From Narcissus to the Ordinary: How psychotherapy treats narcissism

If narcissism has become the cultural diagnosis of our time, psychotherapy remains one of the few places where the concept can be approached without hysteria. In popular culture, narcissism is often treated as a category of person, the narcissist, as though a character style were identical with the whole human being. In clinical work, this…

The Age of Narcissism or the Age of Mirrors? Social media, belonging, and self esteem

Narcissism has become a cultural obsession. It is discussed as though it were a new epidemic, a modern pathology spreading through society like a virus. The phrase “age of narcissism” is now so common that it is rarely questioned. Yet when we look closely, a more accurate formulation emerges. It is not that narcissism is…

Ovid’s Myth of Narcissus and Echo: Narcissism is nothing new

Narcissism is one of those clinical terms that has escaped the consulting room and taken on a life of its own. Like many borrowed psychological ideas, it has been flattened. In popular culture, narcissism is routinely used as a moral verdict, a convenient label for a certain kind of person who is selfish, callous, entitled,…

Is starting psychotherapy a good New Year’s resolution?

Most of us make some sort of New Year’s resolution, whether overtly or covertly.  The new year can feel like an opportunity to put the past behind us and to start afresh. Whether or not we actively name and own our New Year’s resolutions, most of us can also attest to the best held intentions…

How to minimise Christmas stress if you’re hosting

Christmas can be an emotionally challenging and difficult time for many of us. There is such expectation on how Christmas ‘should’ be, yet like the weather, it often fails to deliver on the ‘winter wonderland’ scenes on the TV adverts. For so many of us our family experience often falls far short of the loving…

Is there something wrong with me for hating Christmas?

Everybody loves Christmas. That’s a fact. At least if you watch how it is portrayed by the media and subscribe to the collective mania of ‘preparing for the big day’………. Of course, the reality is that many of us find Christmas difficult and for some it can feel unbearable. We have the statistics for this…

In therapy the past repeats until it can be let go of

A foundational principle of depth therapy is that until mourned, the past is never truly past. It lives on in the present in our relationships shaping how we see others, how we see ourselves and in how others see us. In the consulting room, this process plays out much the same way as it does…

AI psychosis: why depth therapy cannot be automated

Artificial Intelligence is increasingly being promoted as a tool for psychological support, whether through chatbots, self-help apps, or experimental “AI therapists.” The proposition is seductive: instant access, apparent empathy, and cost-effective delivery. Yet beneath the promise lies a profound risk, one I would call “AI psychosis.” By this I do not mean psychosis in the…

All depth psychotherapy is trauma therapy – and the rest is marketing

Spend ten minutes on social media and you’d think trauma therapy is a rare, specialist service that only a select few therapists can offer. The implication is clear: most therapy isn’t “trauma-informed,” so you need to shop for the right label. This is marketing, not clinical reality. If you are in depth psychotherapy, psychoanalytic, psychodynamic,…

Why there is no such thing as a patient

Winnicott’s radical insight: There is no such thing as a baby Winnicott’s claim that “there is no such thing as a baby” is one of those deceptively simple psychoanalytic truths that resists being reduced to metaphor. He wasn’t being poetic. He meant it literally: there is no baby in isolation. There is always a baby…

How AI tools between therapy sessions are undermining the therapeutic relationship

The space between psychotherapy sessions is not empty. It is saturated with psychic material such as fantasy, frustration, longing and resistance. It is where the work reverberates, where the transference lives on, where the unconscious continues its motion. Yet increasingly, this space is being colonised by something that feels helpful: AI therapy. Apps that prompt,…

Masochism and the impossibility of desire

Masochism is perhaps one of the most misunderstood clinical structures in psychoanalytic psychotherapy. It has been removed from the DSM for largely political reasons and has thus disappeared from the psychological lexicon. It is a term that is conflated with victimhood, reactivity, or submission; however, its true meaning as a personality style is more complex….