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.

James Hicks, Clinical Director at NOSA CBT, was featured in a BBC News article discussing the realities of hoarding disorder and the emotional impact behind it.
As a national service with an emphasis on flexible care, we can work with you anywhere in the UK. You will work with specialist CBT therapists who understand anxiety and how avoidance can keep difficulties going.
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:
For a deeper look, please read our guide on cognitive behavioural therapy for more details.

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.
Our CBT Bristol services include a specialist OCD clinic, alongside teaching, training and supervision for students and professionals. These services are grounded in specialist CBT therapy, evidence-based practice and practical clinical experience.



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
You can start by contacting NOSA through the website or by phone. We will review your enquiry and, where appropriate, let you know the next step, which may include arranging an initial consultation or contacting you when suitable availability becomes available.
Yes. Where appropriate, NOSA can offer support with a specialist CBT therapist in Bristol. We will discuss your needs, explain the treatment process, and recommend the most suitable way to begin.
Your first appointment is a chance to understand what has been happening, how it affects your daily life, and what you would like to change. From there, your therapist can begin to map the patterns keeping the problem going and suggest a clear treatment plan.
CBT helps you understand the connection between thoughts, feelings, physical sensations and behaviours. Treatment then focuses on practical steps that help you respond differently, reduce avoidance and build confidence over time.
Specialist CBT may be right for you if anxiety is affecting your choices, routines, relationships or confidence. If you are considering cognitive behavioural therapy in Bristol, an initial consultation can help you decide whether this approach is the right fit.
Clear reads on CBT, the problems we treat, and how our therapy can help you.

In-depth resources that explain key CBT concepts across anxiety, OCD, PTSD, and more.
