FAQs
What is the difference between a counselling and a psychotherapy?
And what about psychologists and psychiatrists?
In the UK, people often use “counselling” and “therapy” interchangeably to refer to a process in which they see a professional to talk about their problems or mental health issues. Both are talking therapy, the main differences is the breadth and depth of training to become a psychotherapist or a counsellor (or psychotherapeutic counsellor). A Counsellor normally has completed an Introduction to Counselling course, and has a certificate in Counselling skills. Upon completion of 100 hours of supervised practice, they can register with the British Association for Counselling and Psychotherapy (BACP) as fully accredited and continue building their practice. A Psychotherapist completes a training at post-graduate level (level 7) and after completion of 450 hours of supervised practice and 120hours spent familiarising with the mental health service provision, they can register with UKCP (and BACP) as fully registered. A Psychologist, also referred to as a Clinical Psychologist or Counselling Psychologist, has a degree in Psychology and/or a PhD. They are also registered with the Health and Care Professions Council (HCPC). They work to understand people’s behaviour and address psychological distress. One way to think about it is that psychology is the study of the mind, and psychotherapy is about applying insights from psychology to help people. Psychiatrists are the only professionals who are allowed to prescribe medication as they primarily trained as medical doctors and then specialised in psychiatry.
How do I know who is the right therapist for me?
The relationship created between therapist and client is one of the main factors that influence the work and its success, more than the therapist training itself. Even though therapy is not always easy, it is important that you feel comfortable with me so that we can have an open dialogue, even when things are difficult or uncomfortable. I am not the type of therapist who sits mute; during session I'll listen, clarify, ask questions, help you explore your options and different perspectives, sometimes experiment with different responses. I will notice and help you to become more aware of what is happening in your body, because after all we are one unit: mind and body. I sometimes offer simple awareness exercises to do with breath and movement. We may also work with creativity (imagery, drawing, role play) although there is never an obligation to do so if it doesn't resonate with you.
What will my first session be like?
It can be challenging coming to a first appointment and ask for help or overcome the fear of being judged – but I am not here to judge you. Some nervousness is understandable and I will do my best to make you feel at ease. Together we will explore what brings you to therapy and what you hope to change. The first session is also an opportunity for both of us to meet and understand if if it feels right to start working together. I will explain how I work and you will have the chance to ask questions to decide whether you would like to start therapy with me. We will also discuss the options available to you, from long-term therapy to short-term counselling.
How many sessions will I need?
Based on what you’re looking for, what issues you want to focus on, and your preferences for the duration of our work together we can identify a reasonable time frame for you. The decision to start or end therapy is mostly yours. In some situations, I might be unwilling to agree to a specific contract duration. If that happens, I will explain my reasoning to you.
Do I need weekly sessions?
I tend to meet clients at the same day and time every week – it is important to attend therapy with regularity in order to get results, especially at the start of the journey. I understand that may be times when this is not possible and I am happy to be flexible and work around these times with you if clinically suitable. The type and frequency of your treatment will be discussed at the initial consultation and can be revisited as we continue the work.
Will my information be kept confidential?
Yes, all therapists are bound by a code of ethics and professional privacy policies which means that the sessions are completely confidential except for some circumstances: •If I believe you are at risk of harming yourself or others, I reserve the right to break confidentiality in order to prevent harm. However, I would only do this in extreme circumstances and would always try to discuss it with you first before taking any action. •If I am required by a court of law to give evidence (e.g. in criminal proceedings) or if there is concern about the welfare of a child or vulnerable adult, or about public protection, including potential acts of terrorism.
Do I need to prepare before the sessions?
No, if you have something specific that you want to discuss you are welcome to but there is not need to prepare in advance and you can trust that what is important will come up naturally.
Is online as effective as in person?
Because therapy is not a “one size fits all” some clients will prefer sessions in-person and others will feel more comfortable online. The research shows that patients and Therapists can form a therapeutic relationship that is just as close and productive.
What happens if I am late?
If you are late for a session, please let me know as soon as possible, expect the session to finish at the appointed time. In the unlikely event I am late, I will make up the time so long as this is possible for you or reimburse you accordingly.
If I’m not sure what I need, can you help me decide?
I offer all prospective clients a free 15-minute phone consultation and a paid 50-minute assessment session. The phone consultation is optional. It’s there for those who’d like to get a brief sense of me, ask a specific question about my working style or my client base, check if there is a suitable time slot for us to work together or anything else you’d like to know before committing to a first session.
Can I take holidays and breaks?
Yes. I will endeavour to give you as much notice as possible ahead of taking holidays and I would appreciate you doing the same but a minimum of 2-week notice is required. Please note that while you are entitled to take breaks, I won’t be able to guarantee your time/day slot for holidays or breaks longer than 2 weeks; we can discuss special circumstances on a case by case. If our session falls during a bank holiday and you would still like to meet that week, I will offer whenever possible an alternative time-slot.
Cancellations
My cancellation policy is 48 hours. If you are unable to attend, please let me know at least 48 hours in advance by email. I will endeavour to find another time within the same week that is convenient to both of us; however, if this is not possible then the full fee is payable.
What happen if I want to stop therapy?
The decision to start and stop is up to you. I would encourage you to talk to me if you think about stopping we can plan how and when to stop. Therapy is intended to be healing, supportive and sometimes challenging. We need to be aware that there may be times, as in any human relationship, when things feel difficult. These times if worked through together can also be very fruitful. If either of us think it is time to bring therapy to an end, we will discuss together. I recommend that we have at least two weeks prior to the ending, to allow for a review and an appropriate closure
What is Gestalt therapy?
Gestalt psychotherapy is a relational (i.e. we can use the relationship between us to understand how you respond to others in your life) and experiential (i.e. we can focus on feel and experiencing more than talking about) form of therapy. It focuses on increasing awareness of your thoughts, emotions, and body sensations - in the present moment. Rather than analysing the past in isolation, Gestalt therapy helps you understand how the past influence your experience of the world right now, so you can develop new choices and more satisfying ways of living.