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Current NHS consultant posts held

I have worked in NHS mental health settings for over 35 years. I was a Consultant Clinical Psychologist and NHS Trust Lead for Cognitive Analytic Therapy in Tees Esk & Wear Valleys NHS Foundation Trust for 26 years.
I am currently offering online therapy on Tuesdays and Wednesdays.

Research interests

My M.Sc research involved working with children who had been sexually abused and helping prepare and support them to testify in court.
My doctorate research explored the impact of childhood sexual abuse upon adult relationships. I also interviewed female survivors of sexual abuse and clinicians about their opinions and experiences of confronting abusers and recommendations for adequate preparation and support.
More recently, my research has involved evaluation of the use of a relational model to guide the work of mental health staff teams and minimise the likelihood of services repeating problematic relational patterns that may lead to iatrogenic harm.

Publications

Aldridge, J. & Freshwater, K.M. (1993).The Preparation of Child Witnesses. Journal of Child Law. 5:1.

Coleby, J. and Freshwater, K (2019) The Idealised Care smokescreen: how the tools we share can be used to attack. ACAT Reformulation. 52. 13-16.

Freshwater, K., Tanweer, T. & Walker, W. (2017) Where should we keep Reformulation letters? ACAT Reformulation. Issue 49, 8-12.

Freshwater, K., Guthrie, J. & Bridges, A. (2017) The Experience of Staff Practising Five Session CAT Consultancy for the first time : Preliminary findings. ACAT Reformulation 48, 59 - 62.

Freshwater, K.M. & Aldridge, J. (1994) The Knowledge and Fears About Court of Child Witnesses, School Children and Adults. Child Abuse Review. 3. 183-195.

Freshwater, K., Leach, C. & Aldridge, J. (2001). Personal Constructs, Childhood Sexual Abuse and Revictimisation. British Journal of Medical Psychology. 74. 379-397.

Freshwater, K., Ainscough, C. & Toon, K. (2002). Confronting Abusers; The Opinions of Clinicians and Survivors. Journal of Child Sexual Abuse. Vol 11, No.4. 35-52.

Freshwater, K & Kerr, I (2006). CAT Skills Training in Mental Health Settings. ACAT Reformulation 26 pp 17 -18.

Kellett, S.C., Ghag, J.,Ackroyd, K., Freshwater, K., Finch, J., Freear, A., Hartley, J. & Simmonds-Buckely, M. (2019) Delivering Cognitive Analytic Consultancy to community mental health teams: initial practice based evidence from a multi-site evaluation. Psychology and Psychotherapy: Theory, Research and Practice.

Leach, C., Freshwater, K., Aldridge, J. & Sunderland, J. (2001). Analysis of Repertory Grids in Clinical Practice. British Journal of Clinical Psychology. 40. 225-248.

Marshall, J., Freshwater, K. & Potter, S (2013) Adaptations of a CAT skills course. ACAT Reformulation 41, 6-8.

Marshall, J., Freshwater, K. & Potter, S (2014). Using Cognitive Analytic Therapy within a forensic setting: An overarching relational model. BPS Forensic Update 115, 46-51.

Case Study Sam in:
Ryle, A. & Kerr, I. (2002) Introducing Cognitive Analytic Therapy: Principles & Practice. Wiley. Chapter 10: The Treatment of Personality Disorders. 189-197.

Walsh, S. & Freshwater, K (2024). "Struggling well": Using CAT to make sense of Organisational hurt. In Brummer, L., Cavieres, M. & Tan, R. (Eds) The Oxford Handbook for Cognitive Analytic Therapy. Oxford University Press.