Step 4 Psychology Service

Within the stepped care model, we are a secondary care specialist service offering assessment, formulation, and psychological intervention (individual and groups) to clients with complex levels of mental health difficulties. Clients who access our service may experience limitations to their functioning daily, but those presenting with levels of impairment that require more intensive multi-professional input will be supported within the LMHTs.

Our clients have a range of difficulties which can include anxiety, depression, trauma, relationship difficulties and chronic physical health problems.

Our service is for people aged 18 years and over registered with a GP in the city and county. We provide psychological therapy for people who have mental health / psychological difficulties which are chronic and complex enough to be unsuitable for intervention with a lower step of care.

Our services cover the Nottinghamshire area with bases in: County North, City and County South. Teams consist of clinical and counselling psychologists, psychotherapists, CBT therapists, assistant psychologists, trainee clinical psychologists and placement students.

We offer a range of NICE-concordant individual therapies such as Eye movement desensitization and reprocessing (EMDR), Cognitive Behavioural Therapy (CBT), Compassion focused therapy (CFT), Narrative Exposure Therapy (NET), Cognitive analytical therapy (CAT), Acceptance and commitment therapy (ACT), Intensive Short-Term Dynamic Psychotherapy (ISTDP), Mindfulness Based Cognitive Therapy (MBCT) and Psychodynamic therapy. Many interventions offer a combination of these, in an integrated and formulated way.