Award winning dermatology service, with over 20 years of experience
Short waiting lists, on some occasions offering same week appointments
Safe environment, in Care Quality Commission approved facilities

Psychology Services In London.

At the Harley Street Dermatology Clinic we know how big an impact skin disease can have on your life and consequently how important the right treatment can be. In addition to providing treatment for your physical symptoms, we also provide care to help with the other effects that these conditions can have on your health and wellbeing. Having a skin condition or another dermatological problem can have a big impact on your mood and confidence, and it can leave you feeling self-conscious or anxious when you meet other people. We have a clinical psychologist in the clinic, who can help with the social and emotional side of your care. Our experienced psychologist can help you to adjust to your diagnosis or provide tools to help you cope with your symptoms.


Arrange a consultation with our expert clinical psychologist today.

Image of Cross | Harley Street Dermatology Clinic


Our consultations are tailored to your individual needs. They aim to reduce stress, worry and low mood which may be impacting on your skin condition. As well as thinking about how your skin condition impacts on your life and relationships.

We can provide a space to talk about:

  • The interaction between your skin condition and stress
  • Worries about your appearance
  • Adjustment to a diagnosis of a skin condition
  • The impact of your skin condition on your body image, self-esteem, quality of life
  • The impact of your skin condition on your relationships
  • Learning to live with your skin condition
  • Difficulties with skin picking, hair pulling and itching
  • The impact and meaning of diagnosis of cancer to you and your family and friends
  • Other associated difficulties e.g. low mood, worry, anxiety and depression


  • Psychoeducation
  • Practical problem solving and ways of coping
  • Noticing repeated patterns in your life and changing them
  • Relaxation techniques
  • Cognitive Behavioural Therapy
  • Systemic Therapy
  • Narrative Therapy
  • Acceptance & Commitment Therapy
  • Habit reversal


We often suggest that you start with a longer appointment of one and a half to two hours. This enables us enough time for you to talk about the impact on your life of current skin condition and what you would like to be different without feeling hurried. We will have time to explore what you have already tried in relation to managing your skin condition. By the end of the initial consultation, there will be time for us to share some initial thoughts, and consider what might be useful first steps, in relation to the use of therapy in managing your skin condition. Depending on what you want to change and how you think about the world we will choose whether to work from a CBT, Narrative, Systemic or Behavioural framework.

At the initial consultation, I will ask you to fill out a questionnaire that relates to the kind of worries and difficulties that people have in managing skins disorders. The aim of this is to clarify what you might like to change as a result of us working together, and also enables us to be able to track progress in your sessions.

Future sessions can be either one hour or one and a half hours long depending on your preference. They are usually scheduled every 2 weeks (but can be weekly or monthly).

The length of treatment varies according to the wishes and needs of each individual. Some people only require one or two consultations with me; others need a course of meetings. This is negotiated between us at the time. Typically a course of treatment is 12 sessions.


The Harley Street Dermatology Clinic is located in the centre of London. If you are uninsured (i.e. self- funding), you can book an appointment directly by Phone or by email.

If you have medical health insurance, you will need a referral from a General Practitioner and to obtain an authorisation code from your insurance company before you can be seen or treated. Without these, you may find that your insurer will not reimburse your costs.

Our psychologist is registered with all the major insurers in the UK and internationally.


Sarah Coles Consultant Dermatologist

Dr Sarah Coles

B.Sc (Hons), D.Clin.Psych, FBPsS, C Psychol. PG Dip in Applied Systemic Theory, MA Systemic Psychotherapy (Family Therapy)

Dr Coles is a Chartered Clinical Psychologist, a member of the Division of Clinical Psychology, a fellow of the British Psychological Society as well as a member of the Health Professionals Council. She is also a qualified Systemic Psychotherapist (Family Therapist).

She studied Psychology at the University of Liverpool before working in the NHS as a Research and Assistant Clinical Psychologist. She completed her doctorate in Clinical Psychology at University College London in 2008. She has worked in the NHS for over 13 years NHS in a range of clinical settings including with children and young people, older adults, and people with Intellectual Disabilities around a wide range of clinical issues including adjustment to diagnoses, and long term health conditions.

Dr Coles has 8-years post-qualification experience working in the NHS as a chartered Clinical Psychologist in Oxfordshire for individuals, groups, families and staff teams. She provides teaching to Southampton, Oxford and Salomon’s Clinical Psychology Doctoral Courses. She regularly supervisors others and receives supervision on both her private and NHS work.

She works using a range of talking therapies including; Cognitive Behavioural Therapy, Systemic psychotherapy, and Narrative approaches. She believes in important to work alongside her clients to gain a shared understanding and approach to difficulties, tailoring interventions to meet the individual needs and preferences of her clients. Dr Coles has a special interest in systemic models of working, and completed her post-graduate diploma in applied systemic practice in June 2013. She is now undertaking a Masters in Systemic Psychotherapy.


Having the right dermatologist is important especially when you have a chronic skin condition that will require ongoing treatment. We want you to feel confident that we’re providing you with the best possible care. We also want you to feel as comfortable as possible with your dermatologist.

The Harley Street Dermatology Clinic specialises in conditions affecting the skin, hair and nails. Our goal is to provide all the care that you need when you’re experiencing these kinds of problems. We want to make it easy for you to access the best quality treatment and support in London.

The clinic is conveniently located in Central London, so it’s easy to visit us if you need to see a dermatologist. You will find yourself in a very comfortable and welcoming environment. We have created a relaxing space where you will receive the highest quality of care. We are regulated by the Care Quality Commission, are part of the British Association of Dermatologists and are top rated by patients of Doctify so you can be sure of safe and effective treatment with us.


Finding Us

The Harley Street Dermatology Clinic
35 Devonshire Place

The clinic can be accessed by public transport, on foot or by car. There is paid on street parking around the Harley Street district. The nearest tube stations are Regent’s Park and Baker Street, and Marylebone train station is a 15 minute walk away.

Opening Hours

While appointments can be made available outside usual hours in special circumstances, our core hours are:
Monday: 8am - 6pm
Tuesday: 8am - 6pm
Wednesday: 8am - 6pm
Thursday: 8am - 6pm
Friday: 8am - 6pm
Saturday : 10am - 2pm
Sunday: Closed


Please fill in this form and one of our team will give you a call back to arrange a consultation with our expert clinical psychologist.