Work With Disree

Packages


Structured, honest, time limited work with a clear beginning, a clear middle and a clear end. You will always know what you are doing, why you are doing it, and what it is costing you.

Everything here starts the same way. You get in touch, you complete a short screening, and we have a proper conversation about whether this is the right fit. Nothing is booked and nothing is paid until that conversation says yes.

If it is not the right fit, I will tell you, and I will point you towards something that is. That is the whole point of screening first.

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The Main Offer

The Structured CBT Package

Ten sessions across roughly fifteen weeks. This is therapy first, with structured, goal focused work in support of measurable outcomes we agree together at the start.

It is not open ended and it is not exploratory. It has a shape. You come in with something specific, we build the tools to change it, and then you go and live with those tools for a month before we come back and see what actually held.

It is not a substitute for crisis care, psychiatric treatment, or specialist trauma work such as EMDR where those are clinically indicated. If your screening shows that is what you need, I will say so.

Six pathways

The package is offered for six focus areas, chosen because change in each one can realistically be structured and measured inside a defined timeframe.

Weight management

Behavioural change around eating. Not the treatment of a diagnosed eating disorder.

ADHD

Coping strategies, routines and executive function support that fit the life you actually have.

OCD

A CBT and ERP informed structured intervention with agreed, gradual steps.

Confidence

Building it from evidence and practice rather than affirmation and hope.

Performance

Work, academic and sport related anxiety, and the pressure that sits underneath it.

Social anxiety

Understanding the threat response, then testing it in real situations, at your pace.

How the fifteen weeks are shaped

Ten sessions in total. The gap in the middle is deliberate, and it is the part that makes the work stick.

Weeks
1 to 6

Phase One. Six weekly sessions

Assessment, formulation and active CBT work. We name the pattern, find where it came from, and start dismantling it.

Weeks
7 to 10

The integration break

Four weeks where you use the tools on your own, without me in the room. This is not a pause. It is the test.

Week
11

Phase Two. Two sessions

What worked, what did not, and why. We troubleshoot honestly and reinforce what is holding.

Week
15

Phase Three. Two closing sessions

Consolidation, a written relapse prevention plan, and a review of the outcome measures we agreed at the start.

Outcomes are tracked collaboratively, through measures that mean something to you. This is a one to one, experience based process, not a tick box one.

Why the package is ten sessions

Ten is not an arbitrary number. It is how this work has been structured across fourteen years of private practice, insurance panel work and clinical roles at the Priory Group.

Around six sessions in, there is usually enough on the table to review honestly. By eight to ten, the aim is that something has shifted. Not resolved, not finished, but moved, in a way you can feel and name yourself.

The package exists to make that shift visible inside a defined window, and to give both of us a clear read on what should happen next.

Worth saying out loud

What you come for is not always what surfaces

Someone books for OCD and what comes forward is trauma. Someone books for confidence and what sits underneath it is years of avoidance. This is common, and it is often the point.

It matters practically, because a different picture may need a different structure, a different therapist, or medical input rather than therapy. Ten sessions is long enough to find that out properly, and short enough that nobody is a year into open ended work before it gets said out loud.

How the review points work

Every review point is a real decision point. None of them is a formality.

  1. Sessions 1 to 6, weeks 1 to 6

    Assessment, history, risk screening, formulation and active work. The focus we agreed at the start is tested against what actually shows up in the room.

  2. First review at session 6

    What has moved, what has not, and whether this format is still the right one. You are free to say no here, and so am I.

  3. Integration break, weeks 7 to 10

    You apply the work independently, without me in the room. What holds on its own is the honest measure of change.

  4. Sessions 7 and 8, around week 11

    Review of what held and what slipped, and troubleshooting of the parts that did not survive contact with real life.

  5. Sessions 9 and 10, around week 15

    Consolidation, relapse prevention planning, and a written picture of where you are and what comes next.

The Five Ps

Formulation runs on the Five Ps throughout, and is revisited at every review point rather than fixed at session one, because the picture usually changes once the work starts.

Presenting

What is happening now, in your words rather than mine.

Predisposing

What made this more likely. Early experience, temperament, family pattern, history.

Precipitating

What set it off. The event, the change, the trigger.

Perpetuating

What keeps it going now, including coping that once helped and no longer does.

Protective

What already works. Strengths, relationships, resources, and evidence that you have moved before.

Risk and safeguarding are reviewed alongside this throughout, not only at assessment.

When therapy alone is not the right container

Some presentations sit outside what one to one therapy can safely hold. Where that becomes clear, at any point, it gets named directly rather than worked around.

  • Continue here, with a modified pace and closer monitoring.
  • Liaison with your GP, with your written consent, to agree together whether continuing is appropriate.
  • Referral on, to a specialist service, a trauma specialist, or a psychiatrist for medical or psychiatric assessment.

In every one of those cases you receive a written summary of the formulation so far and a clear direction, so you are never sent away to start again from nothing.

How payment works

Payment is tied to the phases of the work, not to calendar dates. You pay as the programme progresses.

At booking
50%

Deposit, paid before Session One, after your screening confirms the fit.

Start of Week 6
25%

First instalment, due before the integration break begins.

Before the final two
25%

Second instalment, due at the start of the consolidation sessions.

What it costs

Individual sessions are £85 per 50 minute session, as set out on the Work With Disree page. The full package fee is confirmed in writing after your screening, once we both know which pathway you are on and that the format genuinely suits you, and it is paid in three stages as the programme progresses. Everything is set out in the enrolment and consent form before you pay anything at all. No surprises, no pressure, and nothing owed for a conversation..

Other ways to work together

One at a time

Single sessions

A standalone session for something specific. A decision you are stuck on, a situation you need to think through properly, or a first look at whether longer work is worth committing to.

Some people take one and that is enough. Others use a few, spaced out, as a steadying point rather than a course of treatment. Screening still applies, because it still needs to be the right fit.

Book One of the Don’t Do That Series

The Don’t Eat That 12 Week Programme

A twelve week journey through the book, the Companion Workbook and the full teaching material, built around the Food Triangle. It runs as a facilitated group and as a self study track for anyone working through the book alone.

See the full programme

Clinics, workplaces and organisations

Group and commercial work

The 12 Week Programme is delivered to clinics and organisations in three models: a self study licence, a blended cohort of small groups, and large group teaching for cohorts of twenty to fifty. Workshops on stress, confidence and men’s mental health are also available.

Rates are quoted per engagement rather than published, because they depend on cohort size, delivery model and facilitator time. Get in touch and tell me what you are trying to solve.

The disclaimer, said plainly

You do not pay for what you do not use

You are not locked into ten sessions. After any session, you decide whether to continue.

  • If it becomes clear after two or three sessions that this is not the right fit, the package stops there.
  • If you stop, we have one further session to close the work responsibly and, where it is relevant, to plan the referral.
  • Any part of the fee not yet used is refunded, calculated at the standard single session rate.
  • You are never asked to pay an instalment towards sessions you have decided not to take.

The package is a structure, not a trap. It exists so the work has a shape and an honest review point, not to hold anyone to something that is not helping them.

Not sure which one you need?

That is exactly what the screening is for. Tell me what is going on and I will tell you honestly which of these fits, or whether something else entirely would serve you better.

Get Started

Disree Shaw, Accredited Psychotherapist, MNCPS (Acc.)  ·  Registration NCS14-01118  ·  Disree Shaw Therapy Ltd  ·  Professional indemnity and public liability insured

I aim to change the world one thought at a time

Psychiatry deals specifically with diagnosing and treating mental, behavioral, and emotional ailments. The primary purpose is to help people cope with issues and stress in their environment that make it challenging to lead a normal and healthy lifestyle.