Centre for Anxiety Disorders and Trauma

Location: Maudsley Hospital
Mode: Outpatient
Referrals are accepted from: Consultant psychiatrists, counsellors, CMHTs, GPs, GP consortia

Key areas: Body dysmorphic disorder, obsessive compulsive disorder, panic disorder, post-traumatic stress disorder, social phobia, specific phobia, perinatal obsessive compulsive disorder


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 thoseĀ  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.

CADAT now offers intensively delivered CBT for perinatal Obsessive-Compulsive Disorder, i.e. women experiencing OCD during pregnancy or in the first postnatal year. Women referred by this route will receive 12 hours of CBT, typically four intensive sessions delivered over a two-week period, with up to 3, hour long monthly follow-ups. Please note this is an outpatient service and patients are required to travel to the Centre to attend the four treatment sessions. Referrals accepted under this service will be prioritized for treatment.

The intensive CBT service is for women with perinatal OCD. However please note, CADAT also treats the full spectrum of anxiety disorders that can affect women in the perinatal period including panic disorder, generalized anxiety disorder, phobia of vomiting, health anxiety, blood and injury phobia and post-traumatic stress disorder and fear of childbirth.

Please address written referrals to: The Referrals Co-ordinator, Perinatal OCD, Centre for Anxiety Disorders & Trauma, 99 Denmark Hill, London SE5 8AZ.

Please note that if not already in place, we will seek funding from the local CCG prior to assessment and treatment.

To discuss PERINATAL referrals only please email fiona.challacombe@slam.nhs.uk. For all other enquiries please email CADAT@slam.nhs.uk.



Case study - Paul

Paul’s Story

I’d often be embarrassed in social situations, and when I’d blush I felt like other people knew about it…The treatment taught me to confront the social situations I found difficult. Part of the therapy was to put myself in experimental situations with others…

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