Nuance Therapy

Specialising in self-injury

Personal Therapy, Counselling, Well-being, & School Based Counselling.

Joanna Naxton MBACP, BA Hons, Cert Ed, Dip Coun

21 Coniscliffe Road, Darlington, DL3 7EE


Our words reflect our beliefs. Whether conscious or unaware, the language we use for our observations and perceptions communicates what we believe, value, and feel. 


The German word for empathy - meaning a 'feeling into'

How can we know what it feels like to........injure oneself , to hurt so bad due to trauma, abuse, divorce, separation?

One can only attempt to be with you.

My PHD Study

A research project as a requirement of my studies for the qualification of Doctor of Philosophy:

Therapists emotional reactions to working with self-injury: an autoethnographic study.

The research project aims to explore my experiences and feelings and emotional reactions working alongside individuals who self-injure and to discussions and conversations I have with other therapists and practitioner’s in relation to the subject of self-injury. The research will use this exploration to inform understanding, develop practice, provoke discussion and reflection about the role of fear and the experiencing of strong emotions within the field of counselling and psychotherapy and when working with self-injury. This may broaden existing knowledge around the experiences of therapists working with clients that self-harm. My intention is to try to capture my own reactions whilst simultaneously holding the voices, perceptions and experiences of those I work with and weave these into a story which captures reflections about counselling practice.

The project aims to address the gap in the literature which explores implicit and explicit feelings among therapists working with clients who self-injure and develop a deeper understanding of the emotional realities of working within this field of counselling and psychotherapy. The hope is that this will result in a powerful, evocative personal narrative embedded within a context which has the capacity to expand on and open up a wider lens onto the experience of self-injury, counselling, psychotherapy, teaching, and human emotions. 


Music that calls - What is your medicine?

Posted on August 7, 2018 at 7:55 AM

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Feeling low can mean that any song, anywhere heard can evoke pretty strong emotions. I find that sometimes the words just jump out at me and grab me, choke me. Tears start falling and suddenly I'm overwhelmed. Sometimes and more often words are not needed and the music is powerful enough - such as this music from Ludovico Einaudi which evokes within me a whole array of melancholy, warmness, joy and remembrance all in one.

I wonder what it is about a song / music that can have the power to transport us to a time and a place, whether we want to or not. The rhythm, the tone, the lyrics; manifest images in the mind of the 'roundabout', the 'kiss', the 'park' the ex boyfriend, the place of work or a loved one lost!

You know what I'm saying....The song that trips you up, makes you smile, cry, sob. For me music plays a excruciating part in my life that haunts and torments and equally lifts me up and carries me along the wind. Whether it's Petula Clark and 'Downtown' that reminds me of dancing in the living room with my mother or Lisa Loeb and 'Stay' that takes me back 23 years to a proposal, each equally has the powerful ebb to tip my emotions to a place I had not planned.

I reflect on my work in the therapy room, whereby moments of silence work to move and shift a client further towards a...something - similiar to music. The silence can teach us a thousand things about what is happening - right now and has the power to tip and trip us up into brimming emotions that kisses the surface of change! 

I wonder what your song is, feel free to share.

Categories: Loss

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