The UK Practice

The UK Practice We are a team of psychologists dedicated to harnessing the transformative potential of online psychotherapy.

The instagram photos show the skyline. The dinners out. The weekend trips. The life that looks, from a distance, like ex...
17/06/2026

The instagram photos show the skyline. The dinners out. The weekend trips. The life that looks, from a distance, like exactly what you signed up for.

What they don't show is the Sunday afternoon with nothing in it. The group chat back home that's moved on without you. The colleague you like, but can't quite call a friend yet.

This is the expat loneliness nobody posts about.

It's not dramatic. It doesn't arrive all at once. It settles in quietly; in the gaps between plans, in the absence of people who know your whole story, in the low hum of being somewhere you haven't yet learned to fully belong.

And it's made harder by the fact that it's hard to name. You're not unhappy, exactly. You don't regret the move, exactly. You're just aware, in small persistent ways, that something is missing. That the connections around you are new enough to still require effort. That there's a version of yourself, easier, funnier, more at home, that only seems to exist back there, around the people who've known you longest.

What makes this particular loneliness so isolating is the silence around it. The narrative of expat life doesn't have much room for it. You moved abroad; that's exciting, brave, an adventure. To admit it's also quietly hard can feel like ingratitude, or weakness, or getting it wrong.

You're not getting it wrong.

Building a life in a new country is one of the more psychologically demanding things a person can do, and the emotional cost of it deserves to be taken seriously, not fixed with a networking event or a new hobby.

If this is where you are, we want you to know that this is exactly the kind of thing therapy is for. Not crisis. Not breakdown. Just the real, lived difficulty of being far from home.

You finally have an answer. And somehow, you don't quite know what to do with it.That's more common than you might think...
15/06/2026

You finally have an answer. And somehow, you don't quite know what to do with it.

That's more common than you might think.

An adult ADHD diagnosis tends to arrive with a complicated mix of emotions, and they don't always make sense together. Relief that there's a name for what you've been experiencing. Grief for the years spent not knowing. Anger, sometimes, at the people or systems that missed it. And underneath it all, a strange new uncertainty. If this explains so much of my past, what does it mean for my future?

There's no single right way to receive a diagnosis. Some people feel immediately liberated. Others feel more destabilised than they expected. Many feel both, at different moments of the same day.

What tends to help is having somewhere to take all of it.

Because a diagnosis is not an endpoint, it's a beginning. It opens a door to understanding how your brain actually works, what conditions help you thrive, and where you've been working against yourself without knowing it. But walking through that door takes time, and support, and someone who knows the territory.

In the weeks and months after diagnosis, therapy can offer something that a report alone cannot; a space to process what it means for you specifically. To revisit your history with new eyes. To build strategies that fit your actual life, not a generic ADHD management plan. To separate what was always just you; your character, your strengths, your way of moving through the world from what was the condition making things harder than they needed to be.

That distinction matters more than it might sound.

If you've recently been diagnosed, or you're still trying to make sense of a diagnosis you received a while ago, we're here. Our clinicians work with adults at every stage of the post-diagnostic journey.

For a lot of people, the hardest part of starting therapy isn't the work itself. It's not knowing what to expect.The min...
11/06/2026

For a lot of people, the hardest part of starting therapy isn't the work itself. It's not knowing what to expect.

The mind fills the gap with worst-case scenarios. You'll have to talk about your childhood immediately. You'll cry in front of a stranger. You'll be judged for how long you've been struggling. You might be told something is very wrong.

None of that is how it works.

A first session is, above all else, a conversation. It's a chance for you to meet your therapist, ask questions, and begin to describe what's brought you to this point; at whatever pace feels right. Nothing is demanded of you.

Nobody holds a farewell for the version of your life you left behind.There's no ceremony for the friendships that quietl...
10/06/2026

Nobody holds a farewell for the version of your life you left behind.

There's no ceremony for the friendships that quietly fade across time zones. No acknowledgement of the birthday dinners you missed, the funerals you couldn't attend, the small moments of ordinary life that kept you tethered to who you were, and who you might have become.

This is what psychologists call ambiguous loss. A grief that has no clear ending, no social script, and often no recognition from the people around you. Because from the outside, you chose this. You moved abroad. Surely that's exciting?

And it can be. Both things are true. You can be grateful for the life you've built and still mourn the one you left. You can love your new city and ache for the streets you grew up on. You can feel proud of your courage and still lie awake wondering what you gave up.

Expat grief is real. It doesn't always look like sadness. Sometimes it looks like restlessness, or numbness, or a vague sense that something is missing; even when, on paper, everything is fine.

If you've spent years believing something was fundamentally wrong with you, you're not alone. Many adults with ADHD reac...
09/06/2026

If you've spent years believing something was fundamentally wrong with you, you're not alone. Many adults with ADHD reach their 30s, 40s, even 50s carrying that weight without ever knowing why.

Your brain isn't broken. It's wired differently, and that difference has a name, a science, and a path forward.

Whether you're newly diagnosed, exploring whether ADHD might explain your experience, or supporting someone who is, this one's for you.

Raising children between cultures raises questions that don't have easy answers.Which language becomes the language of c...
05/06/2026

Raising children between cultures raises questions that don't have easy answers.

Which language becomes the language of comfort? Which holidays do you keep, and which quietly fade? How do you help a child feel rooted when home has more than one meaning?

Third-culture children often develop real strengths: adaptability, cross-cultural empathy, a broad sense of the world. But the experience also carries complexity, a grief for places left behind, friendships that don't survive the distance, and an identity that can feel difficult to articulate.

What the research consistently shows is that parental psychological wellbeing is one of the strongest predictors of how children navigate these transitions. When parents are supported, children tend to be too.

If you're finding this chapter harder than you anticipated, that's a reasonable response to an genuinely demanding experience.

Studies suggest that up to 60–70% of children with ADHD continue to experience clinically significant symptoms into adul...
04/06/2026

Studies suggest that up to 60–70% of children with ADHD continue to experience clinically significant symptoms into adulthood; yet adult ADHD remains widely under-diagnosed, particularly in women.

What does it actually look like in adulthood?

→ Chronic disorganisation that no planner seems to fix
→ Starting projects with intensity, finishing very few
→ Emotional dysregulation that feels disproportionate
→ Exhaustion from years of masking and overcompensating
→ A lifelong sense of "trying harder than everyone else just to keep up"

For many adults, a diagnosis doesn't signal a new problem. It finally names something that has always been there.

If you've spent years wondering why certain things feel so much harder for you than they seem to for others, it may be worth exploring.

It takes courage to rebuild your life abroad.Nobody tells you that before you leave. They celebrate the adventure, the o...
29/05/2026

It takes courage to rebuild your life abroad.

Nobody tells you that before you leave. They celebrate the adventure, the opportunity, the fresh start. What they don't mention is the quiet moments; sitting in a new city, not quite sure where you belong, wondering if something is wrong with you because this isn't as easy as it looked from home.

Nothing is wrong with you.

Moving abroad asks something profound of you. You don't just change your postcode, you lose your context. The shorthand relationships built over years. The sense of ease that comes from simply knowing how things work. The ability to read a room. To understand humour. To feel understood.

Psychologically, this is significant. Identity is partly relational; it's shaped by the people and places around us. When those shift dramatically, it's natural to experience grief, disorientation, and a kind of invisible loneliness that's hard to explain even to people back home.

And yet, here you are. Still showing up. Still building something, a routine, a friendship, a sense of home in a place that didn't start out feeling like one. That is not a small thing. That is courage, even when it doesn't feel like it.

If you're in that in-between space right now; not quite settled, not quite yourself, know that what you're feeling is not a sign that you made the wrong choice. It's a sign that you're doing something genuinely hard, and that your mind is working to catch up with your life.

Therapy can be a place to process that transition, to grieve what you left, make sense of where you are, and reconnect with who you're becoming. You don't have to figure it out alone.

Multiple meta-analyses show that teletherapy produces outcomes comparable to face-to-face sessions for anxiety, depressi...
27/05/2026

Multiple meta-analyses show that teletherapy produces outcomes comparable to face-to-face sessions for anxiety, depression, ADHD and PTSD. The therapeutic relationship, the single greatest predictor of progress in therapy, translates fully online.

For many people, working from home actually makes it easier to open up. No commute, no waiting rooms, no unfamiliar environment. Just a consistent, confidential space with your therapist.

Online therapy also removes real barriers (geography, mobility, and busy schedules) meaning more people can access support when they need it most.

The format is far less important than the commitment to showing up.

You packed your bags. You boarded the plane. You built a whole new life.But somewhere between "I'm so excited for this a...
26/05/2026

You packed your bags. You boarded the plane. You built a whole new life.
But somewhere between "I'm so excited for this adventure" and "I don't quite recognise myself anymore", something shifted.

You're not the person your family remembers back home, but you're also not fully here either. This is the expat identity shift, and almost nobody talks about it.

It doesn't look like a crisis. It looks like:

▪️ Laughing at your old life while quietly grieving it
▪️ Feeling more confident and more lost than ever before
▪️ Not knowing which version of yourself is the "real" one anymore

This disorientation isn't weakness. It's what happens when you're brave enough to uproot yourself, and your psyche has to catch up.

You don't have to navigate it alone.

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71-75 Shelton Street, Covent Garden
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