I am a Psychiatrist specialising in General Psychiatry and Medical Psychotherapy. I treat most mental health difficulties and offer a range of approaches including medication, psychological therapies and lifestyle modification.

I work with adults across a wide range of different mental health conditions. I have extensive experience working both in the NHS and private practices and am one of very few psychiatrists in the UK to be recognised by the General Medical Council as a registered specialist in both General Adult Psychiatry and Medical Psychotherapy (fewer than 1% of psychiatrists have both qualifications). I also have a background and interest in Neuroscience so will integrate modern neuroscience theories into my practice. I believe this combination of expertise (General Psychiatry, Medical Psychotherapy and Neuroscience) helps in arriving at a more complete and precise understanding of the diagnosis and problems, taking into account important additional factors such as development, personality, relationships and what is meaningful in your life. We will then jointly create a treatment plan including not only medication options (if you wish to pursue these), but psychotherapeutic strategies, lifestyle changes and nutrition. In many cases I will be able to provide personalised psychotherapeutic treatment myself or assist by working collaboratively with your current or future psychologist or psychotherapist.

I believe that understanding what is happening and why is often therapeutic in itself. As mental health conditions usually originate from a combination of biological, psychological and environmental factors, any treatment plan will need to be personalised to your individual circumstances taking each of these areas into account, I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you. Your personalised treatment plan will then be designed to improve your emotional wellbeing, mental health and performance, both in the short and long-term.

I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you.

Expertise

Medical Psychotherapy

The term “Medical Psychotherapist” is used for Psychiatrists such as myself who are registered by the General Medical Council as having specialist expertise in Psychotherapy. This expertise includes assessing what therapy would be most helpful for a particular patient at a particular time, and being able to deliver, oversee and supervise a range of different therapies.

The advantage of being a Medical Psychotherapist is that I can objectively assess what the best psychotherapeutic approach is for your personal circumstances and symptoms. Rather than being tied to one particular model of therapy which might not be right for everyone, Medical Psychotherapists have training in a range of therapies so that we can try to ensure that the therapy offered is the right approach for the patient. I have specialist training in psychodynamic, psychoanalytic and mentalisation-based approaches, as well as Cognitive Behavioural Therapy (CBT), Family therapy and EMDR (Eye Movement Desensitisation and Reprocessing). I will also make recommendations for other types of therapeutic approach when needed, such as Dialectical Behavioural Therapy (DBT), and can refer you to psychologists, psychotherapists or treatment programmes in my professional network who specialise in the right sort of therapy for you.

Mood disorders with emotional difficulties

In addition to my interest in mood disorders (such as depression, dysthymia and bipolar disorder) I also have a specialist interest in working with people who are experiencing emotional, personality or relationship difficulties. Sometimes these issues might not fall easily under a specific diagnosis, but they will frequently still benefit from professional assessment and support.

Performance and achievement

I also help professionals, creatives and sportspeople with sustaining high-level achievement and performance, as well as the pressures associated with high-level performance.

Complex conditions

I have extensive experience working with people suffering from ‘complex’ or ‘treatment-resistant’ conditions, including medically-unexplained physical symptoms. In these more complicated cases, I believe it’s crucial to take the time to understand the whole person and go beyond the diagnostic labels which have often accumulated over time. A thorough and holistic assessment can frequently then provide new angles of approach in the treatment plan that can frequently help address any difficult symptoms. I regularly supervise other clinicians and provide expert second opinion consultations.

Forensic psychiatry

I also have specialist experience in forensic psychiatry and frequently act as an expert witness for the courts.

My approach to therapy and treatment plans

I understand that it’s normal to feel anxious about talking to a psychiatrist. My goal is to create a non-judgmental environment where you feel entirely comfortable and where your feelings and symptoms will never be dismissed.

As a psychiatrist specialising in both general psychiatry and medical psychotherapy, I will always take into consideration as many possible treatment options as possible to suit your needs and preferences.

When creating a treatment plan, I believe an integrative and holistic approach can lead to a significant and sustainable improvement. I’m a firm believer in tailoring treatment plans so that they are realistic and achievable. I won’t ask you to live a completely different lifestyle as this isn’t a long-term solution but I will try to encourage us to think together about what changes you would like to make and what are the barriers that make this difficult and how might we make these more possible. I’ll also provide you with multiple treatment avenues so you can choose what approach suits you best. Some of the approaches I use include:

  • General psychiatry: diagnosis and assessment of mental health conditions.
  • Psychoeducation: support and information about the condition so that symptoms can be managed better.
  • Psychotherapy: psychological talking therapies. I predominantly use psychodynamic, psychoanalytic and mentalisation based therapy (MBT) approaches, but also integrate principles of Cognitive Behavioural Therapy (CBT) and family (systemic) therapy.
  • Psychosocial: focus on interpersonal relationships, support networks and understanding yourself better.
  • Lifestyle interventions: exercise, nutrition or supplements. Other evidence-based treatments could include things like using a lightbox for depression or integrating time for hobbies, music and the arts which frequently help in managing and expressing emotions.
  • Medication: the need for medication will be assessed depending on the severity of symptoms and taking into account your personal preferences.

My approach to medication

I don’t believe in taking medication any longer than necessary and will always try to use as little medication as possible, while being guided by the latest evidence and guidelines as well as your symptoms, lifestyle and preferences.

I understand that some patients may have tried many different medications before coming to see me, and I understand that for many patients taking medication isn’t ideal. However, I do believe that in the right circumstances medication can substantially help to alleviate symptoms and provide enough relief for you to explore other treatment avenues.

Research shows there is usually a better chance of improving symptoms by combining psychotherapy with medication, so I will always recommend the appropriate therapy for your specific needs if you need to take medication for your condition.

When prescribing medication, I’ll discuss your options in detail, combining the latest scientific evidence together with offering my own specialist opinion for your unique symptoms and circumstances. Together, we can weigh up the benefits and risks (such as medication side effects) to decide what the best treatment plan for you will be, which can then be adjusted over time depending on your feedback. For example, sometimes a low dose of medication in the short-term is a better alternative to prevent more severe symptoms in the future.

Similarly, rather than trying to treat multiple conditions with multiple prescriptions, I’ll do my best to find the right medication or treatment to help improve the symptoms of all conditions, if possible.

Training and education

I am a General Medical Council (GMC) registered Consultant Psychiatrist and Medical Psychotherapist with experience in general psychiatry, forensic psychiatry and medical psychotherapy. In addition, Health Education England appointed me as the Training Programme Director for medical psychotherapy at South West London and St George’s Mental Health NHS Trust.

I have additional qualifications in mental health research and biomedical and health education and have held honorary research, lecturer and psychotherapist posts at the Institute of Psychiatry, St George’s University of London and Tavistock and Portman NHS Foundation Trust.

I was educated at Winchester College, then went on to train as a medical doctor at Guy’s King’s and St Thomas’s Medical School, University of London, where I obtained a first class degree in Neuroscience before graduating in Medicine and Surgery in 2004. I then undertook specialist psychiatry training at the prestigious South London and Maudsley training scheme, then other renowned schemes at Oxford and South West London and St George’s. I qualified as a consultant psychiatrist in General Adult Psychiatry in 2012 and then undertook a further period of specialist training, qualifying as a consultant psychiatrist in medical psychotherapy in 2015.

I hold the following qualifications and certifications:
  • Medical Degree (MBBS)
  • GMC Registered Specialist in General Adult Psychiatry
  • GMC Registered Specialist in Medical Psychotherapy
  • Approved by the Secretary of State under S12(2) of the Mental Health. Act 1983, recognising that I have specialist experience in the assessment of mental disorder

Conditions I treat

Addictions Alcohol problems Anxiety Body dysmorphic disorder (BDD) Bipolar affective disorder (BPAD) and bipolar spectrum disorders Borderline Personality Disorder Complex Trauma Depersonalisation & Dissociation Depression and dysthymia Eating Disorders Impulse control disorders Insomnia Obsessive-Compulsive Disorder (OCD) Panic Attacks Phobias Psychosis and Schizophrenia Sleep problems Trauma & PTSD

My personal interests

The things I find most enjoyable when I am not working (or reading psychiatric or psychotherapy texts) are spending time with my family and friends, cooking, and enjoying music, arts and sports.

This has influenced my psychiatric practice because I feel that relationships, creativity, the arts and sports are all essential ways of helping us explore ourselves and what we find meaningful and that this then improves our mental health and wellbeing and that of those around us.

Fees

Initial Consultation:
£1160
(2 hours)
Initial Consultation:
£870
(1.5 hours)
Follow-up Consultation:
£580
(1 hour)
Follow-up Consultation:
£290
(30 min)

Private medical insurance

I can accept most insurances, including Allianz, AVIVA, BUPA International, Cigna and WPA. If you’re registered with a different insurance provider, please contact my office so that we can check if we can accept that provider. Please note, I am unable to accept BUPA UK, AXA PPP or VitalityHealth insurance.

Patient success stories

I’d just like to take this opportunity to thank Dr Garabette… for all the help you have provided during this admission. It has really helped to make a difference to it, from the ‘information for staff’ document, to liaising with the team here, to making time to find the appointments whilst I am in. - E, 30
Forever grateful for the support we have received from Michelle, Jennifer, Dr Pertusa and Dr Garabette during this ordeal. - B, 40
Genuinely the best doctor/psychiatrist I have ever worked with by a mile. Jonathan is super smart, compassionate, easy to talk to, informed (clearly on top of all developments in psychiatry AND psychology which is quite some achievement), accessible, and most important of all really cares about his patients. He manages the inevitable power imbalance between doctor and patient which such skill that I hardly know it is there (I have never found this with any medical professional before). He makes me feel valued as a human being, as well as heard, and takes my views into account in a way which is respectful and empowering. He is also fantastically good at what he does; before meeting Jonathan I had resigned myself to living with an anxiety disorder - I now think I can see a time when I might not have one at all, because of the care and skill which he brings to his practice. - Y, 43

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Hannah Cartwright

I’m Hannah Cartwright, a Registered Associate Nutritionist (ANutr) certified with the Association for Nutrition, UK. I hold a Masters degree in Human Nutrition, Bachelor degree in Psychology, and have completed accredited nutritional counselling courses in Disordered Eating and Body Image.

Conditions I treat:

Disordered eatingEmotional eatingBody imageOptimising gut healthDigestive symptomsIrritable bowel syndromeFood intolerancesNutritional deficienciesWeight managementDiet optimisationFitness goalsNutrition for runners and preparing for marathonsHormonal imbalancesMenopause

I believe nutrition is about nourishing your body with the food you enjoy and embracing a healthy way of living so you can live your life to the fullest.

Fees

First consultations: £200 (1 hour)

Follow-up consultations: £170 (1 hour)

Dr Maria M. Herves

I am a General Psychiatrist with great interest in childhood and adolescence psychiatry. I have been working specifically in this field over the last 10 years. I believe that supporting mental health at early stages in life can prevent it from developing further into more persistent difficulties in adulthood.

Conditions I treat:
ADHDAnxietyAutismBehaviour problemsBipolar disorderChronic painComplex trauma and PTSDDBT(Dialectical behaviour therapyDepressionEmotional DysregulationFamily workFibromyalgiaMemory problemsOCDPanic AttacksParentingPersonality DisordersPsychosisPsychosomaticSchool bullying and cyberbullyingSleep problems

I regard the patient as the product, not the problem. They are a result of their environmental, genetic and social influences, all of which can be addressed and supported with professional help.

Fees
First Consultation:
£580
(1 hour)
First Consultation:
£870
(1.5 hours)
First Consultation:
£1145
(2 hours)
Follow-up consultations:
£290
(30 min)
Follow-up consultations:
£385
(40 min)
Follow-up consultations:
£580
(60 min)

Dr Nagore Benito

I am a General Adult Psychiatrist with extensive experience in the diagnosis and treatment of most mental health conditions. I offer a person-centered and holistic approach.

Conditions I treat:
ADHDAnxietyBDDBipolar disorderDepression OCDPanic AttacksPsychosisSleep problemsTrauma & PTSD

The best six doctors anywhere, and no one can deny it are sunshine, water, rest, and air, exercise and diet. These six will gladly you attend If only you are willing Your mind they’ll ease Your will they’ll mend And charge you not a shilling
– Nursery rhyme quoted by Wayne Fields, What the River Knows, 1990

Dr Jonathan Garabette

I am a Psychiatrist specialising in General Psychiatry and Medical Psychotherapy.
I treat most mental health difficulties and offer a range of approaches including medication, psychological therapies and lifestyle modification.

Conditions I treat:
Addictions AnxietyBDDBipolar disorderBorderline Personality DisorderComplex TraumaDepersonalisationDepression Eating DisordersInsomniaOCDSleep problemsPanic AttacksPsychosisTrauma & PTSD

I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you.

Fees
Initial Consultation:
£1160
(2 hours)
Initial Consultation:
£870
(1.5 hours)
Follow-up Consultation:
£580
(1 hour)
Follow-up Consultation:
£290
(30 min)

Dr Srinvas Lanka

I am a Consultant Psychiatrist specialising in Adult Psychiatry and Neuropsychiatry. I treat a wide variety of mental health and emotional conditions and have specialist expertise in managing complex and long term conditions.

Conditions I treat:
ADHDAutismAddictions AnxietyBDDBipolar disorderBrain inuryBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaMemory problemsOCDPanic AttacksPersonality DisordersPsychosisSleep problemsTrauma & PTSD

I try to understand your treatment goals, values, limitations and preferences, so we can personalise your treatment using the best approach that gives you sustained recovery.

Fees
ADHD Initial Consultation:
£1160
(2 hours)
Initial Consultation:
£870
(1.5 hours)
Follow-up Consultation:
£290
(30 min)
Follow-up Consultation:
£580
(1 hour)

Dr Lara Lavadiño

I am a General Adult Psychiatrist specialised in Adult, Child and Adolescent Psychiatry. I have specialist expertise in managing complex and long term conditions. I am an EMDR (Eye Movement Desensitization and Reprocessing) certified psychotherapist also integrating Cognitive-Behavioural Therapy (CBT), Systemic Therapy and Psychodynamic Psychotherapy principles.

Conditions I treat:
ADHDAnxietyAutismBDDBehaviour problemsBrain injuryChronic fatigueChronic painDepressionDissociationFibromyalgiaLearning DisabilityOCDPanic AttacksPanic/AgoraphobiaParentingPerformance anxiety in Music, Acting and SportsPerinatal PsychiatryPersonality DisordersPsychosisSleep problemsSocial phobiaTinnitus and VertigoTrauma & PTSD

I believe in a positive psychiatry approach, empowering both children and adults to overcome any difficulties by providing education and support on their condition, along with a holistic and personalised treatment plan.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Luis Alameda

I am a General Adult Psychiatrist and a Neuroscience Researcher. I specialise in severe mental conditions including trauma. I offer an individualised intervention integrating psychotherapy and medical approaches.

Conditions I treat:
AnxietyBorderline Personality DisorderBipolar disorderBrain inuryBehaviour problemsChronic painDepression Dissociative disordersNarcissistic Personality DisorderOCDPanic AttacksPersonality DisordersPsychosisReactions to acute stressSchizophreniaSchizoaffective DisorderSleep problemsTrauma & PTSD

I believe that difficulties in managing mental health are a normal part of life and far more common than you might think. They present an opportunity to understand the problem, become more self-aware and progress on your journey.

Fees
First Consultation:
£395
(1 hour)
Follow-up consultations:
£220
(30 min)
Follow-up consultations:
£330
(45 min)

Dr Iyas Assalman

I am a Consultant Psychiatrist specialised in General Adult Psychiatry. I treat a wide variety of mental health and emotional conditions and I have an expertise in treating Adults with ADHD.

Conditions I treat:
ADHDAnxietyBDDBehaviour problemsBipolar disorderDepressionMemory problemsOCDPanic AttacksPsychosisSleep problemsTrauma and PTSD

Rather than seeing you as a diagnosis or trying to change your personality, I want to understand my patients as a whole person.

Fees
First Consultation:
£495
(1 hour)
First Consultation:
£745
(1.5 hours)
First Consultation:
£980
(2 hours)
Follow-up consultations:
£290
(30 min)
Follow-up consultations:
£385
(40 min)
Follow-up consultations:
£495
(60 min)

Dr Regina Sala

I am a caring and approachable medical doctor specializing in cognitive, behavioural and emotional well-being in children, adolescents, adults and their families. My ethos is to offer excellence of care based on evidence-based research with respect and compassion.

Conditions I treat:
ADHDAutismAddictions AnxietyAttachment difficultiesBDDBehaviour problemsBereavement, grief and lossBipolar disorderBrain injuryChronic painDepressionEating DisordersFamily TherapyFibromyalgiaIntellectual disabilityMedically unexplained symptomsOCDPanic AttacksPersonality DisordersPsychosisPsychosomatic symptomsSleep problemsSocial communication disorderSpecific learning disordersTics and Tourette’s syndromeTrauma & PTSD

I see my patients as human beings and aim to foster a sincere and relaxed environment so that we can build trust during our sessions. I believe in a positive body-mind integration with neuroscience’s principles to empower self-awareness, resilience and personal growth

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Dinesh Kumar

I’m Dr Dinesh Kumar and I am a Consultant Psychiatrist with over 20 years of clinical experience, gained while working in Australia, NHS and private sector.

Conditions I treat:
ADHDAnxietyPTSDBipolar disorderPhobiasDepression OCDSchizophreniaPsychosisPanic disordersPersonality disorder
When developing your personalised treatment plan, my goal is to help you as a person rather than a patient, so that you can achieve your full potential.
Fees
ADHD Initial Consultation:
£985
(2 hours)
Initial Consultation:
£495
(60 min)
Follow-up Consultation:
£245
(20 min)
Follow-up Consultation:
£290
(30 min)
Follow-up Consultation:
£345
(40 min)
Follow-up Consultation:
£495
(60 min)
Follow-up Consultation:
£745
(90 min)
Follow-up Consultation:
£985
(120 min)

Dr Triveni Joshi

I am a Consultant Psychiatrist specialising in Child and Adolescent Psychiatry with over 15 years clinical experience. I treat a wide variety of mental health and emotional conditions with an emphasis on holistic treatment and working with parents/carers.

Conditions I treat:
ADHDAngerAnxietyAutismBDDBipolar disorderBehavioural difficultiesDepression Emerging Personality DisordersOCDPanic AttacksParentingPsychosisSleep problemsTrauma & PTSD

I love to work with children. I wholeheartedly believe that early intervention is one of the best ways to successfully manage long term mental health problems.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Lynn Gruwez

I’m a Clinical Psychologist with experience across a range of mental health conditions. My goal as a therapist is to see each person as someone unique and human. I seek to understand in depth the nature of any mental health symptoms so that I can flexibly and creatively adapt therapy to suit your circumstances.

Conditions I treat:
ADHDAddictions AnxietyBDDBipolar disorderBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaOCDPanic AttacksSleep problemsTrauma & PTSD

I believe in a holistic, non-judgemental approach where clients have the space and freedom to share their fears without constraint. I have a strong interest and passion for Mindfulness.

Fees

Please contact us for more information

Dr Jonathan Garabette

I am a Psychiatrist specialising in General Psychiatry and Medical Psychotherapy. I treat most mental health difficulties and offer a range of approaches including medication, psychological therapies and lifestyle modification.
Conditions I treat:
Depression and Dysthymia​Depression and Dysthymia​Depression and Dysthymia​

I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£275
(30 minutes)
Follow-up consultations:
£320
(40 minutes)
Follow-up consultations:
£475
(60 minutes)

Dr Ana Tsakiri

My Trauma-informed practice and holistic therapeutic approach aims to support children during periods of acute crisis but also help them with long standing emotional and behavioural difficulties. I work with families to understand how adversity and trauma has impacted a child’s world causing emotional and mental health difficulties as well as physical symptoms. I am also a Consultant Psychiatrist specialised in Interventional Psychiatry with TMS therapy for young people with resistant emotional difficulties and severe depression.

Conditions I treat:
ADHDAnxietyAutismBehavioural problemsBDDBipolar disorderBrain inuryComplex TraumaDepression Eating DisordersEmotional Difficulties Family workInterpersonal relationship problemsOCDPanic AttacksParental Psychoeducation about Mental Health DisordersPersonality DisordersPhychosomatic symptomsPsychosisPTSDSleep problems

The aim is always for your child to overcome the negative influence of the experience, redefine how they feel and rebuild their confidence

Fees
First Consultation:
£395
(1 hour)
First Consultation:
£650
(1.5 hours)
First Consultation:
£790
(2 hours)
Follow-up consultations:
£245
(30 min)
Follow-up consultations:
£295
(40 min)
Follow-up consultations:
£395
(60 min)

Alexandra Madureira

I’m a Clinical Psychologist who thinks outside the box. I have a creative and passionate approach that focuses on healing emotions while also considering life situations and neurobiological mechanisms.

Conditions I treat:
ADHDAddictions AnxietyBDDBipolar disorderBrain inuryBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaMemory problemsOCDPanic AttacksPersonality DisordersTrauma & PTSD

I believe feeling safe is a prerequisite for change and therefore I focus on making people feel comfortable, so they can gain the courage to face and break unhelpful psychological patterns.

Fees

Please contact us for more information

Gemma Luke

My name is Dr Gemma Luke, a consultant clinical psychologist. I have been working in the field of mental health for over 20 years, and as a qualified clinical psychologist since 2011.

Conditions I treat:
Self-HarmAddictions AnxietyBDDBipolar disorderBehaviour problemsDepression Eating DisordersOCDPanic AttacksPersonality DisordersTrauma & PTSDOffending behaviour (domestic, violent, and sexual abuse)Behavioural issues

I am passionate about promoting positive mental health and strive to work holistically with both mind and body to help my clients achieve lasting change.

Fees

Initial consultations: £245 (1 hour)

Follow-up consultations: £245 (1 hour)

Dr Alberto Pertusa

I have a strong interest in behaviour modification, lifestyle optimisation and the use of self-quantification as a way to foster wellbeing and increase performance.

Conditions I treat:
ADHDAddictionsAnxietyBinge EatingOCDOrthorexiaSleep problems

I always strive to provide the highest standards of care to all my patients.
I endeavour to offer personalised and bespoke treatment in order to meet your specific needs