Situations that can be helped

• trauma, especially early relational trauma

• depression & anxiety

• the effects of sexual and other abuse

• the effects of narcissistic, intrusive, or unreliable parenting

• parental, sexual and caring relationships

• breakdown

• hearing voices

• bipolar disorders

• agoraphobic, claustrophobic and obsessive disorders

• worrying, compulsive, or criminal behaviours

• historical, political and intergenerational trauma

• integrating powerful experiences

• mid-life, aging and other transitions

• creative and personal growth

• professional and personal development, especially for doctors, those in leadership positions or people facing organisational change

Specialist treatment will usually be recommended for those with more severe substance-misuse, autism spectrum or eating disorders.

NHS has tended to focus psychodynamic psychotherapy on especially high-value or high-risk cohorts such as children and criminals, because it is time intensive. But it is also used, on a time-limited basis, with a range of mental illnesses, including personality disorders, anxiety, depression, post-traumatic disorders, and, interestingly, some gastro-intestinal disorders. There are impressive psychiatrists, psychologists, and mental health nurses in the NHS, but private treatment has advantages: it will only be with a specialist psychotherapist, it is available at little notice and there is no rationing. You stay as long as you need.

Where needed, the practice works with a psychiatric consultant.