Frequently ASKED QUESTIONS

A Bespoke Experience for Those Living Extraordinary Lives

At BTB, we understand that not all lives follow ordinary paths—and treatment must be equally exceptional. Whether you’re an artist, actor, executive, political leader, or part of a high-net-worth legacy, your experiences are unique, and so too should be your care.

Our approach is founded on discretion, compassion, and deep clinical expertise, designed to meet the emotional, relational, and psychological needs of those navigating life in the spotlight—or quietly carrying the pressures of wealth, influence, and legacy.

Here’s what you can expect when you choose to heal with us.

 A Personalised, Private Welcome

From the moment you choose BTB, your experience is tailored to you. There are no waiting rooms, no group timetables, and no shared treatment spaces with strangers. Instead, your programme is built entirely around your life, your goals, and your pace.

You will be welcomed in full privacy, with:

  • Fast-tracked airport arrival and private transfer to your accommodation
  • A dedicated meet-and-greet team
  • A discreet and fully briefed care team ready to support you from day one
  • A dedicated case manager

An Exceptional Clinical and Therapeutic Team

Our multi-disciplinary team brings together a rare calibre of expertise, combining clinical excellence with emotional intelligence and cultural awareness. Every member of the BTB team has deep experience working with high-profile individuals and understands the complexity of your world.

Your care team may include:

  • Clinical psychologists, psyhcotherapists and psychiatrists with international reputations
  • Trauma-informed psychotherapists and somatic specialists
  • Addiction and recovery experts
  • Relationship and family therapists
  • Performance and executive coaches
  • Mindfulness, breathwork, and bodywork practitioners
  • Creative arts, animal-assisted, and adventure therapy facilitators
  • Nutritionists, fitness specialists, and a host of other wellness professionals

All collaborate in real-time, creating a seamless, integrated treatment plan that evolves with you.

Complete Discretion and Confidentiality

BTB is built on one fundamental promise: your privacy is non-negotiable.

We work with one client, one couple, or one family at a time, ensuring your experience is fully protected and your presence on the island remains completely undisclosed.

  • No shared sessions or clinical overlap
  • No external observers or rotating therapists
  • Strict confidentiality protocols across all staff and services
  • Secure, private accommodations with no signage or branding

This level of privacy allows you to be fully present in your process—without performance, pretence, or pressure.

Deep Compassion and Lived Understanding

At BTB, you are not a diagnosis. You are not a reputation. You are not your family name or your public role.

We see you as a person—complex, intelligent, often exhausted, and deeply deserving of care. Our practitioners bring not only their credentials bur their humanity. Many of us have walked alongside public figures, artists, leaders, and high-net-worth families for decades. We know:

  • The emotional cost of performance
  • The pressure of visibility
  • The weight of legacy
  • The quiet isolation of leadership or inherited expectation
  • The deep vulnerability behind perceived perfection

And we know how to help.

What Your Day Might Look Like

Because every BTB programme is designed uniquely, no two experiences are the same. But you can expect a rhythm that includes:

  • One-on-one therapy—psychological, somatic, relational, and creative
  • Time in nature, on the beach, in the water, or in Barbados’ peaceful landscapes
  • Wellness sessions—movement, nutrition, breathwork, mindfulness
  • Moments of solitude and reflection in beautiful private surroundings
  • A team available 24/7, always present, never intrusive

Access to BTB’s Leadership

Your journey is not managed from a distance. At BTB, you have direct and ongoing access to our CEO and COO—both deeply involved in clinical oversight and client experience. You are not passed from team to team. Your care is led with personal accountability, warmth, and precision.

This level of attention ensures:

  • Every detail of your stay is managed to the highest standard
  • Your evolving needs are met with agility and compassion
  • You are never alone in your process

Why BTB Is Right for You

You may be navigating a personal crisis, an identity shift, a relationship in pain, or simply the weight of “holding it all together” for too long. You may be burnt out, overwhelmed, lost, or just deeply ready to rediscover who you are beneath the role.

At BTB, we don’t offer quick fixes or rigid programmes. We offer a transformative experience, grounded in presence, excellence, and care.

Whether you are a public figure, a private soul in a high-pressure life, or someone from a family where expectations run deep, BTB is where you can finally exhale.

One client. One journey. Everything you need to come home to yourself.

Treatment Duration at BTB

A Flexible, Realistic Approach for High-Profile Lives

At BTB, we recognise that our clients lead extraordinary lives—marked by performance, pressure, and often, unpredictability. Whether you’re a touring artist, a public figure, a CEO, or navigating the complexities of inherited wealth and legacy, your time is often limited and heavily scheduled.

That’s why, unlike many treatment providers, BTB does not impose fixed programme durations. We understand that real healing doesn’t happen on a calendar—it happens when you’re truly ready, in the right environment, with the right support.

That said, we also know that meaningful change takes time, and we are committed to helping you strike the balance between clinical effectiveness and real-world feasibility.

No Pre-Set Programme Lengths

Your treatment at BTB is built around:

  • Your availability
  • The complexity of your challenges
  • Your current mental, emotional, and relational presentation
  • The goals you wish to achieve

We don’t ask you to fit into a rigid structure. Instead, we build a bespoke therapeutic experience around what’s possible for you—without compromising on clinical depth or quality of care.

Minimum Commitment: 7 Days

While we are flexible, we are also clinically grounded. No effective treatment can occur in fewer than 7 days.

A stay shorter than this would not provide the time or space needed to:

  • Establish therapeutic trust
  • Understand the underlying drivers of current struggles
  • Begin meaningful emotional or behavioural shifts
  • Integrate restorative routines or self-regulation practices

Even our shortest engagements include an intensive, immersive programme, guided by our multidisciplinary team, and aligned with your personal and professional realities.

Realism Meets Results

We work with:

  • World-touring musicians managing emotional and physical burnout
  • Actors and creatives balancing exposure, identity, and self-worth
  • Political leaders and executives under constant scrutiny and demand
  • Children of high-net-worth families navigating legacy, expectation, and identity formation

These clients often come with limited windows of availability—sometimes just a week sometimes more. We understand this, and we work with you.

But we also ask for honesty and realism about what can truly be achieved in the time available.

For example:

  • A week may help stabilise acute stress, gain clarity, and begin a recovery plan. For couples much can be achieved in our 7 day couples programme
  • Two weeks may allow for deeper emotional processing, relational work, or trauma-informed support
  • Longer engagements support full nervous system regulation and comprehensive change for deep seated, longstanding issues.

Where time is short, we prioritise urgent needs, while building a roadmap for ongoing care beyond your stay.

Continued Care & Aftercare Planning

If your circumstances don’t allow for the depth of work needed while in Barbados, we’ll explore options together.

Every BTB programme includes:

  • Discharge planning that reflects your goals and remaining needs
  • Personalised aftercare recommendations and intensive follow-up support
  • The option to return to BTB for additional work when timing allows
  • Coordination with family offices, managers, agents, or medical teams, when appropriate and permitted, to ensure seamless continuity of care

A Word on Expectations

We understand that those in high-profile roles are used to quick turnarounds, high performance, and visible results. But personal transformation doesn’t follow the same metrics.

At BTB, we invite you to slow down, reflect, and engage in what’s actually possible, not what’s expected.

We’re not here to sell time—we’re here to offer honest, grounded care. That might mean celebrating what’s achievable in 10 days—or helping you create a long-term growth strategy that starts now and continues beyond.

Why BTB Is the Ideal Partner for Your Journey

  • One client at a time: Full focus. No distractions. Complete discretion.
  • Experienced, multidisciplinary team: Therapists, coaches, trauma specialists, wellness professionals, and more
  • Deep understanding of high-pressure and high-visibility lives
  • Total flexibility, without compromising clinical depth
  • Direct access to BTB’s CEO and COO, ensuring your programme remains aligned with your changing needs and schedule

Your Time Is Valuable. Your Wellbeing Is Priceless.

At BTB, we meet you where you are—but we won’t pretend complex challenges can be solved overnight. Together, we’ll maximise what’s possible, without promising what’s not.

One client. One journey. One carefully tailored timeline—just for you.

"When I arrived in Barbados, I did not want to see or speak with anyone due to my severe anxiety and depression. I have been suffering for 10 years, and nothing has worked. The team in Barbados lfound that I had been suffering from an undiagnosed medical problem causing hormonal issues alongside some psychological issues. After 6 weeks of care, compassion, and extraordinary therapy I finally have my life back thanks to this amazing team. I even went on a jet ski for the first time ever!"

"I have literally been pulled out of the gutter (I stopped enroute from the airport to be sick – ask Karen). I found any sort of treatment so difficult to begin with and being asked to work with horses was a little confusing, but I trusted Karen, and the team so went with it. After 5 weeks of extraordinary therapy and embracing the programme, my whole outlook has changed. I had never eaten anything green before and never exercised! But now I have a healthy food plan and a physical exercise regime and I can even run for a short while. I also have an amazing tan and look and feel great and the therapy has really helped me put things in perspective. After all my paranoia about being seen, I now hope the paparazzi are at the airport for my journey home!"