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.

Some of the issues that people search for on the internet when seeking out therapy

(source: counselling directory)

  • Depression
  • Low self-esteem
  • Anxiety
  • 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 - August

Relational Ethics: Rethinking Self-Disclosure Through a Pluralistic Frame



Forthcoming 2026 BACP Ethical Framework (my thoughts)


One of the most significant developments in the forthcoming 2026 BACP Ethical Framework is its explicit emphasis on relational ethics. This represents an important shift away from viewing ethics as simply the application of rules, principles or prohibitions, towards understanding ethical practice as something that emerges within the unique relationship between therapist and client. Ethical decisions are rarely made in isolation; they are shaped by context, trust, power, vulnerability and the lived experience of two people engaged in therapeutic work together. This has particular relevance to the debate surrounding therapist self-disclosure. Too often, the discussion has been reduced to simplistic assertions that self-disclosure is either inherently ethical or inherently unethical. Such binary thinking overlooks the complexity of clinical practice. A relational ethical perspective asks a different question altogether: not 'Should therapists self-disclose?' but rather 'Under what circumstances, with what intention, in whose interests, and with what potential impact on the therapeutic relationship?' It is this shift—from rule-based ethics to relational judgement—that provides the backdrop for understanding why thoughtful, clinically attuned self-disclosure can, in some circumstances, deepen the therapeutic process, whilst in others it may risk diverting it. The ethical task is therefore not simply to avoid self-disclosure, nor to embrace it uncritically, but to exercise careful professional judgement grounded in the needs of the client, the nature of the relationship, and ongoing reflective practice.

Rethinking Self-Disclosure

One misconception I increasingly encounter is the claim that a therapist who self-discloses must necessarily be a bad or inadequately trained therapist. With the growth of therapy websites, 'social media' and 'so-called specialists' offering definitive advice about psychotherapy, complex clinical questions are often reduced to simplistic rules. We are told that a good therapist never reveals anything personal, never shows emotion and always responds to a client’s question with another question. These pronouncements can sound authoritative, particularly to somebody who is unfamiliar with the diversity of therapeutic traditions, but certainty of tone should not be mistaken for clinical understanding.


Self-disclosure cannot be judged solely by whether it happened. The more important questions concern why it happened, whose needs it served, how it was experienced by the client and what it did within the therapeutic relationship. A disclosure may be thoughtful, containing and therapeutically significant, or intrusive, unprocessed and primarily serving the therapist. Equally, non-disclosure may protect the therapeutic space and allow unconscious material to emerge, but it may also become rigid, defensive or unnecessarily withholding. Neither disclosure nor non-disclosure is automatically evidence of good therapy.


As a pluralistic and integrative therapist working through a relational and psychodynamic lens, I do not follow an absolute rule that I must always disclose or never disclose. I am a relational, straightforward and realistic therapist. I do not attempt to present myself as an emotionless authority or an entirely blank screen. At times, I will disclose something when I believe it may support the client, strengthen the therapeutic relationship or deepen our understanding of what is happening between us. At other times, I will choose not to disclose because answering may close down material that needs to be thought about psychodynamically.


My decision depends upon the client, the material, the stage of the therapy and the total relational situation.


Freud and the Protective Function of Restraint

Freud’s classical position remains an important starting point. In his recommendations to analysts, he wrote that the therapist should be “opaque to his patients and, like a mirror”, showing them only what they had brought into the room (Freud, 1912). His concern was that extensive personal revelation could interfere with the development of the transference and encourage the client to become preoccupied with the therapist’s life rather than their own inner world.


Although I would not apply Freud’s mirror metaphor literally, I take the warning behind it seriously. A client’s question about me may appear to be a simple request for information, but it may also contain anxiety, fantasy, hope, suspicion or a test of the relationship. The client may be wondering whether I can understand them, whether I am safe, whether I will judge them, whether I have suffered, whether I have needs they must accommodate or whether knowing more about me will provide greater control over the relationship.


Answering immediately may provide factual certainty while removing the opportunity to understand the emotional meaning of the question. At such moments, non-disclosure is not avoidance or secrecy. It preserves a space in which the client’s expectations, fears and relational patterns can emerge.


This is one reason I will sometimes not self-disclose. It would not always be psychodynamic to satisfy the immediate request without first thinking about what the request represents.


Ferenczi and the Elasticity of Technique

Ferenczi challenged rigid and emotionally distant applications of psychoanalysis. His idea of the “elasticity” of technique emphasised tact, sensitivity and the analyst’s capacity to adapt to the particular patient rather than demanding that every patient adapt to one fixed method. He was especially attentive to the damage caused when professional authority reproduced earlier experiences of disbelief, coldness or emotional abandonment (Ferenczi, 1928).


Ferenczi’s work does not provide permission for indiscriminate disclosure. Rather, it reminds me that technique must remain alive to the person in front of me. A refusal to answer every question may protect the therapy with one client but reproduce emotional unavailability with another. Conversely, providing personal information to demonstrate warmth may feel intrusive or destabilising to a client who needs greater distance and predictability.

Elasticity means responsiveness without abandoning the therapeutic frame. It asks me to think rather than hide behind a rule.


Winnicott: Privacy, Recognition and Being Found

Winnicott offers another way of thinking about the tension between disclosure and privacy. His observation that “it is a joy to be hidden, and disaster not to be found” captures the human need both to retain a private inner core and to feel genuinely recognised by another person (Winnicott, 1963).


For Winnicott, healthy development does not require the whole self to be exposed. There remains an essential part of the person that should not be invaded or forced into communication. Applied to therapy, this suggests that neither client nor therapist should be expected to make everything available. Privacy can be psychologically necessary and protective.


At the same time, excessive therapeutic opacity may leave a client feeling that they cannot emotionally reach me. I may technically preserve anonymity while being experienced as absent, frightened or uninterested. A modest relational disclosure may occasionally help the client feel found without requiring either of us to surrender our separateness.

The challenge is to create a relationship in which the client can feel met by a real person without the therapy becoming organised around my personal life.


Heimann and the Use of Countertransference

Paula Heimann transformed psychoanalytic thinking by describing countertransference as an “instrument of research into the patient’s unconscious” (Heimann, 1950). Rather than seeing all the therapist’s feelings as unwanted interference, she recognised that emotional responses may communicate something important about the client’s internal and relational world.


I may find myself feeling unusually protective, excluded, helpless, pressured, irritated or responsible. These experiences can help me understand something that has not yet been spoken. However, experiencing a feeling does not mean that I should automatically disclose it.


There is an important distinction between using countertransference and discharging it. Frequently, the most therapeutic response is to hold the feeling, reflect upon it and consider what belongs to me, what may have been evoked by the client and what has been created between us. The material may need to be thought about privately or taken to supervision.


Where I do disclose an emotional response, it should be because the disclosure may help the client think—not because I need to relieve my own discomfort, prove that I care or be reassured by the client.


Aron, Renik and the Therapist’s Subjectivity

Relational psychoanalysis has challenged the idea that the therapist can ever be an entirely neutral observer. Lewis Aron emphasised that the client encounters not only an object onto whom earlier experiences are projected, but also the subjectivity of the actual therapist. The client is continually experiencing my tone, silences, expressions, assumptions and ways of responding, whether or not I explicitly reveal personal information (Aron, 1991; 1996).


This does not mean that every perception the client has of me is objectively accurate. Nor does it mean that every difficulty is purely transference. Sometimes a client may experience me as critical because an earlier relationship has become active between us. At other times, something I have genuinely said or done may have been critical, misattuned or poorly timed.


A relational approach requires me to hold both possibilities. Appropriate disclosure may therefore involve acknowledging my contribution to a misunderstanding or rupture. This is not the same as presenting the client with my unprocessed feelings. It is an act of therapeutic accountability.


Owen Renik went further by arguing that the analyst’s subjectivity is irreducible: every clinical observation and intervention is influenced by the therapist’s personal psychology. From this perspective, supposed neutrality may conceal the therapist’s influence rather than remove it (Renik, 1993).


Renik’s position supports greater honesty about therapeutic participation, but I would not interpret it as an argument for unrestricted openness. Recognising that I am subjective does not require me to disclose everything. It requires me to remain aware that my silence, interpretations and decisions not to disclose are also subjective interventions.


Hanna Segal: When Disclosure Becomes Concrete

Hanna Segal did not develop a theory of therapist self-disclosure as such. Nevertheless, her distinction between symbolic representation and symbolic equation offers a particularly valuable way of thinking about how disclosure may be received.


In symbolic representation, a person can recognise that something represents or communicates something else while retaining a sense of difference. In symbolic equation, the symbol and the thing represented become psychologically fused. The distinction between inner experience and external reality becomes more concrete and less flexible (Segal, 1957).


A therapist’s disclosure may be taken symbolically by one client—as one contribution to thinking about the relationship. Another client may experience it concretely. A small piece of personal information may become proof that the therapist is exactly like a parent, is uniquely bonded with the client, prefers the client, needs rescuing or can no longer understand them.

Segal’s thinking reminds me to consider the client’s capacity to use a disclosure reflectively. The issue is not only what I intend to communicate, but whether the disclosure can remain something we think about together or whether it is likely to acquire an overwhelming and fixed meaning.


Betty Joseph and the “Total Situation”

Betty Joseph’s concept of transference as the “total situation” is central to my thinking about self-disclosure. Joseph broadened transference beyond isolated feelings or obvious references to past relationships. She attended to the whole situation being created in the room: the client’s words, silences, tone, defences, actions, the pressure placed upon the therapist and the therapist’s emotional responses (Joseph, 1985).

Joseph did not write her paper specifically as a guide to self-disclosure. However, her approach changes the question I ask. Rather than asking only whether disclosure is permitted, I consider what role the disclosure may play within the total situation.


Am I being drawn into proving that I care? Is the client inviting me to become unusually special, rescuing or confessional? Am I being positioned as withholding or cruel unless I answer? Would disclosure help us understand this pattern, or would it enact the very relationship we need to examine?


The client’s request, my wish to respond, the pressure I experience and the likely consequences of answering are all part of the same relational field. Sometimes disclosure may interrupt an entrenched pattern and create greater freedom. At other times, it may complete an unconscious enactment before either of us has had the opportunity to recognise it.

Joseph’s total situation therefore supports neither automatic disclosure nor automatic withholding. It asks for close attention to what is being lived out between therapist and client in the immediate moment.


A Pluralistic Position

Cooper and McLeod’s pluralistic position begins with the recognition that “lots of different things can be helpful to clients”. Different people may benefit from different methods at different times, and therapeutic decisions should be developed collaboratively rather than dictated solely by allegiance to one theoretical school (Cooper and McLeod, 2011).


For one client, a modest disclosure may reduce shame, strengthen trust or make the therapist feel sufficiently real. For another, the same disclosure may create pressure, comparison or emotional responsibility. A client who has experienced neglect may value an indication that I have been emotionally affected. A client who has spent their life monitoring other people may immediately begin protecting me.


My pluralistic position keeps me responsive to these differences. My psychodynamic position reminds me that the client’s stated preference is not the only relevant consideration. Collaboration is important, but so are unconscious meaning, transference, countertransference and enactment.


Thoughtful Flexibility Rather Than a Rule

I will self-disclose when I believe it is appropriate to the client, the therapeutic relationship and the material. I may disclose to acknowledge my part in a rupture, communicate emotional presence, reduce unnecessary distance or support a particular therapeutic task.


I will also sometimes not disclose. I may decide that the client’s question needs to be explored, that the uncertainty is psychologically meaningful or that disclosure would shift attention away from the client. There will also be occasions when I recognise that my wish to disclose arises from my own need to explain, defend, rescue or be liked.


My aim is to be human without becoming unboundaried, private without becoming emotionally absent, and authentic without confusing authenticity with unrestricted openness. Self-disclosure is not evidence that a therapist is good or bad. What matters is whether the therapist can think about its purpose, recognise its possible meanings, remain accountable for its impact and keep the client’s therapeutic needs at the centre of the work.


References

Aron, L. (1991) ‘The patient’s experience of the analyst’s subjectivity’, Psychoanalytic Dialogues, 1(1), pp. 29–51.

Aron, L. (1996) A Meeting of Minds: Mutuality in Psychoanalysis. Hillsdale, NJ: The Analytic Press.

Cooper, M. and McLeod, J. (2011) Pluralistic Counselling and Psychotherapy. London: SAGE.

Ferenczi, S. (1928/1955) ‘The elasticity of psycho-analytic technique’, in Balint, M. (ed.) Final Contributions to the Problems and Methods of Psycho-Analysis. London: Hogarth Press, pp. 87–101.

Freud, S. (1912/1958) ‘Recommendations to physicians practising psycho-analysis’, in Strachey, J. (ed. and trans.) The Standard Edition of the Complete Psychological Works of Sigmund Freud, Volume XII. London: Hogarth Press, pp. 111–120.

Heimann, P. (1950) ‘On counter-transference’, International Journal of Psycho-Analysis, 31, pp. 81–84.

Joseph, B. (1985) ‘Transference: the total situation’, International Journal of Psychoanalysis, 66, pp. 447–454.

Renik, O. (1993) ‘Analytic interaction: conceptualizing technique in light of the analyst’s irreducible subjectivity’, The Psychoanalytic Quarterly, 62(4), pp. 553–571.

Segal, H. (1957) ‘Notes on symbol formation’, International Journal of Psycho-Analysis, 38, pp. 391–397.

Winnicott, D.W. (1963/1965) ‘Communicating and not communicating leading to a study of certain opposites’, in The Maturational Processes and the Facilitating Environment: Studies in the Theory of Emotional Development. London: Hogarth Press, pp. 179–192.


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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