Clarity & Direction: assessment, understanding and next steps

Clarity & Direction Consultation

A standalone, one-off clinical assessment and psychological formulation

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90 minutes · £195 · Online or in Norwich

Includes a personalised written summary and recommendations

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If you’re struggling to understand what is happening, have several overlapping difficulties or feel unsure what kind of support would help, this consultation offers time to bring the pieces together.

 

We’ll explore your current difficulties, relevant experiences, what you have already tried and what you would like to change. Together, we’ll begin developing a psychological formulation: an understanding of how your difficulties may have developed, what keeps them going and where change could begin.

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Afterwards, you’ll receive a personalised written summary with my initial formulation, recommendations and possible next steps.

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A one-off consultation or the beginning of therapy

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You can book this as a standalone appointment for assessment, understanding and direction. You do not need to be seeking ongoing therapy with me.

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It is also the starting point for new clients considering ongoing therapy or an EMDR intensive. If you would like to continue, we’ll consider suitability and matching appointment availability together.

The consultation is a complete service in its own right. There is no obligation to book further sessions.

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This is a clinical assessment and formulation, rather than a formal diagnostic assessment for conditions such as ADHD or autism.

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[BOOK YOUR CLARITY & DIRECTION CONSULTATION]

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Bookings are provisional until screening has been reviewed and suitability confirmed.

Unsure whether this would meet your needs? [Make a brief enquiry.]

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Who this consultation is for

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The Clarity & Direction Consultation may be useful if:

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• several difficulties overlap and you’re unsure where to start

• you understand your patterns but still feel caught in them

• previous therapy has helped only partly, or you’re unsure what to try next

• you want a professional perspective and recommendations before deciding about treatment

• you’re considering CBT, EMDR or an intensive and would like to understand what may be appropriate

• you want a one-off assessment and formulation without committing to ongoing therapy

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You don’t need a diagnosis or a clear explanation of what is wrong. We can begin with what you’re experiencing and what you would like to change.

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1. Book your consultation and complete screening

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Choose an online or in-person appointment through my secure booking system.

After booking, you’ll receive screening questions and background forms. These help me understand your needs, consider relevant clinical information and check whether my practice is an appropriate setting for the consultation.

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Your booking remains provisional until I have reviewed your screening information and confirmed suitability.

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If screening indicates that I’m not the right practitioner for your needs, I’ll explain this, cancel the appointment and refund your payment in full. Where possible, I’ll suggest other options.

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You’re welcome to [contact me before booking] if you have questions about suitability, accessibility or availability.

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2. We explore what is happening

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During our 90-minute appointment, we’ll consider your current difficulties alongside relevant experiences, relationships and circumstances.

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We may explore:

• situations that trigger distress or leave you feeling stuck

• thoughts, emotions, physical responses and coping strategies

• patterns that offer short-term relief but create difficulties over time

• previous therapy and what has or hasn’t helped

• neurodivergence, sensory needs and physical health, where relevant

• your strengths, existing support and priorities for change

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I’ll help bring structure to the conversation. You don’t need to tell your whole life story or find the perfect words.

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We’ll work at a manageable pace, without an expectation to describe traumatic experiences in detail or begin trauma processing.

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3. We develop an initial formulation

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A psychological formulation brings the pieces together into an understanding of your difficulties.

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It considers questions such as:

• Why might these difficulties have developed?

• Why are they particularly difficult now?

• What could be keeping them going?

• What strengths and resources could support change?

• Where might it be most useful to begin?

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For example, repeatedly analysing a conversation might briefly reduce anxiety while making it harder to trust your judgement over time. Understanding that cycle can help identify a more useful direction for treatment.

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Your formulation is developed collaboratively. It is an initial, working understanding that can be refined as more information becomes available.

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4. Receive your personalised written summary

 

After the consultation, I’ll send you a written summary bringing together:

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• your main concerns and what you would like to change

• relevant themes from our discussion

• my initial psychological formulation

• strengths and resources we can build on

• recommendations for support or treatment

• possible next steps and areas that may need further assessment

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Recommendations may include CBT, EMDR, a focused period of therapy, preparation for an intensive, or support from another professional or service.

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The summary is yours to keep. You can return to it when considering your options or choose to share it with another practitioner.

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See an example

The fictional example below illustrates how a summary can connect your experiences with an initial formulation and recommendations.

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Your own summary will reflect your consultation. Its content and length will vary according to what is relevant and useful for you.​​

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[BOOK YOUR CLARITY & DIRECTION CONSULTATION]

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Bookings are subject to screening and confirmation of suitability.

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What happens afterwards?

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If you booked a one-off consultation

The appointment and written summary form a complete standalone service. You can take time to reflect, use the recommendations to explore support elsewhere or decide that you don’t want to take further action at present.

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You do not need to book ongoing therapy with me.

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If you would like to continue working together

We’ll consider whether my approach is appropriate, agree an initial focus and discuss matching appointment availability.

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Possible options include:

• Ongoing CBT or EMDR therapy

• a focused period of work around a particular difficulty

• preparatory or stabilisation work

• An EMDR intensive, following appropriate assessment and preparation

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Completing a consultation does not guarantee that a particular treatment or ongoing appointment will be suitable or available. If you’re specifically seeking ongoing work, you’re welcome to check availability before booking.

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If another service would be more appropriate

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I’ll explain my recommendations and, where possible, provide signposting. Sometimes the most useful outcome is identifying a different type or level of support.

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What working with me is like

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​​My approach is warm, active and collaborative. I bring clinical thinking and structure while making space for your experience, preferences and pace.

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I often work with people who appear capable on the outside but feel caught in unwanted thoughts, fear, shame, self-criticism or exhaustion. You may be accustomed to supporting others or find that understanding your patterns hasn’t been enough to change them.

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The consultation offers space to step back, connect the different parts of your experience and consider a way forward.

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If we continue into therapy, we’ll agree what we’re working towards and regularly review whether the work is helping.

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Fees and practical information

Clarity & Direction Consultation - £195

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Includes:

• review of your screening and background information

• a 90-minute clinical assessment and formulation appointment

• a personalised written summary

• recommendations and possible next steps

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Available as a standalone consultation or as the starting point for therapy with me.

 

Ongoing therapy - £125

50-minute appointments, with frequency agreed according to your needs and available appointments.

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EMDR intensives - from £550

Three-hour, six hour, multi day appointments, subject to assessment and appropriate preparation.

 

Location

Appointments are available online (using Google Meet) or in person at:

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Becky Grace Therapy
125 Ber Street
Norwich
NR1 3EY

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My practice is for adults aged 18 and over and is primarily self-funding. I occasionally have availability for Axa, WPA, Aviva or BUPA client, please contact me to check availability. 

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Ready for some clarity?

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Whether you want a one-off professional perspective or are considering ongoing therapy, you can begin here.

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You don’t need to arrive knowing the answer. We’ll use the consultation to understand the difficulties and identify recommendations that make sense for you.

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[BOOK YOUR CLARITY & DIRECTION CONSULTATION]

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Your booking is provisional until screening has been reviewed and suitability confirmed. There is no obligation to book further sessions.

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Have a question before booking? [Get in touch.]