Miriam Goble – CBT Therapist for Anxiety, OCD, Trauma & Low Self-Esteem

Miriam Goble, CBT Therapist - My Therapist Online
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Miriam Goble

HCPC Registered CBT Therapist | Compassionate, Evidence-Based Support for Anxiety, Trauma & Life Challenges

Pronouns: She/Her

A session should feel like a supported but joint exploration. We will work together to share expertise, mine in therapy, yours in your life. There may be times when I lead, there may be times when you do. Some sessions will be more about pure support, some may be more about challenge and tacking problems head on. The main thing to remember is I am here to have your best interests in mind and meet you where you are, when your are ready and in the ways which you feel able to move forward.

I am dedicated to providing genuine, transparent and compassionate support through evidence-based practices. My training in cognitive behavioural therapy and compassion-focused therapy, as well as other modes of therapy, ensures that clients receive an individual approach to therapy.

Specialities

I treat any mental health problem such as generalised anxiety, panic, health anxiety, OCD, PTSD, complex PTSD, difficulties relating to mistreatment and abuse, depression, low self-esteem, social anxiety and challenges in overcoming or managing general life demands. Difficulties relating to or from the impact of neurodiversity can also be supported within the context of those difficulties listed.

Experience

NHS: 10 years core services (IAPT) delivering therapy individually and in group formats. Trauma service: 1 year in Veterans trauma specific service delivering therapy. Private: 3 years delivering individual therapy. CFT, ACT, DBT and IFS training/experience.

Conditions & Difficulties Treated

Specialist Areas

  • Anxiety

  • Anxiety - Stress

  • Anxiety - Agoraphobia

  • Anxiety - Generalised (GAD)

  • Anxiety - Health

  • Anxiety - Panic / Panic Attacks

  • Anxiety - Fears of abandonment

  • Anxiety - Social

  • Anxiety - Phobias

  • Body Dysmorphic Disorder (BDD)

  • Obsessive Compulsive Disorder (OCD)

  • Chronic Fatigue / ME

  • Depression - Low Mood

  • Pregnancy, Prenatal, Postpartum

  • Depression - Seasonal Affective Disorder

  • Menopause

  • Carer Problems

  • Low Self-Esteem

  • Pain management

  • Health conditions - Acute / Long Term

  • Perfectionism

  • Sleep - Problems

  • Sleep - Insomnia

  • Work - Bullying

  • Work - General Problems

  • Work - Redundancy

  • Work - Stress

  • Long COVID

  • Trauma - Childhood Trauma

  • Trauma - Post Traumatic Stress Disorder (PTSD)

  • Trauma - Complex PTSD

  • Trauma - Road Traffic Accidents

  • Trauma - Rape / sexual assalt

  • Trauma - Childhood sexual abuse

    Commonly Treated Difficulties

  • Anxiety - Death

  • Anxiety - Performance

  • Anxiety - Separation

  • Emetophobia (Specific Fear of Vomit)

  • Autistic Spectrum Disorder (ASD)

  • Alexithymia - difficulty identifying/ expressing  emotions

  • Body Image Problems

  • Depression - Major

  • Eating Disorders - Over Eating & Weight Loss

  • Family Issues - Blended families

  • Family Issues - Conflict

  • Parenting Issues

  • Infertility

  • Hoarding

  • LGBTQI+ Related Issues

  • Gender Identity Issues

  • Loneliness

  • Personality Disorders

  • Problem with telling lies

  • Health Condition - Cancer

  • Procrastination

  • Skin/Hair picking (tricotillomania / dermatillomania)

  • Tinnitus

  • Relationship - Communication difficulties

  • Relationship - Doubt in relationship

  • Relationship - Infidelity, affairs & betrayals

  • Relationship - Intimacy

  • Relationship - Separation & Divorce

  • Life transitions

  • Anger

  • Menstrual Health

  • Trauma - Disassociation

Therapeutic Approaches & Models

  • Cognitive Behavioural Therapy (CBT)

  • BABCP Accredited CBT Therapist

  • Exposure Response Prevention (ERP)

  • Compassion Focused Therapy (CFT)

  • Dialectical Behaviour Therapy (DBT)

  • Acceptance & Commitment Therapy (ACT)

Miriam works with:

  • Adults (19-65 Years)                   

  • Elderly (65+ Years)                                    

Health Insurance Companies registered with:

  • Medicase

  • IPRS

  • Healthcare RM

  • BUPA

  • AXA

  • Aviva

  • Vitality

Professional Training & Accreditations

  • BABCP Number 0140395

  • ICO reference ZB851922

  • Postgraduate Diploma in CBT

  • NHS CBT for Long Term Conditions and Medically Unexplained Symptoms

  • NHS High Intensity Supervision Training

  • Foundation and Advanced Training in CFT- Compassionate Mind Foundation

  • CFT for Anger, Shame, Self-Criticism and Common Compassionate Blocks - Compassionate Mind Foundation

  • Foundation Skills in DBT- Marsha Linehan 

  • DBT for Anger and Shame- Marsha Linehan 

  • Foundation Skills in ACT- Russ Harris

  • Treating Trauma with Internal Family Systems Therapy

  • Cognitive Behavioural Therapy (CBT) is an evidenced based & well researched talking therapy. It is recommended by the National Institute for Health and Care Excellence (NICE) for many mental health problems.

    It is most commonly used to treat anxiety and depression, but can be useful for many other mental and physical health problems.

    CBT focuses upon how your thoughts and behaviours impact upon your emotions and physical symptoms.

    CBT is collaborative treatment and typically involves doing homework tasks between appointments.

    It aims to teach you to become your own therapist, teaching you tools so you can keep using the strategies and techniques you have learned after you have finished therapy.

  • Acceptance and Commitment Therapy (ACT) is a modern, evidence-based form of therapy that helps people change their relationship with difficult thoughts, feelings, and experiences, rather than trying to eliminate them. ACT recognises that distress is a natural part of being human, and focuses on building psychological flexibility — the ability to respond to challenges in ways that support wellbeing and personal values.

    In ACT, you learn skills to notice thoughts and emotions without becoming overwhelmed or stuck in them. This includes developing acceptance, mindfulness, and compassion, alongside identifying what truly matters to you. Therapy then supports you to take meaningful, values-led actions, even when life feels difficult.

    ACT can be particularly helpful for anxiety, depression, trauma, chronic health conditions, stress, and difficulties with self-esteem. It is often used alongside other therapeutic approaches, such as CBT, and is tailored to each individual’s needs and goals.

    Rather than aiming to “get rid” of uncomfortable feelings, ACT helps you create a richer, more meaningful life by learning to make space for your internal experiences while moving toward what matters most to you.

  • Dialectical Behaviour Therapy (DBT) is an evidence-based therapy that helps people understand and manage intense emotions, improve relationships, and cope more effectively during times of distress. It was originally developed to support people who experience strong emotional reactions, but is now widely used for a range of mental health difficulties.

    DBT focuses on building practical skills across four key areas: emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness. These skills help individuals respond to challenging situations with greater balance, self-awareness, and confidence.

    A core principle of DBT is the balance between acceptance and change. Therapy validates how difficult experiences feel, while also supporting you to develop healthier ways of coping and relating to yourself and others.

    DBT can be particularly helpful for difficulties such as emotional disregulation, self-harm, relationship difficulties, trauma, and certain personality-related challenges. Therapy is collaborative, structured, and compassionate, helping people feel supported while working towards meaningful and lasting change.

  • Compassion-Focused Therapy (CFT) is an evidence-based therapy that helps people manage self-criticism, shame, and emotional overwhelm, while developing greater self-compassion and emotional resilience. It was originally developed to support individuals who struggle with high levels of self-criticism or shame, but is now widely used for a range of mental health difficulties.

    CFT focuses on developing compassionate mind skills, including self-soothing, mindfulness, and understanding the balance between threat, drive, and soothing systems in the brain. These skills help individuals respond to difficult thoughts and emotions with greater kindness, clarity, and balance.

    A core principle of CFT is cultivating compassion towards oneself and others. Therapy helps you recognise and reduce harsh self-judgment, while building confidence, emotional regulation, and supportive ways of coping.

    CFT can be particularly helpful for difficulties such as anxiety, depression, trauma, perfectionism, low self-esteem, and difficulties managing self-criticism or shame. Therapy is collaborative, structured, and compassionate, supporting individuals to build lasting emotional strength and self-kindness.

  • Exposure and Response Prevention (ERP) is a highly effective form of Cognitive Behavioural Therapy (CBT), most commonly used to treat OCD and anxiety-related difficulties.

    It involves gradually facing the thoughts, situations, or triggers that cause anxiety (exposure), while learning to resist the usual habits or behaviours used to reduce that anxiety (response prevention), such as avoidance, reassurance-seeking, or compulsions.

    Over time, this helps your brain learn that the feared outcome is less likely than it feels, and that anxiety can reduce naturally without needing to rely on unhelpful coping strategies. ERP is always done at a pace that feels manageable, with support from your therapist throughout.