Individual Therapy Relational Psychodynamic Psychotherapy  ·  Gold Coast & Telehealth

The work is not about what happened.
It is about who you became in response to it.

Relational psychotherapy for people whose difficulty lives in how they exist: in their relationships, in their sense of themselves, in patterns that repeat regardless of what they understand about them.

If you have had therapy before and something central was not reached, this is often where that work continues.

Jackson Hill
Who comes

People arrive here carrying many different things. Anxiety that has never quite responded to the techniques designed to treat it. Depression that feels less like an illness and more like a way of being. Relationships that follow the same pattern no matter how clearly you can see it. A self that shifts depending on who is in the room. The sense of performing a version of yourself so reliably that you have almost forgotten it is a performance.

Others arrive carrying experiences, identities, or ways of living that have not always been met with understanding: including people in the LGBTQ+ community, those in kink or non-traditional relationship structures, sex workers and adult content creators, and anyone who has learned to edit themselves before entering a room.

This is a place where none of that requires explanation before you arrive. You are welcome here as you are.

What tends to come up

People rarely arrive with a clean description of what is wrong. They arrive with something more like a felt sense, or a pattern they have noticed but cannot seem to shift.

Sometimes people arrive knowing exactly how to be liked, useful, easy, desirable, competent, calming, impressive, or needed, and almost no idea what they actually feel when nobody else is there.

The sense that the self you show has become, without choosing it, the only one available.

The version you show has become so reliable that you have almost forgotten when you learned it.

Feeling like you are never quite enough, regardless of what you have achieved.

The recognition comes and is already dissolving before you can hold it.

Relationships that follow the same pattern no matter who you are with.

You can see it clearly. You cannot seem to stop it.

Anxiety that has not responded to the approaches designed to treat it.

The techniques worked, to a point. The thing underneath them did not shift.

Depression that feels less like an illness and more like a way of being.

Not a low mood that lifts. Something that was there before you had words for it.

You can explain your experience to someone with surprising clarity, and still feel completely unable to change it.

The understanding is real. It has not been enough. That gap is where a great deal of your life has been happening.

If there were labels

BPD · NPD · Schizoid presentations · Histrionic presentations · Complex PTSD · Attachment-related difficulties · Dissociative experiences · High-functioning distress · LGBTQ+ affirming work · Kink-aware practice · Sex work and adult industry · Healthcare workers · Depression · Anxiety · Grief · OCD · Bipolar disorder · Eating difficulties · Self-harm · Performance anxiety · Identity and self-experience

A diagnosis is not required to begin.

How I think about therapy

The relationship between us is not the container for the therapy. It is the therapy.

This is not about technique. It is about what becomes possible between two people when attention, time, and emotional reality are taken seriously.

What you carry in your relationships with others will find its way into this room. The way you relate to me: what you expect, what you fear, what you find yourself needing but not saying, will reflect patterns that have shaped your life outside of it. This is not a complication of the work. It is the work.

These patterns were not formed as ideas. They were formed as lived, repeated emotional experience in early relationships. Because of that, they do not change through insight alone. They change through new relational experience that is real, sustained, and emotionally present.

The approach is integrative.

Some people need help understanding what happens inside them when they are overwhelmed: how anxiety moves through the body, where feeling disappears before it can be spoken. For this, I draw on Intensive Short-Term Dynamic Psychotherapy (ISTDP): structured, precise work that can produce meaningful change in a relatively short period of time.

Others need longer work: not only to understand their internal world, but to understand the relational patterns that repeat across time, and to work with them as they happen between us. This is where relational and transference-focused work becomes central. Some people move between these approaches across the course of their therapy.

Psychological difficulty does not only live in thought or narrative: it lives in the body. In the tightness that arrives before a certain kind of conversation. The flatness that descends without explanation. The arousal that precedes the shutdown. Somatic and body-informed approaches are woven through the work where relevant: attending to what the body is communicating that language has not yet reached, and working with the nervous system as part of the relational field rather than separately from it.

This work sits within a broader relational psychodynamic frame: one that holds that the therapeutic relationship is co-created between us, and that my own emotional experience in the room is a source of information rather than noise to be managed. What I feel in the presence of your material matters. It tells us something. That approach means the work is genuinely mutual: not symmetrical, but mutual. Two people in real contact, working with what arises between them.

One of the frameworks I work within is Transference-Focused Psychotherapy: a structured, evidence-based approach that works directly with what happens between us in the room, in real time. I pay close attention to what our interactions carry: what surfaces when something is named, what is being enacted rather than spoken, what your experience of me reveals about your internal world. I am active and direct in this. I will name what I notice and bring us back when we move away from something important.

What is transference? →
What sessions are actually like

Fifty minutes. We begin wherever you are.

Sessions here run for fifty minutes. They do not begin with a checklist or a mood scale.

We begin wherever you arrive.

Some people come in with something specific: a conflict from the week, a feeling they couldn’t name, something they noticed about themselves. Others arrive not quite knowing why they sat down.

The work is slower than people often expect. I don’t move quickly toward solution or away from discomfort. When something important is in the room, I tend to stay with it. Sometimes I’ll name something I notice between us: not as an interpretation, but as an observation. What surfaces in those moments tends to tell us more than a more directed session would have. The urgency to move somewhere is often itself part of what needs to slow down.

There are sessions that feel like nothing much happened. Sometimes those are the ones where the most did.

You don’t need to know what you’re looking for before you begin. You don’t need to arrive with insight, a theory of yourself, or a clear description of what is wrong. You need to arrive. The rest can begin from there.

How change happens

Change does not begin with insight. It begins with something shifting in the emotional experience itself.

What tends to move first is not the symptom. It is the structure underneath the symptom: the way anxiety is organised, the way connection is managed, the set of positions that have become automatic in relationships. When those begin to shift, the symptoms often follow. When they do not shift, symptoms return regardless of how much is understood.

The work uses the relationship between us to do this directly. When a pattern from your life appears between us in the room, and it will, because the patterns are relational, that is not an interruption to the work. It is the work becoming available in real time, with someone who is paying attention to it.

Where early experiences have been particularly wounding, where the inner critic is not just loud but annihilating, where shame runs deeper than insight can easily reach, I draw on Compassion Focused Therapy. This is not about positive thinking. It is about developing a different relationship with the parts of yourself that formed under conditions of fear, neglect, or pain. Learning to approach that younger, more frightened self with something other than contempt. That shift, from self-annihilation toward self-recognition, can be one of the most significant movements in the work, and it often happens in the body before it happens in words.

These modalities are not applied in sequence or in isolation. They are woven together in response to what each person brings and what the relationship between us reveals. The approach is rigorous and theoretically grounded: and it is also alive, responsive, and shaped around you.

Relational therapy requires time. Not because psychological change is slow: though it is often nonlinear, but because the relationship itself needs time to become something real. Long enough to become conflicted, disappointing, surprising, meaningful, and transformative: and for us to work with all of that.

Relational therapy on the Gold Coast  ·  Transference-Focused Psychotherapy

Not sure if this is the right fit? Send a message first.

Before you begin

This is not structured skills training, and it is not a program with a fixed endpoint. The work is relational, depth-oriented, and shaped by what you are actually carrying and what you are trying to reach.

Some people work here for months. Others for years. Nothing is determined before we have spoken. The first session is a genuine conversation about whether this approach makes sense for you, and whether working together feels right.

You do not need to understand the approach before you begin. You need to be curious about what might be possible.

This practice is not currently accepting referrals under NDIS, WorkCover, DVA, or for people involved in active legal proceedings.

Where this practice has particular depth

These reflect genuine clinical interests, not specialty categories. I have spent enough time with people in each of these situations to understand the particular terrain: what tends to get missed, and what this approach allows. Naming them here is an invitation, not a boundary.

This practice is not that. I work with people in these industries without pathologising the work, without assuming it is the source of distress, and without an agenda to move someone away from how they have chosen to live and earn. Sometimes the work is a genuine expression of agency, sexuality, and financial autonomy. Sometimes it carries complexity: relational, psychological, historical, that deserves careful attention. Often it is both simultaneously, and the nuance of that is precisely what most clinical settings fail to hold.

What tends to come up in this work is not always about the industry itself. It is frequently about the things that drew someone to it, the things it has made possible, and the things it has cost. The relational compartmentalisation required to do the work well. The question of who knows, and what it costs to manage that.

The clinical questions that arise here are distinct. They deserve a practitioner who actually understands them.

This practice is kink-aware, sex-work affirming, and LGBTQ+ inclusive. No part of how you live, work, or love requires justification before you arrive.

The language of vocation: of calling, of resilience, of being built for this, has a way of making it very difficult to be honest about what the work actually costs.

What finds its way into the room from this population is often not a single traumatic event but an accumulation. The slow deposit of witnessed suffering that has nowhere to go at the end of a shift. The moral injury of systems that ask more than they can provide. The particular dissociation required to do the work competently: and what that dissociation does, over time, to the capacity for ordinary emotional life outside of work. On trauma therapy →

Many healthcare workers arrive having spent years being exceptionally good at providing for others exactly what they have never been able to ask for themselves. The experience of being the one who is cared for: who is allowed to not be fine, can be profoundly disorienting. This practice understands the culture you work in. The dark humour, the hypercompetence, the difficulty asking for help. You do not need to translate any of that before you arrive. On the difficulty with being cared for →

What distinguishes this group clinically is not the pressure or the visibility: it is the particular way that performance, over time, can make genuine contact more difficult. The skills that produce excellence: the regulation of internal states, the ability to project confidence regardless of what is actually happening, the discipline required to execute under scrutiny, are often the same skills that keep authentic experience at a distance. By the time someone in this group arrives in a room, they may be extraordinarily good at presenting a coherent self. The difficulty is that it is no longer entirely clear to them which self is actually theirs.

There is also a particular quality of isolation that comes from the visibility itself. Being widely admired does not address the need to be genuinely known. Sometimes it makes that need harder to locate, and harder still to permit. This practice understands the texture of that dynamic: the gap between the public self and the private one, the exhaustion of maintaining that gap, and what it costs when there is nowhere to put it down.

High-functioning distress tends to be underdiagnosed and underserved precisely because it is so well managed. The people in this group are often told, explicitly or implicitly, that they have more than most people and should be fine. That observation is frequently accurate and entirely beside the point.

How to begin
01

Make contact

You can book directly through the online booking system, or send a message if you would prefer to make contact first. No referral required. Jackson responds to every enquiry personally.

02

First session

Not an intake. We dive straight into the present: what is happening for you right now, what you are hoping for, and what it would mean for things to be different. Relevant history finds its way in when it needs to. By the end, we will both have a clearer sense of whether this work is the right fit.

03

The work

Sessions are 50 minutes, weekly to begin with. The pace is yours. Some people work here for months, others considerably longer. Nothing is determined before we have spoken.

In person Miami, Gold Coast
Telehealth Anywhere in Australia
Telephone Available
Walk & talk Gold Coast (by arrangement)
$80 Out of pocket with care plan

Full fee $225. Medicare rebate $145 with a valid Mental Health Care Plan from your GP. No referral required to book. No bulk billing.

Concession arrangements considered case by case. Get in touch to discuss.

Book a session →
Frequently asked

No. You can book directly. A Mental Health Care Plan from your GP reduces your out-of-pocket cost significantly through Medicare rebates: but it is not required to begin.

CBT works with thoughts and behaviours. This work goes deeper: the emotional and relational architecture underneath, including what you cannot yet put into words. The relationship between therapist and client is the primary vehicle for change, not a set of techniques applied to a problem.

That depends on what you are carrying and what you are trying to reach. Some people work here for months: a focused period with a clear enough aim and real movement within it. Others work for considerably longer, building something that takes time to become possible. The work is not linear in either case.

The first session is a genuine conversation about what makes sense for you. Nothing is predetermined before we have spoken.

Yes. This is depth work: slow, relational, and often uncomfortable before it is clarifying. If you are looking for a structured skills program or time-limited CBT, this is probably not the right fit. It tends to suit people for whom those approaches have not reached what is underneath.

Yes. Relational psychodynamic therapy is available via telehealth to clients throughout Australia. The therapeutic relationship develops fully in the online context: the relational dimension of the work is not diminished by the format.

Sessions are $80 out of pocket with a valid Mental Health Care Plan from your GP, or $225 without. No bulk billing.

This is one of the most common things people arrive with. Previous therapy, particularly shorter-term or skills-based approaches, often provides real benefit without reaching what is underneath. If you have insight into your patterns without being able to move them, relational psychodynamic therapy may offer what previous work could not.

You do not have to arrive with clarity about what is wrong.

Most people do not. A first session is a commitment to one conversation: nothing more.

Book a session →
Or send a message instead

Jackson reads and responds to every message himself.