Specialisms

Specialist work, named and explained.

Eleven areas of clinical focus, grouped by the kind of difficulty they belong to. Each has its own page.

Health and pain 04

Complex pain management

Chronic pain that has not responded to physical treatment alone, where pain, sleep, mood, and activity have begun to reinforce one another.

Fibromyalgia

Living with fibromyalgia: pacing, sleep, the cognitive style around symptom flare, and the relationship to a body that has changed.

Chronic Fatigue Syndrome (M.E.)

Adjunctive CBT for adults living with CFS / M.E. Support for sleep, pacing decisions, mood, and the cognitive and emotional load of persistent illness. Not curative; not graded exercise.

Insomnia

Persistent sleeplessness, and the anxiety about sleep itself that keeps the cycle going.

Anxiety and mood 04

Body dysmorphia

Body-image disturbance and the compulsions built around it: mirrors, comparisons, reassurance-seeking, and avoidance.

Anxiety disorders

Generalised anxiety, panic, social anxiety, and the specific fears that show up under high-pressure work.

Depression

Episodes that have not responded to advice from friends, time off, or short courses elsewhere.

OCD

Intrusive thoughts and the rituals built around them. Exposure-based work, paced carefully.

Trauma and stress 03

PTSD

Trauma-focused CBT for single-event and complex presentations, in adults.

Work-related stress

Burnout, sustained over-working, and the patterns that develop in banks and law firms in the City of London.

Bereavement

Grief that has stalled, complicated bereavement, and loss alongside other clinical presentations.

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