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What if the feelings that make this work so hard are the very clues that make it effective? We sit down with Emma Higgs, a child and adolescent psychoanalytic psychotherapist and organisational therapist, to unpack how psychodynamic thinking turns raw emotion into reliable information—and how organisations can harness it to protect staff and truly help distressed children and families. Emma traces her journey from a turbulent, formative therapeutic community to co-leading APPCIOS, a home for practitioners who work psychodynamically outside traditional consulting rooms. We explore projection, countertransference and containment as essential tools: receiving what a child can’t yet put into words, digesting it, and returning it in tolerable, meaningful form. Along the way, we name the defensive practices that creep into CAMHS, social work, policing and schools—tick-boxes, rigid agendas, behaviour-only lenses—and show how they blunt humanity and block change. This is trauma-informed practice with depth. We contrast one-day courses and ACE scores with the lived, relational work that builds minds, restores thinking and creates hope. Emma lays out what a containing organisation looks like: clear boundaries and flexible minds, leadership that absorbs anxiety instead of spreading it, and scheduled spaces where teams can reflect, argue safely and lend each other their capacity to think. We talk about group dynamics, supervision, and why professional belonging isn’t a luxury but a clinical intervention in its own right. If you’re a teacher, social worker, police officer, clinician or leader, you’ll leave with a richer map for surviving the job without losing yourself—and a language for making sense of the “impossible” child or the overwhelmed team. Subscribe, share this with a colleague who needs it, and leave a review telling us the one practice you’ll change tomorrow. Emma's Bio: Emma Higgs is a senior Child and Adolescent Psychoanalytic Psychotherapist (ACP), Psychodynamic Organisational Therapist (BPC/APPCIOS), and Psychodynamic Psychotherapist (BPC), living and working in North West England. She has extensive clinical experience across a range of NHS CAMHS services, including inpatient settings and Parent–Infant services. Emma began her therapeutic career at Thornby Hall Therapeutic Community, part of the Peper Harow Foundation, where she was first introduced to psychodynamic thinking and practice. Since then, her training in attachment assessment and intervention, infant observation, and psychoanalytic psychotherapy has come together to shape her current work. She has a particular specialism in working with looked-after and adopted children (LAAC) and in applying psychoanalytic principles beyond the traditional consulting room. Alongside her private practice, Emma works closely with organisations that support distressed children and families. She has been involved in developing and delivering a wide range of trainings for non-psychoanalytic professionals, helping them to think psychodynamically about their work. This includes bespoke training for social care professionals and the police, with a focus on children’s development and the impact of trauma. Emma is especially interested in how psychoanalytic thinking can be used more broadly within support services, and in exploring the interplay between the internal world, the external environment, and the wider socio-political context. Emma is also the Deputy CEO of the Association of Psychodynamic Practice and Counselling in Organisational Settings (APPCIOS), a charitable organisation dedicated to supporting clinicians and practitioners working with distressed individuals through the application of psychodynamic thinking and skills. Links: Patreon: / thesecurestartpodcast Podcast Blog Site: https://thesecurestartpodcast.com/ Secure Start Site: https://securestart.com.au/ Disclaimer: Information reported by guests of this podcast is assumed to be accurate as stated. Podcast owner Colby Pearce is not responsible for any error of facts presented by podcast guests. In addition, unless otherwise specified, opinions expressed by guests of this podcast may not reflect those of the podcast owner, Colby Pearce. Finally, all references to case examples are anonymised to the extent that the actual case could not be identified, or are fictional but based on real-life examples for illustrative purposes.