I am a Professor of Mental Health Research in the Division of Psychiatry and an Honorary Consultant Psychiatrist at Central and North West London NHS Foundation Trust. In 2019, I was appointed an NIHR Senior Investigator.
My research focuses on the development and evaluation of interventions for people with mental health problems. A major focus of my work has been on developing better services for people with a diagnosis of ‘personality disorder’. This includes a national evaluation of community pilot services for people with personality disorder and randomised trials of Cognitive Behavioural Therapy, Problem Solving Therapy and Structured Psychological Support. I have worked with colleagues to examine the role peer support groups, day therapeutic communities and parenting interventions for people with personality disorder. Our randomised trials medical treatments for emotional distress experienced by people with personality disorder have found little evidence of patient benefit.
I have also examined the effectiveness of arts therapies for people with psychosis, brief interventions for people with harmful alcohol use and Cognitive Behavioural Therapy for people with health anxiety. Current studies include randomised trials of low-intensity interventions for people with personality disorder and CBT for people with severe COVID anxiety. My research involves close collaboration with experts by experience and I have worked with users of metal health services to evaluate service innovations and develop national standards for assessing and improving service quality.
As an Honorary Consultant Psychiatrist at Central & North West London NHS Foundation Trust, I helped set up the Trust’s first specialist service for people with personality disorder and am the Clinical Lead for the Trusts Complex Emotional Needs Pathway. I also provide medical input the Trust’s Acute Care Pathway.
et al., 2023, Predictors of positive patient reported outcomes from ‘Early Intervention in Psychosis’ – a national cross-sectional study, Bmj Mental Health, Vol:26, ISSN:2755-9734, Pages:1-7
et al., 2023, Mother and clinician experiences of a trial of a video feedback parent-infant intervention for mothers experiencing difficulties consistent with 'personality disorder': A qualitative interview study, Psychology and Psychotherapy-theory Research and Practice, ISSN:1476-0835
et al., 2023, The association of severe COVID anxiety with poor social functioning, quality of life, and protective behaviours among adults in United Kingdom: a cross-sectional study, Bmc Psychiatry, Vol:23, ISSN:1471-244X
et al., 2022, Video feedback parent-infant intervention for mothers experiencing enduring difficulties in managing emotions and relationships: A randomised controlled feasibility trial, British Journal of Clinical Psychology, Vol:61, ISSN:0144-6657, Pages:1188-1210
et al., 2022, Associations between antipsychotics and risk of violent crimes and suicidal behaviour in personality disorder, Evidence-based Mental Health, Vol:25, ISSN:1362-0347, Pages:e58-e64