Act Two Scene 3 of William Shakespeare's Othello 'Reputation is an idle and most false imposition; oft got without
merit, and lost without deserving.'
Act 2, Scene 3
Cognitive and Behavioural Psychotherapy
Distressing Thoughts in Work
The Community Treatment Service (CTS) in Pwllheli is a team of 5
nurses and a social worker offering intensive support, therapies and
can provide out-of-hours support for patients open to Care Managers
from the Community Mental Health Team and the North West Wales NHS
Trust GP Counselling Service.
Her General Practitioner referred Ellen to the GP Counselling Service.
A brief telephone call described Ellen as suffering from work related
stress and anxiety. The only further information given was her
telephone number and address so that an appointment could be made at
the local GP Health Centre. This is indicative of the extent of
pre-contact information given about patients referred and other
information about her is obtained after initial assessment sessions.
Ellen is 43 years old and lives in Pwllheli with her husband and
daughter. She is currently employed part time by a well-known local
supermarket, and also part time by a shoe store in town. Along with
seven other people Ellen had been dismissed from her previous job as
an assistant in a well-known national store for allegedly stealing
sweets. This occurred two years ago and the incident actually made
front-page news in the local press. The store management had installed
close circuit cameras in the store and had alleged that the members of
staff were eating from the "Pic'n'Mix" sweets. Ellen maintained her
innocence and had involved her union. After some legal battles she
actually received Â£1000 compensation in an out-of-court settlement
providing she did not go to the press with the story. The store
management did not apologise or offer Ellen her job back. Ellen feels
that she was treated unjustly and the union did not do everything it
could have done. Ellen has kept a file of letters and press cuttings
related to the incident two years ago and the meetings about it since.
Ellen now works locally for a well-known national supermarket and is
happy with her work - she feels that she is good at her work. Ellen
describes, however, that she suffers from stressful "incidents" when
"small things" set her off. She felt that any criticism of her in work
would make her feel tense and angry and she would feel like crying.
This resulted in her avoiding talking to people in work for a while
and also avoiding going to work related events such as outings or
Both her present managers, work colleagues who know about the