Cancer psychological therapies

What we do

Psycho-oncology supports people whose lives may have been affected by cancer, including people diagnosed with cancer, and also their partners, children, and other family members.

We offer this support via a broad range of therapeutic services, including psychological therapy on an individual, couple, or group basis.

The types of difficulties that we support people with include:

  • Coping with the initial diagnosis of cancer.
  • Responding to the impact of cancer-related treatments.
  • Dealing with changes in life circumstances, including work, social life, and relationships.
  • Anxiety, depression and other mental health issues.
  • Trauma-related problems.
  • Sexual functioning and relationships.
  • Phobias related to cancer treatment.
  • Adjusting to life after cancer.
  • Body image issues.
  • Fears about the recurrence of cancer.
  • Maintaining quality of life during cancer treatment and beyond.
  • Pain caused by cancer and / or cancer treatments.
  • Coping with Palliative care.
  • Coping with end of life issues.
  • Bereavement.

In addition to supporting people whose lives have been affected by cancer, we also offer training, supervision, and consultation to other health professionals.


The team consists of a range of experienced clinical and counselling psychologists, psychotherapists, counsellors, drama therapists and other specialist psychology services and interventions.  We also have trainee/assistant psychologists on placement.

We use a variety of different evidence-based approaches in our work, including psychodynamic psychotherapy, systemic therapy, integrative therapy, cognitive behaviour therapy, relationship and sexual therapy, narrative therapy, mindfulness, ACT, Compassion Focussed approaches and other creative therapies.

The cancer psychology team also work alongside and provide consultation and support to clinical nurse specialists, Consultants and Oncologists, inpatient ward visits, community Macmillan services. The team also work and link with a number of projects such as 'Health and well Being'.


Appointments for psychological therapy typically last 50 minutes and are usually held on a weekly or fortnightly basis, but can be arranged more or less frequently if required.  Contact by telephone can also be arranged if it is difficult to visit one of our locations in person.

The first appointment is called an assessment, and is generally about getting to know you and asking you to tell some of your story, and your cancer journey. During this assessment, your therapist will think with you about what you need, whether therapy will be useful for you, and what goals your therapy may want to head towards.

Meet the team

Marc Kingsley, specialist care pathway lead

I am the specialist care pathway lead for CHPS. I have trained as both a clinical psychologist in 1995 and adult psychotherapist in 2003, and worked extensively in both mental health and physical health settings.

I have a keen interest in working together with our Trust Lead for CHPS and team in providing the best practice and highest quality or psychological care for patients, carers and families living with physical health conditions. I am also involved in the regular ongoing Psychological training and supervision of non-Psychological staff, such as in the provision of Level 2 supervision to cancer nurse specialists, consultation and training for teams and management of clinical health psychological practitioners. 

I am deeply committed to the ongoing local and national development of Clinical Health Psychology. In 2016, I was privileged to be afforded the opportunity to be elected as a member of the British Psychological Society, Division of Clinical Psychology, Faculty of Clinical Health Psychology . I am also a member of the British Psychological Society's Cardio-Respiratory, Critical Care & Liaison Psychology Network.

I work within the NELFT/ BHRUT collaborative partnership and clinically specialise in psycho-oncology. I am privileged to form part of the London Cancer Network Expert Reference Group, a dedicated forum for the promotion of pan-London excellence in cancer care.

Kim Lyons, registered specialist CBT therapist

Kim Lyons is a registered highly specialist CBT therapist who graduated from London South Bank University  in 2012.Kim is dual trained as a nurse and has worked extensively as a psychological therapist in both clinical and mental health settings with a range of client groups and clinical presentations including Pain management, IAPT, Cardiac Rehabilitation, Oncology, Clinical Health as well as psychoprosthetics where she works with both children and adults

Kim has a special interest in pain management and uses an integrated approach using CBT/ACT, Mindfulness therapies and is trained in Graded Motor Imagery.

Suraj Mehan, honorary assistant psychologist

My background is in clinical psychology graduating with a BSc (Hons) in Psychology in 2013 and an MSc in Clinical and Abnormal Psychology in 2015. I have worked in various settings within the voluntary, charity and NHS sector including brain injury, bereavement, mental health and spiritual and pastoral care.

Ever since gaining this NELFT post in November 2016 my passion for clinical health psychology has grown exponentially. Hence, I am involved in various roles within the trust from admin support, service research and development to assisting in support groups and therapeutic mindfulness groups. I also work in partnership with BHRUT in shadowing and co-facilitating behavioural couple therapy sessions within the psycho-oncology service. In addition, I work in partnership with BARTS Health NHS Trust within the Orthognathics service providing support in the psychological screening of patients and in research and service development.  

Sylvia Puchalska, specialist senior clinical psychologist

Sylvia Puchalska is a highly specialist senior clinical psychologist. She graduated from the University of Hertfordshire in 2011. She has worked across a range of clinical health settings in that time, including HIV and sexual health, obesity. psychoprosthetics, cardiac presentations and rehabilitation. Sylvia has found her passion working within psycho-oncology, and has been in post for the past 4 years. Sylvia holds the post as research officer for the BPS DCP Faculty of Clinical Health and is our UCL Improvement Fellow. Sylvia’s research interests include provision of excellence psychology service for oncology patients, and she is currently involved in several audits on this area of quality improvement.

Rajinder Sahota-Dhillon, specialist counselling psychologist

Rajinder is a specialist and experienced counselling psychologist working with patients and their families who are living with/affected by cancer. She has worked in clinical health for many years and acquired accreditation as a specialist sexual and relationship psychotherapist and CBT practitioner, enhancing skills in third wave models such as ACT, Adjustment and CFT.

Rajinder has continued to work with complex and sensitive cases increasing opportunity of psychology  for individual and couples and she has extensive experience working in palliative care and end of life issues.   

Rajinder has worked as an active workgroup member of London Cancer’s Level 2 training and supervision for CNS’s promoting, developing and introducing this service more locally in BHRUT. In addition, revising and monitoring this process since 2014.

Since 2015 Rajinder has developed an interest and increased her training and practice in Mindfulness offering patients and staff opportunity for wellbeing in this area of  speciality. She has also continued to support clinical health psychology services by offering supervision, support and training to colleagues and trainees.

Paul Deller, clinical psychologist

My name is Dr Paul Deller. I am a qualified Clinical Psychologist. I specialise in clinical health psychology and currently work in Oncology and Haematology at Queens Hospital, and the Clinical Health Psychological Therapies Service in Waltham Forest. I have worked in a range of services including oncology, sexual health, and mental health. My specialist interests include existential and psychodynamic therapies and third wave therapies including mindfulness and Acceptance and commitment therapy. I also have experience facilitating staff reflective practice clinical discussion groups. 

Daniela Gallini, drama therapist

Daniela Gallini is an HCPC registered drama therapist. After completing her BSc in Psychology at The Univerity of Nottingham (2014) she specialized in working with the arts and drama at The University of Roehampton. She has a wide range of experience facilitating individual and group therapy to victims of domestic abuse,  minorities living in London and cancer patients. She also has experience working with children with a wide range of psychological needs including, depression, anxiety, and misbehaving conduct. 

Daniela has a special interest in working with cancer patients and helping them explore and process their emotions through the arts and the use of mindfulness. 

Susan Laut, specialist psychotherapist

Susan works as a specialist psychotherapist in HIV. She is part of the integrated sexual health team and is employed directly by Barking Havering & Redbridge University Hospitals NHS Trust (BHRUT) as part of a community team providing support to people living with HIV from diagnosis onward. Susan is also holds an honorary position at NELFT NHS Trust, and works closely with the Clinical Health Psychological Service

Susan has extensive experience in HIV having worked in this area of care since 1992 witnessing the development of effective treatment and by virtue the move from HIV as a life limiting condition toward helping people manage HIV as a long term medical condition.

Prior to training as a psychotherapist Susan worked as a specialist nurse in  palliative care, she still maintains an interest in this area of work providing professional consultation to the NELFT psycho-oncology team working with BHRUT. Susan is passionate about staff support and continues to provide consultation to a number of staff in sexual health. Until recently she also provided consultation to staff working at two hospices in Essex.

Susan has been interested in and practised mindfulness for a number of years and has undertaken teacher training.  As part of her honorary contract with NELFT she has worked alongside colleagues to help introduce mindfulness into the Barking & Dagenham memory group programme and was part of a research project undertaken by UCL on mindfulness in Dementia. Susan runs weekly mindfulness drop in sessions for her colleagues in sexual health and most recently has developed and run a mindfulness programme for people living with HIV which was presented as a poster at one of the national HIV conferences.

Susan has been married to her husband Graham for 43 years. They have 2 daughters and 4 grandchildren. Interests include travelling to Italy, yoga, gardening swimming and keeping up with the grandchildren!

Where the service is based

Queen’s Hospital
Oncology/haematology Dept
Queen’s Hospital
Rom Valley Way

Opening times: Monday -Friday, 9am-5pm

King George Hospital
Cedar Centre
King George Hospital
Barley Lane

Opening times: Monday, Tuesday, Thursday 9am-5pm

Broad Street Health Centre
Morland Road
RM10 9HU

Opening times: Tuesdays 10am-5pm

How to contact us

Psycho-oncology team
Oncology/haematology Dept
Queen’s Hospital
Rom Valley Way

Tel: 01708 435 360
Mobile: 07825 256 922