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Why stopping therapy is not the same as ending psychotherapy

In psychotherapy there is a lot of focus on patients coming to therapy – the start. Prospective patients will often mull over starting psychotherapy for a long time and it is not infrequent that they have “false starts” where they perhaps research a therapist, only to abandon the process in favour of some less confronting…

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How to navigate influx in a noisy world

It is possible that we have never had as much information and as many opinions available as we have now.  We can seek guidance, knowledge and understanding with incredible ease. We can also find ourselves subject to an often confusing volume of opinions. How do we develop and maintain our sense of self, with our…

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Hope as survival: psychoanalysis and poetry

Hope in uncertain times As an Arab-British woman of Iraqi descent with an Iranian name, whose childhood homes were both Lebanon and the UK, hope is hard to find in these times. Emily Dickinson created an evocative metaphor for hope, ‘That thing with feathers’, described as perching within the soul, a presence that ‘sings the…

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When we stop seeing each other as individuals

The psychic life of categorisation We live in a moment saturated with the language of categories. Societal hierarchies sort humans into columns of belonging and threat. Political discourse strips complex differences, lives, experiences and humanity into slogans. Social media rewards the most reductive version of any argument. In each of these arenas, something is happening…

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What is trauma bonding?

Sometimes we can get pulled into relationships that are confusing and painful, and yet at the same time we are drawn to stay in them, almost in an addictive way. These relationships often follow a cycle of pain and hurt, which is followed by periods of kindness and loving attention. This cycle of pain and…

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Re-wiring the past: travelling back to move forward

When emotions feel disproportionately intense People often come to therapy because something in the present feels unexpectedly intense and unsafe. A wave of anxiety engulfs us. Shame flares up where none seems warranted. A familiar sense of collapse, anger, or fear takes hold before there is time to think. Cognitively, many people can see that…

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How the mind learns to think rather than react

The concept of thinking might sound straightforward and instinctive. In many situations, particularly with practical matters, such as working out the best route to get to work or deciding what colour to paint your child’s bedroom, it could be as simple as going into problem-solving mode, doing some research, and making a decision.  However, when…

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Understanding trauma responses

But it was so long ago! When remembering a traumatic event feels as frightening as, or even more frightening than, living it. People often come to therapy with an awareness of past challenging events impacting their current lives. It is common to feel frightened and unable to think about those events when they have been…

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The rise of one-sided relationships

The rise of one-sided relationships is becoming increasingly difficult to ignore. We are seeing it in the growing phenomenon of intimate relationships with chatbots. We are seeing it in the rise of misogyny, more recently exposed in Louis Theroux’s latest documentary on the manosphere where men who want relationships with women entirely on their own…

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How Psychotherapy can make you wealthy

OK, so I have got your attention. Let’s delve deeper into this. I am not advocating psychotherapy as a way of getting rich. That would cheapen it, and it would miss the point. Psychotherapy is a profound good in and of itself. It is one of the few places in modern life where you are…

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Repetition compulsion: why we repeat the past and how therapy helps

We often speak about ‘moving on’ as if the past were another country that we might simply depart. But we can no more exit our history then we can escape our own shadow; if only it were that easy. We act out our past in the present with varying degrees of conscious awareness over and…

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The value of clinical supervision: A reflective and relational practice

Clinical supervision is a requirement for both trainee and experienced psychotherapists and counsellors. Beyond its regulatory function, it is a central pillar of ethical practice, professional development, and ongoing learning. At its core, supervision is a relational process that supports clinicians in thinking more deeply about their work and about the emotional worlds of their…