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.
This is one of the loveliest reviews Iโve ever received. It was a real pleasure working with this family and supporting their son. ๐
30/09/2026
This is one of the best reviews Iโve ever received! It was a real pleasure working with this family and supporting their son. ๐
27/09/2026
๐ฆ๐๐ฅ๐ฉ๐๐๐ ๐๐จ๐๐๐๐ฆ & ๐ฆ๐จ๐ฃ๐ฃ๐ข๐ฅ๐ง
I work with children, young people, adults, families and professionals where ADHD, autism, PDA, mental health, trauma, learning disability and behaviour overlap.
This post brings together the main guides explaining the support available. Each link takes you to the full service guide, including what it involves, who it is for, format and cost.
โพ๏ธ ๐๐ฆ๐ฆ๐๐ฆ๐ฆ๐ ๐๐ก๐ง & ๐ฆ๐ง๐ฅ๐๐ง๐๐๐ฌ
๐๐ผ๐ฐ๐๐๐ฒ๐ฑ ๐๐น๐ถ๐ป๐ถ๐ฐ๐ฎ๐น ๐๐๐๐ฒ๐๐๐บ๐ฒ๐ป๐ & ๐ฆ๐๐ฟ๐ฎ๐๐ฒ๐ด๐
For people aged 17+ with one main difficulty that needs proper exploration, behavioural analysis and a clear written strategy.
https://www.facebook.com/share/p/1C6Lw3XP1F/?mibextid=wwXIfr
๐๐ผ๐บ๐ฝ๐น๐ฒ๐
๐๐น๐ถ๐ป๐ถ๐ฐ๐ฎ๐น ๐๐๐๐ฒ๐๐๐บ๐ฒ๐ป๐ & ๐ฆ๐๐ฟ๐ฎ๐๐ฒ๐ด๐
For complex, longstanding or family-based situations where several difficulties, people or pressures are interacting.
https://www.facebook.com/share/p/19Zf6qvD5f/?mibextid=wwXIfr
๐ซ ๐ฆ๐๐๐ข๐ข๐ & ๐๐๐จ๐๐๐ง๐๐ข๐ก
๐ฆ๐ฐ๐ต๐ผ๐ผ๐น ๐ข๐ฏ๐๐ฒ๐ฟ๐๐ฎ๐๐ถ๐ผ๐ป & ๐ฆ๐๐ฟ๐ฎ๐๐ฒ๐ด๐ ๐ฅ๐ฒ๐ฝ๐ผ๐ฟ๐
Direct observation within school or college, followed by behavioural analysis and a practical written plan for staff and families.
https://www.facebook.com/share/p/1MnLvysujP/?mibextid=wwXIfr
๐๐ผ๐๐ฟ๐, ๐ง๐ฟ๐ถ๐ฏ๐๐ป๐ฎ๐น, ๐ ๐ฒ๐ฑ๐ถ๐ฎ๐๐ถ๐ผ๐ป & ๐๐ฑ๐๐ผ๐ฐ๐ฎ๐ฐ๐ ๐ฆ๐๐ฝ๐ฝ๐ผ๐ฟ๐
Strategic preparation and attendance support for education meetings, annual reviews, mediation, tribunal, court and professional discussions.
https://www.facebook.com/share/p/19o8U7wbNi/?mibextid=wwXIfr
๐ฃ๏ธ ๐ข๐ก๐๐ข๐๐ก๐ & ๐๐ก๐ง๐๐ก๐ฆ๐๐ฉ๐ ๐ฆ๐จ๐ฃ๐ฃ๐ข๐ฅ๐ง
๐ข๐ป๐ด๐ผ๐ถ๐ป๐ด ๐ฆ๐๐ฝ๐ฝ๐ผ๐ฟ๐
Flexible support after an assessment, helping individuals and families put strategies into practice, review what is happening and respond to new difficulties.
https://www.facebook.com/share/p/19R7k8ajvu/?mibextid=wwXIfr
๐๐ฟ๐ถ๐๐ถ๐ ๐ฆ๐๐ฎ๐ฏ๐ถ๐น๐ถ๐๐ฎ๐๐ถ๐ผ๐ป & ๐๐ป๐๐ฒ๐ป๐๐ถ๐๐ฒ ๐ฆ๐๐ฝ๐ฝ๐ผ๐ฟ๐
For significant deterioration, escalating distress or a breakdown in coping. This can include crisis assessment, planning, short-term support and practical advocacy.
This is not an acute crisis service.
https://www.facebook.com/share/p/17uHiazxLA/?mibextid=wwXIfr
๐ฅ ๐ฆ๐จ๐ฃ๐ฃ๐ข๐ฅ๐ง ๐๐ข๐ฅ ๐ฃ๐ฅ๐ข๐๐๐ฆ๐ฆ๐๐ข๐ก๐๐๐ฆ
๐๐น๐ถ๐ป๐ถ๐ฐ๐ฎ๐น ๐๐ฒ๐๐ฒ๐น๐ผ๐ฝ๐บ๐ฒ๐ป๐ ๐ณ๐ผ๐ฟ ๐ฃ๐ฟ๐ฎ๐ฐ๐๐ถ๐๐ถ๐ผ๐ป๐ฒ๐ฟ๐ & ๐ฃ๐ฟ๐ผ๐ณ๐ฒ๐๐๐ถ๐ผ๐ป๐ฎ๐น๐
Individual development, case consultation, talks, workshops and training for people working across health, education and social care.
https://www.facebook.com/share/p/1Fm7wZKgtx/?mibextid=wwXIfr
๐ท ๐๐จ๐ก๐๐๐ก๐ & ๐๐๐ก๐๐ก๐๐๐๐ ๐ฆ๐จ๐ฃ๐ฃ๐ข๐ฅ๐ง
๐๐๐ป๐ฑ๐ถ๐ป๐ด & ๐๐ถ๐ป๐ฎ๐ป๐ฐ๐ถ๐ฎ๐น ๐ฆ๐๐ฝ๐ฝ๐ผ๐ฟ๐ ๐ณ๐ผ๐ฟ ๐๐๐๐, ๐๐๐๐ถ๐๐บ, ๐ฃ๐๐ & ๐๐ผ๐บ๐ฝ๐น๐ฒ๐
๐๐ฒ๐ต๐ฎ๐๐ถ๐ผ๐๐ฟ
A practical guide to possible routes including personal budgets, Direct Payments, EHCP funding, Access to Work, DSA, disability benefits, carer support and grants.
https://www.facebook.com/share/p/1DiSvQGR8L/?mibextid=wwXIfr
๐ค ๐ ๐ฌ ๐๐ซ๐ฃ๐๐ฅ๐๐๐ก๐๐ & ๐๐ฃ๐ฃ๐ฅ๐ข๐๐๐
๐ ๐ ๐๐น๐ถ๐ป๐ถ๐ฐ๐ฎ๐น ๐๐ฎ๐ฟ๐ฒ๐ฒ๐ฟ & ๐๐
๐ฝ๐ฒ๐ฟ๐ถ๐ฒ๐ป๐ฐ๐ฒ
An overview of my clinical career, professional background and the experience behind my work.
https://www.facebook.com/share/p/14vtxkfdPUB/?mibextid=wwXIfr
๐ช๐ต๐ฒ๐ฟ๐ฒ ๐ก๐ฒ๐๐ฟ๐ผ๐ฑ๐ถ๐๐ฒ๐ฟ๐๐ถ๐๐, ๐ ๐ฒ๐ป๐๐ฎ๐น ๐๐ฒ๐ฎ๐น๐๐ต, ๐ง๐ฟ๐ฎ๐๐บ๐ฎ & ๐๐ฒ๐ฎ๐ฟ๐ป๐ถ๐ป๐ด ๐๐ถ๐๐ฎ๐ฏ๐ถ๐น๐ถ๐๐ ๐ข๐๐ฒ๐ฟ๐น๐ฎ๐ฝ
The areas I work across, particularly where overlapping needs contribute to complex presentations.
https://www.facebook.com/share/p/1CBjuqCBkR/?mibextid=wwXIfr
๐ ๐จ๐ก๐ฆ๐จ๐ฅ๐ ๐ช๐๐๐๐ ๐ข๐ก๐ ๐๐ฃ๐ฃ๐๐๐๐ฆ?
A free initial consultation is available.
๐ 07940 506909 โ call, text or WhatsApp
โ๏ธ [email protected]
27/09/2026
๐๐ข๐๐จ๐ฆ๐๐ ๐๐๐๐ก๐๐๐๐ ๐๐ฆ๐ฆ๐๐ฆ๐ฆ๐ ๐๐ก๐ง & ๐ฆ๐ง๐ฅ๐๐ง๐๐๐ฌ โ ๐๐ฅ๐ข๐ ยฃ๐ฎ๐ฑ๐ฌ
๐ ๐ช๐๐๐ง ๐ง๐๐๐ฆ ๐ฃ๐๐๐๐๐๐ ๐๐ฆ
A focused clinical assessment and behavioural analysis for people aged 17+ who need more than a brief opinion, generic advice or a list of possible explanations.
The assessment is completed by Joe Ramsay, an NMC-registered Mental Health Nurse and Complex Behaviour Consultant with more than ten years of clinical experience, including CAMHS crisis care, A&E mental-health liaison, Intensive Home Treatment and primary-care mental-health services. His specialist work focuses on ADHD, autism, PDA, complex behaviour, clinical formulation, behaviour analysis and practical strategic planning.
This assessment is for one main difficulty that needs proper exploration and a clear, practical strategy.
Rather than simply recording symptoms or describing what has been happening, I look beneath the surface to understand the pattern: what may be driving the difficulty, what may be keeping it going and where change is most likely to make a meaningful difference.
It draws on the same specialist clinical and behavioural-analysis approach as the Complex Clinical Assessment, but is designed for a smaller or more contained situation that can be safely and properly explored within one hour.
You receive a detailed written report and personalised strategy explaining:
- What is happening
- Why it may be happening
- What may be keeping the difficulty going
- What to prioritise next
- What can realistically help
๐ฅ ๐ช๐๐ข ๐ง๐๐๐ฆ ๐๐ฆ ๐๐ข๐ฅ
This package is suitable where there is one main difficulty or a situation that can be safely and properly explored within one hour.
It may be appropriate for:
- Anxiety, stress, low mood or emotional distress
- Emotional dysregulation, overwhelm, shutdown or avoidance
- One specific difficulty connected to ADHD or autism
- A situation where you have tried to manage things yourself but are not seeing progress
- Conflicting advice or support that does not seem to fit
- A difficulty that feels clear on the surface, but where the reasons behind it are harder to understand
It can be particularly helpful where you know something is not working but cannot yet see the pattern clearly enough to understand what needs to change.
If you are unsure whether this is the right level of assessment, the free consultation will help establish whether one hour is sufficient or whether the Complex Clinical Assessment would be more appropriate.
This package is not normally suitable where there is significant trauma, PDA, several complex or interconnected difficulties, repeated crises, substantial risk concerns, or wider household and relationship patterns requiring full formulation. These situations will usually require the Complex Clinical Assessment.
๐ฃ๏ธ ๐ช๐๐๐ง ๐๐๐ฃ๐ฃ๐๐ก๐ฆ
We begin with a free consultation to understand the difficulty and make sure the right amount of assessment time is being booked.
During the one-hour assessment, I explore the relevant history, current presentation, behavioural patterns, existing support, strengths and the wider factors influencing the difficulty.
Using clinical questioning and behavioural analysis, I look at:
- What happens before, during and after the difficulty
- Possible triggers, pressures, demands, unmet needs and environmental factors
- How the person and those around them respond
- Patterns that may be unintentionally maintaining or escalating the difficulty
- The possible role of mental health, neurodivergence, relationships, previous experiences and context
- What has already been tried, what has helped and what has not
Following the assessment, I analyse the information and bring it together into a clear clinical and behavioural understanding.
You receive a written report that explains the pattern and turns it into realistic, prioritised next steps, rather than leaving you with a conversation to interpret on your own.
๐ ๐ช๐๐๐ง ๐ง๐๐ ๐ฅ๐๐ฃ๐ข๐ฅ๐ง ๐๐ก๐๐๐จ๐๐๐ฆ
Your report brings the information together into a clear, structured understanding of the situation.
It may include:
- Relevant history and background
- Current presentation
- Previous and current support
- Strengths and protective factors
- Areas requiring support
- Clinical impressions
- Consideration of relevant clinical risk, where appropriate
- Behavioural analysis
- Likely triggers, patterns and maintaining factors
- The interaction between mental health, neurodivergence, behaviour and environment
- What is currently known, what remains uncertain and what may require further exploration
- Personalised recommendations
- A prioritised strategy and action plan
Reports are typically around 8โ12 pages, depending on what is explored during the assessment.
The report does not simply repeat the conversation. It provides a professional formulation of the difficulty: a clear explanation of the likely pattern, the factors contributing to it and the practical changes most likely to reduce pressure and create progress.
โญ ๐ช๐๐ฌ ๐๐๐ข๐ข๐ฆ๐ ๐ง๐๐๐ฆ ๐ฃ๐๐๐๐๐๐
Choose this package if you need a proper clinical understanding of one specific difficulty, rather than reassurance, generic suggestions or broad advice.
The value lies in the analysis. You receive a clear explanation of why the difficulty may be happening, what may be unintentionally keeping it going and where to focus your energy first.
This can prevent you from trying multiple approaches at random, following advice that does not fit your circumstances, or spending months addressing the visible problem without understanding what sits underneath it.
It gives you access to the same specialist clinical and behavioural-analysis approach used within the Complex Clinical Assessment, without paying for more assessment time than your situation requires.
๐ท ๐๐ข๐ฆ๐ง ๐๐ก๐ ๐๐ข๐๐๐ง๐๐ข๐ก
- Video or telephone assessment: ยฃ250
- In person, up to 30 minutes from Leeds: ยฃ350
- In person, 30โ60 minutes from Leeds: ยฃ450
- More than 60 minutes from Leeds requiring a half day: ยฃ550
- More than 60 minutes from Leeds requiring a full day: ยฃ950
All prices include the assessment, clinical and behavioural analysis, written report, personalised recommendations and prioritised strategy.
๐ ๐๐ข๐ก๐ง๐๐๐ง ๐๐ก๐ ๐๐ข๐ข๐๐๐ก๐
For advice or to book an assessment:
๐ 07940 506909 โ call, text or WhatsApp
โ๏ธ [email protected]
Free consultation available.
27/09/2026
๐๐ข๐ ๐ฃ๐๐๐ซ ๐๐๐๐ก๐๐๐๐ ๐๐ฆ๐ฆ๐๐ฆ๐ฆ๐ ๐๐ก๐ง & ๐ฆ๐ง๐ฅ๐๐ง๐๐๐ฌ โ ๐๐ฅ๐ข๐ ยฃ๐ฐ๐ต๐ฑ
๐ ๐ช๐๐๐ง ๐ง๐๐๐ฆ ๐ฃ๐๐๐๐๐๐ ๐๐ฆ
A specialist clinical assessment and behavioural analysis for complex, longstanding or multifaceted situations.
I am Joe Ramsay, an NMC-registered Mental Health Nurse and Complex Behaviour Consultant with more than ten years of clinical experience, including CAMHS crisis care, A&E mental-health liaison, Intensive Home Treatment and primary-care mental-health services. My specialist work focuses on ADHD, autism, PDA, complex behaviour, clinical formulation, behavioural analysis and practical strategic planning.
Rather than simply identifying individual problems, this assessment explains why they may be occurring, what may be maintaining them and how the different people, behaviours and pressures within the situation affect one another.
It brings together mental health, neurodevelopment, behaviour, trauma, relationships, family dynamics and environmental influences into one coherent understanding.
This allows the strategy to address the underlying causes, interactions and feedback loops rather than simply managing individual symptoms.
๐ฅ ๐ช๐๐ข ๐ง๐๐๐ฆ ๐๐ฆ ๐๐ข๐ฅ
This package is suitable for:
- One adult with complex or interacting difficulties
- A child or young person assessed alongside their parent or carers
- A family involving up to two adults and one child
It is particularly appropriate where trauma, PDA, autism, ADHD, OCD, aggression, avoidance, problematic screen use, learning disabilities, emotional wellbeing or family dynamics interact.
For significant PDA presentations, the assessment can explore the wider household rather than treating the childโs behaviour in isolation.
This includes how demands, autonomy, anxiety, regulation, communication and the responses of other family members interact and create behavioural feedback loops.
Where relevant, the report can include individual profiles, explanations and recommendations for the people directly involved.
๐ฃ๏ธ ๐ช๐๐๐ง ๐๐๐ฃ๐ฃ๐๐ก๐ฆ
We begin with a free consultation to understand the situation, establish who needs to participate and ensure sufficient assessment time is booked.
This is followed by an assessment lasting up to two hours.
The assessment may explore:
- Developmental history
- Current difficulties
- Mental health
- Neurodevelopment
- Trauma
- Behavioural patterns
- Relationships and communication
- Sensory needs
- Environmental pressures
- Household dynamics
Using my behavioural-analysis approach, I identify how these factors interact, the feedback loops maintaining the difficulties and where intervention is most likely to create meaningful and lasting change.
The findings are then brought together into a comprehensive written report containing a detailed behavioural formulation, personalised recommendations and a structured longer-term strategy.
๐ ๐ช๐๐๐ง ๐ง๐๐ ๐ฅ๐๐ฃ๐ข๐ฅ๐ง ๐๐ก๐๐๐จ๐๐๐ฆ
Your report includes everything within the Focused Clinical Assessment, plus:
- Comprehensive behavioural analysis
- Individual profiles, where relevant
- Factors driving and maintaining the difficulties
- Behavioural and emotional feedback loops
- Household, relational and environmental influences
- The interaction between mental health, autism, ADHD, PDA, trauma, sensory processing and other relevant factors
- An explanation of why previous approaches may not have worked
- Enhanced recommendations linked directly to the analysis
- Prioritised short-, medium- and longer-term actions
- A structured 12-month strategy
- Guidance for parents, carers, partners and other relevant people
- Multi-agency guidance for communication with GPs, CAMHS, CMHTs, schools, colleges, employers or local authorities
Reports are typically around 15โ30 pages, depending on the complexity of the situation.
โ ๐๐๐ ๐๐๐ฌ ๐๐ซ๐ง๐๐ก๐ฆ๐๐ข๐ก โ ยฃ๐ญ๐ฑ๐ฌ
The base package covers up to two adults and one child.
Where two to four children need to be actively included, the Family Extension adds one assessment hour and the related analysis and report writing.
Children who only need to be briefly mentioned as part of the household background do not require an extension.
The extension is used where their own presentation, needs, behaviour or role within the household requires proper exploration and inclusion within the strategy.
โญ ๐ช๐๐ฌ ๐๐๐ข๐ข๐ฆ๐ ๐ง๐๐๐ฆ ๐ฃ๐๐๐๐๐๐
Choose this package when the situation cannot be understood by looking at one difficulty or one person in isolation.
It provides a detailed clinical and behavioural explanation of how the different factors and people connect, what is keeping the difficulties going and where change is most likely to make the greatest difference.
The result is one coherent understanding and one practical strategy that individuals, families and professionals can work from together.
๐ท ๐๐ข๐ฆ๐ง ๐๐ก๐ ๐๐ข๐๐๐ง๐๐ข๐ก
- Video or telephone assessment: ยฃ495
- In person, up to 30 minutes from Leeds: ยฃ595
- In person, 30โ60 minutes from Leeds: ยฃ695
- More than 60 minutes from Leeds requiring a half day: ยฃ795
- More than 60 minutes from Leeds requiring a full day: ยฃ1,195
All prices include the assessment, clinical and behavioural analysis, comprehensive written report, personalised recommendations and structured 12-month strategy.
The Family Extension adds ยฃ150 to the relevant assessment price.
Parking, tolls and accommodation, where required, are charged separately.
๐ ๐๐ข๐ก๐ง๐๐๐ง ๐๐ก๐ ๐๐ข๐ข๐๐๐ก๐
For advice or to book an assessment:
๐ 07940 506909 โ call, text or WhatsApp
โ๏ธ [email protected]
Free consultation available.
27/09/2026
๐๐ฅ๐๐ฆ๐๐ฆ ๐ฆ๐ง๐๐๐๐๐๐ฆ๐๐ง๐๐ข๐ก & ๐๐ก๐ง๐๐ก๐ฆ๐๐ฉ๐ ๐ฆ๐จ๐ฃ๐ฃ๐ข๐ฅ๐ง
๐ ๐ช๐๐๐ง ๐ง๐๐๐ฆ ๐ฆ๐๐ฅ๐ฉ๐๐๐ ๐๐ฆ
Specialist crisis support for children, young people, adults and families experiencing significant mental-health deterioration or distress.
The service is provided by Joe Ramsay, an NMC-registered Mental Health Nurse and Complex Behaviour Consultant with more than ten years of clinical experience, including seven years within mental-health crisis services.
His background includes work within Crisis Teams, A&E mental-health liaison, CAMHS Crisis and Intensive Home Treatment. He has also managed three mental-health wards and Section 136 suites.
The aim is to understand what has led to the deterioration, reduce immediate pressure and help the person or family restore stability, rebuild practical coping strategies and establish a clear way forward.
The service can be used as a one-off assessment with written findings and a crisis plan, or as short-term support and advocacy over a number of hours, days or weeks.
๐ฅ ๐ช๐๐ข ๐ง๐๐๐ฆ ๐๐ฆ ๐๐ข๐ฅ
Since Covid, mental-health services have faced increased demand, longer waits and higher thresholds for support. Many people are left in a difficult gap: their situation is deteriorating, but they may not meet the threshold for crisis-team involvement or may still be waiting for other support.
This service is most appropriate when existing coping strategies and support have broken down, the situation is escalating and those involved are struggling to work out what to prioritise or how to respond.
It may be used following an acute incident, A&E attendance or discharge, while waiting for other services, or where the person does not currently meet the threshold for statutory crisis support.
It can be particularly useful for autistic people where masking, sensory needs, demand avoidance, communication differences, shutdown or burnout are being missed or misunderstood within a standard mental-health response.
๐ฅ ๐ ๐๐ก๐ง๐๐ ๐๐๐๐๐ง๐ ๐๐๐ง ๐ฆ๐จ๐ฃ๐ฃ๐ข๐ฅ๐ง ๐๐ก๐ ๐๐๐ฉ๐ข๐๐๐๐ฌ
This service can support parents, partners or relatives when a loved one has been detained in hospital under Section 2 or Section 3 of the Mental Health Act, or detained under Section 136 and taken to a place of safety.
I can help you understand what is happening, organise relevant information, prepare questions, communicate the personโs needs and advocate for those needs to be properly considered during assessment, treatment and planning.
This is practical clinical support and does not replace legal representation or formal statutory advocacy.
๐ฃ๏ธ ๐ช๐๐๐ง ๐๐๐ฃ๐ฃ๐๐ก๐ฆ
We begin with a free triage conversation to understand the immediate situation and decide whether this is the right service.
The crisis assessment focuses on what is happening now, what has led to the deterioration, what is making things worse and what needs to change first.
Following the assessment, I analyse the information and identify the immediate priorities.
Where further support is required, I work with the individual, parent, carer, partner or family to reduce immediate pressure and put the plan into action.
This may include supporting routines and daily functioning, rebuilding coping strategies, reducing conflict, improving communication, progressing referrals or coordinating next steps.
๐ ๐ช๐๐๐ง ๐ฌ๐ข๐จ ๐ฅ๐๐๐๐๐ฉ๐
Following the assessment, you receive:
- Written findings โ a concise and confidential summary of the information shared, relevant observations, what has happened so far, the current situation and the main concerns identified.
- Crisis plan โ a clear, practical action plan setting out the immediate priorities, what needs to change, who is responsible for each action, appropriate referrals or services, the support required and what to do if the situation worsens.
The documents are kept separate so the crisis plan can be shared with schools, employers, family members or professionals without disclosing every private detail contained within the written findings.
โญ ๐ช๐๐ฌ ๐๐๐ข๐ข๐ฆ๐ ๐ง๐๐๐ฆ ๐ฆ๐๐ฅ๐ฉ๐๐๐
You may know that something serious is happening but feel that nobody has had time to understand the whole situation. The immediate crisis may be receiving attention while ADHD, autism, masking, sensory needs, trauma, communication differences or family pressures are being missed.
I can work one-to-one with you or your child at home, or support parents, carers and partners through hospital appointments, assessments and professional meetings. This can include preparing what needs to be said, communicating the personโs history and needs, managing conversations with staff, providing advocacy and coordinating with services.
Support can involve a one-off assessment and crisis plan or more active involvement over a number of hours, days or weeks. This provides specialist understanding and continuity, so you are not left repeatedly explaining the situation or managing the entire process alone.
๐ท ๐๐ข๐ฆ๐ง ๐๐ก๐ ๐๐ข๐๐๐ง๐๐ข๐ก
๐๐ฟ๐ถ๐๐ถ๐ ๐ฎ๐๐๐ฒ๐๐๐บ๐ฒ๐ป๐, ๐๐ฟ๐ถ๐๐๐ฒ๐ป ๐ณ๐ถ๐ป๐ฑ๐ถ๐ป๐ด๐ ๐ฎ๐ป๐ฑ ๐ฐ๐ฟ๐ถ๐๐ถ๐ ๐ฝ๐น๐ฎ๐ป:
- Video assessment: ยฃ250
- Face-to-face assessment within 30 minutes of Leeds: ยฃ350
- Face-to-face assessment 30โ60 minutes from Leeds: ยฃ450
Each price includes the free triage conversation, a one-hour crisis assessment, written findings and a separate practical crisis plan.
๐๐ฎ๐ฐ๐ฒ-๐๐ผ-๐ณ๐ฎ๐ฐ๐ฒ ๐๐๐ฝ๐ฝ๐ผ๐ฟ๐ ๐ฎ๐ป๐ฑ ๐ฎ๐ฑ๐๐ผ๐ฐ๐ฎ๐ฐ๐:
- Within 30 minutes of Leeds: ยฃ90 per hour
- 30โ60 minutes from Leeds: ยฃ100 per hour
- Half-day support and advocacy: ยฃ550
- Full-day support and advocacy: ยฃ950
Half-day or full-day rates apply where the support and travel required take up a substantial part or all of the working day.
Short-term packages can be arranged where support is required over several days or weeks.
Mileage, parking, rail fares, tolls and accommodation, where required, are charged separately.
๐จ ๐๐ ๐ฃ๐ข๐ฅ๐ง๐๐ก๐ง ๐๐ก๐๐ข๐ฅ๐ ๐๐ง๐๐ข๐ก
This is not a 24-hour or emergency-response service.
Call 999 or go to A&E immediately if someoneโs life is at risk, someone has seriously injured themselves or taken an overdose, or you cannot keep yourself or someone else safe.
If urgent mental-health support is needed but the situation is not an immediate emergency, use NHS 111 online or call 111 and select the mental-health option. You can also contact the personโs local crisis team where one is already involved.
This service can work alongside NHS, emergency and safeguarding services but cannot replace them or act as the only support where someone is actively suicidal or at immediate risk of harm.
๐ ๐๐ข๐ก๐ง๐๐๐ง ๐๐ก๐ ๐๐ข๐ข๐๐๐ก๐
For advice or to discuss whether this service is appropriate:
๐ 07940 506909 โ call, text or WhatsApp
โ๏ธ [email protected]
Free initial consultation available.
27/09/2026
๐ ๐๐ก๐ง๐๐ ๐๐๐๐๐ง๐, ๐๐๐๐, ๐๐จ๐ง๐๐ฆ๐ , ๐ง๐ฅ๐๐จ๐ ๐, ๐๐๐๐ฅ๐ก๐๐ก๐ ๐๐๐ฆ๐๐๐๐๐๐ง๐๐๐ฆ ๐๐ก๐ ๐๐๐๐๐ฉ๐๐ข๐จ๐ฅ โ ๐๐๐๐ฃ๐๐ก๐ ๐ฌ๐ข๐จ ๐๐๐๐ ๐ช๐๐ง๐ ๐ข๐ก๐ ๐ข๐ฅ ๐๐๐
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.
๐ง ๐ช๐๐ข ๐ง๐๐๐ฆ ๐๐ฆ ๐๐ข๐ฅ
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. The common factor is that things are complex enough that people need careful thinking and practical strategy rather than quick, standard answers.
๐ ๐๐๐๐๐ฉ๐๐ข๐จ๐ฅ
Many people are unsure what is โnormalโ 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: childrenโs behaviour, parentsโ 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. This helps us separate everyday ups and downs from patterns that are genuinely harmful or unsustainable.
In family assessments, I profile 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, then 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 been pushed past healthy limits โ for example, controlling behaviour, anxiety-driven behaviour or aggression that is now placing 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. My role is to help you manage as well as possible even when some parts of the situation cannot easily be changed.
I also look very carefully at parent behaviour, especially around PDA and demand sensitivity, because tone of voice, facial expression and nervous-system state can make a major difference. Part of the work is helping parents settle and regulate their own nervous systems so that they can respond more effectively.
If there is any issues school, we do not stop at describing it. We map it in detail and work out what is driving it. This can include neurodivergence, mental health and trauma, but also practical issues such as curriculum level, particular lessons being too easy or too difficult, or certain people or environments acting as triggers.
We go through lessons, days and incidents to understand exactly what is happening, then build a plan that addresses the real drivers rather than simply trying to suppress the behaviour on the surface.
๐ฌ ๐ ๐๐ก๐ง๐๐ ๐๐๐๐๐ง๐
If you are struggling with intrusive thoughts, anxiety, low mood, self-harm, suicidal thinking, burnout or shutdown, I can often help, particularly where these sit alongside autism, ADHD, PDA or other neurodivergent profiles.
Standard talking therapies do not always fit a neurodivergent personโs needs. If someone does not understand how their mind works or does not have everyday systems that fit them, therapy may not reach deeply enough or provide changes that last.
When ADHD or autism are not understood or supported in a way that fits the individual, serious mental-health problems can build over time. Part of the work is understanding pressure properly: when someone is overloaded, when 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. 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. If someone is in immediate danger, they still need urgent support. However, I am often the right person to see once immediate risk has reduced โ 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.
โก ๐๐๐๐
With ADHD, my work ranges from basic coaching to detailed, advanced support. I have ADHD myself, which means I can draw on lived experience as well as clinical knowledge. That can make it easier for people to trust that I understand what is happening in their heads and lives.
I have helped children, young people and adults stabilise with or without medication, reduce impulsivity and bring behaviour back into a range that feels manageable.
In practical terms, this can mean sitting with parents at the kitchen table and going through a childโs planner, lesson by lesson and day by day, mapping exactly what has happened, when and with whom. We then use that detail to understand 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 within weeks by ensuring 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, particularly where they feel ashamed. I may use brief examples from my own ADHD, including around anger, or familiar figures such as the Hulk, to show they are not alone. Once they realise I understand similar experiences, they are often much more able to be honest.
Medication can be helpful but is not a requirement. It can be harder without medication to find and maintain the optimal middle ground, but meaningful change is still possible.
Over time, the aim is for you to become an expert in your own ADHD: understanding what is happening, spotting patterns early and working problems out without feeling constantly blindsided.
Alongside this, I work around anger, emotional regulation, mental-health difficulties and behaviour at home or school, including where ADHD overlaps with PDA, substance use or repeated contact with the criminal-justice system. I help people understand and manage the nervous-system patterns that can drive ADHD, addiction and impulsive behaviour, with the aim of reducing harm, increasing safety and building a life that does not depend on substances or continual crisis to feel bearable.
โพ๏ธ ๐๐จ๐ง๐๐ฆ๐
Autism can be hard both for the person themselves and for the people around them. I work with autistic individuals and whole families to make sense of what is happening and make practical changes.
I particularly enjoy working with autistic children and young people because their minds are still developing, and there is often significant scope to build skills, confidence and understanding that can support them throughout life.
In sessions, whether in person or online, I am direct and thorough. Once someone is ready, I ask them to walk through situations in detail, explain how they understand what is happening and describe how they would deal with it step by step.
I check carefully that they are comfortable with this. Once everyone is happy, I ask focused, respectful questions: why they think what they think, why they choose particular responses, what they expect those responses to do for them, and how this links to the neurobiology and nervous-system patterns we have discussed.
Over time, this can help people become genuine experts in their own autism.
Alongside that, we build awareness, including interoception, so people can notice what is happening inside their bodies and minds before everything tips over. We examine their cognitive schemas โ the rules, patterns and templates they use to navigate the world โ and remap them so that life has more options and does not feel trapped in one rigid way of doing things.
A central part of the work is finding where pressure sits in the system, including internal pressure people place on themselves, and adjusting it so it is in the right places rather than silently causing problems elsewhere.
Depending on how deeply someone wants to work, this may be a short piece focused on immediate coping or a longer process where we keep fine-tuning understanding and skills until they can read their own patterns and design strategies with confidence.
๐ฅ ๐ฃ๐๐
PDA can be one of the most difficult things for individuals and families to live with. 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 the pressures acting on the person: external demands such as school, routines, requests and expectations, as well as internal demands such as guilt, shame, self-monitoring, perfectionism, fear of getting things wrong and feeling trapped.
I then work out which combinations of pressure may be driving the demand avoidance.
I often work with whole family systems where more than one person is demand-sensitive because what appears to be one childโs difficulty is often a pattern running through the household.
I use different approaches depending on whether the underlying pattern seems more ADHD-based, more autistic or a mixture. The behaviour on the surface may look similar while the mechanics underneath are very different.
In practice, this can mean detailed work with parents, the child or young person, or an adult and their partner or family. We go through ordinary days and particular 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 level of demand on the nervous system, change how people respond to early signs of overload and gradually reduce demand-sensitive distress by removing unnecessary pressure and building ways of doing things that feel safe enough for the person while keeping family, school or work life functioning.
The work can range from a short piece of strategic advice to longer, detailed support where we keep tracking and adjusting the pattern over months.
๐ฅ ๐ง๐ฅ๐๐จ๐ ๐
Many people come to me knowing something is badly wrong but not having a clear name for it. They may not know whether they are living with trauma, neurodivergence, a mixture of both or something else entirely, particularly because trauma and neurodivergence can overlap and appear 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 reacts now, how day-to-day life feels, and how all of that fits โ or does not fit โ 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 yet in the right place for trauma therapy, or who have been considered too high-risk for that work at the moment. In these situations, my focus is on stabilising things as much as possible: helping them build coping skills, routines and support so that risk reduces and life becomes more manageable.
This can provide a solid framework before, during and after any trauma therapy undertaken later. In practical terms, that may mean working on self-harm and suicidal thinking, understanding triggers, recognising early warning signs in mind and body, and adjusting pressure and expectations so the person is not constantly being pushed past their limit.
I can also help people decide when self-referral to talking therapies may be appropriate, and support them to get to the point where therapy is more likely to help rather than overwhelm.
๐ ๐๐๐๐ฅ๐ก๐๐ก๐ ๐๐๐ฆ๐๐๐๐๐๐ง๐ฌ
Some of the most complex work I do involves all the factors already described โ neurodivergence, mental health, trauma, behaviour and environment โ alongside learning disability.
A major difficulty in these situations is that some people have no spoken language or very limited communication. Even when someone can talk, autism and interoception difficulties may make it hard to explain what is happening internally.
In some situations, a personโs developmental level is closer to that of a younger child. They may not have the words, concepts or self-awareness to describe their internal experience, even where 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. I then use this to support the individual and the people caring for them in a way that respects their limits while working to reduce distress and improve quality of life.
When learning disability is part of the picture, I begin with a deliberately broad view of possible contributing factors. I then work through them systematically, narrowing the possibilities by looking at what is known and what remains unclear.
What we can be confident about is recorded as a clear finding. I also identify plausible but unconfirmed factors where information is limited, whether because the person cannot communicate it or because there is not yet enough evidence.
The plan directly addresses both: it sets out what to do about the factors we know are present, alongside practical ways of responding safely if the less certain factors are also playing a part.
We do not only plan for what is visible now. We also plan for what could be happening out of sight, giving families and services a structured way to respond to both what is known and what remains uncertain.
๐งญ ๐๐ข๐ช ๐ ๐ช๐ข๐ฅ๐
The way I work depends on what the situation 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 to take forward independently or with other services.
In other cases, particularly where neurodivergence, learning disability, trauma, behaviour and environment overlap, the work is more detailed and runs over a longer period.
Whatever level of support you choose, I design my reports so that, as far as possible, you do not need ongoing input from me. They are deliberately information-dense, bringing together understanding, explanations, relevant literature and a clear plan, so you are equipped with what is known about the situation rather than left guessing.
I am adaptable because situations and family dynamics often change as things begin to settle. It is common for the original difficulty to ease and for another pattern to become more visible beneath it.
My job is not only to help stabilise the immediate situation, but also to reassess and fine-tune the plan as changes happen, so support continues to fit 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 stretch your understanding and confidence without overwhelming you. Over time, the aim is for you to become increasingly able to read patterns, understand what is happening and make informed decisions without constant professional input.
๐ ๐๐ข๐ก๐ง๐๐๐ง ๐๐ก๐ ๐๐ก๐ค๐จ๐๐ฅ๐๐๐ฆ
For advice or to arrange a free initial consultation:
โ๏ธ (07940) 506909
๐ง [email protected]
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