About Me

Dr. Alexa Roxborough - Headshot

I am a chartered senior clinical psychologist and BABCP-accredited cognitive-behavioural therapist offering highly effective CBT for anxiety disorders. I specialise in:

I have particular expertise in perinatal and maternal OCD, and am experienced in working with lesser-known forms of OCD such as mental contamination.

Furthermore, I am well-versed in working with the relationship difficulties and low mood that can arise in the presence of anxiety disorders and postnatal mental health problems.

My primary model is CBT, but I also use techniques from other models under the CBT 'umbrella' including schema therapy, dialectical behavioural therapy, and acceptance and commitment therapy where appropriate and indicated by a clients' formulation (map of the problem).

My style is warm, informal, and collaborative. I passionately believe in 'doing what works' in therapy- for anxiety disorders this usually involves exposure and facing fears. However, this is always done entirely at your own pace and in a manageable way. I am a scientist-practitioner and always follow the evidence base. The evidence for CBT for anxiety disorders can be found in the NICE guidelines

Professional Background

I trained as a clinical psychologist at University College London before completing a Postgraduate Diploma in Cognitive Behavioural Therapies at the Institute of Psychiatry, Psychology and Neuroscience, Kings College London.

I am registered with the Health and Care Professions Council (registration number: PYL32690) and accredited by the British Association for Behavioural and Cognitive Psychotherapies.

In my NHS work I am based at a national specialist service for anxiety disorders and trauma.

My role is in the parental anxiety sub-team at the clinic, which has provided me with a lot of experience in treating pregnant women and new parents with anxiety disorders and trauma- particularly perinatal OCD and birth trauma arising from difficult birth experiences and birth injuries.

I recently worked as a therapist on a randomised clinical trial comparing standard weekly treatments with intensive CBT for anxiety disorders in pregnancy, which has expanded my proficiency in using exposure-based treatments in pregnancy (an area in which many clinicians lack confidence) and delivering intensive treatments.

I am a member of the BABCP perinatal special interest group and am knowledgeable about the specific perinatal competencies needed to deliver treatment to women at this vulnerable time.

In addition to my clinical work, I provide supervision to trainees and qualified clinicians, and deliver teaching to other NHS teams and on training courses. I have been a visiting speaker at various universities and professional organisations including Kings College London, Exeter University, and the Royal College of Obstetrics and Gynaecology.

I have a particular interest in the specific phobia of vomiting in new mothers (link to my SPOV paper here).

Location

I offer both online and in-person sessions, depending on a client's location and preference. For in-person sessions i am based at the Practice Rooms in Islington

The Practice Rooms

The Practice Rooms are located at 150 Caledonian Rd. N1 9RD. The closest stations are King's Cross, Caledonian Road and Barnsbury, and Angel stations respectively

Appointments & Fees

The first step is an initial assessment to establish a formulation of the problem and ascertain whether or not CBT is the right fit for you. If not, I can make alternative recommendations. If we proceed, sessions are weekly (unless agreed otherwise) and last for 55 minutes.

Please see terms and conditions for details regarding fees and insurance

My availability for private work is limited to Tuesdays at present.

Contact

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