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Children and Adolescents


Parents generally approach me seeking either an assessment of their child (usually for school or Tribunal purposes), or treatment of their child’s difficulties. Either way it is usually best if I meet parents alone for the first appointment, without their child. This allows us to have a straightforward discussion about their child’s situation, and also gives parents the opportunity to judge whether I am the right person to work with their child.


Treatment usually follows an assessment, and is always discussed in full with parents first. Most treatment involves your child meeting with me on a weekly basis, including regular reviews with parents to check on progress. Parents are also able to keep in touch with me by telephone or e-mail.

All children are different, as are the difficulties they face. I therefore tailor treatment to suit the specific needs of each child. I make greatest use of Cognitive Behavioural Therapy (CBT) as this is regularly found in research to be the most effective form of treatment. If at any stage I think a child’s interests would be better served by another professional – private or NHS – I would discuss this with the parents.

Common Problems

Anxiety (eg. OCD, school phobia/refusal, trauma, low confidence)
Depression and low mood
Anger and other behavioural problems
Problems with eating and sleeping
Relationship problems, including parents’ separation and divorce
Attention Deficit Hyperactivity Disorder (ADHD)
Autistic Spectrum Disorders (ASD)

Murray Small
Chartered Clinical Psychologist