And the episode after that, “If you feel anxious, don’t be, everything is fine, just think positively 💪🏻’
I suspect Nurse has done a few short courses about various therapeutic approaches while nursing which she thinks makes her “qualified” in CBT, systemic therapy, Compassion Focussed Therapy etc, but what she’s actually been doing is using some basic techniques to suggest to patients in the community rather than delivering therapy in secondary care in a formal way for which she’d need to be specifically post graduate qualified. In IAPT (primary care talking therapies) she would need a relevant core profession (which she seems to have) then she would train to deliver “step 2” behavioural interventions for milder difficulties, then she’d need a post grad diploma or MSc to deliver step 3 high intensity therapy (CBT and other approaches). I was a HI therapist in the NHS for quite a while so I know what the NHS route is.
Many therapists do have her MHN background and it’s a very valuable core profession but it isn’t “NHS qualified therapist” in itself. She hasn’t been working for over a year and I expect she wasn’t at the real sharp end when she was. She may have used CBT techniques to make suggestions but she definitely hasn’t grasped it at the most basic level if she is making the suggestions she is. if she has got the qualifications why aren’t we seeing them? Private practice isn’t the easy ride she’s looking for, get it wrong and you could be in serious trouble. Just because someone has the money to pay doesn’t mean they are not vulnerable. If they harm themselves she’s going to need to have her house in order (insurance, supervision, clinical notes, risk management, GDPR compliance - no NHS system to help and the clinical responsibility is seen as the same whether face to face or online. Therapist isn’t a protected title and that’s why finding people in private practice is a minefield so she can do what she’s doing sadly, but part of proper training is knowing your limits and what is beyond your training and skills. It’s to keep clients and therapists safe.
it’s all very well if she is spouting rubbish to no audience, it’s not so OK if people come to her feeling comforted by her former NHS role and she then makes vulnerable people feel worse when their severe depression is met with “try a gratitude mindset” or their OCD is reinforced with “think positively”. I still wonder if she is insured. At the end of the day I don’t think she is that smart and is wondering into something that isn’t as cosy as she thinks.