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Who we are

As the largest and leading cognitive behavioural therapy service in London, we offer a rapid, discreet, flexible service which prioritises our clients and their needs.

Every therapist in the team has expertise in helping clients manage anxiety and depression by positively supporting them to change way they respond, think and behave. In addition, our therapists have experience and special areas of interest and that can be helpful in guiding our clients to the best support.

Efficacy was started in 2003 by Lee Grant and Jane Muston who remain as the Clinical Directors today. Lee and Jane are committed to providing a high quality CBT service based on best practice and the very latest research. We are also a training organisation and have strong links to academia. Several of our team are lecturers/practitioners at Kings College London and London South Bank universities.

The Efficacy team is highly qualified and experienced each with BABCP accreditation (which is the gold standard).

(Click here for fees).

Clinical Directors leading the team: Lee Grant

Lee Grant

Qualifications

  • BSc (Hons) Cognitive Behavioural Psychotherapy
  • MSc Mental Health Studies
  • Diploma in Nursing, Registered Nurse (Mental Health)
  • BABCP Accredited (Practitioner, Supervisor & Trainer)
  • PG Cert Academic Practice
  • Fellow of Higher Education Academy
  • EMDR Trained

Experience

Lee is one of the Clinical Directors at Efficacy and founded Efficacy in 2003. Lee provides independent cognitive behavioural therapy to individuals and groups, whilst designing and overseeing service development.

In addition to his clinical work, Lee provides CBT consultancy to Kings College London as a lecturer practitioner and is the Programme Leader for 3 MSc in CBT, offering post-graduate training to mental health professionals. His academic role includes the overall management of the programme, teaching, providing clinical supervision and assessing and grading the students.

In the 8 year prior to co-founding Efficacy, Lee worked as Cognitive Behavioural Therapists managing CBT NHS services in primary care and secondary care across London. Lee began his career as a mental health professional in 1988 and has continuously worked as clinician building up his extensive experience and expertise.

Special Interests

Lee’s areas of interest are supervision and mental health consultancy. He trains and advisors other CBT therapists on how to provide effective supervision. He still provides peer supervision, oversees all the postgraduate supervision at Kings College and provides supervision and CBT training to other healthcare professionals. In addition Lee provides mental health consultancy to external organisations.

In his clinical work, Lee specialises in anxiety disorders, depressive illness, trauma, low self-esteem, relationship problems, couples therapy and sex therapy.

Lee sits as a committee member for the BABCP Supervisory Group reflecting his expertise in this area.

Tanya Woolf

Qualifications

  • MA Psychotherapy & Counselling
  • PostGraduate Diploma Psychology
  • PostGraduate Diploma CBT
  • MA (hons) Classics
  • HCPC Registered
  • UKCP Registered(Supervisor and Practitioner)
  • BABCP Accredited(Supervisor and Practitioner)

Experience

Tanya is the Clinical Lead for Efficacy and a Consultant Counselling Psychologist with over 15 years’ experience in the NHS. As Clinical Lead, Tanya is responsible for Efficacy’s overall clinical governance, including clinical supervision and clinical quality management for corporate clients.

Within our NHS, she worked as Head of Community Psychological Services for over six years, where she led all adult community psychological services within the North East London NHS Foundation Trust. In this post she established an IAPT service, training and supervising clinicians in CBT. She has specialised in working with adults in the full range of NHS settings from primary care to acute wards. After practising as an integrative therapist for many years, Tanya has specialised in CBT since 2008. She is a registered supervisor with over 15 years’ experience and also teaches and provides consultancy.

Prior to training in psychological therapies, Tanya held a career in media research, marketing and sales, where she worked in advertising and financial services. She has also worked as a professional writer as an agony aunt and in the advertising, construction and careers advice sectors.

Special Interests

Tanya enjoys working with individuals, couples and groups. She has very extensive experience treating a wide variety of anxiety and mood disorders such as:
• Mild, moderate, severe, repeated and chronic depression
• Bipolar disorder
• Anxiety (general)
• Specific phobias
• OCD
• PTSD

Tanya is also trained in providing CBT for couples and has a specialist interest in supporting couples working through relationship trauma such as an affair. With the combination of her business and psychological background, she is additionally able to provide cognitive coaching for workplace and business issues.

For qualified clinicians and those in training, Tanya is also available for clinical supervision.

Professor Marcantonio Spada

Qualifications

  • Diploma in Metacognitive Therapy
  • MA Psychology of Education
  • PgDip in Cognitive Behavioural Psychotherapy
  • PhD in Clinical Psychology
  • BPS Associate Fellow and Chartered Psychologist
  • BABCP Accredited, MCT-I Registered

Experience

Professor Spada joined the Efficacy team in 2011. He is currently appointed Professor of Psychology and Head of the Division of Psychology at London South Bank University. Professor Spada has been working as a CBT practitioner in private practice and for community mental health organisations for twenty years. More recently he has completed training in metacognitive therapy (MCT) and has become a registered practitioner in 2015. Prior to re-training as a psychologist and CBT practitioner, Professor Spada worked as an investment analyst in the banking sector. The experience gained in this field, in combination with his CBT expertise, has provided valuable support and insight for clients with stressful careers, performance anxiety and life-work balance problems.

Special Interests

Professor Spada is an experienced trainer and researcher in the field of CBT and MCT. He has published over 100 articles in international peer reviewed journals and authored three books: Overcoming Alcohol Misuse, Cognitive Behavioural Therapy for Problem Drinking: a Practitioner’s Guide, and An Introduction to Sensible Alcohol Use. Professor Spada is an international leader in MCT and its novel application to the treatment of addictive behaviours and psychological distress in health conditions (such as Chronic Fatigue Syndrome and Parkinson’s disease).

Professor Spada’s areas of clinical expertise are addictive behaviours, anxiety problems (in particular generalised anxiety and worry, panic attacks, phobias and social anxiety), and depression/rumination. He has also worked extensively in the application of CBT to coaching for occupational functioning, such as achieving better life-work balance, improving cognitive performance, managing work-related stress and tackling performance anxiety.

James Binnie

Qualifications

  • MSc Cognitive Behavioural Therapy (enhanced practice)
  • BSc (Hons) Cognitive Behavioural Psychotherapy
  • Dip/HE Mental Health Nursing
  • BSc (Hons) Psychology and Criminology
  • BABCP Accredited Therapist

Experience

James has been involved with the Efficacy team for over six years. In addition to his independent work James is a Senior Cognitive Behavioural Therapist providing assessment and treatment of patients with anxiety, depression, OCD, personality difficulties and PTSD at a Psychological Therapies Service. He is involved in supervising other therapists, service development and training.

Prior to this James worked in secondary care mental health services as a Cognitive Behavioural Therapist seeing patients with severe and enduring mental health problems. He has also been a Cognitive Behavioural Therapist and Team Leader managing an early intervention service which provided CBT to young people experiencing their first episode of psychosis. This role also involved leading the clinical governance and service development and delivering family interventions and carer support.

James has been a university lecturer at Birkbeck College and actively pursues an academic focus. He has had several peer reviewed articles published and has presented research findings at the BABCP conference and at the Institute of Psychiatry.

Special Interests

James prides himself on being a generalist and has helped people suffering from various problems in terms of severity and complexity. Areas of special interest include the treatment of trauma, early onset psychosis (including bi-polar disorder) and helping people return to work/work related stress.

Marisa Brioni

Qualifications

  • Postgraduate Diploma in CBT
  • Postgraduate certificate IAPT (Improving Access to Psychological Therapies)
  • MSc Qualitative Research Methods in Psychology
  • BSc (Hons) Psychology
  • BABCP Accredited

Experience

Marisa is a CBT therapist with experience of working in busy NHS primary care psychology departments. She has been delivering both individual and group CBT, as well as supervising other therapists. She continues to treat depression and anxiety disorders in the NHS part time. Marisa received training in the first national cohort of IAPT therapists (Improving Access to Psychological Therapies). Before then, she worked in mental health and in research in the community sector.

Marisa is bilingual (English and Italian)

Special Interests

Low self esteem, strength-based CBT (resilience), social anxiety, specific phobias, PTSD (Post Traumatic Stress Disorder), OCD (Obsessive Compulsive Disorder), BDD (Body Dismorphic Disorder)

Shamira Graham

Shamira has been with the Efficacy team since 2008. Shamira is responsible for optimising service delivery and service development at Efficacy. This includes developing and implementing the strategic direction for Efficacy, marketing and advertising, and new business development.

She also has an external focus and is responsible for managing relationships with our clients, suppliers and partners.

Shamira comes from a senior management and consultancy background gained in large corporate organisations over 15 years. She has a background in portfolio management, strategic planning and business analysis and improvement.

Shamira has also worked as a Research Fellow at the Institute of Neurology researching Parkinson’s Disease and quality of life, and has published papers (2007, 2008, 2010) in this field.

John Hennessy

Qualifications

  • BSc Hons Occupational Therapy
  • Post Graduate Diploma in Cognitive Behaviour Therapy, Oxford
  • Working toward BABCP accreditation
  • HCPC registered

Experience

John joined the Efficacy team in 2014. He has over 10 years of experience working in both general/physical, and mental health settings as an Occupational Therapist and CBT therapist in the NHS and private sector. John’s background includes a wide range of experience working with clients in inpatient, and out-patient, and an Early Intervention Mental Health Service in the community.

John has also worked extensively in the field of community paediatric care and currently still holds a role as a private consultant for children and young people in a mainstream school setting. This role involves working closely with the children, teachers, school staff and families, in both a physical and mental health context. John has an exceptional experience of providing holistic psychological interventions covering the life span. Prior to training as a health care professional John was a seasoned professional in international marketing career, bringing a unique perspective to his practice.

Special Interests

John’s particular areas of interest include how anxiety effects people in adulthood (such as OCD, Generalised Anxiety Disorder, panic disorder and social anxiety), and working with clients who are suffering from depression and work-related stress.

Poonam Jetha

Qualifications

  • Postgraduate Diploma Cognitive Behavioural Therapy
  • MA Integrative Counselling & Psychotherapy
  • PG Certificate in CBT Clinical Supervision (pursuing)
  • BSc (Joint Hons) Science & Psychology
  • Eye Movement Desensitization and Reprocessing (EMDR) trained
  • BABCP Accredited Practitioner

Experience

Poonam is an accredited Cognitive Behavioural Therapist and completed her specialist training in CBT at University of Surrey, as well as Masters in Integrative Counselling & Psychotherapy at University of Derby. In addition to her private work, she has eight years of experience of working in NHS primary and secondary care services, specialising in adult mental health. She continues to work full-time within the NHS for South London & Maudsley NHS Foundation Trust as a CBT therapist, in an IAPT (Improving Access to Psychological Therapies) service where she provides treatment for depression and anxiety related difficulties, conducting wellbeing workshops and supervising junior members of staff.

Special Interests

Poonam is skilled and experienced in treating a wide range of difficulties which include depression, anxiety, phobias, stress, relationship problems, trauma, sleep problems, anger, bereavement and loss, low self-esteem, lack of confidence and occupational difficulties.

Kasia Juralowicz

Qualifications

    • BABCP accredited member
    • Association for Nutrition accredited member
    • MSc in Medical Sciences
    • MSc in CBT
    • MSc in Nutrition
    • Diploma in Management in Health and Social Care
    • Diploma in Psychology

 

Experience

Kasia is a highly skilled and effective CBT psychotherapist and nutritionist with over 10 years’ experience in nutrition and mental health at the NHS. She is experienced in a variety of therapeutic techniques including Motivational Interviewing, Acceptance and Commitment Therapy (ACT), Schema Therapy.

In addition to her role at Efficacy, Kasia works as a NHS psychotherapist in Surrey, where she provides high intensity CBT assessments and treatments as well as clinical supervision and training.
In her role as a Senior Health Promotion Specialist at Southwark NHS she designed and delivered health improvement outreach programmes. She managed weight loss and behaviour change projects including MEND and Live Well. Kasia practised general medicine in Poland before coming to the UK.

Kasia enjoys working with individuals and groups. She is experienced in treating a wide variety of anxiety and mood disorders such as:

• Depression
• Bipolar disorder
• Generalised Anxiety Disorder
• Health Anxiety
• Specific phobias
• OCD
• PTSD

Special Interests

Kasia has a special interest in treatment of obesity and eating disorders. She uses a combined approach of CBT and nutrition science to deliver effective programmes treating:

• Bulimia,
• Binge Eating Disorder
• Clinical Obesity

Dan Kolubinski

Qualifications

      • B.A. (Hons.) Psychology
      • M.A. Counselling Psychology
      • Specialism in Cognitive-Behavioural Therapy
      • Specialism in Child and Family Therapy
      • BABCP Accredited

Experience

Dan has been a part of the Efficacy team since 2011 and has over 10 years of experience working as a CBT therapist. Prior to starting with Efficacy, Dan worked in various private practice settings in the UK and his native Canada, as well as working in primary mental health care and mental health promotions within the NHS. In addition to his work with Efficacy, Dan is currently pursuing a Ph.D. studying the topic of self-critical thinking and rumination by exploring the mechanisms involved in why we are so hard on ourselves. It is far too easy to be overly critical of the mistakes that we make and Dan is at the forefront of trying to understand why that is the case and how we might be able to go easy on ourselves without risking becoming complacent or lazy.

Dan also dedicates his time to the improvement of relationships in the UK. He works closely with the BABCP to organise and provide training events for therapists who would like to improve their skills working with couples.

Special Interests

Dan’s particular areas of interest include low self-esteem and clinical perfectionism, as well as anxiety disorders, such as Generalised Anxiety Disorder, Social Anxiety, OCD and PTSD. He also has a keen interest in interpersonal relationships and works with couples in varying degrees of distress to help mend bridges and strength communication.

Babalwa Madikazi

Qualifications

      • Postgraduate Diploma in Cognitive Behavioural Psychotherapy
      • BSc (Hons) Cognitive Behavioural Psychotherapy
      • BSc (Hons) Psychology
      • EMDR Trained
      • BSc (Hons) Work Based Learning (Mental Health)
      • Comprehensive Diploma in Nursing Science (M+4)
      • BABCP accredited

Experience

Babalwa has worked at the Anxiety Disorders Residential Unit at Bethlem Royal Hospital in Kent since 2010 as a senior psychotherapist providing CBT clinical expertise for anxiety disorders at a national level, which includes support to sufferers of anxiety disorders, as well as working closely with families and other health professionals.

Prior to this Babalwa worked in a large primary care psychological therapies service, where she also supervised trainees. This involved working with people with a wide range of mental health needs, including depression, anxiety disorders and trauma, providing individual and group psychotherapy. Babalwa has also completed a six month placement and received further specialist CBT supervision at the Centre for Anxiety Disorders and Trauma.

She also has many years of experience working as a senior staff nurse in NHS settings across London.

Special Interests

Babalwa’s particular areas of interest include working with people with a range of anxiety disorders (including Generalised Anxiety Disorder, health anxiety, social anxiety, panic disorder and OCD), depression, low self-esteem and specific phobia of vomiting.

She was involved in a research trial investigating CBT for depression delivered in brief workshop format across London Boroughs in 2010/11 and was also a member of the Psychology Diversity Forum in a London NHS Trust in 2009.

Collette Sharbel Merven

Qualifications

      • BA (Hons) Clinical Psychology
      • BSocSC (Hons) Social Work
      • Post Qualifying Award in Social Work
      • Adult Protection Joint Investigator Award
      • Accredited Post-Graduate Diploma in Cognitive Behavioural Psychotherapy (University of Derby)
      • MSc in Cognitive Behavioural Psychotherapy

Experience

Collette’s background is clinical social work in which she has extensive experience. She has worked as a Senior Social Worker in various community and hospital settings, predominately working with adults with mental health problems and physical disabilities. Collette’s role further comprises the provision of clinical supervision to a team of Social Workers. Prior to this, Collette practiced as a Social Worker/Counsellor in South Africa for 4 years before she moved to Berlin, where she assisted in research projects undertaken by the Berlin Psychological Institute.

Before joining Efficacy, Collette worked within a large NHS Staff Counselling Service as a CBT Therapist. Her role there comprised of assessing and treating NHS staff members exhibiting a variety of anxiety disorders, depression, work related stress and issues, self-esteem issues, relationship difficulties and substance misuse issues.

Specialists Interests

Collette has a keen interest in working with a wide range of anxiety disorders such as Generalised Anxiety Disorder, OCD, Body Dysmorphic Disorder, Panic Disorder, Social Disorder and specific phobias. In addition to this, she enjoys working with people with Eating Disorders, Depression, Work related stress, Low self-esteem, Relationship difficulties and Anger issues. Collette places a great emphasis on the quality of therapeutic relationship with clients and believes that this is a key contributor to the overall success of therapy.

Ken McKeown

Qualifications

      • BSc (Hons) Cognitive Behavioural Psychotherapy
      • Diploma H.E Nursing – Registered Nurse (Mental Health)
      • BSc (Hons) Psychology
      • BABCP Accredited

Experience

Ken has been part of the Efficacy team since 2007. Since 2005 Ken combines his private work with his role as a Cognitive Behavioural Therapist at the Neuropsychiatry Outpatient CBT department at the South London and Maudsley NHS Trust.

Special Interests

Ken is currently involved in evaluating a CBT programme in the treatment of non-epiletic seizures.

Dympna Mclaughlin

Qualifications

      • BSc (Hons) Cognitive Behavioural Psychotherapy
      • MSc Public Health Aspects of Addiction
      • Mental Health Nurse Training (NMC Registration)
      • BA (Hons) Psychology
      • BABCP Accredited

Experience

Dympna has been part of the Efficacy team since 2005. Dympna also works as a CBT therapist and a Team Leader for the Lambeth Drug Rehabilitation Service, this involves management of the service and providing clinical supervision to her team members.

In addition, Dympna provides group CBT for adults with substance misuse problems and individual CBT to clients with anxiety disorders and depression.

Prior to this Dympna has worked as a mental health nurse across London hospitals. These included a role as Senior Substance Misuse Nurse managing patients in the community and in-patient acute assessment units for South London and Maudsley NHS Trust and nursing on an acute in- patient unit in Gordon Hospital.

Special Interests

Dympna’s particular area of expertise is Substance Misuse and Addictions.

Brendan Mcloughlin

Qualifications

      • Certificate in Behavioural Psychotherapy
      • MA Modern History
      • Registered Mental Health Nurse
      • PG Cert Education
      • BABCP Accreditation

Experience

Brendan takes a lead at Commissioning Support for London (part of the NHS) on mental wellbeing, social inclusion and Improving Access to Psychological Therapies. He originally trained as a psychiatric nurse in 1983, and worked in a variety of general and specialist settings.

He qualified as a psychotherapist in 1992, and worked for 10 years at the Institute of Psychiatry and Maudsley Hospital in South East London training health professionals, practising and researching in Cognitive Behavioural Therapy.

He joined the London Development Centre for Mental Health at its inception in 2002, and has undertaken a number of roles within the organisation, specialising in mental health and employment.

Specialist Interest

Brendan has an keen interest in anxiety and depression, particularly work related issues and dealing with the psychological aspects of long term physical illnesses.

Mirco Magi

Qualifications

      • BA Psychology (University of Bologna, Italy)
      • MSC Addiction and Public Health (King’s College/Maudsley Hospital, London)
      • Adv Dip Dual Diagnosis (Middlesex University, London)
      • PostGrad Dip CBT for Severe Mental Health Problems (Southampton University)
      • BABCP Accredited

Experience

Mirco moved to London from Italy in 1997. He has been working in the Addiction field, in both Statutory and non Statutory Services, in a variety of roles since 2003. He is currently employed by the Barnet, Enfield and Haringey Mental Health NHS Trust, where he delivers individual and group Cognitive Behavioural Therapy to those who are affected by concomitant mood disorders, personality disorders and addiction.

Mirco has experience of providing CBT for depression and anxiety disorders (OCD, PTSD, Generalised Anxiety Disorder, Panic Attacks, Social Phobia) and for those who are experiencing difficulties with substances or problematic behaviours (in regards to web-based gaming, gambling, sex, eating). He often works with patients who will have created unhealthy habits in order to self-medicate the negative effects of protracted stress.

Special Interests

Mirco has a special interest in exploring the role of alcohol and substances in maintaining the cycle of depression and anxiety. He is currently developing a therapy plan for those abusing stimulants and New Psychoactive Substances (ketamine, mephedrone, GHB-GBL, spice). Mirco has also a keen interest in working with those affected by OCD, Generalised Anxiety Disorder and Panic.

Subashini Padayachee

Qualifications

      • Postgraduate Diploma in Evidenced-Based Psychological Treatment (C&Y IAPT) (University of Reading)
      • MA In Psychology and Family Therapy (Sydney, Australia)
      • BA in Social Science (S. Africa)
      • BA in Psychology (S. Africa)
      • BABCP Accredited

Experience

Subashini joined the team in 2015. She has over 20 years of working with adults, children/young people, and families in S.Africa, Australia and now the U.K. She has worked both in the private and public sectors in GP services and at private practices. In Australia she worked as a Psychologist, working with children and families in addressing a range of mental health difficulties. She also worked with adults through an Employment Assistance Programme, the Attorney General’s Office for Victims of Crime. In recent years she has worked in a Post Natal Service in Sydney, offering CBT (both in groups and individually) for mild to severely depressed and anxious mothers.
She currently also works for the NHS, delivering Cognitive Behaviour Therapy services.

Special Interests

Subashini has a strong commitment to treating individuals, so that they can lead healthy lives free of depression and anxiety. She also has a special interest in working with individuals suffering for Social Phobia, Generalised Anxiety Disorder, Panic Disorder , Obsessive Compulsive Disorder , Mild, Moderate to Severe Depression and Post Traumatic Stress Disorder.

Fabio Simiao

Qualifications

      • Community Counselling Certificate
      • Diploma in Adult Nursing
      • PgDip in Advanced Nursing Practice (CBT)
      • PgDip in Cognitive Behavioral Psychotherapy
      • BABCP Accredited

Experience

Fabio started working with Efficacy in 2010. He has developed a broad range of expertise from working with people with a variety of chronic physical and mental health conditions for over 18 years in the NHS and other community based services. For five years he was employed as an NHS community case manager to patients with complex long-term conditions under Central London Community Healthcare (CLCH).

Fabio currently works for South London and Maudsley (SLaM) NHS Foundation Trust at a highly specialized service under the Chronic Fatigue Research and Treatment Unit providing innovative CBT focused interventions as part of research projects. He is also involved in a research trial investigating the efficacy of CBT for medically unexplained symptoms such as Fibromyalgia, Irritable Bowel Syndrome (IBS), Non-Cardiac Chest Pain (NCCP), Postural Tachycardia Syndrome (PoTS) and some neurological conditions.

From working in endocrine specialist services both at Bart’s and King’s College Hospital, Fabio developed extensive knowledge about the impact of stress and emotional disturbances on the body through hormonal changes compromising psychological wellbeing.
Fabio’s interest in CBT developed while undertaking his Advanced Nursing PgDip at King’s College London. Since then he has continued to actively develop his CBT skills, practice and expertise.

Special Interests

Fabio’s areas of interests are depression and anxiety disorders, such as social and performance anxieties, and in particular difficulties occurring alongside other physical health conditions or disabilities. He also has experience in Mindfulness Based CBT and Compassion Focused Therapy.

Kerry Smith

Qualifications

      • Postgraduate Diploma Counselling Psychology
      • MSc Counselling Psychology
      • BSc (Hons) Psychology
      • BABCP Accredited Practitioner
      • HCPC Registered Practitioner

Experience

Kerry is a Chartered Psychologist, Associate Fellow of the British Psychological Society and accredited BABCP practitioner with twenty years’ experience of working within the NHS across in-patient, secondary and primary care.

Kerry has extensive experience providing clinical and operational leadership, specialist psychological consultation and supervision to clinicians, as well as working directly with clients presenting with the most complex disorders.

In addition to her clinical work, Kerry has developed and delivered educational courses including training in psychological interventions to medical staff and lecturing on psychology doctoral courses. Kerry also has experience of taking psychology into corporate organisations keen to improve their understanding of staff wellbeing factors.

Special Interests

Kerry has chosen to specialise in working with adults and is a highly experienced clinician with wide-ranging clinical interests and expertise. These include individuals experiencing anxiety disorders, depression, eating disorders, low self-esteem, work-related stress, psychosexual issues and adjustment to chronic physical health conditions. She strives to help individuals understand unhelpful cycles of thinking and behaviour, and use this self-awareness to improve their functioning.

In addition to working with individuals, Kerry also works with Couples experiencing relationship distress, helping to change attitudes and behaviours in order that they may function in a fashion more acceptable and satisfying to both.

Trevor Smith

Qualifications

      • BSc (Hons) Behavioural Psychotherapy
      • PgDip Cognitive Therapy
      • Institute of Group Dynamics (IGA) Training
      • BABCP Accredited

Experience

Trevor Smith has worked in the NHS for over 33 years across London and the outlying areas, in addition to working in other public and private organisations. He has had a relationship with Efficacy for five years and is currently an independent self employed therapist and accredited with the BABCP (British Association of Behavioural and Cognitive Therapies).
Trevor originally worked in the area of Psychodynamic Therapy, obtaining initial training at the Institute of Group Dynamics (IGA) then running and attending his own experiential group at the London Hospital for a period of three years. He then trained as a Psychiatric Nurse, obtaining two qualifications in mental health nursing, before changing direction to become a Cognitive Behavioural Therapist, which he has been doing in one form or another for the last 30 years.
He continued his professional development by training at the Maudsley Hospital and Institute of Psychiatry, firstly in Behavioural Psychotherapy (Bsc ENB650) then obtaining a level two certificate in Cognitive Therapy before completing a Pg Dip in Cognitive Therapy as well as completing training at MSC level.
He has a firm background in the clinical field, as well as gaining experience in operational and strategic management at a senior level. He set up and managed a large clinical service in West London and has been instrumental in re-structuring others. He has a strong background in education and training, as well as clinical supervision of health professionals in the practice and development of CBT. He was employed as Course leader for two years at the Institute of Psychiatry (Iop) and at Greenwich Universality for three years, as well as being a visiting honorary lecturer for Kings College London and external examiner for Lancashire University CBT degree course for three years.
Trevor spent two years working with the Kent Police Service, as the head of Welfare and Counselling Services, during which he developed his knowledge and expertise in working with and managing trauma reactions, enabling him to complete further work with Police officers, Civilian staff and members of the Armed forces. Following this he spent three years as the CBT Lead/Senior Therapist with a Specialist Psychotherapy Service in Kent. He then obtained a position as Senior Therapist in a Specialist Psychotherapy Service in East London and became the Clinical lead for Perinatal CBT for five years. In the last 18 months he has been employed as a Locum Therapist within the National Services at the Maudesly Hospital, with the Specialist inpatient unit for OCD and since 2014 has been working within the Affective Disorders Service for people with complex mood disorders.

Special Interests

Trevor specialises in working with Mood disorders, but is able to draw on his extensive experience, training and knowledge to work with a range of disorders, regardless of their complexity, including Trauma, Social anxiety, panic disorder, OCD and Psychosexual problems. He is a practitioner of Mindfulness and uses a range of mindfulness techniques within his clinical practice.

Tiina Sormus

Qualifications

      • BSc (Hons) Counselling & Psychology
      • PgDip Cognitive Behaviour Psychotherapy
      • EMDR Practitioner (in progress)
      • BABCP Accredited

Experience

Tiina is an accredited Cognitive Behavioural Psychotherapist with over 13 years experience.
She graduated in psychology and counselling from Roehampton University in 2008 whilst gaining experience at the Royal Hospital for Neuro-Disability, assisting post trauma victims and their families and also working in community counselling services. This included treating depression, anxiety, drug and alcohol recovery and supporting the bereavement process. Prior to joining Efficacy in early 2015, Tiina spent 6 years working at an NHS primary care service in Hertfordshire and has successfully launched and maintained her private practice for the last 3 years.

Tiina strives for clinical excellence by following new developments in scientific research. She has recently completed a Mindfulness course in stress reduction and is currently undertaking training for EMDR.

Special Interests

In addition to problems caused by anxiety, trauma, stress and self-confidence, Tiina’s areas of interest include the dietary effect on cognitive functioning, memory and mood and she is involved in collaborative research on factors that affect cognitive functioning.

Chris Spicer

Qualifications

      • Postgraduate Diploma in Cognitive Behavioural Psychotherapy
      • Postgraduate Diploma in Occupational Therapy
      • BSc (Hons) Psychology
      • BSc Cognitive Behavioural Psychotherapy
      • BABCP accredited
      • HCPC accredited Occupational Therapist

Experience

Chris is a CBT therapist and occupational therapist, who combines his role with Efficacy with working as a Senior CBT Therapist in the Greenwich IAPT Psychological Therapies Service. Prior to this Chris worked as a CBT Therapist for Camden & Islington Psychological Therapy Services.
Within his role he works people with anxiety, (including OCD, generalised anxiety disorder, panic disorder, social anxiety, health anxiety, specific phobias, and PTSD), and people with depression. Chris also provides supervision to clinicians training in CBT.
Prior to training as a CBT Therapist, Chris was a Head Occupational Therapist working at the Bethlem Royal Hospital, South London & Maudsley NHS Trust. He has many years’ experience working as a senior clinician in a wide range of settings in the NHS.

Special Interests

Chris’s has a special interest of working with people with anxiety disorders (including, OCD, social anxiety, GAD, panic disorder, PTSD, health anxiety, and specific phobias), and people with depression and low self-esteem.

Usha Suryanarayan

Qualifications

      • MPhil in Clinical Psychology
      • PhD in Clinical Psychology
      • BABCP Accredited CBT therapist
      • HPC registered Practitioner Psychologist
      • EMDR Trained
      • Fellow BPS

Experience

Usha is a Chartered Clinical Psychologist with over 20 years of experience working in multidisciplinary teams and multicultural/ethnic contexts in the primary and secondary care settings. Usha has experience of working with adults, families and children with a range of difficulties from mild to severe and enduring mental health problems.

Usha has also worked as a consultant in a cardiac hospital offering psychological services for stress, anxiety disorders, work life balance, depression, psychosomatic disorders and work related difficulties. Usha also has experience working in schools as a consultant psychologist.

Special Interests

Her special interests are stress management, positive mental health, anxiety and panic disorders, phobias, low self esteem, worry, anger issues and marital and relationship problems.

Paul De Rosa

Qualifications

      • MA (Hons) Psychology
      • MSW Clinical Social Work
      • MSc Applied Psychological Studies
      • Postgraduate Diploma Cognitive Behavioural Therapy
      • Postgraduate Certificate Neuropsychological Assessment
      • BABCP Accredited

Experience

Paul has been with the Efficacy team since early 2012, previously Paul worked in the USA for 23 years as a licensed clinical social worker and Psychotherapist. Paul now splits his time between Efficacy and a North London NHS Trust where he is a senior CBT therapist and clinical supervisor. Paul has many almost 25 years’ experience working with people who have depression and anxiety, including GAD, social anxiety; phobias, OCD and PTSD.

Special Interests

As well as working to help clients with anxiety and depression, low self-esteem, eating disorders and relationship and sexual problems, Paul is also interested in working with individuals who have medically unexplained symptoms, such as CFS or IBS.

Sharifa Warren

Qualifications

      • BSc (Hons) Cognitive Behavioural Psychotherapy
      • BSc (Hons) Health Studies
      • Diploma in Nursing
      • Registered Nurse (NMC)
      • BAPCP Accredited
      • EMDR Trained

Experience

Sharifa has 36 years experience in the NHS working both as a general nurse and mental health nurse. Since qualifying as a Cognitive Behaviour Therapist, Sharifa worked as Clinical Nurse Specialist and a CBT practitioner. She developed the CBT service in the Acute Admission ward at Lambeth Hospital for female clients with mild to moderate depression and those with deliberate self harming behaviour. Since then she provided CBT sessions in the Community Mental Health Team over the past three years, accepting referrals for patients referred with complex needs cases and a variety of anxiety disorders.

Since 2008, Sharifa has worked as a Mental Health Practitioner and Cognitive Behaviour Therapist in the prison service assessing and treating patients with Post traumatic stress disorder, moderate depression, personality disorder, and severe anxiety and relationship problems.

Specialist Interests

Sharifa enjoys working with all types of Anxiety Disorders and have a special interest in treating patients with Anger Problems, Substance Misuse, Post Traumatic Stress Disorder and work related problems.

Barbara Warncken

Qualifications

      • MSc Cognitive Behaviour Therapy
      • MA Teaching in Further and Higher Education
      • BSc (Hons) Health Studies
      • Registered Mental Health Nurse
      • BABCP accredited

Experience

Barbara has been full time with Efficacy team since 2011. She has over 25 years of experience working in general health and mental health settings. This experience ranges from nursing in emergency care within the A&E Unit at Kings College Hospital, lecturing within higher education and providing treatment and care for people with a variety of mental health problems. Barbara most recent role was specialising in the treatment of clients for Post Traumatic Stress Disorder (PTSD) within the charity sector.

Special Interests

Barbara’s particular areas of interest include all adult anxiety disorders (such as OCD, Generalised Anxiety Disorder and social anxiety), mood disorder, low self-esteem and eating disorders. Barbara also enjoys working with clients who are suffering from depression and work-related stress.

Sarah Worrall

Qualifications

      • BSc (Hons) Cognitive Behavioural Psychotherapy
      • Diploma Mental Health Nursing
      • BABCP Accredited

Experience

Sarah joined the team in 2013. Before joining Efficacy, Sarah spent 12 years working in the NHS as a Cognitive Behavioural Therapist. Her most recent role was working as a Senior Cognitive Behavioural Therapist in a secondary care Psychotherapy Department in East London. This role involved providing CBT to clients with a wide variety of complex problems. She was also responsible for the clinical supervision of junior therapists and trainees. In addition, Sarah is trained and experienced in Schema Therapy, Compassion Focused Therapy and Mindfulness. Sarah developed and managed a CBT service at St Mary’s Hospital in London. Her clinical work there included providing CBT for clients with both chronic medical problems, medically unexplained symptoms, perinatal depression and postnatal depression.

Alongside her clinical roles, Sarah worked as a Lecturer Practitioner on the BSc in CBT at Kings College in London. This academic role involved teaching, clinical supervision and the assessment of students clinical and academic progress. Sarah worked in the NHS for a total of 19 years and before training as a CBT therapist, Sarah worked as a Mental Health Nurse.

Special Interests

Sarah’s special interests include working with people with depression, anxiety disorders, low self-esteem, medical problems and post-natal depression. She is an accomplished clinician who is dedicated to working with clients to overcome their problems.