My Approach

Who I help

I provide individual therapy to adults, either face-to-face or online. I do not work with children, couples, or groups.

Types of problems I help with

I have over 10 years of experience helping clients with:

• —Anxiety
• —Depression
• —Addiction
• —Relationship difficulties
• —Borderline personality disorder

How I work

This is the process I use with my clients:

1. 1.Clarify the issues — Figuring out exactly what's going on can be confusing, especially at the start, when several things are often happening at once.
2. 2.Select the most important problems to target — We create a hierarchy of targets based on what matters most to you, so therapy stays focused.
3. 3.Create a treatment plan — Once we have a clear target, we start building a plan, identifying and organising the components involved.
4. 4.Work through the case formulation — This is the main work of therapy: exploring each component, getting clear on your unique presentation, and addressing it with the right tool.
5. 5.Track target behaviours — Therapy aims to build new, more effective behaviours. We set clear goals and track progress throughout.
6. 6.Review and calibrate — Therapy is a living process. We regularly review and refine the plan as things develop.

Modalities I use

My goal is to get results as safely and efficiently as possible. Based on the research, I consider the following modalities to be the safest and most effective:

1. 1.Behavioural therapy (BT) — The gold standard for many anxiety disorders, and considered the first wave of behaviour therapy. BT forms the foundation for the other behavioural therapies below.
2. 2.Cognitive behavioural therapy (CBT) — The gold standard for a wide range of difficulties, especially depression and addiction. Known as the second wave of behaviour therapy, and the foundation of most modern behavioural approaches.
3. 3.Dialectical behaviour therapy (DBT) — A third-wave behavioural therapy, and the gold standard for serious emotional dysregulation, especially borderline personality disorder. It's a highly practical modality with extensive skills training.
4. 4.Transactional analysis (TA) — Excellent for interpersonal issues and relationships, and a genuinely popular modality with clients.
5. 5.Schema therapy — Another third-wave behavioural therapy, well suited to a deeper exploration within a cognitive therapy framework, and well established in the research.
6. 6.Motivational interviewing (MI) — Another gold-standard treatment for addiction, strongly supported by empirical research.