Intensive Outpatient Programme

Every day the Intensive Outpatient Programme begins with a check-in to identify what feeling state you’re in before commencing group work and each day ends with a check-out where you can reconcile and reflect on the work you have done throughout the day. This encourages you to bank the good stuff and to be aware of any risk factors, while developing the discipline relating to emotional self-regulation.

If you are interested in CHARTER’s Intensive Outpatient Programme please complete our Enquiry form or call us on 020 7323 4970.

0930-1530 Monday, facilitated by Mandy Saligari and Adam Ficek

Addiction recovery orientated process and psycho educational day where you can discuss what is troubling you and gain input that can shed light on even the most entrenched experiences. Weaving the model of addiction and recovery into their interactions with you, Mandy and Adam will help you to gain perspective and learn strategies that will stand you in good stead going forward.

0900-1500 Tuesday, facilitated by Victoria Smith and David Behrens

0900-1300, Parenting from Within, an experiential and psycho educational weekly workshop that is an intrinsic part of the Charter model, helping you to develop a compassionate relationship with yourself. This is based on Mandy’s belief that if you genuinely care about yourself, you’ll find it hard to continue to hurt yourself. 

1400-1500, Mindfulness facilitated by experienced practitioner and former monk, David Behrens

1100-1600 Wednesday, facilitated by Mu’Dita Farrell and Adam Ficek

A client focussed group process with weekly themes that relate to the individual group members, with an interest in the relationship between body and mind, and introducing practical aids to manage symptoms of stress, depression and anxiety.

1100-1645 Thursday, facilitated by Mandy Saligari, Zoe Aston and Adam Ficek

1100-1300, facilitated by Mandy Saligari

Understanding Addiction: a psycho educational group that outlines what is required to achieve sustainable recovery encouraging each individual to become proactive in the development of their care plan

1400-1645 facilitated by Zoe Aston and Adam Ficek

A psychodynamic process group with an emphasis on relapse prevention and weekend planning

Drug Problems & Addiction Treatment

Day care treatment for drug problems

No-one wants to admit to having a problem with drugs or any kind of addiction. But sticking your head in the sand won’t help. The sooner you take action and seek help the better the outcome. Usually families suffer just as much as the drug user too so we need to help everyone involved.

We don’t just classify illegal drugs as a problem, many people are addicted to pain killers, legal highs and prescription drugs. At Charter we take a simple approach – if somebody without an underlying medical problem regularly needs to take something to sleep, or maintain their daily life then there is a problem. The reality is that in the vast majority of cases, the problem is not going to go away on its own; in fact, drug addiction is a progressive condition that worsens over time. Experience tells us that the sooner we can begin to support the sufferer, the sooner they will begin to feel better. It really is that simple.

Alcohol dependence & alcoholism

Day care treatment for alcohol problems

No-one wants to admit to being a problem drinking or alcoholic. But sticking your head in the sand won’t help. The sooner you take action and seek help the better the outcome. Usually families suffer just as much as the drinker too so we need to help everyone involved.

So how do you even decide if somebody has an alcohol problem or is just drinking heavily? Drinking has become such an accepted part of western social culture and many people drink every day. Some people can handle this and some people cannot. The amount somebody drinks is not always an indication that there is a problem.

At Charter we take a simple approach – if somebody drinks and trouble follows then their relationship with alcohol is a problem that needs to be addressed. The reality is that in the vast majority of cases, the problem is not going to go away on its own; in fact, alcoholism is a progressive condition that worsens over time. Experience tells us that the sooner we can begin to support the sufferer, the sooner they will begin to feel better. It really is that simple.

Screen addiction

Internet, gaming addiction and social media

Screen addiction is just as destructive as any other addiction, despite the lack of presence of a drug or drink. Users show an intense emotional attachment to their online experiences whether it be to make friends, socialise, seek comfort and fun, or to share thoughts through blogging for example. In danger of using this virtual world as a substitution for real-life human connection, the ability to achieve these connections face-to-face decreases rapidly.

The warning signs are similar to those related to a substance addiction where there is a preoccupation with the forum, whatever the hardware. Satisfaction is increasingly evasive and more and more time is spent ‘chasing the high’ with repeated failed attempts to cut back or control use. Feelings of restlessness and irritation follow ‘absence’ as the user experiences symptoms similar to withdrawal. Isolation and social anxiety is heightened as less time is spent learning how to interact with ‘real life human beings’ and more time is spent in the confines of a virtual-world. Often the user will use screens to escape negative feelings, without realising that their addiction is fuelling their depressive symptoms, so arguments ensue when family and loved ones try to intervene and help.

Families & Partners

Screen use and the intense disagreements and arguments that ensue are the most common topic brought by families at the parenting evenings in Independent Schools, provided by Mandy Saligari . Without doubt, technology paves the way to the future, and our children must be adept, but at what cost? Screens are beginning to dominate even the most sporty and boundaried households, and many parents are worried as they standby feeling helpless to intervene. TVs, laptops, tablets, phones – we give our children all the hardware and yet do not teach them effective self-regulation. It is important to realise that self-regulation around screens, in other words how to manage the use of them, and the feelings that come up and subsequent behaviour, will help your child take responsibility later in life around other potent substances that operate on similar pathways in the brain. The opportunity is to learn how to step back and parent your child into responsible management of their screens rather than getting caught up in the battles, and losing your cool. At Charter we can help you to do exactly this through the ‘Parenting for Prevention’ method taught by Mandy Saligari and supported in the popular weekly Family Group .

For those who have partners who are addicted to their screens, there is often a connection to an intimacy disorder so that a person ‘hides’ from social and intimate contact through the virtual contact of the screen experience. Where this is the case, Couples Therapy can be extremely effective to help challenge the behaviours, foster better communication and support both parties through the withdrawal stages and into a more interactive relationship.

Gambling Addiction Treatment

Online betting, having a punt, risk taking

Compulsive gambling has been described as “pure addiction” because it does not involve substances such drugs or alcohol (although these are often indirectly associated with gambling addiction). It is process or behavioural addiction and at CHARTER we do not see it as any less dangerous, as without the side effects of substances to slow the person down, the active addict can continue until he or she runs into financial ruin. As well as the potentially life-destroying external and financial consequences of gambling addiction, the  emotional turmoil resulting from this compulsive behaviour can be devastating, and the emotional-spiritual void which the behaviour attempts to fill is ever more painful to live with.

At Charter when we treat gambling, careful focus on the background of childhood pain and loss, neglect and fear is a significant part of recovery. Too often the gambling is an attempt to control experiences of extremes of either parental neglect or enmeshment. Sadly the gambler goes on to cause much the same, destroying lives as thoroughly as any other addiction. At Charter helping people to develop healthy relationships is a particular strength. We can help you to work through these relational difficulties to gain better insight and understanding of your behaviours, to be able to take responsibility for what you feel you need and want and to be accountable for your actions in a healthy way.

Families & partners

If you are the partner of a gambler, we believe that you are not without influence. Having said that the first step is to get yourself the help you need to regain perspective and establish a healthy strategy either to to intervene on the gambling patterns of behaviour or to make decisions that safeguard your and your family’s future. At Charter we can help you to do this so that you rediscover your self respect, and a credible voice that can be heard above the force of this compulsive addiction. Taking the time to stand back and take care of yourself is literally priceless

Sex, love & intimacy

Love addict and love avoidant

Sex and love addiction, often sensationalised in the press and very misunderstood, is in its simplest form an avoidance of intimacy, which is how we successfully work with it here at Charter. Whether you are prone to compulsively falling in and out of love, to conflicted relationships where there is violence or infidelity, to being clingy and needy (or the reverse), or to having no awareness of any need for sex or love, everyone who suffers from this condition is hiding from intimacy. As a result a relationship with anyone – even a therapist – can feel like a threat.

The slow process of getting to know somebody and building a relationship, with all of its uncertainty and potential to feel vulnerable generates profound fear in a sex or love addict that is usually connected, consciously or otherwise, to childhood experience. The person may not experience it as fear though, instinctively altering it so that it becomes sexualised or dramatised, or turns it to obsession or invites rejection. Whether that is in individual therapy, a group or a workshop , we talk about these kinds of relationship patterns a lot at Charter.

People who suffer from Love Addiction struggle with their relationships in extremes of all or nothing – of being commitment shy to being desperately and painfully ‘in love’, so much so that your friends are fed up hearing you on the subject of your ‘love’. Its isolating and leaves people in despair. The sex addict is no different, as they tend to suffer in silence due to shame.

At Charter helping people to develop healthy relationships is a particular strength. We can help you to work through these relational difficulties to gain better insight and understanding of your behaviours, to be able to take responsibility for what you feel you need and want and to be accountable for your actions in a healthy way.

Families & Partners

If you are someone in relationship with someone who suffers from sex and love addiction, you are likely to be deeply affected as this addiction operates in relationship. People close to this addict can experience feelings of hurt and confusion, as well as shame, disgust and anger, and the feelings are difficult to process as there is so much stigma about sex in our society. Sometimes these symptoms present as PTSD. At Charter we can provide you with the specific help you need to recover, depending on the format of your relationship with the sex addict, whether you are a partner, a child, a sibling or a parent. If you are close to a love addict, you may find that your own behaviour has become aggressive and punishing and you feel you are losing yourself and cannot understand why.

At Charter we can support you to explore these feelings so that you can once again find peace in yourself. We will properly assess your individual needs so that we can offer you the specific support you need, but in the meantime we suggest you attend our popular Family Group on Tuesday evenings, a valued resource for many family members, providing education and support, and where many families and partners begin their own recovery journey.

Codependency & Compulsive Caretaking

When loving hurts

Many people have heard of codependence, but still struggle to truly understand what it means, which makes recovery very difficult indeed. At Charter treating codependence is a particular strength and we continue to excel at helping people find their dignity and self respect again, after years of feeling lost and drained, or in some cases for the very first time. Our priority is to teach you how to begin a commitment of consistent self care as this will challenge your codependence at its core.

Codependency is a term coined by practitioners in 1970’s working with the families of chemically dependent or alcoholic people who noticed that, as well as suffering the emotional impact of living with a person with a drinking or drug problem, some family members (particularly spouses) were deeply emotionally entangled with their partner’s condition, and suffering in confusing ways which were difficult to treat.

In a pattern primed in childhood, the codependent focuses on others whilst neglectful of their own needs, often leaving them feeling resentful and taken for granted, guilty for feeling that way, exhausted and worried.

Having a parent who is codependent can be profoundly frustrating as they seem to refuse to do anything sustaining for themselves. This can cause you (the child) to become angry and intolerant, and then guilty for hurting the parent’s feelings. Many children of codependents refuse to show negative emotion for fear of enmeshment. As the partner of a codependent, you would be assessed for difficulties yourself, as a codependent almost always attracts people who are troubled in some way, and need them to help.

These patterns are deeply ingrained in a person’s way of being in relationship and are born of childhood experience which requires experience, patience and gentle handling to uncover and heal. At Charter we have workshops, group progammes and individual therapists where your codependency can be safely explored and understood, without judgement, so that you are can start your own process of valuable recovery. It might be the first thing you have ever owned for yourself!

Eating Disorders Treatment

Anorexia, bulima, overeating

At Charter we can successfully treat all kinds of eating disorders including anorexia , bulimia and overeating .

Although it is quite common to use food to cope with pressure or stress, once they take hold, eating disorders are notoriously difficult to recover from. Often we meet people who have tried, sometimes for years, to get well but are still struggling, and at Charter , we have been able to help. Our team here is very experienced around eating disorders, and with the trauma that can often form part of the picture, gently but carefully guiding you onto the path that leads to a sustainable recovery. We will start by taking a thorough history listening to what has and hasn’t worked for you in the past, and creating a care plan with you that is possible for you to follow, with our support, all the way to good health. We don’t just focus on the eating patterns, we have a distinct model that has proven to be very successful in gaining long term recovery from an eating disorder which focuses on the person and their relationships instead.

The family support here at Charter is a key strength, with a team who are experienced working with family dynamics, providing what usually proves to be a vital and popular resource for those caring for someone who has an eating disorder, giving everyone the chance to change.

We are here to help you every step of the way, exploring areas of your life that are worrying you and working with your family wherever possible to establish ways to support you to learn how to develop and maintain healthy patterns around your food and relationship, and get your life back on track.

JT (grateful addict – day care)

What makes Charter so special is the way Mandy works with the rest of the team, especially Clare in Tertiary, to create a complete picture of what you need and where you’re at on an almost second by second basis. I felt seen and heard. This made me feel safe enough to get on with the painful risks I needed to take in group to get properly well; the risks I’d spent a whole life avoiding.

ED (wife & mother)

I found the drama triangle and boundary work really useful and consequently I don’t ever feel that I am running on empty. I am kinder to myself. I have the tools now to avoid the pointless circular arguments and accusations that seemed to be an inevitable part of family life, consequently I am happier.

Maggie (Day Care)

Charter gave me my first real glimpse of freedom of my addiction and the will to face another day free of fear. Every single therapist brought their own particular stance into the rooms, and there was as much laughter as tears.  We were all led by Mandy Saigari, the bravest and most intuitive people I have ever met. I can only say thank you.

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