This work is for people who have managed anxiety or OCD before.

They may have had therapy in the past.
They may have stabilised.
They may have rebuilt their lives carefully.

And now something feels slightly different.

Sleep becomes lighter.
Thinking becomes tighter.
Old patterns feel closer than they should.

Nothing dramatic.
But enough to notice.

This is not crisis work.
It is early, structured intervention when steadiness begins to shift.

More responsibility.
More people depending on you.
More complexity to hold.

When anxiety or OCD begin to re-emerge at this stage of life, the impact is different.

The cost of destabilisation is higher.
Not because you are weaker.
But because you have more to protect.

This work is designed for adults who are:

• High-functioning and self-aware
• Aware that something is shifting
• Concerned about slipping back into old patterns
• Motivated to intervene early

It is not open-ended therapy for general distress.

It is structured, focused work designed to interrupt momentum before it gathers strength.

This is careful, measured work. We slow things down before they accelerate.

Together we:

• Map what is actually happening, rather than what fear suggests
• Identify the earliest returning patterns
• Interrupt avoidance before it quietly becomes habit again
• Reduce reassurance and checking before they gather pace
• Restore proportion when thinking starts to narrow
• Strengthen the skills you already carry

This work draws on specialist Cognitive Behavioural Therapy and Exposure Response Prevention principles, shaped specifically for early destabilisation in midlife.

The aim is not dramatic transformation.

It is steadiness.

It is proportion.

It is preventing a small shift from becoming another chapter.

You are not starting from zero.

You have insight.
You have history.
You have experience of what this can become.

This work respects that.

It does not treat you as fragile.
It does not over-pathologise ordinary stress.
It does not inflate early shifts into crisis.

It recognises that early intervention requires precision, not intensity.

When anxiety or OCD begin to resurface, momentum builds through repeated attention and reaction.

Left alone, small shifts can gather pace.

Addressed early, they are often interruptible.

Sessions are 50 minutes and held online.

This is focused work, designed to steady things before they gather pace. It is not open-ended therapy without direction.

Many clients begin weekly. We review as we go and adjust depending on what is happening.

The first session gives us space to look carefully at what has shifted. We explore what feels different, what patterns may be returning, and what would be most helpful now.

If we continue, sessions are centred around:

• Understanding what is actually happening, rather than what fear suggests
• Reducing checking, reassurance, and quiet avoidance
• Restoring proportion when thinking starts to narrow
• Strengthening skills you already have
• Preventing early shifts from gathering momentum

This work is steady and collaborative. It is about intervening early, with precision, rather than waiting until things feel overwhelming.

My work is grounded in specialist Cognitive Behavioural Therapy and Exposure Response Prevention, shaped specifically for anxiety and OCD in midlife.

I practise under ongoing clinical supervision, carry full professional indemnity insurance, and adhere to UK GDPR data protection standards.

I am the founder of the Association for Anxiety, OCD & Panic. My practice is informed by clinical training, leadership experience, and a sustained commitment to ethical, evidence-informed work.