Therapeutic

Our Acute Wellbeing and Therapy Service is for users of the Crisis Resolution and Home Treatment Team. It is also for inpatients on our wards at Hellesdon Hospital in Norwich. This service cares for people with acute mental health problems. Those problems may have risen as neurosis or psychosis. The service is also for those who have a personality disorder.

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A dedicated service for women and birthing people in Norfolk and Waveney, providing help and support for: - Birth trauma (a traumatic event related to pregnancy, birth or immediately afterwards) - Fear of childbirth (Tokophobia) - Loss of a pregnancy (this could include miscarriage, termination of pregnancy, ectopic pregnancy and stillbirth) or the death of a baby within the first 12 months. - A child no longer living with them due to Children’s Services involvement

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PAIRS is a mild to moderate therapeutic service supporting Parents and Infant relationships in Norfolk and Waveney, where an infant is 0 up to their 4th birthday. We work with mothers and fathers to explore the difficulties in the parent infant relationship, supporting to think about the feelings you each have and help you to find ways of communicating together. We will also work with carers and guardians where they are the primary caregiver. We are able to offer time limited therapeutic support for you and your infant, from parenting advice and education through parent-child and parent only interventions including Circle of Security Parenting, video feedback interventions, play based interventions and attachment-based interventions as appropriate to the needs of your relationship.

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The TIDES team are a therapeutic service who work with help-seeking young people aged 14-35 who are at risk of developing a first episode of psychosis (FEP). Psychosis is characterised by positive symptoms such as hallucinations, delusions, altered reality and negative symptoms (such as emotional apathy and lack of drive). Many people with psychosis report that before their diagnosis, they experienced an extended period of sub-threshold unusual experiences which are collectively known as having an at-risk mental state (ARMS) (NHS England, 2016). These unusual things might be hearing and seeing things other people cannot, believing things that others do not or feeling paranoid that others are trying to harm you. It's important to know that a lot of people experience unusual things, and these experiences can be common reactions to things like stress, sleep difficulties, anxiety or trauma. For some people, however, these experiences can be very distressing and they can be an early warning sign of a developing psychosis. When people are experiencing an at-risk mental state, this early period of experiencing unusual things is accompanied by a decline in both social and occupational functioning. This happens alongside significant changes in mood and thinking which cause significant distress for individuals and their families. TIDES work with people who want support to better understand and cope with these unusual experiences.

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