Anxiety and mood
Anxiety disorders
Generalised anxiety, panic, social anxiety, and the specific fears that show up under high-pressure work.
How I see this presentation
I have worked with anxiety presentations for over twenty-five years, across NHS and independent practice. The majority of what I see in the City of London is anxiety that has already resisted the usual routes: a short course elsewhere, GP advice, or sustained effort to push through it. In practice it typically arrives as generalised worry that has become difficult to switch off, panic that has begun to narrow daily life, or health anxiety that persists despite a clean physical investigation. Social anxiety is also common: the kind that costs more in performance than the person admits. In high-pressure professional work, anxiety often runs alongside long hours and broken sleep.
How I tend to work with it
My primary modality is Cognitive Behavioural Therapy (CBT). CBT is a NICE-recommended first-line psychological treatment for generalised anxiety, panic, and social anxiety, and is the most extensively researched psychological treatment for anxiety presentations. For health anxiety, CBT is well-evidenced and routinely offered, though the NICE landscape is less codified than for generalised anxiety, panic, and social anxiety. I work with the specific maintaining cycles for each anxiety subtype, including the worry and avoidance loop in generalised anxiety, behavioural experiments and interoceptive work in panic, graded exposure in social anxiety, and reattribution work in health anxiety. Where the work calls for it, I draw on Rational Emotive Behaviour Therapy (REBT) and Acceptance and Commitment Therapy (ACT) to address the harsher self-talk and the relationship to uncomfortable internal experience. The structure stays evidence-based; the pace is set with you.
What a course might look like
Sessions are 50 minutes, typically weekly. The first one or two sessions are used to build a shared formulation of how the anxiety is maintained for you. We then agree a focused course of work and review progress every four to six sessions, adjusting the framework as needed. The total length of work varies per person and is discussed openly rather than promised in advance.
Next step
If what you have read here fits what you are experiencing, getting in touch is straightforward. I respond to all enquiries personally, typically within one working day. An initial call carries no commitment.
When you're ready
Book your first session with Henry.
You don't need to know what you want from therapy before you book. The first session is for getting that clear.