Assessment and Treatment
Before beginning treatment I will assess your child. This appointment lasts between 1-2 hours, depending on the complexity of the situation.
When we first meet it is helpful that the people you feel to be important are present. Usually this means a young person's parent(s), but a combination of parent/carer, other family members, professionals and friends can also be helpful.
No two assessments are the same but the following areas are explored:
- Concerns and specific details about the problems being experienced
- A full history is taken including details about early development, physical health problems and any family history of mental health difficulties
- Where appropriate, a physical examination may be undertaken - this examination is usually chaperoned by parents, is brief, non-invasive and painless. Most young people find it fun
- Who else has tried to help and what are your goals?
Armed with this information I can let you know if there is a diagnosis to be confirmed or excluded, and will propose a plan for treatment. I will let you know the choices available and seek your preferences.
Range of Therapies
Depending on the circumstances I use a range of therapies including:
- Behavioural Therapy
- Cognitive Behavioural Therapy (Postgraduate Diploma in CBT)
- Family Therapy
- Motivation Enhancement Therapy
- Medication
- Solution Focused Brief Therapy
- Webster Stratton Parenting Programme
Sometimes it is helpful to involve school and other organizations in the treatment process.
I've improved so much since seeing him and he's very calming and positive all the time, which are good qualities when you want somebody to talk to.
Teenage boy with social phobia
Dr Westgarth was approachable, attentive, encouraging, clear in his explanations and above all compassionate, a quality that made all the difference to our son's recovery when he was going through the despair, isolation and pain of depression.
Parents of a teenage boy with depression


I've improved so much since seeing him and he's very calming and positive all the time, which are good qualities when you want somebody to talk to.