Lorraine Tindale Counselling & Psychotherapy

A Message from Lord Pickles and Lord Blunkett, followed by Lorraine Tindale Counselling & Psychotherapy's best practice article

The ability to listen and learn from one another has always been vital in parliament, in business and in most aspects of daily life. But at this particular moment in time, as national and global events continue to reiterate, it is uncommonly crucial that we forge new channels of communication and reinforce existing ones. The following article from Lorraine Tindale Counselling & Psychotherapy is an attempt to do just that. We would welcome your thoughts on this or any other Parliamentary Review article.

Blunkett signature Rt Hon The Lord David Blunkett, MP
Pickles signature Rt Hon The Lord Eric Pickles, MP

www.lorrainetindale.com

1LORRAINE TINDALE COUNSELLING & PSYCHOTHERAPY |
BEST PRACTICE REPRESENTATIVE
Managing Director
Lorraine Tindale
Walking PTSD research
Lorraine Tindale is an integrative psychotherapist specialising
in trauma-informed symptoms that cause anxiety and
depressive and dissociative disorders. Her longstanding
experience and wide-ranging knowledge are the cornerstones
of her company, Lorraine Tindale Counselling & Psychotherapy,
which was set up with the intention of providing treatment to
people suffering from these kinds of disorders. Lorraine tells
The Parliamentary Review
more about the challenges faced by
patients and her approach to therapy.
The causes of PTSD, stress, phobias, addictions, avoidance and interpersonal difficulties
are, among other things, abuse, accidents, bereavement, war and abductions. My
expertise lies in identifying the root causes and reducing their presenting symptoms.
My approach
I use complementary, trauma-informed cognitive and humanistic client-focused
therapies such as EMDR, exposure, CBT, and person-centred and relational analysis.
Moreover, my work focuses on psychological trauma and mental health issues that
arise from both regular and infrequent devastating experiences outside of clients’
control. My clients normally feel trapped, unable to escape and move on.
The effects of trauma often leave clients helpless, unable to function normally
in their daily lives, hypersensitive and avoiding anything that can trigger their
distressing memories. Therefore, they struggle to have meaningful relationships,
because they can be defensive and self-critical, can have poor impulse control, and
are unable to restrain and filter their emotions.
FACTS ABOUT
LORRAINE TINDALE COUNSELLING
& PSYCHOTHERAPY
»Managing Director:
LorraineTindale
»Established in 2014
»Based in Harrow
»Services: PTSD and trauma
specialist
»No. of employees: 4
»Methodology: Modalities
EMDR, client-centred and CBT
Lorraine Tindale Counselling
& Psychotherapy
THE PARLIAMENTARY REVIEW
Highlighting best practice
2| LORRAINE TINDALE COUNSELLING & PSYCHOTHERAPY
Mental-health-related PTSD symptoms
are habitually driven by fear and self-
blame, especially if the individual’s
ordeal was avoidable or carried out by
someone they know or trust. Usually,
PTSD symptoms can appear within a
month or so of the ordeal, and they can
manifest themselves mainly through
flashbacks, lack of sleep, irritability and
poor anger management. Therefore,
clients can dissociate from their feelings
and develop avoidant behaviours,
coping strategies, intrusive thoughts
and negative self-beliefs, which
drastically alter their personality.
This is why my private practice is client
driven and recognises the importance
of personally meeting such a fragile
clinical population’s individual needs,
primarily through establishing a strong
therapeutic relationship, creating a safe
space, psycho-educating them about
their symptoms and imparting them with
tools that will enable them to manage
their symptoms for themselves in future.
Seventy-five per cent of mental health
problems are caused by trauma,
meaning it’s imperative to treat
mental health problems at the earliest
opportunity. If they are left untreated,
they can cause developmental
problems, especially in children.
Treatment expertise
For trauma-informed and PTSD
symptoms, I use mainly EMDR therapy,
which is a proven and effective
technique. It’s trans-diagnostic,
integrative and effective for treating
adverse life experiences. EMDR
employs an “adaptive information
processing” method, which uses
bilateral stimulation and dual attention
to rouse and reprocess distressing life
experiences. It rests on the premise
that most psychological disturbances
are caused by memories of adverse
life experiences that have not been
processed properly by the brain.
Therefore, the EMDR adaptive processing
model is effective not only for PTSD
and complex PTSD symptoms but also
for comorbid trauma symptoms such
as depression, anxiety, phobias, panic
attacks, complicated grief, bereavement,
performance anxiety, personality
disorders, distressing memories, abuse,
pain management and dissociation.
It has a unique ability to identify and
target the root causes of trauma,
psycho-educate, reduce symptoms
and impart clients with coping skills to
manage their own symptoms.
Mental health collaborations
As privately funded trauma-informed
therapy can be costly and difficult to
do at scale, I have collaborated with
20 colleagues and set up a community
interest company to meet the local
community’s trauma needs. This offers
trauma treatments and provisions
that are individually adaptable for
each clinical trauma population, many
of whom don’t access services out
of shame. Often those affected are
those who can least afford it. CIC
collaborations thus enable us to be
more effective.
I have
collaborated
with 20
colleagues
and set up a
community
interest
company to
meet the local
community’s
trauma needs
»HARROW’S TRAUMA STATISTICS
In my community, trauma is liable for 75 per cent of the mental health
budget expenditure, because clients only come forward when their
symptoms worsen or are incapacitating, due to fear of being stigmatised.
Harrow ranks high in terms of its index of multiple deprivation
and trauma rates, as well as having relatively high crime levels and
unemployment. Not only does this place strain on NHS services, but
it also creates a poverty and economic imbalance. Moreover, one in
eight people in Harrow are born outside the UK, with a significant
number fleeing traumatic persecution or poverty.
3LORRAINE TINDALE COUNSELLING & PSYCHOTHERAPY |
BEST PRACTICE REPRESENTATIVE
The CIC I co-founded with colleagues
focuses solely on reducing the trauma
burden in our local community by
offering low-cost and subsidised
trauma treatments. Our team
consists of doctors of psychology and
psychiatry, as well as psychotherapists,
senior consultants and specially
trained therapists. We offer trauma-
focused treatments and services that
identify the link between clients’
presenting symptoms and root
causes. Through trauma-focused
interventions, like EMDR, CBT, EFT and
others, we identify clients’ causes of
trauma, attachment systems, coping
mechanisms, strengths and abilities.
We do this through community-driven
initiatives and activities like personal and
group therapy, training, workshops,
and therapeutic activities. These are
tailored to the needs of both individuals
and specific trauma groups. Moreover,
as a community mental health CIC, we
are interested in measuring effective
treatment outcomes, so we collate
data and re-evaluate them for practice-
based evidence and evidence-based
practice research. We currently offer
our services to the following charitable
organisations: Phoenix Heroes (for
veterans), Women’s Centre andNAPAC.
My working collaborations with Phoenix
Heroes involve my academic research
and London Trauma Hub, which offers
veterans ongoing PTSD treatment
and support. Phoenix Heroes combat
veterans are the primary source of
my academic inquiry and literature
appraisal, allowing me to explore the
pertinent question: “Why are combat
veterans averse to accessing the mental
health provisions that the government
has provided forthem?”
Untreated PTSD symptoms increase
the strain on the social welfare, prison
service and NHS budgets. Thus,
without support and a source of
income, PTSD sufferers are most likely
to be homeless, drink heavily and feel
marginalised from society. Significantly,
my work with veterans through my
partnership with Phoenix Heroes
indicates that a higher number of
combat veterans are affected by PTSD
after deployment than is reflected in
the Office of National Statistics figures.
In light of this, addressing the question
will help reduce the overall adverse
societal impact of untreated PTSD,
because it will explore how we can
adapt and integrate cognitive-enhancing
and stress-reducing activities like
walking, gardening and art, allowing
combat veterans suffering from PTSD
to reintegrate into mainstream society.
The overall view
My work is underpinned by practice-
based evidence, thus demonstrating
to clients that treatments –especially
structured ones like EMDR – are client
driven, informative and individualised.
This is because they have a unique
titrated and integrative way of treating
trauma, using past, present and future
to identify, target and reprocess
traumatic experiences.
EMDR is the most effective for PTSD
treatment, as proven by random
controlled trials and meta-analysis. It
helps clients to hold dual attention
during treatment – so as not to
retraumatise them – and uses bilateral
stimulation to evoke the unpleasant
memories from within the brain’s
information network, which is holding
them on their way to the prefrontal
cortex, where they are stored for future
beneficial use. This research-driven
commitment changes lives, which is
ultimately the purpose of my practice.
Untreated PTSD
symptoms
increase the
strain on the
social welfare,
prison service
and NHS
budgets
Phoenix Heroes PTSD
support

www.lorrainetindale.com

The Parliamentary Review Publication, in which this article originally appeared, contained the following foreword from Rt Hon Michael Gove.

Rt Hon Michael Gove's Foreword For The Parliamentary Review

By Rt Hon Michael Gove

This year's Parliamentary Review comes at a momentous time for parliament, as we collectively determine the destiny of the United Kingdom. 

On October 31, the UK will leave the European Union. The successful implementation of this process is this government's number-one priority.

Three years after a historic referendum vote, we will deliver on the decisive mandate from the British people. Trust in our democracy depends on it. Until that final hour, we will work determinedly and diligently to negotiate a deal, one that abolishes the backstop and upholds the warm and close relationship we share with our friends, allies and neighbours in the EU. But in the event that the EU refuses to meet us at the table, we must be prepared to leave without a deal.

As the Chancellor of the Duchy of Lancaster, it is my job to lead on this government's approach, should that scenario happen. Preparing for Brexit is my department's driving mission. But while I am leading this turbocharged effort, the whole of government is committed to this endeavour.

Ministers across Whitehall are working together to ensure that every possibility is considered, every plan is scrutinised and every provision is made. A daily drumbeat of meetings means that we are holding departments accountable, so that preparations are completed on time.

The chancellor has confirmed that all necessary funding will be made available. And we have mobilised thecivil service, assigning 15,000 of our most talented civil servants to manage our exit from the EU.

We will make sure that on November 1, there is as little disruption to national life as possible. Our trade relationships will continue to thrive, thanks to agreements with countries around the world worth £70 billion. Our country will remain secure, thanks to nearly 1,000 new officers posted at our borders. And the 3.2 million EU nationals now living and working among us can remain confident, with absolute certainty, of their right to remain in the UK.

Above all, our goal is to be transparent. Soon, we will launch a public information campaign so that citizens, communities and businesses are ready and reassured about what will happen in the event of “no deal”.

In my first few weeks in this role, I have travelled to ports and tarmacs, borders and bridges, all across the UK –from the seaside of Dover to the rolling green hills of County Armagh. I have heard from business owners and border officials, farmers and hauliers. They are ready to put an end to uncertainty. And they are ready to embrace the opportunities ahead.

Our departure from the EU will be a once in a lifetime chance to chart a new course for the United Kingdom. Preparing for that new course will be a herculean effort. But this country has made astounding efforts before. We can do it again.
Rt Hon Michael Gove
Chancellor of the Duchy of Lancaster