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.

Grief Counselling in Perth

How we help with grief

Grief is a natural reaction to loss.  There are so many different losses a person can experience.  These can include the death of a loved one, a terminal diagnosis, significant change, the loss of a pet, or a relationship breakdown.  As these experiences vary with each person, it is important for us to take the time to understand the situation and develop individualised and personable treatment.

Am I experiencing grief?

Feelings such as disbelief, panic, anger, sadness, relief and numbness are common.  Grief can affect how we think and it can affect our concentration.  It can trigger physical symptoms such as headaches, loss of appetite and sleep disturbance.

There is no right way to grieve, some people will be open about a loss and others will grieve privately.  Grief can last for months or years.

Should I seek help?

It can be helpful to seek psychological support to express grief.  Do you feel like you would like to speak to someone confidentially?  Sometimes people can worry they will burden others if they speak about their feelings.  You can book in to speak to one of our Clinical Psychologists, where we provide a safe and confidential environment that is designed to focus on your individual experience.

Drug, Alcohol And Other Addiction Counselling in Perth

Is treatment for you?

Every client’s experiences and symptoms are unique to them, therefore its important to take time to understand your situation so that we can develop an individualised treatment plan.  During treatment, we will explore the different reasons why addictions might manifest and what function the addiction might be serving.

Do I have an addiction?

People of all ages can develop an addiction, including adolescents and adults.  The addiction may be to alcohol or other substances or vices.

Substance use and other addictions can lead to psychological or physiological dependence or addiction. With physiological dependence, a person’s body becomes tolerant of the effects of a substance, and it can take more of the substance to produce the same effect.  Withdrawal can be experienced when the substance is not being used, and this can make it difficult to cease the behaviour.  This leads to a detrimental cycle of addiction.


Types of addictions

We are able to help treat addictions to alcohol, and other substances such as prescription medication.  People can also become addicted to activities. Common activity addictions include:

  • Gambling
  • Shopping
  • Gaming
  • Internet and screen
  • Pornography

We have a great deal of experience dealing with these addictions.


Addiction in teenagers

Common addictions in adolescence include gaming, pornography and internet and screen addictions. Gaming is designed to be highly engaging, and teens can become addicted to the excitement they experience whilst playing. Online activities are very common. However, it can become a problem when an excessive amount of time is spent using screens and other areas of life are neglected.

Teenagers can become anxious, withdrawn, agitated, or aggressive if they are unable to engage in the behaviour. It can affect socialising, relationships and sleep.


I am looking for a friend or family member.

Your loved one may not be ready to acknowledge they have a problem.  This is often a part of the addiction cycle.  You can book an appointment with one of our clinical psychologists if you wish to seek further information on how best to support your loved one.

If you have more questions you can view our FAQ or type in your search on the search bar on the right.

Eating Disorder Help & Counselling in Perth

Is treatment for you?

The assessment process is very important in helping identify whether you or a loved one has an eating disorder, and if so what treatment plan is required. Our clinical psychologists have significant experience and training in this area.  Please contact us if you are concerned that you are a loved one may have an eating disorder.

How we help

Every individual’s experiences and symptoms are unique to them, therefore it’s important to take time to understand your situation so that we can develop an individualised treatment plan.  During treatment, we will explore your history, how you feel about it and the therapeutic approaches we can use to give you personalised treatment and help.

Do I have an eating disorder?

Below are some questions that may help you identify if you have an eating disorder

  • Do you find yourself being preoccupied by worries about eating and about your weight? Do you find yourself thinking you want to eat more ‘healthily’, but then you start to restrict your food intake more and more?
  • Do you find yourself believing you need to lose weight, even though you are in a healthy weight range?
  • Do you find yourself eating uncontrollably and then feeling very guilty afterwards?
  • Or do you worry that a loved one’s eating habits have changed significantly, and you are concerned about their weight or wellbeing?

This may mean that you or a loved one may have an eating disorder.  Research has identified that it is crucial to seek help as early as possible.

What is an eating disorder?

Eating Disorders are characterised by significant disturbances in eating behaviour.  Common eating disorders are Anorexia Nervosa (AN), Bulimina Nervosa (BN) and Binge Eating Disorder (BED).

People who are diagnosed with Anorexia Nervosa demonstrate persistent restriction of food, which leads to significant low body weight for their age and height.  A person will experience an intense fear of gaining weight even though underweight.  People with AN also have a disturbed perception of how their body looks.

People who are diagnosed with Bulimina Nervosa engage in ongoing episodes of binge eating – binge eating is when a person eats in a discrete period of time (within two hours), an amount of food that is significantly more than most people would eat in that same time frame and under similar circumstances – with inappropriate compensatory behaviour to prevent any weight gain (for example, vomiting or excessive exercise).  People with BN, like those with AN, also experience an intense fear of gaining weight even though underweight.

People who are diagnosed with Binge Eating Disorder engage in recurrent episodes of binge eating.  As explained above, binge eating is when a person eats in a discrete period of time (within two hours), an amount of food that is significantly more than most people would eat in that same time frame and under similar circumstances.  During that time, people feel out of control when eating and may eat rapidly, and continuously even when not physically hungry.  The eating often occurs in secret, and feelings of shame or guilt after these episodes is common.  Binge eating is much more severe than overeating.

Anxiety Treatment in Perth

Is treatment for you?

Many discard their symptoms as “not severe enough” or “too severe” to be helped. Are the symptoms you feel disrupting your life? Is the anxiety preventing you from living the life you desire? We can’t tell you if you need treatment but as clinical psychologists that have helped patients manage anxiety in the past, we can point you in the right direction.


In Australia, Anxiety affects one in four people!  Anxiety is treatable and the earlier you seek support the better the outcome.  Sometimes treatment includes both psychological intervention and medication, however, this can be decided after having an assessment that involves both your General Practitioner and Clinical Psychologist.

How we help with anxiety

Every client’s experiences and symptoms are unique to them, therefore it’s important to take time to understand your situation so that we can develop an individualised treatment plan.  During treatment, we will explore the different reasons why you feel anxiety, introduce therapeutic approaches and help manage the symptoms with a personalised solution.

What is anxiety and do I have it?

Almost everyone has felt anxious or stressed in response to pressure.  Anxiety, however, is different because the feelings don’t subside even when the pressure is off.  The feelings can be very hard to manage or control. It can be hard to know if you have anxiety. Below are some common symptoms.


Symptoms can include a feeling of fear and this is often accompanied by an intense physical response (due to the arousal of the nervous system). Physical symptoms can include increased heart rate, nausea, dizziness, tingling hands, wobbly legs and an urge to urinate. Cognitive symptoms include interpreting the situation as catastrophic, which then affects behaviour such as avoiding situations.

There are varying types of anxiety disorders:

Some people can experience excessive general worry and anxiety over a long period of time, at least six months, and this is called Generalised Anxiety Disorder.


Some people can have significant anxiety that is triggered by social or performance situations, which may result in avoiding these situations.  This is termed Social Phobia.


Specific Phobia is as the name suggests.  Some people can experience significant anxiety that is provoked by being exposed to a particular thing or situation, for example, seeing a spider or snake, or getting on a plane.  Again, this usually leads to trying to avoid particular things or situations.


For some people, they can experience obsessive thoughts and/or compulsions (compulsions are behaviours that serve to neutralise the obsessive thoughts).  This type of anxiety is termed Obsessive Compulsive Disorder or OCD.


Post Traumatic Stress Disorder or PTSD is a type of anxiety that is triggered by a person experiencing a traumatic event that led them to believe they may die, and the person experiences intense fear and horror as a response.


Panic Disorder is a type of anxiety that causes people to experience recurrent panic attacks, sometimes also experiencing Agoraphobia.  Agoraphobia is when a person is very fearful of and often avoids being in a situation where they find it hard to escape.  A panic attack is when you can experience a feeling of fear accompanied by an intense physical reaction.  This can include increased heart rate, feeling nauseaus, dizziness, tingling hands, wobbly legs and an urge to urinate.  Cognitive symptoms include interpreting the situation as catastrophic.


Although it is easy to label disorders, we understand that everyones symptom, thoughts and feelings are different. At Vivid Psychology you are treated as a person and not as a disorder.


Should I seek help?

Vivid Psychology believes no issue too great or too small for psychological support. We can help you identify the whys and hows of your anxiety and give you steps to freeing yourself from these anxiety symptoms. We prioritise your comfort, privacy and discretion.

If you are unsure of what you’re feeling or have a question about the cost of sessions or rebates, we are happy to give you some guidance. Even if you’re not sure where to go from here, whether it be with Vivid Psychology or another practice, our number one priority is to improve the mental health and well being of others. Give us a call (by clicking above) and we can guide you in the right direction.



Depression Treatment In Perth

How we provide counselling at Vivid Psychology

Depression is a common word used by people to describe sadness or low mood. At Vivid Psychology we understand that Depression or Major Depression is different to experiencing sadness. Vivid Psychology are a small practice with only fully qualified clinical psychologists. We have counselled an treated many of our clients through depression and treat each client differently dependant on their experiences. We are highly trained in many therapeutic approaches but we understand no one person or mind is the same and there is no systematic way to treat symptoms. It is important to us that we help each client through personalisation, trusting and comfort.

Do you have Depression?

Symptoms of Depression can include low mood, a diminished interest or pleasure in activities, a change in weight or appetite, sleep disturbance, agitation, a loss of energy, feelings of worthlessness or guilt, difficulty concentrating, indecisiveness, or suicidal thoughts or intent.

Being Depressed can affect how you function or behave, at home, school or work, or when socialising. People can stop going out and withdraw from family or friends. It can affect how you think, with thoughts such as “what’s the point”, or “I’m worthless”.
Factors that contribute to Depression include a family history

of Depression, biochemical imbalance and life experiences.

In Australia, Depression affects one in six people. Depression is treatable and the earlier you seek support the better the outcome. Treatment can include both psychological intervention and medication, however this can be decided after you speak to your Clinical Psychologist and GP.

You can go to and take a test to find out

If you are unsure of what you’re feeling or have a question about the cost of sessions or rebates, we are happy to give you some guidance. Even if you’re not sure where to go from here, whether it be with Vivid Psychology or another practice, our number one priority is to improve the mental health and well being of others. Give us a call (by clicking above) and we can guide you in the right direction.