Structured work.
Predictable process.
Measurable change.

“If your reactions still feel stuck after years of work — this level of structure is usually what was missing.”

This approach is typically a good fit if you have already done some work on your trauma or PTSD, but your system still responds as though the threat is present. It's also for people who prefer clear goals, honest feedback, and a focus on functioning — not endless exploration. The initial consultation is where we check this together. If this isn't the right fit, I'll say so directly and point you elsewhere where possible.

“The initial consultation is a complete, standalone clinical assessment — not a sales pitch.”

No commitment before we've met. We always start with an initial consultation, which stands on its own as a clear clinical session. At the end of that meeting, we decide together whether continuing makes sense and, if so, which frame would be appropriate. If you choose not to go further, the consultation still gives you a clear assessment of your situation and options.

“Most prior therapy teaches you to manage the output. This work targets the architecture producing it.”

Many people who come here have had supportive or insight-oriented therapy — sometimes for years — yet their nervous system still reacts as if the threat is present. This work is more structured, organised in blocks with specific outcomes and review points. The focus is on the circuits driving your reactions and on measurable shifts in daily functioning, rather than on how you feel during the session hour. Less talking through everything, more targeting what keeps the pattern in place.

“Trauma and addiction are often parts of the same loop — so we start by mapping how they connect in your specific case.”

In some situations it's safer to stabilise addictive use first; in others, the main leverage is addressing the trauma pattern that keeps pulling you back into the same behaviours. We decide the starting point together in the initial consultation, based on clinical risk, your current stability and what you're realistically able to work with now. The aim is to choose an order that gives you the best chance of real movement — not to do everything at once.

“Online via secure video — which means wherever you are, the work is the same.”

Yes, sessions are held online via encrypted video, allowing me to work with people in different countries. I'm based in the Europe/London timezone and work in English and Russian. We look at time differences in the initial contact and find a stable slot that works for both of us.

“In many cases, yes — medication and structured psychological work aren't mutually exclusive.”

Being on medication or under the care of a psychiatrist doesn't exclude you from working with me, but it needs to be taken into account in how we structure the work. I don't prescribe or change medication, and I expect you to continue working with your doctor on that part of your care. If your situation requires a different level of support than I can safely provide online, I'll name that clearly and we can look at other options together.

“This is not a crisis service — and that boundary is part of what makes the work possible.”

I can't provide immediate responses between sessions or manage acute risk situations. In the initial consultation we discuss what usually happens for you in crisis and which local services, crisis lines or contacts you can turn to. If you notice an increase in symptoms between sessions, we bring that directly into the next meeting and adjust the focus or pace if needed. If crises become frequent or safety is unstable, we may need to reconsider the frame or involve other services alongside the work.