Anne Marie CussinsPsychoanalytic Psychotherapy in Harley Street W1 in Central London

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Psychotherapy for Central London, Harley Street, W1.

Anne Marie Cussins MA.DipPsych. UKCP. registered Psychotherapist.

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Recognised by Bupa and Aviva insurance companies to work with their members.

I qualified in 1986 and have since been in private practice offering psychoanalytic psychotherapy for many types of emotional problems.

In my practice in central London I also provide eating disorder psychotherapy at my clinic in Harley street, W1., near Oxford Circus.

Harley Street is also conveniently located for Hammersmith, Nottinghill, Hampstead, Camden and Islington . In my practice I can offer:

  • Intensive psychotherapy.
  • Brief Psychodynamic therapy.
  • Psychotherapy for Couples.
  • Treatment for eating disorders,anorexia, bulimia and compulsive eating. Treatment for personality disorder.
  • Psychotherapy for anxiety and depression; these problems may affect the body and mind simultaneously and you may need sessions for a period of time which will help you to be free from medication in the long-term. (See a description of how this may occur in the testimonial below).


I specialize in seeing people who may have suffered from relational issues in early, and ongoing family relationships, and sometimes, emotional trauma, which lead to symptoms of depression, anxiety, eating disorders, addictive and obsessional behaviour. I also offer therapy for relational problems for individuals and couples.

It's thought that the original caretaker of the infant may sometimes have difficulty to understand and react to what their baby experiences and this usually develops into a disturbed relationship between mother and child. This can lead to extreme distress signals in the child that, later on in life, the adult will find difficult to interpret themselves. The person, then, is often subject to undue, and possibly overwhelming anxiety.

In eating disorders, sufferers fall back on simple and reassuring, repetitive behaviours which have the effect of soothing and down-regulating panicky feelings: eating and thinking about food, stuffing food and throwing up, become stereotypical actions that are cut off from the actual experience which threatens to become unmanageable. Eating disorder behaviour is a 'retreat' from many fears which are challenging for the person.

I offer psychotherapy for all problems that occur during the life-cycle, 'problems of living', adolescent depression, identity crisis, separating from family, relationships and becoming a couple, birth, parenting, divorce, bereavement. I am interested in how we may choose to negotiate these necessary transitions.

My Approach

I am a psychoanalytic psychotherapist; this is an approach which considers that for therapy to be effective, it will be crucial to develop a deeper awareness of the reasons for our thoughts, feelings and behaviour.

By being in a safe, unstructured space, and expressing more directly our feelings, a process begins where the psychotherapist listens empathically, on a deep level, to what may be needing to emerge from the client. The client may then be facilitated by the psychotherapist's interventions and interpretations to make further associations.

This unstructured, emotional space is a crucial feature, and akin to the "Freudian couch" where a very particular, non-social relationship occurs between client and psychotherapist, and which is used as a mirror for insights into other close relationships.

The psychotherapist is also a witness to the client's reality, which can, in some cases, have been confused during early care-taking and family relationships.

My personal approach is informed by an understanding of developmental stages, starting with the early separation process from mother, and how it may be difficult to feel separate as an adult, or alternatively, that feeling emotionally engaged is just out of reach, or causes anxiety.
I have a feminist sensibility in my approach to women's psychotherapy.

As we move on with the therapy 'work', it enables some understanding of the influences which have had deep effects on the 'emotional present 'and your sense of self and your relationships. Psychotherapy is often a commitment over a period of time, enabling "the unthought known", experiences which you may not have thought of as significant, to be felt, and spoken about, and offer a new way of thinking about your present and future.

As changes take place, prior to, and during therapy, the challenges can be difficult to face; psychotherapy can enable you to make the progress you would like for yourself.

Eating disorders

I have a special interest in eating disorders: anorexia, bulimia and compulsive eating. Since 1986, in my practice I have seen those who have developed these problems, and my approach reflects experience gained over time, with the latest clinical understanding of these syndromes.


Over a period of more than twenty years I experienced regular acute periods of anxiety and depression requiring medication and, on one occasion, in- patient hospital care.

I started seeing Anne for weekly Psychotherapy in October 2008.

Psychotherapy was not a quick fix but gradually helped me understand how experiences and patterns of behaviour picked up in early life and beyond were behind the acute symptoms I would experience.

Through this understanding I feel much stronger psychologically and, when I am vulnerable to negative thoughts and feelings, much better able to recognise and deal with them.

More than this, although part of the same process, Psychotherapy has helped me increase my self esteem and self confidence, improving my quality of life in numerous ways.

Anne is a skilled and experienced Psychotherapist who understands that it takes time for changes in thought patterns to occur but isn’t afraid to use direct confrontation when required.

I would often enter a session with a myriad of thoughts and emotions creating a strong feeling of confusion, whereupon three or four questions and observations from Anne later, the issues and processes going on would be quite clear.

I would strongly recommend Psychotherapy as a treatment and Anne as a Psychotherapist.

Anne Marie Cussins MA.DipPsych. UKCP. registered. Working in Harley Street, W1, central London.
Psychoanalytic psychotherapy for personality disorders, bereavement, couple relationships, depression and anxiety, based within easy reach of Oxford Circus, Marylebone, North and West London.

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