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Traumatic Stress Clinic

Our services provide evidence-based psychological treatment for people with post-traumatic stress disorder (PTSD) and complex PTSD. This is an anxiety disorder which can be caused by stressful or frightening events. Our team also offer supervision, consultation and support to other services in C&I and community organisations on understanding and managing the condition. We have been commissioned to offer consultation and psychological care following major traumatic incidents, such as the London bombings.


We have expertise in working with traumatised refugees and asylum-seekers, survivors of childhood abuse, torture survivors, victims of trafficking, and veterans.

What is Post-Traumatic Stress Disorder?

Post-Traumatic Stress Disorder (PTSD) is the name we give to problems people may experience after they have been involved in one or multiple traumatic events. People with PTSD may present with some of the following symptoms:

  • Nightmares (usually with sleep disturbance)
  • Unpleasant intrusive thoughts/memories of the event
  • Avoidance of painful reminders of the event
  • Low mood and loss of interest
  • Poor concentration, irritability and feeling ‘jumpy’
  • Feelings of guilt and/or shame
  • Feeling unsafe and unable to trust others

Many people also have other difficulties including depression, panic disorder, chronic pain and alcohol/substance misuse.

Service users will initially be offered an assessment with a clinician during which our treatment approach will be explained and a decision will be made as to whether this service would best meet the service user’s needs. We offer a phased model of psychological treatment for those accepted for treatment in line with NICE guidelines.

  • The first part of treatment addresses ways of managing PTSD symptoms. It provides an understanding of PTSD and strategies to cope with distressing symptoms, such as nightmares and flashbacks.
  • The second part of treatment focuses on memories of traumatic events, and involves talking through past traumas in detail, with the support and advice of the psychologist. 
  • The final part of treatment involves helping service users resume everyday activities and relationships. 

At the end of treatment, service users should experience a reduction in their PTSD symptoms and an improvement in their quality of life. Whilst it is impossible to help people forget past traumatic events, treatment aims to help service users to cope better with these memories and to have more positive thoughts about themselves and increased hope for the future. Please see our service user leaflet for further information. 

We would also recommend watching this video, which features some of our Service Users describing in their own words what to expect when coming to the TSC.

  • Evidence-based psychological treatment for PTSD recommended in the NICE Guidelines
  • Clinical staff are highly trained and very experienced with complex PTSD
  • Expertise in working cross-culturally and across different languages using interpreters
Resources for Service Users

We have compiled a range of resources on coping with anxiety and PTSD symptoms. Please see our YouTube channel for more.

Information for Professionals

The TSC is able to provide special interest placements for doctors on the UCL North Central London specialist training programmes for General Adult Psychiatry and/or Medical Psychotherapy who hold full membership of the Royal College of Psychiatrists.

Please contact Dr Michael Bloomfield for more information.

The TSC is also open to placements for honorary therapists who have previous experience of providing trauma-focused therapies or who have experience working with complex mental health needs. Please note, we can only consider honorary therapists who are qualified psychologists or psychotherapists with a UK registration (HCPC, BACP, BABCP or a similar body), or final year psychology trainees, and who can provide evidence of training in delivering an evidence-based treatment for PTSD.

Please contact Dr Kim Ehntholt and see here for more information.

Keeping Well NCL Complex PTSD Pathway for Health and Social Care Staff

The Keeping Well NCL Complex PTSD Pathway in the Traumatic Stress Clinic is a free and confidential service that provides rapid access to evidence-based psychological treatment for health and social care staff with PTSD to multiple and prolonged traumatic events in the context of the Covid-19 pandemic. We see any health and social care staff resident or working in the North Central London region.

To refer a health or care staff member, please email keepingwellncl@tavi-port.nhs.uk marking your email as ‘Referral – Complex PTSD’. We also accept self-referrals. If you would like to discuss a referral, please email keepingwellNCL.trauma@candi.nhs.uk or call Complex PTSD Pathway clinicians Livia or Ghiselle on 0203 317 6820.

For further resources, information and useful tools on coping with traumatic stress, please visit www.keepingwellncl.nhs.uk and search ‘trauma’.

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