The times when psychoanalysts routinely dismissed patients with complex problems as ‘unsuitable’ have gone, thankfully. This does not mean that it is advisable for anyone to enter an intense process of psychoanalysis. It needs to be thought about carefully, and there is no blanket answer. For me, your desire to enter long-term therapy is enough to start talking – whether psychoanalysis is the best options is something we will find out together in the initial phase of the work.

Madness has a bad reputation, and you may be used to encountering people who are trying to talk you out of it, change you, ‘fix’ you, or put pressure on you to subscribe to their views of reality. I think what we call ‘madness’ deserves some respect, first and foremost. No one who has not lived your life is in a position to tell you what is real to you and what is not. I would want to listen to you and learn about how the world works for you and how it doesn’t, at your pace and at your discretion.

In our initial meeting(s) we can explore together how best to move forward.