Rediscover calm, clarity, and confidence
Psychologist in Hornsby · Upper North Shore
Therapy for anxiety, OCD, stress, trauma & more — in Hornsby or via telehealth. Evenings & weekends available.
Evidence-based therapy on the Upper North Shore
Based in Hornsby, opposite Hornsby Hospital, I offer warm and structured psychological therapy for adults dealing with anxiety, low mood, stress and burnout, trauma, autism, and a range of other concerns.
My approach is collaborative and grounded in evidence — focused on helping you develop practical strategies that lead to real, lasting change. Whether you're navigating a specific difficulty or simply feel like something needs to shift, you're welcome to reach out.
Ready to get started? You can check availability and book a first session online, or call (02) 8428 9210.
Telehealth: Available anywhere in NSW or Australia.
Central Coast: In-person sessions also available at our Gosford clinic.
Supporting adults across a range of difficulties
If one or more of these areas resonate, you don't need to work it out alone.
Anxiety, worry, and panic attacks
Racing thoughts, tension, overthinking, or sudden waves of panic. You might feel constantly on edge, avoid situations "just in case", or find yourself seeking reassurance without relief.
- Generalised worry
- Panic attacks
- "What if" thinking
- Physical tension
Depression and low mood
Feeling flat, empty, or disconnected from things that once mattered. You may be going through the motions, withdrawing from people, or struggling with motivation and energy.
- Persistent low mood
- Loss of interest
- Fatigue
- Withdrawal
OCD and intrusive thoughts
Unwanted thoughts, mental images, or urges that feel disturbing or "not you" — often followed by rituals, checking, or mental reviewing to feel okay. OCD can attach to almost anything.
- Intrusive thoughts
- Compulsive checking
- Mental rituals
- Contamination fears
Phobias and specific fears
An intense fear response to specific situations or objects — flying, needles, driving, heights, animals, or medical procedures. Avoidance can quietly shrink your world over time.
- Flying & heights
- Needles & medical
- Driving
- Animals & insects
Trauma and PTSD
Intrusive memories, nightmares, hypervigilance, or emotional numbness after something overwhelming. You may feel unsafe in your own body, avoid reminders, or notice strong reactions that feel out of proportion.
- Flashbacks & nightmares
- Hypervigilance
- Emotional numbing
- Avoidance
Stress, burnout, and perfectionism
Pushing yourself relentlessly, never feeling "good enough", or running on fumes. Perfectionism and chronic stress can quietly erode energy, sleep, and relationships before you realise how depleted you've become.
- Chronic overwork
- Perfectionism
- Emotional exhaustion
- Loss of balance
Social anxiety, confidence, and assertiveness
Fear of judgement, difficulty speaking up, or avoiding social situations. This can show up as over-preparing, replaying conversations, or quietly reshaping your life around what feels "safe".
- Fear of judgement
- Difficulty saying no
- Self-doubt
- Avoidance of social events
Insomnia and sleep difficulties
Difficulty falling asleep, staying asleep, or waking feeling unrefreshed — often fuelled by anxiety, racing thoughts, or unhelpful sleep habits that have built up over time.
- Sleep onset difficulty
- Night waking
- Racing mind at bedtime
- Fatigue & daytime impairment
ADHD-related challenges
Procrastination, overwhelm, time blindness, or "inconsistent" motivation despite being capable and intelligent. Many adults with ADHD also experience emotional reactivity, rejection sensitivity, and burnout.
- Task initiation
- Time management
- Overwhelm & clutter
- Emotional dysregulation
Autism and related difficulties
Sensory overload, social fatigue, masking, or identity questions. Support focuses on understanding your nervous system and strengths — not forcing yourself into a one-size-fits-all way of coping.
- Sensory sensitivity
- Masking & burnout
- Social navigation
- Identity & self-understanding
It's a mix of things — or I'm not sure
It's very common to recognise parts of several areas. Therapy helps make sense of what's happening and find a way forward that fits you — you don't need a clear label to start.
Warm, structured, evidence-based therapy
James provides warm, structured, evidence-based therapy — working collaboratively with each client to build practical strategies that support meaningful and lasting change.
With experience across Queensland Health, Aurora Healthcare, Griffith University Psychology Clinic, and private practice, James brings a broad clinical background to his work with clients in Hornsby and across Sydney's Upper North Shore.
Learn more about James's approach →
Meet James in 2 minutes
Transparent pricing
$141.05 per session
Out-of-pocket cost on weekdays with a Medicare rebate
Full session fee is $240 per 50-minute appointment. A Medicare rebate of $98.95 applies with a GP Mental Health Treatment Plan. Weekend sessions incur a $20 surcharge.
NDIS psychology support⌃
For NDIS psychology support (plan-managed and self-managed participants), sessions are $232.99 per appointment.
MindSure Psychology provides therapeutic mental health-related supports only. We do not offer behaviour support plans or functional capacity assessments.
Common questions
A few of the questions people commonly ask before getting started with therapy at MindSure Psychology.
How quickly can I get an appointment?⌃
You can check live availability and book directly online, or call (02) 8428 9210 if you prefer. Most clients are able to book an appointment within 2–7 days, often in the same week.
Do I need a referral?⌃
No. You can self-refer and book an appointment without a referral. A GP Mental Health Treatment Plan is only required if you would like to claim Medicare rebates.
My GP referral or Mental Health Treatment Plan is addressed to another psychologist — is that okay?⌃
Yes — that's completely fine.
If you have a valid GP Mental Health Treatment Plan, you can still attend sessions at MindSure Psychology and claim Medicare rebates, even if the referral is addressed to a different psychologist or practice.
This is very common, particularly when people are booking based on availability, location, or personal fit. As long as your Mental Health Treatment Plan is current and you're eligible for Medicare rebates, we can proceed without any issues.
Are sessions confidential?⌃
Yes. Everything you share in therapy is confidential, with only rare legal or safety-related exceptions. Records are stored securely in line with Australian Privacy Principles.
What can I expect in my first session?⌃
Your first session focuses on understanding your background, current concerns, and what you would like to work towards in therapy. Together, we'll begin forming a clear, evidence-based plan tailored to your needs.
How do I make my first appointment?⌃
You can book online, call (02) 8428 9210, or email us directly. If you have a referral and Mental Health Treatment Plan, please bring these documents to your first session.
Book your first session
It's completely normal to feel unsure about starting therapy — we'll take it at your pace.