Why choose me, Steve Keegan as a starting point for Counselling?
I am qualified to Post Graduate Diploma level both as a Relationship Counsellor and specialist Psychosexual Therapist with several years experience to date working at Relate, the NHS Substance Misuse team and in private practice.
I also hold a Diploma in Drug and Alcohol Counselling and I am qualified to deliver Behavioural Couples Therapy as recognised in NICE Guidelines and used within the NHS to address drug and alcohol problems within relationships. I am a practitioner in Cognitive Behaviour Therapy (CBT) which is very effective in treating anxiety and depression.
I have attended many courses in addition to my University qualifications to further my knowledge and expertise which enable me to offer a very high level of practice to my clients and I continue to complete on-going professional development to further improve my knowledge and development.
My style of counselling
My aim within counselling sessions is to help you understand yourself and assist you to work through some of the personal and complex problems you face. Problems that you cannot always resolve through discussion with your partner, friends or family. My style of counselling incorporates CBT, Systemic and Psychodynamic theories.
Within my couple/individual counselling sessions, I work with individuals or couples to explore relationship issues including; communication problems, past relationship difficulties affecting the present; trust and jealousy issues; parenting problems; work difficulties; grief; childhood sexual abuse; loss and affairs.
As a Psychosexual Therapist I look at sexual and intimacy issues with couples or individuals; and I explore how the individuals sexual dysfunction has become a problem for them. I then put together a structured intervention that includes tasks to complete at home and that will help them to overcome the dysfunction.
I also offer a structured program of therapy to treat porn and sex addiction.
I am also very experienced in counselling people with substance misuse problems including drugs and alcohol. This can include Behavioural Couples Therapy(BCT) a high intensity intervention. BCT has a very good evidence base for treating people with drug and alcohol problems. To engage in the therapy you should be prepared to be working towards abstinence from illicit drugs or alcohol abuse during the first couple of weeks of therapy or be illicit drug or alcohol free on commencement of the therapy.
I also specialise in Bereavement Counselling which after all is closely linked to bereavement and the relationships with the loved one and the complications associated with death, grief and mourning. I am a qualified Bereavement Counsellor with a CRUSE Bereavement qualification which I gained after studying for a four month period in 2009. I also specialise in Pet Bereavement Counselling.
Bereavement Counselling: £40 per session.
My Bereavement Counselling Website can be found at: www.doncasterbereavementcounselling.co.uk
I am based in Cusworth, Doncaster. South Yorkshire.
I am a registered member of The College of Sexual and Relationship Therapists(COSRT).
Below is information to help you decide on the right therapy for yourself but please contact me to discuss your specific issues.
Fees: £40 per session for individuals
Fees: £50 per session for couples.
The issues that I address within couple counselling sessions relating to clients relationships can be extremely varied. Below are some of the issues that we look at within sessions:
Commitment to the relationship.
Trust and jealousy issues
Affairs and betrayal
Problems with parenting
Feelings of loss and despair when the children leave home
Domestic Violence ( Discreet appointments can be arranged )
Low self esteem
Separation and divorce
Loss of identity
Problems with sexuality
Issues with step families
Work related problems
Adapting to chronic illness and disability
Past relationship issues that are affecting the present one.
Of course, this list is not exhaustive. Please feel free to contact me regarding any concerns that you may have within your relationship.
Fees: £50 per session.
Research demonstrates that relationship and environmental factors have an important part to play within cases of sexual dysfunction and that, where possible, the therapist should work with the couple, rather than the individual, as this has proved much more beneficial.
Of course there are occasions when an individual has a dysfunction and they are not in a relationship. On these occasions, it is still possible to work with individuals; so please do not hesitate to ask about the interventions that are available.
The kinds of issues that lead people to contact a sex therapist are wide ranging; and some of these are listed below;
Erectile Problems which may be an inability to get an erection at all; or a difficulty in sustaining an erection before or during penetration.
Premature Ejaculation relates to ejaculation before you would like to - sometimes prior to intercourse, and sometimes upon penetration and the feeling that you have no control or choice when ejaculation happens.
Inhibited Ejaculation ranges from being totally unable to ejaculate in any situation, to being able to ejaculate only with masturbation.
Loss of Desire. An increasing number of people are reporting a loss of desire for sex. This can be a result of stress, busy lifestyle, sexual boredom and childbirth. In addition, some medication can badly affect libido. Problems in the general relationship can also cause a loss of interest in sex; and once the relationship issues are addressed, the sexual desire usually returns.
Vaginismus. Inability to have sexual intercourse because the muscles at the entrance to the vagina go into an involuntary spasm when penetration is attempted. This then makes penetration painful and impossible. This is a very common problem that many women refrain from getting help with, due to their embarrassment or fear.
Dyspareunia (painful intercourse) Pain during intercourse can be caused by many things. Because of the pain, a cycle can be set up whereby fear of pain causes anxiety and tension that in turn leads to more pain. Painful intercourse can also lead to loss of desire.
Anorgasmia (unable to reach orgasm) for some people, the inability to reach orgasm is always there, whether it's during intercourse or masturbation. For other people, orgasm doesn't happen during sexual intercourse, but is achieved through masturbation. There are many causes, ranging from lack of knowledge about how the body works, to anxiety and an inability to let go and allow orgasm to happen.
Sexual Problems and Ageing
As we age our bodies start to change, both internally and externally. Men can suffer from erectile dysfunction due to an underlying medical condition or because of a prescribed medication they are taking. Women can suffer from vaginal dryness, during and post menopause.
Arthritis or other conditions which cause pain and restrict mobility can impact on people, as can prescribed medications that affect libido.
People's attitudes and beliefs about age and sexuality linked in with poor body image and low self esteem and depression can also be detrimental.
Sexual Problems following Illness and Disability
As discussed, many illnesses and prescribed medications can have an impact on sexual functioning and desire.
Other illnesses such as Parkinsons or Cancer and can greatly impact on someones sexuality, self esteem and sexual function.
Other people suffer spinal injuries and may have to re- adapt to a different way of life and address the direct physical, psychological and medicinal effects associated with the condition.
All of the above problems can be greatly helped with sex therapy, and whatever your problem, it will be dealt with sensitively. As well as discussing the difficulties, I will formulate a programme of exercises for you to do in the privacy of your own home.
Illicit drug/Legal Highs/Alcohol/Gambling Addictions
Fees: £50 per session.
Addictive behaviour could be explained as any behaviour that gives temporary or short term pleasure and also provides relief from discomfort although there may be long term adverse effects.
Addiction is generally described as dependence on any drug and results from substance abuse. Any drug or alcohol can produce addiction as can other things such as the internet, gambling, mobile phones , chocolates etc. However the physical and psychological effects of drugs and alcohol are detrimental and actually result in loss of productivity, withdrawal and physical dependence and lack of attention and such other conditions. The primary feature of addiction is dependence as an individual shows increased psychological and physiological dependence on the substance he is addicted to and without the addictive substance the person is unable to return to normal life.
Thinking about and participating in our chosen addictive behaviour stimulates and releases the pleasure inducing neurotransmitters in the brain. The dependence on this feeling of pleasure leads to more such pleasure seeking behaviour and this can spiral out of control and doesn\'t remain within the control of the individual, who then is completely controlled by their addiction rather than the other way round. This would be the time when someone realises that they have a problem and they would start to contemplate contacting a therapist.
Fees: £50 per session.
Assessment and formulation one off fee: £100
Sexual addiction, as with any addiction, is a pattern of behaviour that preoccupies an individual, affecting both their physical and their psychological wellbeing. The individual experiences himself/herself as out of control and unable to stop his/her behaviour despite negative consequences. Examples of this might be:
Spending too much time on the pursuit
Stress and depression
Denial of there actually being a problem
Loss of interest in hobbies or social life
Feelings of anxiety and irritability if unable to engage in the behaviour
Engaging in the harmful behaviour
Spending more money than you can afford to.
The behaviour taking precedence over personal relationships and work commitments
Having to lie to family, friends and colleagues about whereabouts and finances
Concealing the amount of money spent on funding a problematic behaviour.
Stealing money or borrowing money, but having difficulty repaying the debt.
Here are some questions that you may want to think about:
Why did the behaviour develop?
When did the behaviour start and what was going on at the time?
What stressors and problems are you trying to avoid?
People who are addicted to sex are found in every social class, every religion, and every profession. Sexual addiction can take many forms:
Having little control over the use of internet pornography
Consistent use of internet chat lines
Having numerous one-night stands
Using prostitutes on a regular basis
Feeling compelled to take part in sexual encounters, e.g. dogging.
Sex addiction is similar to other addictions such, for example, drugs or alcohol, in that the behaviour is used to manage painful feelings. People with addiction issues can often identify a pattern or a cycle that they get into. Once emotional pain is triggered; this may be sadness, anger, fear, shame, frustration, core loneliness, etc, the person distances and disassociates himself/herself from the emotion and moves into a trance-like state where he/she pursues the sexual behaviour.
At this stage there is no awareness of negative consequences, and there may be a sense of euphoria at the thought of the sexual behaviour. The sexual behaviour is acted out and can be, but not necessarily, followed by feelings of guilt or shame. The cycle starts again when emotional pain is triggered.
In treating addictive behaviour, it is important to understand the triggers, because this is where the cycle can be broken. It can also be useful to explore the roots of the behaviour in family background. This can give an understanding of the emotional triggers which can start the cycle.
I worked for the NHS in Doncaster for ten years until 2014 as a Senior Drugs/Alcohol Practitioner working with patients using a range of psychological and psychosocial interventions to address various issues including;
Illegal drug use
Legal high use
I worked at Relate for eight years until 2015 practicing as am Individual/Couples Counsellor and as a specialist Psychosexual Therapist. Within this role I worked with a range of clients who presented with relationship issues or complex sexual problems that required specialist knowledge and training in the psychosexual field. I also focused on delivering a Primary Care contract for two years in which I dealt with G.P referrals for patients that presented mainly with anxiety and depression issues. I have recently left Relate to focus on developing my own counselling business working from my home office in Cusworth, Doncaster.
Training, qualifications & experience
I am a qualified Couples Counsellor with an Advanced Diploma from Hull University and a qualified Relationship and Psychosexual Therapist with a Post Graduate Diploma from Hull University.
I also hold a Diploma in Drug and Alcohol Counselling and a Certificate in Health and Social Care from the Open University.
OTHER QUALIFICATIONS AND PROFESSIONAL DEVELOPMENT
Communication Skills using Neuro Linguistic Programming (NLP) (Public Health)
Stalking and Harrassment, How to provide an effective response to victims (CAADA Accredited)
Domestic Violence and Same Sex Relationships (NHS)
Certificate in the Management of Drug Misuse (Part 1/ The Royal College of Practitioners)
Advanced Drugs Awareness (Level 3/OCN)
Counselling skills for Drug and Alcohol Workers (Level 3/OCN)
Safeguarding Children (Level 3) (RDASH)
Safeguarding Children/Supervisors Training (APT) NHS
Providing Good Clinical Supervision Training (APT) NHS
Adult Survivors of Sexual abuse (Relate)
Domestic Violence and abuse: Assessment and Intervention (Relate)
Mental Health and Couple Counselling (Relate)
Certificate in Bereavement Counselling (Cruse)
Certificate in Sudden and Traumatic Death (Cruse)
Certificate of Attendance. Erectile Dysfunction. Performance and Pitfalls
Counselling with a Sexual Focus (Relate)
Working Systemically with Individuals and Couples (Including Men and affairs) (Relate)
Sexuality after illness and disability (Relate)
Depressive Conditions: Working with the impact on relationships and family networks (Relate)
Understanding Rape and Sexual Violence (South Yorkshire Police)
Sexual Addiction and Couples (Relate)
Working with suicidal clients ( Relate)
Working with clients who self harm ( Relate)
Integrating a non medical view of sexual problems in clinical practice (PIPS Conference)
Use of Transactional Analysis concepts in resolving couple difficulties ( Relate)
Thinking about sex, arousal and aging ( Relate)
Equality and Diversity ( NHS)
Safeguarding Adults (NHS)
Domestice Abuse- Identification and Prevention/Safeguarding Children (NHS)
Transgender Awareness (NHS)
Behavioral Couples Therapy ( APT) NHS
Cognitive Behavioural Therapy with Post Traumatic stress Disorder (APT) NHS
Motivational Interviewing and the stages of change (APT) NHS
Data Protection Training (Relate)
Date Protection Training ( DMBC)
Understanding and Treating Sexual Compulsive Behaviours. (Relate)
Working with Partners of Sex Addicts (Relate)
I am a member of the College of Sexual and Relationship Therapists (COSRT)
My professional COSRT membership ensures that I work within their ethical framework and that I am subject to their professional guidelines. I work strictly to their code of ethics and principles, therefore ensuring a safe, professional service.
As a member of COSRT and I have to undertake monthly supervision with a qualified supervisor who ensures that I am working within the guidelines of the professional body. My details are listed on the official COSRT website.
As a professional therapist, I am fully insured by a Professional Liability Insurance policy.
My first appointment is 6:15 and my latest appointment is 7:15pm.
Appointments are for one counselling hour ( 50 minutes )
I also offer appointments from 9:30 - 10:30 am on a Saturday morning.
Prices are: £40 for individual sessions
£40 for Bereavement Counselling
£50 for Couples Therapy
£50 for Psychosexual Therapy
£50 for Porn/Sex Addiction Therapy
TO VISIT MY WEBSITE ; Google SYCAPT DONCASTER