Psychotherapist London
Thinking & Writing
On psychotherapy, the inner life, and the work of change.
Burnout or Depression? What the Partner Sees First
It is eleven at night in Geneva, Dubai or Monaco, and he is not the one searching. You are. You are searching because something has changed and you cannot name …
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Does Online Therapy Work? What the Evidence Says, and What It Cannot Measure
The question arrives in almost every enquiry about remote work, usually apologetically, as though it were an admission: would it be better if I came in person? …
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Adult Children of Alcoholics: The House That Was Never Finished
The most severe complex PTSD I have encountered in twenty-five years of clinical practice has not been in people who went to war. It has been in adults who grew …
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Cross-Addiction: A Different Cabin on the Titanic
The image I use for this is a different cabin on the Titanic. You have moved. The move required effort, it involved packing, and it feels like you have done …
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Ketamine Addiction: What the UK Data Shows, and What I Hear in the Room
Three official figures about ketamine in the UK do not fit together, and the way they fail to fit is the whole story. Prevalence has barely moved. The Crime …
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The Dry Drunk: Sober, But Not in Recovery
There is a sentence that comes up in family work often enough that I have stopped being surprised by it, and it still stops the room every time. A partner will …
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Food Noise: Why Your Mind Will Not Stop Talking About Food
You are at your desk at eleven in the morning, and some part of your mind is already working on lunch. Not looking forward to it. Working on it. What it will …
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How to Stop Watching Porn, and Why Willpower Keeps Failing
You have probably already tried to stop. There will have been blocking software, and a period where it worked. There will have been a day count, kept privately, …
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The Addictive Personality, and Why Disciplined Men Are the Hardest to Treat
He runs something. A firm, a fund, a team, a practice. He is up before six, he does not miss deadlines, and people describe him as relentless in a tone that is …
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