Having gained a thorough training in cognitive-experimental research on anxiety during her PhD in Cambridge, Prof Hirsch focused on developing her cognitive-behavioural therapy (CBT) skills as part of her D.Clin.Psych. at King’s College London (KCL) and CBT training at The Beck Institute for Cognitive Therapy and Research, USA. Prof Hirsch worked as a clinical psychologist in local and national CBT services, before returning to KCL to focus on clinical anxiety research during her fellowship. She is now a Professor of Cognitive Clinical Psychology and Consultant Clinical Psychologist leading the Generalised Anxiety Disorder Service at the Centre for Anxiety Disorders and Trauma, South London and Maudsley NHS Foundation Trust. Prof Hirsch's clinical work is integral to her translational research, helping her develop models of emotional disorders and transdiagnostic processes, inspiring new clinical research ideas, which in turn lead to clinical innovation and translation.
Her research focuses on cognitive processes that maintain anxiety, depression and distress, both within clinical and sub-clinical populations, as well as at the interface between physical and mental health. She also conducts research to understand key mechanisms that maintain resilience. Her translational research has led to new interventions to prevent and treat emotional disorders and distress, via adaptations to face to face CBT, as well as via novel digital therapies. She is Deputy Lead for the Digital Therapies Theme at NIHR Maudsley Biomedical Research Centre.
- Cognitive processes such as attentional control, attentional bias, verbal processing and imagery processes that maintain transdiagnostic processes in emotional disorders
- Interpretation bias and its transdiagnostic role in maintaining repetitive negative thinking
- Intervention development for Generalised Anxiety Disorder
- Repetitive negative thinking (RNT) such as worry and rumination
- Cognitive processes and RNT that contribute to perinatal mental health
- Cognitive processes that maintain psychological distress in physical health conditions (e.g., MS; Parkinson’s; Cancer survivorship)
- Anxiety in Autism Spectrum Disorders
- Cognitive processes that promote resilience to long term stress (e.g., being an unpaid caregiver, teacher)
- Prediction of outcome for psychological interventions
- Digital therapeutics for anxiety, worry, and stress
Teaching and research supervision:
As a clinical psychologist with applied research expertise in Generalised Anxiety Disorder (GAD), Depression and Social Anxiety Disorder (SAD), Prof Hirsch provides specialist teaching on anxiety across numerous courses ranging from undergraduate psychology to specialist cognitive behaviour therapy training course such as Increasing Access to Psychological Therapies. She aims to inspire future clinicians and researchers to understand mechanisms that maintain anxiety, and value the importance of research in the development of better treatments.
I also provide research Project Supervision across a number of course ranging from BSc in Psychology to Doctorate in Clinical Psychology as well as for PhD students. Projects offered focus on different populations, but all aim to further the fields understanding of mechanisms that maintain distress or promote resilience and enable new interventions to be developed. My supervisory style aims to fosters an understanding of how to conduct high quality clinical research and use critical thinking in research design.
Expertise and Public Engagement:
Prof Hirsch has provided a clinical anxiety perspective for the arts. For example, working with theatre makers Hannah Ringham and Glen Neath portrayal of anxiety in ‘Die or Run’ and with Michelle McMahon upcoming play ‘Fear’. She was also an anxiety consultant on ‘Wake’, a new play by Alex Froom, and on a production of ‘Bellville’ at the Donmar Warehouse. She was on the Science Gallery (KCL)’s curatorial advisory group ‘On Edge: Living in the Age of Anxiety.
Through other public engagement events Prof Hirsch has spoken about how research helps us develop and refine psychological interventions (e.g., ‘Department for Culture, Media and Sport’ in Whitehall on World Mental Health Day, October 2018; ‘Cheltenham Science Festival’ June 2018; ‘The Age of Anxiety’ March 2016). She has also contributed to panel discussions on mental health. For example, at a ‘Sad Girls’ London event in January 2018 which was attended by girls and young women who suffer from anxiety and depression. She has disseminated her research on resilience in the aftermath of cancer via ‘Maggie’s’ 2021 and ‘Keeping Abreast’ 2020.
Kaleta, F., Duncan, M., Kristensen, C. & Hirsch, C., 6 Feb 2023, In: Occupational Medicine. Research output: Contribution to journal › Article › peer-review. DOIs: https://doi.org/10.1093/occmed/kqad016
Asbrand, J., Gerdes, S., Breedvelt, J., Guidi, J., Hirsch, C., Maercker, A., Douilliez, C., Andersson, G., Debbané, M., Cieslak, R., Rief, W. & Bockting, C., 22 Nov 2022, (Accepted/In press) In: Clinical Psychology in Europe. Research output: Contribution to journal › Article › peer-review
Skelton, M., Carr, E., Buckman, J. E. J., Davies, M. R., Goldsmith, K., Hirsch, C. R., Peel, A. J., Rayner, C., Rimes, K., Saunders, R., Wingrove, J., Breen, G. & Grant, T. E., 13 Dec 2022, (E-pub ahead of print) In: Psychological Medicine. Research output: Contribution to journal › Article › peer-review. DOIs: https://doi.org/10.1017/S0033291722003403
Davies, M., Glen, K., Mundy, J., Adey, B., Armour, C., Assary, E., Coleman, J., Goldsmith, K., Hirsch, C., Hotopf, M., Hübel, C., Jones, I., Kalsi, G., Krebs, G., McIntosh, A. M., Morneau-Vaillancourt, G., Peel, A., Purves, K., Lee, S., Skelton, M., & 7 othersSmith, D. J., Veale, D., Walters, J., Young, K., Källberg Zvrskovec, J., Breen, G. & Grant, T. E., 15 Feb 2023, In: Journal of Affective Disorders. 323, p. 280-291 12 p. Research output: Contribution to journal › Article › peer-review. DOIs: https://doi.org/10.1016/j.jad.2022.11.051
Wilson, E., Onwumere, J. & Hirsch, C., 22 Dec 2022, In: Clinical Psychology in Europe. Research output: Contribution to journal › Article › peer-review. DOIs: https://doi.org/10.32872/cpe.10313
Wilson, E., Crudgington, H., Morgan, C., Hirsch, C., Prina, M. & Gayer-Anderson, C., 9 Oct 2022, In: Journal of Adolescence. p. 1-29 Research output: Contribution to journal › Review article › peer-review. DOIs: https://doi.org/10.1002/jad.12097
Kollárik, M., Hirsch, C. R., Heinzel, C. V., Lieb, R. & Wahl, K., Dec 2022, In: Journal of Behavior Therapy and Experimental Psychiatry. 77, 101775. Research output: Contribution to journal › Article › peer-review. DOIs: https://doi.org/10.1016/j.jbtep.2022.101775
Rayner, C., Coleman, J., Skelton, M., Armour, C., Bradley, J. R., Buckman, J. E. J., Davies, M., Hirsch, C., Hotopf, M., Hübel, C., Jones, I. R., Kingston, N., Krebs, G., Lin, Y., Monssen, D., McIntosh, A., Mundy, J., Peel, A., Rimes, K., Rogers, H., & 8 othersSmith, D. J., ter Kuile, A., Thompson, K., Veale, D., Wingrove, J., Walters, J. T. R., Breen, G. & Eley, T., 20 Sep 2022, (Accepted/In press) In: BMC Psychiatry. Research output: Contribution to journal › Article › peer-review
Collins, A., Scott, R. B., Hirsch, C. R., Ottaviani, C., Krahé, C. & Meeten, F., Sep 2022, In: Biological Psychology. 173, 108398. Research output: Contribution to journal › Review article › peer-review. DOIs: https://doi.org/10.1016/j.biopsycho.2022.108398
Krahé, C., Meeten, F. & Hirsch, C. R., Oct 2022, In: Journal of Anxiety Disorders. 91, 102610. Research output: Contribution to journal › Article › peer-review. DOIs: https://doi.org/10.1016/j.janxdis.2022.102610