John J Ahearne - LCaP

Counselling and Psychotherapy in London

Angel Islington, Holborn, Bond Street, Cavendish Square, Oxford Street, and Marylebone


John J Ahearne - LCaP

(London Counselling and Psychotherapy)

Integrative Therapeutic Talking & Listening Therapy, through a Psychodynamic Lens

Accredited Counsellor and Psychotherapist with clinics in Angel N1, Islington EC1V, Holborn, Bond Street, Cavendish Square, Oxford Circus, the West End, and Marylebone.

Face-to-face & online counselling sessions for adult individuals, couples and other relationships (family and non-traditional).

John J Ahearne - LCaP

Welcome to my website

I am a qualified and accredited counsellor with clinics across Angel, Islington London, Holborn, Bond Street, Cavendish Square, Oxford Street, the West End, and Marylebone.

I am committed to providing counselling, psychotherapy, and talking therapy in a safe, confidential, and non-judgmental environment. I work with individuals and couples using an open-ended counsellor approach or for an agreed-upon period to enable you to enhance your life experience(s) and live them more fully.

I understand that seeking out therapy might be a difficult decision for some, but I firmly believe that when an individual makes that step, it is because they are ready for change and growth. Using my counsellor training and counsellor knowledge, I will work with you towards a better awareness of yourself and yourself in relation to those around you.


Nothing you say will shock me, and everything you say is always confidential.


Together, we will recognise and explore patterns in yourself and others, what your triggers are, and where those patterns may have originated. I do not believe in immediate fixes; rather, most issues are relational problems.

I work from clinics in Angel, Islington London, High Holborn, Holborn, Bond Street, Wimpole Street, Cavendish Square, Oxford Circus and Street, the West End, and Marylebone. Currently, I have availability in Islington, West End and Marylebone

It's about the relationship we have with a problem that causes us pain; how you react to a topic, person or life event that causes upset in your personal and/or professional life.

“Being entirely honest with oneself is a good exercise.”

– Sigmund Freud

”The fact that grief takes so long to resolve is not a sign of inadequacy, but betokens depth of soul.”

– Donald Winnicott

“Happiness is when what you think, what you say, and what you do are in harmony.”

– Mahatma Gandhi

“Let me say to begin with: It is not neurotic to have conflict...Conflicts within ourselves are an integral part of human life.”

– Karen Horney

“How people treat you is their karma; how you react is yours.”

– Wayne W. Dyer

“It is a joy to be hidden, and disaster not to be found.”

– Donald Winnicott

“The primary cause of unhappiness is never the situation but your thoughts about it.”

– Eckhart Tolle

The Process for starting

The process is something like this:


  • We have an initial 15-minute telephone call.
  • You tell me a little bit about what is going on for you and why you have reached out for counselling and psychotherapy.
  • I will tell you a bit about what I can offer you as an integrative therapist.
  • If by the end of the telephone consultation we are both happy to go ahead, we move on to looking at both our diaries to agree on a weekly day/time slot for each week in person at Angel, Islington, Holborn, Bond Street, Wimpole Street, Oxford Street, the West End, and Marylebone. I also offer online counselling sessions or hybrid counselling sessions.
  • I offer a once-weekly model, which can be short-term therapy or long-term therapy (open-ended).


  • If you would prefer a full in-person assessment session in Angel, Islington London, Holborn, High Holborn, Bond Street, Wimpole Street, Cavendish Square, Oxford Street, the West End, and Marylebone, please do ask.

Couns.Dip, Cert.Psych, MBACP

Enhanced DBS Renewed March 2026

My locations

I am a qualified counsellor offering face-to-face counselling and psychotherapy services in Angel Islington, Holborn, High Holborn, Bond Street, Wimpole Street, Cavendish Square, Oxford Street, the West End, and Marylebone, London.

I also offer online counselling sessions via the secure platform Zoom. Hybrid online and face-to-face counselling sessions are also available.

Angel N1 & Islington

EC1V Counselling & Psychotherapy




Holborn, High Holborn & Chancery Lane Counselling & Psychotherapy




Oxford / Bond / Wimpole St, Manchester Square W1U Marylebone Counselling & Psychotherapy

Harley Street, Cavendish Square, Oxford Circus W1G Marylebone Counselling & Psychotherapy

Fees & availability

  • Adult Individual Counselling and Psychotherapy: £90 - £145 per therapeutic session (50 minutes)


  • Adult Individual Counselling and Psychotherapy: more than once per week: £90 per therapeutic session (50 minutes)


  • Adult Couple Counselling and Psychotherapy/ Separation Therapy: £135 - £185 per therapeutic session, depending on time of day & length of session


  • Other Relationships Counselling and Psychotherapy: £135 - £185 per therapeutic session, depending on time of day and length of session


I am available for a free 15-minute conversation on the telephone for clients to discuss what they want out of therapy. Please ask about an in-person full assessment session if you prefer—in Angel, Islington London, Holborn, High Holborn, Bond Street, Wimpole Street, Cavendish Square, Oxford Street, the West End, and Marylebone.

Get in touch

Feel free to contact me if you have any questions about how counselling or psychotherapy works, or to arrange an initial assessment appointment. This enables us to discuss the reasons you are thinking of coming to counselling, whether it could be helpful for you and whether I am the right therapist to help.


You can also call/text/WhatsApp me on 07549 165 155 if you would prefer to leave a message or speak to me first. I am happy to discuss any queries or questions you may have prior to arranging an initial appointment.


All enquires are usually answered within 24 hours, and all contact is strictly confidential and uses secure phone and email services.

Some of the issues that people search for on the internet when seeking out therapy

(source: counselling directory 06/26)

  • Depression
  • Low self-esteem
  • Anxiety
  • Low self-confidence
  • Family issues
  • Trauma
  • Stress
  • Bereavement
  • Couples therapy
  • Mental health
  • Feeling sad
  • Loneliness
  • Addiction
  • LGBTQ+ counselling
  • Kink aware therapy
  • Childhood trauma


  • Neurodiversity
  • Person-centred therapy
  • W1G Psychotherapy
  • Social anxiety
  • Anger management
  • Integrative counselling
  • Panic attacks
  • Sex problems
  • Attachment disorder
  • Cognitive and behavioural therapies
  • Psychodynamic therapy
  • Health anxiety
  • Islington Counselling
  • Suicidal thoughts
  • Affairs and betrayals
  • Boarding school trauma


  • Eating disorders
  • Abuse
  • Work-related stress
  • Generalised anxiety disorder
  • Dissociation
  • Perfectionism
  • Islington
  • Marylebone Counselling
  • Alcoholism
  • Emotional abuse
  • West End Counselling
  • Career counselling
  • Self-harm
  • Sexual abuse
  • Binge-eating disorder
  • Psychoanalytic therapy
  • Adverse childhood experiences (ACE's)


John J Ahearne - LCaP - Counselling and Psychotherapy in Angel Islington

Monthly Spotlight June:

Relationship Breakdown and Breakthrough: A Relational Therapeutic View Through a Psychodynamic Lens


Relationship Breakdown and Breakthrough: A Relational Therapeutic View Through a Psychodynamic Lens


Relationship breakdown is rarely caused by one single moment. Sometimes there is an obvious rupture: an affair, a betrayal, a sudden ending, a disclosure, or a repeated injury that can no longer be tolerated. But more often, relationships break down slowly. Something begins to happen in the space between two people. The relationship may still function on the outside, but inside it can start to feel harder to reach one another. There may be less tenderness, less curiosity, less repair. Conversations become more defensive. Silence becomes loaded. Small disagreements begin to carry the weight of years.


And yet, within relationship breakdown, there can sometimes also be the possibility of relationship breakthrough. Not always, and certainly not at any cost. Some relationships are unsafe, coercive, or too damaging to continue. In those situations, the work may be about leaving, recovering, and rebuilding a sense of self. But where there is enough safety, willingness and emotional honesty, a crisis in a relationship can become a moment where something previously hidden becomes visible. The old ways of coping stop working. The relationship reaches a point where something has to be faced. In that sense, breakdown can sometimes become the doorway into deeper truth.


My way of working is relational, pluralistic and integrative, while being informed by a psychodynamic lens. That distinction matters to me. I am not interested in applying theory in a rigid, cold, or overly interpretive way. For some people, a purely psychodynamic approach can feel too exposing, too harsh, or too removed from the reality of what they are living through. I use a psychodynamic lens because it helps us think beneath the surface, but I try to do this in a way that remains human, flexible and compassionate. It helps us ask not only, “What happened?”, but also, “What did this mean?”, “What did it stir up?”, and “Why did this pattern become so powerful?”


From a pluralistic and relational therapeutic position, I do not see relationship breakdown or breakthrough as something that can be understood through one theory alone. Every couple, and every person within a couple, brings their own history, wounds, hopes, fears and ways of protecting themselves. Some relationships are worn down by stress, parenting, money, family pressures, illness, sexual disconnection, grief or loss. Others are shaped by earlier attachment injuries, trauma, shame, dependency, fear of abandonment, or fear of being engulfed. Often, it is not one thing or the other. The practical and the psychological become woven together.


A psychodynamic lens helps us listen for what sits beneath the surface. An argument may appear to be about the washing up, the phone, money, sex, lateness, childcare, or who does more in the home. And of course, those things matter. They are real. But in therapy, I am also interested in what these moments come to mean emotionally. One person may not simply hear, “You forgot to do something.” They may hear, “You do not matter.” Another may not simply experience their partner wanting reassurance. They may feel controlled, trapped, criticised or inadequate. What looks like an ordinary disagreement can carry much deeper emotional meanings.


This is why relationship breakdown can feel so painful and confusing. Two people may be arguing about the present, while each is also responding to older emotional templates. A look, a tone, a withdrawal, a criticism, or a delay in replying can stir feelings that belong partly to the current relationship and partly to earlier experiences of being ignored, shamed, abandoned, controlled or unseen. The past does not simply stay in the past. It can become alive between two people.


Relationship breakthrough begins when these patterns can be thought about rather than simply acted out. Instead of only repeating the same argument, the couple may begin to wonder what the argument is really carrying. Instead of asking, “Who is to blame?”, the work becomes more relational: “What happens between us?” “What do we each do when we feel frightened?” “What are we protecting ourselves from?” “What becomes impossible to say directly?” This does not remove accountability, but it does create a space where meaning can sit alongside responsibility.


Karen Horney’s ideas are useful here. Horney was a psychoanalyst who moved away from some of Freud’s more biologically driven ideas and placed greater emphasis on social, cultural and relational experience. The American Institute for Psychoanalysis has a helpful page about her work here: https://aipnyc.org/who-is-karen-horney/


Horney described the ways people manage anxiety in relationships by moving towards, against, or away from others. I find this a very helpful way of thinking about both relationship breakdown and breakthrough. These movements are usually protective. They are ways of trying to feel safe when something inside feels threatened.

One person may move towards their partner. They may seek closeness, reassurance, conversation, contact and confirmation that the relationship is still secure. When this becomes intense, it can look like neediness or pressure, but underneath there may be fear: “Please do not leave me.” “Please see me.” “Please tell me I still matter.”

Another person may move away. They may withdraw, shut down, become quiet, avoid difficult conversations, work more, go into their phone, or emotionally disappear. This can look cold or uncaring, but underneath there may also be fear: “This is too much.” “I am going to get it wrong.” “I will be swallowed up.” “I cannot bear the criticism.”

A third movement is against the other. This may show itself as criticism, attack, control, sarcasm or superiority. Again, this may be damaging within the relationship, but through a psychodynamic lens we can also understand it as a defence against vulnerability. It may be easier to attack than to say, “I feel hurt,” “I feel unlovable,” or “I am frightened that I am not enough.”


What I find important about Horney’s idea is that these movements are not only couple dynamics. They are also ways that we relate to people in life more generally. We may move towards people when we feel anxious by pleasing, appeasing, over-giving, over-explaining, seeking approval or trying to keep the peace. We may move away by becoming self-contained, detached, avoidant, busy, intellectualised or emotionally unavailable. We may move against by becoming defensive, competitive, controlling, dismissive or critical. These patterns can appear in friendships, families, workplaces, parenting, therapy, supervision, professional relationships and in how we relate to authority.

In individual therapy, Horney’s model can help a person begin to recognise their own relational style. The work is not about blaming themselves for how they relate. It is about becoming curious about what they have had to do in order to feel safe. A client might begin to notice that they move towards others by apologising, rescuing or trying to manage everyone else’s feelings. Another might recognise that they move away when conflict feels too exposing. Another might discover that they move against others when they feel ashamed, small or powerless. In individual work, these patterns can be explored through the client’s current relationships, earlier family dynamics, attachment experiences and, importantly, the therapeutic relationship itself.


This is where using a psychodynamic lens can be especially helpful. The client may not only talk about these movements; they may also live them out in the therapy. A client who moves towards may worry about pleasing the therapist or being a “good client”. A client who moves away may keep the therapist at a distance, intellectualise, minimise feeling, or attend sessions while remaining emotionally unreachable. A client who moves against may test, challenge, dismiss or become critical when vulnerability gets too close. The task is not to shame these defences, but to notice them together. In individual therapy, breakthrough can happen when the client begins to say, “This is what I do when I feel frightened,” rather than simply becoming trapped inside the pattern.


In couples therapy, Horney’s model can help both partners see the cycle between them. One partner’s movement towards may trigger the other’s movement away. One partner’s movement against may lead the other to withdraw, appease or defend. The therapist can help the couple slow the process down and see how each person’s protection may be fuelling the other person’s fear. This can be relieving, because the couple begin to see the relationship as a dynamic system rather than a courtroom where one person has to be guilty and the other innocent. The work becomes less about winning the argument and more about understanding the emotional choreography between them.

In breakdown, these movements often become rigid. The person who moves towards may pursue more desperately. The person who moves away may become more defended. The person who moves against may become harsher, more contemptuous or more controlling. But breakthrough becomes possible when these positions soften. A person may begin to recognise, “When I attack, I am often frightened.” Another may realise, “When I disappear, I leave my partner alone with all the feeling.” Another may say, “When I cling, I am trying to manage an old terror of being left.” These moments can be deeply moving because they shift the relationship from accusation into vulnerability.

In my own therapeutic work, I would want to hold both truths at the same time. We can understand why someone protects themselves in a particular way, while also recognising the impact of that protection on the other person. Understanding is not the same as excusing. A relational therapeutic approach, informed by a psychodynamic lens, does not simply ask, “Who is right?” It asks, “What is happening between you?” “What gets stirred in each of you?” “What do you each do when you feel frightened, ashamed, unwanted or exposed?” It also asks, “Is there enough safety here for something new to happen?”


This is often where couples become caught in painful cycles. One partner pursues because they feel abandoned. The other withdraws because they feel overwhelmed. The withdrawal then confirms the first partner’s fear of abandonment, and the pursuit confirms the second partner’s fear of being engulfed or criticised. Each person experiences themselves as reacting to the other, but both are also participating in a pattern that neither of them may fully understand. The relationship becomes organised around protection rather than connection.

Breakthrough does not mean that the cycle disappears overnight. It often begins with one small moment of recognition. One partner notices the familiar pull to attack but manages to say, “I feel hurt.” Another notices the urge to shut down but manages to say, “I need a moment, but I am not leaving the conversation.” These are not small things. They are relational achievements. They show that the couple is beginning to build a new emotional language.


Ellyn Bader and Peter Pearson’s developmental model of couples therapy is also useful here. Bader is co-founder of The Couples Institute and, together with Pearson, developed the Developmental Model of Couples Therapy. You can read more about Bader’s work here: https://www.couplesinstitute.com/ellyn-bader/ and more about the Developmental Model here: https://www.couplesinstitute.com/look-back-developmental-model/


Their model is particularly helpful in thinking about differentiation: the capacity to remain emotionally connected while also allowing each person to be separate, different and real.

In the early stages of a relationship, couples often bond through similarity, hope, idealisation and emotional intensity. Differences may be softened or overlooked. Later, as each person becomes more fully themselves, difference becomes harder to ignore. One partner wants more space; the other wants more closeness. One wants to talk; the other needs time. One values certainty; the other values freedom. One seeks reassurance; the other experiences reassurance as demand.

Bader and Pearson help us think about whether a couple can remain connected while allowing each person to be separate. This is not always easy. For some people, difference feels like rejection. For others, closeness feels like a loss of self. A partner’s independence may feel like abandonment. A partner’s dependency may feel like invasion. The developmental task is to move towards a relationship where two people can say, in effect, “You are not me, and I am not you, but we can still try to meet.” When that capacity breaks down, couples can become stuck in protest, compliance, resentment or withdrawal.

Again, this is not only about romantic relationships. Differentiation is a life task. We are constantly trying to work out how to stay connected to others without losing ourselves, and how to be ourselves without cutting off from others. This happens between parents and children, adult siblings, friends, colleagues, supervisees and supervisors, therapists and clients. It also happens internally, in the way we negotiate our own needs, guilt, loyalty, independence and dependence.

In individual therapy, Bader and Pearson’s ideas can be used to think about a person’s capacity for separateness and connection across their relationships. A client may come to therapy saying they struggle with partners, but the same pattern may also appear with parents, siblings, friends or colleagues. They may find it difficult to say no, to tolerate another person’s disappointment, to disagree without feeling cruel, or to need someone without feeling weak. Individual therapy can help the client develop a stronger sense of self, so that closeness does not require self-abandonment and independence does not require emotional cut-off.

This can be particularly important for people who feel guilty when they set boundaries, or who confuse love with merging. In individual work, differentiation may involve helping the client ask: “What do I feel?” “What do I need?” “What belongs to me and what belongs to the other person?” “Can I stay emotionally present without taking responsibility for everything?” The work is often slow and compassionate, because for many people separateness was not experienced as safe in earlier life. Saying no, disagreeing, wanting something different, or allowing someone else to be upset may feel dangerous, even when it is healthy.

In couples therapy, Bader and Pearson’s model gives a way of understanding where the couple may be developmentally stuck. Some couples struggle to move beyond the early fantasy of sameness. Difference feels like betrayal. Others are caught in a power struggle where each person is trying to be recognised but cannot yet recognise the other. Some couples have become emotionally cut off and need help finding safe contact again. Others may be working towards mutual interdependence: a more mature form of relating where both partners can be separate and connected, honest and caring, boundaried and emotionally available.

In a couples session, this might mean helping the couple tolerate difference without immediately turning it into rejection or attack. One partner might say, “I need time alone,” and the work is to help the other partner hear this as a need for space rather than proof of abandonment. Another might say, “I need more closeness,” and the work is to help the other hear this as a longing for connection rather than control. The therapist helps the couple develop the capacity to stay in contact while recognising that both people have separate minds, needs and histories.

In everyday life, poor differentiation can show itself in many ways. A person may say yes when they mean no because they fear disappointing someone. They may avoid conflict because disagreement feels like abandonment. They may become overly independent because needing others feels humiliating. They may experience another person’s boundary as rejection, or another person’s difference as disloyalty. In this way, the movements described by Horney, and the developmental struggles described by Bader and Pearson, are not just couple therapy ideas. They are ways of understanding human relating more broadly.

Relationship breakthrough often involves a movement towards this kind of differentiation. The couple begins to realise that difference does not have to mean danger. One person can need space without abandoning the other. One person can need closeness without controlling the other. One person can disagree without destroying the bond. This is difficult work, because it requires both people to tolerate anxiety without immediately defending against it.

In therapy, I would often be listening for whether the couple has lost the ability to recognise each other as separate subjects. By this I mean: can each person still imagine that the other has an inner world that makes sense to them? Or has the other become reduced to a role — the selfish one, the needy one, the cold one, the angry one, the irresponsible one? When people are hurt for long enough, they often stop being curious. They no longer ask, “What might be happening for you?” They think they already know. And once curiosity disappears, the relationship can become very lonely.

A breakthrough often begins with the return of curiosity. Not a naïve curiosity that ignores harm, but a more mature curiosity that can say, “I want to understand what happens between us, even if I am angry with you.” This is where repair becomes possible. Repair is not the same as pretending something did not happen. It means something has been named, felt, understood and responded to differently.

A pluralistic therapist also needs to be practical and ethical. Not every relationship should be repaired. Some relationships are unsafe, coercive, chronically neglectful or emotionally damaging. Some people have spent years trying to understand the other person while abandoning themselves. In those cases, the work may not be about saving the relationship, but helping the person recover their sense of reality, boundaries and self-respect. Therapy through a psychodynamic lens should never romanticise suffering. It should not encourage someone to stay simply because there is a pattern to understand.

At the same time, when both people are willing and there is enough safety, relationship breakdown can become an opportunity for deeper understanding. This does not mean blame disappears. It means blame can be joined by meaning. A couple might begin to see that the argument is not only about the thing itself, but about longing, disappointment, fear and unmet need. One partner may begin to say, “When you go quiet, I feel abandoned,” rather than, “You are cold.” The other may begin to say, “When you come towards me with anger, I feel I have already failed,” rather than, “You are too much.” These shifts matter. They are small movements from accusation towards vulnerability.

Relationship breakdown also involves grief. Even when separation is necessary, there is often mourning for what the relationship once was, or what it was hoped it would become. People grieve the imagined future, the routines, the shared home, the family structure, the private jokes, and the version of themselves that existed inside the relationship. They may also grieve the fact that love was not enough, or that love became mixed with hurt, fear and disappointment.

Relationship breakthrough also involves grief, because even when a couple stays together, something may have to be mourned. The old fantasy of the relationship may need to die. The hope that the other person would always know, always soothe, always agree, always rescue, may have to be let go of. In its place, something more real may begin: a relationship between two imperfect people who are trying to understand themselves and each other more honestly.

For some people, the end of a relationship reactivates earlier losses. A breakup can touch childhood experiences of abandonment, parental conflict, emotional neglect, rejection or bereavement. The pain may feel overwhelming not because the person is weak, but because the present loss has opened older wounds. Therapy can help someone gently separate then from now. It can help them understand why this ending hurts in the particular way that it does.

There is often shame too. People may feel they failed, stayed too long, left too late, chose badly, ignored signs, repeated a pattern, or became someone they did not want to be. A relational therapeutic approach tries to meet this shame with care and honesty. Rather than asking, “What is wrong with you?”, therapy asks, “What happened to you in this relationship?” “What did you need?” “What did you learn to tolerate?” “What were you hoping would eventually be repaired?”

In this sense, relationship breakdown is not only an ending. It can also be a revelation. It reveals how we love, how we defend, how we attach, how we protest, how we withdraw, and how we try to protect ourselves from pain. Relationship breakthrough happens when that revelation can be used, not to punish the self or the other, but to deepen understanding and create the possibility of something different.

Drawing on Horney, we can understand the anxious movements towards, against and away from the other. Drawing on Bader and Pearson, we can understand the struggle to differentiate — to remain connected without losing oneself. Together, these ideas help us think about why relationships can become so painful, but also why they can sometimes change. They also remind us that the way we love is often connected to the way we live: how we manage closeness, difference, conflict, dependence, independence, shame and repair in all our relationships.

In individual therapy, these models can help someone understand their own internal world and repeated relational patterns.

In couples therapy, they can help both people understand the living dynamic between them.

One approach looks more closely at how the person has come to relate; the other looks more closely at what happens when two people’s histories, defences and longings meet. Both can be valuable.

Sometimes individual therapy helps a person become more able to enter healthier relationships. Sometimes couples therapy helps two people create a relationship that neither could build alone. Often, both kinds of work speak to one another.

Ultimately, my approach is not about applying theory in a rigid or distant way. It is about using a psychodynamic lens as one part of a wider relational and integrative way of working. Theory can help us understand deeper patterns, but the therapeutic relationship must remain human, responsive and emotionally attuned. Relationship breakdown asks to be understood with honesty. Relationship breakthrough asks to be met with courage. And over time, this kind of work can help a person or couple move towards relationships that are less governed by fear, repetition and defence, and more capable of honesty, separateness, repair and emotional truth.


Get in touch

Feel free to contact me if you have any questions about how counselling or psychotherapy works, or to arrange an initial assessment appointment. This enables us to discuss the reasons you are thinking of coming to counselling, whether it could be helpful for you and whether I am the right therapist to help.


You can also call/text/WhatsApp me on 07549 165 155 if you would prefer to leave a message or speak to me first. I am happy to discuss any queries or questions you may have prior to arranging an initial appointment.


All enquires are usually answered within 24 hours, and all contact is strictly confidential and uses secure phone and email services.

CPD


I believe that psychotherapists' and counsellors' training should be lifelong to keep up with changes in models and best practices. Some of the continued professional development (CPD) courses I have completed over the years are listed below. These were mainly held at WPF, Tavistock, Freud museum, Ana Freud Centre, British Psychological Society, British Psychanalytic Council, Institute of Psychoanalysis, Stillpoint Spaces and the LSE:


  • Tavistock & Portman 2025 International conference on psychoanalysis and complex trauma: Collaborations and connections in uncertain times
  • Dark Continents: Psychoanalysis and Colonialism Revisited - Guild of Psychotherapists
  • Psychoanalysis & the trauma revolution - BCA
  • The Problems of Guilt - UCL Psychoanalysis Unit
  • BCA: It's Not in the Bottle: Research, Ethics, and Psychotherapy - Farhad Dalal
  • Psychoanalysis at the Margins: Care & Clinics for All - Guild of Psychotherapists
  • Schema Therapy & Addiction Recovery - Mark Dempster (Harley Street Addiction Psychotherapist)
  • Healing Addiction with Internal Family Systems Therapy
  • Prof Marc Lewis, PhD (University of Toronto)
  • Dopamine and the Neurobiology of Addiction - Dr Anna Lembke (Stanford University)
  • The OPUS Listening Post - Organisation for Promoting Understanding of Society
  • Surviving Coronavirus: working and living with trauma, anxiety and loss - WPF
  • Navigating Self and Other in a Changing World - Suzanne Worrica (WPF)
  • Coaching for Social Impact and Change - BACP
  • The Spirit of Psychotherapy - Professor Jeremy Holmes, Hallam Institute of Psychotherapy
  • Unequal Impact – The links between Environment Racism and Climate Change - Tavistock & Portman
  • Psycho-social Explorations of Trauma, Exclusion, and Violence - Association of Psycho-social Studies
  • Freud's Three Paradigms of Psychosis - Dr Leon Brenner
  • Psychoanalysis in Time of the Pandemic - Laurent Dupont
  • Brief Dynamic Therapy: A Psychodynamic Perspective - Dr Jonathan Smith
  • Addiction Pandemic? Attachment, Desire and Chemical Distractions
  • The Wisdom of Trauma and Talks on Trauma series - Dr Gabor Maté
  • A Matter of Death and Life - Irvin Yalom
  • Thinking about Gender in Clinical Practice - Hallam Institute of Psychotherapy
  • Knowing What Psychoanalysts Do and Doing What Psychoanalysts Know – UCL Psychoanalysis Unit & The Institute of Education (IoE)
  • MSc Psychodynamic Psychotherapy @ University of London
  • Goals in Therapy: Actualising Our Deepest Directions - Prof. Mick Cooper
  • Exploring the relationship between justice and compassion
  • Uncertainty: An Existential Perspective - Prof. Ernesto Spinelli
  • Psychoanalysis for the People - Tavistock
  • Racism: through a lens of FEAR
  • Tavistock Policy Seminar: Whiteness - A problem for our time
  • Wittgenstein, Lacan, and astonishment: Maria Balaska/Dany Nobus
  • Working with Trauma at the Tavistock: Tradition and innovative thinking
  • Understanding LGBTQ Terminology - workshop with Chloe Foster
  • Trans Awareness and Inclusivity - Del Campbell
  • A Day on the Third Wave - Weekend University
  • In the footsteps of Bick: Continuing the legacy of infant observation
  • An exploration of thinking under extreme interpersonal conditions
  • A Day on the Mind-Body Connection
  • Psychoanalysis and the Public Sphere: Social Fault Lines
  • On Ferenczi's 'Clinical Diary': Mutual Analysis, Orpha, Femininity
  • On Ferenczi's 'Clinical Diary': Trauma, Hypocrisy, Authority
  • Trumpocalypse, with David Frum
  • How Freud would have handled the Coronavirus, with Brett Kahr
  • How I Found My Voice: Margaret Atwood and Samira Ahmed
  • Happiness Lessons - with Prof. Laurie Santos
  • Psychopathy - Personality Disorder
  • You Can't Outshame Shame - Juliet Grayson and William Ayot
  • Anand Giridharadas on Capitalism in the Time of Corona
  • Constructivism, TA and the Corona Virus - Transactional Analysis Workshop
  • Working with Grief and Loss - Workshop with Ian Wallace
  • Relational Co-creative Supervision - Transactional Analysis Workshop
  • Coronavirus: Considering Our Responses And Responsibilities
  • How to Work with Your Clients Online

BOOKS



  • The Body Keeps the Score - Bessel van der Kolk
  • Object relations & relationality in couple therapy - James L Poulto
  • Mentalizing in Psychotherapy - Carla Sharp; Dickton Bevington and Peter Fonagy
  • Existential Kink - Unmask Your Shadow and Embrace Your Power - Carolyn Elliott
  • And How Does That Make you Feel? - Joshua Flethcher
  • The Games People Play - Eric Berne (Transactional Analysis)
  • Toxic Family: Transforming Childhood Trauma Into Adult Freedom - Susan Gold
  • Psychoanalytic Ideas series - Psychosis (Madness) & Perinatal Loss & Breakdown
  • Psychoanalytic theories: perspectives from developmenta psychopathology - Peter Fonagy & Mary Target
  • The Unconscious at Work - Anton Obholzer
  • Maybe You Should Talk to Someone - Lori Gottlieb
  • From Breakdown to Breakthrough: Psychoanalytic Treatment of Psychosis - Danielle Knafo and Michael Selzer
  • Kink-Affirming Practice - Culturally Competent Therapy from the Leather Chair - Stefani Goerlich
  • Mad, Bad and Sad - Lisa Appignanesi
  • Everyday Madness - Lisa Appignanesi
  • Thinking Space: Promoting Thinking About Race, Culture and Diversity in Psychotherapy and Beyond - Tavistock Clinic - Frank Lowe
  • Was it Ever Just Sex? - Darian Leader
  • Dreams That Turn Over a Page: Paradoxical Dreams in Psychoanalysis - Jean-Mitchel Quinodoz
  • Trauma and Recovery: The Aftermath of Violence--From Domestic Abuse to Political Terror - Judith Lewis Herman


Frequently Asked Questions

Counselling & Psychotherapy in Central London (W1, N1) and Online


How do you work as a therapist?

My work is pluralistic and integrative, grounded in a psychodynamic and relational approach. In practice, this means I pay close attention to how your early experiences, emotional patterns, and relationships continue to shape your present-day life, while also working collaboratively and flexibly.

Rather than applying a fixed model, therapy is shaped around you: what brings you now, what you need from the work, and how therapy feels as it unfolds. This reflects the way I describe my approach on my “How I Work” page.


What does “pluralistic” mean in your work?

Pluralistic therapy recognises that there is no single right way to do therapy. Different people need different things at different times.

We talk openly about what feels helpful, what does not, and what might be missing. This allows therapy to remain responsive rather than rigid, while still grounded in psychological depth.


What is the role of psychodynamic therapy in your work?

Psychodynamic therapy forms the foundation of my work. It focuses on how past experiences, particularly early relationships, influence how we relate to ourselves and others today.

People often come to therapy with insight but little emotional change. Psychodynamic work helps make sense of why certain feelings, reactions, or patterns persist, and allows space for these to shift over time.


Do you only work psychodynamically?

No. While psychodynamic and relational thinking underpin my work, I also draw on CBT-informed, attachment-based, and humanistic approaches where appropriate. This integrative way of working allows therapy to address both emotional depth and present-day difficulties.


What kinds of difficulties do people bring to you?

People come to me for many reasons, including:


  • anxiety, overwhelm, and emotional exhaustion
  • depression and low mood
  • relationship and attachment difficulties
  • repeating emotional or relational patterns
  • narcissistic injury and sensitivity to criticism
  • shame, self-criticism, and perfectionism
  • loss, grief, and complicated bereavement
  • work-related stress, burnout, and identity struggles

Often, people do not arrive with a clear diagnosis, just a sense that something feels stuck or painful.


Do you work with attachment issues and relational wounds?

Yes. Much of my work focuses on attachment patterns and relational wounds, particularly how early experiences of care, neglect, or inconsistency shape adult relationships. This can include difficulties with closeness, fear of abandonment, emotional withdrawal, people-pleasing, or feeling unsafe in relationships. Therapy offers a space where these patterns can be explored with care rather than judgement.


Do you work with narcissistic injury?

Yes. Narcissistic injury often appears as shame, perfectionism, emotional sensitivity, or fragile self-worth. It is not about labelling someone, but about understanding emotional injuries formed when a person’s feelings or needs were not adequately recognised. A psychodynamic and relational approach allows these experiences to be worked with in a respectful, non-pathologising way.


Is therapy structured or open-ended?

Both are possible. Some people come for short-term counselling, while others choose open-ended psychotherapy for deeper relational work. We can discuss this together and review it over time.


Do you offer counselling or psychotherapy?

I offer both counselling and psychotherapy. The distinction is not rigid. Counselling may focus more on present-day difficulties and emotional support, while psychotherapy allows deeper exploration of relational and emotional patterns. Many people move naturally between the two.


Do you offer in-person therapy in London?

Yes. I offer in-person counselling and psychotherapy in Central London, including the N1, EC1V, W1, W1G, W1U, and W1K areas, as well as online therapy across the UK.


How confidential is therapy?

Confidentiality is central to my work and is explained clearly at the outset. Therapy offers a space where you do not need to manage others’ needs, perform, or hold everything together.


Are you professionally accredited?

Yes. I am a BACP-accredited counsellor and psychotherapist, working in line with professional, ethical, and clinical standards, including regular supervision.


How do I know if you are the right therapist for me?

The therapeutic relationship is one of the most important factors in effective therapy.

I offer an initial consultation where you can ask questions, get a sense of how I work, and notice how it feels to speak with me. There is no obligation to continue.


How do I start therapy?

You can contact me through my website to arrange an initial consultation. From there, we can explore what you are looking for and whether working together feels right.

Get in touch

Feel free to contact me if you have any questions about how counselling or psychotherapy works, or to arrange an initial assessment appointment. This enables us to discuss the reasons you are thinking of coming to counselling, whether it could be helpful for you and whether I am the right therapist to help.


You can also call/text/WhatsApp me on 07549 165 155 if you would prefer to leave a message or speak to me first. I am happy to discuss any queries or questions you may have prior to arranging an initial appointment.


All enquires are usually answered within 24 hours, and all contact is strictly confidential and uses secure phone and email services.


© John Jeremiah Ahearne

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Angel, Islington London, Holborn, Bond Street, Wimpole Street, Oxford Street, the West End, and Marylebone.

N1, EC1V, WC1V, W1, W1G, W1U, W1J, and W1R.