My research interests lie in the causes and treatment of bipolar disorder and psychosis particularly in their earliest stages. I work clinically within Early Intervention - people with bipolar disorder typically have the illness for ten years before receiving the correct diagnosis; reducing this diagnostic delay through early detection and early intervention has the potential to truly transform outcomes.

My clinical work informs my interests across a range of related areas:
- developing the best available evidence to inform treatment choices, particularly through advanced meta-analysis of clinical trial data
- improving evidence presentation to improve engagement and shared decision making
- using the Clinical Record Interactive Search (CRIS) System to better understand the realities of care for bipolar disorder
- understanding vulnerability and resilience mechanisms, and the possibility of diagnostic markers, through techniques such as Magnetic Resonance Spectroscopy
- evaluating promising new interventions for improved wellbeing and long term outcomes
- understanding and capturing variation in risk of admission to hospital with psychosis

I am also collaborating with colleagues on several multi-centre studies including PPiP, SINAPPS2 and PSYSCAN.

http://orcid.org/0000-0003-4716-4662

I studied medicine at Cambridge and Oxford before training in psychiatry in the Oxford region. My academic training was supported by a Wellcome Trust Research Training Fellowship and a NIHR Clinical Lectureship.

I work as a consultant psychiatrist in Early Intervention for South London and Maudsley NHS Foundation Trust, as a Psychosis representative on the Trust Drugs and Therapeutics Committee, as chair of the Psychosis Clinical Academic Group physical health committee, and as Associate Clinical Director for the Early Intervention pathway.

I have contributed to the organisation and delivery of the new KCL medical school Curriculum 2020, and also teach elsewhere including several MSc courses based at the IOPPN.