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Therapy approach

The methods I use — and when each one fits.

Evidence-based psychotherapy chosen for your presentation, not a one-size-fits-all model.

How I work

Four principles behind the therapy.

Match method to problem

No single therapy fits every presentation. The approach is chosen based on the evidence for your specific concern.

Clear plan by session two

Goals, approach, expected length and what progress will look like — agreed, explicit and revisited as we go.

Between-session work matters

Change compounds through small, deliberate practice in your life. Sessions plan it; the week does the work.

Measured progress

We use brief outcome measures to check the work is actually helping — not just feeling good in the room.

Methods

The evidence-based approaches I use.

CBT

Cognitive Behavioural Therapy

Best fit — Anxiety disorders · depression · panic · health anxiety · insomnia

CBT is the backbone of modern psychotherapy for anxiety and mood problems. We identify the thinking, behaviour and physiological patterns that are keeping the problem running, then systematically change them using structured techniques and between-session practice. Among the strongest evidence bases of any talk therapy.

ERP

Exposure and Response Prevention

Best fit — OCD · intrusive thoughts · compulsions · contamination concerns

ERP has among the strongest evidence base for OCD. We work through structured, graded exposure to the thoughts, feelings and situations that trigger compulsions, while preventing the compulsion itself. Over time, anxiety habituates, you develop adaptive responses, and the compulsion loses its grip. The work is challenging — and ERP has among the strongest evidence base of any treatment for OCD.

TF-CBT

Trauma-focused CBT

Best fit — PTSD · single-incident trauma · workplace / accident-related trauma

Evidence-based treatments for PTSD. We work at a pace you can tolerate through the core elements: psychoeducation, emotion-regulation skills, trauma processing, and rebuilding your sense of agency and safety. Includes narrative exposure and cognitive restructuring where appropriate.

ACT

Acceptance & Commitment Therapy

Best fit — Values clarification · chronic pain · complex or long-running difficulties

ACT focuses on psychological flexibility: helping clients respond differently to difficult thoughts, feelings and urges, while reconnecting with values-based action. I use it when avoidance, rumination or life restriction are keeping the problem stuck.

BA

Behavioural Activation

Best fit — Depression · shutdown · motivational collapse

Behavioural Activation is a practical, evidence-based treatment component for depression and shutdown. We identify how withdrawal, avoidance and disrupted routines are maintaining low mood, then gradually rebuild activity linked to meaning, mastery and connection — at a pace that feels achievable.

DBT-i

DBT skills (informed)

Best fit — Emotion regulation · distress tolerance · interpersonal effectiveness

I use DBT-informed skills where clients benefit from structured tools around strong emotions and urges. I don’t run a full DBT program — if that’s what’s needed, I’ll refer.

Process

What the arc of therapy looks like.

Sessions 1–2

Assessment & formulation

We map what’s happening, what maintains it, and what you want different. You leave session two with a plan.

Sessions 3–6

Core intervention begins

The approach matched to your presentation — CBT, ERP, TF-CBT, ACT, BA — put into practice with between-session experiments.

Sessions 7+

Consolidation & generalisation

Skills extend into wider domains of your life. We space sessions out as progress stabilises.

Closing

Relapse prevention

We build a plan for what to do if things wobble in future. You finish therapy able to be your own therapist for the common stuff.

Get in touch

Ready to start? Request an appointment.

The enquiry form is the quickest way to reach me. A sentence or two about what you’re looking for is enough — I’ll reply within one business day.