Psychotherapist London
Thinking & Writing
On psychotherapy, the inner life, and the work of change.
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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Does Everyone Need Residential Treatment? What the Guidelines Say
Most people who contact a private practice about addiction, an eating disorder or trauma have already assumed that proper treatment means going away somewhere. …
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The Jail of Discipline: What an Eating Disorder Looks Like in a Man
Most men who end up in my consulting room did not arrive thinking they had an eating disorder. Eating disorders are understood to be a young woman’s illness, so …
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What is Countertransference?
Countertransference is, broadly, everything the therapist experiences, thinks or feels in the room. The narrower textbook definition confines it to the …
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ChatGPT Therapy and the Work You Cannot Delegate
I should declare my interest before going any further. I earn my living doing something people increasingly attempt with a chatbot, often for free and sometimes …
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