Psychotherapy is undergoing a transformation. To start with it is turning into more accepted by people that if they have mental health problems then they need to see a therapist. The old way of thinking about mental health has changed. Historically psychotherapy emphasized finding the core problem in somebody's life, if the problems didn't go away then they hadn't found a problem.

This has resulted in the uptake of a huge variety of new therapies such as solution focused therapy, NLP, Havening, memory reconsolidation, coherence therapy, mindfulness-based therapy, acceptance and commitment therapy and the list just goes on. Many of these new approaches have been rigorously validated for their effectiveness.

The focus of treatment is now much more on the future than the past. A focus on coping styles has resulted in therapists focusing on the main issues and coping styles that are causing distress in a person's life.

One way you could do this is by asking the client to keep a diary in which you can enter different behaviours in the day and record how it goes with the different approaches. Another method you could use is a diary approach in which you write down a diary of your behaviours on a daily basis and analyse your behaviour towards your loved ones on a daily basis.

The new school of thought is much more interested in dealing with the issues raised in your diary, the way you write about your behaviours. Another example is to help other get to know themselves and not be ashamed of who they are. One thing you could do is to help them take steps to change their behaviour.

There is now a focus on self development and helping you to take steps to make positive changes in your life. This approach does not have the same impact as dealing with issues from the present day. You might need to have different friends so that you have someone who will challenge you and talk to you in a different way.

Depression is a common problem, anxiety disorders are much more common. This can be caused by OCD, you might have heard it referred to as a disorder, but it's not. And if you are then you need to stop performing rituals and deal with the real causes of the anxiety and anxiety attack.

If you're having unwanted OCD like this then you should not perform rituals and deal with the causes of your anxiety and anxiety. Instead you need to stop performing rituals.

You might have thoughts that you don't want to have. Or you might have an obsession. And then you need to ask yourself, does this make sense or do I have a legitimate fear or a legitimate need. And you need to stop performing rituals to stop having these unwanted thoughts. And instead you need to deal with what is causing these thoughts. And use the appropriate communication skills to prevent further anxiety and anxiety attacks.

These are real problems which we have to deal with and this is not OCD. OCD is when you perform rituals to avoid having thoughts that you don't want. OCD does not mean you have to perform rituals. And if you don't want to perform rituals then you don't have to. But if you are performing rituals then you need to stop. It's a matter of education. We have to deal with these things and stop these things so that we can stop OCD. It's simple really.

They are complementary in that when you are not performing rituals they work in combination. And when you are performing rituals they work against the cognitive therapy. And if you're not performing rituals then they work in the same way.

There is a combination approach which can help prevent OCD. This is a combination of cognitive therapy and medication. Then you have the combination of prevention and treatment of prevention, if you take cognitive therapy and you take medication. There are many approaches which can help prevent OCD.

There are medications which can help prevent OCD. They are both powerful approaches but people in different environments should be aware of the differences. If you are taking cognitive therapy and you are taking medication then be aware that there is a difference.

If you take medication and cognitive therapy then it's actually quite a powerful approach. If you take cognitive therapy and medication then it's a very minor approach. And you should be aware of that.

We should know that when you are not performing rituals then it's a very powerful approach. If you are performing rituals then it's a very minor approach.

This has resulted in the uptake of a huge variety of new therapies such as solution focused therapy, NLP, Havening, memory reconsolidation, coherence therapy, mindfulness-based therapy, acceptance and commitment therapy and the list just goes on. If you're having unwanted OCD like this then you should not perform rituals and deal with the causes of your anxiety and anxiety. OCD is when you perform rituals to avoid having thoughts that you don't want. OCD does not mean you have to perform rituals. And when you are performing rituals they work against the cognitive therapy.

John Nolan Sheffield Havening practitioner