Perth clinic offers a range of treatment programs. Admission to one of the following programs begins with a thorough assessment to determine which program best suits the needs of the individual. As the needs of the person change they may be moved between programs as they address differing goals or problem areas.
acute admissions program
The Acute Admissions program is a flexible, intensive therapy program designed to address symptoms of anxiety and depression. It provides patients with the opportunity to develop new insights, goals and coping strategies for managing current difficulties using brief, solution focused, interpersonal therapy and cognitive behavioural therapy approaches.
Each therapy group is tailored to focus on key areas of difficulty such as alcohol or substance misuse, interpersonal difficulties, or mood/anxiety management. In each of these groups patients explore topics which may include areas such as: depression, stress and anxiety management, goal setting, daily planning, lifestyle balance, developing communication skills and social networks, management of difficulties with alcohol and substances, relaxation techniques, emotional regulation, self awareness and discharge planning.>
The program is based on attendance from 9:00 am to 3:00 pm daily. This offers three group sessions daily of 1.5 hours each (4.5 hours contact time daily).
The Structured Care Program aims to provide support, structure and meaning for those individuals experiencing extreme levels of anxiety, depression, stress or other symptoms that need to be stabilised or contained. Within the program patients are involved in activity based therapy, social interaction, education, self esteem/self awareness activities, crisis management, daily/weekend planning and re-motivation groups.
“I found I could say things with color and shapes that I couldn’t say any other way”. Georgia O’Keefe
This program uses art as therapy. It provides a therapeutic environment where patients are able to express their feelings using the creative process. Individuals are encouraged to engage in activities that are meaningful to their stage of recovery. Some of the aims of the group are to provided distraction from unwanted thoughts, improve self esteem, help with anxiety management, promote self nurturing and improve concentration and social interaction.
intensive cognitive behavioural therapy (cbt) program
“Change your thoughts and you change your world” Norman Vincent Peale
The intensive cognitive behavioural therapy program is aimed at equipping individuals to develop coping skills to address a wide range of moderate to severe psychological, social and behavioural difficulties. Cognitive behavioural therapy is currently the most widely researched and effective psychological treatment for depression and anxiety. The main aim of the intensive cognitive behavioural therapy program is to help participants develop skills in recognising unhelpful thinking and behavior patterns, and be equipped with tools to challenge and change their current patterns into more helpful ways of thinking and acting; enabling individuals to deal more effectively with their problems, and feel more in control of their lives and themselves.
A wide range of material is covered in the program:
- Recognizing and challenging unhelpful thinking
- Identifying and exploring core beliefs which underpin our unhelpful thinking
- Goal setting/planning
- Managing anxiety and panic attacks
- Managing depression
- Communication/assertion skills
- Support networks
- Self esteem
- Stress management
- Relaxation techniques
- Healthy lifestyles
- Medication information
An important characteristic of the program is that it is flexible and responsive to the needs of each group member. As such, although some sections of the program are highly structured, provision is made within sessions to meet the differing needs of each individual participant. For instance, other topics may be included into the program depending upon the participants’ needs including grief resolution, management of guilt, and anger management. Each individual will be set ‘active practice’ or homework tasks to apply content covered in group to their personal concerns and goals.
two week day program
Each day begins at 9.00 am and concludes at 4.45pm Patients are in a group of up to eight participants for the two weeks. There are four sessions in the day commencing at 9.00 am to 4.45 pm. Days are structured so that participants work intensively together for 3 sessions of 90 minutes each. The last session of each day provides an opportunity for participants to fully unwind in a relaxation session before heading home.
Patients are also offered follow-up sessions at six and twelve weeks after the group, then six months and twelve months after the group. At this time their progress can be monitored and their application of skills and techniques learned in the program can be reviewed.
Evening Program is one evening per week for 10 weeks. Each session is 3 hours long and the group content is the same as the two week program.
‘active practice’ in the cbt program
The CBT program at Perth Clinic is most effective when individuals work to apply skills acquired to their own personal circumstances. Active practice or homework plays an invaluable role in the recovery process as it encourages individuals to incorporate new strategies into their own life, break unhelpful habits, develop confidence and a sense of achievement and assist individuals in exploring how they think and why.
Participants are assigned these active practice or homework tasks individually, taking into account their circumstances or personal goals. Time is set aside each week to undertake the active practice on your own. Participants may also be encouraged to do specific tasks each night and at the weekend.
Active practice consists of self-nurturing activities and tasks encouraging active application of content covered in group and individual goals. For instance, a very depressed person might be assigned the task of going for a long slow walk in the local park or at the beach and to pay particular attention to their surroundings and level of enjoyment . Or, a highly anxious person who has for years avoided shopping centres for fear of having a panic attack will be equipped with anxiety management strategies to practice as they slowly build up the confidence to now approach a shopping centre. All active practice tasks are designed to be challenging enough to enable change and incorporation of new strategies, but would be negotiated to not be too overwhelming for each individual. Tasks are developed in collaboration between therapists and each individual.
Perth Clinic has expanded its treatment options to include the provision of an effective Outreach Community Service. The program is available to patients of accredited psychiatrists. It provides care and treatment to referred people in their own environment rather than an inpatient admission. It also assists in facilitating early discharge for some patients. The program rationale is to:
a) reduce frequency of in-patient admissions;
b) reduce length of in-patient admission;
c) increase capacity to function in the community;
d) provide extra support following discharge from hospital;
e) improve adjustment from hospital to home;
f) facilitate links with other support agencies in the community; and
g) to continue and support any special program or care that the patient is discharged on.
ECT is the most effective and rapidly acting treatment for severe depression available today. Scientific evidence and peer-review medical literature supports the safety and efficacy of ECT. There are consistent findings in medical literature that ECT is effective in the treatment of a range of serious conditions including major depressive disorder, bipolar disorder, catatonia, psychotic depression, medication resistant schizophrenia and other severely disabling conditions, many of which are unresponsive to all other treatments.
We still use ECT today because no other approved treatment has yet been able to replace it. When depression goes untreated or when it is ineffectively treated, it can cause enormous suffering and even death by suicide. ECT saves lives. ECT works even when psychotherapy or medications fail.
ECT is an essential part of the treatment options offered by Perth Clinic. ECT is offered to inpatients and may also be offered on a day patient basis. The decision to give day patient ECT will be made between the treating psychiatrist and the patient. Patients who undertake day patient ECT are required to have a responsible escort to accompany them home in a suitable vehicle. Perth Clinic adheres to the Australian and New Zealand College of Anaesthetists (2010) and your safety post anaesthetic is vital to our staff.
For more detailed information see our ECT Information Sheet