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…
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…
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…
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,…
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,…
Why psychotherapists must remain vigilant about boundaries Despite training, supervision, and ethical guidelines, psychotherapists—like all human beings—remain vulnerable to lapses in judgment. At best, these take the form of clinical misattunements. At worst, they can result in serious boundary violations with lasting harm. Understanding the structural and psychological functions of boundaries is essential to safeguard…
The importance of boundaries in psychotherapy I think it’s probably fair to say that all models of psychotherapy view boundaries as important. Analytic therapies particularly emphasise the role of boundaries and see them as integral to the psychotherapeutic process. There are many ways of understanding why boundaries are crucial. When I reflect on my work…
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…
As a psychotherapist, I’ve come to understand healing as a profound journey—not unlike the transformative experience described in the photo of the welcome sign below, sent to me by a colleague who has recently walked the Camino de Santiago. Just as pilgrims leave behind their familiar comforts to venture into the unknown, therapy invites you…
When life feels like it’s getting on top of us, it can feel like there’s no space for our thoughts and feelings to be heard. This can make us feel isolated, and the problems we’re trying to deal with seem a lot worse. This points to the core of what therapy offers: physical and psychological…
Couples Counselling or Couples Therapy can help the couple communicate better, look at past influences on present behaviour and help the individuals within the couple understand themselves and their partner better. Depending on approach to couples therapy, the therapist will either work with the here-and-now issues and provide the couple with tools to better communicate…