Consultant Psychiatrist & Psychodynamic Psychotherapist

I am a Consultant Psychiatrist with over 17 years of experience, and I offer private appointments in central London and online. I provide a specialised intervention combining approaches from psychiatry and psychotherapy.

My Approach

I am dual-trained as a General Adult Psychiatrist and a Psychodynamic Psychotherapist, and I also bring extensive experience as a clinical researcher.

I see emotional and psychological difficulties as part of a personal journey. Crises, while challenging, can offer valuable opportunities for reflection, growth, and change. My approach is built on trust, empathy, and collaboration, with the therapeutic relationship at the heart of the work.

Rather than focusing on diagnostic labels, I aim to understand each person’s unique experience — paying close attention to the specific symptoms and challenges they face.

I view mental health on a spectrum rather than as a clear divide between “normal” and “pathological.” We all move along this continuum throughout our lives.

My background in psychodynamic psychotherapy allows me to integrate medical expertise with a deep understanding of the emotional and relational aspects of mental health, offering a holistic and personalised approach to care.

More about My Approach

Often, as part of a crisis, trying to understand what is behind the symptoms that someone experiences is very important, as this “insight” can have therapeutic value on its own. A person may sometimes experience a very stressful period of crisis that can be resolved with a short and comprehensive intervention that may not require further input. In this regard I offer a therapeutic intervention:

Brief Psychodynamic Intervention (BPI)

It consists of a very brief course of 4-sessions. The formulation and framework are based on the psychoanalytic theory. The Brief Psychodynamic Intervention was developed in the French part of Switzerland, where I trained.

The main objectives of the BPI are to develop an optimal plan to resolve the patient's crisis situation through the use of an initial dynamic interpretation and its working through.

It has the advantage of allowing me, as the therapist, to assess the motivation of my patient and the need for further longer-term psychotherapeutic and/or psychiatric treatment. It also helps develop a therapeutic alliance and refine the diagnostic assessment.

At the end of the intervention, I share my diagnostic formulation and we discuss potential further treatment options will take place.

Sometimes, these four sessions are enough to help resolve a crisis. In some instances, I may have a discussion to explain that it would be more appropriate to carry out a longer-term plan involving regular sessions for a period of time.

If needed, during the BPI it is possible to use pharmacological treatment (medication) if this is necessary or helpful. Naturally, I will discuss this option with you (generally at the end of the fourth session) to see how you feel about it.

You can find more information about the Brief Psychodynamic Intervention here.

About me

I completed my medical degree at the University of Seville in Spain, with part of my training at Lund University in Sweden and the University of Florence in Italy.

My specialist training in Psychiatry and Psychodynamic Psychotherapy took place at Lausanne University Hospital (CHUV) in Switzerland, which I completed in 2016.

Since 2018, I have been working in the UK as a Consultant Psychiatrist. I currently hold a Consultant position at the NHS South London and Maudsley Trust, and I also serve as a Senior Clinical Lecturer at the Institute of Psychiatry, Psychology & Neuroscience, King’s College London. Alongside my NHS and academic roles, I offer private consultations.

My research focuses on social adversity and severe mental illness, particularly psychotic disorders.

I am on the Specialist Register of the General Medical Council (GMC) as a General Adult Psychiatrist, with a licence to practise as a Consultant Psychiatrist. I am Section 12 Approved under the Mental Health Act in England and an associate member of the Royal College of Psychiatrists.

My Research

My research focuses on how difficult life experiences — especially in childhood — can affect mental health. I'm particularly interested in understanding why some people who experience trauma, such as emotional or sexual abuse or neglect, go on to develop mental health conditions.

My work has shown that symptoms like low mood, sadness, depression, and dissociation (a feeling of being disconnected from yourself or the world) are very common in people who have experienced trauma. These symptoms can affect daily life and, in some cases, may contribute to more serious conditions like psychosis.

I also study how trauma can impact the body at a biological level. My research has shown that traumatic experiences can leave "marks" on our DNA, known as epigenetic changes. These changes don’t alter the DNA sequence itself but can affect how genes are turned on or off — and may play a role in making some people more vulnerable to mental illness.

I have published over 90 scientific articles in leading academic journals, including PNAS and Molecular Psychiatry. My PhD research at King’s College London received multiple awards, including the Best PhD of the Year in Psychosis Studies and the prestigious King’s Outstanding Thesis Prize, which is awarded across all academic disciplines.

I regularly present my work at national and international conferences, and my research continues to contribute to how we understand — and hopefully prevent — the long-term effects of trauma on mental health.

To find out more about my research, please visit
Research of Luis Alameda

Services

- Comprehensive assessment for Psychosis or Schizophrenia
- Comprehensive assessment for Bipolar Disorder
- Psychiatric assessment and diagnosis
- Prescribing of medication when appropriate
- Bespoke treatment plan including medication and/or referral to psychological therapy if required
- Psychodynamic Psychotherapy
- Second opinion consultation (2 hours recommended)
- Psychoeducation
- Brief Psychodynamic Intervention

Languages

English, French and Spanish

Conditions I treat

- Bipolar Disorder
- Depression and Dysthymia
- Generalized Anxiety Disorder
- Insomnia and other sleeping disorders
- Social Anxiety & Social Phobia
- Obsessive Compulsive Disorder (OCD)
- Personality Disorders (including Borderline, Narcissistic and Emotionally Unstable)
- Panic Attacks and Agoraphobia
- Post-Traumatic Stress Disorder (PTSD)
- Psychosis, Schizophrenia, and other psychotic disorder

If you don’t fit into any of these categories but you feel you need help, please get in touch and we can explore what may be the best option for you.

As mentioned above, I prefer to focus on specific symptoms that an individual may be experiencing, rather than on diagnostic labels.

If you feel you are going through a breakdown, suffer with anxiety, fears or ruminations; if you experience flash-backs from past difficult life events or sleep disturbances; also if you have persistent low mood or if you think you present some paranoia or other perceptual abnormalities, feel free to contact me and we will discuss the best alternatives for you.

If you are a family member who is concerned about a loved one, please do reach out as I can often provide advice and guidance as to how you can help support your loved one through a difficult period, as well as providing support to you. If you think an intervention may be needed, please do contact me and I will see how I may be able to assist.

Fees

Initial consultation: £580 (60 min)
Initial consultation: £870 (1.5 hours)
Initial consultation: £1145 (2 hours)

Follow up consultations: £290 (30 min)
Follow up consultations: £395 (45 min)
Follow up consultations: £580 (60 min)

Longer appointments are available. Please contact my office for further information.

Bipolar disorder and psychotic disorders assessments. Please contact my office for further information.

Let's Talk

    OFFICE HOURS

    Monday to Friday 8.30am – 6pm
    © 2025 Dr Luis Alameda