What I work on

For adults whose panic has started to shrink their week. We learn what panic is, then practice the sensations on purpose, a little at a time, and see what happens when you stay with them. The method is CBT with interoceptive exposure. It is not breathing tricks to stop an attack.

For adults who check their body, search symptoms online or ask for tests and reassurance, and still are not sure. We look at what the checking does and practice doing less of it, a step at a time. The method is CBT for health anxiety. I do not examine or diagnose a physical condition.

For adults with unwanted thoughts and the rituals that follow, whether you can see them or only do them in your head. Exposure and response prevention (ERP) is the first-line treatment for OCD. We build a ladder of triggers and practice facing them without the ritual.

For adults whose worry runs all day over work, family or what might happen. We map what you worry about and what you do about it, and practice letting some of it be. The method is CBT. It is not being told to stop worrying.

Anxiety can have physical causes, and some people take medication alongside therapy. I do not prescribe. With your written permission, I can write to your doctor or prescriber so your care fits together.

For the people who live with the worry, who are often asked the same question again and again. In one session I explain what reassurance does and what to say instead, with you in the room. It is not couples therapy.