Dominic Riches

I am an experienced, fully qualified and accredited Cognitive Behavioural Psychotherapist, with a specialism in Mindfulness-based approaches, based in West London. I have many years’ experience working in the NHS, offering therapy to adults with common emotional difficulties like depression, anxiety, stress and low-self-esteem.

Life can be tough at times, especially with the impact of Covid-19 on our lives, but having had the privileged experience of seeing many clients change their lives for the better with the help of therapy, I am left with an unshakeable hope that all people, whatever their current trials and struggles, can live valued and happy lives.

Whether you're feeling down, anxious, lost, fearful or worthless - about anything from work and relationships, to the future of the planet - or indeed struggling to overcome a trauma in your life, I will listen to your story with kindness and in total confidence. We can then decide together whether my approach will help you move forward.

My main approaches are Cognitive Behavioural Therapy (CBT), Mindfulness, Compassion-focused therapy, Acceptance and Commitment Therapy (ACT) and Interpersonal Therapy (IPT). These are tried and tested ways of helping people who are suffering, in a gentle but also quite active and practical way. Typically, depending on your particular problems and issues, you could expect to see positive changes within 6 to 12 sessions of therapy, but I also work with people for significantly longer than that when needed.

It’s normal to feel anxious about meeting a therapist for the first time. Our initial consultation, either on the phone or face to face, would be a chance for you to hear a bit more about how I work, and crucially, for you to get a sense of whether you feel comfortable with me and whether we would be a good match. And of course, there’s absolutely no obligation to continue at that point or rush into a decision. Many people choose to speak to a few therapists before deciding on who to see for more sessions, which I think is a really good idea.

I have extensive experience of assessing and treating people with the following problems:

• Depression
• Generalised Anxiety Disorder (Worry)
• Social Anxiety (including shyness and blushing)
• Stress
• Anger
• Obsessive Compulsive Disorder
• Post-traumatic Stress Disorder
• Low Self-Esteem / low confidence
• Interpersonal Difficulties
• Specific Phobias
• Insomnia
• Addiction
• Work Stress
• Health Anxiety
• Physical illness, long term conditions and disability
• Panic disorder
• Agoraphobia
• Family issues
• Relationship issues
• Separation and divorce
• Affairs and infidelity
• Sexuality issues
• Assertiveness
• Trauma
• Work-related stress
• Performance anxiety, such as interviews, exams, or public speaking