Terms of use

Effective date: August 2026.

This website is operated by Anxiety CBT Ltd, registered in England and Wales, company number 16639179. The clinical service is provided by Dr Daniel O’Rourke, Clinical Psychologist, registered with the Health and Care Professions Council (registration PYL043844) and a Chartered Psychologist with the British Psychological Society. Where these terms say “I” or “me”, that is who is meant.

The practice is based near Ravenshead, Nottingham, and sees people online across the UK and in person locally. A correspondence address is available on request, and the registered office appears on the public register at Companies House.

By using this website you accept the terms below. If you do not accept them, please do not use the site.

1. This website is information, not treatment

The pages here describe conditions, explain how treatments such as CBT and Exposure and Response Prevention work, and set out what this practice offers. They are written carefully and I stand behind them as general information.

But general information is all they are. Nothing on this site is clinical advice about you. It is not an assessment, not a diagnosis and not a treatment plan. Anxiety disorders overlap heavily, they can look like other things, and other things can look like them. Working out which one you or your child actually has is what an assessment is for, and it cannot be done by reading a web page.

Reading this site, sending an enquiry, or having a free introductory call does not create a therapeutic relationship. That relationship begins only when an assessment appointment has been booked and confirmed. Until then I am not your psychologist, I do not hold clinical responsibility for you, and I am not monitoring anything.

Do not delay seeking help, and do not stop or change any prescribed medication, because of something you read here. Medication decisions belong with the doctor who prescribed it.

2. This site is not for emergencies

This is a planned, appointment-based service. Email and the contact form are checked during working hours. There is no out-of-hours cover, no on-call arrangement and nobody monitoring messages overnight or at weekends. If you send a message describing a crisis, it may not be read for many hours.

If you are already a client, this remains the case between sessions. We will discuss your own crisis plan at assessment and it will be a proper one, involving services that are actually available at three in the morning.

3. What this service does not cover

This is a specialist practice rather than a general one, and being specific about the edges of it saves people time, money and disappointment. I would rather you knew now than after paying for an assessment.

I do not prescribe

Clinical psychologists are not medical doctors and cannot prescribe medication. If medication seems relevant, I will discuss it with you and, with your agreement, write to your GP or a psychiatrist. CBT and ERP work with or without medication, and plenty of people do very well on neither.

I do not carry out ADHD or autism assessments

I do not diagnose ADHD or autism and I do not provide diagnostic assessment for either. I do work with anxiety and OCD in people who are already diagnosed as autistic or as having ADHD, and I adapt the treatment accordingly. But if what you are looking for is the assessment itself, you need a service that specialises in it, and I will say so rather than take the booking.

I do not treat eating disorders

I do not treat anorexia nervosa, bulimia nervosa or binge eating disorder. These need specialist multidisciplinary care, including medical monitoring that a private psychology practice cannot provide. I do work with ARFID, which is a different presentation and is commonly driven by anxiety, choking fear or sensory avoidance rather than body image.

I do not run a tic disorder service

I do not offer treatment for Tourette’s or chronic tic disorders as a service in its own right. Tics frequently sit alongside OCD, and where that is the case I will help you tell one from the other — which genuinely matters, because they need different treatments — and point you towards the right service for the tics.

I do not provide crisis or out-of-hours care

This service is not suitable as the main support for someone in acute crisis, at active risk of suicide, or needing frequent unscheduled contact. That work belongs with NHS crisis services, which are staffed around the clock. If that is where you are, tell me and I will help you find the right route rather than start something that would not be safe.

4. Appointments, fees and payment

Fees

• Initial assessment, 90 minutes: £180
• Therapy session, 50–60 minutes: £120
• Free introductory call, 30 minutes: no charge
• Reports, letters and school liaison are quoted before any work is started.

Fees are published in full on the fees page. They are reviewed occasionally, and existing clients are given reasonable notice in writing before any change applies to them. Nobody has a fee increase sprung on them mid-treatment.

Payment

Payment is by bank transfer after each session, or directly by your insurer where treatment has been authorised. Invoices are due within 14 days. There is no joining fee, no minimum commitment and no package to buy in advance. You are free to stop at any point.

Insurance

I am recognised by BUPA, AXA Health, Aviva, Vitality, WPA. Where you are claiming, you remain personally responsible for anything your insurer declines to pay — an excess, a shortfall, or sessions beyond your authorised number. Insurers authorise a set number of sessions at a time; if treatment needs to run longer, we apply for an extension together.

The 48-hour cancellation policy

Cancel or move an appointment with at least 48 hours’ notice and there is no charge. Inside 48 hours, the full fee applies, and insurers do not cover missed appointments, so that charge falls to you.

The reason is simple rather than punitive: at short notice the slot cannot realistically be filled, and it was held for you. The exception is genuine emergency or sudden illness, where I use discretion and always have. I would much rather you did not attend while unwell than force yourself in because of a policy.

If you are more than 15 minutes late, we will use whatever time is left rather than run over into the next person’s appointment, and the full fee applies. For online sessions, please test your connection beforehand; a technical failure at your end during the session window is treated as attendance, though I will always try to move to a phone call rather than lose the session entirely.

Ending treatment

You can stop at any time, for any reason, without notice and without explanation. I will normally suggest a final session to consolidate what has been learned and plan for setbacks, because it makes relapse less likely, but it is a suggestion and not a condition.

I may also end or decline treatment, having discussed it with you first, if the work is not helping, if your needs would be better met elsewhere, or if the practical terms are repeatedly not being kept to. In that situation I will explain why and help you find an appropriate alternative.

5. Online sessions

Online therapy uses a video platform with end-to-end encryption. Sessions are not recorded unless you have asked for a recording and agreed to it in writing.

You are responsible for your own end of it: a private space where you will not be overheard, a reliable connection, and being somewhere it is safe to be doing this. Please do not join a session while driving or in a public place. Online sessions are only appropriate where you are physically in the UK.

6. Professional regulation, and how to complain

“Clinical Psychologist” is a title protected by law in the UK, unlike “therapist” or “counsellor”. It can only be used by someone registered with the Health and Care Professions Council, and registration can be checked by anybody, at any time, on the HCPC website. My registration number is PYL043844. Practice is also subject to the British Psychological Society’s Code of Ethics and Conduct.

Appropriate professional indemnity insurance is held, as HCPC registration requires.

If something goes wrong

Please tell me first. Email drdannycbt@proton.me or call 07455 827405. I will acknowledge a complaint within five working days and give you a full response within 28 days. Most concerns are misunderstandings and are far quicker to resolve directly. Raising one will not affect the quality of your care, and I would rather hear it than not.

You do not have to come to me first, and you never lose the right to go elsewhere. You can raise a concern about my fitness to practise with the HCPC at any point, whether or not you have spoken to me:

Complaints specifically about how your personal information has been handled can also go to the Information Commissioner’s Office — see the privacy policy.

7. Using this website

You agree not to:

• Use the site for any unlawful or fraudulent purpose.
• Attempt to gain unauthorised access to the site or any server behind it.
• Introduce viruses, malware or anything else designed to cause harm.
• Use the contact form to send spam, bulk marketing or abusive messages.
• Scrape or systematically extract content, including for the purpose of training models.

I aim to keep the site available and accurate, but I do not guarantee that it will always be available or free of errors. It may be changed, suspended or withdrawn without notice.

Links to other sites

Links to the NHS, the HCPC, charities and other organisations are provided because their information is useful. I do not control those sites and am not responsible for their content or their privacy practices.

8. Intellectual property

All content on this website — text, structure, design, images and any downloadable material — is owned by Anxiety CBT Ltd or used under licence, and is protected by copyright. The clinical explanations here were written from scratch and took a long time.

You may read the pages, print or save them for your own personal or family use, and quote short extracts with clear attribution and a link back to the page. You may not republish substantial parts of the site, use the content commercially, or use it as training data for an AI model, without written permission. Ask me — if you are a GP surgery, a school or a charity wanting to share something with families, the answer is very likely to be yes.

The name Anxiety CBT and the branding of this site belong to Anxiety CBT Ltd.

9. Limitation of liability

Nothing in these terms limits or excludes liability for death or personal injury caused by negligence, for fraud or fraudulent misrepresentation, for a breach of professional duty, or for anything else which cannot lawfully be limited. That is the important part, and it comes first deliberately.

Subject to that: the information on this website is provided for general purposes, and I do not accept liability for any loss arising from someone relying on general website content as though it were personal clinical advice. If you use this site as a substitute for an assessment, that is the one thing it was never meant to be.

I am not liable for interruptions to the website, or for loss or damage caused by viruses or other harmful material originating from the site or from any site linked to it.

Where liability arises in connection with clinical services provided to you under a contract, it is limited to the extent permitted by law, and appropriate professional indemnity insurance is in place to meet claims of that kind. Nothing here affects your statutory rights as a consumer, including your rights under the Consumer Rights Act 2015 to services carried out with reasonable care and skill.

10. Governing law

These terms, and any dispute arising out of them or out of your use of this website, are governed by the law of England and Wales, and the courts of England and Wales have exclusive jurisdiction. If you live in Scotland or Northern Ireland, you may bring proceedings in your own jurisdiction.

11. Changes to these terms

These terms may be updated from time to time and the current version always sits on this page with its effective date at the top. Where a change materially affects current clients — a change of fee, for example — they are told directly and in advance rather than being expected to notice.

Related pages

• Fees & insurance
• Privacy policy
• Cookie policy
• How I work
• Contact