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WHAT I HELP WITH
Areas of
expertise.

People come to therapy for many different reasons. Perhaps you may already know what you are struggling with. Or maybe, it feels harder to define and may show up more as a persistent sense of struggle, disconnection, being stuck, or a feeling that something is not quite right.
 

I work with a range of difficulties, including anxiety, trauma, depression, low self-esteem, relationship difficulties, addiction, eating disorders, ADHD, grief, life transitions, and LGBTQ+ issues. Many people find that more than one of these speaks to their experience. You do not need to fit neatly into a category to begin therapy, and if what you're experiencing is not listed, please get in touch to see if I can help.

Anxiety, panic & overwhelm

You may find it difficult to switch off. Your mind keeps going, even when you are exhausted. You replay conversations, think several steps ahead, brace for what might go wrong, or struggle to relax without feeling guilty or on edge. From the outside, you may seem capable and high-functioning, while privately feeling tense, overextended, or close to the edge.

Anxiety therapy can offer a space to understand what may be driving these patterns, whether they show up as chronic worry, panic, self-doubt, or emotional overwhelm. Together, we can begin to make sense of what your anxiety may be trying to manage, and work towards a way of living that feels steadier, less driven by fear, and more spacious from within.

Trauma, PTSD & attachment trauma

You may feel as though something in you is always on alert. Trust may not come easily. You might shut down, over-adapt, people-please, dissociate, or react more intensely than you would like. At times, it may feel as though your body is carrying something your mind has not fully caught up with.

Trauma therapy is more than just speaking about what happened. It is also about understanding how trauma, PTSD, or attachment trauma may still be shaping your present experience, your relationships, and your sense of safety. Therapy can help you approach these patterns with care, and begin to create the steadiness, understanding, and trust that may once have been missing.

Depression, low mood & feeling stuck

You may be functioning, but only just. Things that once felt manageable now take effort. There may be a heaviness, a loss of meaning, emotional flatness, or the sense that life is passing around you while you remain at a distance from it. Perhaps you are tired of carrying this privately, especially when others assume you are fine.

Therapy for depression and low mood can offer a place to understand what feels flat, stuck, or out of reach. Sometimes this work involves exploring pain that has gone unspoken for a long time. Sometimes it means making room for feeling to return. Often, it is both.

Self-esteem, shame & self-criticism

You may be hard on yourself in ways that feel relentless. You question your worth, minimise your needs, compare yourself to others, or feel as though no matter what you do, it is never quite enough. Shame may sit close to the surface, or quietly shape the way you live, relate, and make decisions.

Low self-esteem rarely appears out of nowhere. It often develops in response to earlier relationships and environments that left you feeling criticised, unseen, or as though you had to earn acceptance. Therapy for self-esteem and shame can help you understand where these patterns began, soften the grip of the inner critic, and begin building a more compassionate and stable relationship with yourself.

Relationship difficulties

You may find yourself repeating the same painful patterns in relationships, even when part of you can see them happening. Perhaps you struggle with trust, fear abandonment, lose yourself in other people, avoid closeness, or feel overwhelmed by intimacy. You may keep ending up in relationships that leave you anxious, confused, or unseen.

 

Therapy for relationship difficulties can help bring these patterns into view, not as personal failings, but as meaningful adaptations that often have a history. Together, we can explore what happens for you in connection, what gets stirred up in closeness, and what may need to change for relationships to feel more secure, mutual, and workable.

Addiction & compulsive behaviours

You may have found ways to cope that once helped you survive, but now feel as though they are costing too much. This might involve substances, alcohol, drugs, sex, work, pornography, food, or other compulsive patterns that bring relief, escape, or control, but also shame, secrecy, or a sense of being trapped.

Addiction therapy is not about moralising or reducing you to a behaviour. It is about understanding what the behaviour has been doing for you, what it may have protected you from, and what support is needed for something different to become possible. Therapy can offer space to approach addiction with honesty, thoughtfulness, and care.

Eating disorders, eating difficulties & body image

You may feel caught in a difficult relationship with food, eating, or your body. Perhaps you restrict, binge, purge, over-exercise, feel consumed by body image, or find yourself locked in cycles of control, guilt, and self-criticism. These struggles can feel deeply private, exhausting, and hard to explain.

Therapy for eating disorders and eating difficulties is not simply about food. It is often about emotion, shame, safety, control, trauma, and the way you have learnt to manage what feels overwhelming. Therapy can help you begin to understand what these patterns are expressing, while moving towards greater stability, compassion, and freedom.

ADHD, neurodivergence and emotional regulation

You may have spent years feeling misunderstood, out of step, too much, or not enough. ADHD and other forms of neurodivergence can affect far more than concentration. They can shape self-esteem, emotional regulation, burnout, relationships, and how manageable daily life feels.

Therapy for ADHD and neurodivergence can offer a space to think about the emotional impact of living in a world that may not have met you particularly well. This work is not about pathologising who you are. It is about helping you understand your experience more fully, reduce shame, and find ways of relating to yourself that are more workable, compassionate, and sustainable.

LGBTQ+ issues, identity & sexuality

You may be exploring questions around identity, sexuality, gender, belonging, or visibility. Perhaps parts of you have had to remain hidden, carefully managed, or defended. You may be carrying the effects of shame, family dynamics, internalised stigma, or the strain of living in environments where being fully yourself has not always felt safe.

 

For many clients, LGBTQ+ therapy offers a space to bring these experiences without needing to explain or dilute them. It can be a place to explore identity, relationships, and selfhood with greater freedom, and to work through the emotional impact of having been misread, invalidated, or unseen.

Grief, loss & life transitions

You may be grieving someone important, living through the end of a relationship, facing a change in health, work, identity, or family role, or trying to adjust to a life that no longer looks as you expected. Sometimes grief is obvious. Sometimes it arrives more quietly, through disorientation, numbness, or the sense that something has shifted and cannot be put back.

Therapy for grief, loss, and life transitions can offer a place to process what has changed, what has been lost, and who you are becoming in the midst of it. Therapy cannot remove loss, but it can help you stay alongside it with more support, understanding, and care.

You do not need to have the right words to begin...

Many people start therapy without a perfect explanation of what is wrong. You may only know that something is not easing, not working, or not making sense in the way you want it to. That is enough.

If you are considering individual therapy, you are welcome to begin with an enquiry.

Frequently asked questions

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If what you're carrying isn't listed here, please reach out anyway. The first step is a free introductory call, no obligation, no pressure.

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If you are considering therapy, you are welcome to book a free introductory call to discuss what is bringing you here and whether working together feels like the right fit.

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MatthewFrenerTherapy

Integrative Psychotherapy and Dialectical Behaviour Therapy for individuals, in Fitzrovia, Central London & online.

Consulting Room:

Audley House

12-12a Margaret Street

London

W1W 8JQ

+44 7496 186227

@matthewfrenertherapy

Matthew Frener MBACP (Accred) Logo
MNCPS Accredited Logo
Addiction Professionals Advanced Practitioner

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Matthew Frener Therapy is a trading name of Matthew Frener Group Limited, registered in England and Wales, company no. 16157848. Registered office: 128 City Road, London, England, EC1V 2NX.

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