Mental Health

Occupational Therapy and Cognitive Analytic Therapy

Last year, I wrote a blog post about using psychological approaches in occupational therapy practice. Since then, I have been studying Cognitive Analytic Therapy (CAT), a therapy that incorporates cognitive and psychoanalytic approaches. Therapeutic Use of Self The most significant influence that CAT has had on my practice is in strengthening my therapeutic use of self. When I’ve noticed physical […]



Because 140 characters are just not enough. Dear Mental Health Professionals, I’ve been reading the #DearMentalHealthProfessionals hashtag on Twitter (Storify opens in new window). I feel a deep sense of sadness and shame thinking about the variations in quality and service user experience that exist. Having worked in mental health for many years – first as […]


Psychological Approaches: Enhancing Occupational Therapy or Filling Gaps?

At this year’s College of Occupational Therapists (COT) conference, I attended several sessions where occupational therapists spoke about using psychological (specifically Cognitive Behavioural-, CBT, and Dialectical Behaviour-, DBT) approaches in their practice. The strong opinions I encountered – on either side of the debate – have prompted months’ worth of reading and reflection. I continue to be intrigued […]