You can cope, but at what cost?

You can cope, but at what cost?

Psychotherapy for leaders, professionals and those carrying sustained responsibility – focused on high-functioning pressure, burnout and major life transitions.

Hello, welcome

I'm Anna Eraut, a UKCP-accredited psychotherapist with almost two decades of clinical experience and an MSc from the renowned Metanoia Institute, London.

I work online with clients across the UK and internationally, and in person from my consulting rooms in Lewes and Friston.

Psychotherapy for high-functioning professionals

You are competent. You deliver. From the outside, things look fine, possibly enviable. Privately, something is wearing thin: sleep, patience, motivation, the sense that any of this still means what it used to.

People in demanding roles often arrive at therapy later than they should and usually after trying everything else first. Coaching, a holiday, a new routine, a course, an app. These can help. Sometimes, though, they aren't enough because the thing that needs attention sits deeper than performance.

My work is with people who are functioning, often well, but know deep down that something has to change.

Who is this for

Leaders, executives and senior professionals
Partners, founders and business owner
People balancing demanding work with family responsibility
Those moving through career change, loss, separation, ageing or identity shifts
People whose outward success no longer matches their inner experience

What I help with

The psychological cost of sustained responsibility
High-functioning anxiety
Burnout and emotional exhaustion
Perfectionism and self-pressure
Relationship strain under pressure
Career and identity transitions
Grief, loss and meaning shifts
Trauma and nervous system overload
Offer

25% discount

To mark the opening of my in-person practice in Lewes, I am offering a 25% discount to new clients seeing me there until 1 October, for the first block of work (6–8 sessions).
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When coaching is not enough

Coaching works with what you do. Therapy works with who you are when you do it. The two are not in competition; they answer different questions.
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What brings people here

If you are experiencing burnout and sustained pressure, patterns that keep returning, life transitions, loss of meaning, or relationships under pressure, I offer support so you can move forward.
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EMDR

EMDR, based on gentle eye movements, sound or rhythms, is a structured, evidence-based approach to trauma and a useful option when talking has reached its limit.
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Relationship therapy

Much of my work with couples is about how they talk to each other. Find practical tools to use at home, so that any subject, including the ones you have been stepping around, can be talked through rather than fought over.
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Walk and talk therapy

Some conversations move more easily when you are not sitting face-to-face. Walking suits people who think more clearly in motion, or who find movement easier than stillness.
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Clinical supervision

I offer consultative supervision to experienced therapists and counsellors, particularly those working with trauma, burnout, or sustained responsibility.
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For organisations and businesses

Looking for organisational or team support? I also work with companies and leadership teams under sustained pressure.
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Why work with me

I offer online psychotherapy sessions and also in-person sessions in Lewes and Friston, as well as focused, short-term packages.

I am an experienced UKCP-accredited psychotherapist with an MSc in Psychotherapy, two further MA honours degrees in the humanities, advanced clinical training, post-Masters university teaching experience and substantial experience in organisational consulting.

Since 2022, my work has been tested in a prolonged crisis: supporting leadership and employees working for a major international law firm in Ukraine during the ongoing war. I help ensure people stay effective under sustained pressure, make decisions in situations of prolonged uncertainty, and carry multiple responsibilities without collapsing privately.

I meet clients not only as a clinician but as someone who understands performance, organisational systems and the hidden cost of staying functional in demanding conditions.

Get in Touch

I offer in-person sessions in London and Hove; online work; and focused, short-term packages for specific issues, which can be tailor-made on request. If you are looking for clear, confidential, psychologically serious work, then you are welcome to get in touch.
Contact Anna