Job Opportunities at Efficacy:

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Job Opportunities for Accredited Cognitive Behavioural Therapists in London

Efficacy is the leading independent accredited Cognitive Behavioural Psychotherapy service.  Efficacy provides evidence-based psychological therapy to individuals and corporate organisations for common mental health problems.

We are a team of 30 BABCP accredited CBT therapists in London and 250 across the UK who have all have professional backgrounds in the field of mental health care and hold professional registration with governing bodies. We have Central London clinics located in Victoria, Bank, Harley Street, Moorgate, Canary Wharf and Sevenoaks in Kent.

Sessional Therapists: Daytime and evening availability

We are looking for experienced and accredited therapists who would like to join the Efficacy team.  What sets us apart from our competition is the quality and experience of our therapists, so we are looking for high calibre candidates who:

  • Have gained full or provisional accreditation with the BABCP
  • Hold a formal CBT training qualification (Undergraduate or Post Graduate level)
  • Have experience in the NHS or private practice as a CBT therapist.
  • Hold professional registration with a core profession.
  • Are comfortable working within a commercial and clinical framework.
  • Are dedicated, passionate about CBT and committed to their clients.

In return we offer:

  • A varied and motivated client base
  • Access to a team of highly experienced therapists
  • Supportive and Innovative culture
  • Access to supervision and CPD events
  • Competitive rates of sessional pay

Working Hours and Exclusivity

We have availability for both daytime and evening sessions. Sessions are 9am-1pm, 1pm-5pm and 5pm-9pm.  You will be required to work a minimum of 2 sessions per week. These can be worked flexibly over long days, evenings or weekends if preferred, many of our therapists combine Efficacy roles with their NHS clinical roles.

Efficacy operates an exclusivity policy for London therapists, so Efficacy will need to be the sole private organisation that you work with (remote digital working is permitted).

                                                                                    Apply by CV

If you are interested in joining the Efficacy team then please e-mail your CV to recruitment@efficacy.org.uk and specify the number of sessions you are interested in.     

Clinical governance is at the heart of our business, so shortlisted applications will be asked to submit an audio recording and self-rating (CTS-r) of a clinical session to bring to interview.  Interviews will take place at Head Office in London near Bank Station.

For more information about Efficacy please visit our website www.efficacy.org.uk or contact Shamira Graham on shamiragraham@efficacy.org.uk

Efficacy is committed to equal opportunities and welcomes applications from all backgrounds.

It has been a tragic few days for music fans. On Thursday, the lead singer of nu-metal band Linkin Park Chester Bennington was found dead at the age of 41 in his home in Los Angeles. Bennington died on the day that would have been his friend Soundgarden’s Chris Cornell’s 53rd birthday. Cornell hanged himself a couple of months ago.

Bennington and Cornell were in the highest risk group for suicide– they were middle-aged men. The current cohort of middle-aged men occupy a peculiar position. Exceptionally high suicide rates have followed this generation through from youth to middle age. A 2012 Samaritans report labelled them the buffer generation, sandwiched between two sets of ideals.

Older men are more likely to express austere, silent, stoic forms of masculinity. There are costs to this, of course, but older generations also grew up with greater male privilege and access to more male-centric spaces such as working men’s clubs, pubs and trade unions which validated masculinity. There is a long way to go before we can claim young men grow up in a progressive, emotionally open environment. However millennials celebrate an ever-expanding range of masculine identities, adding a dollop of gender trickery to male/female dichotomies, and lauding celebrities who speak openly about emotional pain.


Men in general are three times more likely to take their own lives than women. Things that rock confidence in early years can play a role, such as having been bullied or traumatised. Bennington and Cornell certainly both spoke of horrific childhood experiences. Like many men, they turned to externalising behaviours such as expressing anger and abusing booze and drugs to cope. These can help in the short-term but tend to increase emptiness, despair and impulsivity.

Women are more likely to interiorise their feelings, talk about problems, and seek support from friends and professionals. They are also less likely to attempt suicide using violent means. The Barber Shop and Men’s Sheds movements recognise men’s differences, providing spaces where men can talk with less pressure. Such initiatives are vital to suicide prevention.

Relationship breakdown and bereavement are well-known triggers for male suicide. The average age for divorce is 45, with middle-aged men more likely to live alone than ever before. Research suggests women tend to do better after divorce because they have acted as social glue in the relationship, and thus find it easier to maintain contact with friends and family. Without this glue, men can find they have fallen off the social radar at a time of loss and often perceived failure. Men’s same-sex friendships are more likely to wane after the age of 30, and men are often reluctant to reach out to old mates for support.

Suicide is contagious. If someone kills themselves in a community, the chances of other attempts increases significantly. Celebrity deaths often produce a similar spike. Given the cohort of men who grew up with Bennington and Cornell are at the greatest risk of killing themselves, and with four out of ten men having considered suicide, perhaps now is the time to start conversations about loneliness, alienation and suicidal despair with middle-aged men in your communities.


Words by Jay Watts

The brains of men and women react very differently to depression – and this may mean that each sex should receive different drug treatments, research suggests.

Depression is twice as common in women than men but men are more likely to take their own lives.

Now in a study of depressed teenagers and young adults, researchers have found that male and female brains of depressed patients respond differently to negative stimuli. The findings, it is hoped, could lead to drug treatments for depression that recognise the difference in reaction between boys’ and girls’ brains.

The University of Cambridge study said that by the age of 15, girls are twice as likely to suffer from serious depression as boys. The greater incidence of depression in women has been linked to body image issues, hormone fluctuations and even genetics – with research showing girls are more likely to inherit the condition.

Feeling blue

But while major depression is more common in girls, boys are more likely to commit suicide or resort to substance abuse than girls as depression in females tends to be more episodic, the researchers said.




Last year a Department for Education study of 14 year olds found 37 per cent of girls reported feeling unhappy, worthless or unable to concentrate, more than twice the percentage of boys, 15 per cent, reporting the same feelings. The figure for girls had risen four percentage points since 2005, while the figure for boys has slightly fallen.

Words By Colin Fernandez

A London Underground map has been published to help passengers with claustrophobia or anxiety conditions.

The new design highlights routes they can take to avoid long stretches of tunnels.

More than half of the Tube’s 270 stations are above ground, with only the Victoria and Waterloo & City lines wholly underground. Nicky Lidbetter, chief executive of charity Anxiety UK, said: “For those with anxiety conditions such as panic attacks and claustrophobia, we know that travel by the Underground can be problematic and challenging.

“This new map is an excellent resource for those wishing to avoid journeys where there are tunnels, serving as a great pre-journey planning aid and increasing access to public transport. I sincerely hope that the map will encourage those with claustrophobia and/or panic attacks who have previously avoided this form of public transport out of fear to reconsider their use of the Tube”.



Transport for London (TfL) director of customer strategy Mark Evers said: “Making the Tube network accessible for everyone is one of our top priorities.

“This new map is just one of the tools we have created in response to feedback from our customers on how we can make the transport network more accessible, making travelling easier and more comfortable for all our customers.”

 In April TfL announced that badges for people with hidden health conditions who needed a seat on trains and buses were to be permanently available.

They follow the popular “Baby on Board” badges for expectant mothers.

Words by The Telegraph

Last winter Sarah Fader, a 37-year-old social media consultant in the U.S who has generalised anxiety disorder, sent a text to a friend about an impending visit.

When a quick response failed to materialise, she posted on Twitter to her 16,000-plus followers. “I don’t hear from my friend for a day – my thought, they don’t want to be my friend anymore,” she wrote, appending the hashtag #ThisIsWhatAnxietyFeelsLike.

Thousands of people were soon offering up their own examples under the hashtag; some were retweeted more than 1,000 times. You might say Fader struck a nerve. “If you’re a human being living in 2017 and you’re not anxious,” she says, “there’s something wrong with you”.

Little boy looking to mobile phone

Anxiety has become our everyday argot, our thrumming lifeblood: not just on Twitter (the ur-anxious medium, with its constant updates), but also in blogger diaries, celebrity confessionals (Et tu, Beyoncé?), a hit Broadway show (Dear Evan Hansen), a magazine startup (Anxy, a mental-health publication based in Berkeley, California), buzzed-about television series (like Maniac, a coming Netflix series by Cary Fukunaga, the lauded True Detective director) and, defying our abbreviated attention spans, on bookshelves.

According to data from the National Institute of Mental Health, some 38 per cent of girls aged 13 to 17, and 26 per cent of boys, have an anxiety disorder. On college campuses in the U.S, anxiety is running well ahead of depression as the most common mental health concern, according to a 2016 national study of more than 150,000 students by the Centre for Collegiate Mental Health.

Meanwhile, the number of web searches involving the term has nearly doubled over the past five years, according to Google Trends. The trend line for “depression” was relatively flat.

To Kai Wright, host of the politically themed podcast The United States of Anxiety from radio station WNYC, such numbers are all too explicable. “We’ve been at war since 2003, we’ve seen two recessions,” Wright says.

“Just digital life alone has been a massive change. Work life has changed. Everything we consider to be normal has changed. And nobody seems to trust the people in charge to tell them where they fit into the future.” For On Edge, Petersen, a longtime reporter for The Wall Street Journal, travelled back to her alma mater, the University of Michigan, to talk to students about stress:

One student, who had ADHD, anxiety and depression, said the pressure began building in middle school when she realised she had to be at the top of her class to get into high school honours classes, which she needed to get into advanced placement classes, which she needed to get into college.

This is not an isolated incident for Generation X

Words by Alex Williams


Famous TV presenter Ant McPartlin, most commonly known as one half of Ant and Dec, has announced he was entering rehab for treatment for depression, anxiety as well as prescription drug and alcohol abuse.

Revealing his decision to the Sun on Sunday, the Britain’s Got Talent star said: “I’ve spoken out because I think it’s important that people ask for help if they’re going through a rough time and get the proper treatment to help their recovery.” Depression is a common, highly preventable illness that affects millions of people across the world, yet according to the Journal of the American Medical Association, only 28 per cent of sufferers seek help.

What is depression?

There is a common misconception that depression is merely feeling “down” or “sad”, when the reality of the illness is far more severe and wide-ranging. Depression is a persistently low mood often associated with extreme despondency and apathy and can last for weeks, months or even years.

The causes vary dramatically. Often, life-changing events can be a trigger – and not necessarily negative moments. Anything from “bereavement, losing your job or even having a baby, can bring it on”, says the NHS. Furthermore, people with a family history of depression or anxiety, a similar but distinct condition, are far more likely to suffer it at some point in their lives.

However, the truth of the matter is that depression can strike for no reason at all, so it is always worth being vigilant about your mental wellbeing and that of those near to you.

More doctors are using ketamine to treat severe depression in patients who haven't responded to other treatments.

How do I know if I’ve got it?

Due to its often slow onset, depression can sometimes be hard to spot and can creep up on people almost without them noticing. Doctors advise people to seek help if they feel they’re going through a sustained period of tiredness, low energy or mental fatigue and are unable to enjoy things they previously found pleasurable or interesting.

For an illness for which so few seek treatment, a staggering one in ten people in the UK suffer from it at some point in their life. It also can hit anyone of any age, race or gender.

Other symptoms include a loss of appetite and sex drive, sleeping problems, difficulty concentrating, feelings of guilt and hopelessness and a loss of self-confidence. If these symptoms begin to interfere with your daily life, it is possible you are suffering from depression and should speak to your GP.

How can I get treatment?

For sufferers of moderate and severe depression, a combination of therapy and medication can be prescribed. Cognitive behavioural therapy (CBT), which aims at changing negative patterns of thinking, is often used in conjunction with antidepressants.


Words by The Week Magazine

Unique ID: NHS_GP_LAYCOCK ST_GP CONSULT 94 Caption: The consultation room. A doctor writing patient notes, and a woman seated with him.  Restrictions:  Copyright: ©

The General Practitioner Health Service (NHS GP Health) and Efficacy are delighted to launch their joint service for the new national England-wide NHS GPH . Efficacy and the NHS Practitioner Health Programme (NHS PHP) have worked together for 6 years in the Greater London area to treat NHS dentists, hospital doctors and GPs requiring psychological therapies and are now extending their partnership to encompass all NHS GPH England-wide referrals.

GPs who are unable to access confidential care through mainstream NHS routes due to the nature of their role and/or health condition will be able to access a range of options for clients that follows NICE guidance for evidence-based treatments.

The multi-channel care reflects the best in mental health provision and recognizes the need to provide choice to its GP Clients. This includes remote delivery of therapies as well as face to face appointments. The remote models have been designed with GPs in mind understanding that they require consistently high quality therapy delivered by accredited senior therapists together with anonymity and schedule flexibility.  Clients will be offered the chance to receive therapy over the telephone, skype and with a therapist-supported programme with the gold standard SilverCloud software platform.

“Our experience of GPs suffering with mental health problems is that being treated in a confidential service is important to manage their access to therapy and engagement in a much-needed treatment” explains Lee Grant, Clinical Director at Efficacy Ltd. “we are honoured to work with such a critical group of people and look forward to supporting these clients back to health, and back to work.”

“Our England-wide service is extremely important in understanding the human side to GPs by recognizing that sometimes they do become unwell” says Lucy Warner, CEO of PHP. “Providing our GP clients, a high-quality range of treatment options, both remote and face-to-face reflects modern clinical practice in mental health and supports our goal of delivering accessible and confidential services”

The NHS GPH service is a self-referral service only and can offer support to any GP or GP trainee who is registered on the National Performers List in England or who is looking to return to clinical practice after a period of absence and has mental health or addiction concerns.

For more information, please contact Shamira Graham, on 0207 9297911 or 07932 909369 or shamiragraham@efficacy.org.uk.

Cognitive behavioural Therapy (CBT) delivered online is effective for treating depression in adults concludes a new meta-analysis presented at the Annual Meeting for the Psychiatric Association in the United States.

CBT, a type of talk therapy, has been shown to be effective in treating depression in adults with mild to moderate depression. However, a number of barriers, including cost, availability and stigma prevent many from accessing these services. Delivering CBT over the Internet (iCBT) may help address some of the barriers.Laptop man iCBt

Researchers led by Charles Koransky, M.D., a psychiatric resident at the University of Maryland, sought to assess whether iCBT for adults with depressive symptoms leads to a reduction in these symptoms. They identified and reviewed 14 random and controlled studies published between 2005 and 2015 in which iCBT was used with adults with depression.

They found the Internet-delivered CBT was effective in reducing depressive symptoms. iCBT also maintained the positive effects on symptoms for six months after the therapy. The study found no statistically significant difference in depressive symptoms between studies where clinicians participated in the iCBT program and those without clinician assistance in the iCBT treatment.

The researchers conclude that online CBT is effective in reducing depressive symptoms and may be a good treatment modality for individuals unable to access traditional face-to-face therapy.

Words by the Medical Press

Depression is now the leading cause of ill health and disability in the world, according to the World Health Organisation (WHO), following a huge spike in the number of people who report living with the condition.

The condition has overtaken lower respiratory disease as the biggest global health problem, with latest figures showing more than 300 million people worldwide have a diagnosis of depression, an increase of more than 18 per cent between 2006 and 2015.  The organisation said it hopes the figures will lead to improved availability of effective treatment for the condition which carries a huge human cost as well as costing the world economy billions. WHO Director-General, Dr Margaret Chan, said: “These new figures are a wake-up call for all countries to re-think their approaches to mental health and to treat it with the urgency that it deserves.”

Dr Skekhar Saxena of the WHO said lack of understanding of the condition and prejudice towards those who suffer from it remain barriers to effective treatment. “For someone living with depression, talking to a person they trust is often the first step towards treatment and recovery,” he said ahead of the launch of the WHO’s “let’s talk” campaign. According to researchers, even in high income countries, nearly 50 per cent of people with depression do not receive treatment and drugs prescribed are often ineffective.

On average, just three per cent of government health budgets is invested in mental health, varying from less than one per cent in low-income countries to around five per cent in high-income countries including the UK.



Prime Minister Theresa May has pledged to create parity of esteem between mental and physical health in the UK, but critics have suggested the motivation is purely economic, with an aim of “fixing” people and finding them fit for work as quickly as possible. But some mental health professionals and campaigners say the human cost of the condition is immeasurable and the focus should not be exclusively on the estimated cost to the economy and on getting people “back to work” because this is not always helpful and can lead to further problems.

According to mental health charities in the UK, mixed anxiety and depression is the most commonly diagnosed mental health problem in the country, with 7.8 per cent of the population meeting the criteria for the condition, which is believed to account for one fifth of all days taken of work. There is a clear link between depression and suicide, which is the leading cause of death in men under 35. The number of unexpected patient deaths reported by mental health trusts in England has risen by 50 per cent in the last three years, according to figures obtained by the BBC under the freedom of information act.

Demand for mental health services has reached an unprecedented level, while funding for mental health services fell by 8 per cent between 2010 and 2015, according to statistics from 43 trusts. Theresa May delivered a much-publicised speech in January pledging to end the stigma around mental health, but did not promise significant extra funding to deal with the surge in demand for treatment.


Words by Rachel Roberts

You feel like a better version of yourself when you’re in a healthy, mature relationship. That doesn’t mean your partner completes you, but they do complement your life in just the right way.

What are some other signs that you’re in the right relationship? Below, marriage experts share seven key differences between a healthy relationship and a toxic one.

1. You’re free to pursue your hobbies and maintain friendships.

Nothing about your core identity should change drastically because of your new relationship status. A mature partner will recognize that pursuing outside interests is necessary and a healthy way to get some air from the relationship, said Kari Carroll, a couples therapist base in the US.

“When a partner is too attached to allow you to enjoy something on your own, it can lead to sacrificing one’s own identity to appease the relationship,” she said. “If your partner has fears about you doing things on your own, it could turn into the self-fulfilling prophecy. In other words, you may ultimately seek even more space and leave.”

2. You don’t act differently when you’re around them.

Do you act noticeably different when you’re alone with your friends and family versus when your new boo tags along? In a healthy relationship, your demeanor, personality and general interactions are pretty much the same regardless of who’s there, said Marie Land, a renowned psychologist.

“If you act differently when your partner is in the room, it’s a bad sign,” she told The Huffington Post. “You shouldn’t feel the need to adjust your behavior based on your partner’s presence.”

3. Power is relatively equal.

In a healthy relationship, power and household responsibilities are pretty much evenly distributed, said Amy Kipp, a couples and family therapist based in San Antonio, California. You can count on your partner to respect your work obligations and to help clean up before mystery odors begin emanating from your apartment. It’s all part of the deal.

“Both partners should have equal decision making power in every part of the relationship,” she said. “Toxic relationships often involve one partner that is highly dominant or two partners that engage in attempts to ‘grab’ power from the other.”

4. You can follow your dreams.

Your dreams and goals for the future don’t have to perfectly align, but your partner should support your big life plans. She may give you a slight side-eye when you mention opening an artisan cheese shop one day, but ultimately, you know she’d support you, Carroll said.

“Compromise should always come into effect. If your partner consistently shoots down your dreams as unrealistic or not convenient, you may not feel like you are fully supported or understood,” she said. “Over time, this can lead to giving up on one’s dreams and the relationship feeling less like a partnership.”

A shared life is complicated enough without throwing dashed dreams into the mix. To sidestep this issue, Carroll recommends talking about your plans for the future early and often.

5. Your differences are celebrated.


You grew up in the city, but she’s a country girl at heart. You are a meat and potatoes kind of guy, but she’s strictly vegan. Your differences in outlooks, beliefs and interests probably drew you to each other initially ― and they should stay interesting with time.

“In toxic relationships, couples become enmeshed with each other and differences are often seen as threats to the relationship,” she said. “In healthy relationships, differences in interest or opinion are not only tolerated, but celebrated.”

Obviously, substantial differences in values can be a problem, but otherwise, “the things that make people unique help to keep the relationship interesting,” Kipp said.

6. You can leave your cellphone unattended.

In a healthy relationship, you should feel comfortable leaving your phone unguarded around the house. Why? You can trust that your partner won’t go rifling through your texts and even if she did, she wouldn’t find anything worrisome, Land said.

“Everyone is entitled to their privacy but you should not feel like it’s a big deal to have your computer open or phone around,” she said. “There should be trust between the two of you.”

 7. You can tell your partner when they hurt you.

Don’t be worried if you argue with your partner; conflict is natural and a sign that you’re open to communication, Carroll said. But you should be worried if you feel uncomfortable opening up about why you’re upset, Carroll said.

“Talking about it leads to partners feeling valued and heard,” she said. “If you don’t feel comfortable discussing a misunderstanding, it can lead to compounding resentment and distance. Learning to discuss conflict is uncomfortable but ultimately rewarding.”

Words by Brittany Wong.