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Services  /  HIV-related psychological support

HIV-related psychological support

Receiving an HIV diagnosis can be life-changing in ways that affect every part of someone’s life. Coming to terms with any long-term condition, including HIV, can have a profound effect on the way you see yourself and the way you feel able to be in the world.

An HIV diagnosis can still feel loaded. It can feel shameful. It can make you feel that you have done something wrong. There continues to be fear around judgement. The assumptions people will make, the ways others may perceive you. Many people feel it is inescapable, that this is something they will have to explain or justify, in a way they never had to before.

The emotional range that follows is wide: anger, shame, loneliness, frustration, anxiety.

What we do together

The work offers a space to think through what this diagnosis means to you, what you want it to mean, and how to move toward acceptance, tolerance, and kindness around it. We think about what you want to disclose, how, and with whom. We work on the meanings you carry and on building a relationship with HIV that lets you stay connected to your strengths, your values, and the directions that matter.

We start from the view that everyone’s journey with HIV is different. The disclosure decisions, the internal relationship with the condition, the way it sits in someone’s life. All of these vary. Our aim is to reduce distress and allow you to live and flourish in your life in the ways you choose, alongside the experience of a long-term health condition.

What changes

People come out of this work able to thrive in the lives they choose.

The first step

Come in and tell us how you feel right now. Tell us what experiences you have had. From there, we work out the path forward.

Questions people often ask


What is U=U?

U=U (Undetectable equals Untransmittable) is the principle that a person with HIV on effective treatment, with an undetectable viral load, cannot transmit HIV sexually. It is supported by extensive clinical evidence and is now standard NHS messaging.

Is there therapy for people living with HIV in London?

Yes. Specialist psychological support for the long-term emotional, sexual, and relational dimensions of living with HIV is available through both NHS routes (including 56 Dean Street, where Dr Yates is Lead Clinician) and privately.

What is HIV stigma and how does therapy help?

HIV stigma is the internalised and external prejudice attached to an HIV diagnosis. Therapy helps unpack what has been internalised, work with the impact on relationships and sex, and reclaim a sense of self that the diagnosis did not erase.

Can therapy help with PrEP anxiety?

Yes. Some men experience significant anxiety around PrEP (Pre-Exposure Prophylaxis, a pill taken to prevent HIV), transmission risk, or seroconversion fears. These responses are workable.

I was diagnosed long ago and seem to be coping. Why might I still want therapy?

Some men carry an HIV diagnosis for decades before noticing that something has not been processed. The newer optimistic narrative around HIV does not always make space for the emotional weight of the older story. This work makes that space.

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