Dr Isobel Horn, Clinical Psychologist, Specialist Eating Disorders
127 Harley Street
1A Snow Hill Court
07745 933 060
Isobel is a Clinical Psychologist with specialist experience and training in Eating Disorders and 15 years’ experience in general Adult Mental Health. She has assessed and treated more than 250 clients with eating disorders. As well as supporting people to recover from their eating disorder, she advises partners and parents in how to talk about and approach the problem.
How she works
From the outset, Isobel will work directly on the eating disorder symptoms you want to target and change. Within a couple of sessions she will clarify other important aspects so you can achieve lasting recovery. These could include:
- Improving low self-esteem
- Reducing depression and anxiety
- Using the need to be perfect to work for, rather than against you
- Standing up to your inner-critic
- Expressing anger safely
- Increasing your tolerance of negative emotions
- Empowering yourself in relationships.
Isobel works carefully with your barriers to change. Eating disorders are similar to addictions; part of us wants to end what we do, yet another part is ‘resistant’ to change. You may have tried to eat normally, but the eating disorder often ‘wins’ leaving you hopeless and powerless. This is because underneath the calorie counting and food planning, underneath the preoccupation with weight and shape, and the chaos of bingeing, eating disorders help us cope. So an early task in therapy is to understand what the eating disorder provides at a subtle level. Once we identify that crucial information, we know exactly the work we need to do. You will learn other ways of coping so you no longer need your eating disorder.
Isobel collaborates closely with leading eating disorder psychiatrists and dieticians at the Chelsea and Harley Street Eating Disorder service. She refers into this network if clients could benefit from a review of mood, anxiety or sleep symptoms or support from a specialist dietician.
She works out of comfortable consulting rooms in the West End and the City of London and offers Skype/phone sessions.
Training, qualifications & experience
Education and Training
Isobel‘s education and training have resulted in a unique approach to therapy. She studied psychology at Oxford University and at the Institute of Psychiatry, Kings College, London. Leaders in the field of cognitive behaviour therapy (CBT) trained and grounded her in this scientifically-established method. CBT shows promising results and is now a nationally accepted treatment of choice for bulimia and binge-eating disorder. To enhance and expand her treatment approach for clients who show a limited response to CBT Isobel has done further training. She augments standard approaches with techniques that help people become aware of the unique, unconscious processes behind their symptoms.
Examples of her work
Client A: In the everyday experience of bingeing this client identified with strong feelings of disgust, lack of control and hopelessness. She couldn’t imagine that bingeing provided her with something important for her wellbeing. Isobel helped her pay attention to the hidden aspects of her eating behaviour. This revealed that when she binged she had a relaxing experience of softness, warmth, of nurturing and taking care of herself. The way she lived meant these experiences were denied her. She worked on changing her relationships, life situation and inner self-talk to create a more nurturing, relaxing life where she takes better care of herself and no longer relies on bingeing.
Client B: This client presented with anorexia: low weight, restricting food intake, fear of gaining weight, body checking and high standards about her appearance. She was pushed around by a bossy, unwanted anorexic voice that persisted and ground her down. Enhanced methods identified that behind these symptoms lay a need to feel her importance, status and value in the world. Two main barriers to this became apparent, namely: she had settled for an undemanding role where she faded into the background in her busy, distracted family which wasn’t satisfying her need for care; further, intense self-criticism and inner high standards prevented her appreciating her worth and status. This client was not an ‘attention seeker’, but she did need to ensure that she gave herself and demanded directly from others, a better quality of consideration and care.
Isobel’s clients describe an experience of compassion, warmth, safety and understanding. They leave with more self-acceptance, aware of their strengths and with knowledge of what they need for future growth and development.
“Isobel gave me back some self worth and helped me to silence my inner critics and find some value in myself.”
She has given talks to GPs, NHS professionals and teachers on the best approaches to support people. She has supervised nursing staff, dieticians and psychology colleagues who work in an NHS eating disorders service. She has appeared on radio discussing the origins of eating disorders.
In 2014 her work was recognised in the Lancashire Care NHS Staff Excellence Awards when she was nominated in the client-led People's Choice category as ‘professional who has made a difference’.
Areas of counselling I deal with
- Affairs and betrayals
- Anorexia nervosa
- Binge-eating disorder
- Borderline personality disorder
- Bulimia nervosa
- Eating disorders
- Family issues
- Generalised anxiety disorder
- Low self-esteem
- Obsessive compulsive disorder (OCD)
Photos & videos
Therapy is a considerable outlay in terms of cost and time. With this is mind, Isobel promotes short- to medium-term interventions. In the last 12 months her interventions have ranged from 3 to 24 sessions, with an average of 13 sessions. Flexibility in how you want to use the therapy is important; your budget may only allow for you to attend a couple of times a month or you may want to start some groundwork whilst waiting for an NHS appointment. Isobel encourages you to do work between appointments.
£150 per hour
£190 per 1.5 hours
Isobel is a recognised provider for all major insurance companies (BUPA, AXA-PPP, AVIVA, CIGNA, BUPA International, PruHealth etc). To discuss the best way to obtain coverage for eating disorder symptoms please get in touch with her.
Referral Process and Who Can Refer
You can refer yourself. Please refer if you are professional or support group co-ordinator and you have someone's consent. If you are the parent, partner or friend with concerns about someone with an eating disorder please feel free to contact Isobel, but please ask for consent from the person you wish to discuss.
What? First a brief phone call to get an idea of your concerns and what you want to work on plus practicalities such as appointment times and any funding issues. If you decide to book an appointment Isobel will send a confirmation letter along with her terms of practice and a client registration form for you to complete and bring with you to the first appointment.
Maps & Directions
Type of session
|Face to face counselling:||Yes|
Flexible availability: early and late appointments offered. Phone and Skype appointments an alternative.
Types of client
Supervision & training