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Post-Traumatic Stress Disorder (PTSD) Therapy in Central London (W1W) & Online

For people living with triggers, hypervigilance, emotional numbness, or intrusive memories

PTSD can involve intrusive memories, nightmares, hypervigilance, avoidance, and emotional shutdown. Many people appear functional but feel internally unsafe or constantly alert.

I offer PTSD therapy in Central London (W1 / W1W) and online. My work integrates evidence-based approaches including EMDR, ISTDP-informed therapy, and psychodynamic work, with careful pacing and attention to stabilisation.

When PTSD shows up

  • flashbacks, nightmares, intrusive images
  • strong body reactions to triggers
  • avoidance of reminders
  • irritability, startle responses, sleep disruption
  • emotional numbness or detachment

The PTSD maintenance cycle

  • Trigger activates threat memory network
  • Body reacts as if danger is present now
  • Avoidance/restriction reduces distress short-term
  • Long-term: triggers gain power, life narrows, vigilance increases

How ISTDP understands trauma responses

From an ISTDP perspective, trauma can leave the nervous system highly reactive and emotions difficult to access safely. Therapy focuses on building capacity to experience feelings and body responses without flooding, alongside processing where appropriate.

How therapy helps

We work to:

  • stabilise the nervous system and reduce avoidance
  • build tolerance for internal experience safely
  • process trauma memories when indicated (often with EMDR)
  • rebuild trust, boundaries, and emotional connection

What sessions look like

Early sessions:

  • stabilisation + trigger mapping + pacing plan

Ongoing work:

  • processing + integration + rebuilding life-space

Related ways I work

  • EMDR – when distressing memories are central
  • ISTDP/psychodynamic work – for emotion, shame, relational impact

You may also find these pages helpful:

Frequently asked questions

Will I have to relive trauma?

No. Processing is paced and collaborative.

Is EMDR always needed? 

Not always, we decide based on your presentation.

W1W/online? 

Yes.

Insurance? 

See Fees & Insurance.

Next steps