Graham qualified as a psychologist in 1991, and having once established a basic practice, continued to study and extend his skills.

To this end he began studying with Professors Windy Dryden and Stephen Palmer, experts in Rational Emotive and Cognitive Behavioural Therapy (CBT). During this time and beyond, he was also supported in his practice, by the late Bill Doyle, Head of Clinical Psychology, Thameside NHS Trust (as it was at the time), a mentor and supervisor, and a practitioner of CBT, between 1993 and 2000.

Graham studied and practiced CBT, gaining Certificates, Advanced Certificates, Diplomas, and eventually studying for and achieving a Master’s Degree in 1997 from Goldsmith’s College, University of London.

Graham has been practicing Cognitive Behavioural Therapy since 1993/94.

He began his CBT practice within secondary schools before moving to the Child and Adolescent Mental Health Service (CAMHS) working with adolescents and adults. He has had a private practice offering CBT since 2004.

CBT as a therapeutic approach is recommended by NICE for anxiety, depression, and the treatment and support of those with Autistic Spectrum Disorder, and those suffering Post-Traumatic Stress Disorder (PTSD). Graham has also used it for those suffering anger management problems.

Below are two graphs for the same person, one taken in October (on the left), the second in the following February (on the right) five months later.

The lower dashed line shows the score where most average people score.

The upper dashed line indicates the beginning of possible difficulties. Scoring above this line is not good.

The ‘bumpy line’ across the top is called the ‘skyline,’ because it looks like and American city skyline and if a client scores at or above this line, it indicates exceptional difficulties.

CBT can be very effective in a short space of time, even for clients such as this one, suffering from major depressive disorder and PTSD for over 20 years.