Name: The Threshold Clinic | Dr Theodoros Tsirigotis
Address: 60 Rodney Street, ENG, 73131, GB
Telephone: 6947645373

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The Threshold Clinic

The Threshold Clinic is a specialist psychotherapy service with a particular focus on trauma, complex emotional difficulties and psychotherapy of depth. The clinic was founded and is led by Dr Theodoros Tsirigotis, a fully qualified clinical psychologist and psychotherapist with longstanding experience in trauma-oriented clinical work, postgraduate teaching and the training and supervision of clinicians.

The work of the clinic is grounded in careful assessment, clear therapeutic frameworks and a commitment to reflective, ethically responsible practice. Particular attention is given to creating conditions in which difficult experiences can be approached thoughtfully and at a pace that supports stability and integration.

Clinical Leadership

As Clinical Lead at The Threshold Clinic, I hold overall responsibility for the clinical direction, quality of care and therapeutic standards across the service. This involves setting a coherent clinical framework, ensuring that each person’s difficulties are understood through an individualised psychological formulation, and supporting clinicians to work with depth while maintaining safety and containment. I oversee the full clinical pathway — from initial consultation and assessment through to ongoing review and, when appropriate, the careful planning of ending. Risk is managed thoughtfully and collaboratively, with a consistent focus on safeguarding and on maintaining a secure therapeutic frame.

Clinical leadership also includes cultivating a culture of continuous learning. Regular supervision, case discussion and engagement with contemporary research in trauma, psychoanalytic psychotherapy and related fields form an integral part of our work. This reflective environment helps ensure that clinical decisions are not taken in isolation and remain informed, measured and clinically sound.

Ultimately, my role is to safeguard the integrity of the therapeutic process, to uphold high ethical and professional standards, and to ensure that those who come to The Threshold Clinic are met with seriousness, respect and competent clinical care.

Therapeutic Approach

My therapeutic approach is trauma-oriented and grounded in developmental trauma theory, with a strong integration of relational psychoanalysis and schema therapy. Central to the work is the establishment of a stable therapeutic frame — a reliable space in which experiences that may have felt overwhelming, confusing or fragmented can be approached carefully and with a sense of safety. Developmental trauma thinking helps us understand how early environments, attachment relationships and repeated adverse experiences shape the nervous system, emotional life and expectations of others. Rather than focusing only on symptoms, we pay attention to patterns of survival, adaptation and meaning that were once necessary but may now be restrictive or distressing.

Relational psychoanalysis invites us to consider how these earlier experiences come alive in the therapy relationship itself — not as something to recreate, but as an opportunity to observe, reflect and gradually develop new ways of experiencing oneself and others. Attention is given to unconscious processes, to what is spoken and unspoken, and to how the therapeutic relationship can become a space for careful thinking rather than repetition.

Schema therapy provides a complementary, structured framework for identifying longstanding patterns and beliefs that emerged early in life and have become deeply ingrained. Through this lens, we can name and understand the “modes” or parts of experience that take over at times of stress and work towards developing more adaptive ways of responding. By integrating these approaches, therapy is not applied as a rigid technique but is shaped around the individual’s needs, capacities and current life context. The intention is to support greater self-understanding, improved emotional regulation, and a more flexible and compassionate relationship with oneself and others.

Ongoing Professional Development

I remain committed to rigorous and ongoing professional development. This involves regular clinical supervision, participation in advanced trainings, and sustained engagement with contemporary literature and research in trauma, psychoanalytic psychotherapy and related fields. Reflection on practice, as well as dialogue with colleagues, forms an essential part of maintaining clinical integrity and high standards of care.

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