CPTSD Therapy London | Complex Trauma Treatment

Complex PTSD Therapy Online

(UK & International) | London-Based Practice

You may not have one catastrophic memory. You may instead carry a climate.

Years of scanning. Adapting. Performing. Disappearing. Exploding and then apologising for it.

Complex PTSD is not simply about what happened to you. It is about what your nervous system had to become in order to survive it.

The shame that feels structural.
The emotional flashbacks that arrive without images — only sensation.
The hypervigilance that never quite switches off.
The sense that other people seem more solid than you feel.

If trauma was relational, healing must be relational too.

I provide specialist Complex PTSD therapy online across the UK and internationally. I am based in London and work with many London clients seeking thoughtful, trauma-informed and neuro-affirmative care.

When Trauma Was Ongoing

Complex PTSD develops in environments where there was no clear exit. Where the stress was chronic, subtle, or bound up with attachment. Where you learned to anticipate moods, manage atmospheres, minimise yourself, or over-function.

Trauma can also be transgenerational. Patterns of fear, silence, shame, migration, war, poverty, or exclusion can echo across generations, shaping nervous systems long before conscious memory begins. Sometimes the atmosphere you carry did not start with you.

And for many people, harm has not only occurred in families or relationships, but within systems — including healthcare, mental health services, or institutions that were meant to help. Being disbelieved, pathologised, rushed, or reduced to risk can compound earlier injury. That matters here.

You might notice:

Waves of fear or self-loathing with no obvious trigger
Shutdown that feels like disappearing
Relational patterns that repeat despite insight
A relentless internal critic
Oscillation between intensity and numbness

Many people with complex trauma were not believed. Or were told it “wasn’t that bad.” Or feel their story is too messy to qualify.

There is no rubric here for a “deserving victim.” Whether your history includes substance use, self-harm, suicide attempts, perfectionistic over-performing, controlling behaviours, or dynamics that don’t fit a neat narrative — you are entitled to thoughtful, non-judgmental care.

Agency and Pacing Come First

CPTSD therapy must protect your nervous system, not override it. You set the speed.

We do not “dive into” trauma. If your system begins to flood or dissociate, we stop. We prioritise your window of tolerance over any clinical agenda. Therapy is not a race toward catharsis.
The present comes before the past. We do not touch traumatic memory until your day-to-day regulation feels steadier. We spend as long as necessary building a floor beneath you — grounding, containment, strengthening parts of you that can stay with experience without being overwhelmed.
You decide how visible you are. For some people, being looked at on a screen is too intense. Online sessions can be camera-optional. We can use chat. We can work side-by-side with a shared document or resource so the focus is not always on direct eye contact. Depth does not require exposure.

How I Work

I am a Consultant Clinical Psychologist with over twenty-five years’ experience working with complex trauma, dissociation, narcissistic abuse and long-term relational injury. I work actively and relationally. I do not simply analyse from a distance. Nor do I push people into premature exposure.

Early work often focuses on:

Emotional flashbacks
Shutdown and dissociation
Hyper-control or collapse
Internal parts organised around survival
Building steadiness in the nervous system

Only when your system has more stability do we move toward deeper processing. This is collaborative. There is no forced re-living. Memory work happens in tolerable doses, woven into the present.

Over time, something shifts. Shame becomes contextual rather than total. The body holds less alarm. Relationships feel less like reenactments. Identity feels less defined by survival.

And gradually, space opens for something else: Curiosity. Play. Vitality. Complex trauma narrows life around protection. Therapy aims to widen it again — so that you are not only safe, but alive.

Online CPTSD Therapy

Many people with complex trauma initially feel safer working online. Being in your own environment can reduce overwhelm and increase agency.

I currently offer therapy online. Although I am based in London and work with many London clients, sessions are conducted remotely. I also work with clients across the UK and internationally.

The work is structured.
The pacing is deliberate.
The relationship matters.

Beginning

It makes sense if you are cautious. The parts of you that kept you alive are not naïve. They learned vigilance for a reason.

Therapy should not bulldoze those parts. It should earn their trust.

If you would like to enquire about Complex PTSD therapy online, you are welcome to email jaywattslondon@gmail.com to arrange an initial consultation.