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Integrative Therapy:
A deeper relationship with yourself, your inner world and the life you are living

Psychotherapy is not simply about analysing what is wrong or trying to make difficult experiences disappear.

It can be a place to understand yourself more deeply. To understand your history, patterns, relationships, body, nervous system and the ways you have learned to move through the world.

My approach is integrative, relational and body informed, grounded in evidence informed practice. I draw from psychotherapy, EMDR, somatic and attachment informed approaches, parts work, yoga and mindfulness, alongside my background as an Occupational Therapist. Rather than applying one method to everyone, the work develops in response to you and what feels meaningful and appropriate to explore.

You may come with a mental health diagnosis or an established treatment team, or simply with the sense that something feels difficult, repetitive or unresolved. You do not need a diagnosis or GP referral to work with me.

My practice is currently private fee paying. I am an AHPRA registered Occupational Therapist and PACFA registered psychotherapist, and am currently completing Occupational Therapy Australia's Mental Health Endorsement process. Medicare rebates are not currently available.

Tamara Coughlan, integrative psychotherapist, sitting on a couch in her garden in Newcastl

Who is Psychotherapy For?

People come to psychotherapy for many different reasons.

 

You may be experiencing anxiety, depression, trauma, grief, relationship difficulties, emotional overwhelm or the impact of earlier experiences that continue to shape your life. You may be moving through a significant life transition, struggling with patterns that keep repeating, or wanting to understand yourself and your relationships more deeply.

 

You may also already have a mental health diagnosis and be receiving care from a GP, psychiatrist, psychologist or another health professional. You do not need to fit a particular kind of client to work with me, and psychotherapy can sit alongside other mental health care where appropriate.

 

Some of the areas I commonly work with include:

• anxiety and depressive experiences
• trauma and complex or developmental trauma
• attachment and relationship patterns
• grief and loss
• emotional overwhelm and regulation

• ADHD, Autism & neurodivergence
• identity and significant life transitions
• chronic stress and the impact of mental health on everyday life
• spiritual or existential crisis and spiritual emergence
• preparation for and integration of psychedelic or other non ordinary state experiences

 

I do not provide psychiatric diagnosis or medication management, and psychotherapy is not a replacement for medical or psychiatric care where this is needed. With your consent, I am happy to collaborate with other professionals involved in your care.

My Approach to Psychotherapy

There is no single way that I work with every person.

Sometimes therapy is reflective and relational. Sometimes we pay close attention to what is happening in the body. Sometimes we work with a particular memory or experience through EMDR. At other times the work may involve attachment patterns, parts of self, grief, relationships, meaning, daily life or the practical realities of living with mental health difficulties.

My approach draws from Process Oriented Psychotherapy, EMDR, somatic and body informed psychotherapy, parts based approaches including IFS and Resource Therapy, mindfulness, attachment informed practice and occupational therapy.

The intention is not to fit your experience into a particular model, but to have enough ways of working available that therapy can respond to the person sitting in front of me.

EMDR — Eye Movement Desensitisation and Reprocessing

Eye Movement Desensitisation and Reprocessing (EMDR) is a structured psychotherapy approach that has been extensively researched, particularly in relation to post traumatic stress and trauma related difficulties.

EMDR involves bringing attention to aspects of a distressing memory or experience while engaging in bilateral stimulation, such as guided eye movements or tapping.

Unlike some forms of trauma therapy, EMDR does not necessarily require you to describe difficult experiences in extensive detail.

EMDR is not something I automatically use with every client. Together, we consider whether it is appropriate for you based on your history, current circumstances, therapeutic goals and readiness. Preparation, resourcing and establishing sufficient stability are important parts of the process.

EMDR can be offered within ongoing psychotherapy or as a more focused part of our work together.

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​Somatic & Body Informed Therapy

Our experiences are not only held in thoughts and stories. Emotion, stress and trauma can also be experienced through sensation, movement, tension, activation, shutdown and other bodily responses.

Somatic psychotherapy brings gentle attention to these experiences as part of the therapeutic process.

This might involve noticing sensations, breath, posture, movement, emotional responses or shifts in activation, while staying connected to what feels manageable in the moment.

The body becomes another source of information alongside thoughts, memories, emotions and relationships. We can become curious about what is happening rather than trying to force an experience to change or disappear.

My approach is informed by somatic psychotherapy, nervous system awareness and trauma informed practice, and is adapted to the needs and preferences of each person.

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Process Oriented Psychology: Blending Spirituality & Psychology

Process work integrates multiple modalities including resource therapy, non-dual therapy, mindfulness, narrative therapy, somatics, cognitive behavioural therapy and motivational interviewing. Process work is a platform in which we can bridge psychology and spirituality. It recognises and invites us to explore somatics (body sensations), dreams, relationships, movement tendencies and our connection with our society and culture. Our insights and realisations lead to deep transformations and sustainable change in your world.

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Psychedelic & Medicine-Assisted Therapy

II have a particular professional interest in psychedelic and medicine-assisted psychotherapy, including the preparation, therapeutic support and integration that surround non ordinary state experiences.

Within my private practice, I currently offer psychotherapy for people preparing for or integrating psychedelic experiences. This work does not include the prescribing, supply or administration of psychedelic medicines.

I have undertaken training in psychedelic-assisted therapy and continue to develop my practice in this emerging area, with an interest in working collaboratively within appropriately governed clinical settings and multidisciplinary teams.

In Australia, access to MDMA and psilocybin for therapeutic use is restricted to specific circumstances and authorised prescribing pathways. Any involvement I undertake in psychedelic-assisted treatment occurs only within an appropriate legal, clinical and professional governance framework and within my own training and scope of practice.

I do not independently prescribe, supply or administer psychedelic medicines, facilitate access to unapproved substances, or assist people to obtain psychedelic substances outside lawful healthcare pathways.

I welcome professional enquiries from psychiatrists, authorised prescribers and multidisciplinary services interested in psychotherapy, preparation and integration support within appropriately governed psychedelic-assisted therapy programs.

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What Occupational Therapy Brings to My Practice

My background as an Occupational Therapist gives me another way of understanding mental health. To not only what is happening internally, but how it is affecting the life you are actually living.

Mental health can shape our capacity to participate in everyday life: sleep, routines, relationships, work, parenting, self care, rest, sensory experience, motivation and the things that give our lives meaning.

An occupational therapy lens allows us to be curious about the relationship between your inner experience and your everyday world. Sometimes this means exploring patterns of overwhelm or withdrawal. At other times it might mean looking at routines, environments, sensory needs, roles, relationships or the practical impact of living with ongoing mental health difficulties.

This can be particularly useful for people living with established mental health conditions or neurodivergence, where therapy may need to hold both the deeper psychological experience and the realities of everyday functioning.

I bring this perspective into my therapeutic work where it is relevant, while recognising that occupational therapy and psychotherapy are distinct professional frameworks.

Psychospiritual & Existential Psychotherapy

There are times in therapy when the questions we meet are not simply about symptoms or what needs to be fixed.

We may find ourselves in questions of meaning, identity, belonging, mortality, spirituality, consciousness, or what it means to live a life that feels true.

Sometimes these questions emerge through grief, trauma, motherhood, relationship change, illness or other significant transitions. At other times they arise through meditation, spiritual practice, psychedelic or non ordinary states, or experiences that are difficult to make sense of within our usual ways of understanding ourselves.

There is room for these experiences in my practice.

I don't work from a particular spiritual belief system or assume that an experience has a spiritual meaning. Instead, we can stay curious about what is emerging and what it means to you, while remaining grounded in your psychological wellbeing, relationships and everyday life.

For me, this work is less about finding the right answer and more about creating enough space to listen to what may be asking for our attention.

For Referrers & Treating Clinicians​

I welcome referrals from GPs, psychiatrists, psychologists, occupational therapists and other health professionals for adults seeking integrative psychotherapy.

My practice commonly includes people experiencing trauma and attachment related difficulties, anxiety and depressive experiences, grief and loss, ADHD and neurodivergence, emotional regulation difficulties, significant life transitions, and the impact of mental health on everyday functioning.

I am comfortable working alongside existing medical, psychiatric and allied health care. With the client's consent, I welcome appropriate communication and collaboration with members of their treating team.

I am an AHPRA registered Occupational Therapist and PACFA registered psychotherapist, and I am currently completing Occupational Therapy Australia's Mental Health Endorsement process.

My practice is therapeutic rather than assessment focused. I do not provide psychiatric diagnosis, medication management, Functional Capacity Assessments, medico legal assessments or crisis services.

If you would like to discuss whether a referral may be appropriate, you are welcome to contact me.

Frequently Asked Questions

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Get in touch:

I'm here to answer your questions

0414 250 343

hello@tamaracoughlan.com

Newcastle NSW

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I  acknowledge the Awabakal people as the traditional custodians of the land on which I live and work. I  pay my deepest respects to the wisdom of the Elders past, present and emerging. I recognise that First Nations sovereignty was never ceded. This continent always was and always will be Aboriginal Land.​

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