The relationship Psychotherapy is fundamentally an exploration of how we relate to ourselves and to others, and the client, therapist relationship is no different. The relationship that develops between client and therapist exists within contractual boundaries, but it is also about people being present and connected. There are moments of great attunement in which the…
At the heart of every relationship lies a tension between safety and uncertainty. Safety allows us to let go of our worries and feel secure in ourselves and our relationships. But too much safety can make life feel flat and stuck. While uncertainty can keep us and our relationships feeling alive and open to growth,…
Having previously explored the compulsive use of pornography, I wanted to continue reflecting on what it’s like to work with clients who consider their use to be excessive. Should I talk about my therapy? A common question that arises is, ‘should I talk about my therapy’? Clients sometimes ask whether they should speak to their…
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…
The formation of identity is never a solitary endeavour. From our earliest moments, we develop a sense of who we are through relationship—first with primary caregivers, then with siblings, peers, and the broader cultural world. Yet this process of coming to selfhood while remaining in relationship with others presents profound psychological challenges, particularly when differences…
In the therapy room, shame – which we often hide, almost at any cost – frequently hinders progress. Clients sometimes conceal aspects of their behaviour they fear are shameful, such as viewing pornography, taking class A drugs, or losing their temper. This is because it is perhaps one of the most intense and complex feelings…
What is NVR? Non Violent Resistance (NVR) is a powerful, relational approach that supports parents facing violence, aggression, controlling behaviour, or destructive family dynamics. It is equally valuable for families who feel overwhelmed, depleted, or stuck in unhelpful patterns, even when violence is not present. At its heart, NVR helps families recognise unhelpful dynamics, build…
Becoming a psychoanalytic psychotherapist is a deeply transformative process. It changes the way we understand others and gradually reshapes our relationship with ourselves. The training asks us to move through dense theoretical material while cultivating a steady emotional presence, and this mirrors the kind of work we hope to offer our clients. The water we…
Our early experiences can shape how we relate to ourselves and others in the present. Often, the survival strategies we developed in childhood can remain with us well into our adult life. One lesser-known but very important survival response is called ‘fawning’, and is often discussed in the context of the other well-known responses of…
When disaster changes the course of life, the effects are rarely contained to the moment of crisis. The visible damage is often matched by hidden struggles that surface in the days, months, or years afterwards. In my own work, I have sat alongside people who have faced devastating events, and I have seen how deeply…
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…
For some children, school is a place of growth, friendship, and discovery. For others, however, walking through the gates each morning can feel like an uphill climb. The school day may seem long, and the combination of lessons, friendships, and expectations can stir emotions that children find difficult to express. Parents often notice the signs…
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,…
Two key issues with large online therapy platforms One of the first things I tend to ask new patients in a consultation is about their previous experience of therapy. Increasingly, I’m hearing that somewhere along this journey they have tried an online therapy platform – such as BetterHelp or Talkspace. This isn’t surprising. The advertising…
We all experience negative thoughts and sometimes these thoughts can be painful, undermining and leave us feeling worthless. Some people simply try to tolerate them, and others might feel they are deserved – or even criticise themselves for having them in the first place. But is there another way to work with negative thoughts? What…
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…
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,…
EMDR has become one of the most talked-about psychotherapy treatments – and for good reason. Extensive research has shown that it is one of the most effective approaches developed so far for trauma and chronic pain. It is recommended by the National Institute for Clinical Excellence (NICE). The acronym stands for Eye Movement Desensitization and…
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….
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…