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Alex Hughes Cognitive Behavioural Therapist

Post Grad Diploma, RGN, BSc Hon Substance Misuse

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I am a Registered General Nurse with many years' experience of working with behaviour change, now offering my skills at York House, Taunton, Somerset. I am open, personable and realistic in supporting my clients, whilst also working to evidence based treatments.  I completed a Postgraduate Diploma in Cognitive Behavioural Therapy (CBT) in 2013 from Plymouth University.
I gained a BSc (Honours) in Substance Misuse in 2006 from the University of the West of England. 

As a member of the  BACP I adhere to their Codes of Ethics as well as the Nursing and Midwifery Code of Conduct.

Please feel free to contact me so that we can discuss whether I am able to support you. If not I will be able to point you towards another service or colleague who can help.

I offer CBT for all anxiety disorders, depression, addictions, work related stress all following NICE recommended treatments.

I also offer Dependency and behavioural change consultancy.



Post Grad Diploma in Cognitive Behavioural Therapy


Registered General Nurse 2002


Certificate in Counselling Skills (Westminster Pastoral Foundation) 2002


BSc (Hon) Substance Misuse (University of West of England) 2006


Certificate in Group Analysis 2007





1995-1999 Hospital Orderly/Nursing Auxiliary


1999-2002 Nurse Training


2002-2004 ADAPT Barley wood Residential Drugs and Alcohol Rehab Unit


2004-2008 NHS Community Drugs Worker in various roles. South Devon/Exeter


2008-2014 NHS Stop Smoking Specialist

May 2014-Present Child and adolescent mental health (CAHMS) Somerset partnership. 

Referral and assessment clinician






I offer affordable, evidence based Cognitive Behavioural Therapy (CBT) to clients to improve their wellbeing and support them to make changes in their life.


CBT is a structured, problem-orientated therapy. We recognise that the way a person perceives things can be impaired and their interpretations become highly selective, CBT seeks to alter these perceptions. Together, we will work towards your goals to make healthy choices and a new way of thinking and feeling. CBT has been proven to help clients in the treatment of various disorders, including mood disorder, anxiety, personality, eating disorders, substance misuse and psychotic disorders. The purpose of therapy is to reduce distress or unwanted behaviour by undoing previous learning or by providing new, more adaptive learning experiences.


N.B. CBT may be available within the NHS; however there may well be a waiting list. Your G.P. would be able to provide you with more information.


'Change is happening' will offer 1:1 support based on Motivational Interviewing, Cognitive Behavioural Therapy, and Brief Solution Focused Therapy, all working towards the clients own Specific, Measurable, Achievable, Realistic, and Time limited (S.M.A.R.T.) recovery goals.


Clients can refer themselves confident that they will be seen promptly. They will see myself, Alex Hughes, or a colleague regularly and not be passed from one worker to another. We will be able to refer you to a colleague nurse prescriber if an alcohol detox is necessary. In the Spirit of Motivational Interviewing, if clients are ready and willing for change we will support them. Our vision is to set up behavioural support groups and where appropriate, offer one to you.


Having worked in an Abstinence Based Treatment Centre and having lots of experience in working in Twelve Step Facilitation, I am able to support people who like the Twelve Step Approach of Alcoholics Anonymous and Narcotics Anonymous. However, I work in a client centred way, ensuring I never 'pigeonhole' people into a set of beliefs not suited to them. I will facilitate abstinence based treatment in my groups but central to the group will be Motivational Enhancement, SMART recovery and the principles of CBT.


CBT £50 (60 mins)

£45 ( 60 mins) concessionary rate for those receiving benefits or students