For Practitioners
If you support women through pregnancy and birth, you've seen severe fear and anxiety show up. You've felt the lack of tools to meet it. There are now two routes in.
A psychometric assessment for fear and anxiety in the perinatal journey. Designed for use across your caseload.
Explore PIRP
A free 60-minute on-demand webinar on recognising and working with tokophobia and RAD.
Book the webinarMost perinatal training doesn't address it. Most mental health training doesn't either. The result: tokophobia gets misdiagnosed as generalised anxiety, OCD, depression, or “first-time nerves.” Women carrying it cycle through interventions that don't reach the root. Practitioners doing their best with tools that weren't built for this.
Alexia built the structured tools after a practitioner asked whether her measurement framework could be applied to the perinatal experience. It couldn't, not yet – so she built what was needed. Two white papers. The RAD framework. The Perinatal Inner Readiness Profile.
The stories that pushed this forward: women walking away from work that would have helped, because they'd been told their inner work would take three years. Practitioners working with deeply fearful clients for months, with no structured way to map progress. The work exists now. This page is the entry to it.
Most practitioners are seeing this without naming it. Learn the signals, the diagnostic territory, and the framework that organises what you've been observing.
The Perinatal Inner Readiness Profile gives you a psychometric tool to map fear and anxiety in your clients across the perinatal journey.
Whether your role is preparation (doulas, antenatal educators) or therapy (counsellors, perinatal therapists), the awareness training gives you the framework and the language to meet this work directly.
The Practitioner Certifications train you in the full Head Trash Clearance method for the perinatal context – with a choice of two parallel pathways depending on your professional context. Birth workers (doulas, midwives, hypnobirthing pros, antenatal educators, childbirth educators) take the Fearless Birthing Practitioner route (£2,497 / 4 months) for reactive fear clearance in the flow of their existing birth-work practice. Therapists, counsellors, pregnancy and birth coaches, and perinatal mental health professionals take the Fearless Birthing Professional route (£4,995 / 8 months) for programmatic clearance – structured multi-session healing and coaching programmes. Both credentials convert to HT Practitioner if your practice expands beyond perinatal contexts later.
Three tiers, with different commitment levels. Start where you are.
PIRP works standalone or within the higher tiers. Pick what's useful for your practice now.
Reproductive Anxiety Disorder (RAD) is the framework underlying this work. It covers the spectrum of fear and anxiety across the reproductive lifecycle – from anxiety about whether to have children, through tokophobia (severe fear of pregnancy or birth), into perinatal anxiety, birth trauma, and postnatal processing. The Fear Funnel maps how it escalates. The RAD Spiral maps how it spreads and how it reverses.
Read the full frameworkThe work is built for practitioners across the perinatal journey.
You don't need a specific qualification to start. The work meets you wherever you practice.
I wish I had discovered this 10 years ago – I would have saved myself a fortune in therapy training.
HTC is the Carlsberg of therapy; probably the best in the world.
It's like the trifecta: fast, simple, effective. I've never used anything like it.
As someone who has been seeking freedom from my emotional baggage for over 25 years, this is without doubt the jewel in the crown. If this opportunity comes your way you HAVE to grasp it with both hands.
I've just completed the Head Trash course with Alexia Leachman. This was both challenging and fun, and her ability to make a process simplified really helps. For me, as a psychotherapist, it gives me a tool in my bag to work with pre and post natal issues, as well as being used in conjunction with other tools to diminish the impact of emotional issues.
I practice multiple energy methods specialising in traumatic birth and had long considered my skillset to be complete. Alexia's reported success in clearing anxiety in a hospital corridor intrigued me. Happily, this lead me to train with her. I could feel changes happening in myself as well as in turn witnessing a softening, an objectivity, neutrality replace concerns and inner conflict, in the space of one short session.
