A broken mirror showing the distorted reflection of a person.

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,…

A wooden bench in the corner of a room.

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…

A cartoon of a robot hand reaching for a human hand.

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,…

One hand handing a paper heart to another hand.

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….

A smart phone screen.

Dissociative identity disorder: A rare trauma response, not a social trend

In recent years, Dissociative Identity Disorder (DID) has become a trending topic on social media, particularly on platforms like TikTok. Short-form videos often depict individuals rapidly switching between so-called “alters,” complete with visual and behavioural cues. The implication—sometimes explicit, often subtle—is that these portrayals are representative of DID. They are not. Clinically, DID remains one…

A robot finger touching a human finger.

Can AI offer therapy?

There is currently a great deal of noise and speculation about whether artificial intelligence (AI) can provide therapy. There are strong advocates on both sides of the argument, and evidence would suggest that, at least to some degree, AI can provide what some describe as ‘therapy’. The NHS, in part driven by its chronic funding…

A single wooden chair standing in a dark room.

Why staying in your chair is the key to being a good psychotherapist

When working with trainees and supervisees, I frequently refer to the need for a psychotherapist to ‘stay in their chair’. Let me explain. Psychotherapy is a relationship. It is a very intimate and unique relationship between the clinician and their patient, which is principally about the needs of the patient. This, however, does not mean…

The face of a woman sleeping.

What do dreams mean?

We all dream – whether we remember them or not. And there is plenty of fascination about dreams and what they may mean, ranging from nothing at all, to being a means and method of understanding a patient’s unconscious. In 1899, Sigmund Freud wrote The Interpretation of Dreams outlining his theory of the unconscious and…

A hand holding a lit sparkler.

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…

Christmas decorations.

Twixtmas – surviving that dreaded time between Christmas and New Year

Twixtmas, that time between Christmas and New Year seems to be a particularly difficult time for many. Why is this? The build up to Christmas and the accompanying excitement for some, and anxiety for many, can leave us feeling depleted and down in the immediate aftermath of the big day. Perhaps a lot of why…

A Christmas tree with decoration.

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…

A person on top of a hill raising their arms to the sky.

How do you get self-esteem?

Self-esteem is often spoken about and seen as something that we should be aspiring towards. However, what is less clear is exactly what constitutes ‘self-esteem’ and how we can best define this concept. What is self-esteem? Well, according to Jordan Peterson it simply does not exist. However, he is in the minority with this. Whilst…