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Everyone needs healing?
13 April 2026
'Everybody needs healing.' The idea may be good business for therapists — but is that really true?
AI and therapy
6 April 2026
The arrival of AI in mental health care is raising a fascinating question — not just about the future of therapy, but ...
Two models of couple therapy
5 April 2026
There are two broad positions in relationship and psychosexual therapy, and they lead to very different clinical choices ...
After an affair
24th March 2026
When an affair is discovered, a betrayed partner will often say: "I don't know who you are anymore." Their partner is ...
Parenting worries
19th March 2026
Why attachment theory can make parents worry — and why it needn't. Attachment theory has given us an invaluable clinical ...
The illusory ego?
17th March 2026
Strengthening the ego of our client might seem like a noble aim — but what if the ego is illusory?
Unhappiness is not a pathology
11th March 2026
The happiness industry — sometimes echoed in self-help and even psychotherapy — treats happiness as the goal.
I hate being told what to do!
10th March 2026
"I hate being told what to do." We hear this often. A problem with authority can present as a healthy desire for autonomy ...
Why we argue
25 February 2026
When couples tell me their arguments are getting more frequent and harder to resolve, the first thing I often say ...
Anxious, Avoidant, Human?
14th February 2026
Attachment theory has become part of everyday language. Scroll through social media and you'll find quizzes identifying ...
Compulsive Porn
2 February 2026
Compulsive porn use is increasingly common, and increasingly misunderstood. When people search for ...
Desire Discrepancy
30 January 2026
Desire discrepancy — where one partner wants sex more than the other — is one of the most common issues couples bring to ...
What is the Ego?
20th January 2026
For Anna Freud and the ego-psychology movement that came to dominate American psychoanalysis through the mid-twentieth ...
Erectile Dysfunction
15th January 2026
Erectile dysfunction is one of the most commonly presented sexual difficulties in therapy, and one of the most commonly ...
Trauma
3rd January 2026
Trauma comes to seem as if it is "stored" in the body when something has happened that could not be brought into words at ...
What is therapy for?
12th December 2025
Freud's answer to this question is deliberately deflating. The aim of psychoanalytic treatment, he said, is to ...
Soulmates
5th December 2025
The "you complete me" fantasy sounds romantic. It is also, thankfully, impossible — and if it weren't, it would be terrifying.
'There Is No Sexual Relation'
30th November 2025
There is a model of sex that speaks of a mystical union — two bodies made one, a co-created erotic experience in which ...
Why Does Desire Fade?
15th November 2025
The conventional explanation for why desire fades in long-term relationships is familiarity. But this is a curiously weak ...
Alcohol and Jouissance
8th November 2025
Alcohol can become a libidinal investment in the fullest sense — not merely a habit, but an organised source of pleasure ...
Born Into Language
3rd November 2025
It is tempting to imagine that a baby enters language when it learns to speak. But this gets the sequence wrong ...