Billi Silverstein
Psychotherapy

From a trauma-informed and psychodynamic perspective, symptoms rarely appear in isolation. They emerge from historical pain, relational wounds, and unconscious In contemporary clinical practice, there is growing concern that psychotherapists may become too focused on the presenting issues clients bring into therapy. While it is both ethical and necessary to attend to immediate distress, this focus can sometimes obscure the deeper dynamics that sustain suffering. The presentin

There are moments when the world seems to lose its depth. Colours fade, sounds grow distant, and the familiar edges of reality soften. One might continue speaking, moving, working, yet somewhere inside a quiet disbelief begins to form. Is this really happening? These are experiences known as derealisation and depersonalisation, and although they can feel profoundly strange, they are far from rare.