Relational Trauma Therapy in Blackheath Village and Online
Understanding and healing relational trauma through expert and compassionate care
When the people who were meant to care for us instead cause pain, it can leave lasting wounds that affect how we see ourselves and relate to others. Relational trauma occurs within our closest relationships, whether with family, partners, or other significant people in our lives, and its effects can ripple through every aspect of our experience.
At Heathwell, we understand that relational trauma is about how these relationships have shaped your sense of safety, trust, and connection. You might find yourself struggling with relationships, feeling hypervigilant or numb, or carrying shame that isn't yours to bear.
Just as relationships can wound us, they also have the power to heal us. The therapeutic relationship itself becomes a place where you can experience something different: genuine care, consistent boundaries, and being truly seen without judgement. Through this new relational experience, old wounds can begin to heal.
We work with people who've experienced various forms of relational trauma, from childhood neglect and emotional abuse to toxic relationships and betrayal trauma. Our approach recognises that healing happens within relationship itself, through experiencing safety, being truly seen, and learning that healthy connection is possible.
You don't have to carry this burden alone. With skilled support, it's possible to heal from relational wounds and create the authentic, fulfilling relationships you deserve.
If you're ready to begin this journey of healing, we're here to walk alongside you.
What is relational trauma and how does it affect us?
Relational trauma occurs when the people we depend on for safety and connection instead become sources of fear, pain, or betrayal. Unlike single-incident trauma, relational trauma happens within ongoing relationships and often involves complex patterns of harm that can be difficult to name or understand.
This type of trauma is particularly impactful because it occurs within the very relationships that should provide safety and security. When our attachment figures - parents, carers, or intimate partners - are also sources of threat, it creates profound confusion about relationships and can affect our ability to trust both others and ourselves.
People seek support for relational trauma for various reasons. You might recognise some of these experiences:
Childhood experiences:
• Emotional, physical, or sexual abuse by family members
• Severe neglect or inconsistent caregiving
• Growing up with a narcissistic, addicted, or severely mentally ill parent
• Witnessing domestic violence or family trauma
• Being parentified or taking on adult responsibilities as a child
Adult relationship trauma:
• Narcissistic abuse or coercive control
• Intimate partner violence
• Betrayal trauma from infidelity or deception
• Emotional or psychological abuse in romantic relationships
• Boundary violations by therapists, medical professionals, or other trusted figures
• Institutional or medical gaslighting
Ongoing effects you might notice:
• Difficulty trusting others or forming secure attachments
• Hypervigilance or feeling constantly on edge
• Emotional numbness or disconnection from your feelings
• Intense shame or feeling fundamentally flawed
• Relationship patterns that feel familiar but unhealthy
• Difficulty setting boundaries or knowing what you need
• Physical symptoms without clear medical cause
What to expect
Therapy for relational trauma requires a particularly sensitive approach. We begin by establishing safety and helping you develop resources before exploring difficult experiences. Sessions typically last 50 minutes, and we work at a pace that feels manageable for you.
It's completely normal to feel apprehensive about starting therapy, especially if trust has been damaged by past relationships. Many people worry about being judged, not being believed, or re-experiencing trauma in therapy. We understand these concerns and work carefully to create an environment where you feel genuinely safe.
Healing from relational trauma isn't linear. You might have good days and difficult days, and that's entirely normal. We're committed to staying with you through all parts of this process, helping you develop the internal resources and relational skills that support lasting healing.
Our approach
At Heathwell, we understand that relational trauma requires specialised therapeutic approaches. We draw on trauma-informed modalities including attachment theory, existential therapy, and psychodynamic approaches, always adapting our work to your specific needs and circumstances.
Our therapists have particular expertise in recognising the subtle dynamics of emotional abuse, understanding the impact of narcissistic relationships, and working with the complex shame and identity issues that often accompany relational trauma. We also understand how neurodivergence can intersect with trauma experiences.
We recognise that for many people, past therapy experiences may have been unhelpful or even harmful. We're committed to providing a different kind of therapeutic relationship, one that prioritises your agency, respects your pace, and honours your inherent wisdom about your own healing process.
Getting started
We offer initial consultations where you can share what's brought you to therapy and assess whether we feel like the right fit. There's no pressure to disclose more than feels comfortable, and everything shared remains strictly confidential.
Our goal is to help you reclaim your sense of self, develop healthy relationship patterns, and experience the safety and connection that is your birthright.
Our specialisms
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Early experiences with caregivers shape our fundamental sense of safety and how we relate to others throughout life. When childhood relationships involve neglect, abuse, or inconsistent care, it creates what we call attachment wounds; deep injuries to our ability to trust, regulate emotions, and form secure connections with others.
These wounds might show up as difficulty trusting others, feeling anxious or avoidant in relationships, or finding yourself drawn to familiar but unhealthy dynamics. You might struggle with emotional regulation, experience intense fear of abandonment, or feel like you're constantly walking on eggshells around others. Some people develop a harsh inner critic that echoes early messages they received about themselves.
We help you understand how these early experiences continue to influence your adult relationships and provide a safe space to process childhood pain that may never have been acknowledged. Through the therapeutic relationship, you can begin to experience something different: consistent care, healthy boundaries, and unconditional positive regard. We support you in developing earned security and healthier patterns of connection that honour both your need for intimacy and your need for autonomy.
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Narcissistic abuse can occur in any significant relationship: These relationships can leave you questioning your own reality, feeling confused about what happened, and struggling with intense shame and self-doubt. The subtle manipulation, gaslighting, and emotional abuse in these relationships can be incredibly difficult to name and understand, particularly because narcissistic individuals are often charming and convincing to others.
You might find yourself constantly second-guessing your memories and perceptions, feeling like you're "going crazy," or struggling to explain to others what happened because the abuse was so covert. The effects often include hypervigilance, anxiety, depression, and a profound loss of trust in your own judgement. Many people describe feeling like they've lost themselves entirely during these relationships.
We provide clarity about these complex dynamics, helping you understand tactics like love-bombing, triangulation, projection, and discard cycles. We validate your experiences and help you trust your own perceptions again. Recovery involves not just understanding what happened, but reclaiming your sense of self, rebuilding your confidence, and learning to recognise healthy versus unhealthy relationship patterns. We support you through the grief of losing the relationship you thought you had whilst celebrating your strength in surviving and seeking help.
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When someone you trusted deeply violates that trust - through infidelity, deception, hidden addictions, or other betrayals - it can shatter your fundamental sense of reality and safety in the world.
Betrayal trauma is particularly devastating because it comes from those closest to us, often the very people we depend on for security and support.
The impact goes far beyond the betrayal itself. You might experience symptoms similar to PTSD, intrusive thoughts, hypervigilance, sleep disturbances, and difficulty concentrating. Many people describe feeling like their whole life has been a lie, questioning everything they thought they knew about their relationship and themselves. The gaslighting and minimisation that sometimes accompany betrayal can leave you doubting your own perceptions and reactions.
We understand that betrayal trauma affects not just your ability to trust others, but your ability to trust yourself and your judgement. We provide specialised support that validates the profound impact of these experiences whilst helping you rebuild your sense of reality and self-worth. Whether you're deciding whether to stay in the relationship or learning to navigate life after leaving, we support you in processing the complex emotions involved and developing the skills to protect yourself whilst remaining open to healthy connection. This work can be done individually or as a couple, depending on your needs and circumstances.
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Emotional and psychological abuse can occur at any stage of life and can be harder to recognise than physical abuse, but its effects are equally damaging to your sense of self and wellbeing. Whether experienced in childhood with parents or caregivers, or in adult relationships with partners, friends, or family members, this form of abuse involves patterns of behaviour designed to control, manipulate, and diminish you: constant criticism, humiliation, isolation from support systems, threats, and systematic erosion of your confidence and autonomy.
When emotional abuse occurs in childhood, it can be particularly devastating as it shapes your fundamental beliefs about yourself and relationships during your most formative years. Children who experience emotional abuse often grow up with a harsh inner critic, difficulty trusting their own perceptions, and challenges in forming healthy relationships. The effects of childhood emotional abuse can persist well into adulthood, influencing everything from career choices to intimate relationships.
The insidious nature of emotional abuse means it often escalates gradually, making it difficult to recognise what's happening whether you experienced it as a child or are experiencing it now. You might find yourself constantly walking on eggshells, changing your behaviour to avoid conflict, or losing touch with your own needs and feelings. Many people describe feeling like they're losing their minds or becoming the "crazy" person they're accused of being.
We help you identify these patterns and understand their impact on your mental health and sense of self, whether the abuse happened in childhood or more recently. We validate your experiences, particularly if others have minimised or dismissed what you've been through.
Recovery involves reclaiming your reality, rebuilding your self-worth, and developing the skills to recognise and respond to manipulative behaviour. For those healing from childhood emotional abuse, this often includes grieving the childhood you deserved and learning to parent yourself with the kindness you needed then. We also address the practical aspects of healing, including safety planning if you're still in an abusive situation and rebuilding your life if you've left.
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Medical and institutional gaslighting occurs when healthcare providers, institutions, or other authority figures dismiss, minimise, or distort your experiences, particularly around health concerns, discrimination, or abuse. This is especially common for women, people of colour, LGBTQ+ individuals, and those with mental health conditions or disabilities.
Institutional gaslighting can also occur in workplaces when harassment or discrimination is denied or minimised, in educational settings when bullying or bias is dismissed, in legal systems when abuse victims are not believed, or in religious institutions when harm is covered up or the victim is blamed.
You might have been told your symptoms are "all in your head," had legitimate concerns dismissed as anxiety or attention-seeking, or been blamed for your own mistreatment. The impact can be profound: not only do you continue to suffer from the original problem, but you also develop trauma around seeking help and trusting your own perceptions. This can lead to delayed diagnoses, worsening of conditions, and deep wounds to your sense of self-worth and reality. The resulting deterioration in mental and physical health can be significant. Chronic stress from being dismissed can worsen existing conditions, create new health problems, and lead to depression, anxiety, and complex trauma responses. Many people stop seeking medical care altogether, putting their health at further risk.
We understand the particular harm caused when those meant to help instead cause further injury. We validate your experiences and help you rebuild trust in your own perceptions whilst developing strategies for advocating for yourself within systems that may not always serve you well. This work often involves processing the anger, grief, and betrayal that comes with institutional mistreatment whilst helping you maintain hope for healing.
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Trauma often passes through families like an inheritance no one asked for, creating patterns that repeat across generations. Intergenerational trauma therapy involves understanding yourself within the context of your family history and how it has shaped the way you were parented. You might find yourself recreating familiar but unhealthy dynamics, struggling with cultural and family expectations that don't serve you, or carrying burdens that aren't truly yours to bear.
These patterns can include everything from communication styles and relationship dynamics to beliefs about worth, safety, and what's possible in life. Sometimes intergenerational trauma manifests as family secrets, unspoken rules, or roles that family members are expected to play regardless of their individual needs and desires. You might feel torn between loyalty to your family and your own wellbeing.
Our approach to intergenerational trauma involves creating a story, mapping out your family history and placing you within it to help you make sense of your own story within this larger context. We explore how your parents' experiences, their parents' experiences, and broader historical events like war, displacement, or oppression have shaped the family system you grew up in. Only once you fully understand this larger narrative can you begin to consciously choose which parts of your inheritance you wish to keep and which you want to leave behind.
We explore how family history, cultural context, and societal trauma have shaped your experiences whilst respecting the complexity of family relationships and cultural identity. This work involves understanding which patterns serve you and which ones perpetuate harm, making conscious choices about what to carry forward and what to transform. We help you honour your heritage whilst creating space for your own authentic expression and healing.
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Relational trauma often leaves people carrying deep, pervasive shame - not just feeling bad about something they've done, but feeling fundamentally flawed, damaged, or unworthy of love and belonging. This toxic shame can become so central to identity that it's hard to imagine yourself without it, yet it colours every aspect of your life and relationships.
Shame thrives in secrecy and isolation, convincing you that you're uniquely damaged and that others would reject you if they truly knew you. It often manifests as an inner critic that's harsh and unrelenting, perfectionism that's never satisfied, or people-pleasing that sacrifices your authentic self for others' approval. You might struggle with feeling like you're wearing a mask, never letting anyone see the "real" you.
We work gently and carefully with shame, understanding that it often developed as a protection against even deeper pain. We help you distinguish between shame and guilt, understand shame's protective function, and gradually develop a more compassionate relationship with all parts of yourself. This involves challenging the inner critic, developing self-compassion, and creating safe relationships where you can be authentic without fear of rejection.
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If you grew up in chaotic, abusive, or neglectful environments, you might never have learned what healthy boundaries look like or how to create reciprocal, nurturing relationships. You might find yourself either having no boundaries at all, saying yes when you mean no, tolerating unacceptable behaviour, or giving until you're depleted, or having walls so high that genuine intimacy feels impossible.
Healthy boundaries aren't about building walls or being selfish; they're about knowing where you end and others begin, understanding your own needs and limits, and communicating these clearly and kindly. Many people struggle with guilt around setting boundaries, particularly if they've been taught that their needs don't matter or that taking care of others is their primary value.
We help you understand what healthy boundaries look like in practice, support you in identifying your own needs and limits, and provide practical skills for communicating boundaries clearly and consistently. We also work on recognising red flags in relationships, understanding the difference between healthy conflict and manipulation, and developing the confidence to advocate for yourself. This work often involves grieving relationships that can't survive healthier boundaries whilst celebrating your growth and self-respect.
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Parental estrangement occurs when children of any age make the difficult decision to limit or cut contact with their parents, often as a way of protecting their own mental health and wellbeing. This complex situation affects both the child and the estranged parent, creating profound wounds and difficult emotions on both sides.
For children who choose estrangement, whether they're teenagers or adults, the decision rarely comes lightly. You might have tried for years to maintain a relationship despite ongoing harm, manipulation, or dysfunction. The choice to step away often comes after repeated attempts at setting boundaries that weren't respected, or recognising that the relationship was fundamentally damaging to your wellbeing. You may struggle with complex feelings of guilt, grief, relief, and uncertainty about whether you've made the right decision, particularly when family or society suggests you should "forgive and forget."
For estranged parents, the experience can be devastating, feeling shut out from your child's life, struggling to understand what led to this decision, and grieving the relationship you thought you had. You might experience intense confusion, anger, and loss, particularly if you don't recognise or understand the harm that led to your child's decision. The social stigma around parental estrangement can add additional pain and isolation.
We work with both children and estranged parents, helping each side process their experiences and emotions. For children, we support you in working through the guilt and grief that often accompany estrangement, validating your right to protect your wellbeing, and helping you navigate the complex emotions around this decision. For estranged parents, we help you process your grief and loss whilst supporting you to understand the reasons behind your child's decision, even when this is painful to acknowledge.
This work often involves understanding family dynamics, processing complex emotions including anger and grief, and developing realistic expectations about what may or may not be possible in terms of future relationship. When both parties are willing, we offer extended single sessions where the main focus is not to resolve the estrangement but to ensure both sides understand the reasons behind the decision. These sessions provide a safe space for both parties to be heard and to gain insight into each other's perspectives, even when reconciliation may not be possible or desired.