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At HSR Psychology, we provide assessments and interventions for hypervigilance to children and young people in home, community and education settings.

What is hypervigilance?

Hypervigilance is a strong feeling of increased alertness, making you extra sensitive to your surroundings. Children and young people with hypervigilance may feel alert to any potential hidden dangers in their environment, though these dangers may be exaggerated. 

Hypervigilance can be a co-occurring symptom of other mental health conditions, such as:

 Symptoms of hypervigilance are very similar to those of anxiety, and may include:

The above symptoms are not a sign of hypervigilance if there is a medical explanation. Hypervigilance may affect children and young people in a variety of different ways and can affect many areas of their life. Identifying the individual’s needs and delivering intervention early can help to reduce the secondary effects of hypervigilance such as paranoia and isolation and withdrawal.

Services for children and young people with hypervigilance can be carried out after the Initial Discussion. Our process is outlined below.

Our process

At HSR Psychology we ensure that we meet the needs of children and young people. To achieve this we ensure that any specific assessments, intervention, or direct work, is only carried out following an initial discussion.

An initial discussion allows us to understand the background and your expectations of our involvement. Having an initial discussion ensures any services we provide appropriately identify or address needs.

Our process for any specific assessments, intervention, or direct work is as follows:

Step 1: Contact us

We will usually be contacted by the child or young person, parent or carer, or another professional (eg education or health).

You can contact us or complete a referral

Step 2: Arrange an initial discussion

An initial discussion allows us to understand the background and your expectations of our involvement. Arrange an initial discussion

Step 3: Review our recommendations

Following an initial discussion we will send you an email that includes:

  • Next steps recommendations - to provide a bespoke package of support. For example:
    • Assessments
    • Reports
    • Information gathering
    • Meeting
    • Interventions
    • Consultancy
    • Reviews
  • Costing - we will provide costings for any services recommended.

Step 4: Let's get started

On receipt of the next steps recommendations and costing you can decide how to proceed. Once you have decided contact us to arrange the chosen services.

How do we assess for needs related to hypervigilance?

Needs related to hypervigilance can be identified and assessed through a clinical interview, standardised tests and questionnaires. A HSR Psychology professional may ask about the child or young person’s hypervigilant behaviours, what causes they have identified and how this affects day-to-day life. This will allow us to come up with and implement a plan that helps us to best support the individual’s hypervigilant needs.

If appropriate, a sensory assessment may also be used to identify any sensory needs that may be heightened due to hypervigilance.

What happens after an assessment?

After the assessment for needs related to hypervigilance, needs are identified so we are able to recommend future specialist intervention to support the child or young person's needs. A specialist intervention for hypervigilance reduces the potential of difficulties escalating. If any needs related to hypervigilance are identified, they may be written up into either a brief or comprehensive report. Possibilities for after an assessment can be spoken about during the initial discussion.

What specialist interventions do we offer?

HSR Psychology’s psychologists and psychotherapists offer various interventions which help to reduce hypervigilance and associated needs. Interventions will be chosen based on the young person and their individual circumstances. Interventions we provide include:

Interventions will be discussed and agreed upon beforehand. Interventions can provide children, young people and their families with strategies to help support them now and in the future, should the difficulties return.

Arrange an Initial Discussion

Arrange an Initial Discussion to find out how we can help. The initial discussion lasts 1-1.5 hours, comes with a written recommendation summary and is a starting point to identify needs. The cost is £180.

  • No waiting lists
  • Experienced psychologists
  • Includes recommendation summary

Find out more



Isolation and withdrawal can impact children and young people in different ways, at any age or any stage of development. Early needs identification and intervention enhances outcomes for those experiencing isolation and withdrawal. If you would like an assessment for needs relating to isolation and withdrawal for a child or young person then please contact us now to see how we can help.

What makes us different

Access to a named psychologist

Focus on mental health and wellbeing

Joined-up approach

Bespoke services to meet needs

Multidisciplinary team

Holistic approach

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Flexible, consistent, and competitively priced

We provide bespoke solutions to suit all budgets and requirements for children and young people aged 0-25 in homes, education settings and the community. Our clinical, educational and child psychology services are cost effective.

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Make a referral

To make a referral and arrange an initial discussion please complete our referral form.

Make a referral

Contact us

Ready to get started? The next step is to speak to our team to find out more about the services we provide and how we can help. Call us on 0161 820 9229 or email

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