Psychological care shaped by experience
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Senior psychological care informed by real-world complexity - UK & Europe
Senior psychological care informed by real-world complexity - UK & Europe
Senior psychological care informed by real-world complexity - UK & Europe
Senior psychological care informed by real-world complexity - UK & Europe
Senior psychological care informed by real-world complexity - UK & Europe
Senior psychological care informed by real-world complexity - UK & Europe
Experienced psychological support for Complex-pressured life
Delivered Remotely by Senior Psychological Practitioners
Practicing since 2008
Welcome to D R Downes & Associates.
We provide private, confidential psychotherapy and psychological support for adults and couples, working remotely with clients in the UK and Europe.
Our work is offered primarily to self-funding private clients and is not shaped by insurance requirements or third-party involvement. This allows us to offer thoughtful, personalised psychological care that adapts to the individual and to the complexity of real life.
We take our work seriously. We also believe it can be done with warmth, steadiness, and the occasional quiet smile.
Taking the first step...
If you would like to explore whether working together feels right, you are welcome to get in touch.
Initial enquiries are handled directly by the practitioners, ensuring clarity, discretion, and a genuinely human response from the outset.
“Not everything needs fixing. Some things need understanding.”
“Not everything needs fixing. Some things need understanding.”
“Not everything needs fixing. Some things need understanding.”
“Not everything needs fixing. Some things need understanding.”
“Not everything needs fixing. Some things need understanding.”
“Not everything needs fixing. Some things need understanding.”
What we offer
Remote Therapy for UK & International Clients
Remote Therapy for UK & International Clients
Remote Therapy for UK & International Clients
We work primarily remotely, supporting clients wherever they are.
Remote therapy offers privacy, flexibility, and continuity particularly for those living or working away, relocating, or seeking the comfort of familiar surroundings. It allows care to remain consistent, even as life changes.
In-Person Sessions & Insurance Work
Remote Therapy for UK & International Clients
Remote Therapy for UK & International Clients
A very limited number of in-person sessions are available in London and Chester, by arrangement.
We also accept a small number of insurance-funded cases. Both are intentionally limited to maintain clinical quality, continuity, and sustainability, and availability cannot be guaranteed.
Neurodiversity-Aware Psychological Support
Remote Therapy for UK & International Clients
Neurodiversity-Aware Psychological Support
Our work is neurodiversity-aware and informed by specialist training aligned with recognised UK standards.
We support neurodivergent adults seeking therapy that adapts to their way of thinking, without oversimplifying difference and with a focus on what is genuinely helpful.
Resilience & Psychological Support
Remote Therapy for UK & International Clients
Neurodiversity-Aware Psychological Support
Alongside psychotherapy, we offer resilience focused psychological support, informed by HeartMath and CISD work.
This is particularly helpful for those experiencing sustained pressure, cumulative stress, or the impact of demanding roles or critical events, grounded in psychological understanding.
It's about you and those important to you.
D R Downes & Associates
private psychological support, shaped by experience
Our way of working
People seek therapy for many reasons. Often it isn’t because something is “wrong”, but because life has become demanding, confusing, or difficult to carry alone.
Our practice is designed to offer space for reflection, understanding, and meaningful psychological change without rushing, oversimplifying, or forcing things into neat categories.
We offer:
- Direct work with your chosen clinician
- Consistency and continuity over time
- A flexible, collaborative pace
- Therapy informed by evidence, experience, and professional judgement
There are no call centres, no rotating practitioners, and no pressure to fit into a pre-set model of care.
Senior Practitioners, Real Experience
All clinical work at D R Downes & Associates is delivered by senior psychological practitioners, practising since 2008.
Experience matters most when things are complex. Senior practitioners bring the capacity to sit with uncertainty, long-standing patterns, and emotional depth without rushing to conclusions or relying solely on technique.
We value judgement, relationship, and steadiness. Therapy does not need to be dramatic to be effective.
A Small Practice, Intentionally Structured
While D R Downes & Associates is a sole-trader business, it benefits from a husband-and-wife working relationship, with each operating independently.
Each practitioner works independently with their own clients, bringing complementary experience within a shared professional ethos. This structure allows for depth, choice, and consistency — without the impersonality of larger organisations. In short, the practice is small by design, not by limitation.
Is this right for you...
Who we tend to work best with:
People who:
- Prefer private, self-funded psychological care
- Value experience and continuity
- Are comfortable working remotely
- Appreciate a calm, professional, and human approach
If you are seeking brief, highly structured, or insurance-led therapy, we may not be the right fit. If you are looking for thoughtful, experienced psychological support, we would be pleased to hear from you.
clinically recognised
