The clinical approach

Structured, without being mechanical

There is a clear pathway behind the work here: assessment, formulation, treatment, review and maintenance. It is not general counselling with a nice website.

The question underneath

Not "how do we stop this", but "why does this make sense"

Most people do not arrive with a tidy diagnosis. They arrive saying that something keeps happening. They keep going back to pornography, to a drink, to the same argument, to avoidance, even though part of them genuinely wants it to be different.

Telling someone in that position to stop is not treatment. So the starting question here is a different one: how did this pattern get established, what is keeping it going now, what job is it doing, and what could be built in its place?

Understand why this particular pattern makes sense for this particular person, before deciding what should change.

The pathway

What actually happens, in order

Not everyone needs every stage, and not every person who comes here is an addiction case. The assessment decides the pathway.

1. Enquiry

You get in touch, or someone refers you. A free 10 minute call works out whether this is the right place.

2. Assessment

We build a picture of the problem, the risk, how you are functioning, the history, and what you actually want.

3. Formulation

We work out what contributes to the problem and, more usefully, what is maintaining it right now.

4. Treatment

Individual counselling, the 12 week programme, couples work, or a combination, depending on what the formulation says.

5. Review

Progress measured on functioning and meaningful change, not on attendance or a streak. The formulation gets revised if it is wrong.

6. Maintenance

You build a plan for holding it, keep going if you need to, or step down. Ending well is part of the work.

Clinical style

Six things you can expect

Formulation led

The work follows an understanding of your situation, not a template applied to everyone with the same presenting problem.

Non shaming

Harm, secrecy and responsibility get taken seriously. You do not get reduced to a behaviour or a label.

Practical

You should leave with something you understand differently and something you can actually practise outside the room.

Trauma informed

Trauma is explored when it is relevant and at a pace you set. It is not forced into every explanation.

Relational

When a behaviour affects a partner, that impact is clinically meaningful, not a footnote to someone else's recovery.

Evidence informed

Drawing on CBT, ACT, motivational work, mindfulness, emotion regulation and relapse prevention, while being honest that the evidence base in this area still has real gaps.

Written resources

The work does not stop when the session does

Alongside the sessions there are client workbooks, worksheets, assessment tools and maintenance plans that I have written. They draw on CBT, ACT, mindfulness, emotion regulation and relapse prevention, and they exist so that an hour a week turns into something you can use on a Tuesday night.

They also keep the work consistent. You are not relying on whether I happen to remember what we covered in week three.

If you need help right now

Counselling appointments are not an emergency service. If you are in danger, or thinking about ending your life, please call 111, or call or text 1737 to speak with a trained counsellor free, any time of day or night.

See the full list of New Zealand crisis lines

Not sure if counselling is the right next step?

That is exactly what the free 10 minute call is for. You do not have to explain everything, and there is no pressure to book anything afterwards.

Counselling and therapy with Kyle Lee, NZAC Provisional Member. In person in Takapuna on Auckland's North Shore, and online across New Zealand.

021 0232 4389
[email protected]

Start here

The first step is a free 10 minute phone call. No cost, no obligation, and no need to explain everything at once.

Book a free call

If you are in crisis, do not wait for an appointment. Call or text 1737 any time to talk with a trained counsellor, or call 111 in an emergency. More options on our crisis support page.

© 2026 Repattern Counselling & Therapy. Kyle Lee, NZAC Provisional Member.