How our service can help you
The Centre for Anxiety Disorders and Trauma (CADAT) is an outpatient psychological therapy service. CADAT provides assessment and cognitive behaviour therapy (CBT) locally and nationally for specific anxiety disorders and depersonalisation disorder. We offer both online and face to face treatment. We will take specific requests into consideration for online treatment only but do recommend face to face treatment for some presenting problems. We will review each case on a case by case basis and discuss at assessment.
Treatment with CADAT – online video calls and face to face
We are pleased at CADAT to be able to offer clients the choice of whether they attend treatment (and assessment) sessions as online video calls (Microsoft Teams), or as face to face sessions or as a combination of the two.
There are some types of anxiety where meeting in person is an important component of treatment, and in these cases we will request that you attend some or all of your therapy sessions in person. This may include agoraphobia where leaving the house will be an important treatment goal, or other conditions where in-person contact is important. The therapist for your assessment or treatment can discuss this with you. You are welcome to call us and discuss this with us prior to your assessment if this would be helpful, or if you have concerns about your ability to do this.
For online video call sessions, we ask clients to have their camera on for all assessment and treatment sessions. We know that treatment is most effective where both the therapist and client can fully interact to most closely mimic face to face. We are aware that for some people this may be initially difficult to manage, in particular where conditions such as body dysmorphic disorder or social anxiety are the main problems. In treatment for these conditions, active use of the camera and being able to see our clients is important, so this is a requirement of treatment. Where this would be difficult to manage, you may wish to request face to face sessions through our service instead, or we can discuss how to access alternative services in your local area. If you have any questions about this please do call us prior to your assessment, or discuss with your assessing or treating therapist.
Our service spans across primary, secondary, tertiary and highly specialist (Tier 4) care.We are unable to accept direct referrals from GPs registered within Lambeth, Southwark and Lewisham. We are also unable to accept direct referrals from other SLaM services with the exception of referrals to our Highly Specialised Services for severe OCD and BDD (see below). CADAT forms a small part of each of Lambeth, Southwark and Lewisham’s Talking Therapy Services (aka IAPT) but referrals should be made direct to them for primary care. Secondary care referrals should be made direct to the appropriate CCG’s Funding Panel. GPs registered within Greenwich, Bexley and Bromley can refer direct and we will seek funding from your CCG. We are unable to accept direct referrals from Croydon and they should be referred to the Croydon Talking Therapies. GPs from outside our catchment area can also make referrals to our clinic directly using Patient Choice, with the exception of Depersonalisation referrals. Depersonalisation referrals can only be made via our National service stream and we always have to seek funding from the appropriate Clinical Commissioning Group in advance of being able to add the patient’s name to our assessment waiting list.
CADAT holds a highly specialised service (HSS) contract, which is centrally funded by NHS England to provide treatment for people with OCD and BDD for whom numerous previous treatments have been unsuccessful. This particular contract is at no additional cost to clinical commissioning groups (CCGs).
The Survivors of Terrorism Support Service (SoTSS)
Dr Blake Stobie, Caroline Harrison & Dr Tom Parsloe are working in partnership with 3 charities (Victim Support, Cruse Bereavement Care and The Peace Foundation) on a Home Office commissioned project aimed at supporting individuals affected by terrorism in the UK. SoTSS offers screening, psychological assessment and onward referral for evidence based psychological treatment at local services. It also offers training to professionals from other services or organisations who may be required to support survivors of terrorism in the course of their work.
Telephone: 020 3228 2101
- Service Borough Covers: National (Adult services) Treatment type: Outpatient
Contact the serviceSite Location: Maudsley Hospital Email: CADAT@slam.nhs.uk Phone Number: 020 3228 2101
- Disabled Access: No
99 Denmark Hill
Denmark Hill,London, SE5 8AZ
Business Hours/Visiting Hours:
9am – 5pm (with occasional evening clinics)
- Conditions: Addictions, Anxiety, Attention deficit hyperactivity disorder (ADHD), Autism, Bipolar disorder, Body dysmorphic disorder (BDD), Childhood degenerative disorders, Conduct disorder, Dementia, Depression, Dissociative disorders, Eating disorders, Learning disabilities, Neuropsychiatry, Obsessive compulsive disorder (OCD), Perinatal disorders, Persistent physical symptoms, Personality disorders, Post-traumatic stress disorder (PTSD), Psychosexual, Psychosis, Self-harm
Other essential information
- We provide validated cognitive behaviour therapy. Many of our treatments have been developed at our clinic, including trauma-focused cognitive behavioural therapy (CBT) for post-traumatic stress disorder (PTSD)
- We offer assessments and if indicated CBT treatment for specific anxiety disorders and depersonalisation disorder are the main problem
- Additionally, depersonalisation patients may be offered a one-off telephone psychiatric consultation if indicated and we may recommend onward referral to our neuropsychiatry colleagues where appropriate for more complex presentations
- CBT treatments can be provided in a traditional weekly session format, or in some cases, in a more intensive format in which most of the treatment occurs within a single week
- We provide a booster session post-treatment, to maintain therapeutic progress
- We can also provide specialist advice on medication for patients being assessed under our highly specialised service for treatment refractory obsessive compulsive disorder (OCD) and body dysmorphic disorder (BDD)
- Treatment packages are usually 12 to 20 weeks of hour-long therapy sessions. In some instances, more intensive outpatient packages can be offered
- Depersonalisation treatment packages are usually up to 16 weeks of hour-long therapy sessions
18 years and over
- Main presenting problem is an anxiety disorder of the type treated by the clinic: obsessive compulsive disorder, body dysmorphic disorder, post-traumatic stress disorder, depersonalisation disorder, social anxiety, emetophobia, panic disorder, health anxiety and various other specific phobias.
- Referrals taken from NHS primary, secondary, tertiary, highly specialist (Tier 4) care, as well as Patient Choice (GP) referrals · Willing to attend regular sessions and travel to the Maudsley for outpatient appointments. Whilst we do offer some sessions online, patients may be required to attend in person for some or all of their therapy sessions, depending on the nature of their presenting problem.
- There are some types of anxiety where meeting in person is an important component of treatment, and in these cases we will request that you attend some or all of your therapy sessions in person. This may include agoraphobia where leaving the house will be an important treatment goal, or other conditions where in-person contact is important. The therapist for your assessment or treatment can discuss this with you. You are welcome to call us and discuss this with us prior to your assessment if this would be helpful, or if you have concerns about your ability to do this.
- For online video call sessions, we ask clients to have their camera on for all assessment and treatment sessions. We know that treatment is most effective where both the therapist and client can fully interact to most closely mimic face to face. We are aware that for some people this may be initially difficult to manage, in particular where conditions such as body dysmorphic disorder or social anxiety are the main problems. In treatment for these conditions, active use of the camera and being able to see our clients is important, so this is a requirement of treatment. Where this would be difficult to manage, you may wish to request face to face sessions through our service instead, or we can discuss how to access alternative services in your local area. If you have any questions about this please do call us prior to your assessment, or discuss with your assessing or treating therapist.
- Willing to complete regular questionnaires to monitor progress.
- If taking psychotropic medication, the person should be on a stable dose prior to starting treatment
- We can only see patients who are currently living in the UK whilst having therapy sessions and are unable to treat people if they are abroad.
- Direct referrals from other SLAM services (with the exception of referrals to our Highly Specialised Service for OCD and BDD: we regret for funding reasons we are not able to accept referrals directly from other SLAM services. In these cases, the referrals will need to be made by a patient’s local mental health team or GP.
- Direct referrals from GPs in Lambeth, Southwark, Lewisham and Croydon. In these cases please complete our referral form.
- Private referrals
- Non UK residents, or not currently residing in the UK
- Current psychosis or bipolar disorder requiring treatment
- Current alcohol or drug dependence requiring treatment in its own right
- Current severe depression requiring treatment in its own right, in particular ongoing self-harm or immediate suicide risk
- Complex PTSD which requires treatment in its own right
- Personality disorder which requires treatment in its own right
- Individuals with current or historical risk of violence towards others
- Individuals requiring inpatient care
- Moderate or severe learning disability
- Dissociation, including dissociative identity disorder (DID)
- Sobriety/Abstinence policy: where alcohol or drug use is at problematic levels, clients must have a minimum period of 6 months of abstinence from their problematic substance prior to treatment at CADAT, where they are receiving support from their local alcohol service during this time.
- As a specialist anxiety treatment clinic, we only offer relatively brief courses of outpatient CBT. This means that we are not in a position to offer treatment for conditions requiring long term interventions, as this is not part of our treatment offer or specialism.
- Referrals requesting assessment and treatment for skin picking
We use all the recommended national improving access to psychological therapies (IAPT) outcome measures, as well as specific anxiety disorder measures related to each patient’s diagnosis, to track the progress of patients over the course of their treatments with us.
73% of the patients who received treatment through our clinic in 2018 to 2019 made reliable improvement in their anxiety symptomatology by the end of their treatment with us, and 63% of patients were classified as having made a clinical recovery in terms of their anxiety. 22% of patients did not make reliable improvements with their anxiety symptomatology, and 5% of patients experienced a deterioration in their anxiety symptomatology by the end of treatment.
For almost all of the anxiety disorders treated across our clinic, the change in our patients’ pre to post specific anxiety disorder specific ratings showed a large reduction in symptomatology. This is very important, because specific anxiety measures give a much better indication of whether the specific presenting anxiety disorders have been effectively treated, relative to general measures of anxiety levels, which may indicate that a patient’s general levels of anxiety have decreased, but not whether the anxiety disorder has been effectively treated.
Please complete our online referral form by clicking on the link below and submitting here
Dr Blake Stobie: Read more here
Prof David Veale: Read more here
Dr Sharon Chambers: Read more here
Emily Hall Read more here
Dr Claudia Hallet: Read more here
Caroline Harrison: Read more here
Dr Colette Hirsch: Read more here
Idyli Kamaterou: Read more here
Dr Alexandra Keyes Read more here
Dr Alessandra Iervolino: Read more here
Dr Tom Parsloe: Read more here
Dr Katy Price: Read more here
Katja Schulze: Read more here
Dr Khodayar Shariyarmolki: Read more here
Diane Shields: Read more here
Dr Torstein Stapley: Read more here
Tracey Taylor: Read more here
Dr Rachel White: Read more here
Ms Josefine Lange Read more here
Sarah Pickles Read more here