Trauma related experiences can include memories, sleep changes, heightened alertness, avoidance or changes in mood, but a webpage cannot determine what those experiences mean for one person. Immediate safety, physical health, current support and practical circumstances all matter. If you are in immediate danger or need urgent help, use an appropriate emergency or crisis service rather than relying on this page. An individual assessment can explore what is happening now, relevant history, safety, health information and preferences. Where appropriate, a clinician may discuss stabilisation, routines, relationships, work, sleep and the possible role of different psychological approaches. Any exercise or between session work should be agreed individually and should not be treated as a self directed prescription. 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.