Dr Shirley Gracias


Dr Shirley Gracias for Referre Ltd – Infant Child and Adolescent Psychiatry

I am an experienced, approachable and thoughtful Child and Adolescent Psychiatrist who works with children, young people and their families to understand their distress and find effective and acceptable solutions and treatments. I am able to provide

  • assessments and treatment for individual children and young people;
  • interventions for families, parents, couples and children with their parents.
  • advise on further treatment;
  • second opinions;
  • assessments for and guidance to Local Authorities and the Family Courts;
  • assessments for cases where there are medicolegal issues.

I am used to working with high risk situations such as self-harm and severe intentional weight loss and will happily work alongside other agencies and professionals when necessary. As a Psychiatrist I prescribe medication but I have a very strong focus on the use of psychotherapeutic approaches, integrating into my practice skills from a variety of insight orientated psychotherapies. I am very interested in mindfulness and have recently trained in Acceptance and Commitment Therapy (ACT). In 2014 I added to my skills by training as an EAGALA (Equine Assisted Growth and Learning Association) certified Equine Assisted psychotherapist and coach. This means I am able to provide psychotherapy interventions and life coaching in an equine environment.

Working in the early years to prevent the development of mental health difficulties and building resilience through the promotion of secure relationships in infancy has long been a passion of mine. I was the first psychiatrist in the UK to hold the post of Chair of the Association for Infant Mental Health UK and I continue to be active in this area of work both locally and nationally. I am trained in the use of a number of interventions for babies and their parents where there are difficulties in bonding or issues causing distress. In 2015 and 2016 I travelled as a Winston Churchill Fellow to USA and Australia looking at how early intervention through facilitating the involvement of disaffected and marginalised men (and boys) in their families lives works in reducing violence. My most recent article, Harry Potter, the boy protected by his mother’s love, has been published in the programme for the play Harry Potter and the Cursed Child, and explores Infant Mental Health in the wizarding world!

I trained in Medicine at Bristol University and qualified in 1983. After a brief flirtation with surgery I entered psychiatry in 1985, taking time out to gain paediatric experience. I specialised in Child and Adolescent Psychiatry on the South Wales Training Scheme and between 1993 and 1995 I was a Consultant in Cardiff before moving to Wiltshire, where I was a Consultant until 2010. Then, wanting to pursue my interest in infant Mental Health, I left the NHS.

She then moved to Trowbridge, Wiltshire, where she remained as a Consultant until 2010, when wanting to pursue interests in Infant Mental Health, I left the NHS.


  • NICE guidance on ADHD. NICE should produce guidance on infant mental health, S A Gracias, BMJ 28 October 2008.
  • ADHD, Teenage Pregnancy and Substance Misuse: A review of 2 case studies, Judge D and Gracias S, ADHD in Practice 2011; Vol 3 No 3.
  • A systematic review defining emotional, behavioral and developmental features indicative of neglect / emotional abuse in the preschool child, Maguire SA, Naughton A, Mann M, Lumb, RC, Tempest V, Gracias S A, Kemp A, JAMA Paediatrics, June 2013.
  • Reflecting on the Francis report: This has happened before, Whitby P & Gracias S, Clinical Psychology Forum, Number 249, September 2013.
  • Here’s looking at you , baby! Judge D and Gracias S, Intervene (the Newsletter of the Addictions and Recovery Foundation), April/May 2014.
  • Harry Potter, the boy protected by his mother’s love.  A programme article for the play Harry Potter and the Cursed Child (Sonia Friedman Productions).



Consultant Profile

Name: Dr Shirley Gracias
Qualifications: MBChB DCH FRCPsych Approved under Section 12 of the Mental Health Act 1983
Specialities: Psychiatry and Psychotherapy
Clinical Research Interests: Perinatal Infant Mental Health and attachment relationships.
Year Qualified: 1983
Appointments NHS:
University Posts: Trained in Medicine at Bristol University and qualified in 1983
Membership of National Professional Societies: • Fellow of the Royal College of Psychiatrists (Member of the Executive Committee of the Child and Adolescent Faculty). • Certified EAGALA Mental Health Practitioner. • Winston Churchill Memorial Trust Fellow 2015.
Publications: Dr Gracias has a number of publications as listed above. She is now a regular contributor to the Salisbury Parentling Magazine. In addition she has lectured nationally and internationally on a range of topics including Perinatal Infant Mental Health; the impact of trauma on families; and Family breakdown.
Medico Legal Reports: Dr Gracias has over 25 years experience producing medico-legal reports covering a range of issues including placement and therapy needs in care proceedings, Mental Capacity, Fitness to plead and disputed contact.

Contact Details

Appointments: 07881 296811
Private Secretary: Lucy Bateman
Contact Number: 07881 296811
Email Address:
Website Link: