Joe Ramsay Complex Behaviour Consultant

Joe Ramsay Complex Behaviour Consultant Yorkshire, UK & Worldwide. All enquiries: 07940 506909

Specialist in ADHD, Autism, PDA, and complex behaviour in children and adults. 1:1 support, consultation and training for children, adults, carers, families, groups and organisations.

27/07/2026

26/07/2026

21/07/2026

11/07/2026

Mental health, ADHD, autism, trauma, learning disabilities and behaviour — helping you deal with one or all  My core wor...
05/07/2026

Mental health, ADHD, autism, trauma, learning disabilities and behaviour — helping you deal with one or all

My core work sits where different things overlap. That includes neurodivergence on its own, neurodivergence with mental health difficulties, neurodivergence with trauma and mental health, neurodivergence with learning disabilities and mental health, and behaviour that is happening in the context of neurodivergence, learning disabilities and mental health. In most situations there is never just one problem; there are usually two, three or more of these happening at the same time across home, school and services. I focus specifically on these overlapping, complex situations, not on mild or single-issue presentations.

🧠 Who this is for

I work one-to-one with children from around four years old, with adolescents and teenagers, and with adults and older adults of all genders. A lot of my work is with autistic, ADHD or PDA children and young people whose lives are being taken over by anxiety, shutdown, aggression, burnout or school refusal, and with adults who are living with overwhelm, burnout, low mood, trauma reactions or repeated crises on top of neurodivergence. I also work with whole families, especially where PDA and demand-sensitive patterns run through more than one person, so that we are managing and strategising with the entire family rather than just focusing on one individual. Many of the situations I see include serious mental health, trauma, learning disability or risk issues alongside neurodivergence, and the common factor is that things are complex enough that people need careful thinking and practical strategy rather than quick, standard answers.

🔍 Behaviour

Many people are unsure what is “normal” behaviour and what is a sign that something is going wrong, whether that is in their child, themselves, or the wider family. My job is to assess human behaviour across the whole system: children’s behaviour, parents’ behaviour, adult behaviour, and the behaviour of services and professionals around them. I look closely at what people are doing, how they communicate, how they respond under pressure, and how all of that fits into their neurodivergence, mental health and environment, so we can separate everyday ups and downs from patterns that are genuinely harmful or unsustainable.

In family assessments I am effectively profiling each person in the system and how they interact with each other and the environment. I look at the child, the parents and anyone else involved, and then I go away and think in depth about what that particular mix of people and circumstances needs; everything is tailor-made, and I keep refining the plan until it properly fits that specific family. This can include behaviour at home, behaviour at school, and behaviour from services such as school staff, local authority teams, CAMHS or GPs, where part of the question is whether they are responding appropriately or adding pressure.

A lot of the behaviour I see involves neurodivergent patterns that have pushed and pushed past healthy limits — for example controlling behaviour, anxiety‑driven behaviour or aggression that is now putting serious pressure on parents in terms of time, energy and emotional load. I often work with separated families where there are very different rules and routines in different households, and my role is to help you manage as well as possible even when some parts of the situation cannot easily be changed. I am also looking very carefully at parent behaviour, especially around PDA and demand‑sensitivity, because tone of voice, facial expression and nervous‑system state make a huge difference; part of the work is helping parents deactivate their own nervous systems so that they can respond more effectively.

If there is “bad behaviour” at school, we do not stop at describing it; we map it in detail and work out what is driving it. That can include neurodivergence, mental health and trauma, but also practical issues such as curriculum level, specific lessons being too easy or too hard, or particular people or environments acting as triggers. We go through lessons, days and incidents to understand exactly what is happening, and then we build a plan that addresses the real drivers rather than just trying to suppress the behaviour on the surface.

💬 Mental health

If you are struggling with intrusive thoughts, anxiety, low mood, self-harm, suicidal thinking, burnout or shutdown, I can often help, especially where these sit alongside autism, ADHD, PDA or other neurodivergent profiles. You cannot simply send a neurodivergent person for standard talking therapies and expect the thoughts to stop, because if they do not understand how their mind works and do not have everyday systems that fit them, that kind of therapy often does not go in deeply enough or last very long. When ADHD or autism are not understood or managed in a way that fits the person, serious mental health problems often build over time. Part of the work is understanding pressure properly — when someone is overloaded, when the pressure is too low, and how to optimise their system so they are more able to function, cope and engage with support. My background includes seven years in NHS crisis services, so I am used to working with people who have been very distressed or at risk, and part of my role is helping people stabilise and understand themselves well enough that other therapies, if they are needed, have a better chance of being effective. I am not an emergency or crisis service, and if someone is in immediate danger they still need urgent support, but I am often the right person to see once the immediate risk has reduced – for example when you are being discharged from intensive home treatment, are no longer under a crisis team, or were never accepted by them but are still carrying serious distress that sits between everyday problems and full crisis.

⚡ ADHD

With ADHD, my work ranges from basic coaching to very detailed, advanced support. I have ADHD myself, which means I am often drawing on things I have actually been through, not just theory, and that can make it easier for people to trust that I understand what is happening in their heads and lives. I have helped many children, young people and adults stabilise with or without medication, reducing impulsivity and bringing behaviour back within a range that feels manageable. In practical terms, that can mean sitting with parents at the kitchen table going through a child’s planner, lesson by lesson and day by day, mapping exactly what has happened, when and with whom, then using that detail to work out what the ADHD system is doing and why things keep going wrong. When a child is willing and able to engage, I can often help turn behaviour around in a matter of weeks by making sure they understand their own brain, adjusting pressure and expectations, and putting new patterns in place that fit how they actually work. Children do not always tell the full story, or they may deny things they feel ashamed of, so I often share short personal examples of my own ADHD – for example around anger – and use familiar figures like the Hulk to show they are not the only ones who react that way; once they realise I have done similar things, they are much more willing to be honest. Medication can be helpful but is not a requirement; it can be a little harder without it to find and keep the optimal middle ground, but it is still very possible. Over time, the aim is that you become an expert in your own ADHD – you understand what is happening, you can spot patterns early, and you can work problems out for yourself rather than feeling constantly blindsided. Alongside this, I do a lot of work around anger, emotional regulation, general mental health problems and behaviour at home or at school, including where ADHD overlaps with PDA, substance use, or repeated contact with the criminal justice system, and I teach people how to manage the same nervous system that can drive both ADHD and addiction so that they can reduce harm, stay safer, and build a life that does not depend on substances or constant crisis to feel bearable.

🧩 Autism

Autism can be very hard both for the person themselves and for the people around them, so I work with autistic individuals and with whole families to make sense of what is happening and to change things in a practical way. I particularly enjoy working with autistic children and young people, because their minds are still relatively flexible and there is often a lot of room to build skills, confidence and understanding that will last for life. In sessions, whether in person or online, I am very direct and very thorough: once someone is ready, I will ask them to walk through situations in detail, explain how they understand what is happening, and tell me how they would deal with it step by step; I check carefully that they are comfortable with this, and once everyone is happy, I “grill” them in a deliberate, respectful way – asking why they think what they think, why they choose particular responses, what they expect those to do for them, and how this links to the neurobiology and nervous-system patterns we have already talked about. Over time, this turns people into genuine experts in their own autism. Alongside that, we build awareness – including interoception – so that people can notice what is happening inside their bodies and minds before everything tips over, and we look at their cognitive schemes, the patterns, rules and templates they are using to navigate the world, then remap them so life has more options and does not feel trapped in one rigid way of doing things. A big part of the work is finding where pressure is sitting in the system, including the internal pressure people put on themselves, and adjusting that so it is in the right places rather than silently causing problems elsewhere. Depending on how deep someone wants to go, this can be a short piece focused on basic coping, or a longer process where we keep fine-tuning their understanding and skills until they can read their own patterns and design their own strategies with confidence.

🔥 PDA

PDA can be one of the most difficult things for both individuals and families to live with, so I work with children, teenagers, adults and whole families where PDA or demand-sensitive patterns are part of the picture. My job is to understand all of the pressures acting on the person – obvious external demands like school, home routines, requests and expectations, and internal demands like guilt, shame, self-monitoring, perfectionism, fear of getting things wrong and feeling trapped – and then work out which combinations of those pressures are driving the PDA. I often work with whole family systems where more than one person is demand-sensitive, because what looks like one child’s problem is often a pattern running through the household. I use different approaches depending on whether the underlying pattern looks more ADHD-based, more autistic, or a mixture, because the behaviour on the surface can look similar while the mechanics underneath are very different. In practice, this can mean very detailed work with parents, with the child or young person, or with an adult and their partner or family, going through ordinary days and specific flashpoints to see exactly where pressure builds, where it spikes, and where the system needs more autonomy, more protection or more structure. Over time, the aim is to reduce the overall demand level on the nervous system, change how people respond to early signs of overload, and gradually “deactivate” the PDA by removing unnecessary pressure and building new ways of doing things that feel safe enough for the person with PDA while still keeping the family, school or workplace functioning. The depth of work can range from a short piece of strategic advice through to longer, highly detailed support where we keep tracking the pattern together over months.

💥 Trauma

Many people come to me knowing something is badly wrong but not having a clear name for it. They may not know whether what they are living with is trauma, neurodivergence, a mixture of both, or something else entirely, especially because trauma and neurodivergence can overlap and look very similar from the outside. Part of my work is helping people unpack this: looking carefully at what has happened to them, how their nervous system is reacting now, how their day-to-day life actually feels, and how all of that fits (or does not fit) with autism, ADHD, PDA and other patterns they may already know about or suspect. Some people come mainly for help with trauma itself; others come because everything is tangled together and they have no idea where to start.

I often work with people who have been told they are not in the right place for trauma therapy yet, or who have been considered too risky for that work at this point. In those situations, my focus is on stabilising things as much as possible: helping them build coping skills, routines and supports so that risk reduces and life becomes more manageable, and so that they have a solid framework to fall back on before, during and after any trauma therapy they may do later. In practical terms, that can mean working on self-harm and suicidal thinking, understanding triggers, recognising early warning signs in body and mind, and adjusting pressure and expectations so they are not constantly pushed over the edge. I also help people decide when to refer themselves for talking therapies, and support them in getting to the point where those therapies are more likely to help rather than overwhelm.

📚 Learning disability

Some of the most complex work I do involves everything already described – neurodivergence, mental health, trauma, behaviour and environment – plus a learning disability. A major difficulty in these cases is that many of the people I work with have no spoken language or very limited communication, and even when someone can talk, autism and interoception issues can make it very hard for them to explain what is happening inside. In some situations their developmental level is closer to that of a much younger child, so they do not have the words, concepts or self-awareness to describe their internal experience, even when they are clearly distressed or struggling. My role is to build as accurate a picture as possible using behaviour, patterns, context and what the people around them can see, and then to use that to support them and the people caring for them in a way that respects their limits while still trying to reduce distress and improve quality of life.

When learning disability is part of the picture, I deliberately assume that almost anything could be contributing at first, and hold a very wide list of possibilities in mind. I then scan through each one and start whittling the list down by looking at what we know and what we do not know yet. Anything we can be confident about goes into the assessment as a “sure thing”, so everyone is clear about it. I also include a separate section on what it might be – the things that are plausible but cannot be confirmed because the information is not available, either because the person cannot tell us or because we have not yet seen enough. The plan then links directly to both parts of that picture: there is a section on what to do about the things we know are present, and a section on what to do in case those “might be” factors are real. In other words, we do not only plan for what we can see now; we also plan for what could be happening out of sight, so that families and services have a structured way of responding both to what is known and to what is still uncertain.

🧭 How I work

The way I work depends on what the situation actually needs. Sometimes the focus is a short, targeted piece of work: a small number of sessions to stabilise things, make sense of what is happening, and leave you with a clear plan that you can take forward on your own or with other services. In other cases, especially where there is a lot of overlap between neurodivergence, learning disability, trauma, behaviour and environment, the work is more detailed and runs over a longer period of time. Whatever level of support you choose, I design my reports so that, as far as possible, you do not need me afterwards: they are information-dense on purpose, bringing together understanding, explanations, relevant literature and a clear plan, so that you are armed with everything known about the situation rather than left guessing.

I am very adaptable in how I work, because situations and family dynamics often change once things start to settle. It is common for the original problem to ease and for a different pattern to become more visible underneath. My job is not only to help you stabilise the immediate situation, but also to keep reassessing and fine-tuning the plan as those changes happen, so that support keeps fitting what is actually in front of us rather than what was happening three months ago. Because I will already have assessed you or your child, I teach and explain things in a way that matches how you think and where your knowledge currently is. Whether we are working on an individual situation, emotional dysregulation, parenting, or adult life, my role is to keep stretching your understanding just enough – pushing your knowledge and confidence without overwhelming you – so that over time you become more able to read patterns, understand what is going on, and make informed decisions without needing constant input from me.

📞 Contact and enquiries

For advice or to arrange a free initial consultation:

☎️ (07940) 506909
📧 [email protected]

Ongoing SupportPeople come to me for ongoing support for many different reasons.Everyone I work with for ongoing support...
03/07/2026

Ongoing Support

People come to me for ongoing support for many different reasons.

Everyone I work with for ongoing support has already had an assessment with me. Some people then want help putting their plan into practice or adjusting it over time. Others come back because a specific difficulty has become more pressing, such as anxiety, emotional dysregulation, PDA, aggression, school avoidance or family conflict. Some simply know that something still is not working and want help understanding why.

Some people return because life has moved on. Circumstances change, new challenges arise, or they need a fresh review of what is happening and where to focus next.

Others do not come with one clear issue at all. We simply begin with a conversation. As we talk, I’m looking for the patterns, pressures and hidden mechanisms underneath the problem. Once we understand what is really happening, we can begin working with it in a practical, structured way.

Whether we are working together for a few sessions or over a longer period, my aim is always the same: to help you understand what is happening, why it is happening, and what to do about it.

✨ What ongoing support can help with

Ongoing support can be used for:

- ADHD
- Autism
- PDA (child, adult or family)
- Mental health and emotional wellbeing
- Anxiety and social anxiety
- Emotional dysregulation
- Anger and aggression
- OCD-type thoughts and behaviours
- ARFID and eating-related difficulties
- Burnout and overwhelm
- School avoidance and EBSA
- Risky behaviour
- Substance use concerns
- Family dynamics
- Parenting strategies
- Behaviour planning
- Sensory needs
- Executive functioning
- Confidence and self-understanding
- Understanding and regulating the nervous system

⚙️ How I work

My role is to help you understand what is happening, why it is happening and what to do about it.

Using behavioural analysis, I map out the situation by looking at timelines, patterns, triggers, cycles, relationships, pressure points, protective factors, and the way ADHD, autism, PDA, trauma, mental health and the environment all interact.

Rather than giving generic advice, I explain the mechanics of what is happening in a way that makes sense to the person in front of me.

One of the things people often tell me is that, for the first time, things finally make sense. Rather than simply giving advice, I help people understand how their brain, nervous system and behaviour work together. Once people understand the mechanics of what is happening, they are usually in a much better position to solve problems themselves.

I rarely focus on symptoms alone. Whether the issue is anxiety, anger, aggression, low mood or burnout, I’m usually trying to understand what is driving it. Once we understand the mechanism underneath, the symptoms often begin to improve naturally.

Sometimes the behaviour is relatively mild and can be turned around in just a couple of sessions. Sometimes it is more complex, more entrenched, or involves multiple systems such as home, school and family dynamics.

This might involve helping a child understand their brain and behaviour, supporting an autistic or ADHD adult to understand overwhelm and burnout, helping a parent respond differently to aggression, or helping a whole family understand why the same patterns keep repeating.

The aim is always to:

- Help you understand yourself or your child better
- Work with the brain rather than against it
- Reduce pressure
- Improve regulation
- Build practical strategies that work in real life

🏫 Behaviour at school

Sometimes families come to me because things are becoming difficult at school.

This may involve repeated detentions, constant corrections, behaviour points, internal exclusion, suspension, or situations where permanent exclusion is becoming a real possibility.

Often, the issue is not simply “behaviour”. It may be overwhelm, anxiety, sensory pressure, demand avoidance, shame, burnout, or a mismatch between what the child can manage and what is being expected of them.

Part of my role is to understand what is driving the behaviour, how the school is responding, and what needs to change to reduce pressure, reduce risk, and create a more workable plan.

Where appropriate, I can also help families prepare for school meetings, review school reports, contribute recommendations, or support conversations with education professionals.

🧠 Autism and ADHD support

One of the areas I particularly enjoy is helping autistic and ADHD people understand themselves.

As an autistic Registered Mental Health Nurse with ADHD, I bring both professional and lived experience to my work.

A large part of my work is helping people understand how autism and ADHD affect the brain and nervous system. We look at where pressure is building, why certain coping strategies develop, how neurodivergence interacts with mental health, and how to build systems that reduce pressure rather than add to it.

This may involve looking at:

- Rigidity and black-and-white thinking
- Anxiety and uncertainty
- Sensory overload
- Shutdowns and burnout
- Masking
- Emotional regulation
- Social stress
- Demand avoidance
- Routines and transitions
- Executive functioning
- Self-understanding
- Practical coping systems

Over the years I have helped many children, teenagers and adults improve regulation, reduce aggression and risky behaviour, move away from repeated school sanctions, and better understand themselves by changing the conditions that were driving the behaviour in the first place.

I often describe this as helping people remap the way they understand themselves and the world around them.

Sometimes people are working from very fixed templates. My role is to help create more options, more flexibility and more understanding, so life becomes less rigid and less overwhelming.

👨‍👩‍👧 Support for parents and families

Ongoing support is also available for parents and families.

Many parents come to me because they have tried to access help elsewhere and have either been left waiting, declined support, or been given advice that simply does not fit the reality of life at home.

Some come with a specific issue, such as aggression, school avoidance, sleep difficulties, anxiety, PDA, meltdowns, screen use, emotional dysregulation, or behaviour that feels impossible to manage.

In more complex situations, particularly where PDA, autism, ADHD, mental health and family dynamics overlap, I often work with the whole family system rather than focusing solely on the child.

This may involve working directly with the child, supporting parents, involving siblings, liaising with school, or guiding parents from a distance when the child is not yet ready or able to engage directly.

Where a child is unwilling or unable to engage with me directly, I can often make significant progress by working through the parents instead. We identify what is happening, develop an approach, put it into practice, review what happens, refine the strategy, and continue building from there.

Over time, parents become more confident, more skilled, and better able to understand and respond to their child’s behaviour themselves.

🧭 Training you to understand what is happening

One of the biggest differences between my work and more traditional support is that I teach people how to understand what is happening.

My aim is not to make people dependent on me. It is to help you understand yourself, your child or your family so well that, over time, you need me less.

Every problem becomes an opportunity to understand the pattern underneath it.

We look at why it is happening, what is maintaining it, what the nervous system is doing, what the behaviour is communicating, and what needs to change.

Then we put practical strategies into place that work in everyday life.

Over time, this builds knowledge, confidence and independence.

For parents, that knowledge naturally transfers to their child. For adults, it provides a framework for understanding their own brain, behaviour and needs long after our work together has finished.

📅 How sessions can be used

Ongoing sessions are flexible and can be adapted to whatever is most helpful at the time.

Sessions may involve:

- One-to-one support for children
- One-to-one support for adults
- Parent support
- Couples support
- Family sessions
- Reviewing an existing plan
- Developing a new strategy
- Problem-solving a current difficulty
- Preparing for school meetings
- Understanding behaviour
- Managing crisis points
- Building confidence after an assessment

Some people attend weekly or fortnightly. Others book sessions every few weeks, return when a new issue arises, or keep a block of sessions available so support is there when they need it.

Sessions do not have to be used for one person or one issue. They can be used flexibly for a parent, a child, both parents, the whole family, or whatever needs attention at the time.

🤝 Working alongside other professionals

I regularly work alongside schools, GPs, CAMHS, community mental health teams, social care, occupational therapists, speech and language therapists, and other professionals involved in a person’s care.

This might involve reviewing reports, preparing families for meetings, helping people understand professional advice, contributing recommendations, or developing practical strategies that everyone can work from.

My role is not to replace existing services. It is to help bring everything together into a practical plan that works in everyday life.

💷 Pricing

Ongoing support can be booked one session at a time or as a half day, full day, or discounted block.

- Online video call – £80
- Local in-person session – £90
- In-person session up to 1 hour from Leeds – £100
- Half day – £295
- Full day – £500

Discounted blocks are also available:

- 5 sessions booked in advance – 10% discount
- 10 sessions booked in advance – 15% discount

There is no time limit on when block sessions need to be used, and they can be used flexibly for different family members or different issues.

🎯 Why choose ongoing support?

An assessment provides clarity and a plan.

Ongoing support helps you put that plan into practice, review what is working, adapt what is not, and respond to new challenges as they arise.

The aim is not simply to solve today’s problem. It is to help you understand yourself, your child or your family well enough that future problems become easier to recognise, understand and solve.

By understanding how the brain, behaviour and nervous system work together, you become better equipped to make sense of difficult situations, respond with greater confidence, and build strategies that continue working long after our sessions have finished.

📄 What you receive after sessions

After an assessment or school observation, you will receive a written report, usually between two and four pages long.

This will:

- Summarise what we discussed and what I observed
- Set out what seems to be happening in terms of behaviour, neurodivergence and mental health
- Explain how the different pieces fit together in plain language
- Outline clear recommendations and next steps

The aim is that you leave with something concrete you can refer back to and share with others if needed, rather than trying to remember everything from conversation alone.

Translating theory into real life.

📞 Contact and enquiries

For advice or to arrange a free initial consultation:

☎️ (07940) 506909
📧 [email protected]

Address

Leeds

Alerts

Be the first to know and let us send you an email when Joe Ramsay Complex Behaviour Consultant posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share