Moder psycholy for modern world...

The main aim of this site is to provide the visitor with comprehensive information that will help him/her to navigate the services and make the right decision when choosing a psychologist and service.

Priorities of the website:

Availability of information
Clarity of information
Interconnectedness of information

Priorities

My main priority is to build and deliver innovative mental health care and personal development services. For me, this means building on current knowledge and data from researchers around the world and engaging in ongoing research. For me, that means being a modern psychologist.

Priorities:

Clients comes first and is viewded in the context of their personal life story.
Professionalism - to create a safe and stimulating environment for clients to improve their mental condition.
To utilize technologies to improve services offered to clients and boost the effects of our sessions in cases where the use of tech is appropriate.
To act like a local practitioner-scientist, that is to be engaged in academic community discourse and to base practice on current research.

How I see human beings

On individual level as bio-psycho-socio-spiritual beings;
On collective level as a part of physical, social and digital environment, where they interact with other beings;
As a being that searches for and creates their own meaning in life.
I believe that every behavior and emotion has some meaning to us. Sometimes we burrow the original meaning under various life events and daily stress and forget about it. Function of those behaviors and emotions is then lost and that start to cause troubles. Yet, it is still something we originally created and so we do carry key to it somewhere. Othertimes we experience intense emotions under the burden of stresfull events in our lives or we experience harm by others. We react by creating such habits and thoughts, that may be of use in those moments, but dont allow us to process those emotions of hurt, causing us trouble longterm.

Integrative psychoterapy and coaching

Integrative psychotherapy / coaching is an approach, that combines ideas and techniques from various approaches, according to client´s needs, to best suit the individual nature of the client. It means to respect the emotional-rational set-up of a person and their mode of functioning.

I draw mostly from following approaches:

Cognitive-behavioral therapy (CBT)
Solution focused approach

But also from

Gestalt therapy
Individual (Adlerian) therapy
Emotion focused therapy

Comparision with other approaches

I was inspired by a comparision chart on website https://vhlave.sk/prakticke-info/ako-si-najst-spravneho-psychologa/ (you can find it after you scroll down a bit) and I created my own graphic of basic dimensions of my personal approach.

Although it is important to say, that this is only approximation, kinda eyeballing it, since this is a complex work and there are no absolutes. For example, my time orientation is leaning towards present, but when somebody comes to me to primarily explore their childhood or past, there is no doubt I will respect it and follow along. Its not like I m reluctant to go into past, its just I prefer to focus on the present life.

Measurement Feedback Systems

Measurement-feedback systems - MFS is a group of repeatable and brief questionnaires with good psychometric properties to obtain feedback about client progress, their symptoms, and the process of care. This feedback can enhance the proces of your therapy and can improve chances of good results and decrease chance of adverse effects.

A system in this context means combination of questionnaires and guide how to read results and how to incorporate it in the therapy. MFS got 3 levels. Base level is called Routinne Outcome Measurement - ROM. Other two levels are additional upgrades that are currently in development.

How does it work? Structure of ROM methodology

MFS / ROM is incorporated into sessions only if client wishes so, and there is absolutely no problem having sessions without them. At the initial consultation we can talk about MFS and whether it is suitable for you. I will explain everything you need to know and asnwer your questions. Initial setup, that is selection of questionnaires and creation of your own personalised questionnaire can take some time. But filling out the questionnaires on following session is qucik and takes usually 2 minutes. Duration of administration is aslo dependant on how the system is setup for you, because not every questionnaire is filled out at every session.

We then monitor your progress in this way and work with the results of the questionnaires in the session, depending on the situation. These are not just some results for me, but they inform you about your condition and progress and are part of the process. Depending on the questionnaires you choose, I will be able to make graphs of your progress, similar to the ROM software demonstration below. At the moment, however, I can only show this in person in the office - the mobile app for clients has not yet been developed.

Anonymity, and data safety

The questionnaires are pseuanonymous. That means only I will know which data is yours based on your personal code (ID). You will always have access to the results of the questionnaires, and you can choose to withdraw consent to their use and destroy your records at any time. I will automatically delete the link between your name and your ID once we have finished working together. After this step, it is no longer possible to retrospectively identify your data.

I consult regularly with my supervisor (a more experienced and specialy trained practitioner) as part of my ongoing supervision and practice improvement. Supervision consultation sessions are anonymous, i.e. no names or other personaly identifiable information are shared. These consultations also include anonymised data from questionnaires. All in accordance with the European Code of Ethics for psychotherapists.

Data are stored separatedly from personal IDs. All virtual data are encrypted and they contain only ID, no personally identifiable information like name. Apart from name I do not collect any other personal identifying information.

For more information about anonymization and pseudoanonymization check GDPR definitions.

Benefits of using MFS

According to the British Association for Counselling and Psychotherapy, MFS has the following benefits:

provides a focus and structure for the therapeutic work;
higher engagement in therapeutic work, with less chance of non attendance;
provides a conversational tool for practitioners and clients to help guide or start the conversation about therapeutic progress;
clients more involved in defining their own outcomes and therapeutic journey, so feel more autonomous;
offers clients another way to communicate their emotional state without needing to find their own words;
offers clients observable evidence of their progress;
enhances client self-awareness and reflection.

🚧 Work in progess 🚧

Currently developing the app for Slovakia. At this time I can administer questionnaires only personally in office or via email, but I work hard to make the browser app with base level of MFS available as soon as possible.

However in the meantime I use the czech application DeePsy developed by Masaryk University in Brno and Brno University of Technology (Vysoké učení technické - VUT). This covers the base level of MFS (see below).

Routinne Outcome Monitoring (ROM) - base (first) level of MFS

Preview of CORE-Net software, which uses CORE-OM questionnaire and tracks symptom severity across sessions. (Image source)

Preview of TTN - Trier Treatment Navigator software. Lines show three different symptom progress over time. (Image source)

Ecological Momentary Assessment (EMA) - second level of MFS

(also sometimes called Experience Sampling Method - ESM)

Preview of SNS - Synergetic Navigation System software. Complexity Resonance Diagram - based on an intra-item calibration of the dynamic complexity - client responses. The 10 highest complexity values of each item are coded by grey steps. (Image source, Figure 9)

Preview of DynAMo - Dynamic assessment and modeling software. Time series showing one of the processes in between sessions. Red line represents dynamic complexity. X axis represents measurement times (day / month). (Image source, Figure 3)

In-session NLP - third level of MFS

NLP = natural language processing

Experimental analysis of therapeutic conversation during the session. Graph shows dynamics of language of a psychotherapist. (Image source, Fig. 1)

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