Fitzwilliam Private Hospital,

Milton Way, South Bretton
Peterborough, Cambridgeshire, PE3 9AQ

Secretary: Alison Hill -

        Phone: 07533 567161

Dr Manaan Kar Ray
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MBBS, MRCPsych, MS (Psychotherapy), Msc (Psychiatry)




Cognitive Behaviour Therapy

Cognitive Behaviour Therapy (CBT)

Dr. Kar Ray provides CBT for a range of mental health conditions: depression, panic disorder, phobias, obsessive compulsive disorder, anger management, eating disorder, body dysmrophic disorder, to name a few. It is a short-term psychological treatment that helps to change the way you think and behave. These changes can help you to feel better in "the here and now" as well as equip you with skills to preempt relapse of your mental health condition in the future.

The initial assessment session lasts up to 90 minutes. Its primary focus is to obtain a psychiatric history (current symptoms, predisposing, precipitating and perpetuating factors) . Complexities of certain presentations and richness of information provided might warrant extension of the assessment process to two sessions. The outcome of the assessment is a formulation with suggestions for interventions (including medication and talking therapies). This process is collaborative and any intervention chosen is informed by client preferences.

If CBT is indicated and chosen by yourself as the preferred intervention, an individualized plan of weekly to fortnightly sessions will be put into place. These follow-up sessions last 45 minutes. 12 to 16 weekly sessions is the most common routine chosen by clients. After these, sessions are spaced out to fortnightly and then monthly if necessary.

CBT is a serious commitment, in terms of time, energy and money. The assessment and the first couple of sessions are often exploratory and will focus on identifying patterns of thought and behaviour which are causing you problems. However for the bulk of therapy, homework assignments will be central to achieving the objectives that are set. These will include reading CBT material and carrying out specific tasks. The assignments will give you the opportunity to test out and practice techniques you will have learned, or to expose yourself gradually to feared situations. In the sessions you will be able to discuss agreed topics in a practical way, focusing on the problems you are facing in carrying out your assignments and how to solve them.

All this might sound daunting, however the large majority of clients who start CBT are able to see it to completion and carry forward the gains from therapy to prevent future episodes of depression, anxiety etc. Common CBT techniques that clients are able to employ in future include challenging irrational beliefs, replacing them with alternative ones, stopping unhelpful thoughts, assertiveness, social skills, etc.

More information on CBT is available at the Royal College of Psychiatrists website.

Follow up appointments (up to 45 minutes) cost 200£s.

Solicitor instruction to:
Dr. Manaan Kar Ray,
Fitzwilliam Private Hospital,
Milton Way, South Bretton,
Peterborough, PE3 9AQ

GPs, Patients, Family can email at alison.hill22@nhs.net for further information.

Private Secretary: Alison Mitchell - 07533 567161