Care that goes wherever you need it to
A small number of fully bespoke private engagements are available each year for individuals and families who require a different level of care. In-home, residential, or international. Every arrangement is shaped around you.
UK & International
Coverage
Strictly confidential
All enquiries
Limited availability
Each year
Care that goes wherever you need it to
A small number of fully bespoke private engagements are available each year for individuals and families who require a different level of care. In-home, residential, or international. Every arrangement is shaped around you.
UK & International
Coverage
Strictly confidential
All enquiries
Limited availability
Each year
UK & International
Coverage
Strictly confidential
All enquiries
Limited availability
Each year
Therapeutic support built entirely around you
For individuals and families who require a fundamentally different level of availability, Alexia works privately on a fully bespoke basis. This is not a premium tier of her standard practice. It is a separate and distinct service, designed for those whose lives, circumstances, or needs cannot be served by conventional therapeutic arrangements.
Engagements are structured entirely around the client. Alexia will work with you at your home, travel internationally when required, provide live-in support for as long as the work demands, or offer intensive short-term care before transitioning to ongoing remote sessions.
A strictly limited number of private engagements are accepted each year to ensure each client receives Alexia's full and undivided attention.
In-home sessions
Regular or intensive sessions delivered at your private residence in the UK, at a time and frequency that suits your schedule.
Residential support
For clients requiring intensive support, Alexia is available to live in for an agreed period, providing continuous therapeutic care and immediate availability.
Family support
Working with members of a family unit simultaneously, providing individual and collective therapeutic support within a single cohesive engagement.
Crisis & acute care
For individuals or families navigating acute mental health challenges, Alexia can be engaged to provide immediate expert therapeutic presence.
International engagements
Alexia travels internationally for clients whose lifestyle or recovery requires continuity of care outside the UK.
How this service has worked in practice
All case studies are anonymised and shared with full client knowledge and consent. Names, locations, and identifying details have been changed to protect complete confidentiality.
Six weeks in the South of France with a client in early eating disorder recovery
A family contacted Alexia on behalf of their adult daughter who had recently completed an inpatient programme and was spending the summer at the family's property abroad. The client required consistent therapeutic support during the transition from clinical care back to daily life. Alexia travelled to the family’s residences in three countries, each for a set number of days in accordance with the family’s diary. She stayed on site, conducting daily individual sessions with the client and core people in their homes. She also liaised with the client's clinical team in the UK, and provided a stabilising therapeutic presence throughout the recovery transition.
"The continuity Alexia provided during that period was irreplaceable. It changed the outcome entirely."
Ongoing family support for a household navigating adolescent mental health
A London-based family engaged Alexia for weekly in-home sessions with their teenage child alongside monthly family sessions. The arrangement has continued for two years, providing long-term therapeutic continuity. All sessions take place at the family home to maintain a sense of safety and familiarity.
Two-week intensive engagement for an individual in acute burnout
A senior professional based in Dubai contacted Alexia during a period of significant personal and professional crisis. Unable to travel, they required a practitioner willing to come to them. Alexia flew to Dubai for part of the a two-week engagement, conducting daily sessions initially within their home and then remotely. She worked alongside the client's existing medical team for a coordinated approach to recovery.
Before we begin
What each client can expect
Private engagements are built on clarity, trust, and mutual respect. The following sets out how Alexia works and what is required from both parties before any arrangement begins.
A direct conversation first
Every engagement begins with a private telephone or video call between Alexia and the prospective client or their representative. No arrangement is entered into without this conversation. It ensures the fit is right for both parties before any commitment is made.
A bespoke letter of agreement
Once an arrangement is agreed in principle, Alexia provides a clear written letter of agreement outlining the scope, duration, therapeutic approach, fees, and logistical arrangements. This forms the basis of the working relationship.
Absolute confidentiality
All private client engagements are governed by Alexia's professional ethical standards with enhanced confidentiality protocols. This is non-negotiable and extends to all communications, documentation, and third parties.
Clear fee arrangements
Fees are discussed directly and agreed in writing before any work begins. A deposit is required to secure Alexia's availability. All fees are quoted exclusive of expenses, which are itemised separately and managed transparently.
Access to relevant information
To provide the most effective support from the outset, Alexia may request access to relevant clinical history or prior assessments. This is handled with complete discretion in line with BACP ethical guidelines.
Prompt settlement of expenses
All expenses are itemised clearly and submitted at the close of each month or engagement. Alexia always seeks the most practical options and will never seek to profit from expenses. Timely reimbursement is a condition of the working agreement.
How expenses are handled
All agreed fees are exclusive of reasonable expenses. Alexia manages expenses with complete transparency and will always seek the most practical option. Copies of all bookings and receipts are provided on reques
On prompt payment: Expenses are submitted monthly or at the close of an engagement, whichever comes first, and are payable within seven days. As an independent practitioner, I am not in a position to carry outstanding costs on behalf of clients indefinitely. Timely settlement is a condition of the working arrangement and is included in every letter of agreement.
Begin a private conversation
All enquiries are handled personally by Alexia and treated with complete discretion from the first point of contact. There is no obligation, no waiting list, and no intermediary.
Please share as much or as little as you feel comfortable sharing at this stage. A brief private call will follow all suitable enquiries.