The first session is an opportunity to understand what has been happening and what you would like to change. I will ask a number of questions about your current difficulties, relevant history and what you have already tried. We will begin to develop a shared formulation (a working map of the pattern), and consider whether working together feels like a good fit.

Yes. I offer sessions both in Central London (W1W) and online via Zoom. Neither format is inherently “better”, it depends on your preferences, goals, and practicalities. Online therapy can be effective and convenient, while in-person sessions can feel more containing for some people. We can discuss what is likely to work best for you during a brief introductory call.

A short message is enough. It helps if you include:

• Whether you are seeking in-person (Central London/W1W) or online sessions

• A brief summary of what you would like help with (e.g., PPS/physical symptoms, burnout, anxiety, relationship patterns)

• Your availability (a few preferred days/times)

• Whether you plan to use insurance or are self-funding (and, if insurance, the provider)

Yes. I offer a brief introductory call to clarify what you are dealing with, what you would like to change, and whether my approach feels like a good fit. If we decide to proceed, we can then arrange an initial consultation session to explore things in more depth.

Yes. I specialise in stress-related and medically unexplained (persistent) physical symptoms (PPS). Therapy focuses on mapping the mind-body cycle linking sensations, attention, emotion and behaviour, and reducing symptom fear and avoidance/reassurance loops, alongside appropriate medical care.

Not always, but it is important to rule out urgent or treatable medical causes. If symptoms are new, severe, worsening or have not been appropriately assessed, I will encourage you to consult your GP/consultant alongside therapy.

This depends on your goals and the nature of what you are working with. Some people benefit from time-limited work focused on a specific difficulty, while others choose longer-term therapy for more established patterns. We review progress regularly so the work remains contained, purposeful and responsive.

Weekly sessions are recommended, particularly at the start. Sessions are usually held on the same day and time each week unless otherwise agreed.

Fees are listed on the Fees page. If you plan to use insurance, please check your policy terms and obtain authorisation where required.

Yes. I am registered with major insurers including Allianz, Aviva, AXA, Bupa (UK & Global), Cigna Global, Vitality and WPA. Authorisation and policy terms apply.

I can provide a brief letter confirming attendance where appropriate. I can also provide a brief report for insurance purposes (for example, to support an extension of treatment). I do not offer medico-legal reports. If you may need documentation, please raise this early so we can clarify scope, consent and any associated fees.

Yes. Confidentiality is a core professional standard. There are limited exceptions (for example, serious risk to you or others, safeguarding or legal requirements). We will discuss confidentiality clearly at the start.

Contact between sessions is usually for scheduling or practical matters. Clinical content is best explored in sessions, where we can work with it safely and effectively.

That is common, especially if you have tried to cope alone for a long time. An initial consultation can help you clarify what you are dealing with, what a helpful focus might be and whether this approach feels right for you.

You can contact me via the Contact page to arrange an initial consultation. If emailing, it helps to include whether you are seeking in-person or online sessions and a brief sentence about what you would like help with.

The Psychology Clinics is not a crisis service. If you or someone else is in immediate danger, call 999 or go to A&E. If you need urgent mental health support but it’s not an emergency, contact NHS 111.