How I see this presentation
I have worked with anxiety presentations for over twenty-five years, across NHS and independent practice. The majority of what I see in the City of London is anxiety that has already resisted the usual routes: a short course elsewhere, GP advice, or sustained effort to push through it. In my consulting room it typically arrives as generalised worry that has become difficult to switch off, panic that has begun to narrow daily life, social anxiety that is costing more in performance than the person admits, or health anxiety that persists despite a clean physical investigation. In high-pressure professional work, anxiety often runs alongside long hours and broken sleep.
How I tend to work with it
My primary modality is Cognitive Behavioural Therapy (CBT). CBT has the strongest evidence base for anxiety disorders of any psychological treatment, and is recommended by NICE across generalised anxiety, panic, social anxiety, and health anxiety. I work with the specific maintaining cycles for each anxiety subtype, including the worry and avoidance loop in generalised anxiety, behavioural experiments and interoceptive work in panic, graded exposure in social anxiety, and reattribution work in health anxiety. Where the work calls for it, I draw on Rational Emotive Behaviour Therapy (REBT) and Acceptance and Commitment Therapy (ACT) to address the harsher self-talk and the relationship to uncomfortable internal experience. The structure stays evidence-based; the pace is set with you.
What a course might look like
Sessions are 50 minutes, typically weekly. The first one or two sessions are used to build a shared formulation of how the anxiety is maintained for you. We then agree a focused course of work and review progress every four to six sessions, adjusting the framework as needed. The total length of work varies per person and is discussed openly rather than promised in advance.
Next step
If what you have read here fits what you are experiencing, getting in touch is straightforward. Henry responds to all enquiries personally, typically within one working day. An initial call carries no commitment.