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About Me

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Dr. Jocelyn Fleming

My name is Jocelyn, I’m originally from London and I moved to the West Lakes in 2013. I’m a Chartered Clinical Psychologist working with adults and children across Cumbria. I’m registered with the Health and Care Professions Council (HCPC) and I’m a chartered member of the British Psychological Society (BPS) and their Division of Clinical Psychology. This means I have attained the highest level of training in clinical psychology and I am bound by the codes of ethics and conduct set out by both professional bodies. I’m also DBS checked to work with adults and children. I have been working in the related fields of mental health, physical health and child development for over a decade. After gaining my undergraduate degree in Psychology, I started my professional career working with adults with severe and enduring mental health needs on an acute inpatient ward and in a residential rehabilitation service. I also held research and clinical roles with children with neurodevelopmental conditions, behavioural difficulties and mental health needs. I then completed my Doctorate in Clinical Psychology, during which I worked with individuals and families of all ages and with a wide range of difficulties, and carried out my doctoral research on offence-related post-traumatic stress disorder among offenders with mental health needs. I now work privately with adults and children offering assessments and therapeutic intervention. I also offer consultation, bespoke training and clinical supervision, as well as medico-legal and media services.

Qualifications and Professional Affiliations

  • Doctor of Clinical Psychology (DClinPsy)
  • Bachelor of Science in Psychology (BSc, First Class Hons)
  • Chartered member of the BPS (CPsychol)
  • Registered Practitioner Psychologist with the HCPC
  • Member of the BPS Division of Clinical Psychology
  • Member of the BPS Crisis, Disaster and Trauma Psychology Section
  • Member of the BPS Developmental Psychology Section

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    My Psychological Approach

    As a clinical psychologist, I am what’s called a ‘scientist-practitioner’. This means that I use the current best evidence to inform my practice, and I always keep up-to-date with the latest research, as well as conducting research and contributing to academic journals myself. However, one approach doesn't work equally well for everybody so I remain person-centred and have regular open discussions with my clients so we can think about the best way forward together. Although a diagnosis can sometimes be helpful for individuals, for example to access more support, clinical psychologists prefer to develop a formulation, that is a complete picture of what has triggered and maintained your difficulties, as well as the factors that perhaps made you more or less vulnerable to these difficulties in the first place, and use this to inform an intervention rather than simply a diagnosis. I am trained in a variety of approaches, some information about which can be found below, but please note this is not an exhaustive list. I often use bits from more than one of these in order to suit the individual with whom I am working, and can tailor it to meet their needs. You may have ideas about what type of therapy you would like to try, based on information you’ve heard or read and what you’ve found helpful or unhelpful in the past. That’s great, and we can discuss this together in the first session and collaboratively come up with a plan for intervention, which we will then periodically revisit to check that we’re still on the right track and making progress.

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    Cognitive Behavioural Therapy

    A relatively brief, goal-directed therapy that requires willingness to practise techniques in between sessions. Change is created by discovering how our thoughts, feelings, physiological states and behaviours impact one another and by making positive adjustments to the way we think and behave in certain situations.

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    Systemic Therapy

    People are considered not just as individuals but also as part of a system consisting of multiple relationships and interactions, such as within a family or group of colleagues. Patterns are identified in these interactions and change occurs at a group level rather than within a particular individual.

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    Psychodynamic Therapy

    Although traditionally a longer-term therapy, it is also possible to use this approach in the relatively short term. Change occurs as the unconscious and its impact on behaviour is revealed. Childhood experiences and early relationships are considered in depth and used to identify patterns and understand current difficulties.

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    Eye Movement Desensitisation & Reprocessing

    Distressing experiences are recalled while receiving bilateral sensory input, such as horizontal eye movements. This enables the brain to process and store memories in such a way that they will no longer be distressing. EMDR was originally developed to treat post-traumatic stress disorder but can also be used to treat a number of other difficulties.

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    Narrative Therapy

    Peoples’ difficulties are understood as being separate from the people themselves, and instead their hopes, values and resources are put at the centre of therapy. These are used to strengthen the positive accounts of peoples’ lives or identities, and weaken the problem-saturated stories.

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    Third Wave Therapies & Mindfulness

    Third wave therapies, including acceptance and commitment therapy (ACT), dialectical behaviour therapy (DBT), mindfulness-based cognitive therapy and metacognitive therapy, represent the next generation of cognitive and behavioural approaches. There is an emphasis on accepting oneself and adopting a non-judgemental stance, remaining in the present moment, reinforcing one’s strengths and resources, and committing to behaviour change in line with one’s goals and values.

    Services

    feature img    Therapeutic Services

    It can feel a bit daunting to contact a psychologist for the first time but, like we all have ups and downs in our physical health and need to see our GP from time to time, the same goes for our mental health. You may have struggled for a long time and been unable to access the right support, or your difficulties may have only started recently. You may be thinking that your problem seems minor or silly, or conversely far too great for anyone to be able to help. Whatever it is that’s bothering you, please contact me and we can informally discuss whether my approach might be the right one for you at no cost. If you choose to meet me for an initial assessment, there is no obligation to continue seeing me if you don’t think we’re the right fit. In such a case, I’ll be happy to refer you to an appropriate colleague.

    I see adults and children for a wide range of psychological and neurodevelopmental difficulties. The list below covers some of these but is by no means exhaustive. If none of these descriptions seem to fit you, don’t worry, please contact me anyway to see if I can help.

    • Low mood and depression
    • Self-harm and suicidal thoughts
    • Anxiety
    • Post-traumatic stress (this may be in response to experiencing, witnessing or repeatedly hearing about any traumatic event including but not limited to childhood abuse and neglect, domestic violence, sexual or physical assault, traumatic birth, road traffic accidents, natural disaster, war, imprisonment, torture, and perpetrating a crime)
    • Grief, bereavement, shame and difficult transitions
    • Difficulties in social situations
    • Difficulties forming and maintaining relationships and friendships
    • Panic attacks
    • Phobias
    • Agoraphobia
    • Obsessive compulsive difficulties
    • Hoarding
    • Low self-esteem and low self-confidence
    • Unwanted habits, such as hair pulling and skin picking
    • Tics
    • Personality disorders
    • Anger
    • Autism Spectrum Disorder
    • Attention-deficit and hyperactivity disorder
    • Behavioural difficulties
    • Stress management
    • Insomnia
    • Bipolar mood difficulties
    • Psychosis and schizophrenia
    • Low motivation to make changes and access support for an eating disorder or substance misuse

    I have a special interest in complex trauma and PTSD, and have worked extensively with veterans; victims of abuse, crime and natural disaster; perpetrators of crime; and refugees and asylum seekers. I’m also able to work with people with learning needs and people whose first language isn’t English. Should you require an interpreter in another language or British Sign Language, this is possible at an additional cost to cover the interpreter’s fees. Please contact me to discuss details.

    I offer a safe, confidential space, free from judgement in which to discuss the things that are bothering you and work together towards your desired outcome using evidence-based techniques. Your goals may be short or long term, and there is no minimum or maximum number of sessions. We will agree what seems feasible in order to meet your goals, and review this periodically to check that we’re making progress and our chosen approach doesn’t need tweaking.

    Please note that I do not run an emergency service and cannot attend to people in immediate crisis, those who are actively psychotic, or those whose physical health is seriously compromised as a result of active substance misuse, eating disorder or physical health condition. If this applies to you, private practice is not the most appropriate source of support at this time as you are likely to benefit from the input of a wider multidisciplinary team. If you would like to think about your motivation and perceived ability to access this kind of multidisciplinary support, please contact me to discuss whether I might be able to help you get started on your journey to making changes. If you consider yourself to be in immediate danger, please call 999 or go to your nearest A&E.

    feature img    ASD Assessments

    I offer an assessment of Autism Spectrum Disorder (ASD) that can be used alongside reports from other professionals to inform a diagnosis, with teachers to ensure appropriate support at school, and with parents to think about how to identify and manage a child’s strengths and needs. A full assessment includes a parent meeting, usually over two or more sessions, a child meeting, also over two or more sessions, a school observation, and a feedback meeting. I am also happy to liaise with the child’s school and, for an additional fee, will provide a full written report. Please note, I cannot currently offer autism spectrum disorder assessments to adults aged 18 or over.

    feature img    Consultation & Training

    I offer bespoke training on a range of mental health issues to schools, health professionals, corporate clients, charitable organisations, and emergency services. This might include how to recognise the signs of common mental health difficulties, helpful techniques that you can try yourself, such as stress and anxiety management and mindfulness-based exercises, and what to do if you’re worried about friends, family, colleagues or pupils. Training for schools can be tailored for pupils of any age group or for staff. Please contact me to discuss your needs well in advance as this will need to be prepared in accordance with your requirements.

    I also offer consultation on specific issues or individuals to health and social care professionals and teachers. Please be mindful to seek consent from an individual (or their legal guardian) prior to contacting me and, should they wish, discussions can be kept anonymous so as to protect their confidentiality.

    feature img    Supervision

    I offer both group and individual clinical supervision and reflective practice to NHS staff teams, teachers working with special educational needs, social workers, and to psychologists, counsellors and therapists. I am able to travel for group work, but I meet individuals during my clinic in Cockermouth. Phone and skype supervision may also be possible. Please contact me to discuss your needs.

    feature img    Medico-Legal & Expert Witness

    I provide expert assessments and reports for a range of psychological issues for criminal and family proceedings, including capacity assessments. I also provide court recommended treatment. I have specialist knowledge of post-traumatic stress disorder relating to both victims and perpetrators of crime, both adults and children, as well as extensive experience assessing the needs of children and making recommendations for the provision of care either with family or within the looked after system. The instructing solicitor can contact me to discuss specific needs and fees, and I also take enquiries from social workers and legal guardians.

    feature img    Media & App Development

    I offer consultation on issues of mental health to production companies, broadcasters and app developers, and am able to provide an expert opinion on camera and radio. I have previously consulted on a number of documentaries and in the development of apps for children with autism spectrum disorder and adults wanting to use apps in therapy. Please contact me to discuss your specific requirements.

    Clinic Info

    I run my clinic from the North Lakes Clinic at the following address. If our appointment is outside shop opening times, please come to the side entrance.

    North Lakes Clinic
    41 Main Street
    Cockermouth
    Cumbria
    CA13 9JS

    Daytime and limited evening appointments are available.

    If you are unable to travel or use the stairs (please note that all clinic rooms are unfortunately upstairs), I am able to offer home appointments at an additional charge to cover travel expenses or we can arrange to meet at an alternative appropriate location in Cockermouth. Please contact me to discuss details.

    Fees

    Initial contact via phone or email is free of charge. This will allow us to briefly discuss whether I might be able to help you, I can answer any questions you may have, and we can make arrangements should you choose to book an initial assessment appointment or other service. This first appointment is generally longer than subsequent appointments and is therefore slightly more expensive. After the initial assessment, there is no obligation to continue seeing me for intervention appointments. For children, I also offer a school assessment, which involves me travelling to their school and observing them in class and during break time. Please note that there will be an additional fee to cover travel expenses for schools outside Cockermouth. I accept payment by cash, bank transfer or cheque made payable either to Jocelyn Fleming or Cumbria Psychology Service, which is due on the day of the appointment. Fees include all preparation for sessions, any worksheets and resources that can be kept as a reminder of the skills learnt, and all admin time.

    Assessment
    Appointment

    £110
    • This initial appointment will last approximately 1.5 hours, or for children, as long as they can manage. Detailed information is gathered to inform a ‘formulation’ and ‘intervention plan’. This is an agreed route for therapy based on your unique difficulties, strengths, and goals.

    Intervention
    Appointment

    £85
    • Subsequent appointments, during which we engage in our agreed course of therapy, will all last approximately 1 hour, or for children, as long as they can manage.

    School
    Assessment

    £75
    • This is a necessary part of the assessment process for some children and can be useful in building up a broader picture of a child’s strengths and needs. I will travel to their school, meet with their teachers, and observe them during class and play time.

    ASD
    Assessment

    £550
    • This is a comprehensive assessment of autism spectrum disorder and consists of a minimum of four appointments, two with the parents or whole family and two with the child, as well as a school assessment, and a final feedback meeting with parents only.

    feature img   Additional Information

    All written reports for personal and professional use relating to assessments and therapeutic intervention are £50.

    Please contact me to discuss fees for all consultancy, training, supervision, medico-legal and media enquiries. These will be agreed based on your specific requirements.

    The above fees do not include travel expenses for school assessments or home visits outside Cockermouth.

    I offer a limited number of reduced rate slots for individuals/families on low income or claiming welfare, and for current trainees. Please contact me to negotiate fees if this applies to you.

    feature img   Health Insurance

    I am a registered provider with a number of health insurance schemes. If you plan to access therapy through your insurance, please mention this when making contact as most expect to endorse payment for sessions before they begin. Some providers also insist that you are referred by a medical practitioner. Please check the details of your policy.

    feature img   Cancellation policy

    Should you need to cancel an assessment, intervention or supervision appointment, please give me as much notice as possible so that I can offer your slot to someone else. You will be charged half the session rate if you give less than 24 hours’ notice but inform me before 9am on the day of the appointment, and you will be charged the full rate if you inform me after 9am on the day of the appointment. Cancellation with less than 48 hours’ notice for the provision of training, consultation, medico-legal and media services will be charged the full agreed rate, and cancellation with more than 48 hours’ notice will incur a charge for time and services already completed including preparation of training/reports/admin etc.

    Contact

    Contact Details
    Telephone:   07903 749670
    Email:   jocelyn@cumbriapsychology.com

    Please contact me by phone or email, or by filling out the online contact form below. If I am unable to take your call, leave a message with your name, number and brief details of your enquiry, and I’ll get back to you as soon as I can. Please note that unless you specifically tell me that it is ok to leave a message on the return number you provide, I will not do so. This is to protect your confidentiality.





    Frequently Asked Questions

    I have answered a few frequently asked questions below. I hope these help answer any queries but if there is anything else you wish to know, please don't hesitate to contact me directly.

    What happens in the first session?

    During the initial assessment appointment, I will invite you to tell me about the factors that have led you to seek psychological support, how your concerns developed, how long it has been going on, and any strategies you have previously found helpful or unhelpful. Together we will use this information to develop a full picture of what’s going on, I will advise on the most appropriate next steps and we will agree on an ‘intervention plan’, or direction for therapy. This plan will be reviewed at regular intervals to ensure we are on the right track and that you are happy with the progress being made during therapy.

    Will I be asked to lie on a couch?

    Only if you want to! This is a perception largely driven by the media and film but doesn’t often happen in reality. There are some therapists who may prefer to work in this way but I have never worked with anyone who opted to lie on a sofa for the duration of their therapy. That said, there is a first time for everything and should this be how you feel most comfortable, I have no objections! While most of my sessions are conducted in a clinic room, seated in comfortable chairs (or on the floor if this is better for young children), this may not be everyone’s preference. I am happy to discuss holding sessions elsewhere in Cockermouth if you would find this more therapeutic, provided we can talk privately but are in a public space. This may be in a coffee shop, while taking a walk in Harris Park or Memorial Gardens, or at your school with the permission of the head.

    Is everything confidential?

    Everything we discuss in our sessions is kept private. The only circumstances in which I would have to break confidentiality are if I thought there was a risk to yourself or to others, if I was summonsed to court, or if you disclosed a crime. I would always discuss this with you first.

    What’s the difference between psychologists, psychiatrists and counsellors?

    A psychiatrist is a medical doctor, who will usually treat symptoms of a diagnosis with medication. A clinical psychologist does not prescribe medication and instead uses talking therapies to help individuals better understand their mental health and make the changes necessary for improved wellbeing. A clinical psychologist may recognise that a diagnosis can be helpful for some individuals, for example to access further support, but prefers to develop a broader understanding of the individual and their unique difficulties. This is called a formulation and will usually include information on what has made a person vulnerable to their difficulties, what causes and maintains their difficulties and what they find helpful in managing their difficulties. This formulation is used to inform the most appropriate therapeutic approach for that individual.

    A counsellor, psychotherapist or counselling psychologist is usually trained in only one therapeutic approach and they tend to work only with less severe difficulties. This is in contrast to clinical psychologists who are trained in a full range of assessment and treatment approaches and can therefore always offer the approach with the best research evidence-base while also remaining mindful of an individual’s preferences and the most suitable approach based on their formulation. Clinical psychologists also work with a full range of difficulties in terms of severity, and are often involved in advancing knowledge through research and publication.

    How long does therapy last?

    There is no minimum or maximum number of sessions. We will discuss what seems feasible in order to achieve your goals and we will review this regularly. The chosen therapeutic approach will also influence the number of sessions, as some are designed to be relatively short term (approximately 4-20 sessions), and others are more long term (more than 20 sessions).

    What is the best therapy?

    There is no one best therapy. Different approaches have a stronger evidence base for different types of difficulty, and this evidence will always inform my suggested approach. However, the same approach is not equally successful for everyone so I will also be mindful of your preferences.

    Do you provide written reports?

    Yes, I can provide written reports at an additional cost of £50. A written report at the end of your therapy can be helpful to keep as a reminder of what we discussed and what you learnt, or to pass on to your GP/school/employer/other health care provider etc. I can also provide reports following an autism spectrum disorder assessment, which can be used to inform a diagnosis or to access support at school.

    Do you keep notes and what happens to these?

    Yes, I scribble down notes in sessions as a memory aid. These are just for my use and help with preparation between sessions. These paper notes are kept in a locked cabinet for a maximum of 2 weeks until they have been typed up electronically and are then shredded. All electronic records are anonymised, with no identifying details, and are kept on a password protected and encrypted drive. Therapeutic exercises completed by yourself on paper during or in between sessions are kept until the end of therapy in a locked cabinet, at which point they are given to you as part of an end-of-therapy pack.

    Do parents attend with children?

    This largely depends on the child, their age, and the difficulties they are experiencing. Typically, however, it is useful to see the whole family (or as many as possible) during the first assessment session so as to gain a full picture of what’s happening and get everyone’s perspectives. Subsequent sessions may then involve some ‘catch up’ time with parent(s) but be mostly 1:1 with the child if they feel comfortable, or with a family member(s) if they prefer. This will be judged on an individual basis to suit the needs of the child.

    Do you work with people with learning difficulties?

    Yes, I am experienced in working with people who have additional learning needs and will adapt my approach and any written materials to be accessible to the individual with whom I am working.

    Are clinic rooms accessible for wheelchair users or those unable to use stairs?

    Unfortunately there are no downstairs clinic rooms at the North Lakes Clinic. I am happy to meet at an alternative suitable location in Cockermouth or can offer home visits at an additional charge to cover travel expenses. Please contact me to discuss your needs.

    Are you able to see people with an interpreter?

    Yes, I am able to arrange an interpreter for those whose first language isn’t English, including British Sign Language. This is at an additional charge to cover the interpreter’s fees. I’m afraid it is not possible to use family or friends as interpreters.