Areas of Expertise

  • Tics and Tourette’s Disorder

  • Habit Disorders: hair pulling (trichotillomania), skin picking (excoriation), nail biting, etc.

  • Anxiety and phobias

  • Depression and low mood

  • Autism Spectrum Disorder (ASD) and Asperger's

  • Obsessive-Compulsive Disorder (OCD)

  • Trauma (PTSD)

  • Behavioural Difficulties

  • Attention Deficit and Hyperactivity Disorder (ADHD)

  • Family Therapy

  • Social Skills

  • Low Self-Esteem and Resilience

  • Gender Dysphoria

  • Sleep

  • Toileting

Therapy Approaches
  • Cognitive Behavioural Therapy (CBT)

  • Acceptance and Commitment Therapy (ACT) for Adolescents (DNA-v)

  • Comprehensive Behavioural Intervention for Tics (CBIT)

  • Eye Movement Desensitisation and Reprocessing (EMDR)

  • Structural Family Therapy

  • Secret Agent Society Social Skills Training (SAS)

  • Positive Parenting Programme (Triple P)

  • Parent-Child Interaction Therapy (PCIT)

  • Mindfulness

 
 

Fees

Initial assessment sessions usually last 80 minutes and cost $280. The aim of this session is to gather information of what is happening for you and your family, and formulate a plan and goals for therapy.

Follow-up sessions are 50 minutes and cost $180. Shorter sessions of 25 minutes are $90.

Family therapy sessions are $200 for a 50 minute session, or $300 for an 80 minute session. All prices are inclusive of GST.

Payment is by bank transfer on the day of your session. You may also be eligible for funding subsidies through your health insurance, Work and Income New Zealand - Child Disability Allowance or Disability Allowance, or through I Am Hope.

Individual Therapy

Therapy is tailored to each individual child or young adult to ensure the best fit. Sometimes, family or parent involvement is recommended to ensure greatest success. Therapy modalities include Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT), as well as more specialised treatments described below.  

Family Therapy

There are many forms of family therapy, some of which may work better for some families than others. I have been trained in Structural Family Therapy, which is designed to address patterns of interaction that create problems within families. The goal of family therapy is to improve communications and interactions, and highlight appropriate boundaries to create a healthier family structure. 

Parenting Support

Support is available for parents who may be struggling with managing challenging behaviours or sleep. Principles from the Positive Parenting Programme (Triple P) and Parent-Child Interaction Therapy (PCIT) are used to enable parents to feel more confident in managing their children's behaviours.

Autism & Social Skills

Children with Autism Spectrum Disorder (ASD) or Aspergers can often have difficulties with making or sustaining friendships, and struggle with social subtleties. The Secret Agent Society (SAS) is designed for children 8-12 years old, and helps them to "crack the code" of emotions and friendships. It help children to identify their emotions, develop coping strategies, and navigate social relationships. It also helps parents identify ways to support their children through this process. This programme is designed to help children generalise their skills from the therapy and home environment to school.

The Secret Agent Society is a structured therapy designed to be delivered weekly over 9 or 18 sessions, either in a small group programme (3-4 children) or through individual therapy. Given the intensity of the programme and materials involved, the cost of this varies from the standard therapy sessions. Please enquire if you are interested in this for your child, groups are run based on interest. Alternatively it is able to be offered on an individual basis.

Tics & Tourette's Disorder

Evidence shows that the best treatment for tics and Tourette’s is a therapy approach called CBIT, or Comprehensive Behavioural Intervention for Tics. CBIT (pronounced see-bit) is based on three main elements: teaching the client to first be more aware of their tics, then to do a competing behaviour when they feel the urge to tic, and finally to identify what changes need to be made in their environments that can help reduce the urge to tic. People with tics can often temporarily suppress their tics, but this can be stressful and exhausting. Instead of suppressing, CBIT focuses on teaching skills to manage the urge to tic and develop a specific competing response for each tic.

 

CBIT is designed to be a structured therapy, with 8 sessions over 10 weeks. However, in reality this tends to be different depending on each person. Some people benefit from only a few sessions, and others need more long-term intervention. For others, weekly therapy is not a possibility and fortnightly sessions are preferred. Success is influenced by a number of factors, such as the number, severity or complexity of the tics, how long they have been around for, other co-existing conditions, and of course motivation to change. CBIT requires concentration and practice learning competing responses. For this reason, this therapy is most effective for children from age 9-10, however some younger kids have also benefitted from it.

Trauma & PTSD

Children and adolescents who have experienced a traumatic event can often have symptoms of stress, nightmares, anger, anxiety, or guilt. In some children, this could lead to Post Traumatic Stress Disorder (PTSD). Trauma can result from one event, multiple events, or a series of them. Children and teenagers can benefit from EMDR: Eye Movement Desensitization and Reprocessing Therapy. Children are guided to concentrate on a troubling memory or emotion while concentrating on the therapist. It is found to be particularly useful with children as they are able to process uncomfortable memories or feelings without needing to go into detail. Generally, EMDR is used in combination with other therapeutic modalities, and children are engaged through play or art.  

© 2020 by Olya Kolyaduke 

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