About My Practice
Psychodynamic Therapy For Emotional Difficulties
Psychological difficulties often develop when significant emotions and internal conflicts have been kept out of awareness over time.
My work focuses on identifying and working with the emotional and nervous system patterns that continue to shape your current experience.
Welcome to change
I work with adults who feel stuck in cycles of anxiety, emotional avoidance or self-criticism, especially when those patterns trace back to earlier emotional wounds.
Most people arrive at therapy because something in their life has stopped working:
A feeling they cannot shake
A pattern they cannot break
A version of themselves they no longer want to carry
My work is about helping you see what is actually happening in your emotional system in real time. Not just talking about your life, but noticing how your emotions operate and learning how to respond to them differently.
It is the difference between:
“Something about this person or situation makes me anxious.”
and
“I feel (emotion) toward this person or situation. I can feel it in my body. I can name it, stay with it, and begin to understand what it is connected to.”
When difficult or painful emotions can be recognised and processed rather than suppressed into the body, the anxiety that builds around them begins to subside and ease.
How I Work
I work in a psychodynamic and ISTDP-informed way. In practice, this means we pay close attention to:
What you’re feeling
What gets in the way of those feelings
How those patterns show up in your life today
What happens between us in real time
Emotions aren’t “problems” to eliminate. They’re signals. When we understand them, you gain more choice, more clarity, and more room to move.
What You Can Expect
Therapy with me is active, steady, and focused. You’ll get:
Space to talk honestly
Help identifying and experiencing what’s happening under the surface
Support working through shame, fear, or emotional pressure
Clear guidance when you need it
A relationship where your experience is taken seriously
I don’t sit back and simply nod. I’m involved in the work. I won’t let us spend months going in circles without noticing it. I’ll help you stay with what matters.
Who I Work With
Adults across the UK who are dealing with:
High self-pressure or harsh self-criticism
Emotional avoidance
Anxiety and overwhelm
Trauma responses, feeling ‘triggered’
Difficult relationships or attachment patterns
Feeling “stuck” or shut down
Inner conflict or shame
Repeating the same emotional cycles
If you want to understand yourself more deeply and build real emotional capacity, this is the work we’ll do.
What Matters Most in My Work
Honesty
Growth and safety
Curiosity
Staying with what’s real
Supporting people to move from fear into capacity
Therapy is about finally having space to tell the truth about your life and beginning to live in a way that feels more like you.
My Background
I’m an accredited psychotherapist with the BACP. My clinical work is shaped by psychodynamic thinking and ISTDP principles, focusing on how emotions, anxiety, and the ways in which we avoid shape and dictate our experience.
Before specialising in therapy, I worked in the helping professions for many years in mental health management, served as a director and board member, sat on the board of governors for DHCFT and represented community mental health charities. I had also worked in some mind numbing soul destroying places of work too! That experience taught me how complicated people can be, and how much relief there is when someone finally feels understood. I know what it means to sit in your chair, because I had some historical wounds to heal, too.
The shape of the work
Alongside my independent practice, I’ve worked at scale in an online clinical setting since 2022. This has involved several thousand sessions with a wide range of presentations, from relational trauma and long-standing characterological patterns to emotional fragility.
The work is typically long-form rather than brief or protocol-led. People usually stay once we begin, and the work tends to deepen over time rather than reset or fragment.
Fees and Practical Information
Sessions are 50 minutes and cost £65.
Appointments are available online across the UK, with morning, afternoon, and evening availability.
Next Steps
If you would like to explore whether therapy might be helpful, you are welcome to contact me.
The initial consultation is a chance to talk things through and decide what feels appropriate.
Contact
If you would like to explore whether therapy might be helpful, you are welcome to get in touch.
An initial consultation gives us space to consider what brings you here and whether this way of working feels right for you.
For media and press enquiries, please use the same form
Availability
I offer morning, afternoon and nighttime appointments on Mondays, Tuesdays, and Wednesdays between 10 am - 11 pm
Morning and afternoon appointments on Fridays between 10 am - 4 pm
Morning appointments on Saturdays between 10 am - 12 pm
Nighttime appointments on Sundays between 7 pm and 10 pm
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Yes. I’m a trained psychodynamic psychotherapist with over 8 years of clinical experience. My professional membership and accreditation is with the BACP.
I provide safe, ethical, and confidential online therapy sessions. My training ensures you’re working with a qualified, experienced therapist who understands both the art and science of mental health and the lived experience of psychological problems and what it ultimately means to be human and/or sane in an insane world!
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I have a BSc (Hons) in Counselling Psychology (BPS accredited), a Diploma in Counselling Practice, and multiple postgraduate trainings including Single Session Therapy and forthcoming ISTDP Pre-Core training.
My background includes extensive experience across private practice, specialist eating-disorder services, and community mental-health work.
Please see the credentials page for more information
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Psychodynamic psychotherapy looks beneath the surface to uncover the unconscious patterns that drive your anxiety, depression, and relationship struggles. Unlike CBT or short-term counselling, which often focus on symptom management, psychodynamic work helps you explore and understand why you feel stuck, increasing the likelihood of long-term change. Clients often find that this approach not only reduces symptoms but also improves self-worth, intimacy, and emotional resilience.
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I trained as a psychotherapist after experiencing the life-changing impact therapy made during my own painful personal history. I’ve seen firsthand how powerful it is when someone finally feels understood. For me, this work is not about “fixing” people, but about co-creating a relationship where you can reclaim your voice, figure out your identity, and have healthy relationships.
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Yes. I work with people struggling with anxiety, depression, trauma, shame, low self-worth, relationship difficulties, and self-sabotaging patterns. Many of my clients come to therapy after feeling stuck in cycles they couldn’t break alone. Therapy with me is especially effective if you want to move beyond the destructive cycles of fearing your own feelings, fearing closeness, or fearing yourself.
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I provide online therapy sessions across the UK using a secure, encrypted video platform (Doxy.me). This means you can access therapy confidentially from home or wherever you feel safe.
Many clients find that online psychotherapy is just as effective as meeting in person, with the added benefit of flexibility, accessibility and continuity of care.
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That’s really normal. Many people begin therapy unsure if it’s the right step. You don’t need to have everything figured out before you start, just the willingness to explore. In our first sessions, we’ll talk about what’s bringing you here, what you’d like to change, and whether working together feels right. Therapy is an investment in yourself, and you’ll never be pressured to continue if it doesn’t feel helpful.
Even a single session can make a difference.
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Okay, yes, I get it. You Google Rick Cox Therapy or Therapy with Rick, and you get the Rick and Morty links…
Apparently, Rick’s opinion on therapy is - When asked why he didn't want to come to therapy, an exasperated Rick expresses his disdain for the practice. “Because I invent, transform, create, and destroy for a living”