What happens in therapy?

I need to get as good a picture as I can of your strengths and of what you are finding difficult in your life and how this is affecting you and people close to you. I shall ask some questions, but I shall also make it clear that you only need to give as much information as you feel comfortable with. Many people find that as therapy gets going they are able to talk more openly, and in the early stages you shouldn’t find yourself under pressure to say more than you want. Although I need to gather some basic information about you and your life, most of the time I shall wait for you to talk. This is because I am interested in hearing about what is on your mind rather than asking you lots of questions.

How will I know if psychotherapy with you is for me?

Having confidence in your therapist is essential. It is understandable that you need reassurance that you are choosing the therapist who feels right for you that she is robust, experienced, has integrity and that none of the personal circumstances that you would like to bring to therapy will be considered too severe or insignificant. Before agreeing to see a particular therapist, ask yourself:

  •      would you feel comfortable telling them intimate details of your life?

  •      do you feel safe with them?

  •      do you like their manner towards you?

  •      could you be completely open with them?

  •      do I get the impression that she is competent as a therapist and a real person too?

If your answer to most of these questions is “yes”, perhaps you will find psychotherapy with me helpful. If this is not the case, it is not your fault. Many people do not find the right therapist at their first attempt. You have already decided you would benefit from therapy, so it is worth trying again. If you wish, I will give you the names of other qualified psychotherapists.

How long is each session and how many will I need?

Psychotherapy typically involves regular sessions, usually fifty minutes in length for individual therapy and seventy-five minutes for couples. Duration and frequency vary depending on the nature of your difficulties and your individual needs. Cognitive Analytic Therapy is a time limited model of therapy, but the number of sessions needed to address individual’s issues varies. I will help you decide whether a course of 16, 24 or 32 sessions might be more helpful and appropriate to your personal circumstances.

How often should I come for psychotherapy?

Most people come for a weekly session and aim to come at the same time on the same day. However, some people prefer to see me twice weekly for more intense work and people who see me once weekly ask for additional sessions for a few weeks when they feel this might help them. Some people's schedules vary and I try to accommodate this as far as possible.

What if I can't come for a session?

People do take holidays and sometimes become ill. However, should you need to cancel an appointment, please, let me know at least twenty-four hours ahead of time; otherwise, I shall charge you for the missed session.

How much will it cost?

My fee for an individual therapy session is £ 60.00 and £ 100.00 for therapy with couples. You can pay at the end of each session.

What happens with the information that I share with you?

I often record sessions, but information you share with me will be kept strictly confidential and will not be disclosed without your written consent. By law, however, confidentiality is not guaranteed in life-threatening situations involving yourself or others, or in situations in which children are put at risk (such as by sexual or physical abuse or neglect). Should I need to disclose information that you provide, I will inform you before taking any action. If I need to discuss your treatment with a colleague, I will ensure that I disguise identifying information, including using a pseudonym.


1The key to successful therapy is finding the right therapist for you. However good, knowledgeable or experienced a therapist is, it is the relationship between the two of you that determines whether you trust them enough, and they come to understand you enough, to help you explore and find solutions for your problem.

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2I have trained as a Dramatherapist, a Dialectical Behaviour Therapist and I am an accredited Cognitive Analytic Practitioner. I am registered with the Health Professions Council, a full member of the British Association of Dramatherapists and of the Association for Cognitive Analytic Therapy.

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3As well as working in private practice, I work as a therapist with a NHS specialist service for people with personality disorders.

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4I commit to engage with the challenge of striving for ethical practice and conduct. I take responsibility for respecting my patient's best interests when providing therapy and to treat my patient with respect.

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