No single therapeutic model fits every person or every problem, so we do not pretend to work from one. What happens instead is that the first two or three sessions are spent building a formulation with you — a shared, plain-English account of what is keeping the difficulty in place, written in your words rather than in clinical ones.
Everything after that follows from it. The formulation decides which approach is drawn on, it gives the work a direction rather than leaving it as a weekly conversation, and it gets revisited openly whenever it stops matching your experience. You are told what is being tried and why, every time.
01Cognitive Behavioural Therapy (CBT)
Works with the loop between what you think, how you then feel, and what you do next — including the avoidance and the small safety behaviours that quietly shrink a life. NICE recommends CBT as a first-line talking therapy for depression and for most anxiety disorders. It tends to earn its place when the difficulty has a recognisable shape: panic, health anxiety, sleep, a fear that has grown a set of rules around it.
02Emotionally Focused Therapy (EFT)
An established couples approach that treats most recurring arguments as something other than a disagreement about the dishwasher. Underneath the cycle, two people are usually reaching for reassurance in ways that land on the other as attack or as withdrawal. The work slows that cycle down, in the room, until each of you can hear what is actually being asked for.
03Systemic family therapy
Works with the patterns of interaction between people rather than with one person designated as the identified patient. A teenager's behaviour, for instance, is looked at in the context of everything around it — a bereavement, a separation, a parent's own pressure, a change in who sleeps where — rather than treated as a fault located inside them.
Underneath all three sits a person-centred stance, which is less a technique than a precondition: you remain the authority on your own life, and nothing useful has ever happened in a room where someone felt judged.