a client following the sudden loss of his mother, demonstrating how the application of EMDR is widening. https://www.abc.net.au/news/2025-06-25/emdr-therapy-for-mental-health-treatment/105453498 EMDR and the research data Over 30 random control trials have shown EMDR to be effective in treating PTSD symptoms in adults and children, these studies support EMDR as first line treatment for PTSD and trauma. EMDR is endorsed by the World Health Organisation and many other international bodies including the Australian Centre for Posttraumatic Mental Health . EMDR has shown significant impact on symptom clusters beyond trauma and PTSD including symptoms characteristics of cPTSD , anxiety and depression . The Efficacy of Eye Movement Desensitization and Reprocessing Treatment for Depression: A Meta Analysis and Meta Regression of Randomized Controlled Trials screened 521 studies . The results show that EMDR had a significant effect on reducing depression symptoms with moderate heterogeneity being observed. The study confirms EMDR is effective in treating depression, particularly in severe cases as well as highlighting the need for more standardized research and long term evaluation to assess EMDR's lasting impact. The Effectiveness of Eye Movement Desensitization and Reprocessing towards Anxiety Disorder: A Meta Analysis of Randomized Controlled Trials looked at a total of 17 trials with 647 participants . The study showed that EMDR is efficacious for reducing symptoms of anxiety, panic, phobia, and behavioural/somatic symptoms . What can EMDR be used for? While EMDR was developed to treat PTSD in war veterans, and has been applied to treat trauma more broadly, research is supporting the use of EMDR for other mental health presentations including: Anxiety and panic attacks Depression Stress Phobias Sleep problems Complicated grief Self esteem and performance anxiety EMDR is a transdiagnostic approach that can be used to treat shared underlying processes across different mental health conditions (rather than treating disorders in isolation based on diagnoses). Some examples of shared mechanisms across different mental health conditions include emotional dysregulation, avoidance and cognitive distortions. What is the Medicare Better Access Scheme? EMDR is an evidenced based psychotherapy that is an approved psychological strategy under the Medicare Better Access Scheme. The Better Access Scheme gives Medicare rebates for mental health services provided by GPs, Psychiatrists, Psychologists, Accredited Mental Health Social Workers and Occupational Therapists. The Better Access Scheme aims to make psychological talk therapy more affordable and accessible. A Mental Health Treatment Plan lets eligible patients claim up to 10 appointments with a mental health professional. What are the approved psychological strategies under a Mental Health Treatment Plan? A range of acceptable strategies has been approved for use by allied health professionals (Psychologists, Mental Health Social Workers and Occupational Therapists) utilising the focused psychological strategies items. EMDR is an evidenced based psychotherapy that is an approved psychological strategy under the Medicare Better Access Scheme. The complete range of acceptable focused psychological strategies under Medicare are: psycho-education cognitive behavioural therapy that involves cognitive or behavioural interventions relaxation strategies skills training interpersonal therapy EMDR Narrative Therapy (for Aboriginal and Torres Straight Islander People) Accredited Mental Health Social Workers specialise in talk therapy Accredited Mental Health Social Workers offer treatment for mental health concerns using focused psychological strategies (talk therapy). Accredited Mental Health Social Workers are Social Workers who have specialised in mental health counselling. Accreditation requires 2 years of supervised practice using psychological strategies. Accredited Mental Health Social Workers are Medicare Approved, meaning Medicare rebates can be claimed under a Mental Health Treatment Plan. GPs might consider referring to an Accredited Mental Health Social Worker when a patient is looking for talk therapy for mental health symptoms. Accredited Mental Health Social Workers can treat mental health symptoms while also being trained in knowing when to refer a client for an assessment or diagnosis, as well as working collaboratively with a client's care team. Not all patients want or need a diagnosis, but often want immediate talk therapy, which Accredited Mental Health Social Workers are equipped to provide, often without the waiting lists for psychologists or psychiatrists. GPs might also consider to referring to a mental health professional that specialises in a specific area like trauma or cancer diagnoses or a clinician that specialises in a specific therapy modality, such as CBT or EMDR. When should GPs consider referring for EMDR? GPs should consider referring for EMDR when a patient presents with PTSD or other trauma related issues. Other trauma related issues might include a car accident, act of violence, natural disaster, or the passing of a family member, a medical diagnosis, or family relationship separation or breakdowns. GPs should also consider referring for EMDR when standard treatments like CBT are not providing sufficient relief. Who can train in EMDR? Only certain mental health professionals are eligible to undertake EMDR training including: Psychiatrists GPs who have specialised in psychological medicine Psychologists Accredited Mental Health Social Workers Mental Health Occupational Therapists Mental Health Nurses Counsellors and Psychotherapists Practitioners must be registered with their applicable registering body such as AHPRA, AASW, PACFA or ACA. To be a member of of the EMDR Association of Australia requires 50 hours of training . GPs should ensure referrals for EMDR are to trained EMDR therapists. To find EMDRAA approved therapists use the EMDRAA directory . EMDR and Medicare Mental Health Treatment Plans Key Points for GPs Summary EMDR is an evidenced based, Medicare Approved, Psychological Strategy to treat not only PTSD and trauma but a range of mental health symptoms. EMDR are highly trained practitioners and Accredited Mental Health Social Workers can provide effective relief for patients under a Mental Health Treatment Plan. About Kristen Fraser, Private Practice Therapist Bachelor of Social Work, 2003, The University of Sydney Accredited Mental Health Social Worker Trained in: Cognitive Behavioural Therapy (CBT) Acceptance and Commitment Therapy (ACT) Dialectical Behavioural Therapy (DBT) Narrative Therapy Motivational Interviewing Skill Building (emotional regulation, anger management, communication skills) EMDR Referral Pathways Private Clients Medicare Approved for Mental Health Care Plans Employee Assistance Programs What Kristen helps with Stress Depression Anxiety disorders Burnout Trauma PTSD, cPTSD Grief and Loss Skill building (emotional regulation, anger management, communication skills) Life transitions (separations, ageing, medical diagnosis (e.g. adult ADHD, cancer diagnosis, MND), redundancy, retirement Online Bookings Available

Local Newcastle Therapist Kristen Fraser provides counselling with or without a Mental Health Care Plan If you are considering seeking support from a local Newcastle counsellor for face to face or telehealth therapy and do not have a Mental Health Care Plan , there are other options available to you. There are many reasons people pay privately for a face to face counsellor in Newcastle ranging from general wellbeing to support with a mental health condition. Choosing a local Newcastle counsellor with or without a Mental Health Care Plan involves weighing up several considerations to ensure a good therapeutic fit. Things you might consider when considering counselling with or without a Mental Health Care Plan include the qualifications, experience and fees of the therapist as well as the location if you prefer face to face counselling. It can help to reflect on your specific needs and therapy goals when looking for a counsellor or therapist. Why do people pay for counselling? People pay privately for counselling for a variety of reasons. For some, it is to build coping skills, improve overall wellbeing, stress management or develop healthy relationships. For others it may be to manage mental health conditions such as depression or anxiety. Some people reach out for counselling for a specific situation or life transition, such as support through a cancer diagnosis , family separation or employment changes. Counselling can help individuals gain self awareness and clarity that can help move through a difficult experience. Do you need a Mental Health Care Plan from the GP? The short answer, is no, you don't need a Mental Health Care Plan to access counselling. People can access counselling with or without a Mental Health Care Plan. Individuals may prefer to pay privately for a variety of reasons as there are advantages and disadvantages to both private pay and using services under a Mental Health Care Plan. Regardless of which option you choose, there is usually a gap fee per session, even with a Medicare Rebate. The cost per session varies depending on the therapists qualifications, experience and type of therapy offered. Using a Mental Health Care Plan One way people can access talk therapy or counselling is through the Better Access Scheme. The Better Access Scheme is for individuals with a clinically diagnosable mental health condition such as anxiety, depression, unexplained somatic complaints, insomnia, eating disorders or drug and alcohol use disorders. To access this scheme, a referral by your GP is required. Your GP creates a Mental Health Care Plan which provides a Medicare rebate on therapy appointments provided by a Psychologist or an Accredited Mental Health Social Worker providing focused psychological strategies. The Better Access Scheme provides Medicare rebates for up to 10 appointments per calendar year. More information about Understanding Mental Health Care Plans. Are There Benefits to Counselling Without a Mental Health Care Plan? There are benefits paying for counselling without a Mental Health Care Plan such as not needing a diagnosis of a mental health condition and flexible treatment plans. Flexible therapy treatment planning means session numbers are not dictated, the client chooses the counsellor, how many appointments, and the focus of the therapy. How to find a Newcastle Counsellor with or without a Mental Health Care Plan Identify the support you are looking for to help narrow your search. Research local counselling options by asking your GP, asking a trusted family member or friend or using online directories. Read reviews and ask questions. You might arrange consultations with a few counsellors to gauge comfort and compatibility. Lastly, check the credentials of the clinician under their peak body, for example ACA, PACFA, AASW or AHPRA. This quick read covers more in-depth information on choosing a Mental Health Professional . Newcastle Counsellor: Book Online Kristen is a local Newcastle counsellor providing both face to face counselling and telehealth appointments. Kristen is a Medicare Approved provider and accepts clients with or without a Mental Health Care Plan. Kristen specialises in stress management, depression , anxiety , burnout, trauma and grief and loss. Kristen works from evidenced based therapeutic models including Cognitive Behavioural Therapy, Acceptance and Commitment Therapy, Motivational Interviewing and Eye Movement Desensitisation and Reprocessing (EMDR) . If you are looking for a Newcastle Counsellor with or without a Mental Health Care Plan reach out by emailing kristenfrasercounselling@gmail.com or book online .

What is ADHD? Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental difference that affects individuals of all ages. ADHD has a strong genetic component which means it is highly heritable and often runs in families. Understanding Adult ADHD, its symptoms, and effective strategies can significantly improve the quality of life for those affected. Illustration of a brain to represent the neurodevelopmental differences faced by adults with ADHD. ADHD is often diagnosed in children, however, diagnosis can be missed in childhood for many reasons such as poor access to healthcare, lack of awareness of different presentations of ADHD, and the overlap of symptoms with other development concerns. We know that in Australia ADHD is underdiagnosed, particularly for girls and adults. ADHD symptoms can vary significantly in type and severity, with some people having mild symptoms, and some having severe ones. While symptoms don't tend to change, and must have been present before age 12 to be diagnostically recognised, adults with ADHD might find symptoms are more noticeable due to increased responsibilities and less structure, highlighting the importance of access to awareness, support and strategies for adults with ADHD. Different Types of ADHD There are three main types of ADHD, predominantly inattentive, predominantly impulsive-hyperactive and combined. ADHD - Inattentive can look like: distractibility and forgetfulness overlooks details processing speed impacts - for example, taking longer to absorb and respond to information and/or take longer to make decisions, difficulty following multi-step instructions difficulty regulating attention and focus difficulty with routine chores difficulty listening hesitating to take on tasks that require sustained focus difficulty managing time ADHD- Impulsive-Hyperactive can look like: fidgeting and restlessness difficulty waiting turns and turn taking interrupting conversations constantly talking on the go impulsivity impatience acting before thinking Impulsivity, for example, impulse spending or driving recklessly ADHD -Combined is where an individual experiences a combination of both inattentive and impulsive-hyperactive symptoms, however, there are overlaps between the two including: sleep issues sensory processing impacts on self esteem executive function and working memory impacts Not everyone with adult ADHD will experience all of these symptoms, and symptoms can overlap with other conditions, therefore it is important to seek an assessment by a health professional. ADHD and masking ADHD masking is when an individual hides or alters behaviour to fit in with societal expectations. Masking can include mimicking behaviours, overcompensation, and suppressing symptoms. ADHD masking can look like: stimming - making the same movements or actions repeatedly to self soothe/self stimulate writing everything down being extra early to avoid being late using multiple alarms and reminders excuses for being late putting in twice the effort and time than others to achieve a goal checking work multiple times creating strict routines and symptoms hiding emotions or reactions suppressing the urge to fidget or move around Masking is not always bad but it can take a lot of energy and become exhausting. Masking can also delay diagnosis as the true extent of symptoms are not realised. Adult ADHD and assessments In Australia adults seeking support and treatment with symptoms can be diagnosed by psychiatrists and psychologists for a range of mental health conditions including adult ADHD. Psychiatrists can prescribe medication as well as other medical treatments and talk therapy. Psychologists can assess and diagnose mental health conditions, but cannot prescribe medication, instead, primarily provide psychotherapy (talk therapy) and strategies to manage symptoms. The first step is seeing your GP who may refer you to a psychiatrist or psychologist. The assessment process usually includes clinical interviews covering symptoms, childhood development, physical and mental health history, as well as the use of diagnostic tools and other questionnaires to complete a comprehensive assessment. Adult ADHD and Treatment While science has shown there are differences in brain size, networks and brain development in individuals with ADHD, we do not fully understand how these differences lead to the cause and symptoms of ADHD. Treatments for ADHD currently address the levels of neurotransmitters, in particular dopamine and noradrenaline. Adult ADHD Treatment can include medication, therapy or a combination of both. The most common type of medication for ADHD is stimulants such as methylphenidates and amphetamines. These medications can help with ADHD symptoms such as impulsivity, hyperactivity and inattention. These stimulants work by increasing the levels of neurotransmitters dopamine and noradrenaline in the brain. There are two forms of stimulants- short acting and long acting. It is important to have regular appointments with your psychiatrist to monitor medication benefits and any side effects and find the type of stimulant (methylphenidates or amphetamines), long or short acting and dosage that fits for you. For some adults with ADHD stimulants may not be effective or come with intolerable side effects such as insomnia, loss of appetite, headaches or increased anxiety. Non stimulants for ADHD may be effective and work by increasing levels of noradrenaline in the brain. ADHD strategies for Adults ADHD is a useful framework for understanding neurodevelopment differences across the neurodiverse spectrum. Whether or not you have been diagnosed with ADHD, and irrespective of medication usage, identifying effective strategies for individuals with ADHD is an important part of managing symptoms and enriching quality of life and wellbeing. Strategies for managing ADHD in adults can target several areas including organisational strategies, attentional strategies, social and communication strategies, cognitive strategies and lifestyle strategies. ADHD and organisational strategies These strategies address executive functioning differences such as time management, planning and prioritisation. These can include strategies around planners, calendars, reminders and scheduling. ADHD and attentional strategies ADHD attentional strategies look at ways to improve focus and concentration. This can look like eliminating distractions, concentration techniques and mindfulness. ADHD and social and communication strategies These strategies help individuals manage the challenges of social interactions and build communication skills. This can look like self soothing techniques, assertive communication skills, active listening, and emotional regulation skills. ADHD and cognitive strategies Cognitive strategies for adults with ADHD help with addressing core issues of focus, emotional regulation, and procrastination. These strategies can look at addressing negative beliefs or thinking patterns, developing coping strategies, recognising triggers and boosting self esteem and confidence. ADHD and lifestyle strategies Lifestyle strategies for adults with ADHD help with addressing factors such diet, sleep, exercise and environment. Lifestyle strategies aim to improve mood and focus and reduce impulsivity. Tailoring adult ADHD strategies Tailoring strategies for adults with ADHD requires understanding the specific challenges. An ADHD coach or counsellor can assist in creating a personalised plan. Learning a new skill involves more than knowing a strategy/awareness. Being able to reduce barriers to implementation and the application of being able to tailor the strategy and put the strategy into practice can require additional support. Conclusion Understanding and managing ADHD in adulthood requires awareness, adaptive strategies and support. Seeking professional support can further enhance application of strategies for managing ADHD symptoms and provide additional tools.

Looking for EMDR therapy in Newcastle but not sure what EMDR is or how it can help? Read this quick overview that explains what EMDR is, the benefits of EMDR and how to find an accredited EMDR therapist near you. EMDR Therapy Newcastle: What is EMDR and how can it help? What is EMDR therapy? EMDR or Eye Movement Desensitization and Reprocessing is an evidenced-based psychotherapy treatment. EMDR was developed in the late 1980’s, initially to treat PTSD for war veterans, but is now used to reduce psychological distress not only for trauma but used to treat a range of mental health concerns such as anxiety and depression, stress reduction, disturbing memories, phobias, complicated grief and other presentations.   EMDR often uses eye movements, but can also include other forms of bilateral stimulation such as light bars, buzzers held in the hands, audio tones, or tapping. Brain scans taken before and after EMDR treatment show changes in the way the memory is stored, resulting in relief of symptoms. How does EMDR therapy work? Although it is clear from clinical trials that EMDR works, the exact mechanisms which cause the memory to change are still being researched. One hypothesis is that the eye movement that occurs during EMDR is similar to the eye movement that occurs during REM sleep where the brain processes information, emotions and consolidates memories. Another theory is our working memory has limited capacity, by retrieving a traumatic memory while engaging in eye movements or other bilateral stimulation, this requires more working memory than is available, therefore it is retrieved with less associated feelings or distress. This memory is then stored properly in long term memory and overwrites the unresolved memory. By accessing a traumatic memory while engaging in bilateral stimulation (like eye movements) the brain is prompted to process the memory. Through reprocessing, individuals can gain relief from trauma symptoms, feel less distressed by a memory, and gain a new perspective. While the exact mechanisms of EMDR are still being researched, many clinical trials have shown effectiveness. Brain scans in these clinical trials have shown that EMDR therapy can reduce the activity of the amygdala and increase activity in the prefrontal cortex, meaning the brain becomes better at regulating emotions and thinking clearly. EMDR therapy is one of the most well researched trauma treatment models. As a result EMDR therapy is an approved treatment by Medicare under a Mental Health Care Plan, alongside other evidence-based therapeutic treatments including Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), Interpersonal Therapy (IPT) Psychoeducation including Motivational Interviewing, Mindfulness and Relaxation strategies, Skills Training and Narrative Therapy. Who can provide EMDR therapy? EMDR is provided by qualified mental health professionals who have undertaken further accredited EMDR training. Mental health clinicians that are eligible to undertake specialised EMDR training can include psychiatrists, GPs who have specialised in psychological medicine, mental health nurses, psychologists, mental health occupational therapists, accredited mental health social workers, counsellors and psychotherapists. Mental health clinicians must be registered with their applicable registered body such as AHPRA, AASW, PACFA or ACA to be eligible to undertake specialised EMDR training. It takes over 30 hours of closely supervised training to fully train an EMDR therapist.   Benefits of EMDR EMDR doesn't require talking in detail about a distressing issue, instead it focusses on changing emotions, thoughts or behaviours so the memory is less distressing. EMDR treatment focusses on processing and moving past distressing memories and experiences, as well as reprocessing negative beliefs, reshaping the individual's perspective and installing positive beliefs. EMDR addresses not only present and past triggers, but an important aspect is future templates, to prepare for future challenges. EMDR addresses the emotional, cognitive and physical aspects of trauma. Most clients report changes in the issue that was previously distressing and memories typically become less vivid and upsetting. Is EMDR the same as hypnotherapy? No, EMDR therapy is not hypnotherapy. EMDR trained therapists use eye movements and other bilateral stimulation to help people process traumatic or unresolved memories and emotions. In EMDR therapy, the client remains awake and alert, focussing on specific memories. The client is actively engaged in reprocessing distressing memories. EMDR therapy is more than the eye movements or bilateral stimulation, it's a therapeutic approach with multiple phases that include history taking, preparation, and target assessment before the desentization and reprocessing phases. Clients should feel well supported and prepared, and like with all therapeutic approaches, collaborated with to inform treatment planning. Can EMDR therapy be online? EMDR therapy is effective both online and in person. EMDR therapy online may include the use of online software to aid with bilateral stimulation options. Access to a good internet connection so the processing work isn't interrupted is an important consideration when weighing up online versus face to face counselling. How do I find an EMDR Therapist near me? There are several ways you can find an EMDR trained therapist in Newcastle or near you. Ask your GP for a referral or recommendation for an EMDR trained therapist. Your GP can create a Mental Health Care Plan that entitles you to a Medicare Rebate on a set number of counselling sessions, or you may choose to pay privately for counselling . Use the Find an EMDR Therapist directory listing on the EMDR Association of Australia's website: www.emdraa.org . This website also has more information on the science behind EMDR, additional EMDR resources and frequently asked questions about EMDR and well worth a visit if you're considering EMDR therapy. Ask someone you trust for a recommendation or do an online search. Once you have a starting point, don't be afraid to research the mental health professional's credentials, training, experience, specialisations, and make inquiries. Most mental health professionals offer an obligation free initial phone call to answer any questions or are happy to respond to email queries. Interested in trying EMDR therapy in Newcastle as a client? If you are interested in trying EMDR therapy in Newcastle you are welcome to contact Kristen to discuss whether this treatment approach might be a good fit for you. Kristen offers EMDR therapy both online and in person from purpose built counselling rooms in Newcastle, NSW.

Accredited Mental Health Social Worker badge Mental Health Counselling in Newcastle is often provided by Accredited Mental Health Social Workers. Accredited Mental Health Social Workers provide Focussed Psychological Strategies and psychological therapies for a range of issues including stress, depression, anxiety, grief, and trauma. In order to provide specialised mental health counselling, Accredited Mental Health Social Workers have a 4 year degree, a minimum of 2 years post qualifying experience in mental health and must complete a minimum of 30 hours additional mental health training every year and clinical supervision to maintain accreditation annually. Like counsellors and psychologists, Accredited Mental Health Social Workers offer treatment for a range of mental health concerns through evidence-based counselling interventions and 'talk therapy'. Like psychologists, mental health social workers can provide a Medicare rebate for counselling sessions. To receive this rebate, a Mental Health Care Plan is required from a GP. Social Workers can work across diverse settings, if you are seeking counselling, look for an Accredited Mental Health Social Worker who has specialised in mental health counselling. In order to obtain this accreditation, a minimum of 2 years supervised practice is required. By using an Accredited Mental Health Social Worker you can also receive a Medicare rebate with a Mental Health Care Plan from your GP. You can find Accredited Mental Health Social Workers by using the Find a Social Worker directory on the Australian Association of Social Workers website, or look for the Accredited Mental Health Social Worker badge . If you're looking for counselling Newcastle NSW, reach out for a conversation by emailing kristenfrasercounselling@gmail.com .

Why is Cancer-Specific Counselling Useful? Cancer-specific counselling offers tailored support to individuals who are navigating the complexities of a cancer diagnosis. Unlike general therapy, this form of counselling addresses the unique emotional, psychological, and social challenges associated with cancer. It helps patients and their families cope with the uncertainty, fear, and anxiety that often accompany such a diagnosis. Professional counsellors specializing in cancer treatment are equipped with the knowledge and skills to provide relevant information, emotional support, and practical strategies to manage the various stages of the illness. This type of counselling can significantly improve a patient's quality of life, mental health, and overall well-being by helping them develop coping mechanisms, fostering resilience, and providing a safe space to express their feelings and concerns. When Do People Seek Specialised Cancer Counselling in Newcastle? Individuals may seek cancer-specific counselling at various points during their cancer journey. Some of the common times include: At Diagnosis The moment of diagnosis can be overwhelming, and many patients experience a range of intense emotions, including shock, disbelief, and fear. Counselling at this stage can help individuals process the news and begin to adjust to the reality of living with cancer. During Treatment Cancer treatments, such as chemotherapy, radiation, and surgery, can be physically and emotionally taxing. Counselling during treatment can provide ongoing support, helping patients manage treatment-related side effects, navigate changes in their body image, and cope with the stress of frequent medical appointments and hospital stays. Post-Treatment Even after treatment has ended, many patients experience lingering fears about recurrence, as well as challenges related to adjusting back to 'normal' life. Counselling can assist with this transition, addressing issues such as post-treatment depression, anxiety, and the re-establishment of routines. End-of-Life Care For patients with terminal cancer, counselling can provide vital support in dealing with end-of-life issues, including fear of death, grief, and the need for meaning and closure. It can also support family members during this difficult time. Therapeutic Approaches in Cancer Counselling Various therapeutic approaches can be beneficial in cancer counselling, each offering different tools and perspectives to help patients and their families cope with their diagnosis and treatment. Cognitive Behavioral Therapy (CBT) CBT is a widely used approach that helps individuals identify and change negative thought patterns that contribute to emotional distress. In cancer counselling, CBT can help patients manage anxiety, depression, and fear by teaching them how to reframe their thoughts and develop healthier coping mechanisms. Mindfulness-Based Cognitive Therapy (MBCT) MBCT combines principles of cognitive behavioral therapy (CBT) with mindfulness techniques, offering a powerful approach to managing the psychological impacts of cancer. This therapy aims to break the cycle of negative thought patterns by encouraging patients to observe their thoughts and feelings without judgment. By promoting a mindful awareness of the present moment, MBCT helps patients to reduce stress, manage symptoms of anxiety and depression, and enhance their overall emotional resilience during and after cancer treatment.   Acceptance and Commitment Therapy (ACT) ACT is another valuable approach in cancer counselling. This therapeutic model emphasizes the acceptance of difficult emotions and thoughts rather than attempting to eliminate them. By focusing on mindfulness and behavioral change strategies, ACT helps patients to accept their cancer diagnosis and related feelings, encouraging them to commit to actions that align with their personal values and improve their quality of life. Through ACT, patients learn to live more fully in the present moment, despite their diagnosis and treatment challenges, fostering a sense of psychological flexibility and resilience.   Mindfulness-Based Stress Reduction (MBSR) MBSR incorporates mindfulness meditation and yoga to help individuals reduce stress and improve their overall well-being. It encourages patients to stay present in the moment, which can alleviate the mental burden of worrying about the future or dwelling on the past.   Eye Movement Desensitization and Reprocessing (EMDR) Therapy EMDR is a psychotherapeutic approach that has been proven effective in treating trauma and other distressing experiences. It involves the use of bilateral stimulation, such as guided eye movements, to help patients process and integrate traumatic memories. In the context of medical diagnosis, EMDR can be particularly beneficial for patients who experience trauma or intense emotional distress related to their illness. When faced with a medical diagnosis, individuals may experience a range of emotional responses, including fear, anxiety, and depression. These emotions can sometimes become overwhelming and interfere with their ability to cope with the diagnosis and its implications. EMDR helps patients process these emotions by targeting the memories and thoughts associated with their diagnosis, helping to reduce the intensity of their distress and promoting psychological healing. This therapeutic approach can be a valuable addition to cancer counselling, as it addresses both the psychological and emotional components of the patient's experience. Benefits of Counselling for Family Members Cancer counselling is exclusively for cancer patients; it is also beneficial for caregivers and family members. Caregivers often endure significant physical, emotional, and psychological strain as they navigate the complexities of supporting their loved ones through cancer treatment and recovery. This constant pressure can lead to burnout, characterized by feelings of exhaustion, helplessness, and detachment. Counselling provides caregivers with a dedicated space to express their feelings and concerns, offering emotional support and validation. Through therapy, caregivers can learn effective stress management techniques and coping strategies to handle the demands of caregiving. Additionally, counselling can help caregivers set healthy boundaries, ensuring they take time for self-care and maintain their well-being and mitigate carer burnout. How to Access Specialised Cancer Counselling in Newcastle To access cancer counselling in Newcastle, patients and families have several options available to them. One of the primary ways to access this support is through your treating medical practitioner or general practitioner (GP), who can provide referrals to appropriate counselling services tailored to your needs. For young people aged 12-25, Canteen Australia  offers free counselling services. Canteen Australia specializes in supporting young individuals affected by cancer, whether they are patients themselves or have a family member with cancer. They provide a range of services, including individual counselling, peer support programs, and online resources, all designed to help young people navigate the emotional and psychological challenges associated with cancer. Additionally, the Cancer Council  provides subsidized counselling services to help patients and their families manage the emotional toll of cancer. These services can be essential in offering psychological support and fostering resilience during a difficult time. The Cancer Council also offers financial counselling services to assist patients and families in navigating the financial burdens associated with cancer treatment. This support can help alleviate stress by addressing financial concerns and providing guidance on managing expenses. Another way to access cancer specific counselling services, is by reaching out to local Newcastle counselling providers who specialize in cancer support. One such provider is Kristen Fraser Counselling  in Newcastle. Kristen offers cancer counselling for patients, their carers, and family members from purpose-built counselling rooms in Merewether, Newcastle. She accepts Mental Health Care Plans, private fee-paying clients, and sees young people aged 12-25 through Canteen Australia. She also has experience working with carers of people with a myriad of medical diagnoses including cancer, MND, and dementia. If you would like support through cancer or another medical diagnosis, please don't hesitate to reach out. Contact Kristen directly to make an appointment.