Dr Binsale is a Principal Clinical Psychologist and an Expert Witness, with over seven years of experience providing comprehensive medico legal opinion and psychological assessment in both clinical negligence and personal injury matters. She has prepared in excess of 50 expert reports, instructed by claimants and defendants, and is recognised by her balanced, evidence-based, and well-reasoned opinions.

Her medico-legal practice encompasses opinion on causation, condition and prognosis, breach of duty, and liability, integrating clinical formulation, psychometric assessment, and critical review of medical evidence. Dr Binsale specialises in psychological trauma and complex mental health difficulties, with particular expertise in women’s health and functional gastrointestinal disorders. This includes work involving traumatic birth experiences, perinatal and gynaecological trauma, and the psychological sequelae of inflammatory or structural gastrointestinal conditions.

Over the past seven years, Dr Binsale has been instructed to provide expert opinion in a wide range of complex cases, including Complex Post-Traumatic Stress Disorder (C-PTSD), psychological injury arising from surgical complications, and the psychological impact of delayed diagnosis and medical negligence, such as periodontitis resulting in tooth loss and delays in diagnosing cancers. Her work also extends to cases involving occupational stress, trauma following road traffic or workplace accidents, and the psychological effects of visible or permanent scarring.

Dr Binsale is known for her thorough, analytical, and transparent approach to expert reporting, ensuring that opinions are clear, substantiated, and compliant with Civil Procedure Rules (CPR Part 35). She is experienced in working collaboratively with legal professionals and medical experts and is able to provide oral evidence in court when required.

Dr Binsal has extensive experience in cases associated with:

Clinical negligence assessments:

• Psychological injury related to delayed diagnosis and/or treatment (medical and dental):
  – Delay in diagnosis of Dermatofibrosarcoma Protuberans (DFSP)
  – Delay in diagnosis of periodontitis resulting in teeth loss
• Gastrointestinal disorders (inflammatory and structural):
  – Chronic pain and visceral hypersensitivity
  – Medically unexplained gastrointestinal symptoms (MUS)
  – Eating-related gastrointestinal dysfunction (secondary to anxiety or trauma)
  – Post-surgical adjustment and psychological recovery
  – Functional and psychosomatic disorders
  – Impact of trauma, stress, and adverse life events on gastrointestinal function
  
• Gastrointestinal surgical treatments
• Women’s health:
  – Maternity care
  – Fertility difficulties
  – Delayed diagnosis and treatment of endometriosis
  – Perinatal period
  – Gynaecology
• Traumatic birth experience:
  – Failure to recognise high risk status during pregnancy
  – Delay in escalation during labour and delivery
  – Miscarriages
  – Ectopic pregnancy
• Psychological interventions:
  – Cognitive Behavioural Therapy (CBT)
  – Trauma-Focused Cognitive Behaviour Therapy (TF-CBT)
  – Compassion Focused Therapy (CFT)
  – Eye Movement Desensitisation Reprocessing (EMDR) Therapy
  – Specialist assessment of complex mental health difficulties
• Occupational stress
• Workplace bullying and discrimination
• Road traffic accidents
• Work-related accidents
• Corporate negligence
• Psychological injury following:
  – Broken bones
  – Amputation
  – Soft tissue injury
  – Permanent foot drop
  – Chemotherapy
  – Nerve damage
  – Meniscal tear
  – Chronic fatigue syndrome
  – Infections post decompression surgery
  – Visible and permanent scarring post-surgery
• Complex mental health difficulties:
  – Severe depressive disorders
  – Post-Traumatic Stress Disorder (PTSD and C-PTSD)
  – Bipolar affective disorder
  – Adjustment disorder
  – Anxiety disorder
• Bereavement, loss, and traumatic grief following medical or surgical events

Dr Binsale’s appointment availability is 4 weeks and report turnaround time is 4 – 6 weeks.