Anxiety Disorders Residential Unit

Location: Bethlem Royal Hospital, Maudsley Hospital
Mode: Inpatient, outpatient, outreach
Average length of inpatient treatment: Inpatient 16 weeks, outpatient 12 to 24 weeks, outreach determined by assessment
Referrals are accepted from: Consultant psychiatrists, Community Mental Health Teams (CMHT)
Beds: 18

Key areas: Body dysmorphic disorder, habit disorder, hypochondriasis, health anxiety, obsessive compulsive disorder, panic disorder and agoraphobia, post-traumatic stress disorder, psychogenic excoriation without body dysmorphic disorder, social phobia, specific phobia of vomiting, trichotillomania


Our services are leaders in both research and clinical treatment of anxiety disorders in the UK. We treat people whose primary problem is an anxiety disorder, especially obsessive compulsive disorder (including hoarding), body dysmorphic disorder and post traumatic stress disorder (PTSD). However the services can benefit people with all types of severe anxiety disorder. Please see page 36 for dissociative sub-type. We work with people to free them from their anxiety disorder and to improve their quality of life. We provide cutting edge cognitive behaviour therapy (CBT) treatment for anxiety disorders, including Trauma-Focused CBT for PTSD. The CBT treatments we offer are those recommended by the National Institute for Health and Clinical Excellence (NICE).

Many of these treatments have been developed by our own teams, have been very effective in randomized controlled trials, and are subject to high levels of quality control. All our therapists are accredited CBT therapists and receive clinical supervision to ensure the quality of treatment. We have an active service user group who advise us on both research and service provision.

Our residential service offers intensive CBT service for treatment-refractory, anxiety-based problems, where people can stay in a residential unit throughout their treatment, making our service unique in the United Kingdom. The inpatient service is especially designed for people with obsessive-compulsive disorder (OCD) and body dysmorphic disorder (BDD) who are severe and treatment refractory. However, it can benefit people with all types of severe anxiety disorders.

Our services are particularly suitable for those who are severe and who have not made sufficient progress with CBT locally or where the local secondary care services are not well developed for people with severe anxiety disorders.

Case study - Jo

Jo’s story

The therapists support you at every step, and the friendships you make with people in the house are also really important. They think how you think. And there’s always someone you can talk to, whether you’ve had a bad day… or you want to tell someone about a good day…

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