Long term conditions psychological service

A specialist psychology service for people with diabetes, respiratory conditions, and coronary heart disease.

What we do

We are a team of psychologists and psychological therapists working with patients who have been diagnosed with a long term health condition i.e. diabetes, cardiac, respiratory conditions. We understand that having a long term health condition can have a serious or unpleasant impact on your day to day life. Seeing a psychologist/psychological therapist is helpful for many people.

Difficulties people bring to therapy:

  • Feeling frustrated
  • Low mood / loss of interest
  • Feeling stuck, hopeless, or lost
  • Feeling overwhelmed/ loss of control
  • Relationship difficulties due to the illness
  • Feeling different, isolated, or lonely
  • Feeling a burden on others
  • Feeling afraid, worried or stressed
  • Sleep difficulties


During your first session you will have the opportunity to discuss your needs or difficulties, what you would like to achieve or change through therapy. You will also have the opportunity to ask any questions and share any thoughts about this process.

We can offer weekly sessions or review follow up appointments according to your needs and this will be discussed with you.

We will help by:

  • Bringing out your strengths
  • Developing new coping skills
  • Talking about your concerns
  • Building on your support
  • Finding long-term solutions and avoiding short-term fixes
  • Supporting carers and partners

Meet the team

Mina Arvanitopoulou, Psychological service lead

Mina is a Highly Specialist Clinical Psychologist who graduated from University of Athens, Greece in 2004. She joined NELFT and the Clinical Health Psychology Service in 2007 and gained the Chartered Status through the Statement of Equivalence process in 2010. She is currently the Lead Clinical Psychologist for the Long Term Conditions Psychology Service in Barking & Dagenham and manages a team of Psychologists and Therapists that provide psychological treatment to patients with diabetes, respiratory conditions and coronary heart disease. Mina also runs the Psychology service within the Cardiac Rehabilitation Team at Queens Hospital for patients who have been diagnosed with cardiac related conditions or have undergone heart surgeries. She has been working within the clinical health psychology service for more than 10 years and she has extensive experience in working with patients with cardiac and other physical conditions. She is keen in delivering high quality service to patients through her management and clinical work.

Apart from her managerial and clinical work within NELFT, Mina maintains a private practice and is a registered Expert Witness for personal injury claims.

Valentina de Rogatis, Clinical Psychologist

I am an enthusiastic and passionate HCPC registered Clinical Psychologist. I moved to the UK in 2009, straight after completing my clinical training in Italy.

I have worked for several years in mental health in the NHS in both primary and secondary psychological services. I have worked with a wide range of client groups and services (CAMHS, IAPT, adult mental health psychology service, learning disabilities team) which has helped me to develop excellent clinical skills and practice different therapeutic modalities.

I am passionate about health psychology and I truly enjoy working with clients with long term conditions. I believe in the Mind/Body connection and I am committed in providing evidence based therapy to my patients.

My main orientation is Cognitive Behavioural Therapy and Third Waves Psychological Therapies including Mindfulness for Health & MBCT and ACT.

Andy Usher, Counsellor

Andy Usher, qualified counsellor since 1998 and undertaking a Doctorate in Existential Counselling and Psychotherapy.

I have worked in bereavement, palliative care, youth counselling, family support, cancer and diabetes. I have extensive knowledge of diabetes in my concurrent role with Diabetes UK. This helps in communicating with patients about the condition, its consequences, management and treatments as well as the psychosocial impact of diagnosis and living with the condition.

My interests encompass patient empowerment and autonomy, participatory approaches in research and psychotherapy and Lifeworld approach to patient health and wellbeing.

Errol Roman, CBT therapist MSc, BA (Hons), GD Psycho, Dip. N (Lond), PGC (Research), PGD (CBT), DACC (Kent), DMS, RMN

I started my professional career in the health service in psychiatric nursing before being trained in counselling while working in drugs and alcohol dependence. I subsequently went on to be trained in cognitive behavioral psychotherapy (CBT).

I have completed several major research projects in drugs and alcohol dependence and have over twenty years working in addiction. I have since developed extensive expertise in the treatment of people with diabetes and presently work in the Long-Term Condition Team, providing psychological care for people with diabetes and other long-term conditions.

Margreet Hendriks, Counselling Psychologist

Margreet is a counselling psychologist who did her counselling psychology training at City University in London where she graduated in 2007. Upon graduation she worked in mental health for a few years. Following this she worked for a few years in a clinical health psychology department specialising in general medicine which sparked her interest in specialising in clinical health psychology. Since then she has worked in a variety of clinical health psychology posts with extensive experience in pain management and long term conditions. She enjoys working in the long term conditions psychology team and has over the years developed an excellent working relationship with the respiratory multi-disciplinary medical team in which psychological thinking has been embraced and used in patient presentations and discussions.

Where our service is based

Long Term Conditions Psychology Services
Porters Avenue Health Centre
234 Porters Avenue

Tel: 0208 522 9804
Email: Nem-tr.CHPS@nhs.net
Opening times: Monday-Friday 9am-5pm
Lead Clinical Psychologist: Mina Arvanitopoulou

We take referrals for patients who are seen under the Long Term Conditions Service at Porters Avenue.