The Therapist Diaries

 Hello and Welcome Back to The Therapist Diaries,  It's all new to me. This just wasn't a thing back in my day.  It’s a statement I hear constantly from parents who are trying to understand the growing list of diagnoses attached to children today. ADHD. Autism. Anxiety disorders. Sensory processing difficulties. Oppositional Defiant Disorder. Dyslexia. PDA profiles. School avoidance. Emotional dysregulation. The list seems to grow longer every year. I have sympathy, it's hard for parents today. When it comes to mental health, parents today are truly trying to make sense of a world that feels completely different from the one they grew up in. Today it can seem as though every child has a label, a diagnosis, a support plan, a sensory need, or a referral somewhere in the pipeline. Schools are full of therapeutic language. There are movement breaks, fidget tools in exams, emotional regulation charts, therapy dogs, wellbeing rooms, and discussions about neurodiversity happenin...

Hello and Welcome Back to The Therapist Diaries,  I was driving home from the airport last week when Fergie’s Big Girls Don’t Cry came on the radio. Now, anybody who knows me knows this song is absolutely one of my jams. The volume immediately went up, I was singing dramatically at the top of my lungs, and for those four minutes you would genuinely think I was going through the most devastating heartbreak known to mankind, despite being perfectly happy and emotionally stable moments before. As always, the emotional performance ended exactly when the song did, but this time, somewhere between the chorus and my Oscar-worthy solo performance, I started thinking about something that has come up repeatedly in sessions with clients recently. Crying. More specifically, crying when you really do not want to cry. It's something I’ve always done, and something so many of the young adults and women I work with do.  It's as though any strong emotion swings open the floodgates. Sadness, f...

Hello and Welcome Back to The Therapist Diaries, Continuing on with our theme of healthy relationships I want to talk about something I used to talk about a lot when I was running my teen healthy relationship group.... The idea of attachment and when it's healthy to be attached to someone, and what it looks like when it crosses into the unhealthy territory.  Attachment is one of the most natural parts of being human. We are wired for connection, comfort, and emotional closeness, yet many people struggle to understand what healthy attachment actually looks like in practice. In modern relationships, it can be difficult to tell the difference between deep love and emotional dependency. Social media, dating culture, and years of romanticised ideas about “finding your other half” have blurred the lines between intimacy and losing yourself entirely in another person. And this isn't just an issue I see when I work with young people, but adults too!  Many people no matter their age gr...

Hello and welcome back to The Therapist Diaries,  During a consultation this week, a client mentioned that they and their partner had started doing regular relationship “check-ins” while navigating a difficult patch in their relationship. They described sitting down every couple of weeks to ask each other how they were feeling, what was working well, and what needed more attention. I loved the way they framed it, not as a sign that the relationship was failing, but as a form of maintenance. It is very similar to something I encourage in couples counselling, I call it, The Relationship MOT.  In the UK, we understand the importance of an MOT for a car. Even if the vehicle seems to be running fine, regular inspections help identify small issues before they become major problems. Relationships are much the same. Most couples wait until something feels seriously wrong before having meaningful conversations about connection, communication, intimacy, stress, resentment, or unmet need...

 Hello and Welcome Back to The Therapist Diaries,  When I started this blog, I wanted to find a way to share therapeutic tips for clients while also providing insight to other providers and future providers and this week I think I have the perfect topic to do just that.  Last week I was fortunate enough to attend the annual International Society of Accelerated Resolution Therapy (IS-ART) Conference. The conference is an annual professional event designed for mental health clinicians who use or are interested in Accelerated Resolution Therapy. It brings together therapists, researchers, and trainers to share knowledge, explore clinical techniques, and stay up to date with developments in trauma treatment. The conference included live presentations and case studies and the best part for me is that it was held virtually so despite the 5 hour time difference, I was able to attend from England!  The 2026 conference was centered on enhancing clinical effectiveness whe...

Hello and Welcome Back to The Therapist Diaries,  This week at my private practice, we've been busy planning for an Intensive ART service we'll be providing next week in London. This service will include 14-16 hours of therapy over a period of two days. At Voyager we offer these in office, in a retreat like setting, or in the client's own home if that's more comfortable for them. Intensive services of any kind are a lot, but for us, we specialize in Trauma Therapy, so two whole days is a huge commitment from the client. It's mentally and physically exhausting and takes a lot out of the client. So why do we offer it? The results speak for themselves. Research suggests that intensive therapy can achieve similar results in a short window of time, as up to a year of weekly sessions. Why? Because there's no progress lost between sessions. If you could help someone heal in 1-5 days compared to a year, wouldn't you want to give it a go?  The success of intensive se...

 Hello and Welcome back to The Therapist Diaries,  There’s a quiet exhaustion that comes from constantly feeling like you’re one step away from being “found out.” You achieve something, land the job, finish the degree, launch the project, and instead of pride, you feel relief. Relief that no one has yet realized you’re not as capable as they think. Relief that you managed to pull it off this time. That’s imposter syndrome . Imposter syndrome is the persistent belief that your success is accidental, temporary, or undeserved. It’s the quiet narrative that you’ve somehow tricked everyone into overestimating you. And at its core is a deep, unrelenting fear of not being good enough. What makes it especially painful is that it doesn’t disappear with achievement. In fact, achievement often fuels it. One of the most difficult patterns I see in therapy is the shifting finish line. “I’ll feel confident when I lose 10 pounds.” “I’ll feel successful when I get promoted.” “I’ll feel worth...

 Hello and Welcome Back to The Therapist Diaries,  It’s been a couple of weeks since I last posted, and I really appreciate you sticking around and coming back to the blog. I’ll be honest, I needed a break. Since opening my private practice in the UK, life has been a whirlwind. Between juggling work, the time difference with the US, family life, and managing my Type One Diabetes, I just ran out of steam. We all know that feeling, when you’re stretched thin, and every day requires a kind of strength that never lets up and today, I wanted to write about that kind of relentless exhaustion, about what it’s like when being strong all the time starts to feel like too much. Some days, being on top of everything feels less like a choice and more like an obligation. In my work with children and families affected by chronic illness, I see firsthand how impossible it can feel to turn off. These families live in a constant state of vigilance, where rest and reprieve aren’t luxuries, they’...

 Hello and Welcome Back to The Therapist Diaries,  Last week I had one of those low days that seemed to arrive without warning. I woke up feeling heavy, flat, and quietly disappointed in myself. I felt behind in my progress. I felt defeated in my ongoing relationship with Type One Diabetes. I felt lonely while the people I love were busy with their own plans, and irrationally envious of people socializing, even though I didn’t actually want to see anyone. All I wanted to do was stay in bed and cry. And the fact that I wanted to do that made me feel even worse about myself.  How did I handle it? As a clinician, I’d love to tell you I immediately booked an extra therapy session, journaled for 45 minutes, did breathwork, and cognitively reframed my distortions. But this blog is all about being honest about our mental health with ourselves and others, so... the truth? I stayed in my pajamas and watched childhood comfort films back-to-back: Barbie as The Princess and the Paupe...