Thoughts and Feelings
Understanding how your thoughts affect your emotions and behaviours.
Specialist psychological CBT treatment for anxiety problems, including OCD, PTSD, panic, GAD, hoarding, and phobias


NOSA is a specialist service dedicated to helping people overcome anxieties and phobias using skilled, evidence-based psychological therapies proven to work through research and clinical trials. We specialise in CBT Bristol based treatment, ensuring local support for individuals looking to improve their mental health and well-being.
As a specialist service, we aim to deliver our services in the most flexible and innovative way possible, where appropriate and feasible. This can include CBT therapy in Bristol homes or community settings, rather than requiring visits to a clinic. Each therapy package is carefully designed to meet the unique needs of the people we work with.
As a national service with an emphasis on flexible care, we can work with you anywhere in the UK. Much of our work takes place in the homes and communities of the people we see; however, we also have a Bristol CBT clinic setting available for in-person sessions. Where helpful, we can support people with anxiety by working together in real-life situations, helping them build confidence and reduce avoidance. We tailor our approach to suit individual needs, whether that means meeting at home, in the community, or in a clinic setting.









Cognitive Behavioural Therapy (CBT) is a practical, evidence-based talking therapy that helps you manage your mental health by focusing on:

CBT is a structured therapy that helps you understand the connection between your thoughts, feelings, and behaviours.

Evidence-based help for anxiety, OCD, PTSD, panic, phobias and hoarding. In Bristol and online worldwide.
Here at NOSA, we strive to provide the very best psychological treatment for anxiety therapy. In addition, we also provide a number of professional CBT Bristol services. Please click the icons below for more details.




Hear from those who have transformed their lives with our therapy services. Read their experiences below and explore more testimonials to see how our evidence-based therapy has made a difference.
James has a really good mix of method and empathy in his therapy. He will reassure you when things are tough but also remind you of the progress you are making and what you have learned. I really believe I have developed solid foundations to manage my mental health and cope with the inherent uncertainty in life.
H T
I finally found a therapist in James, who I really felt cared and invested in me and my recovery. Not only did he create a comfortable and safe environment to talk inside, he also came out with me to my ‘panicy situations’, so that he could understand my triggers as they happened. He helped me see that I could take on my anxiety and embrace it.
J P
Short reads on anxiety and CBT