Tag: therapy

  • The Garbled Handbook

    What boys are actually given, and what men are left holding

    A watercolour cartoon of a young red-haired boy sitting on the floor with building blocks, asking 'Who should I be, what should I do?' while a group of bewildered adult men look on unable to answer.

    After several sessions with a man I’ve been working with, I found myself thinking it’s like talking with a seven-year-old boy who just wants to do his best but doesn’t know how he’s supposed to be or what he’s supposed to do. He didn’t fail. He was never taught.

    That thought has stayed with me. Because it’s not just him. I see that boy in almost every man I work with.

    They come in presenting as failures. Failing in their relationships, with their children, in their work. And what I actually see is something quite different. I see men who are trying their best with the equipment they were given. Men who are lost not because they’re broken, but because the map they were handed was unreadable.

    The handbook no one mentions

    Every boy receives a handbook on how to be a man. Nobody passes it over formally. It arrives through a thousand small moments, in what gets praised and what gets shamed, in who cries and who doesn’t, what fathers do with their anger, what they do with their tenderness.

    The trouble is that the handbook is garbled. Pages are missing. Others are coffee-stained and half-legible. Some are in the wrong order entirely.

    I once heard a man in a group describe his father with genuine love. The fishing trips. The football matches. The sense of being chosen, being included, being seen. And then, in the same breath, the unpredictable rage. The physical violence that arrived without warning.

    He couldn’t reject that father. There was too much love in him for that. But he couldn’t follow him either, because the model didn’t hold together. So, he was left, as so many men are left, holding a document that couldn’t be read straight through, trying to assemble something coherent from contradictory instructions.

    That’s not absence of love. It’s the presence of love alongside something that makes the love impossible to build on.

    What the handbook actually says

    The pages that are legible tend to say the same things. Don’t show weakness. Produce. Perform. Be useful. There’s a consistency to that message across most of the male role models boys encounter, whatever else might vary.

    The cruel twist is that most of the role models boys actually witness are men failing to meet that standard. Because the standard is unachievable. So what boys learn, in practice, is not how to be the thing the handbook describes. They learn what it looks like when men fall short of it. They learn the shame that follows.

    The missing pages, or those obscured by coffee stains, are the ones about vulnerability, emotional expression and tenderness. The instructions on how to be warm without it being reframed as weakness or something worse. They’re difficult to find, written in the margins.

    When the instinct itself gets pathologised

    It isn’t only that boys aren’t taught how to handle warmth and closeness. It’s that the instinct itself gets taught out of them.

    I remember being a boy, perhaps seven or eight, with female cousins I adored, a decade or so older than me, who lived next door. I loved being around them. I was physically affectionate, naturally so, because that’s how I was with people I felt close to.

    One day I overheard a conversation between one of my cousins and my mother. The way I was with my hands was being discussed. Not with cruelty, exactly, but with a kind of discomfort, a suggestion that it was too much, that it crossed a line into something that needed reining in. The implication was faintly sexual, though I had no framework for that at the time. I just felt the shame of it.

    What I’d lost wasn’t knowledge I’d never had. It was trust in something I’d already known how to do. That feeling, of not knowing how to be around women whose company I enjoyed, of second-guessing warmth, of keeping my hands to myself in ways that felt like self-betrayal, followed me for years. It took a long time in therapy to find my way back to it.

    That’s what the garbling does. It doesn’t just leave gaps. It plants doubt in the places where you were most naturally yourself.

    The boy is still in the room

    The men I work with are carrying that boy with them. The one who wanted to do his best and couldn’t work out how. The one who felt the love and couldn’t make sense of it alongside everything else. The one whose natural expressiveness got redirected or shamed before he had the language to defend it.

    By the time they reach a therapy room, these men often experience themselves as failures. In their relationships, with their children, at work. What I see instead is someone still trying to follow instructions that were never coherent to begin with, still measuring themselves against a standard that was always going to be out of reach.

    The shame sits right at the centre of it. Not the shame of having done something specific, but the ambient shame of not knowing how to be. Of sensing, somewhere deep down, that everyone else received a readable copy and yours was the damaged one.

    On crisis lines and culture change

    There’s a lot of conversation at the moment about men’s mental health, about male suicide rates, about what the NHS should be doing. The funding question is real. But even fully funded crisis intervention addresses the problem at the wrong end.

    What produces a man in crisis at forty is usually something that began at seven. An education system that pointed boys towards compliance, performance, and emotional suppression rather than curiosity, creativity, and genuine self-expression didn’t help. A culture that handed boys an unachievable model of manhood and then expressed disappointment when they couldn’t meet it did real damage.

    What might actually help is something much slower and less measurable: men who’ve done their own work being honest about it, in front of boys. Not performing vulnerability as a technique, but actually modelling what it looks like when a man doesn’t know something and says so. When he gets it wrong and acknowledges it. When he’s moved by something and doesn’t cover it over.

    What the work actually is

    When I’m working with a man who’s carrying that seven-year-old, I’m not trying to teach him what the handbook should have said. I’m trying to help him locate what he already knew before the handbook arrived and started doing its damage.

    That’s usually still in there. The warmth. The expressiveness. The instinct towards closeness. It got covered over or redirected, but it didn’t disappear.

    If you recognise the boy in yourself or the garbled handbook you’ve been trying to follow, that recognition is usually the beginning of something. Not a fix. Not a solution. Just the start of being able to read what’s actually there, rather than what you were told should be.

  • Why Are So Many Men Dying by Suicide?

    Middle-aged man sitting alone at a kitchen table looking out at rain, untouched cup of tea beside him — male isolation and mental health

    I work with a lot of men, both individually and in couples. It’s not unusual, often several weeks in, for a man to describe either a suicide attempt, a threat he’s made to take his own life, or a period of days, weeks or months when suicidal thoughts have been running around in his head. Often, he’s never shared this with anyone else before sharing it with me. It’s as if there’s nowhere for these thoughts to go. And even coming to therapy wasn’t specifically about suicide. It was much more about relationships, about how to be a man, about how to fit into the world that Western society has created for men.

    In the UK, men account for around three-quarters of all suicide deaths. Middle-aged men are consistently the highest risk group. Suicide is the biggest killer of men under 50 in the UK. Around 15 men die every day, taking their own lives. Those numbers are shocking, but they don’t tell you what it actually feels like to be that man. This piece is about that.

    What the culture teaches men

    In white Western culture, men are discouraged from emotional language, particularly in connection with themselves. They’re permitted emotional expression around football, or in the currency of male banter, but the deeper register is closed off early. This does not mean they have no capacity for emotional language, just that they have not been encouraged to use it.

    I turned eighteen, and my father invited me to the pub. Before we went in, he said: No sex, religion or politics. He went to the pub most nights and rarely talked about anything emotional. He’d raise his glass and say, ” Don’t let the bastards get you down”. It seemed he didn’t begin to have an emotional life he could actually talk about until he was retired, tending his garden, and several years sober. That was his generation, but I don’t think it’s as different now as we’d like to believe.

    What that cultural shaping produces is something I see clearly in the men who sit across from me. It no longer surprises me that when a man begins talking about his relationships, the patterns, the reason he’s turned to alcohol or something else to numb the pain, we quickly arrive somewhere unexpected.

    It’s like I’m talking with a seven-year-old boy who just wants to do his best but doesn’t know how he’s supposed to be or what he’s supposed to do. Without good guidance, he made some poor decisions, and those decisions are now making his life miserable. He didn’t fail. He was never taught.

    When the performance becomes unsustainable

    Male friendships and networks often function only while everyone’s performing a version of okayness. The pub, the workplace, the football: all of it is conditional on not needing anything real from each other. The moment genuine vulnerability appears, the network has nowhere to put it.

    This became unsustainable for me in my twenties. I was drinking too much, driving cars too fast, writing one off, making poor choices in relationships, feeling like life was driving me somewhere I didn’t want to go, rather than me being in the driving seat. By great good fortune, I met my lifelong partner and moved away from the city. But it’s noticeable that I retained no friendships, no connections from that time. No one checked in on me once I’d moved away. Not one person.

    That’s not unusual. It’s the ordinary texture of male isolation.

    What happens in the body

    When a man has spent decades learning it’s not safe to be seen as he really is, the people around him feel they don’t know him. They can’t predict his reactions. They sense a coldness or distance, even if they can’t name it.

    I spent many years with what I can only describe as a limiter: something that stopped me from being fully seen. What that meant in practice was staying in jobs where I wasn’t fulfilled, resenting what I was doing, rather than speaking out and moving on to something better suited to me. I see versions of this constantly: men who can’t make decisions, men who feel like a disappointment to everyone, men who carry a secret conviction that something is broken about them that nobody must discover, or they’ll use it against them.

    In the body, this shows up as tightness and reactivity. When those feelings become overwhelming, some survival action is taken: withdrawing, disappearing, or self-medicating. Sometimes something more final.

    Why men don’t come to therapy

    The cultural script says that need equals weakness. Asking for help is a confession of failure.

    Many men arrive in therapy only when crisis forces them: a relationship ending, a breakdown, a moment that couldn’t be hidden any longer.

    Some arrive earlier, if the framing feels right. What tends to work is an approach that’s practical and non-pathologising, that’s curious about experience rather than focused on diagnosis, that doesn’t require a man to already have the language for what he’s feeling before he walks through the door.

    Therapy isn’t another set of rules or requirements to stick to. It’s a space where a man can begin to recognise his actual wants and desires, how to regulate his own emotions, and how to choose connection rather than push the people around him away. That connection begins with connecting with yourself. And in my experience, that’s what gives life its purpose and meaning.

    If you’re reading this

    If you’ve been holding something alone for a long time, it’s worth a conversation. You don’t need to know what to say or how to say it. You can make contact, and we can take it from there.

    If you’re affected by anything in this article

    If you’re struggling right now, you don’t have to manage it alone.

    In the UK, you can contact the Samaritans any time, day or night, on 116 123 — calls are free.

    CALM (Campaign Against Living Miserably) runs a helpline for men at 0800 58 58 58, open 5pm to midnight every day, and also offers a webchat if calling feels like too much.

  • If Therapy Didn’t Work Before, This Might Be Why

    person choosing a therapist, looking out a window pensively

    You’ve been here before. You tried therapy, it didn’t quite feel right, and now you’re left wondering what that means. Was it your fault? Are you too complicated, too resistant, too broken for it to work? Did you do it wrong somehow, or is therapy simply not for you? Finding the right therapist is harder than anyone tells you, and when it doesn’t work out, the easiest person to blame is yourself.

    It probably isn’t any of those things. The fit was wrong, or the approach was wrong, or the level of work was wrong for where you were at the time. That matters more than most people realise, and nobody tells you this when you’re starting out.

    I’ve had several different therapists over forty years, for many different reasons. Some felt right. Some were limited in their helpfulness. And some have been an absolute haven. The difference was rarely about their qualifications or experience.

    The right therapy for the right season

    At a very raw time, a bereavement counsellor handed me a paper assessment form. I started ticking boxes, felt something in me resist, screwed it up and threw it in the bin. She didn’t seem to mind. I carried on seeing her for a few weeks because I desperately needed some support, and she provided it.

    But that was containment, not the deeper work. She was right for that occasion. What I needed then was someone steady to sit with me while things were very raw. Most people aren’t told there’s a difference between that kind of support and longer-term relational work. If therapy felt surface-level or the changes didn’t stick, it may simply be that you were offered crisis support when what you needed was something slower and more relational, or the other way around. That’s not failure, it’s simply a mismatch.

    When the approach gets in the way

    On a couple of occasions, my partner and I saw a sex therapist together. In each case it wasn’t particularly helpful. It felt more like being in a remedial class at school, being handed homework to get us back up to scratch. The therapist wasn’t really relating to us as a couple; we were being put through a process rather than being understood for who we were and what the issues actually meant on a deeper level.

    We later found tantra groups where we were encouraged to explore massage, mindfulness and breathing. We were getting to know our own bodies and what we needed, rather than following someone else’s protocol. The difference was simple: in one setting we were a presenting problem to be corrected; in the other, we were two people trying to understand ourselves.

    That distinction seems important. A therapist who is more interested in applying their model than in understanding you will leave you feeling processed. You might not be able to name it at the time, but you’ll feel it.

    What a good fit actually feels like

    I’ve been seeing my current therapist for over three years. I cycle to her each fortnight with a few thoughts going through my head, but I never arrive with an agenda. Stuff just spills out. She knows my background, elements of my childhood, my relationships, the highs and lows of life past and present. She knows about the imagery of my inner child and parts of my experience where feelings are more vivid than factual detail. Each session takes us on a journey inwards.

    As we come to a close, she asks what I’m doing afterwards. It started as a way of reminding me to ground myself before getting back into ordinary life. Now she knows the answer: I will find a café, order a hot coffee and something comforting to eat, and spend at least an hour alone. No social contact, no talking, no scrolling. Just sitting with whatever happened in the room, letting it settle.

    That question, “What are you doing after this?”, is a small thing. But it tells me everything about how she sees me. She is thinking about me as a whole person, not just the fifty minutes. She wants to know I’ll be alright when I walk out the door.

    That is what a good fit feels like from the inside. You arrive without a plan, something moves anyway, and afterwards you need to be alone because you’re full.

    So what are you actually looking for?

    Not credentials. Not a long list of models and modalities. Those things matter less than you’ve been led to believe.

    Start with the profile. Does something in it connect with you? Does this person seem interested in people, or in problems? If nothing lands, move on.

    If something does, there’s often a phone call. Notice how you feel during it. Do you feel heard, right there in those ten minutes? That’s information.

    If you get to a first session, notice what happens in the room. Do you feel like a person or a case? Are they following you, or leading you through their process?

    And pay attention to the hour after. Do you need to sit quietly and let things settle, or are you left with a vague sense of discomfort and unfinished business? Both can be useful information, but they’re different kinds.

    The felt sense of a session is data. Your body is registering something your mind hasn’t caught up with yet.

    If therapy didn’t work before, you probably knew something was off. You just didn’t know you were allowed to trust that feeling. You are.

  • 5 Essential Therapy Insights for Personal Change

    How I Work:

    Five Everyday Essentials That Support Change in Therapy


    When people think about therapy, they often imagine big breakthroughs or sudden moments of clarity. In my experience, the real change is quieter. It grows through small shifts that slowly reshape how you feel, how you relate, and how you understand yourself.

    Over time I have noticed five everyday movements that help people move toward steadier, more grounded living. They are not rules or techniques. They are simply the patterns that tend to emerge when therapy feels safe and supportive.

    If you would like the full article, you can download it here:


    1. Recognising emotional signals


    Many people arrive in therapy thinking they only feel things when they are overwhelmed. But there are often earlier signs. A breath that tightens. A flutter in the stomach. A sense of heat rising. Therapy helps you notice these small cues without judging them. When you can recognise what your body is telling you, you gain more choice and more space to respond.


    2. Exploring relationship patterns


    We all learn how to relate to others in childhood. Those early patterns often follow us into adult life, even when the original situations have changed. You might find yourself walking on eggshells around a partner or boss in the same way you once did as a child. Therapy offers a safe place to look at these patterns with curiosity and compassion. When you understand where they came from, you have more freedom to relate in new ways.


    3. Sitting with discomfort


    Difficult emotions do not always need to be fixed or pushed away. Sometimes the most healing thing is to stay with a feeling for a moment, connected to yourself and your breath. This is not the same as tolerating pain. It is about noticing what comes up without running from it or turning against yourself. Many people find that this simple practice becomes a turning point in therapy.


    4. Understanding protective parts


    When you start to notice your reactions more clearly, you may see that the parts of you that panic, shut down or flare up are not flaws. They are protective responses that made sense at another time in your life. Therapy helps these parts feel safer so they can soften and update. The aim is not to remove them but to understand them, so they no longer have to work so hard.


    5. Valuing small changes


    Change rarely arrives in one big moment. More often it comes from small, steady shifts that build over time. A breath before reacting. A clearer boundary. A kinder inner voice. A new understanding of what you need. Therapy supports these micro-movements because they are the ones that last.


    For a deeper exploration of these themes, you can read the full article here:


    My integrative approach


    Many influences have shaped my way of working. Writers, researchers and therapists across the field have shaped how I think about change. I draw on relational, psychodynamic, and body-based ideas, but I do not follow a rigid method. Instead, I weave together the threads that support each person in front of me.


    Just as clients gently unfurl, I do as well. My work continues to evolve as I learn, reflect and meet each person as who they are. Therapy is not a fixed process. It is a relationship. It is two people unfolding at their own pace, finding steadier ways forward together.

  • Why a Human Therapist Can Do What an App Never Will

    The other day I tried out an AI therapy app. I typed in a simple message:

    “I am scrolling too much, I can’t get out of bed.”

    The reply looked impressive at first glance. It came back with long sentences, comforting words, even a suggestion that I might be depressed. But as I read it, something felt wrong.

    The app was making assumptions about me, edging towards a diagnosis, and offering a false sense of empathy. If I had given a response like that during my counselling training, I would have been told to stop practising immediately.

    Why? Because care is not just words on a screen.

    The Illusion of Care

    Apps like this create what I call an illusion of care. They can copy the language of therapy, but there is no accountability, no safeguarding, no trained professional behind the words.

    It might feel soothing for a few moments, but there is no one really there. No one who notices the hesitation in your voice. No one who sits with you in silence when words are too hard. No one who can gently help you find your own next step.

    What Real Therapy Offers

    Therapy is not about quick advice or labels. It is about relationship. It is about being met as a whole person, not a set of symptoms.

    In a safe therapeutic space:

    • You are met with curiosity, not assumptions.
    • You are understood in the context of your life, not given a diagnosis by a script.
    • You are accompanied as you face what feels overwhelming, not reassured with empty words.

    This is what helps change to happen. Real listening. Real connection. A safe place where you do not have to carry everything alone.

    If You Are Struggling

    If you recognise yourself in that message about scrolling or struggling to get out of bed, please know that you are not the only one who feels this way. Life can be heavy at times, and it can take courage even to reach out.

    Therapy provides a space to pause, untangle what is going on beneath the surface, and take small, steady steps forward.

    I offer a warm and confidential space where we can work together at your pace.

    To find out more, book a free 30 minute phone call