When success and insight haven’t changed the pattern

You may be accomplished in your professional life, thoughtful and highly self-aware—yet find yourself repeating painful patterns in relationships, struggling with anxiety or feeling disconnected from your own emotions and needs.

Perhaps you can explain why these patterns exist. You may have read extensively, tried therapy before or developed considerable psychological insight. But understanding what happens has not necessarily changed what you feel or do.

You understand what happens. But it keeps happening.

You may function well professionally but feel less secure in relationships; become involved with unavailable or critical people; put other people’s needs first; or analyse feelings without experiencing meaningful change.

Some clients have lived through recognisable trauma. For others, the difficulty may be connected to what was missing: reliable emotional attention, safety, validation or help making sense of feelings. You do not need to describe your history as trauma for us to explore its effects.

I am Dr Nikos Tsigaras, a Counselling Psychologist offering individual psychological therapy in Kensington and online. My practice is neurodivergence-affirming and LGBTQIA+ inclusive.