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Therapies

Perth Voices Clinic is offering different evidence-based psychological treatments for voice hearers which run in the format of Individual Therapy & Group Therapy. Below you can learn about each of the approaches to help you decide which is right for you. You can call Georgie (Clinical Director) to discuss these options in more detail before making your choice.

Individual Therapy

1. Cognitive Behaviour Therapy (CBT)

The behavioural aspect of this therapy helps the voice hearer to develop a greater understanding of the patterns in their voice hearing experience – such as what things may trigger the experience and what things make the experience less intense. This understanding translates to simple daily activities that can help improve how we cope with and respond to our voices. The cognitive aspect of this therapy helps us understand how our beliefs and thoughts about ourselves and our voices can impact on our emotions and behaviours and to help modify those beliefs that are causing us distress or impairment.

2. Imagery Rescripting

Many people who report hearing voices also report having a history of trauma or neglect. It is possible that this trauma may play a significant role in the voice hearing experience, and thus warrants psychological treatment to help resolve such underlying issues.

Perth Voices Clinic is now offering a psychological therapy named Imagery Rescripting to people who hear voices and report a history of trauma or neglect. Unlike typical trauma therapies, this intervention helps empower the individual without requiring them to re-live the highly distressing elements of traumatic memories. This approach enables the individual to modify the meaning of the trauma, and reduce distress when recalling the traumatic memories, by getting the individual to first imagine the start of the memory and then rewrite a new, safer ending with the help of the therapist. The rescripting process is said to increase a sense of control and empowerment, as well as promote self-soothing.

This therapy will be delivered by Dr Georgie Paulik-White, a registered clinical psychologist who has extensive experience delivering and developing psychological therapies for voice hearers. The assessment and therapy will be run over 10, fifty-minute sessions. Seeing a provisional psychologist (trainee) as your therapist is not offered for this therapy (unlike CBT), and thus you must have your 10 Medicare sessions available for use unless you chose to pay privately.

3. Other interventions

If you have already completed CBT and/or Imagery Rescripting at the clinic or elsewhere you may elect to do Relating Therapy or Person-Based Cognitive Therapy.

Relating Therapy is a psychological approach to working with voice hearers which focuses on improving the relationship between the voice hearer and their voice(s), as well as improving other social relationships in the voice hearer’s life. Clients are encouraged to take responsibility for their own relating and to develop more assertive ways of responding to the voices they hear.

Person-Based Cognitive Therapy integrates cognitive therapy and mindfulness to target distinct sources of distress in voice hearers. This approach can be delivered in individual therapy and is also the type of therapy that Perth Voices Clinic offers in their groups (for more information see the section on groups).

Group Therapy

1. Group Therapy

Perth Voices Clinic runs groups several times a year. These groups are complimentary to Hearing Voices Network support groups, but are different in that they are structured evidence-based therapy groups. The groups are run over 10 weeks and are 1.5 hours (with a tea break).

The type of therapy being delivered in our groups is Person-Based Cognitive Therapy, which integrates cognitive therapy and mindfulness. The mindfulness component aims to help the individual to develop an accepting approach to thoughts, feelings and voices, and through understanding these experiences develop more detachment and choice about how they influence us. Mindfulness aims to anchor the mind in ‘the here and now’ and promote a warm and compassionate approach to difficult events and experiences. The cognitive element helps us understand how our beliefs and thoughts about ourselves and our voices can impact on our emotions and behaviours and to help modify those beliefs that are causing us distress or impairment.