About Us

Clinical Director: Professor Paul Salkovskis, Consultant Psychologist
Clinic Lead: Dr Victoria Bream, Consultant Clinical Psychologist
Senior Specialist Clinic Administrator: Helen Wickenden 

Clinic Administrator: Farhat Hussain

We are an NHS clinic open to accept referrals for people of all ages across the UK. We offer highly specialist psychological treatment for the following problems.


This clinic will concentrate on treating anxiety related problems initially including:

  • OCD
  • Hoarding
  • Panic Disorder – with and without agoraphobia  
  • Health Anxiety
  • Social Anxiety Disorder
  • Emetophobia
  • Misophonia
  • Post Traumatic Stress Disorder and Complex Trauma.

We will consider looking at other problems on a case to case basis.


The Centre will concentrate on treating anxiety-related problems including obsessive compulsive disorder (OCD), hoarding disorder, emetophobia (fear of being sick and the consequences of being sick), misophonia, panic disorder, heath anxiety, phobias and social anxiety. We will also see people with problems related to trauma and PTSD. Also, the problems listed above during the perinatal period. These categories are broad and quite often we will work with people with multiple and difficult to define problems.

The people we will see will usually have accessed their local services previously but, for whatever reason, the treatments they have been offered have either not helped, or have not helped lasting way.
It is not our requirement that people will have had previous therapy. However, it is likely that local funding authorities will require that people will have made appropriate use of local mental health services before consideration of referral to us.
We will be offering psychological therapies based upon those recommended by NICE (National Institute for Health and Clinical Excellence) guidelines for specific problems. This usually involves a specialist course of Cognitive Behavioural Therapy (CBT) specifically designed for the problem the person is experiencing and the ways it affects them. It is very common for people to have more than one problem, and each person's story and situation is unique. We aim to work alongside people to understand their problems and to develop a psychological treatment programme specific to individual needs.

This is an NHS clinic; we are unable to offer therapy on a privately funded basis.


We accept referrals made by any NHS health professional for people living in the UK who are experiencing the kinds of problems listed above.

As we are a highly specialist treatment centre, the responsible local funding authorities must formally authorise this referral, using a specific form, which we will provide. If you would like to pursue a referral the first step is to discuss this with your GP or other health professional who is responsible for your care for advice.
It is important to note that each local funding authority has their own criteria for funding to specialist treatment centres such as ours.


WHAT HAPPENS NEXT? Once a formal written referral has been accepted and funding approved by the local funding authority, we aim to offer an assessment meeting within 8 weeks. A typical assessment meeting takes around 2-3 hours and involves a combination of talking about the problem and completing questionnaires about your experience of the problem. We may also ask you to complete questionnaires before attending the assessment meeting.

Please note that the health professional referring should not discontinue offering routine care after making a referral to us.


CLINIC THERAPISTS All our lead therapists are highly skilled and experienced. We will offer the most appropriate therapist to meet your needs, based upon availability. Professor Salkovskis maintains an overview of the clinic and those seen in it. Each person's situation and treatment plan will be discussed with him regularly. We are a training clinic, so from time to time the lead therapist will be joined by an intern, that is, an advanced trainee CBT therapist. Interns will work alongside lead therapists and may conduct some sessions separately, but always under close supervision.



Following assessment, we will be able to discuss treatment options which may involve attending our clinic in Oxford for a mutually agreed number of sessions. In some instances, this may involve treatment being offered at home for some sessions of "outreach" work. This is an option we consider if, due to an individual's problem, they experience significant difficulty leaving their home or travelling. We may also recommend support or treatment elsewhere, if we feel this would better meet the person's needs.
As a highly specialist psychological treatment centre, we can discuss medication options with local services but this is not our primary role. We do, however, invite patients and referrers to have a look at the Oxford Health Foundation Trust medication website which provides a useful overview of options regarding medication www.choiceandmedication.org/oxfordhealth

We can only progress with assessment and/or treatment once formal authorisation, in writing, is given by local funding authorities.
We will seek to liaise closely with local services during assessment and treatment. We are keen to do this so that once people have completed treatment, they can receive ongoing support, should they require it, from health professionals closer to home.

You can find answers to commonly asked questions in our FAQ section.