Inclusion/Exclusion for Therapy Options

Presenting Problems that are suitable for a referral into Impact on Teesside therapy team:

  • Depression
  • Anxiety
  • Panic Attacks
  • Obsessive Compulsive Disorder
  • Specific Phobias
  • Social Anxiety
  • Post-Traumatic Stress Disorder
  • Health Anxiety
  • Body Dysmorphic Disorder
  • Bereavement
  • Relationship Difficulties
  • Couples Counselling
  • Bulimia
  • Binge Eating Disorder
  • Long Term Health Conditions with related low mood or anxiety, Medically Unexplained Symptoms
  • Pain Management
  • Support in managing life transitions

The below issues are not a reason why someone would not be able to access talking therapies with Impact on Teesside, however we are only able to work with related distress, anxiety or low mood relating to these conditions and are not able to treat the conditions themselves.

  • Substance misuse, where the focus of therapy is upon low mood or anxiety and the use of substances is judged to not be impacting upon the ability to engage in therapy.
  • Mild learning difficulty where the presenting problem is from the list of difficulties we are able to work with.
  • Early-stage dementia, where the person can engage and benefit from short term therapy.
  • Parkinson’s disease where the patient can engage and benefit from short term therapy
  • Psychosis, provided this is not the focus for therapy, the client is not experiencing acute symptoms, are not under any other service and are taking prescribed medication.
  • Personality Disorder, where the person is able to engage with a short term therapy, is not under any other service and the presenting problem is within the remit of the service.
  • Bipolar Disorder, if this is managed well with medication and mood is stable and client has a set focus for therapy which is within the remit of the service
  • Those receiving therapy privately or through charitable organisations, this will be reviewed at assessment on a case-by-case basis.

Unfortunately, Impact on Teesside would not be the appropriate service for a referral for any of the below presenting problems:

  • Schizophrenia as the focus of treatment
  • Personality Disorders as the focus of therapy or where the person is not stable with regards to risk, not taking medication and not able to engage in a short-term therapy
  • Sexual dysfunction
  • Where there is significant risk to self or to others
  • Dependence upon drugs or alcohol, where the use affects the persons ability to engage with and attend therapy sessions. Where the person cannot abstain from substances prior to and soon after appointments.
  • People who are receiving ongoing support or treatment from Secondary Care Services
  • Anorexia
  • Those with no goal or focus for therapy, we offer a short-termtherapy service that is goal focused.
  • People who are not able to commit to attended regular appointments, for therapy to be of benefit it will require regular attendance of appointments.

We are also not able to offer repeated therapy options for the same presenting problem for which a type of therapy has not been of benefit on several occasions. This is reviewed on a case-by-case basis and in some instances other options may be of more benefit.