Care around treatment

Integrated therapy

Integrated therapy in Marylebone, London is the talking therapy and trauma-informed support that runs alongside your stimulation sessions, so the treatment room is not the only place the work happens.

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Therapy room at the Naya clinic, UNTIL Marylebone

The short answer

What integrated therapy is

Stimulation changes the activity of a brain circuit. It does not tell you what to do with a life that has been shaped around being unwell for years. That is what the therapy alongside it is for.

Our intake pairs rTMS with mental health support rather than treating the coil as the whole answer. Partner clinicians work in cognitive behavioural therapy and in EMDR, among other approaches, and sessions can run in parallel with a course or continue after it finishes.

Care here is trauma-informed, which in practice means the room, the pace and the amount of explanation you get are all adjustable. Some people want to know exactly what happens before it happens. Some want to be left alone with a book between pulses. Both are fine, and you will be asked.

Areas treated

Why care sits around the treatment

Support alongside a course, rather than a treatment handed over and left to work
Partner clinicians working in cognitive behavioural therapy and in EMDR, among other approaches
Trauma-informed practice, so the pace and the amount of explanation are set by you
Designed for sensitive nervous systems, in rooms that are quiet and low-lit by choice
Therapy can continue after your stimulation course ends, which is often when it matters most
Your own therapist can stay involved if you already have one you trust

Patient journey

What integrated therapy involves

Consultation & preparation

There is nothing to prepare physically. It helps to arrive with a sense of what you want to be different, even if that is only one sentence, because a first session spent working out the question is a session you have paid for. Bring the names of anyone already involved in your care, and say at the outset if there are subjects you do not want opened yet. Tell us what you need the room to be like, including light, noise and whether you would rather not be touched.

During treatment

Why anything sits alongside the coil

A course of stimulation runs over weeks and asks something of you: attending, measuring, noticing change. People arriving on the Restore pathway have often been unwell for years and have built a life around it. Recovery has practical consequences, and having somewhere to take those is part of the treatment rather than an extra.

What trauma-informed care means here

It means the treatment room is set up for a nervous system that is already on alert. Rooms are quiet and low-lit. Nothing is done to you without being described first if you want it described. You can stop a session at any point, and asking to is treated as information rather than as a problem.

The therapies our partner clinicians work in

Cognitive behavioural therapy and EMDR are both named among the approaches our partner clinicians use, and both are recommended in NICE guideline NG116 for post-traumatic stress disorder. Which approach suits you is a clinical decision made with you, not a package chosen from a list at the point of booking.

How the two fit together in practice

Therapy can run in parallel with your stimulation course or start once it has finished. Some people want both from the beginning. Others find the appetite for talking arrives only after the fog lifts a little. Your clinician will suggest a sequence and will revise it if the first suggestion turns out to be wrong.

Keeping the team you already have

If you already have a therapist, a psychiatrist or a GP you trust, the aim is to work alongside them rather than around them. With your consent we will share what we are doing and what we are measuring. We do not ask anyone to change prescriber or to stop a treatment that is helping.

Aftercare

Sessions can run in parallel with your stimulation course or continue after it finishes, and the sequence is revised if the first plan turns out to be wrong. With your consent your therapist and your rTMS clinician exchange a short summary of what is being treated and measured, and nothing said inside a therapy session is passed on as routine. If you are struggling between appointments, contact your GP or call 111, and in an emergency call 999.

Written and medically reviewed byNaya, Precision neuromodulation clinic · NICE: guideline NG116, post-traumatic stress disorder, which recommends trauma-focused cognitive behavioural therapy and EMDR.

FAQ

Integrated therapy questions

Do I have to have therapy to have rTMS here?

No. Stimulation can be delivered on its own, and plenty of people choose that. Our intake pairs the two because support alongside a course helps most people, not because it is a condition of treatment. Your clinician will say what they would recommend and then leave the decision with you.

What kinds of therapy do you work with?

Our partner clinicians work in cognitive behavioural therapy and in EMDR, among other approaches. Both are recommended in NICE guideline NG116 for post-traumatic stress disorder. Which one suits you is decided with you at consultation, based on what you are dealing with rather than on what is easiest to book.

Can I keep seeing my own therapist?

Yes, and we would usually encourage it. A therapist who already knows your history is worth more than a new one who does not. With your consent we will share what we are treating and what we are measuring, so the two pieces of work inform each other rather than running blind.

Will my rTMS clinician and my therapist talk to each other?

Only with your consent, and it is genuinely your choice. When people agree to it, the usual arrangement is a short summary of what is being treated, what is being measured and how the course is going. Nothing you say in a therapy session is passed on as a matter of routine.

What if I am in crisis rather than looking for a course?

Then a course booked for next month is the wrong thing and we will say so. Please contact your GP, call 111, or use the NHS urgent mental health helpline; in an emergency call 999 or go to your nearest emergency department. We can talk about a programme once you are safe.

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Naya • 1 Orchard Street, London W1H 6HJ

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Appointments typically available within 1–2 weeks