Matthew Frener, UKCP Accredited Psychotherapist

Matthew Frener

W1W
Shortlist Share
Matthew Frener, UKCP Accredited Psychotherapist

Matthew Frener

W1W
Shortlist Share

My Approach

Therapy, at its most meaningful, is not simply a collection of techniques; it is a relationship. Research in psychotherapy consistently identifies the quality of the therapeutic relationship as one of the strongest predictors of positive outcomes, and this finding sits at the centre of how I work. My role is not to offer solutions from a position of expertise, but to engage with you as a whole person: curious about your history, attentive to what happens between us in the room, and committed to creating the conditions in which genuine change becomes possible.

Relationship is not simply the context in which therapy happens: it is, in many ways, the mechanism through which it works. From the earliest moments of life, we come to understand ourselves through our connections with others: how we were held, responded to, seen or misread. Those early relational experiences leave traces, in the patterns we repeat, the ways we protect ourselves, the expectations we bring into new connections without always knowing it. When those patterns cause difficulty, the therapeutic relationship itself becomes a place where something different can be experienced, not just understood intellectually. I work relationally because I believe that insight alone rarely changes things. What creates lasting movement is having a new kind of relational experience, one that is consistent, honest, and genuinely attuned, and being able to reflect on it together, in real time, as it unfolds between us.

I work integratively, which means I draw on a range of evidence-based approaches and shape my practice around the person in front of me rather than fitting people into a predetermined model. My clinical training is rooted in relational and developmental theory, with a strong psychodynamic thread running through the work. I also draw on Cognitive Behavioural Therapy (CBT) and Dialectical Behaviour Therapy (DBT) where structure and skills are useful, Attachment Theory when we are exploring how early relational patterns shape present experience, Internal Family Systems (IFS) when working with distinct parts of the self, and somatic and body-based approaches.

I hold trauma-informed practice not as a specialism sitting alongside other approaches, but as a lens through which all of my clinical work is filtered. Whatever brings someone to therapy, I am mindful of the ways in which past experience, and the adaptive responses it created, can be present in the room long before we name it directly.

Sessions can be open-ended and exploratory, or more focused and time-limited, depending on what is most useful for you and clinically appropriate. I work with adults and see clients in-person in Fitzrovia, Central London, W1, and online.

About Me

I am a UKCP Registered Psychotherapist and Senior Accredited Member of the BACP, working with individuals from my practice in Fitzrovia, Central London, and online across the UK. I trained at the Metanoia Institute in Integrative Psychotherapy, one of the UK's most respected UKCP-affiliated training institutions, and hold an MSc, in addition to specialist qualifications in Dialectical Behaviour Therapy (DBT), somatic trauma therapy, and eating disorder treatment.

My path into this work was not a straightforward one. Before training as a therapist, I spent several years in the theatre and arts sector. It was my own experience of seeking help during a difficult period of my life that first drew me toward therapy, and that experience has remained a quiet but steady influence on everything I do. I know what it is to sit in the client's chair, to feel uncertain about whether change is possible, and to discover that it is.

I began my clinical career as a counsellor at one of London's leading residential rehabilitation centres, where I worked with individuals navigating addiction and eating disorders, facilitated therapeutic groups, delivered DBT skills training, and supported families through the recovery process. Since then, I have continued to work in clinical settings, including the Priory Hospital North London, alongside my private practice, which means my work is informed by both the depth of longer-term relational therapy and the rigour of structured clinical environments. I now work solely in private practice.

I am a qualified DBT Practitioner, trained in somatic trauma therapy with world-renowned trauma specialist, Babette Rothschild, and hold specialist training with the National Centre for Eating Disorders (NCFED). My practice is grounded in anti-oppressive values, and I bring particular experience working with LGBTQ+ clients, neurodivergent individuals, and people navigating complex intersections of identity.

I work with

  • Individuals

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.

I began my clinical career working in residential addiction treatment and have continued to work with people navigating addiction throughout my career in both institutional and private settings. I understand addiction as a complex, often trauma-adjacent experience, rarely about the substance or behaviour alone, but about the function it has come to serve. Whether someone is early in recovery, ambivalent about change, or seeking to understand the deeper roots of compulsive patterns, I offer a non-judgemental, curious, and clinically grounded space. I draw on motivational principles, DBT skills, attachment theory, and psychodynamic understanding to work with both the surface presentation and what lies beneath it.
I bring both clinical training and lived-experience understanding to my work with ADHD. I work with adults who may have received a formal diagnosis, those who are mid-assessment, and those who have simply begun to recognise patterns in themselves that have long gone unnamed. ADHD in adulthood often carries a significant emotional burden: years of misunderstanding, shame, and the exhausting effort of masking or compensating in environments not built for neurodivergent minds. My work in this area moves beyond psychoeducation to explore the relational and emotional dimensions of ADHD, including the impact on self-worth, relationships, and identity, while also offering practical DBT-informed skills to support executive function, emotional regulation, and interpersonal effectiveness.
Anxiety is one of the most common reasons people seek therapy, and also one of the most misunderstood. For many of my clients, anxiety is more than a symptom to be managed. It is a signal, often rooted in unresolved relational patterns, early experiences of unpredictability, or a nervous system that learned to stay alert as a form of protection. I work with anxiety both practically, using DBT and CBT tools to develop tangible regulation and distress tolerance skills, and relationally, exploring the underlying dynamics that keep the anxiety alive. I am interested in what anxiety is protecting, not only in how to reduce it.
Questions of identity, who we are, who we are allowed to be, and what we have inherited from the systems and relationships that shaped us, sit close to the heart of much of the therapeutic work I do. I work with individuals navigating LGBTQ+ identity, gender, sexuality, cultural identity, and the experience of holding multiple or intersecting identities that the world often struggles to hold with care. I approach identity not as a fixed destination but as something that continues to develop across a lifetime, and I bring an explicitly anti-oppressive lens to this work: one that acknowledges the ways in which social structures, marginalisation, and internalised messages shape a person's inner life.
I have extensive clinical experience working with trauma across a range of presentations, from single-incident events to complex, developmental, and relational trauma that has accumulated over time. My training in somatic trauma therapy with Babette Rothschild informs a body-aware approach: one that recognises that traumatic experience is often held somatically and cannot always be reached through cognitive work alone. I work carefully and at a pace that is guided by the client, with close attention to window of tolerance, resourcing, and stabilisation before any deeper processing work begins. Trauma-informed practice is foundational to everything I do.

Types of Therapies Offered

  • Integrative Psychotherapist

What I can help with

  • Abuse
  • Addiction
  • ADHD
  • AIDS/HIV
  • Anger Management
  • Anxiety
  • Autism
  • Bereavement
  • Bulimia
  • Bullying
  • Cultural Issues
  • Depression
  • Disability
  • Divorce
  • Eating Disorders
  • Employment Difficulties
  • Family
  • Gender
  • Identity Problems
  • Mental Health Issues
  • Online Counselling
  • Post-Traumatic Stress
  • Private Practice Issues
  • Race Issues
  • Relationships
  • Separation
  • Sexual Abuse
  • Sexuality
  • Spirituality
  • Stress
  • Transgender
  • Trauma

Types of sessions

  • Face to Face - Long Term
  • Online Therapy

Office

Audley House
12-12a Margaret Street
W1W 8JQ
United Kingdom (UK)

  Wheelchair accessible View Map

Cost:

£100-£120 per session
I offer a sliding scale and invoice in advance of each month, with payment required before the month begins.

UKCP College

  • Humanistic and Integrative Psychotherapy College (HIPC)
Matthew Frener

Matthew Frener

W1W

Bookmarks My Shortlist

All shortlisted profiles

Find a therapist near you