Psychotherapy Blog
: 19 July 2026

The Imposter: Why the Most Successful Feel the Most Fraudulent

Let me begin with the observation that undoes the whole popular picture of imposter syndrome. The people who sit in my consulting room feeling like frauds are …

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Psychotherapy Blog
: 18 July 2026

The Affair as Symptom: What Infidelity Is Really Saying

When a couple comes into my consulting room after an affair, they usually arrive believing they know what has happened: one of them has done a terrible thing to …

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Psychotherapy Blog
: 18 July 2026

The Church of Self-Hatred

Thirty years ago, the gym barely existed as it does now. You trained as a complement to a real sport: your legs for football, your arms for karate. The gym was …

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Psychotherapy Blog
: 18 July 2026

The Coach and the Analyst: Why Executive Coaching Barely Scratches the Surface

The people who come to me for executive coaching in London, from the City, from Canary Wharf, from the funds and firms of Mayfair and St James’s, are, almost …

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Psychotherapy Blog
: 18 July 2026

The Functioning Alcoholic: When Success Becomes the Mask

Everyone sometimes drinks too much, or for too long. That is not the question. The red flag is when the consequences begin to pile up, professional, relational, …

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Psychotherapy Blog
: 18 July 2026

The Hole Where the Story Should Be: Trauma, EMDR and the Gentler Door

Beneath most of what I treat, there is a trauma. I have written about the executive who drinks, the successful man who cannot stop the cocaine, the woman who …

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Psychotherapy Blog
: 17 July 2026

Cocaine and the Illusion of Power

Cocaine is, more than any other drug, the drug of the successful. It belongs to people who are already doing well and want to feel powerful, sharp, unstoppable, …

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Psychotherapy Blog
: 17 July 2026

Ozempic and Eating Disorders: Why the Weight-Loss Drugs Miss What's Really Wrong

Ozempic can make a body smaller. What it cannot do is answer the question the eating was asking. More and more of the people who contact me now mention Ozempic, …

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Psychotherapy Blog
: 17 July 2026

The Desert of Isolation and the Garden of Solitude

People ask whether high-functioning depression really exists. In my consulting room it does, but not quite in the way the phrase suggests. The people I see are …

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