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CAUSEWAY THERAPY

Clinical Psychologist in Tunbridge Wells and across the UK | Online & In-Person Therapy

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Welcome to Causeway Therapy, a clinical psychology practice based in Tunbridge Wells, Kent. I offer evidence-based psychological therapy for adults experiencing anxiety, depression, trauma, emotional overwhelm, and significant life transitions.

I work with individuals who may feel stuck, distressed, or unsure how to move forward — offering a thoughtful, collaborative space to explore what is happening and find a way through.

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Lisa Gaiotto, clinical psychologist providing therapy in Tunbridge Wells and online
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Dr LISA GAIOTTO

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I am a Clinical Psychologist with over 20 years experience working with adults across a range of emotional and psychological difficulties. I am professionally trained and registered, and I work in line with ethical and clinical guidelines.

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My work is informed by both clinical expertise and an understanding of how complex life experiences shape emotional wellbeing. I value warmth, honesty, and curiosity in the therapeutic relationship, and I take care to offer therapy that is effective, respectful and thoughtful.

 

I offer treatments for adults (over the age of 21 years). 

People come to therapy for many reasons. You might be feeling overwhelmed, disconnected from yourself or others, struggling with difficult emotions, or carrying experiences that continue to affect you.

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  • Anxiety, including: Obsessive Compulsive Disorder (OCD), Generalised Anxiety Disorder (excessive worries), Panic, Post-Traumatic Stress Disorder (PTSD), Social Anxiety and Heath Anxiety;

  • Depression and Low Mood;

  • Self-esteem and confidence;

  • Childhood and Adulthood traumatic events

  • Birth Trauma;

  • Bereavement and Loss;

  • Separation and divorce

  • Post Natal Depression and Anxiety

  • Relationship problems

  • Sleep difficulties

  • Adjusting to Parenthood

  • Burnout

  • Work related stress

  • Insomnia in the context of psychological difficulties

  • Shock responses

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I have extensive experience of working with individuals who present with personal and professional stress including burnout, feel loss or stuck in these areas, and wish to re-balance these dimensions.  I have a special interest in Generalised Anxiety, re. excessive worries.

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Therapy is not about “fixing” you. It is about understanding what you are carrying, making sense of patterns that no longer serve you, and creating space for change.

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CREDENTIALS

REGISTRATIONS

I am registered with the Health and Care Professions Council and the British Psychological Society.

 

These are professional registers that ensure standards of training, conduct and skills are met and regulated.

•           British Psychological Society. Chartered Membership number: 147270

•           Health and Care Professionals Council. Registration number: PYL29295

QUALIFICATIONS

Bachelor’s Degree (BSc) in Psychology, Padua University (Italy)

Doctorate in Organisational and Working Psychology, Padua University (Italy)​

Doctorate in Clinical Psychology, Canterbury Christ Church University (UK)

FURTHER TRAINING

  • Deep Brain Reorienting, DBR Level 2, 2025

  • Deep Brain Reorienting, DBR level 1, 2024

  • Introduction to Internal Family Systems, Internal Family Systems UK, 2022

  • World In Motion: Regulating the Human Race using Yoga, Breath & Movement, WPF, 2022

  • Reclaiming the Body: trauma sensitive yoga, WPF, 2022

  • Trauma-Focused ACT, Contextual Consulting, 2022

  • ACT For Perfectionism, People-Pleasing And Other Forms of Rigid Rule-following, Contextual Consulting, 2021

  • Compassion Focused Therapy, The Association for Psychological Therapies, 2021

  • Psychological Treatments for Insomnia in the Context of Co-Occurring Mental Health Issues, Essential Therapy Training, 2021

  • ACT: 100 Key Points & Techniques, Contextual Consulting, 2020

  • Acceptance and Commitment Coaching, Contextual Consulting, 2019

  • How and When to Work with Trauma Memories, Oxford Cognitive Therapy Centre, 2019

  • Introduction to Cognitive Analytic Therapy, Association for Cognitive Analytic Therapy, 2018

  • Attachment, Therapy and the Brain, Counselling Centre, 2018  

  • Emotion Focussed Therapy, Level 1, Professor Les Greenberg, 2017

  • Acceptance and Commitment Therapy (ACT) for Anxiety and Depression, Contextual Consulting, 2017

  • Cognitive Behavioural Therapy (CBT) Supervisor, Institute of Psychiatry, Psychology and

  • Neuroscience, 2017

  • Perinatal Mental Health, Dr. McLackland, 2016

  • Obsessive Compulsive Disorder, Bromley Healthcare, 2016

  • Mindfulness workshop,

  • Bromley Healthcare, 2015

  • Working with imagery, Dr. Ann Hackmann, 2014

EMPLOYMENT

2013-2014 Clinical Psychologist, Children and Adolescents Mental Health Services

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2014-2017,  Clinial Psychologist/ Senior CBT Psychotherapist, IAPT Services

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2017- 2018, Clinical Psychologist, Inpatient Adolescents Unit, Private Provider

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2017- Present, Independent Private Practice, Causeway Therapy

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Therapy with me is collaborative, reflective, and grounded in compassion and evidence based. We move at a pace that feels right for you, paying attention to both current difficulties and the wider context of your life and experiences.

I aim to create a space where you can feel heard, and supported to make changes — particularly if you are used to coping alone.

TREATMENT MODELS

I integrate several therapeutic approaches:

  • Cognitive Behavioural Therapy (CBT)

  • Acceptance and Commitment Therapy (ACT)

  • Emotion Focused Therapy (EFT)

  • Mindfulness based models, and relaxation techniques

  • Compassion Focused Therapy (CFT)

  • Cognitive Analytic Therapy (CAT) informed interventions.

  • Internal Family System (IFS) informed interventions. 

  • Deep Brain Reorienting (DBR).

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We will regularly review your progress and tailor therapy to ensure you are getting the most out of your sessions.

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I provide therapy in English or Italian.

Get in Touch
Comfortable, private therapy room for psychological sessions in Tunbridge Wells
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THERAPY

Sometimes private practice is not able to provide the necessary level of treatment, such as when individuals have suicidal thoughts. If you experience suicidal ideation, self harm or harm to or from others then I am afraid but I will not be able to support you. In this case, please make an appointment with your GP; If you are at immediate risk please call 999 or attend A&E.

Therapy is about developing an insight about yourself and your difficulties, process them and move towards achieving your personal aims.

The therapeutic process is a collaborative progress tailored to your unique needs. It's about exploring your thoughts, feelings, and behaviors, with the support and guidance of a trained professional. Each step, from the initial consultation to the conclusion of therapy, is designed to guide you to make meaningful and lasting changes in your life.

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Some goals for therapy might be to manage anxiety, to socialise more, to become more active and motivated, to accept what you cannot change and commit to follow your values, to re-define relationships and feel more connected, to assess and follow your personal or professional values, to adjust to loss or change, to process difficult memories and events so that they are not so dominant in your life, to come to terms with chronic pain and illness, to improve your sleep, to learn to  relax and “let go”, to improve your concentration, and more.

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Therapy can be a powerful tool which can be applied to work situations, for example to manage a challenging employee or difficult changes in your organisation, to manage boundaries between employers and employees.

I can help you developing stress management strategies, and improve your work-life balance.

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WHAT TO EXPECT?

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1. Initial Assessment: 2 sessions

The therapeutic process usually begins with an initial consultation. During these sessions, I will gather information about your current concerns, history, and goals for therapy. This meeting is also an opportunity for you to ask questions and discuss any apprehensions you may have.

  • Purpose: To build a foundational understanding of your needs and establish a rapport between us. It also allows us to determine if there is a positive connection.

  • What to Expect: I will ask about your mental health history, family background, and any current life stressors. These sessions are typically more about gathering information than diving into therapy.​

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2. Therapeutic Interventions

The core of the therapeutic process involves regular sessions, typically held weekly. During these sessions, we will use various therapeutic techniques tailored to your needs. Common approaches include:

- Cognitive Behavioural Therapy (CBT): Focuses on identifying and changing negative thought patterns and behaviours.

- Acceptance and Commitment Therapy (ACT): helps individuals to accept their thoughts and feelings while committing to actions that align with their values to improve psychological flexibility.

- Mindfulness-Based Therapy: Teaches mindfulness techniques to manage stress and anxiety.

- Trauma-informed models: they are structured treatments for PTSD/trauma that helps individuals process traumatic memories, modifying unhelpful thoughts and behaviours related to the trauma.

- Deep Brain Reorienting (DBR): a gentler form of EMDT to process traumatic experiences by targeting the brain's innate defensive responses to help reorganise emotional and sensory memories​.

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3. Progress Review

Periodically, we will review your progress to see how well the therapy is working. This involves discussing changes, improvements, or any ongoing challenges. We may adjust the treatment plan based on these discussions to better suit your evolving needs.

  • Purpose: To ensure the therapy is effective and to make adjustments as needed.

  • What to Expect: Honest reflections on your experiences and reciprocal feedback from me.​

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4. Ending and Maintenance

Therapy concludes when you feel you have achieved your goals or have gained enough tools to manage your concerns independently. This process is usually planned and discussed in advance. However, therapy can also continue as needed for ongoing support.

  • Purpose: To ensure a smooth transition out of therapy and empower you to maintain progress.

  • What to Expect: Discussion about the end of therapy, including coping strategies and future plans. You may also discuss the option of periodic check-ins if needed.

The length of therapy varies generally from 8 to 24 sessions. This will be defined by combining personal preference, goals, difficulties, commitment and engagement with evidence based treatments defined by NICE guidelines. Sometimes more complex difficulties require longer term therapy. I will discussed this with you, so that we can work collaboratively towards the best options. 

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FEES

Self funded ​

All sessions last 50 minutes

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Individual and couple therapy: £110 per session

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In person or online: From Mondays to Thursdays ((9am- 2pm: in person and online; 3pm- 8pm: online only); Fridays (9am-1pm: online and in person)

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Trainees Psychologists, Counsellors and Psychotherapists

£90 per session

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Clinical supervision

£100 per session groups or individual 

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Reduced fees

I offer 2 reduced-fee therapy places at £90 in response to current economic pressures. Availability is limited.

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Private Medical Insurances fees will vary depending on personal insurance.

I am registered with several health insurance companies including AVIVA, BUPA, BUPA Global, Cigna, WPA, Allianz Partners, AXA Health and Vitality/Nuffield Health. 

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CONFIDENTIALITY

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Therapy is a confidential service, and information will not be disclosed to third parties unless I am concerned about your safety and that of those around you. In these situations, I have the professional and legal responsibility to inform other agencies such as your GP, community mental health team, social services, the police or local authority with the aim to keep you and others safe. I will discuss it with you, if this will be the case.

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SERVICES

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INDIVIDUAL THERAPY

WORK RELATED STRESS

Burnout can affect anyone, regardless of their profession or background. It can leave you feeling emotionally drained, physically exhausted, and detached from the things that once brought you joy. However, there is hope for recovery.

 I offer a compassionate and evidence-based approach to help you navigate this challenging experience. Together, we will explore the underlying causes of your burnout, identify unhelpful patterns, and develop practical strategies to restore your energy, passion, and motivation.

Through a collaborative therapeutic process, we will address the unique factors contributing to your burnout, whether they stem from work-related stress, personal pressures, or a combination of both. My goal is to provide you with the tools and support needed to cultivate resilience, set healthy boundaries, and rediscover a sense of fulfilment and purpose in your life.

 Moreover, insomnia related to work stress is common, and an issue we can address in therapy.

CLINICAL SUPERVISION

 

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Whether you are a newly qualified or an experienced practitioner, having a knowledgeable and supportive supervisor can greatly enhance your skills, confidence, and effectiveness in helping clients.

I offer a collaborative and growth-oriented approach to support your professional journey. I understand the unique challenges and complexities that arise in therapeutic work, and I am committed to creating a safe and constructive space where you can reflect on your practice, receive valuable feedback, and expand your clinical capabilities.

Through our supervision sessions, we will explore a range of topics, including case conceptualization, treatment planning, ethical considerations, and therapeutic interventions. I will provide guidance and insight tailored to your specific needs, helping you navigate challenging clinical situations, enhance your therapeutic techniques, and develop your professional identity.

Drawing from evidence-based practices and my own clinical expertise, I will help you deepen your understanding of therapeutic modalities, stay abreast of the latest research, and integrate new approaches into your work. Together, we will foster your growth as a clinician, ensuring that you provide the highest standard of care to your clients.

Whether you are seeking individual or group supervision, I am dedicated to creating a supportive and enriching experience that promotes your professional development and nurtures your personal growth. I value the unique strengths and perspectives that you bring to the table and will work collaboratively with you to maximize your potential as a mental health professional.

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I provide supervision to Counsellors, Psychologists, CBT Therapist, as well as Allied Professions working with complex clients, such as specialist Health Visitors team, and HIV teams.

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 By embracing a balance of compassion and challenge, we will work together to examine your beliefs, behaviors, and patterns that may be hindering your progress. Through this process, we will explore new perspectives and develop practical strategies to overcome obstacles.

Together, we will create a space where you can explore your potential and move towards a more fulfilling and meaningful life.

Therapy aims at improving one's life by connecting the dots and develop an insight into how your difficulties developed over time.  

 

We will look at the patterns, thoughts and behaviours which might unintentionally maintain the problem. We will consider your strengths, abilities and values which we can capitalise on to build a better future. Importantly, we will consider what strategies and steps you can initiate to move forward and make choices that are consistent with what is actually important to you.

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Deep Brain Reorienting (DBR)

Like EMDR, DBR is a type of therapy that helps people process traumatic, shocking or painful experiences and emotions. DBR  works with the brain and body’s natural ways of handling stress and trauma by following the original sequence of physiological responses that occurred when the deep brain had been alerted to a threat or a disruption.

It is a gentle form of intervention to address negative events and reduce the risk of feeling overwhelmed by emotions.

DBR techniques focus on how your body feels when remembering the event, where is initial tension in your body, and helps the body to process the initial shock. DBR also helps the release of the  emotional response. DBR is a body-based therapy modality. Therefore, the focus of the sessions will mainly be on the physiological and bodily sensations and the emotions that arise rather than, unlike traditional talking therapies, on a verbal narration of the events.

DBR has been develop to address PTSD, childhood/adult trauma and attachment disruptions. However, its clinical application is wider and is being used to work with other psychological difficulties such as anxiety. If you want to find more please contact me on causewaytherapy@gmail.com

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EMERGENCIES

Please note, I do not provide an emergency service; the email and telephone are not to be used in an emergency.


If you are worried about immediate risk of harm to self or others, please call 999, or visit your local A&E where you will be speaking to a health care professional with mental health training and expertise.
 

If you are not at immediate risk but would like support and advice, please visit your GP or call the Samaritans on 116 123 or Mental Health Matters Helpline: 0800 107 0160
 

For non-emergency medical advice call 111

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Testimonials from Corporate Clients

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"Lisa delivered an extremely insightful and interesting session on how the coronavirus pandemic may have affected our mental wellbeing. Lisa provided helpful tips and advice to colleagues about how to manage their feelings both in and out of work as we transition out of lockdown. Lisa confidently presented this session to over 200+ employees at Sky and it was extremely well received, with lots of positive feedback.

Thank you for helping so many people at Sky and being relatable, honest and open. I would very much recommend Lisa for a professional session in the workplace". 

Zoe Moody, Marketing Strategy Manager, Sky.

Testimonials from Individual Clients

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"My sessions with you have been invaluable. You’ve been professional, patient, understanding, you really listened and made me feel comfortable talking about everything I was struggling with, without judgement. Your knowledge, guidance and support has helped me to feel like myself again and free of overwhelming anxiety, which I’m confident will be a lasting change. Thank you!"(Ms B, 41)

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"Thank you so much for your support" (Mr A., 32)

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"Therapy has been beneficial to me, and it has really helped my everyday life" (Ms W., 28)

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"I have learned to not be afraid of fear any longer" (Mrs B., 49)

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"You are a great therapist" (Mrs P., 66)

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"Thank you for your help during these difficult times"

(Mr C., 45)

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"These sessions have been a great help, and a wonderful journey of discovery. Thank you, I feel so much better" (Mrs G, 43)

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"I wanted to say a big thank you for all your help over the last few months as you really have made a difference" (Ms Y, 44)

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"Thank you for all your help, I don't know where I will be without your help" (Mr W, 42)

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Musing

How to Form Healthy Habits in 2026: A Psychological Approach That Lasts

As a new year begins, many people feel drawn to making changes — forming healthier habits, feeling calmer, or regaining a sense of control. Yet for many, habits formed with good intentions quietly fade, often followed by frustration or self-criticism.

At Causeway Therapy, I often work with adults who are thoughtful and motivated, but exhausted by cycles of trying harder and feeling they have failed. Understanding habit formation from a psychological perspective can help create change that is sustainable, realistic, and kinder.

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Why Healthy Habits Are Hard to Maintain

Healthy habits are often presented as simple behavioural choices. In reality, habits are closely linked to emotional regulation, stress levels, and how safe the nervous system feels.

When someone is anxious, overwhelmed, or burnt out, the brain prioritises short-term relief over long-term wellbeing. This can make consistency difficult, even when motivation is strong. Struggling with habits is not a lack of discipline — it is often a response to pressure or emotional overload.

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Start With Safety, Not Willpower

A common misconception is that forming habits requires more discipline. Psychological research and clinical experience suggest the opposite: habits are more likely to stick when the body and mind feel supported.

Before introducing new habits, it can help to ask:

  • Am I rested enough?

  • Do I feel emotionally supported?

  • Am I often in a state of stress or high alert?

When the nervous system is constantly activated, habit change can feel threatening rather than supportive. Creating safety through rest, routine, and reduced pressure is often the first step.

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Make Habits Smaller Than You Think

One of the most effective ways to build healthy habits is to reduce their size until they feel manageable.

Examples include:

  • Five minutes of movement rather than a full workout

  • Writing one sentence instead of a page

  • Stepping outside briefly rather than committing to a long walk

Small, repeatable actions help the brain associate change with safety rather than failure. Over time, consistency matters far more than intensity.

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Link Habits to Meaning, Not Self-Improvement Pressure

Habits motivated by self-criticism or external goals often lose momentum. Habits linked to personal meaning tend to be more resilient.

Helpful reflections include:

  • What does this habit offer me emotionally?

  • How does it support the life I want to live?

  • Who am I being when I practise this habit?

When habits are rooted in values rather than pressure, they are more likely to last.

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Expect Disruption — and Respond With Compassion

Life will interrupt habits. Illness, parenting demands, emotional difficulties, or work pressures will inevitably get in the way.

What matters is how you respond when habits break. Harsh self-judgement often leads to disengagement, while compassion supports return.

A helpful reframe can be:

“I paused because something else needed my attention — and I can begin again.”

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When Habit Change Feels Emotionally Difficult

For some people, habits are emotionally charged — linked to shame, control, or past experiences of failure. In these cases, difficulty maintaining habits may reflect deeper emotional patterns rather than a lack of motivation.

Therapy can help explore:

  • Why certain habits feel threatening or overwhelming

  • How self-criticism undermines consistency

  • What emotional needs sit beneath behaviour change

 

Moving Into 2026 With Realism and Care

Healthy habits are not about becoming someone else. They are about supporting yourself in a way that feels realistic, compassionate, and sustainable.

As you move into 2026, it may help to ask:

“What would support me right now?”

Change that lasts is rarely dramatic. It is often quiet, gradual, and deeply human.

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CONTACT ME

Location:

Tunbridge Wells, Kent

Online therapy available

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The General Data Protection Regulation (GDPR) is concerned with personal information that I collect, store, and share. As the Data Controller for purposes of the Data Protection I am registered with ICO (Information Commissioners Office) for safekeeping of this information.
When contacting me via my website, your information is emailed to me by Wix which manages my website. Your information will not be shared or sold to any other person or organisation.
A full Privacy policy can be sent by email on request and will be given to you before your first appointment, for you to read and sign before we can commence our work together.

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