Major change can bring uncertainty, grief, practical pressure or strain in relationships, but a webpage cannot determine the cause, severity or appropriate support for one person. An individual assessment can explore what is happening now, relevant health information, safety, personal history and priorities. Where appropriate, a clinician may discuss thoughts, routines, avoidance, relationships, work or caring responsibilities in a collaborative way. Any exercise or between session reflection should be agreed individually and should not be treated as a self directed prescription or promise of a particular result. Research can inform a conversation, but it cannot establish the best approach, duration or outcome for an individual. The Lyceum Clinic offers an initial conversation for adults considering CBT based support in West London or online. Current availability, location arrangements and whether the service is appropriate for your needs should be checked directly. This does not commit you to a particular treatment route, duration or outcome.