Longer-Term Therapy for Complex Difficulties in Glasgow

When short-term therapy is not enough

Short-term therapies such as CBT and ACT can be highly effective for many difficulties. However, if your problems are long-standing, deeply connected to your early life experiences, or keep returning despite previous therapy, a different depth of work may be needed.

You might benefit from longer-term therapy if:

• You recognise patterns that repeat across your relationships
• You struggle with a persistent sense of emptiness or identity confusion
• You find it difficult to regulate intense emotions
• Previous courses of therapy have helped only partially

These are not signs of failure. They are signs that your difficulties require a more sustained, relational approach.

Longer-term therapy provides the time and consistency needed to understand the origins of these patterns, build trust in the therapeutic relationship, and develop lasting change at a deeper level.

Therapies for complex and enduring difficulties

Our psychologists are trained in several specialist approaches designed for complex presentations. Your therapy will be tailored to your individual needs, and your psychologist may draw on one or more of these models.

Schema Therapy

Schema Therapy helps you identify and change deeply held emotional patterns (schemas) that developed in childhood and continue to drive difficulties in adulthood. It integrates cognitive, behavioural, and experiential techniques with a strong emphasis on the therapeutic relationship. Schema Therapy has a strong evidence base for personality difficulties and chronic depression.

Internal Family Systems (IFS)

IFS works with the different "parts" of your inner world, including the protective strategies, wounded feelings, and core self that have developed over your lifetime. It offers a compassionate, non-pathologising framework for understanding why you respond the way you do, and helps you develop a more harmonious relationship with all parts of yourself.

Cognitive Analytic Therapy (CAT)

CAT is a collaborative, time-limited to open-ended therapy that maps the relational patterns and "traps" you find yourself repeating. By creating a shared understanding of these patterns, often in the form of a written reformulation and diagram, CAT helps you recognise and gradually revise unhelpful ways of relating to yourself and others.

Compassion-Focused Therapy (CFT)

CFT is particularly valuable when shame, self-criticism, and emotional threat are central to your difficulties. Many people with complex histories have highly developed threat systems and underdeveloped self-soothing capacities. CFT helps you cultivate compassion for yourself and understand these responses in context, creating the emotional safety needed for deeper therapeutic work.

How longer-term therapy differs from brief work

In longer-term work, the relationship between you and your psychologist is given particular attention. How you relate in the therapy room often reflects broader relational patterns, and working through these together can lead to meaningful shifts that extend into your wider life.

This does not mean longer-term therapy is unfocused or open-ended without purpose. Your psychologist will develop a thorough formulation of your difficulties, set collaborative goals, and regularly review whether therapy is progressing in a way that feels meaningful to you.

Who you might work with

Our team includes psychologists with advanced training and experience in working with complex and enduring difficulties.

Dr Jessica Wainman-Lefley brings expertise in Schema Therapy and personality difficulties.

Dr Zounish Rafique works with Cognitive Analytic Therapy and DBT for complex and enduring difficulties.

View our full team to find the right psychologist for you, or get in touch and we will help match you with someone suited to your needs.