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About Dr Alexander Marsh

Dr Alexander Marsh is a Chartered Clinical Psychologist and Cognitive Neuroscientist, who specialises in understanding brain structure and function, and their links with behaviour in a clinical context. He is a Registered Practitioner Psychologist with the Healthcare Professionals Council. Dr Marsh is an Associate Fellow of the British Psychological Society and holds professional membership with the Association of Clinical Psychologists UK. He is also a Full Member of the Royal Society of Biology. Alongside his private practice, Dr Marsh is the Lead Psychologist for the South Paediatric Neurosciences Operational Delivery Network in NHS England, is a Senior Clinical Academic leading on paediatric neuropsychology on the doctoral training programme at Cardiff University, and a Principal Clinical Psychologist in the Neurosciences Centre at Bristol Children's Hospital, where he is also operational lead for psychological research.  


Dr Marsh's undergraduate training was carried out at Aston University and he completed his Doctorate in Clinical Psychology with Cardiff University, where his thesis focussed on understanding how structural and resting-state functional magnetic resonance neuroimaging can support pre-operative cognitive evaluation in neurosurgery. He has undertaken additional post-graduate training (with distinction) in medical biosciences (with an emphasis in clinical neuroscience) at the University of Bath. Dr Marsh has also undertaken specialist training in paediatric neuropsychology at the Great Ormond Street Institute of Child Health, University College London. 


Dr Marsh’s first clinical post was in the regional neurosciences centre, Queen Elizabeth Hospital Birmingham, as an Honorary Assistant Psychologist, in 2011. Subsequently, he has worked at several neuroscience centres and services across the country including:

  • Tier 1 Regional Rehabilitation Service at the Colman Centre for Specialist Rehabilitation

  • The Institute of Neurosciences at North Bristol NHS Trust, The Department of Paediatric Neuropsychology at Bristol Royal Hospital for Children

  • Department of Health Psychology at Aneurin Bevan UHB

  • The Department of Paediatric Neuropsychology at The Noah's Ark Children's Hospital for Wales.


Whilst in these posts, he has a number of notable achievements, including:

  • Contributing to guidance and pathway development of a newly designated Major Trauma Centre

  • Supported in the development of a new protocol for the assessment of Post-Traumatic Amnesia

  • Sat on a regional working group for the development of a clinical pathway and guidance for the assessment and management of patients in Prolonged Disorders of Consciousness

  • Sat on a regional working group for the development of a clinical pathway and guidance for the assessment and management of patients presenting with behaviours that challenge due to neurological injury

  • Developed the Regional Paediatric Neuropsychology pathway for Young Persons with Epilepsy (AB UHB)

  • Supported in the development of a national model of Paediatric Neuropsychology Provision within Wales


He has also held a number of academic positions, relating to teaching and researching psychology and neurosciences:

  • Learning Development Associate, Aston University

  • Research Associate, University of Exeter

  • Honorary Teaching Associate, University of Bristol

  • Research Psychologist, Bristol Royal Hospital for Children

  • Honorary Senior Teaching Associate, University of Bristol

  • Visiting Lecturer, University of Bristol


During this time, he has supervised a number of post-graduate students and psychologists. He has worked on several clinical trials, including a trial examining the rehabilitation of childhood memory disorders and the use of the drug Tetrahydrobiopterin to improve neurodevelopmental outcomes in children with Phenylketonuria. Dr Marsh currently is the trial coordinator for a national randomised control trial looking at a type of therapy for young people with a neurological genetic condition, called tuberous sclerosis complex. Dr Marsh has published peer-reviewed work on neuroimaging, neurocognitive tool development, interventions and treatment for neurocognitive disorders, and neurodegeneration. He has presented his work at regional, national and international conferences.


Dr Marsh is also active in various professional activities supporting the profession of Clinical Psychology. His work has covered:

  • Member of the Board of Directors for the Association of Clinical Psychologists, UK as Director for Trainees

  • Welsh National Representative for Trainees, Association of Clinical Psychologists, UK

  • Founding member of the UK Training in Clinical Psychology Collaboration Group

  • Member of the Quality Assurance and Enhancement Committee, South Wales Doctor of Clinical Psychology Training Programme

  • Founding member and Former Chair of the South Wales Clinical Training in Neuropsychology Group

  • Member of the South Wales Doctor of Clinical Psychology – Neuropsychology Training Task and Finishing Group

  • Member of the BPS Assistant Psychologist Practice Guidance Working Group

  • Member of the Professional Standards Board within the British Psychological Society's Division of Neuropsychology


During this time he has founded a national trainee network, written a number of guidance documents for the training of clinical psychologists, and supported curriculum development for doctoral neuropsychology training.

About Dr Marsh: The Clinic

Specialist Training in Clinical Paediatric Neuropsychology

Dr Marsh's specialist training was undertaken at the Great Ormond Street Institute of Child Health, UCL and was delivered in accordance with the knowledge component of the British Psychological Society 2019 Clinical Neuropsychology Standards for Accreditation (Paediatric Programmes).

Introduction to Developmental Cognitive Neuroscience

  • The historical, theoretical and methodological foundations of developmental cognitive neuroscience.

  • The principles behind a range of cognitive neuroscience methodologies and how they may be integrated to inform clinical practice.

  • Detailed knowledge of human neuroanatomy

Advanced Developmental Cognitive Neuroscience

  • Quantitative structural and functional neuroimaging

  • Quantitative electrophysiology including event-related paradigms

  • Experimental cognitive techniques

  • How these advanced techniques informs current or future clinical neuropsychology practice.

Professional Issues for Paediatric Neuropsychologists

  • Practice of paediatric neuropsychology within different professional contexts, such as clinical neuroscience centres, child and adolescent mental health teams, educational systems, forensic work, and medico-legal work

  • Ethical dilemmas within clinical case work and describe appropriate professional pathways for working through such dilemmas

  • Responsibilities and roles of Clinical Psychologists, Educational Psychologists and Paediatric Neuropsychologists

Development of the Sensory, Motor and Cognitive Neural Systems

  • Typical and potentially atypical development of neural systems subserving sensory, motor, cognitive and social functions.

  • The typical neuroanatomical and functional development of each sensory, motor, cognitive and social neural system and the integration between systems.

  • Major theories of cognitive development

Development Conditions and Neuropsychological Profiles

  • Aetiological (causal) factors and the underlying neuropathology in a range of developmental and acquired brain and medical conditions

  • Neuropsychological outcome following neurosurgical treatment 

  • Neuropsychological outcome of a range of acquired and developmental conditions, such as epilepsy, stroke, sickle cell disease, traumatic brain injury, autistic spectrum condition, ADHD, and dyslexia

  • Research techniques for evidence based practice and environmental influences on outcomes

Infant and Neurodevelopmental Assessment

  • Specialised assessment and support strategies for infants and children at risk of developmental delay who require early neurodevelopmental assessment.

  • Principles and practice of clinical neurodevelopmental assessment batteries that measure sequential neurodevelopmental steps in early cognitive, language and motor development.

  • Experimental applications, such as EEG and eye tracking for assessment attention, for investigating the timing and organisation of very early cognitive and social skills in infants. 

Assessment of Neuropsychological Disorders and Their Functional Implications

  • Underpinning principles of neuropsychological assessment in children and adolescents and the many variables involved in the administration, interpretation and reporting of neuropsychological assessments.

  • Integration of neuropsychological data with measures of brain function to improve diagnosis and prognosis in different cases.

  • Strengths and weaknesses of various tests used for assessing different components of cognition and behaviour and how to evaluate new tests as they are developed.

  • Test interpretation within the context of individual cases and describing potential functional implications.

  • Production of neuropsychological formulations that reflect the complex range of variables involved in paediatric clinical cases.

Developing Clinical Formulations and Interventions

  • Demonstrate the processes involved in integrating multiple sources of neuroscientific and neuropsychological knowledge from different elements of the course to produce an informed neuropsychological clinical formulation.

  • Organisational systems and health and educational policies that are relevant to children with developmental learning difficulties or acquired brain injury.

  • Understand a range of specific intervention techniques, including compensatory techniques, person-centred approaches, restorative interventions and specialist methods.

  • The influence of the environment on rehabilitative outcomes as well as clinical issues involved when working with families and support staff to aid adjustment.

About Dr Marsh: Our Services

Doctoral Clinical Training

Although the core requirements of a practitioner psychologist (outlined by the Healthcare Professionals Council) and requirements for an accredited Doctor of Clinical Psychology Programme (outlined by the British Psychological Society) are met by all training institutions, the precise curriculum studied varies. Below is an outline of the study undertaken by Dr Marsh as part of his doctoral clinical training.

Professional Practice

  • The Biopsychosocial Approach

  • Professional and Ethical Issues in Clinical Practice

  • Psychology in a Legal Context

  • Mental Capacity

  • Policy Application and Relevance to Clinical Practice Settings

  • Professional Practice Issues 

  • Developing Cultural Competence in Clinical Psychology Practice  

  • Challenges and opportunities of Inter-Professional Working 

  • Systemic approaches to Diversity, Race and Culture

  • Systemic Case Consultation

Leadership

  • Leadership and organisational change 

  • Supervising other professionals 

  • Setting up a service 

  • Working with Teams and Providing Consultation in Clinical Settings 

  • Leadership Training: Re-designing a service-pathway

  • Everyday Leadership as a Clinical Psychologist 

  • Providing Staff and Peer Support

  • Systemic Consultation: Leading a Consultation

Neuropsychology & Neurodevelopmental Disability

  • Introduction to Neuropsychology

  • Introduction to Psychometric Testing

  • Principles and Practice in Normal Ageing

  • Level A Psychological Testing

  • Neuropsychology 1: Memory

  • Neuropsychology 2: Executive Functioning

  • Assessment & Diagnosis of Dementia

  • Therapeutic Approaches in Dementia

  • Principles and Practice in Stroke

  • Paediatric Neuropsychology (Part 1)

  • Paediatric Neuropsychology (Part 2)

  • Paediatric Neuropsychology (Part 3)

  • Paediatric Neuropsychology (Part 4)

  • Communication in Neurodevelopmental Disability

  • Profound and Multiple Learning Disability & Intensive Interactions

  • Case Workshops in Neurodevelopmental Disability

  • Sex and relationships in Neurodevelopmental Disability

  • Dementia in Neurodevelopmental Disability

  • Attachment in Neurodevelopmental Disability

  • Neurodevelopmental Disability and mental health (Team Formulation) .

  • Functional Neurological Conditions 

  • An introduction to Intellectual & Developmental Disability - History and current concepts

Paediatrics

  • Typical Development in Childhood

  • Principles and Practice for Parenting 

  • Talking with Children and Young People

  • Childhood Sexual Abuse: Disclosure and Trauma-Focused Recovery 

  • Working Psychologically with Care Leavers

  • Perinatal and Infant Mental Health

  • Principles and Practice in Adolescence

  • Principles and Practice in Attachment

  • Introduction to Child Health

  • Principles and Practice in Sleep for children and young people 

  • Working with looked after children 

  • Paediatric Anxiety

  • Paediatric Depression

  • Paediatric Obsessive-Compulsive Disorder

  • Paediatric Body Dysmorphic Disorder

  • Paedtirc Post-Traumatic Stress Disorder (PTSD)

  • Paediatric Complex PTSD

  • Family Functioning and Development

Physical Health

  • Introduction to Health Psychology

  • Introduction to Child Health

  • Health Anxiety

Complexity in Clinical Practice

  • Principles and Practice in Autism Spectrum Disorders

  • Gender and sexual orientation: systemic approaches

  • Understanding the potential psychosocial impact of living with a visible difference. 

  • Working with addictions 

  • Working with teams from an attachment-informed perspective

  • Working with complexity: Adult Attachment

  • Working with behaviours that challenge

  • Positive Behaviour Support

Mental Health

  • Depression

  • Panic, Agoraphobia and Specific Phobia

  • Health Anxiety

  • Obsessive Compulsive Disorder

  • Social Anxiety

  • Generalised Anxiety Disorder

  • Grief and Loss

  • Post-Traumatic Stress Disorder

  • Eating Disorders

  • Psychosis

  • Sleep

  • Body Dysmorphic Disorder

  • Perinatal and Infant Mental Health

Reflective Practice and Learning

  • Reflective Practice

  • The Reflective Practitioner

Learning from Experts by Experience

  • Learning from Experts by Experience: Accessible Communication and Self-Advocacy

  • Learning from Experts by Experience: Co-production

  • Learning Through Lived Experience

  • Lived Experience among Trainees and Professionals: Breakdown as Systemic Intervention 

Research Training

  • Research Methods: Quantitative Approaches

  • Research Methods: Statistics

  • Research Methods: Qualitative Approaches

  • Research Methods: Systematic Reviews; Rep Grids/Q-Methodology

  • Level A Testing

  • Audit and Service Evaluation

  • Academic Writing

  • Feasibility, Pilot and Clinical Trials

About Dr Marsh: Our Services

Therapeutic Clinical Training

Dr Marsh’s main therapeutic training is in cognitive & behavioural therapies and family systems therapy.


Cognitive and Behavioural Therapies

Dr Marsh has undertaken advanced training in Acceptance and Commitment Therapy (ACT). In 2021, he completed the Level 2 advanced training in Focussed Acceptance and Commitment Therapy with Dr Russ Harris, which covered the latest research about the high effectiveness of brief therapy interventions, learning how to apply these approaches with people who struggle with depression, anxiety, addictions, chronic pain syndrome, medical problems, and a range of other common clinical problems. In 2020, he completed a specialist course by the British Psychological Society’s Division of Neuropsychology in applying ACT for people with Neurological Conditions. In 2021, he undertook additional ACT training for teenagers with Dr Louise Hayes - learning how to apply the DNA-V model. He has also undertaken additional training in the use of Self-Compassion in ACT by Dr Russ Harris, through Contextual Consulting.

Lastly, he has also undertaken training in Compassion Focussed Therapy with Dr Chris Irons, author of the Compassionate Mind.

As part of his doctoral training at Cardiff University, he completed the study in different therapies, which are detailed in the modules below.

Systemic and Family Therapy

Dr Marsh has also undergone additional training in Systemic and Family Therapy. He completed his Foundation Level Training in Family Therapy and Systemic Practice at Cardiff University (2018-2020). This training provided an understanding of the underlying theory and principles of systemic practice with families, couples and other systems, as well as an overview and framework of different approaches and models of systemic family therapy. Dr Marsh holds a knowledge of a range of systemic approaches and applications to practice with different groups of individuals (e.g. mental health, those with neurodevelopmental challenges etc.). During his study and practice, Dr Marsh demonstrated familiarity with key pieces of research on family and couples therapy, especially in current areas of practice, including providing feedback and service evaluation. A key principle of systemic practice is that practitioners have a knowledge and awareness of the influence of the wider social context (including: gender, race, age, ability, culture, education, sexuality) on themselves and the individuals they work with, whilst being able to consider how inequalities and power differentials impact on people’s lives and systemic practices.

Dr Marsh abides by the Association of Family Therapy code of ethics and has demonstrated through practice, an ability to use ethical decision-making, especially in relation to safeguarding, confidentiality and consent. The elements of this training are outlined in the modules below.

Generic CBT Skills

  • Introduction to CBT – Part 1

  • Introduction to CBT – Part 2

  • CBT Skills Workshop

  • Mindfulness Based Cognitive therapy

  • Working with Imagery

  • Adapting CBT for people with Autism Spectrum Disorder

  • Adapting CBT for people with Neurodevelopmental Disability

  • CBT Adaptations for Older Adults

Condition Specific CBT Skills

  • CBT for Depression

  • CBT for Panic, Agoraphobia and Specific Phobia

  • CBT for Health anxiety

  • CBT for Obsessive Compulsive Disorder

  • CBT for Social Anxiety

  • CBT for Generalized Anxiety Disorder

  • CBT for Working with Loss

  • CBT for Post-Traumatic Stress Disorder

  • CBT for Eating disorders

  • CBT for Psychosis

CBT for Children and Young Persons

  • Introduction to CBT in Children and Young Persons

  • CBT for Anxiety in Children and Young Persons

  • CBT for Depression in Children and Young Persons

  • CBT for Obsessive Compulsive Disorder in Children and Young Persons

  • CBT for Body dysmorphic disorder in Children and Young Persons

  • Cognitive Therapy for Post-Traumatic Stress Disorder in Children and Young Persons (Part 1)

  • Cognitive Therapy for Post-Traumatic Stress Disorder in Children and Young Persons (Part 2)

  • Cognitive Therapy for Complex Post-Traumatic Stress Disorder in Children and Young Persons

  • Bringing the Family into CBT (Part 1)

  • Bringing the Family into CBT (Part 2)

  • Adapting CBT for Autistic Children and Young People 

  • Using Metaphor and Storytelling in CBT with children, young people and families 

  • Sleep in Children and Young Persons

Acceptance and Commitment Therapy

  • Introduction to Acceptance & Commitment Therapy

  • Acceptance & Commitment Therapy in Children and Young People

Attachment-Informed Therapy

  • Attachment in Neurodevelopmental Disability

  • Working with teams from an attachment-informed perspective

  • Attachment-based family therapy

  • Working with complexity: Adult Attachment Difficulties

Positive Behavioural Support (PBS)

  • Positive Behavioural Support – Part 1: Introduction and Assessment

  • Positive Behavioural Support – Part 2: Intervention

  • Positive Behavioural Support – Part 3: Implementation and Monitoring

  • Positive Behavioural Support – Part 4: Management

Family & Systemic Therapy Accredited Training

  • Introduction to Systemic Thinking and applying to family life

  • Deepening understanding about family development

  • Building the alliance in family interventions

  • Working systemically with couples

  • Systemic models in Neurodevelopmental Disability

  • Systemic thinking in Neurodevelopmental Disability (Paediatrics)

  • Systemic therapy with Children & Young People and those with neurodevelopmental disability - 'Working ethically, thinking systemically and bringing yourself'

  • Introduction to systemic therapy in Adult Mental Health (Part 1 & 2)

  • Independent study on the Milan School of Family Therapy and Circular Questioning Techniques

  • Family interventions in psychosis

  • Family interventions in adolescent eating disorders

  • Attachment-based family therapy

  • Systemic case consultation

  • Systemic approaches to Diversity Race and Culture

  • Systemic Consultation: Leading a consultation

  • Thinking systemically about families with Multi-Disciplinary Teams

Additional Family and Systemic Therapy Informed Training

  • Attachment in Neurodevelopmental Disability

  • Case workshops in Neurodevelopmental Disability

  • Introduction to Child Health

  • Perinatal and Infant Mental Health

  • Normal Ageing

  • Attachment Training

  • Talking with children and young people

  • Welsh Language and Culture

  • Safe Practice

  • Building Therapeutic Relationship

  • Therapeutic Approaches in Dementia

  • Bereavement across the life span

  • Sexual Diversity

  • Childhood Sexual Abuse: Disclosure and Trauma-focussed Recovery

  • Sexual Risk

  • Working with behaviours that challenge

  • Positive Behaviour Support

  • Attachment-Trauma Focussed Therapy

  • Doing therapy briefly

  • Parenting

  • Bringing the family into CBT

  • Working with looked after children

About Dr Marsh: Our Services
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