Presenting Issues

FI/FO Work and Its Impact

Remote work placements such as Fly In /Fly Out (FIFO) can cause workers and their family members various difficulties.  Some of those difficulties may include adjusting to transition back to family life, and stress on families with their partner working remotely.

We have clinical psychologists who specialise in working with individuals and/or couples to explore the particular difficulties you may be experiencing as a FIFO family.

Self-Esteem & Confidence Counselling in Perth

Self-esteem is a term used to describe how a person feels about their overall personal worth. It relates to the beliefs a person holds about themselves. Research shows that self-esteem is more of a personality trait, that is, it is stable over time. However, our experiences have a significant influence on our self-esteem, in both positive and negative ways.

Self-esteem affects how we think and feel about ourselves, and how we behave. Consistent critical messages from others will reduce self-esteem. Low self-esteem can lead to self-doubt, low mood or anxiety. It can mean we make unhelpful decisions, such as not applying for a job we are qualified to do, or staying in a destructive relationship.

Therapy can help a person understand themselves better, and help people challenge their negative and unhelpful self-beliefs to help one lead a more meaningful and fulfilling life

Child, Adolescent & Teen Psychology in Perth

There are different developmental stages throughout childhood. Infancy and toddlerhood encompasses the first two years of life. Early childhood relates to the age group between two to six years. Middle childhood relates to the age group between six to eleven years, and adolescence commences from the age of 12 years. Each of these stages has its own developmental challenges, for both the child and the parents. Sometimes, it is difficult to ascertain whether these challenges are normal developmentally, or whether your child may benefit from professional support to assist them to adjust to various changes.

The teenage years can be difficult to navigate, both for the teen and for the family. It is normal for teens to sometimes have low mood, low motivation and sleep difficulties. However, if these symptoms persist, it may indicate a more serious issue.The teenage years are considered to commence from the age of 13 through to 19.  However, sometimes puberty can commence earlier for some.  It is the stage from childhood to adulthood.  During this transitional period, many changes occur relating to independence, identity, sexuality, school issues, substance use and peer relationships.  It is natural for external appearance to become very important. Sometimes it can be hard to open up and talk about issues as a teen, including to family members. Risk factors include low self-esteem, family disharmony, peer issues, life events such as changing schools or experiencing a loss, and discrimination. Friends and outside family members can sometimes help. If it seems the teen is really struggling, then it is important to visit your GP or speak to the school psychologist to identify what further support the teen may need.

How we help

Vivid Psychology can help with the following issues:

Infancy and Toddlerhood Stage (0 to 2 years)

  • Sleep difficulties
  • Feeding concerns
  • The emotional well-being of both parents and baby

Early Childhood Stage (2 to 6 years)

  • Toileting difficulties
  • Sleeping issues
  • Separation anxiety
  • Emotional regulation
  • Peer relations
  • Adjustment to kindergarten
  • Sibling conflict and adjustment to new brothers and sisters
  • Adjustment to separation and divorce

Middle Childhood Stage (6 to 11 years)

  • Emotional regulation
  • Anxiety, including separation anxiety and specific fears
  • Socialisation and peer relations
  • Sleeping issues
  • Adjustment to separation and divorce
  • Adjustment to blended families
  • Gender-related identity
  • Grief and loss


  • Self-harm and suicidal thoughts
  • Anxiety, including specific fears and obsessions or compulsions
  • Low self-esteem
  • Sexuality
  • School issues, including school refusal
  • Stress, including exam stress
  • Eating disorders
  • Peer relationship issues
  • Parent-child relationship issues
  • Relationship conflict
  • Trauma issues, including sexual abuse
  • Grief and loss

Sleep Issues Treatment in Perth

It is very common to experience transient difficulties with sleep at times in your life for various reasons including stress or other triggers. If sleep difficulties persist, they can lead to difficulties with concentration, anxiety, irritability, relationship issues, weight gain, work-place accidents, performance difficulties, or emotional dysregulation. People may find that it is difficult to get to sleep, or that wake frequently throughout the night, or that they rise to early.

Further, there are different types of sleep disorders. Sleep apnea is when breathing temporarily stops during sleep due to blockage of the upper airways. Restless leg syndrome is an urge to move one’s legs when sleeping, resting or lying down. Narcolepsy is uncontrollable daytime sleepiness.

It is important to liaise with you GP and Clinical Psychologist to identify what the sleep issue is, and thereby how best to treat it.

Work-Related Difficulties Help in Perth

Work-related difficulties come from multiple causes including having an overwhelming work load, unrealistic deadlines, job insecurity, remote placements such as Fly In /Fly Out (FIFO) workers, bullying, sexual harassment, unhealthy work culture, management issues, and lack of support in the workplace. Work-related stress is a significant issue in Australia.

As a result of work-related difficulties, people can experience various symptoms including sleep disturbance, exhaustion, anxiety, difficulty concentrating and focussing, a reluctance to go to work, reduced work performance, and low mood.

It can be difficult to seek help within the workplace for fear of breaches of confidentiality and job loss. If untreated, work-related stress can lead to depression, anxiety, lowered self-esteem, it can impact on others areas of life, and physical illness.

Therapy provides a confidential and sensitive space to help you identify how best to manage your difficulties.

School Stress & Bullying Counselling in Perth

It is common for children to experience highs and lows at school. However, it is important to identify when the lows become more frequent or intense.

Some common early warning signs can be a significant drop in a child’s performance in more than one subject, a lack of interest in school, disconnecting from extra-curricula activities, school refusal, somatic symptoms like stomach aches and headaches, and friendship difficulties.

Common problems include learning difficulties, bullying, mental health issues such as social anxiety, conflict outside of school, major life events, and trauma.

It is important to address these issues as soon as possible as they can have significant long-term consequences including low self-esteem and dropping out of school early, or children labelling themselves as stupid, lazy or unlikeable.

Therapy can help identify the underlying causes of school-related issues to determine whether it is a cognitive, learning, or emotional issue.

Self-Harm Help & Counselling in Perth

Self harm is when a person intentially hurts themselves. It is a way of coping with feelings of numbness, pressure, stress or painful emotions. There are multiple and complex reasons why people engage in this harmful coping strategy and it can be difficult for someone to stop the behaviour unless they learn more healthy and helpful ways of addressing their issues.

Self harm can take on many forms including cutting, burning, risk-taking behaviours, punching, or picking skin or sores. Self harm often comes with feelings of intense shame and therefore it may be difficult for a person to admit they are engaging in these behaviours, particularly to those close to them, and it can be difficult for loved ones to understand or know how to help.

These behaviours cannot be ignored due to risk. Self harm can be a symptom of depression, trauma, anxiety, or other mental health issues.

Attachment Therapy in Perth

Attachment relates to the connection a child experiences with its caregiver. This initial relationship between self and others serves as a blueprint for all future relationships (Bowlby, 1975).

Attachment issues refer to the difficulty a person has in establishing and maintaining long lasting relationships. Some causes of attachment issues include neglect/abuse, separation from primary caregiver, through circumstances, and parent mental illness.

Therapy provides a safe space to work through these issues by helping you understand the causes of your difficulties and potential to recognise unhelpful patterns so these can be addressed.

Post Traumatic Stress Disorder Treatment in Perth

When someone is exposed to a perceived or actual threat, or when someone learns that a close family member or friend has been exposed to a threat, it can be very traumatising. The term Post Traumatic Stress Disorder (PTSD) was originally developed in the 1980s when some returning soldiers were found to be experiencing flashbacks and experiencing ongoing trauma, despite being away from the traumatic experience. Research has identified that anyone, not just soldiers can experience PTSD.

Some symptoms of PTSD include re-experiencing the traumatic event, recurrent dreams related to the traumatic event, and flashbacks. People may avoid situations or memories of the trauma. They may develop negative beliefs about themselves and others. PTSD may lead to isolation, self-destructive behaviours, sleep disturbance or alcohol or other substance abuse. PTSD can occur at any age.

Therapy can help alleviate these symptoms, and there are various therapeutic approaches including EMDR used in this regard.

Sexual Health Help & Counselling in Perth

Sexual health includes the emotional, cognitive and physical well-being related to sexuality. The World Health Organisation (WHO) identified sexual safety, gender, sexual orientation, emotional attachment, and reproduction as some areas of focus regarding sexual health.

Common issues related to sexual health that a clinical psychologist can help you with include mismatched libidos in relationships, performance anxiety, low sexual desire, and physical health challenges.

Sexual health issues are common, however sometimes people can feel uncomfortable talking about anything to do with sex. Our clinical psychologists are trained to help you explore any topic that may be troubling you, and they can provide understanding, education and evidence-based strategies to help improve your situation.