Persistent self criticism, feelings of inadequacy or avoidance can have different histories and meanings. A webpage cannot establish a cause, diagnosis or the kind of support that will be most useful. An individual assessment can consider current circumstances, relationships, work, health information, safety and personal preferences. Where appropriate, a clinician may discuss self critical thoughts, standards, patterns of avoidance, past experiences and practical goals in a collaborative way. Any between session reflection or exercise should be agreed individually and should not be treated as a self directed prescription. Research can inform a conversation, but it cannot predict an outcome for one person. The Lyceum Clinic offers an initial conversation for adults considering CBT based support in West London or online. Current availability, location arrangements and whether the service is appropriate for your needs should be checked directly. This does not commit you to a particular treatment plan, duration or outcome.