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Alex, at a glance...

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  • NHS and private sector settings

  • From early support to acute mental health crises and long-term support

  • Support with anxiety, trauma, self harm, identity, and relationships

  • Trained in in equine facilitated psychotherapy and systemic family therapy skills 


 

 

Professional Background

  • Relational and person centred

  • Focus on connection, understanding, and therapeutic relationships

  • Integrates psychoeducation and mind–body awareness (nervous system, regulation)

  • Informed by systemic practice

Professional  & Therapeutic Style

Alex’s work is shaped by both professional training and lived experience. Her own history includes childhood adversity, including emotional and sexual abuse, and the ongoing process of recovery from complex post-traumatic stress.

Alongside this, she has navigated neurodiversity, including ADHD and autism.

These experiences are not presented as a substitute for clinical expertise, but as something that deepens her understanding of trauma, complexity, and the realities of long-term healing.

Lived experience

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The work behind the practice...

Alex Penfold is a Registered Mental Health Nurse with many years of experience supporting children, young people, and families navigating emotional and psychological difficulties. She qualified and obtained her nursing registration with the Nursing and Midwifery Council in 2013 and has since developed a diverse and fulfilling career that continues to evolve. Alongside her private practice, Alex continues to work within the NHS on an ad-hoc basis and has also established a successful career as an expert witness in medicolegal practice.
 

Throughout her career, Alex has worked across a range of mental health services in both the NHS and the private sector. She has also practised as an equine facilitated psychotherapist in private practice. During this time, she has supported individuals experiencing challenges such as anxiety, low mood, trauma, self-harm, identity struggles, relationship difficulties, and the many complexities that can arise during childhood, adolescence, and early adulthood.

Alex has undertaken a wide range of professional training, including Equine Facilitated Psychotherapy, Foundation Family Systemic Practice Skills, and Intermediate Family and Systemic Practice Skills.
 

This training, alongside her experience of working with individuals facing difficulties ranging from everyday emotional struggles to severe mental health crises, has shaped the way she thinks about mental health nursing. In particular, it has strengthened her belief in the importance of relationships and connection as central to emotional wellbeing and recovery.
 

Her work is grounded in compassion, curiosity, and respect for each person’s individual story. As a mental health nurse, Alex believes that meaningful personal growth often occurs through the presence of a strong therapeutic relationship. For this reason, she places the therapeutic relationship at the centre of her work. She is deeply passionate about the role of mental health nursing within psychotherapy, which is explored further in her projects.
 

Alex’s approach is deeply relational. At times, this involves holding a reflective and compassionate space where clients can bring whatever feels most important in the moment. At other times, the therapeutic relationship provides a foundation for introducing therapeutic ideas and approaches that may support the work.
 

A significant part of her practice involves psychoeducation, supporting individuals—and parents of younger clients—to better understand their mental and emotional wellbeing.

As a nurse, Alex remains attentive to both mind and body. She is interested not only in psychological experiences, but also in how physical wellbeing, the nervous system, and the body’s stress responses influence emotional regulation and interactions with the world. She often supports clients in understanding how their nervous system functions and how this shapes thoughts, feelings, and behaviours.
 

Alongside her clinical training, Alex brings lived experience of neurodiversity and complex trauma. This has shaped her belief that people’s difficulties make sense within the context of their lives and relationships, and that meaningful change often begins with feeling understood rather than judged.

Outside of her professional work, Alex enjoys spending time with the people and animals that are important to her. She lives in the Midlands with her partner, and they share their lives with two horses, Loulou and Surprise, and two cats, Millie and Tiggy. Together, both the humans and animals in her life help to keep her grounded and have supported her in ways that are difficult to fully put into words.
 

Alex also has a long-standing love of music and singing. For many years, she performed in bands and at pubs, weddings, and private events. These days, she tends to prefer a quieter lifestyle, although she can often still be found singing along to music in the car.
 

She founded New Vision Nursing Ltd in 2024 and continues to feel a sense of gratitude for how the journey has unfolded. Building the practice has required commitment, patience, and ongoing learning.
 

What makes this work most meaningful to Alex are the people who choose to entrust her with their stories. Sharing one’s inner world takes courage—something she
understands from personal experience—and it is a privilege to be invited into that process. The connections she continues to make through this work are what make it deeply rewarding.

Publications

Penfold, A. (2025). Nurses as Psychotherapists: History, Barriers and the Way Forward. Nursing Times.
 

"In this article, Nurses as Psychotherapists: History, Barriers and the Way Forward, I explore the often-overlooked role of mental health nurses as therapeutic practitioners. Drawing on historical perspectives, I highlight how figures such as Hildegard Peplau helped establish the foundations of therapeutic nursing, and consider how this role has evolved and, in some ways, diminished over time.

I examine the structural, cultural, and professional barriers that have limited nurses’ access to psychotherapy roles, despite their central position within mental health care. Ultimately, this article argues for a renewed recognition of nurses as psychotherapists and calls for a shift in practice, education, and policy to support a more relational, psychologically informed future for the profession."
 

Click here to read the article

Education, Qualifications & Licencing : 

Mental Health Nursing Diploma - 2010 to 2013 (University of Surrey) 

Intermediate Family & Systemic Practice Skills (Birmingham Women & Children's NHS Foundation Trust
Equine Facilitated Psychotherapy Level 5 Dip (LEAP)

Registered Mental Health Nurse with the Nursing and Midwifery Council. Registration Number: 10H3272E

As a registered mental health nurse, Alex is accountable to the Nursing and Midwifery Council (NMC) and work in line with their professional and ethical standards, ensuring that her practice remains safe, evidence-informed, and clinically robust.

Alex is licenced to practice under the Nursing and Midwifery Council (NMC), which means she is accountable for her practice and is required to maintain high standards of care, ongoing professional development, and ethical decision-making.

Her work is also supported by regular clinical supervision, which provides a space for reflection, oversight, and continued learning.

Alex's practice is not regulated by the Care Quality Commission (CQC), as independent psychotherapy services are not typically required to register with the CQC unless they provide specific regulated medical activities. As an independent practitioner, Alex does not carry out any regulated activities such as prescribing medication or diagnosing mental health disorders. 

Professional Regulation

New Vision Therapies & Training is trading under New Vision Nursing Ltd, a company registered in England.
Company Number: 15991895
Registered Office Address: 
Errisbeg House Barton Turn, Barton Under Needwood, Burton-On-Trent, England, DE13 8EB

 

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