John J Ahearne - LCaP

Counselling and Psychotherapy in London

Angel Islington, Holborn, Bond Street, Cavendish Square, Oxford Street, and Marylebone


John J Ahearne - LCaP

(London Counselling and Psychotherapy)

Integrative Therapeutic Talking & Listening Therapy, through a Psychodynamic Lens

Accredited Counsellor and Psychotherapist with clinics across Angel N1, Islington EC1V, Holborn, Bond Street, Cavendish Square, Oxford Circus, the West End, and Marylebone.

Face-to-face & online counselling sessions for adult individuals, couples and other relationships (family and non-traditional).

John J Ahearne - LCaP

Welcome to my website

I am a qualified and accredited counsellor with clinics across Angel, Islington London, Holborn, Bond Street, Cavendish Square, Oxford Street, the West End, and Marylebone.

I am committed to providing counselling, psychotherapy, and talking therapy in a safe, confidential, and non-judgmental environment. I work with individuals and couples using an open-ended counsellor approach or for an agreed-upon period to enable you to enhance your life experience(s) and live them more fully.

I understand that seeking out therapy might be a difficult decision for some, but I firmly believe that when an individual makes that step, it is because they are ready for change and growth. Using my counsellor training and counsellor knowledge, I will work with you towards a better awareness of yourself and yourself in relation to those around you.


Nothing you say will shock me, and everything you say is always confidential.


Together, we will recognise and explore patterns in yourself and others, what your triggers are, and where those patterns may have originated. I do not believe in immediate fixes; rather, most issues are relational problems.

I work from clinics in Angel, Islington London, High Holborn, Holborn, Bond Street, Wimpole Street, Cavendish Square, Oxford Circus and Street, the West End, and Marylebone. Currently, I have availability in Islington, West End and Marylebone

It's about the relationship we have with a problem that causes us pain; how you react to a topic, person or life event that causes upset in your personal and/or professional life.

“Being entirely honest with oneself is a good exercise.”

– Sigmund Freud

”The fact that grief takes so long to resolve is not a sign of inadequacy, but betokens depth of soul.”

– Donald Winnicott

“Happiness is when what you think, what you say, and what you do are in harmony.”

– Mahatma Gandhi

“Let me say to begin with: It is not neurotic to have conflict...Conflicts within ourselves are an integral part of human life.”

– Karen Horney

“How people treat you is their karma; how you react is yours.”

– Wayne W. Dyer

“It is a joy to be hidden, and disaster not to be found.”

– Donald Winnicott

“The primary cause of unhappiness is never the situation but your thoughts about it.”

– Eckhart Tolle

The Process for starting

The process is something like this:


  • We have an initial 15-minute telephone call.
  • You tell me a little bit about what is going on for you and why you have reached out for counselling and psychotherapy.
  • I will tell you a bit about what I can offer you as an integrative therapist.
  • If by the end of the telephone consultation we are both happy to go ahead, we move on to looking at both our diaries to agree on a weekly day/time slot for each week in person at Angel, Islington, Holborn, Bond Street, Wimpole Street, Oxford Street, the West End, and Marylebone. I also offer online counselling sessions or hybrid counselling sessions.
  • I offer a once-weekly model, which can be short-term therapy or long-term therapy (open-ended).


  • If you would prefer a full in-person assessment session in Angel, Islington London, Holborn, High Holborn, Bond Street, Wimpole Street, Cavendish Square, Oxford Street, the West End, and Marylebone, please do ask.

Couns.Dip, Cert.Psych, MBACP

Enhanced DBS Renewed March 2026

My locations

I am a qualified counsellor offering face-to-face counselling and psychotherapy services in Angel Islington, Holborn, High Holborn, Bond Street, Wimpole Street, Cavendish Square, Oxford Street, the West End, and Marylebone, London.

I also offer online counselling sessions via the secure platform Zoom or VSee. Hybrid online and face-to-face counselling sessions are also available.

Angel N1 & Islington

EC1V Counselling & Psychotherapy




Holborn, High Holborn & Chancery Lane Counselling & Psychotherapy




Oxford / Bond / Wimpole St, Manchester Square W1U Marylebone Counselling & Psychotherapy

Harley Street, Cavendish Square, Oxford Circus W1G Marylebone Counselling & Psychotherapy

Fees & availability

  • Adult Individual Counselling and Psychotherapy: £90 - £145 per therapeutic session (50 minutes)


  • Adult Individual Counselling and Psychotherapy: more than once per week: £90 per therapeutic session (50 minutes)


  • Adult Couple Counselling and Psychotherapy/ Separation Therapy: £135 - £185 per therapeutic session, depending on time of day & length of session


  • Other Relationships Counselling and Psychotherapy: £135 - £185 per therapeutic session, depending on time of day and length of session


I am available for a free 15-minute conversation on the telephone for clients to discuss what they want out of therapy. Please ask about an in-person full assessment session if you prefer—in Angel, Islington London, Holborn, High Holborn, Bond Street, Wimpole Street, Cavendish Square, Oxford Street, the West End, and Marylebone.

Get in touch

Feel free to contact me if you have any questions about how counselling or psychotherapy works, or to arrange an initial assessment appointment. This enables us to discuss the reasons you are thinking of coming to counselling, whether it could be helpful for you and whether I am the right therapist to help.


You can also call/text/WhatsApp me on 07549 165 155 if you would prefer to leave a message or speak to me first. I am happy to discuss any queries or questions you may have prior to arranging an initial appointment.


All enquires are usually answered within 24 hours, and all contact is strictly confidential and uses secure phone and email services.

Most common searches when seeking out therapy

(source: counselling directory)

  • Anxiety
  • ADHD
  • Depression
  • Low self-esteem
  • Low self-confidence
  • Family issues
  • Trauma
  • Stress
  • Bereavement
  • Couples therapy
  • Mental health
  • Feeling sad
  • Loneliness
  • Addiction
  • LGBTQ+ counselling
  • Kink aware therapy
  • Wimpole Street Counselling
  • Childhood trauma


  • Neurodiversity
  • Person-centred therapy
  • W1G Psychotherapy
  • Social anxiety
  • Anger management
  • Integrative counselling
  • Panic attacks
  • Sex problems
  • Attachment disorder
  • Cognitive and behavioural therapies
  • Psychodynamic therapy
  • Health anxiety
  • Islington Counselling
  • Suicidal thoughts
  • Affairs and betrayals
  • Boarding school trauma
  • Holborn Psychotherapy


  • Eating disorders
  • Abuse
  • Work-related stress
  • Generalised anxiety disorder
  • Dissociation
  • Perfectionism
  • Islington
  • Marylebone Counselling
  • Alcoholism
  • Emotional abuse
  • West End Counselling
  • Chancery Lane Counselling
  • Self-harm
  • Sexual abuse
  • Binge-eating disorder
  • Psychoanalytic therapy
  • Adverse childhood experiences (ACE's)


John J Ahearne - LCaP - Counselling and Psychotherapy in Angel Islington

Monthly Spotlight - November

When belonging feels under threat

When it feels dangerous to disagree

There are families in which a person can ask an ordinary question and find, quite suddenly, that they are defending who they are.

The question might be: Why has the plan changed? The answer comes back: Why do you always have to make things difficult?

Something has shifted. A conversation about what happened has become a conversation about what is supposedly wrong with the person asking. And because it is happening in a family, the people arriving at that judgement may be the very people the person would ordinarily turn to for reassurance.

Through a psychodynamic lens, this is one way to begin thinking about persecutory anxiety (Klein, 1946). The phrase can sound rather severe. In everyday language, it might mean that someone begins to expect criticism, humiliation or rejection from people whose affection matters to them. They wonder what might be used against them next, or what will happen if they say what they actually think.

There may be a history behind that expectation. There may also be something happening now that gives them good reason to feel it. The two are worth thinking about together.

A family celebration

This is a fictionalised vignette. The setting and details have been changed.

An adult agrees to help organise a celebration for a parent. The family welcomes the offer. There are messages about who will do what, and the person starts making arrangements.

At a family gathering, an older sibling questions whether they are the right person for the job. Their mother says that it was already agreed. Their father says nothing. A second sibling sides with the first, and before long the family is discussing who will take over.

The person asks what has changed. They are told it is only a celebration and there is no need to make such a fuss. They ask again because the question still has no answer.

They had previously told the family they were neurodivergent and that it helped to have changes explained clearly, with time to take them in. Instead, the conversation speeds up. By the time they have worked out what they want to say, the family has moved on.

Later, a sibling sends a private message: I did think it was unfair. But please don’t bring it up again. Mum’s upset.

The celebration goes ahead.

The person can accept that someone else may end up organising it. What they struggle to understand is how an agreement could be withdrawn, how quickly their objection became a fault, and why the sibling who understood had nothing to say when it might have made a difference.

Through a psychodynamic lens: how a family creates the anxiety it wants to escape

Melanie Klein’s writing on persecutory anxiety is useful here because it pays attention to what happens when danger seems to come from within an important relationship. When fear is intense, it can be hard to hold together different aspects of the same person: the mother who defended the agreement and the mother who did not follow through; the sibling who understood privately and the sibling who stayed silent in front of everyone. Klein’s account of splitting offers a way to think about why these contradictions can be so hard to bear (Klein, 1946).

The family may simplify its story too. The sibling who seems to have things under control becomes the sensible one. The person asking what happened becomes the difficult one. Once those roles take hold, almost anything can confirm them. If the person insists on an answer, they are argumentative. If they go quiet, they are sulking. There is very little they can do that will be understood outside the story already being told about them.

This is how anxiety can build between people. Someone senses the room turning against them and tries harder to be understood. The family hears the urgency and becomes more impatient. That impatience gives the person further reason to believe their place is at risk.

Klein’s ideas help give language to the experience. They should never be used to tell someone that a real rejection was imagined, or to suggest that feeling under attack amounts to a diagnosis.

Bion: when one person does the thinking for everyone

Bion distinguishes between a group’s ability to work on what it came together to do and the emotional pressures that can take over while it does so. He calls the former work-group functioning. A family working together can look at the messages, remember the agreement and ask what has changed. It can hear an objection and take time to consider it (Bion, 1961).

But there is relief in letting somebody else decide, especially when disagreement might upset a parent or expose a rift between siblings. Bion’s (1961) idea of dependency helps make sense of this. An influential sibling speaks decisively, and others begin to rely on their judgement. The sibling’s power comes partly from what the family is willing to hand over. The mother’s initial objection fades. The father’s silence may mean several things, but it leaves the sibling’s account with one less challenge.

There is also something of Bion’s (1961) fight–flight idea in what happens next. At first, the difficulty is an unexplained change of plan. Then it becomes the person who keeps asking about it. Move that person aside and the arrangements can continue. The family may feel calmer, while the person left out has more reason to feel anxious.

Menzies (1960), in her study of a hospital nursing service, explored how habitual ways of working could protect a group from anxiety while making it harder to do its work well. A family is a different setting, but the idea offers a useful question: Who pays for the peace? If the quickest way to restore calm is for the same person to give way, the arrangement may feel settled to most of the family while leaving that person increasingly anxious about speaking.

Containment: making room for what happened

Bion’s idea of containment suggests what a different response might look like. Someone could have said, “We did agree to this. Something has changed, and we need to talk about it before giving the job to someone else.” A parent or sibling would still be free to disagree. Their intervention would make the disagreement something the family could think about together (Bion, 1962).

Bion’s (1959) paper on attacks on linking offers another way of thinking about what gets lost. He was writing about clinical experience. Applied cautiously here, the idea draws attention to what happens when a conversation repeatedly breaks the connection between an event and the feelings it produced. Mum’s upset may be true. But if that becomes the whole story, the change of plan, the public challenge and the question nobody answered all drop out of view. The person’s distress then seems to have appeared out of nowhere.

Therapy might begin by making room to recover those connections. The person can return to the parts of the story that still confuse them. They might notice how much changed when their mother stopped speaking, or how the private message felt comforting at first and painful later. There is time to find out why those moments mattered.

Mother, father and siblings: the loyalties underneath

The most painful part of the story might be different for each person reading it.

For one, it might be the mother giving some indication that she understood, then becoming the person whose upset everyone was expected to protect. For another, it might be the father’s silence. For someone else, it might be the private message from the sibling. It confirms that somebody saw what was happening, but it also asks the person who was hurt to help keep it out of sight.

These are positions people occupy in a particular family. A father can be the person everyone protects; a mother can be the one who goes quiet. A sibling can also be the person who makes a difference by saying openly what others will acknowledge only in private.

Bowen’s idea of triangles helps make sense of how quickly a disagreement can become a matter of loyalty. Instead of two people speaking directly, another person is brought in to carry a message, lend authority or absorb tension (Bowen, 1978). In the story, the sibling’s message carries both sympathy and a request to protect the mother from further upset. Asking for an answer now risks being heard as a refusal to care about Mum.

Edmondson’s (1999) research on psychological safety concerned workplace teams, but it suggests a useful question to ask of this family: What would it have cost the sibling to say in front of everyone what they later said in private? That leaves room to think about the sibling’s fears as well as the loneliness of the person who was left to speak for themselves.

If this pattern repeats, anxiety can arrive well before the next disagreement. A family message comes in and the person is already wondering what they have done wrong. On the way to a visit they rehearse an ordinary question. At the table they look from one parent to the other before deciding whether to finish a sentence.

Williams’s (2009) work on ostracism helps explain why exclusion can stay with someone: it can affect belonging, self-esteem, a sense of control and the feeling that one’s presence matters. The disappointment of losing a role is real. What may hurt for longer is discovering that a relationship felt more secure before it was tested.

Being neurodivergent in a family that thinks it already knows you

One of the difficulties of being known by a family for a long time is that people can feel quite certain they know what something means. A parent hears a direct question and recognises what they have always called an attitude. A sibling sees someone go quiet and assumes they are sulking. The family’s familiarity can make it harder for them to stop and ask whether they have understood.

The person in the story had already said what would help: a clear explanation and time to take it in. That was relevant to the situation. They were trying to reconcile a plan that had been agreed in writing with a conversation proceeding as though the agreement no longer mattered. At the same time, they had to follow several voices and work out whether the people they usually relied on would support them.

There is a particular frustration in needing an explanation just as everyone else is eager to move on. The more the person tries to clarify what happened, the more their questions may be heard as a refusal to accept it. A request for clarity becomes something the family thinks it has to manage.

A pause can be misread in much the same way. Someone may be working out which part of a conversation they need to respond to first. Others may assume they have accepted the decision. When the person comes back later with a clearer response, they hear, Why are you bringing this up again? From their point of view, this may be the first time they have been able to say what they meant.

Neurodivergent people differ in what they need. For some, a quieter conversation makes it easier to follow what is being said. Others may prefer a short written explanation, or the freedom to respond later without the delay being held against them. The important thing is to ask and take the answer seriously. Knowing that someone is neurodivergent does not tell a family what every reaction means.

Damian Milton’s (2012) account of the double empathy problem is useful here. He invites us to think about how understanding can break down between autistic and non-autistic people. In one study, Crompton et al. (2020) asked adults to pass a story along a chain. More detail was lost in the mixed autistic and non-autistic chains than in the chains made up entirely of autistic or entirely of non-autistic participants. Those sources concern autism specifically; they do not tell us how every neurodivergent person communicates. They do invite a question that applies to the vignette: What did the family do to make it possible for this person to understand and be understood?

Misunderstanding can go both ways, but people may have very different power to decide whose interpretation stands. If the influential sibling can call a question rude and bring the discussion to a close, the person asking has little chance to explain what they meant. Over time they may rehearse more, ask fewer questions or stop telling the family what would help. To everyone else, they may seem to be coping better. They may simply have learnt what it costs to ask.

A pluralistic perspective: what would help this person now?

Some people come to therapy wanting to understand why an encounter has affected them so deeply. Others want help with something immediate: whether to answer a message, how to manage the next gathering, or what to say if the story is repeated in front of them.

A pluralistic approach makes room for those different goals. Cooper and McLeod (2007) suggest working together on what the person wants from therapy, what might help them get there and how they would like to do that work. One session might involve untangling the sequence of events. Another might involve trying out words for a boundary. At another point there may be room to consider the disappointment beneath the anger: The person I wanted to stand beside me did not.

Through a psychodynamic lens, therapy can also help someone explore what they learnt to notice in their family and why. Their alertness may once have helped them recognise when closeness was at risk. The work can involve distinguishing what that alertness is telling them now from what they have learnt to expect. A person can carry an old fear and still be reading something accurately in the present.

The pace of therapy matters here. A person may want to write something down between sessions, ask for one question at a time or ask the therapist to be more direct. Someone who has often had their meaning decided for them may also need to discover that they can say, “That interpretation doesn’t fit,” and find the therapist still interested. That exchange can itself become part of the work.

An ethical perspective: being heard without having to perform calmness

The BACP Ethical Framework for the Counselling Professions gives these questions a practical footing in therapy: communicate respectfully, attend to differences in power, avoid assumptions and consider reasonable adjustments. Its provisions on respect, C 1.1, and fairness, C 4.4, are especially relevant (British Association for Counselling and Psychotherapy, 2026). The framework concerns professional practice. The family story helps show why those commitments matter when a person brings this kind of experience to therapy.

There is also a question of timing. In an experimental study, Lind, Kanfer and Earley (1990) found that people judged a process fairer when they could express their views, particularly when they were heard before a decision. In the story, a private conversation afterwards might help repair some of the hurt. It cannot give the person back the chance to be heard while there was still something to decide.

A therapist has influence too. It may be tempting to explain what a family encounter brings back from childhood. Offered too soon, that could repeat something familiar: another person in a position of authority deciding what the experience means before the person has finished telling it. Someone should be able to be upset, confused or slow to respond and still have what they say taken seriously.

Sometimes the work leads towards a conversation with a parent or sibling. Sometimes it brings grief about a relationship that may never offer the recognition the person has hoped for. Therapy can make room for that grief without making forgiveness or reconciliation a condition of feeling better.

The next family invitation may still bring anxiety. But there may be a little more space between receiving the message and feeling compelled to answer it. In that space, another question can emerge: What do I want from this relationship, and what would I need in order to take part?

References

Bion, W.R. (1959) ‘Attacks on linking’, International Journal of Psycho-Analysis, 40, pp. 308–315.

Bion, W.R. (1961) Experiences in groups and other papers. London: Tavistock Publications.

Bion, W.R. (1962) Learning from experience. London: William Heinemann Medical Books.

Bowen, M. (1978) Family therapy in clinical practice. New York: Jason Aronson.

British Association for Counselling and Psychotherapy (2026) Ethical framework for the counselling professions. Lutterworth: British Association for Counselling and Psychotherapy.

Cooper, M. and McLeod, J. (2007) ‘A pluralistic framework for counselling and psychotherapy: implications for research’, Counselling and Psychotherapy Research, 7(3), pp. 135–143.

Crompton, C.J., Ropar, D., Evans-Williams, C.V.M., Flynn, E.G. and Fletcher-Watson, S. (2020) ‘Autistic peer-to-peer information transfer is highly effective’, Autism, 24(7), pp. 1704–1712.

Edmondson, A. (1999) ‘Psychological safety and learning behavior in work teams’, Administrative Science Quarterly, 44(2), pp. 350–383.

Klein, M. (1946) ‘Notes on some schizoid mechanisms’, International Journal of Psycho-Analysis, 27, pp. 99–110.

Lind, E.A., Kanfer, R. and Earley, P.C. (1990) ‘Voice, control, and procedural justice: instrumental and noninstrumental concerns in fairness judgments’, Journal of Personality and Social Psychology, 59(5), pp. 952–959.

Menzies, I.E.P. (1960) ‘A case-study in the functioning of social systems as a defence against anxiety: a report on a study of the nursing service of a general hospital’, Human Relations, 13(2), pp. 95–121.

Milton, D.E.M. (2012) ‘On the ontological status of autism: the “double empathy problem”’, Disability & Society, 27(6), pp. 883–887.

Williams, K.D. (2009) ‘Ostracism: a temporal need-threat model’, Advances in Experimental Social Psychology, 41, pp. 275–314.


*AI assisted with the preparation of this Spotlight.

Get in touch

Feel free to contact me if you have any questions about how counselling or psychotherapy works, or to arrange an initial assessment appointment. This enables us to discuss the reasons you are thinking of coming to counselling, whether it could be helpful for you and whether I am the right therapist to help.


You can also call/text/WhatsApp me on 07549 165 155 if you would prefer to leave a message or speak to me first. I am happy to discuss any queries or questions you may have prior to arranging an initial appointment.


All enquires are usually answered within 24 hours, and all contact is strictly confidential and uses secure phone and email services.

CPD


I believe that psychotherapists' and counsellors' training should be lifelong to keep up with changes in models and best practices. Some of the continued professional development (CPD) courses I have completed over the years are listed below. These were mainly held at WPF, Tavistock, Freud museum, Ana Freud Centre, British Psychological Society, British Psychanalytic Council, Institute of Psychoanalysis, Stillpoint Spaces and the LSE:


  • Tavistock & Portman 2025 International conference on psychoanalysis and complex trauma: Collaborations and connections in uncertain times
  • Dark Continents: Psychoanalysis and Colonialism Revisited - Guild of Psychotherapists
  • Psychoanalysis & the trauma revolution - BCA
  • The Problems of Guilt - UCL Psychoanalysis Unit
  • BCA: It's Not in the Bottle: Research, Ethics, and Psychotherapy - Farhad Dalal
  • Psychoanalysis at the Margins: Care & Clinics for All - Guild of Psychotherapists
  • Schema Therapy & Addiction Recovery - Mark Dempster (Harley Street Addiction Psychotherapist)
  • Healing Addiction with Internal Family Systems Therapy
  • Prof Marc Lewis, PhD (University of Toronto)
  • Dopamine and the Neurobiology of Addiction - Dr Anna Lembke (Stanford University)
  • The OPUS Listening Post - Organisation for Promoting Understanding of Society
  • Surviving Coronavirus: working and living with trauma, anxiety and loss - WPF
  • Navigating Self and Other in a Changing World - Suzanne Worrica (WPF)
  • Coaching for Social Impact and Change - BACP
  • The Spirit of Psychotherapy - Professor Jeremy Holmes, Hallam Institute of Psychotherapy
  • Unequal Impact – The links between Environment Racism and Climate Change - Tavistock & Portman
  • Psycho-social Explorations of Trauma, Exclusion, and Violence - Association of Psycho-social Studies
  • Freud's Three Paradigms of Psychosis - Dr Leon Brenner
  • Psychoanalysis in Time of the Pandemic - Laurent Dupont
  • Brief Dynamic Therapy: A Psychodynamic Perspective - Dr Jonathan Smith
  • Addiction Pandemic? Attachment, Desire and Chemical Distractions
  • The Wisdom of Trauma and Talks on Trauma series - Dr Gabor Maté
  • A Matter of Death and Life - Irvin Yalom
  • Thinking about Gender in Clinical Practice - Hallam Institute of Psychotherapy
  • Knowing What Psychoanalysts Do and Doing What Psychoanalysts Know – UCL Psychoanalysis Unit & The Institute of Education (IoE)
  • MSc Psychodynamic Psychotherapy @ University of London
  • Goals in Therapy: Actualising Our Deepest Directions - Prof. Mick Cooper
  • Exploring the relationship between justice and compassion
  • Uncertainty: An Existential Perspective - Prof. Ernesto Spinelli
  • Psychoanalysis for the People - Tavistock
  • Racism: through a lens of FEAR
  • Tavistock Policy Seminar: Whiteness - A problem for our time
  • Wittgenstein, Lacan, and astonishment: Maria Balaska/Dany Nobus
  • Working with Trauma at the Tavistock: Tradition and innovative thinking
  • Understanding LGBTQ Terminology - workshop with Chloe Foster
  • Trans Awareness and Inclusivity - Del Campbell
  • A Day on the Third Wave - Weekend University
  • In the footsteps of Bick: Continuing the legacy of infant observation
  • An exploration of thinking under extreme interpersonal conditions
  • A Day on the Mind-Body Connection
  • Psychoanalysis and the Public Sphere: Social Fault Lines
  • On Ferenczi's 'Clinical Diary': Mutual Analysis, Orpha, Femininity
  • On Ferenczi's 'Clinical Diary': Trauma, Hypocrisy, Authority
  • Trumpocalypse, with David Frum
  • How Freud would have handled the Coronavirus, with Brett Kahr
  • How I Found My Voice: Margaret Atwood and Samira Ahmed
  • Happiness Lessons - with Prof. Laurie Santos
  • Psychopathy - Personality Disorder
  • You Can't Outshame Shame - Juliet Grayson and William Ayot
  • Anand Giridharadas on Capitalism in the Time of Corona
  • Constructivism, TA and the Corona Virus - Transactional Analysis Workshop
  • Working with Grief and Loss - Workshop with Ian Wallace
  • Relational Co-creative Supervision - Transactional Analysis Workshop
  • Coronavirus: Considering Our Responses And Responsibilities
  • How to Work with Your Clients Online

BOOKS



  • The Body Keeps the Score - Bessel van der Kolk
  • Object relations & relationality in couple therapy - James L Poulto
  • Mentalizing in Psychotherapy - Carla Sharp; Dickton Bevington and Peter Fonagy
  • Existential Kink - Unmask Your Shadow and Embrace Your Power - Carolyn Elliott
  • And How Does That Make you Feel? - Joshua Flethcher
  • The Games People Play - Eric Berne (Transactional Analysis)
  • Toxic Family: Transforming Childhood Trauma Into Adult Freedom - Susan Gold
  • Psychoanalytic Ideas series - Psychosis (Madness) & Perinatal Loss & Breakdown
  • Psychoanalytic theories: perspectives from developmenta psychopathology - Peter Fonagy & Mary Target
  • The Unconscious at Work - Anton Obholzer
  • Maybe You Should Talk to Someone - Lori Gottlieb
  • From Breakdown to Breakthrough: Psychoanalytic Treatment of Psychosis - Danielle Knafo and Michael Selzer
  • Kink-Affirming Practice - Culturally Competent Therapy from the Leather Chair - Stefani Goerlich
  • Mad, Bad and Sad - Lisa Appignanesi
  • Everyday Madness - Lisa Appignanesi
  • Thinking Space: Promoting Thinking About Race, Culture and Diversity in Psychotherapy and Beyond - Tavistock Clinic - Frank Lowe
  • Was it Ever Just Sex? - Darian Leader
  • Dreams That Turn Over a Page: Paradoxical Dreams in Psychoanalysis - Jean-Mitchel Quinodoz
  • Trauma and Recovery: The Aftermath of Violence--From Domestic Abuse to Political Terror - Judith Lewis Herman


Frequently Asked Questions

Counselling & Psychotherapy in Central London (W1, N1) and Online


How do you work as a therapist?

My work is pluralistic and integrative, grounded in a psychodynamic and relational approach. In practice, this means I pay close attention to how your early experiences, emotional patterns, and relationships continue to shape your present-day life, while also working collaboratively and flexibly.

Rather than applying a fixed model, therapy is shaped around you: what brings you now, what you need from the work, and how therapy feels as it unfolds. This reflects the way I describe my approach on my “How I Work” page.


What does “pluralistic” mean in your work?

Pluralistic therapy recognises that there is no single right way to do therapy. Different people need different things at different times.

We talk openly about what feels helpful, what does not, and what might be missing. This allows therapy to remain responsive rather than rigid, while still grounded in psychological depth.


What is the role of psychodynamic therapy in your work?

Psychodynamic therapy forms the foundation of my work. It focuses on how past experiences, particularly early relationships, influence how we relate to ourselves and others today.

People often come to therapy with insight but little emotional change. Psychodynamic work helps make sense of why certain feelings, reactions, or patterns persist, and allows space for these to shift over time.


Do you only work psychodynamically?

No. While psychodynamic and relational thinking underpin my work, I also draw on CBT-informed, attachment-based, and humanistic approaches where appropriate. This integrative way of working allows therapy to address both emotional depth and present-day difficulties.


What kinds of difficulties do people bring to you?

People come to me for many reasons, including:


  • anxiety, overwhelm, and emotional exhaustion
  • depression and low mood
  • relationship and attachment difficulties
  • repeating emotional or relational patterns
  • narcissistic injury and sensitivity to criticism
  • shame, self-criticism, and perfectionism
  • loss, grief, and complicated bereavement
  • work-related stress, burnout, and identity struggles

Often, people do not arrive with a clear diagnosis, just a sense that something feels stuck or painful.


Do you work with attachment issues and relational wounds?

Yes. Much of my work focuses on attachment patterns and relational wounds, particularly how early experiences of care, neglect, or inconsistency shape adult relationships. This can include difficulties with closeness, fear of abandonment, emotional withdrawal, people-pleasing, or feeling unsafe in relationships. Therapy offers a space where these patterns can be explored with care rather than judgement.


Do you work with narcissistic injury?

Yes. Narcissistic injury often appears as shame, perfectionism, emotional sensitivity, or fragile self-worth. It is not about labelling someone, but about understanding emotional injuries formed when a person’s feelings or needs were not adequately recognised. A psychodynamic and relational approach allows these experiences to be worked with in a respectful, non-pathologising way.


Is therapy structured or open-ended?

Both are possible. Some people come for short-term counselling, while others choose open-ended psychotherapy for deeper relational work. We can discuss this together and review it over time.


Do you offer counselling or psychotherapy?

I offer both counselling and psychotherapy. The distinction is not rigid. Counselling may focus more on present-day difficulties and emotional support, while psychotherapy allows deeper exploration of relational and emotional patterns. Many people move naturally between the two.


Do you offer in-person therapy in London?

Yes. I offer in-person counselling and psychotherapy in Central London, including the N1, EC1V, W1, W1G, W1U, and W1K areas, as well as online therapy across the UK.


How confidential is therapy?

Confidentiality is central to my work and is explained clearly at the outset. Therapy offers a space where you do not need to manage others’ needs, perform, or hold everything together.


Are you professionally accredited?

Yes. I am a BACP-accredited counsellor and psychotherapist, working in line with professional, ethical, and clinical standards, including regular supervision.


How do I know if you are the right therapist for me?

The therapeutic relationship is one of the most important factors in effective therapy.

I offer an initial consultation where you can ask questions, get a sense of how I work, and notice how it feels to speak with me. There is no obligation to continue.


How do I start therapy?

You can contact me through my website to arrange an initial consultation. From there, we can explore what you are looking for and whether working together feels right.

Get in touch

Feel free to contact me if you have any questions about how counselling or psychotherapy works, or to arrange an initial assessment appointment. This enables us to discuss the reasons you are thinking of coming to counselling, whether it could be helpful for you and whether I am the right therapist to help.


You can also call/text/WhatsApp me on 07549 165 155 if you would prefer to leave a message or speak to me first. I am happy to discuss any queries or questions you may have prior to arranging an initial appointment.


All enquires are usually answered within 24 hours, and all contact is strictly confidential and uses secure phone and email services.

Angel, Islington London, Holborn, Bond Street, Wimpole Street, Oxford Street, the West End, and Marylebone.

N1, EC1V, WC1V, W1, W1G, W1U, W1J, and W1R.

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