Philippa Tuckman Psychoanalytic Psychotherapy and Counselling
in Hackney, East London & Online

Psychotherapy and counselling in Hackney, East London and online

I am a psychotherapist working in Hackney, East London. I offer sessions in person, and online or on the telephone when necessary.

If you are experiencing difficulties in your family, friendship or romantic relationships or at work, if you are suffering from anxiety or depression or feeling frustrated and stuck, friends and colleagues will often advise you to open up.

'Opening up' sounds like a good thing; it certainly slips easily off the tongue. But if we don’t know what to say, or to whom, if we worry that the very person we could speak to might misunderstand, if we fear that they could be hurt by our words or could hurt us, if we think we are not entitled to a fair hearing anyway, then it’s not so simple.

In fact, the feeling of not being able to say or know exactly what troubles us is far more common than advice to relax and confide in friends suggests, because one of the things we learn very early in our lives is to scramble and forget what unsettles us. It's necessary, in a way, because the world is a very confusing place for us all, especially when we are new to it, but we can overdo it. What starts as helpful editing can become more problematic. You might call this an unconscious censorship, by analogy with the secret suppression of newspapers, websites or books that, it might be said, could disrupt the smooth running of a political system. If we realise that what we read and hear is being censored then we can begin to do something about it, so the censor's first care will be to make sure that what you see on the surface looks and feels like the whole story. When we are confused by our feelings there can be something like this going on for and in us; we hide and disguise what it is that we find hard to look at face on, and this repression works best when we don't know we are doing it. Normative behaviour patterns and attitudes are very good disguises, whether they help or harm us, and they can be hard-wired into our emotions.

In psychotherapy we tackle this difficulty; the therapist listens and, over time, in the safety of the consulting room, the patient finds ways to speak about what is going on for them. The relationship we have with others and with ourselves is the most complex part of our lives, so we cooperate with each other to explore how it has led you to feel and behave as you do; the creative process of analysing it can allow both an appreciation of what is positive and enjoyable, and a change in what is unhelpful.

When people approach a therapist they are sometimes confused or even apologetic; why, they ask, do they feel so desperately unhappy, or anxious, or blank, when there seems to be nothing unusually wrong, or when they can identify a trauma in their past but feel that by now they should have moved on, got over it, forgiven and forgotten. Perhaps the trauma has happened to all the members of a family but everyone else is - apparently - fine and getting on with life. Maybe an accident or attack continues to affect us, but we don't feel it should when we were not the person who was injured.

The truth is that there is no template for how to respond to events, and no scale for how long or intensely a person 'deserves' to feel about them. The reasons for how differently people react to the same experience comes from our particular histories. There could indeed have been remembered trauma including abuse, the prejudices of others, abandonment or bereavement, extreme stress, difficult early relationships or issues with sexuality. Sometimes what the child genuinely experienced as a serious trauma is something an adult may not take so seriously, but it has left a wound because of what was going on in or around the family. Often, the factors that contribute have been forgotten entirely, or leave only hazy traces in the memory. Some, such as the accumulation of intergenerational trauma of racism or sexual abuse, may never have been spoken aloud. And of course what causes no problem to one person can, entirely legitimately, distress another deeply, and vice versa.

As a lawyer I was often struck by how similar experiences - an industrial accident, domestic violence, a military firefight, dealing with the aftermath of an improvised explosive device - can land very differently with those involved, even those who have played identical roles, at the same time, in the same event. The bare facts of what happened on the day are important, but so too is the person who is trying to make sense of them.

Take, for example, the enormous range of reactions people have had to the Covid19 pandemic and its consequences. Some of us might have been be anxious, others angry, or disgusted, bored, lonely, even delighted to be spared social or family obligations, or all of those in succession or at once. It can seem that there is a 'correct' way to be and that others somehow know what it is, but in reality no two people will be having the same experience. Depending on our past, this disconnect can give rise to a range of feelings such as depression, guilt, anger or anxiety that we sometimes don't even recognise for what they are, much less know how to deal with by ourselves. In fact, trying to think it out alone can deepen the mystery.

The climate emergency is another circumstance that can be unimaginable and paralysing to one person and a spur to optimistic action for the next. Which of those is the 'correct' way of dealing with the catastrophe has very little to do with what we each make of it, but it's important to take our distress seriously.

In psychoanalytic psychotherapy sessions we take the time to unravel what you are feeling and what you want to do with that knowledge. How circumstances affect us is not right or wrong, but painful or not, and always complex. It may be that the pain or confusion you are feeling turn out, when they are explored, to point to a hidden part of you that is rich and joyful if we only listen to it. I will work with you carefully, constructively, imaginatively and without judging to help you to find what is there; it's important for you to feel you can trust your psychotherapist.

You may well want to know what psychotherapy can give you. I cannot answer that precisely, because you yourself will find the answers in the work we will do together. What I can say is you are likely to find yourself exploring a new way of experiencing yourself in the world, and to be more aware of yourself doing that.

It's worth stressing that therapy is about you and what you make of yourself, not what any psychoanalytic theory, however much it might make sense to the therapist, might make of you. As Donald Winnicott said, 'What patient wants to be someone else's poem or picture?' . You might say that psychoanalytic therapy helps you to write, or even read, your own poem.

If you are wondering about psychotherapy and counselling in Hackney, East London contact me using the link opposite to discuss an exploratory session. I will be happy to talk to you about your hopes - and hesitations - about psychotherapy and what it might be like to work with a psychotherapist.

My consulting room is in Clapton, within easy reach of Homerton, Hackney Central and Hackney Downs stations and walkable from Dalston Kingsland, Hackney Wick and Stoke Newington. There are also many bus connections nearby.


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