Therapy That Actually Understands Ménière's
I am Central London therapist who knows Ménière's firsthand
Book a free 20min consultation call
max@maxvkoenig.com
You won't have to explain what 'dizzy' actually feels likes
Ménière's isn't just vertigo. It's the plans you cancel without knowing if today's the day. It's the fatigue that comes from bracing for an attack that might not even happen. It's the tinnitus that never fully switches off, and the loneliness of trying to describe all of that to someone who hears "dizzy" and pictures standing up too fast.
I'm Max — a UKCP- and BACP-registered psychotherapist working in Central London, and I've had Ménière's since 2017. I'm not saying that to draw a comparison between your experience and mine; everyone's Ménière's is different. I'm saying it so you know that when you sit down and start talking, you won't have to build the condition from scratch before we can get to what's actually going on for you.
So, what do we actually work on together?
Therapy here isn't about managing your symptoms — that's what your ENT and vestibular physio are for. It's about everything symptoms bring with them:
- The anxiety that lives alongside an unpredictable condition — the hypervigilance, the "what if it happens at work / on the train / at the wedding"
- The grief for the life, career, or version of yourself that Ménière's interrupted or changed
- The identity questions that come with a chronic diagnosis — who you are when your body can't be relied on
- The relationships strained by cancelled plans, needing support, or feeling like a burden
- The exhaustion of being the one who always has to explain, accommodate, or apologise
If you're also autistic, ADHD, or otherwise neurodivergent, I have extensive experience there too — including how sensory processing and vestibular symptoms can intersect and compound each other. You won't have to mask, and you won't have to translate yourself twice.
My work style
I work relationally, in Transactional Analysis. In plain terms: we all learned rules early on about how to be safe, loved, or "good enough," and we carry those rules into adulthood long after they stop serving us. My job isn't to hand you answers — it's to help you notice those old patterns as they show up, understand where they came from, and find some choice in how you respond now.
My starting point is "I'm OK, you're OK." You're not a problem to be fixed. I'm not an expert diagnosing you from a script. We're two people, thinking together about your life.
We meet weekly, for 50 minutes, at the same time each week — in person 5 minutes from Oxford Circus and Bond Street, or online, or a mix of both depending on how you're doing that month. I know what a sudden attack does to a schedule; I'll accommodate changes as much as I possibly can.
I also run group sessions for people living with Ménière's — a space to be around others who don't need the condition explained to them either.
My Fees
Individual sessions — £80 for 50 minutes
Group sessions — £60 per person for 90 minutes
I hold a small number of lower-cost places. Please ask.
Not sure yet? That's OK.
Choosing a therapist from a webpage is a strange thing to have to do — the research is fairly clear that whether therapy works depends more on whether the two of you get on than almost anything else, and you can't tell that from text.
So before anything else: a free 20-minute call, no obligation. Ask me anything. If I'm not the right fit, I'll tell you, and point you toward someone who might be.
A few questions people ask
What if I have to cancel because of an attack? Tell me. I live with this too — I'll work with you on it, not around it.
Is it confidential? Yes. What we discuss stays between us and my clinical supervision, which is bound by the same confidentiality. The only exception is imminent danger to you or someone else.
Can I do this online? Yes — in person, online, or a mix. We'll figure out what actually works for your life.
Do I need to know anything about Transactional Analysis first? No. I'll explain whatever's useful, only when it's useful.
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