What follows is a working library — the literature I return to, the questions I am watching, and the patterns I keep seeing in the families and clinicians I work with. It is a living page, updated as the ground shifts.
Peer-reviewed evidence continues to show that therapeutic alliance — the specific fit between clinician and patient — is one of the strongest predictors of outcome across mental-health interventions, often outweighing the modality itself.
Reading · Wampold, B. E. (2015). How important are the common factors in psychotherapy? World Psychiatry, 14(3).
Rates of anxiety, depression, and eating-disorder presentations in adolescents have not returned to pre-2020 baselines in the UK, US, or EU. Waitlists for specialist care remain historically long.
Reading · Lancet Child & Adolescent Health, ongoing series on post-pandemic adolescent mental health.
Substance-use disorders behave epidemiologically more like chronic conditions than acute events. Post-discharge continuity of care is the single strongest predictor of sustained recovery — and the most consistently under-resourced.
Reading · McLellan, A. T. et al. Drug dependence, a chronic medical illness. JAMA, 284(13).
Prolonged Grief Disorder was formally recognised in DSM-5-TR (2022) and ICD-11. The clinical implication: grief that persists beyond a year is not a personal failure but a distinct condition — and one still poorly served by generalist bereavement support.
Reading · American Psychiatric Association, DSM-5-TR (2022).
Emerging work at the intersection of crisis communications and clinical care documents measurable harm from public exposure during acute mental-health episodes — and the protective effect of coordinated, discretion-first care teams.
Reading · Field observations from The Advance 45:2 casework, London / Mallorca / New York.
Short observations from ongoing casework
The most decorated clinician on paper is not always the right clinician for the person in front of you. After a decade of introductions, the pattern is clear: outcomes track fit, not fame.
Almost every family I take on arrived after a moment their existing care team could not answer. Building for that moment — the phone at 2am — is the single most important design decision in private navigation.
The families who do best are the ones whose plan is allowed to change. Rigidity, not relapse, is the more common cause of collapse.
Longer essays and clinical reflections appear in the Journal. For private briefings with clinical teams and boards, arrange a call.