Thoughts and Feelings
Understanding how your thoughts affect your emotions and behaviours.
Cognitive Behavioural Therapy in Bristol
Specialist CBT support in Bristol for anxiety-related difficulties, including OCD, PTSD, panic, phobias, hoarding, health anxiety, social anxiety and worry.
Google Reviews
Guest lecturer
Accredited by
What we help with
We provides specialist CBT for anxiety-related difficulties, with support available in Bristol and online. Explore the areas we can help with below.
Health Anxiety
Help with health anxiety, checking and reassurance-seeking patterns
About NOSA
NOSA is the National Outreach Service for Anxiety, a specialist CBT service with a focus on flexible, practical and evidence-based therapy. Based in Bristol, NOSA works with people looking for CBT therapy that is shaped around their needs, goals and everyday life.
As a CBT Bristol service, NOSA offers a more flexible approach than clinic-only therapy. Depending on suitability, availability and clinical need, sessions may take place in a Bristol clinic, online, at home or in community settings. Each therapy package is tailored to the person and the difficulties they want to work on.
Meet the NOSA team
Learn more about the clinicians and practice team behind NOSA’s specialist CBT support in Bristol.
James Hicks
Clinic Lead
Helen Lock
Therapy Practice Coordinator
Sarah Marchant
Cognitive Behavioural Therapist
Dr Adham Hanafi
Clinical psychologist
Guy Curry
Cognitive Behavioural Therapist
Dr Grace Jenkins
Clinical Psychologist
Dr Radhika Bhatia
Clinical Psychologist
Dr Shona da Silva
Clinical Psychologist
Dr Shilan Keskin
Clinical Psychologist
Why choose NOSA for CBT in Bristol?
NOSA offers specialist CBT support in Bristol as part of a flexible national service. You will work with specialist CBT therapists who understand how anxiety, fear and avoidance can keep difficulties going.
Much of NOSA’s work takes place in the homes and communities of the people we see, with a Bristol CBT clinic also available for in-person sessions. Therapy can focus on real-life situations, avoidance patterns and practical change, with the format shaped around individual needs, suitability and availability.
BBC News Feature
NOSA’s clinical work has been featured in a BBC News article on hoarding disorder and its emotional impact.
What is CBT?
Cognitive Behavioural Therapy (CBT) is a structured talking therapy that looks at how thoughts, feelings, physical sensations and behaviours can keep problems going.
For a deeper look, please read our guide on cognitive behavioural therapy for more details.
How does CBT work?
CBT is a structured therapy that helps you understand the connection between your thoughts, feelings, and behaviours.
1
2
3
4
Not sure if CBT is the right next step?
If you are unsure, you can contact NOSA to ask about suitability, availability and the most appropriate next step.
CBT services and specialist support in Bristol
Our CBT Bristol services include a specialist OCD clinic, alongside teaching, training and supervision for students and professionals. These services are grounded in specialist CBT therapy, evidence-based practice and practical clinical experience.
Specialist OCD Clinic
Structured CBT and ERP-informed support for OCD presentations that may need a more specialist pathway.
Specialist OCD support
Teaching and training
CBT teaching and training for students, clinicians and professional groups.
CBT Training options
What our clients say
Read about people’s experiences of working with NOSA and how specialist CBT support helped them understand their difficulties and take practical steps forward
James has a really good mix of method and empathy in his therapy. He will reassure you when things are tough but also remind you of the progress you are making and what you have learned. I really believe I have developed solid foundations to manage my mental health and cope with the inherent uncertainty in life.
H T
I finally found a therapist in James, who I really felt cared and invested in me and my recovery. Not only did he create a comfortable and safe environment to talk inside, he also came out with me to my ‘panicy situations’, so that he could understand my triggers as they happened. He helped me see that I could take on my anxiety and embrace it.
J P
Still Unsure About Starting CBT?
How do I start CBT treatment with NOSA?
You can start by contacting NOSA through the website or by phone. We will review your enquiry and, where appropriate, let you know the next step, which may include arranging an initial consultation or contacting you when suitable availability becomes available.
Can I see a CBT therapist in Bristol?
Yes. NOSA provides Cognitive Behavioural Therapy in Bristol, with support from a specialist CBT therapist where suitable. We will discuss your needs, explain the treatment process, and recommend the most appropriate way to begin.
What happens during the first appointment?
Your first appointment is a chance to understand what has been happening, how it affects your daily life, and what you would like to change. From there, your therapist can begin to map the patterns keeping the problem going and suggest a clear treatment plan.
How can CBT help with anxiety?
CBT helps you understand the connection between thoughts, feelings, physical sensations and behaviours. Treatment then focuses on practical steps that help you respond differently, reduce avoidance and build confidence over time.
How do I know if specialist CBT is right for me?
Specialist CBT may be right for you if anxiety is affecting your choices, routines, relationships or confidence. If you are considering cognitive behavioural therapy in Bristol, an initial consultation can help you decide whether this approach is the right fit.
Resources and blogs
Clear reads on CBT, anxiety-related difficulties and therapy options, written to help you understand possible next steps
Therapy Resources
In-depth resources that explain key CBT concepts across anxiety, OCD, PTSD, and more.
