"Do you ever feel like it's an ongoing battle for an appreciation of the seriousness of what you and others endure? Without people like you persevering and getting the message out there publicly where would things be?"

Well yes. It absolutely feels like an ongoing battle. I first tried to ensure that the NHS stopped signposting patients to the Palace Gate Service over two years ago via my local Medical Committee as it had been brought to my attention that various NHS locations were continuing to signpost to Palace Gate Counselling. On their advice I sent the following email to the British Medical Association in October 2014:

No further signposting or referrals to Palace Gate Counselling Services

We would like to inform all staff that counselling services run by Palace Gate Counselling have recently been investigated by the British Association of Counsellors and Psychotherapists (BACP) due to alleged improprieties.

The BACP Professional Conduct Committee found that the company were in breach of their ethical framework on thirty counts. This has resulted in their membership of the BACP being withdrawn.
The findings of the report can be found here.
This is a serious situation and as a result the Trust cannot support signposting or referral of people accessing our service to Palace Gate Counselling. This will cease with immediate effect.
Please note that this notice does not include CRUSE who are also based at Palace Gate.

• NHS Northern, Eastern and Western Devon CCG:  Tel: 01392 205 205; Web: http://www.newdevonccg.nhs.uk/

• NHS South Devon And Torbay CCG: Tel: 01803 652500; Web: http://www.southdevonandtorbayccg.nhs.uk/Pages/default.aspx

Finally, you could raise your more general concerns about the way in which the counselling profession is regulated with the Government, and your local MP might be a good starting point for this.  

While we are unable to advise directly, I hope this information is helpful.  

As it happens I had already written the same email to NHS England who responded as follows:

I followed the advice within and sent the same details to my local Clinical Commissioning Group who responded thus:

I was sent the following press release which I found interesting and thought was relevant to this blog. It talks about the therapeutic use of the cannabis extract CBD (cannabidiol) for treating anxiety. Unfortunately, most of today's street-available cannabis tends to be hydroponically grown Skunk weed which has a proportionately lower amount of CBD (the calming chemical) than THC (tetrahydrocannabinol) which can induce anxiety and paranoia. So self-medicating might not be the answer in this case. There is also an interesting article on using cannabis to treat psychosis here.

CANNABIS EXTRACT TURNS ANY FOOD INTO COMFORT FOOD: NATURAL EXTRACT RELIEVES ANXIETY

- Natural cannabis extract CBD tackles symptoms of panic and anxiety

- One in three adults in UK will suffer from anxiety at some point

An entirely natural food supplement derived from the hemp plant could help thousands of people suffering from anxiety while reducing the need for medication. Cannabidiol (or CBD) is a naturally occurring extract produced from the cannabis plant which has been associated with a number of health benefits and has been found to have a positive effect on the symptoms of anxiety.  

Numerous scientific studies have shown the beneficial effects of hemp extract on people suffering from anxiety.  Anxiety is one of the most common neurotic disorders and affects a huge number of people every day. Around a third of people will experience episodes of anxiety or panic attacks at one point in their lives, while one in ten will be affected by severe symptoms.

Studies have shown that CBD extracts play an important role in reducing anxiety. In a double-blind experiment carried out at the University of São Paulo, the extract was given to a randomized group of people preparing for a public speaking event. Compared to the control group, those given CBD were found to feel significantly less anxious and more comfortable both in the run up to the event and during. They also reported thinking more clearly than the control group.[1]

Other studies using neuroimaging have shown that CBD can affect the limbic and paralimbic regions of the brain including the amygdala, which play a role in the fear response. When exposed to stressful situations, subjects who had been given CBD showed less activity in these parts of the brain and felt less anxiety.[2]

Neurologist Professor Mike Barnes said: “Anxiety is an issue that affects millions of people every day and CBD can have a real, positive impact on their lives.  There is a great deal of scientific literature on Cannabidiol but it’s only in the past few years that we’ve begun to fully realise the potential.  Much like the way Dopamine has revolutionised the treatment of Parkinson’s Disease, I am sure the role of Cannabis extracts will expand into modern medical practice.  CBD is now credible and continues to surprise the scientific community.  This is a very exciting time for Cannabis research and whilst international studies are ongoing, there is strong evidence to support the treatment of other major issues such as Epilepsy and PTSD.  I believe we will see CBD becoming much more widely accepted as its beneficial properties are better understood.”

“There are so many misconceptions around this market and we’re a long way behind other places like the US where hemp extract has a mainstream acceptance.” said Tom Rowland, co-founder of CBD Oils UK.   “Every week, we hear from customers that our products have improved their wellbeing.  Whilst we would not advocate CBD as an alternative to professional advice, there is a growing weight of scientific evidence to support its use.”

It is estimated that the global CBD industry is already worth around $200million and the UK market is expanding rapidly.  CBD Oils UK is the first company to offer high strength 40% (4,000mg) oil which adheres to strict UK regulations.

Tom added:  “Some people may be concerned because the products are derived from cannabis but CBD does not have psychoactive properties and is entirely safe.  It’s a fast growing market and we are proud of our products. The feedback from our customers has been overwhelming.”

Visit www.cbdoilsuk.com for more details.

2 years ago today The Mail on Sunday published an article exposing the scandal of the Palace Gate Counselling Service and the owner John Clapham's abusive behaviour as a therapist and owner of the service and that of his colleague/supervisee/employee/client Lindsey Talbott, whom he promoted to Director of the service in the midst of the crisis. 

Tina and I braced ourselves for the backlash and the ridicule and more worryingly, the impact on our private practice. We also risked losing our homes as we were threatened with being sued.

2 years on I can gladly say that I wholeheartedly stand by the decision to expose this abuse and to protect others from enduring likewise.

Sadly, Palace gate Counselling, Clapham and Talbott are still operating. I'm happy to say that most of the referral sources are now obsolete. However, NHS Torbay Trust still signpost to the service, which is ridiculous and quite disturbing.

I am also pleased to say that the push for regulation is gaining momentum (thanks to joining forces with Philip Doré) and our paper on regulation via the campaign, 'Unsafe Spaces' and the Palace Gate case were referred to in Parliament.

I have also gained a bit of a niche speciality in working with people who have had abusive experiences in therapy. Some have found me via that article which gave them hope that they would believed and that I would get it. It is a shame that we live in a  world where this niche area is required but sadly, without regulation, far too much of this goes on and remains in the shadows.

It's pretty much behind me but I must confess that the behaviour of Talbott in particular got under my skin. She knows what he did. She knows it was wrong. But chose to make mine and Tina's life as hellish as she possibly could and tell the world that we were liars. Very scary. And she's a therapist...out there...as is he...

The good news is that it wasn't only the BACP that validated our truth; the Catholic Church cancelled Clapham's imminent ordainment, the Rosen Method bodywork organisation cancelled his internship and the police, although unable to prosecute, were very validating. 

And finally, my business is thriving and I have made this a viable and fulfilling career. As is Tina's. Some potential clients might read about my experience and be put off. However, many have stated that it is because of my stance and experiences that they chose me.

This has been reblogged with kind permission from a blog by Cathy Towers published on LinkedIn: https://www.linkedin.com/pulse/compete-collaborate-cathy-towers-mbacp-senior-accred?

It is hard enough promoting yourself as a therapist ... then you see all the other therapists.  Traditional marketing can make us look at all others as competition, but I think that causes huge stress for therapists who are, by the nature of the healing work they do, more inclined to creating relationships than competing.

I have had people interested in renting a room at my clinic then saying "oh, you already have a reflexologist/counsellor/life coach so we would be in competition".  I believe this is a thought pattern which hinders us in the business of private practice.  Our professions are already high up on the scale of isolated working, why add to that?  

Look around the area you live: similar types of business congregate in the same street or industrial park.  Restaurants cluster together, car sales cluster together.  Yet they are in competition - so how does that work?  Well that area of town gets known for cars, so it is the place that everyone goes to when they want a car.  By having their sales units close together, they make it easy for the customer to look around, rather than give up and stick with what they have. It encourages a sale as the customer has choice. The decision is which car is right for me rather than shall I have a car or not?

I believe that together we therapists are stronger and better.  I like to take things a step further - cooperate, be helpful to each other, share knowledge and expertise generously and it comes back to you. Collaboration is a professional way forward.  My peer group has provided advice, supervision, cross-referrals, recommendations, ideas, emergency back-up... in fact a whole host of practical and emotional help.

The team at my clinic have also worked together at conferences, fairs, talks, written articles and peer-led learning. This also presents us as clearly client-focused, as we ensure that the right referral gets to the right person.  Result? Happier client, better word-of-mouth reputation for the group as a whole.

Look kindly at your colleagues.  I feel blessed to have such excellent 'competition'.  Their support helps me raise my game, act with integrity and also creates a safety net for clients. 

Executive Summary 

An increasing number of people in the UK, many of whom are vulnerable, are accessing counselling or psychotherapy services. However, almost uniquely among mental health professionals, neither counselling nor psychotherapy are subject to a statutory regulator, and neither the terms “counsellor” nor “psychotherapist” are protected titles. Voluntary registers exist, such as the British Association for Counselling and Psychotherapy and the UK Council for Psychotherapy, which have been granted Accredited Register status by the Professional Standards Authority. However, if such registers strike off a practitioner for misconduct, there is no legal requirement for this individual to stop practising.

To find out how many counsellors and psychotherapists continue to practice after being struck off, withdrawal of membership notices were downloaded from the BACP and UKCP websites for a ten year period. Internet searches were then completed to look for business websites for these individuals advertising counselling or psychotherapy services. From these searches, nearly one in four of those struck off during this period by the BACP or UKCP appeared to be still practising. For the UKCP in the latter five years of this time period, every single one of those struck off was continuing to advertise their services as psychotherapists. These included individuals struck off for very serious allegations, including serious sexual misconduct.

A case study is examined of Palace Gate Counselling Service in Exeter. This company was struck off by the BACP in 2014 after the director was found to have committed serious sexual misconduct against two women, a counsellor and a trainee counsellor at the firm who he was seeing for private therapy sessions. In addition, the director and his co-director (both of whom practice as counsellors and clinical supervisors for counselling trainees) were found to have conducted a sustained campaign of harassment and defamation against the two women after they complained. However, the company remained in business, and both individuals remained in their posts as directors and counsellors.

The case was the subject of media attention, including in the Health section of the Mail on Sunday, and a sustained effort was made by local activists to ask organisations not to signpost people to Palace Gate. Despite these efforts Palace Gate continued to be publicised by the NHS, churches and the voluntary sector. The two individuals continue to practice counselling at Palace Gate and in private practice to this day.

From this evidence, it is clear that, from a safeguarding perspective, the current system of accredited registration is a complete failure. It is simply not effective at removing rogue practitioners from the counselling and psychotherapy professions. This safeguarding failure is putting vulnerable people in danger of serious abuse, including sexual abuse.

Opponents of regulation suggest that counselling and psychotherapy are difficult to define, and that if “counsellor” and “psychotherapist” became protected titles, practitioners could avoid regulation by simply changing their job titles. To test this, we surveyed 151 people to ask which professional titles they would look for and accept a service from when seeking treatment for a mental health problem. 64.93% said they would look for a psychotherapist and 60.43% would look for a counsellor. By comparison 50% would look for a cognitive-behavioural therapist and 24.41% would look for a psychoanalyst. For a life coach, this number dropped to 7.09%. This suggests that certain other titles may need to be protected alongside “counsellor” and “psychotherapist”, but also that this need not be an infinite number of titles to have an impact.

The protection of titles would be made more robust if combined with a restriction that only professionals with a protected title can offer psychological therapies for mental disorder. A survey of 50 adverts for counsellors and psychotherapists found that every one of them advertised their services as being for mental disorder. These often included serious and debilitating conditions such as eating disorders, bipolar disorder and obsessive-compulsive disorder.

If the professional titles were protected, and only professionals with protected titles were permitted to offer psychological therapies for mental disorder, a practitioner could indeed avoid regulation by using a different title and not suggesting that they can treat mental disorder. However, these two surveys suggest that if they were to do so, they would incur a serious loss of business and they may find this to be not commercially viable.

It is therefore recommended that: