Mark Smith

I’ve worked in mental health for over 25 years, from secure units and prisons to NHS clinics and private practice. Before that came a decade of festivals, travelling, and philosophical soul-searching while working frontline. I trained in Occupational Therapy and later in CBT, managing a psychiatric hospital department and leading a therapy team. I’ve been a union rep, supervisor, clinical educator and currently a trustee. With roots in Art and Philosophy, I value questioning over dogma and clarity over consensus. High-pressure settings taught me to handle conflict and challenge assumptions.

I work mainly with men—straight, gay, and bi—who grapple with shame, stuckness, sexual dysfunction, anxiety, or the weight of never being allowed to feel lost. I use evidence-based CBT alongside ACT, CFT, mindfulness, and coaching to help you break unhelpful patterns, build self-respect, and live by your values, not your pain. My work is clear, direct, and bullshit-free—rooted in critical thinking, philosophy, and a belief in your capacity to take charge of your life. Free speech is welcomed and encouraged in my sessions - all views and perspectives are welcome - no need to self - censor.

Get in touch via my e-mail or through my website to arrange a no charge, no obligation 30 minute video call. This is an opportunity for you to tell me more about yourself and what is going on for you. It will also be an opportunity for you to ask me any questions you have.