It’s likely that in this affluent and flourishing country of ours that many of us will know someone who has risen to dizzy heights in the business world or professions, we might even be one of those high achievers our selves. If however we observe this elite world from the outside we may feel it’s straightforward to spot the outward trappings and signs of the archetypical successful person as we view the expensive car, nice house and exotic holidays of that person.

However this is the external view that is presented to the world and can deceive us into believing that this high flying world is one that is without problems and is to be envied or desired. We watch but maybe we don’t really see.

What is the reality of success and what does it bring? Well foremost is the fact that hardly any-one is safe in their job these days. This is in stark contrast to bygone years when one might expect to be settled in a position until the day of the clock presentation and the company pension. In recent times we have witnessed long established and well respected companies and financial institutions crumble and fall, throwing employees on to the unemployment rubble pile.

Although not confined to high achievers, there are many aspects of employment that when added to possible personal issues can bring anxiety and stress to the employee.

These can include:

• Colleague tensions and uncertainties
• Communication difficulties
• Technical frustrations
• The daily commute and travel
• Sales target expectations
• Increased sales areas
• Restructuring and relocating

To help their employees cope with the worries and concerns that may be impacting on and affecting their ability to do their jobs, organisations are increasingly providing `Employee Assistance Programmes` (EAP) which centres around the employee being provided with personal counselling support.

In the United States, Employee Assistance Programmes have been used for some time where the value of looking after the employee as a whole has been recognized and appreciated in the workplace. Now the concept has crossed the Atlantic and is gaining popularity here in the UK where we see employers offering EAPs in addition to the usual benefits package.

Research has shown that a surprisingly large number of employees in the UK now have support from these schemes and it’s easy to see the benefits of an EAP scheme within a company for employees and employers alike with staff having support from an independent counsellor over issues such as stress, bereavements, relationship upsets and addictions. However, it’s important to keep in mind that EAP counsellors have in effect two clients – the employee themselves and the employer and have an equal duty to both.

In the world of psychotherapy we see some counsellors specialising in this type of work while others integrate it into their practice alongside their general client work. Here at my practice, I have experience of Employee Assistance Programmes and often get approached by companies wishing to acquire support for an employee.

These arrangements run very smoothly with the company stepping back from the proceedings and the client engaging in the process, knowing that the financial side of things is taken care of for them. Of course the resources of any company are not endless and it’s important to liaise regularly to keep the employer informed about the number of sessions that may be required.

Here a delicate balancing act takes place of care for the client and the maintenance of confidentiality while fulfilling one’s obligations to the company.

In conclusion, Employee Assistance Programmes appear to be a positive and helpful tool in company/staff relationships and generally works well for the interests of both. I would encourage any firms that have not yet put in place such a scheme to do so and likewise any employee who is suffering anxiety which impacts on their working life to seek support wherever it is available.

Transactional Analysis is built on the theory that there are three areas or states of the human personality and these are represented in diagrams and text books by three vertical circles. The top circle is the parent, the middle the adult and the bottom one is the child. A Transaction is an exchange between people – a person says or does something and the other person says or does something back. A simple Transaction between adults might be:

First person `Good morning, it’s a lovely day`

Second person` Yes, they say it will be nice all week`.

It is said that all of us are three persons in one. Sometimes we are the child that we once were. Other times the parent with attitudes and influences absorbed from our own parents and then another time we are the adult that navigates their way through this busy and ever changing world.

So far this may sound simple but where it begins to get complicated is when we realise that transactions can come from any one of the three states in ourselves and get a response in another person from any of their three states and vice versa. For example I may make an observation from my Adult state to my neighbour and get a reply from his Child state. This is likely to feel unsatisfactory.

So simply put, Transactional Analysis is the study of people’s interactions together, the states they come from and where they are directed to in the other person.

All of us at one time or another play games with each other, not so much physical games like cricket or football but mind games. An expert in this field was Eric Berne (1910–1970) who wrote `Games People Play – The Psychology of Human Relationships`. In this brilliant book Berne explains Transactional Analysis, the definition of `Games ‘and the `payoff` that always goes with them. Although written for professionals the book took off and became a bestseller. The book clearly presents common examples of the ways in which humans are caught up in the games they play. Berne gave these games superb titles such as `Now I've got you, you son of a bitch` and `Let's you and him fight. `

In my work as a counsellor I have experienced many mind games and relate a generalised version of one of them below. I call it `Look how busy I am`

Therapist. Shall I book you in for next week?

Client. Thursday again?

Therapist. Yes.

Client. Good, I’m glad it’s Thursday again because I’m seeing my Mother on Friday.

Therapist. So Thursday’s ok?

Client. Had you said Wednesday, I would have to have said no because it’s my Yoga class.

Therapist. I’ll put you down for Thursday then?

Client. Tuesday’s no better either because I help in the charity shop and always go shopping afterwards and I can’t change that.

Therapist. So, it’s Thursday then?

Client. I can never do Monday, so don’t ask me, clearing up after the weekend, washing and ironing.

Therapist. I wasn’t going to offer you Monday.

Client. Do you see clients on Saturday?

Therapist. No.

Client. Good, because that’s the weekend and I’m always busy then.

`Look how busy I am` is a game of power which is designed to show how busy the client is. She wants to see the therapist but only on her terms. It assumes the therapist is less busy than her.

The games must include all the activities the client does and all the days she is busy. The game wouldn’t work if she accepted the Thursday appointment straight away, although that is all that is required in an adult to adult exchange.

A useful prop in this game is a diary or a phone with an organiser on it. The process of consulting this is often slow and reinforces how much the client is in demand and how she is squeezing the other person into her busy agenda.

The payoff could be two fold – firstly the client will enjoy displaying her busy life and how much she is in demand. Secondly the payoff could be seeing the therapist squeezed into a tight time slot and unable to move. The game could only be improved if the therapist was unable to do Thursday for some reason, then another game, probably called `The end of the world` or `Disaster` would be played out.

Another popular game `Now I suppose you want some money – the horror of it`.

The subject of our second example of a game has a service done for them, maybe a washing machine repair, car service or a delivery of shopping from the supermarket. Our subject knows very well that this must be paid for, however when the point of payment arrives he makes no attempt to pay. Instead, time wasting delaying tactics are used like idle conversation or questions about further services that may be available. When it’s clear our subject cannot put off paying any longer he will say `Now I suppose you want some money?`

The poor tradesman is forced to agree and show some appreciation for the long awaited money he is owed. A look of horror may appear on our subject’s face at this time, maybe because he believes the honour of serving him should be enough and he is mortified this upstart wants money as well. The next tactic our subject uses is to look for his wallet/purse/cheque book. Much delving and searching eventually produces the necessary and if its cash, long methodical counting follows or if a cheque slow meticulous writing and scrutiny will ensue.

Our subject may pretend to not want to let go of the payment, holding on to it with a tight thumb and finger hold. Doubtless Freud would say that this apparent bit of fun subconsciously is no joke but a real desire to keep it. He believed our subconscious reveals itself in many ways including through our jokes and humour. This teasing may show a need by our subject to make our tradesman almost beg like a dog for a biscuit.

The payoff for this game is partly about control, he who pays the piper calls the tune and in this case our subject holds the purse strings. It’s clear our subject does not want to pay for the service that has been provided but tries to cover this up with the long drawn out conversation, the difficulty in finding his wallet and the attempt at a joke. In here somewhere are status issues also, calling the tune, being in charge, expecting gratitude, the threat of the working classes rising above their station by being paid and the knowledge that the head of our nation does not actually carry money herself.

So in it’s simplest form Transactional Analysis is a study of the interactions between two people. In it’s more complex structure it’s intriguing mind games on a par with world class chess. If you found this piece interesting I would recommend you look at the actual work of Eric Berne, the flavour of which we have briefly touched on here.

© David Trott 2013

In his most recent Counselling and Psychotherapy blog, Somerset based Integrative Counsellor David Trott MBACP Dip couns, talks about Integrative Counselling, Counselling, and Psychotherapy. David has a specific focus on integrative counselling, integrative counselling and psychotherapy, the integrative counselling model and the integrative counselling approach. Keep up-to-speed with David's integrative counselling and psychotherapy blog that explores integrative counselling case studies, integrative counselling in action, integrative counselling courses, integrative counselling skills in action in pdf and sequentially planned integrative counselling for children.

Find out about in Davids most recent Counselling and Psychotherapy blog where he talks about:

The Advantage of Integrative Counselling

Integrative Counselling Framework

What Is Integrative Counselling?

How an Integrative Approach to Counselling Works

The 7 levels of functioning

What are the Five Relationships?

The advantage of the Integrative Counselling Model is that it draws from all these major orientations and includes them in a counselling method which treats the person as a whole. This wider view is in contrast to some Psychodynamic purists who will generally look towards the client’s younger years and symbolism like dreams and Freudian slips to attempt to unravel the person’s unconscious.

To read the complete article, Somerset Counselling: What is Integrative Counselling? click here.

What To do Next

If you feel counselling is maybe what you are looking for, or if you require further information the next step is very simple. Visit the Contact page and drop David a message via email, or call. 

To book a counselling session with David, or to request further information, please call in confidence 01823 443022.

When we look into the world of counselling and psychotherapy the buzzword these days appears to be `Integrative Counselling and psychotherapy`. The phrase is tossed into conversations and the written word like the bread thrown to the ducks in the park. But what exactly is Integrative Counselling and psychotherapy and how does it work?

We all know that there are many different approaches (or methods) to counselling and psychotherapy which are built on a wide range of ideas and theories. These include Psychodynamic, Gestalt, Behavioural (CBT), Humanistic (Person Centred) Psychosynthesis and Existential.

The Advantage of Integrative Counselling

The advantage of the Integrative Counselling Model is that it draws from all these major orientations and includes them in a counselling method which treats the person as a whole. This wider view is in contrast to some Psychodynamic purists who will generally look towards the client’s younger years and symbolism like dreams and Freudian slips to attempt to unravel the person’s unconscious.

Behavioural therapies such as CBT will be concerned with the here and now and look at unhelpful aspects of a person’s thinking such as Negative Automatic Thoughts (NATs). Here the CBT therapist will communicate very little Empathy, instead concentrating on how the client is affected right now by their problems and issues.

Humanistic counselling which includes the work of Carl Rogers and his Person Centred approach leans heavily on the relationship between client and therapist and the communication to the client by the therapist of what Rogers called the `core conditions`. While Psychosynthesis itself and other Existential approaches relate more to the `unexplainable` and has a spiritual side or edge to it. Therefore we in Integrative Counselling see it’s possible to have one’s gateau and eat it in as far as treating the client as a whole and also having the benefits of the major orientations.

It is said that Integrative counselling is the growing approach within psychotherapy which links it nicely to another buzzword of `postmodernism`. Postmodernism captures the trend and mood that we see in the decline of purist approaches. In many walks of life we witness the move to more flexible and pragmatic solutions to problems that were tackled in a more rigid fashion in times past.

Integrative Counselling Framework 

So who’s responsible for Integrative counselling theory that supports Integrative counselling and the surge of interest that it has caused? One of the leaders has been Dr Petruska Clarkson, who with almost 30 years international experience and 150 publications to her name was the designer of the first MSc level Integrative psychotherapy course in the UK. Her Integrative counselling framework has been used in various colleges to provide a sound qualification for recipients to embark upon a career in counselling.

Clarkson’s Integrative counselling framework includes the Five Relationships between therapist and client of Working Alliance, Tranferential, Reparative, I-you and Transpersonal. Also present are the Seven Levels of Functioning of Physiological, Emotional, Normative, Nominative, Rational, Theoretical, and Transpersonal.

What Is Integrative Counselling?

For those still wondering what Integrative Counselling is, it’s clear that the Integrative approach to counselling is different than eclecticism. Eclecticism is said to be about the process of `selecting out` and also more about taking something apart while Integration is more about `bringing together`. So the Integrative approach to counselling is a bringing together of different approaches to form a new orientation that stands in it’s own right.

Is it possible to see how an Integrative approach to counselling works and hear a little more about these 7 levels of functioning?

The following case study is a fictitious and is unlikely to occur in real life, however it’s useful to explain a little of Integrative counselling theory. `Mrs Smith` arrives at her counsellor’s for her first session of Integrative counselling. While presenting her problem to the therapist she appears to be shaking slightly while wrapping her arms around herself. The therapist views this Physiological level of his client. Is she cold, is she frightened or is there some other reason for her shaking? Maybe chemical? This is discussed with the client.

While the client talks, she becomes upset and starts to cry, the client’s Emotional level is clear for the therapist to see and work can be done on this. Feeling a little better now, Mrs Smith talks of the fact that she has not seen her grown up children for fifteen years – she shows no emotion and appears to see nothing strange in this – this is her Normative level – what is normal to her, her bench mark and her frame of reference to judge the goings on in her external world.

Mrs Smith now talks of her neighbour who she alleges runs a black magic cult in his garden every other Thursday evening. She calls him “the evil one”. The therapist notices that this is the name she has nominated for him – this name brands him and links him to how she sees him and his activities. This is her Nominative level. As mentioned before this is a fictional tale and it’s unlikely that all aspects of the 7 levels of functioning would be witnessed in one single session. However it does help to explain the question `What is Integrative Counselling?` and what is behind Integrative Counselling Theory.

Now back to Mrs Smith;

Although seemingly unhappy about the exploits of her Satanist neighbour, Mrs Smith surprises her therapist by declaring that he’s not really hurting anyone and everyone needs a hobby, as did her late husband Mr Smith, who was an avid collector of eggcups. The therapist notes down her Rational level of functioning.

Moving on, Mrs Smith talks again of her late husband and his hobby of eggcup collecting. She theorises as to why he did it – poor upbringing, he didn’t have much, nasty father, very mean. I think eggcups was a safe place to be, gave him something he never had as a child. The therapist jotted down her Theoretical level.

With 10 minutes to go the therapist tells Mrs Smith that they are near the end of their time together and begins to summarise their session. Although not a good time to start with anything new, Mrs Smith mentions that she often feels her late husband’s presence, especially in times of worry and stress.

The therapist asks her to try to hold that thought and the feeling that goes with it and they can let it unfold in their next session together. The therapist makes a mental note of the Transpersonal experience that Mrs Smith has mentioned.

What are the Five Relationships?

Within Dr Petruska Clarkson’s framework are the Five Relationships that are identified as being between the client and the practitioner, these are the Working Alliance, Transferential, Reparative, the I-You and Transpersonal.

By its very nature the Working Alliance is common to all approaches found within counselling and psychotherapy. For many practitioners the working alliance is the crucial and sometimes only relationship necessary for effective therapy. Central to this process are the core conditions of empathy, unconditional positive regard and congruence. The Working Alliance centres around the contract between the adult of both the practitioner and the client.

The Transferential relationship has its roots in the Psychodynamic and Gestalt approachs. I believe transference is everywhere and will almost certainly appear at some point in most orientations, even if the chosen approach has not got Psychodynamic roots. Transference itself is the past manifested in the present. So an example might be the client unconsciously seeing the practitioner as a figure of authority from their childhood.

The Reparative relationship draws from Psychodynamic, Gestalt or TA. Maintaining the core conditions is a general way of offering the client a reparative relationship, with support from the counsellor in the present, the client experiences the relationship they lacked at a past time.

The I-You relationship is an authentic and real relationship requiring the counsellor not to be hiding behind their role as a counsellor or expert with the associated imbalance of power that can result. The I-You relationship draws on the Person Centred approach and is all about the relationship between client and counsellor.

The Transpersonal relationship which has its roots in Psychosynthesis, Existential and Gestalt therapy and has a spiritual identity is a hard one to identify. Based on research I did at a specialist counselling section in a local Somerset hospital, where patients with serious medical conditions can talk about their fears and concerns to a trained counsellor. It seems likely that people with life-threatening illnesses may well enter a Transpersonal relationship with their counsellor as they maybe contemplate death, the hereafter and the meaning of their existence.

So, to summarise briefly, we see the post modernist trend seems to lean towards Integration in Counselling and psychotherapy with its advantage of flexibility in the way therapy can be adapted to the meet the wide range of client’s issues and problems. This is reinforced by the growing realisation that `one size does not fit all` and the benefits the client gains from being treated as a whole i.e. mind, body, behaviour and emotions.

Copyright David Trott 2012 What is Integrative Counselling?

integrative counselling, integrative counselling and psychotherapy, integrative counselling model, integrative counselling approach, integrative counselling case study, integrative counselling in action, integrative counselling courses, integrative counselling skills in action pdf, sequentially planned integrative counselling for children

While Psychotherapy has had a relatively short history of a hundred years or so, the role of the psychotherapist reaches back through the murky mists of time to the earliest days of human existence, where we picture early man engaged in that age old endeavour of attempting to make whole the soul or inner being. Villagers who felt confused or worried about something would make the short journey through the mud and smoke to visit the wise-woman of the village to seek counsel and be helped to make a sensible decision based on the personal knowledge and life experience of the elder.

This situation remained largely unchained through the centuries until Sigmund Freud (1856 -1939) arrived on the scene. Freud was born into a Jewish family, firstly becoming a medical doctor but then quickly moving into Psychology. For most of his life he lived and worked in Vienna, Austria where he founded a system of Psychology which he called Psychoanalysis in 1896.

Psychology, Psychiatry and Psychoanalysis words all share the same link to the Greek word Psyche which means breath, soul or life. However Psychoanalysis was not yet for the masses and Freud’s patients were mostly from Viennese bourgeois society, which was very middle class, conservative and materialistic in it’s attitudes. Freud’s work largely centered on a person’s unconscious and he decided that there are three states of Consciousness. These being the `Conscious`– our awareness of all that is happening around us at any one time. The `Pre-conscious` – things like telephone numbers, addresses and car numbers, which are not present in our thoughts all the time but can be easily recalled when required. And lastly the `Unconscious`– information that is repressed and cannot easily be accessed.

Included here could be memories so terrible that they are pushed down and buried. Freud believed that the unconscious reveals itself in other ways and so he used therapy methods such as Dream Interpretation, Hypnosis, Free Association and the study of Parapraxes (Freudian slips) & jokes to unlock his patient’s innermost thoughts. His work remains the basis of various approaches used today by modern therapists and much of it has permeated into everyday language such as Freudian slip, Ego, Anal retentive & Oedipus complex amongst many others. Much of Freud’s early work was treating the ladies of Viennese society for `Hysteria` by way of hypnosis.

In modern times we think of hysteria as huge emotional trauma. Back in Freud’s time it meant a medical condition where a specific part of the body was targeted by very strong emotions. This could result in sleepwalking, paralysis, fits, memory loss, hallucinations, fainting and numbness in different parts of the body. His view was that neurotic symptoms were caused by repressed sexual experiences. Freud found Hysteria most interesting because the symptoms were so varied but oddly these symptoms would sometimes disappear altogether for no reason only then to return later. It was thought in those days that only women suffered from Hysteria, in fact in 1886 when Freud gave a lecture on Male Hysteria to the Vienna Society of Physicians he caused uproar. His lecture contained examples of Male Hysteria and this caused one surgeon to remark that because the word Hysteria referred to the uterus, it was not possible for a man to suffer in this way.

Unlike today’s modern counselling rooms which tend towards being rather neutral and bland, Freud’s room was said to be more like belonging to an archaeologist. There were ancient artifacts everywhere and the walls were covered with stone plaques showing scenes from ancient history. It makes perfect sense when we hear that Freud likened his love of archaeology with his work as a psychoanalyst. It’s easy to understand how he saw the uncovering of a person’s psyche, layer upon layer with the uncovering of ancient treasure. Today, most counsellors will use the onion analogy (stripping away layers of the psyche like layers of an onion) or a Russian Doll to demonstrate a person’s personality. As well as ancient artifacts in his room, Freud had fitted heavy curtains and thick warm carpets complemented by a number of large potted plants, maybe aspidistras in ornate jardinières. French windows led out to a small private courtyard.

It’s been said that Freud’s room was like a sanctuary for some people, where one could retreat from the hustle and bustle of modern life – a place where one could shelter from day to day problems, if only for a short time. This view of the counselling room can still apply today with the therapist who has taken the trouble to think out the interior of their therapy room. Today we see counsellors facing their clients; Freud on the other hand preferred to sit behind his patients, out of sight, to be less of a distraction. No doubt the patients sat or lay on a couch or chaise longue and it’s easy to picture the stereotypical view of a Victorian psychiatrist and patient.

Freud’s work included his study of a child’s development through biologically determined stages and their links to sexual pleasure. He described the Oral stage which focuses on the mother’s breast and the Anal stage which centers on the anus and defecation. The Phallic stage is all about the genitals and the Oedipus Complex develops when the child falls in love with the opposite sex parent. At the Latency stage, the sexual drive becomes dormant until puberty. The sex drive finally becomes focused on sexual intercourse with an opposite sex partner at the Genital stage.

Freud believed that these theories regarding how a child’s sexuality developed is indicative of the way a person’s whole personality develops but it’s worth remembering that Freud’s definition of `sexual` was much wider than just sex itself.

In January 1933, the Nazis took control of Germany and Freud’s books were high on the list of those being burnt and destroyed. Undaunted, Freud quipped “What progress we are making. In the middle ages they would have burned me. Now, they are content with burning my books.” All through this time Freud continued to underestimate the Nazi threat and stayed determined to remain in Vienna, even after Austria was annexed.

However as events unfolded it became clear that he and his family had to leave and so on 4 June 1938 Freud caught the Orient Express from his beloved Vienna, fleeing the Nazis and the horrors of the Holocaust for the comparative safety of London. Sigmund Freud died on 23 September 1939 after a long battle with cancer. Although Freud’s work has evolved and has been adapted by present day Psychodynamic and Integrative therapists, it still remains the basis of Counselling and Psychotherapy in the modern day and its value cannot be overstated. Freud remains the Father of Psychotherapy and the reason you are reading this piece today.

David Trott Copyright 2012

When I started to research the question of what’s on offer in the field of counselling in and around Somerset, I was surprised and heartened by my findings. For it seems that anyone looking for a counsellor in Somerset and surrounding areas will find a rich selection of counsellors and psychotherapists offering a wide range of approaches and therapies. We are fortunate indeed to have on our doorstep many historically important, economically expanding and very pleasant towns.

These include Axbridge, Bridgwater, Burnham on Sea, Chard, Cheddar, Crewkerne, Frome, Glastonbury, Ilminster, Langport, Midsomer Norton, Minehead, Shepton Mallet, Somerton, Taunton, Watchet, Wellington, Wincanton, Winsford, Wiveliscombe and Yeovil and not forgetting the beautiful cities of Bath and Wells. Each one of these areas will have various therapists.

More good fortune lies in the fact that this green and pleasant part of the country is well served by some remarkable Colleges, who in turn provide some remarkable counselling courses for anyone looking for counselling training. The counselling courses can range from an introduction to counselling skills or concepts, through Intermediate and Advanced stages to Diploma levels which equips the recipient with the necessary qualification to practice. The titles and levels of these counselling courses may vary according to the college and awarding body. As part of counselling training on the Diploma level, the student will have to find themselves a `placement ` to hone their skills.

This may be situated with a counselling practice, a drug and alcohol rehabilitation centre, college or school, in fact anywhere that counselling takes place and where it’s suitable for a student counsellor to work. A three way contract is then drawn up between the college, the student and the placement organisation. The student then works part time at the placement to complete the required number of hours for the course. Therefore as we examine what counselling is available in Somerset, it’s worth remembering that quite a few of the counsellors we see operating will be students working voluntarily to gain experience and to complete their `hours`.

A clue to this is sometimes in the low cost of the counselling. There has always been some debate as to the impact of the voluntary sector on professional counselling practices who strive to maintain a viable business. It’s fairly safe to say that Somerset with it’s mix of impressive busy bustling towns, villages and lovely countryside will be able to offer the counselling client a good choice of counselling methods.

It’s likely that therapists working in many of the major approaches will be able to be found locally without much difficultly. These will probably include Psychodynamic, Person Centred, Integrative, Cognitive Behavioural Therapy (CBT) Psychosynthesis and Existential, among many others. It’s said that the fasted growing approach over the last few years has been Integrative.

The benefits of the Integrative approach include the fact that it draws from the major orientations previously mentioned. It does this not in an eclectic way like pulling a tool from a toolbox but instead Integrative stands as a approach in it’s own right. While clients may be looking for support in stress & anger, low self esteem, low confidence & feelings of failure, anxiety, depression, feeling isolated lonely, suicidal, bereavement, addictions and obsessions, couples might be looking for help in their relationship.

This would require a specialist counsellor, trained in relationship and couples counselling. A good place to start when looking for a counsellor or psychotherapist is to visit the BACP website and click on `seeking a therapist`. By simply entering one’s postcode, a list of counsellors who are BACP members and who work within the BACP ethical framework will appear.

Somerset Counselling: Counselling in Somerset (what’s on offer?) 

https://www.somersetcounselling.org/index.php/taunton-somerset-integrative-counselling-counselor-blog/5-somerset-counselling-counselling-in-somerset-what-s-on-offer