Treatment may include individual talking therapy and/or medication, and/or Family Therapy. During treatment, ongoing monitoring will be necessary, which usually involves some further assessment.

Couple or Family Therapy is available from the start for those who would like it; alternatively, it may be one choice of treatment amongst others introduced as options after the assessment.  In either case, the first session is likely to be longer than the follow-up appointments.  Family Therapy usually involves:

  1. Choosing who should attend. This depends on the index young person’s consent, parental consent, and the consent of other family members.  In the past, Family Therapists used to insist that everyone living at home should attend, but we are now more flexible.
  2. The idea of several family members meeting to think about things is that the same discussion would be difficult to have at home ‑‑‑ for a host of possible reasons.
  3. Nobody needs to discuss anything they don’t want to discuss.
  4. The Therapist will generally ask questions to clarify, for instance, who feels what about whom, or to suggest novel ways of thinking about family issues.  These questions can lead to issues being opened up and explored, with the possibility that new ways of thinking or feeling may lead to new ways of behaving.

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