Heather Darwall-Smith, UKCP Accredited Psychotherapist

Heather Darwall-Smith

London OX15
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Heather Darwall-Smith, UKCP Accredited Psychotherapist

Heather Darwall-Smith

London OX15
Shortlist Share

My Approach

I am a psychotherapist with a deep interest in the rich, often tangled relationship between sleep and the human experience. Whether it’s insomnia, circadian rhythm disruptions, nightmares, anxiety, trauma, addiction, or something else, sleep is where so much of life shows up.

Sleep is not just about rest; it’s a mirror of how we feel in our relationships—with others, with the world, and with ourselves. Our circadian rhythms, the cycles that guide our sleep and wakefulness, are deeply tied to how safe and connected we feel. When those rhythms are out of sync, it’s often a sign that something deeper needs attention.

My approach is collaborative and curious. While I draw on mindfulness, psychotherapy, and Cognitive Behavioural Therapy for Insomnia (CBT-I), I focus on connection—helping you uncover the patterns and experiences that influence your sleep and your place in the world.

I’ve written two books, How to Be Awake: So You Can Sleep Through the Night which explores the profound links between our emotional and biological selves and The Science of Sleep, which is a complication of over 100 evidence based answers to questions I get asked everyday.

Sleep, to me, is more than a biological necessity; it’s a way into your story – your fears, your hopes, and your need for connection.

If yours feels like a struggle, I’d be honoured to work with you to uncover what lies beneath, helping you move toward nights of peace and days of possibility.

About Me

My work draws on a rich and varied foundation of training and experience. Before retraining as a psychotherapist, I worked in design and advertising for over twenty years as a designer and art director. I hold an MA in Mindfulness-based Core Process Psychotherapy from The Karuna Institute and have also studied sleep medicine at the University of Oxford. My approach integrates evidence-based methods such as Cognitive Behavioural Therapy for Insomnia (CBT-I) and Mindfulness-Based Cognitive Therapy, alongside trauma-informed practices, breathwork, yoga nidra, and person-centred therapy. These tools allow me to meet each client where they are, tailoring my support to their specific needs.

My approach is rooted in both compassion and expertise. I hold an MA in Mindfulness-based Core Process Psychotherapy from The Karuna Institute and have studied sleep medicine at the University of Oxford. I combine methods such as Cognitive Behavioural Therapy for Insomnia (CBT-I) and Mindfulness-Based Cognitive Therapy with trauma-informed practices, breathwork, yoga nidra, and person-centred therapy. These tools allow us to work together in a way that’s tailored to your unique needs.

For three years, I worked in a sleep clinic, helping people just like you with insomnia, circadian rhythm disruptions, nightmares, and sleep issues linked to ADHD, trauma, and chronic pain. Now, in my private practice, I see clients both online and in person, working with those referred by neurologists and psychiatrists, as well as people who come to me directly. Whether you’re in the UK or overseas, I can provide support that fits into your life.

I work with

  • Individuals
  • Private healthcare referrals

Special Interests

Like all UKCP registered psychotherapists and psychotherapeutic counsellors I can work with a wide range of issues, but here are some areas in which I have a special interest or additional experience.

If you have ADHD, you’ve probably noticed that sleep isn’t always as straightforward as it seems for others. It’s not just about staying up too late or forgetting to wind down – ADHD brings unique, biologically rooted challenges to sleep. Whether it’s a delayed body clock, difficulty switching off a racing mind, or heightened sensitivity to external stimuli, these issues can make restful sleep feel frustratingly out of reach. I work with people like you to navigate these challenges. Together, we’ll explore how ADHD impacts your sleep patterns and identify ways to help you find balance. Whether you’re dealing with insomnia, nightmares, or a circadian rhythm that doesn’t quite match the world around you, we’ll uncover practical, compassionate solutions that work for your life.
Health issues affect not just your nights but your sense of safety and connection in the world. Chronic pain can heighten your alertness, making it difficult to wind down, while health anxiety can amplify intrusive thoughts that keep you awake. Both acute and chronic conditions can strain your relationships with others, making it harder to feel supported or understood. When your body feels unreliable or in discomfort, rest can feel like a battle, leaving you tired, isolated, and stuck in a cycle of worry and exhaustion. Rest and connection are deeply interwoven. By understanding how health challenges influence your body, mind, and relationships, we can begin to rebuild a sense of balance and safety in your life. With curiosity and compassion, I’m here to help you reclaim restful nights and meaningful connections, even amidst life’s difficulties.
If you’re dealing with prescribed medication issues, particularly when it comes to sleep, you may feel caught in a cycle that’s hard to navigate alone. Medications for sleep, anxiety, or pain can be helpful, but they can also affect your natural rhythms, making it difficult to know what’s truly working for you. Tapering off medication or managing changes to your prescription can feel daunting, especially if your sleep has already been disrupted. In close collaboration with your prescriber, we’ll explore strategies to support you as you taper off or adjust medications, focusing on minimising withdrawal effects and rebuilding a more sustainable sleep pattern. My role is to help you manage these changes with care, offering practical and emotional support as you regain confidence in your body’s ability to find rest naturally.
When you’re living with stress or burnout, sleep can feel like both a necessity and an impossible task. You might find your mind racing when your head hits the pillow, or you wake in the early hours unable to drift off again. Burnout, in particular, has a profound impact on sleep, often leaving you too depleted to unwind but too wired to rest. Stress and burnout aren’t just in your head—they create real, measurable changes in your body’s systems. Chronic stress can disrupt your cortisol rhythms, which play a key role in sleep regulation, while burnout can leave your nervous system stuck in overdrive. Together, these factors can turn restful sleep into a struggle, exacerbating exhaustion and making recovery feel even harder to reach. I work with people like you to address these challenges, understanding how your unique patterns of stress and burnout are influencing both your days and your nights.
If you’ve experienced trauma, you may have noticed how it impacts your nights just as much as your days. Sleep can become fragmented, filled with nightmares, or feel completely elusive. This isn’t just psychological; trauma changes the way your brain and body function, including the systems that regulate sleep. Hyperarousal, heightened alertness, and disrupted circadian rhythms are common biological responses that make restful sleep feel like a distant goal. Together, we’ll explore how your experiences have shaped your sleep patterns and address the biological and emotional factors keeping rest out of reach. This might include working with nightmares, restoring a sense of safety at night, or gently resetting your body’s internal clock.

Types of Therapies Offered

  • Core Process Psychotherapist

What I can help with

  • Abuse
  • ADHD
  • Age-related Issues
  • Anger Management
  • Anxiety
  • Chronic Illness
  • Depression
  • Health-related Issues
  • Mental Health Issues
  • Online Counselling
  • Post-Traumatic Stress
  • Prescribed Drug Dependence
  • Trauma

Types of sessions

  • Face to Face - Long Term
  • Face to Face - Short Term
  • Online Therapy

London Office

Oxford
online
London OX15 0SL
United Kingdom

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UKCP College

  • Humanistic and Integrative Psychotherapy College (HIPC)
Heather Darwall-Smith

Heather Darwall-Smith

London OX15

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