
Frequently Asked Questions
Thinking about starting therapy often raises practical and personal questions. Below I’ve answered the ones I hear most often. If yours isn’t here, I’m happy to answer it directly. Get in touch contact me.
What type of therapist are you?
I am a psychodynamic psychotherapist, which means I’m interested in how earlier relationships and experiences continue to shape how you feel, relate, and see yourself now. That doesn’t mean therapy is only about the past. It means we pay attention to patterns, including the ones that show up between us in the room, as a way of understanding what might be driving the difficulties you’re experiencing now.
I have a specialist interest in trauma and dissociation, and all of my work is trauma-informed. I also integrate therapeutic writing for those who find it useful. You can find more detail about my approach on the Adult Psychotherapy page.
What is the fee?
The session fee is £95. Sessions are usually once or twice weekly and 50 minutes in length. Longer and shorter sessions also available to suit your needs.
I only support a small number of clients at any one time. By carefully limiting the number of clients I work with I am able to provide more attention and consideration to your therapy.
Are you neurodivergent-friendly?
I aim to be, yes. Everyone’s needs are different, and I don’t assume I’ll get it right for you straight away. The only person who truly knows what works for you is you, and I welcome your guidance. If something in our sessions doesn’t feel comfortable, whether it’s the lighting, background noise, use of white noise, the length of sessions, or anything else, I’m open to adapting where I can.
Some people like to have fidget toys or blankets to hand, others prefer quiet or movement, and all of that is fine here. My intention is to offer a space where you don’t have to mask or apologise for how your mind works, and where we can work together to shape the therapy environment so it feels more supportive for you.
Do you work with all issues?
I work with a wide range of difficulties and life challenges, but there are certain presentations that fall outside the scope of independent private practice. In such cases, it is in your best interests to access services where there is specialist expertise and/or a multidisciplinary team.
Examples of issues I don’t work with independently include:
- Active substance dependence (unless you are also engaged with dedicated addiction services)
- Active eating disorders (particularly where weight restoration or medical monitoring is required)
- Psychosis or other untreated severe mental illness that requires psychiatric and multidisciplinary care (including postpartum psychosis)
- High and untreated risk to self or others, including active suicidal intent or behaviours requiring ongoing crisis intervention
- Complex neurodevelopmental or medical conditions where integrated assessment and management are recommended
- Severe or treatment-resistant OCD (including Pure O) that require intensive or specialist input beyond individual therapy
- Court-ordered or forensic work (for example, therapy required for legal proceedings, custody disputes, or offender treatment), which is best managed by specialist services trained to provide reports and interventions in a legal context)
Can you help if I already have a diagnosis?
Yes, probably. A diagnosis can sometimes be a helpful starting point, but it isn’t essential for us to work together. What matters most is how you experience things day to day and what you’d like to change.
If you already have a diagnosis or report, I’ll take that into account, if you would like me to, but our focus will always be on you as a person, not just a label.
What will happen in our first session?
The first session is primarily a chance to meet and get a sense of whether working together feels right. There’ll be time for you to say something about what’s brought you to therapy and what you’re hoping for, and for me to ask a few questions. You’ll also have the opportunity to ask anything you’d like to know about how I work. There’s no pressure to have everything figured out before we start. We can also discuss at that point how many sessions might be useful and what the shape of the work might look like.
Is therapy confidential?
Yes. What you share in sessions remains confidential. There are specific legal exceptions to this, including disclosures relating to terrorism, female genital mutilation, and situations where a child is at risk of harm. I’ll explain the confidentiality framework clearly when we begin working together, and you’re welcome to ask questions about it at any point.
Do you offer diagnosis and reports?
In the UK, formal psychiatric diagnoses can only be made by psychiatrists and some clinical psychologists with the relevant training and scope of practice, so I do not provide official diagnostic assessments. I am trained in certain screening and structured tools (such as the SCID-D), and while I occasionally use parts of these to explore specific symptoms, I do not carry out full diagnostic assessments.
If you are seeking a comprehensive SCID-D assessment, I can recommend specialist clinics where practitioners administer this measure daily and have more extensive expertise than I could provide. When clients come with such reports, I draw on my clinical experience to understand and integrate the findings into therapy. Not having a formal diagnosis does not prevent us from working together effectively, our focus will always be on understanding your individual experiences and tailoring therapy to your needs.
I do not generally provide detailed clinical reports. The only documentation I usually provide is confirmation of attendance (dates and number of sessions attended).
How often will we meet?
I work primarily with clients on a weekly basis, and in my experience it’s regular, consistent contact that allows the work to go deepest. That said, the frequency of sessions is something we discuss together at the outset and can review as we go. Some clients move to fortnightly sessions during longer-term work once a certain stability has been established. Others need more frequent contact during intensive periods. There are no fixed rules, and we’ll work out what fits your circumstances and your therapeutic needs.
What is the difference between short and longer term psychotherapy?
Brief or short-term psychotherapy usually provides support for a particular issue or situation, perhaps a job loss, a relationship breakdown or a bereavement. Typically, this would be between 12 and 24 weekly sessions. Longer term psychotherapy gives clients the opportunity to work on deeper issues with more time to work in depth. It is my job to help you identify issues and patterns of behaviour and work with you to understand how you came to be having difficulties. We can talk about how many therapy sessions you might need at the first session or at any point once we have started. You are always free to leave at any time.
How will I pay for sessions?
Payments can be made via Bank Transfer, electronic invoice (this is emailed to you with a link to pay by card) or cash. You will always be provided with a receipt.
How long is a session?
Each session lasts 50 minutes. Sessions start and finish on time, this means if you arrive late you can still make use of the rest of the session, but we will finish on time.
I also work with longer sessions of 75 and 90 minutes, helpful for trauma processing, or if you need more support for a time.
Are you supervised?
I make use of regular supervision with a qualified supervisor who is also a therapist. Supervision is where I discuss my clinical work to ensure I offer the best possible support to my clients. I also consult specialist supervisors to expand my experience in certain areas as needed.
Do you offer supervision to other therapists?
Yes. I offer clinical supervision to qualified therapists and trainees, with a particular focus on relational psychodynamic practice and specialist work with trauma and dissociation. If you’re a therapist looking for supervision, you can find more detail on the clinical supervision page.
Do you offer therapeutic writing?
Yes. Therapeutic writing is an area of specialist interest, training, and ongoing research for me. I integrate writing into individual therapy for those who find it useful, and I run therapeutic writing groups both online and in person in Bromley. Writing is always optional and requires no prior experience. You can find more on the therapeutic writing page
Where have you worked?
I have worked with clients in a variety of settings…
- A domestic violence charity with women who have experienced a variety of challenging domestic abuse, sexual abuse and with children who have been in a household where abuse was witnessed.
- In both primary and senior schools with children experiencing a range of emotional difficulties.
- A hospice with clients approaching the end of their lives and their families both pre and post bereavement.
- In a general counselling charity offering support for a wide range of emotional distress.
- Supervising groups of qualified and trainee therapists in low cost counselling agency
- On the steering committee of the European Society of Trauma and Dissociation (UK)
How many sessions will I get?
We can discuss this when we meet, some clients like to work on an open-ended basis this means they come each week until they feel they wish to stop, others prefer to come for a set 12 or 24 sessions. You are free to stop at any point should you wish.
How do I know if you are the right psychotherapist for me?
The quality of the relationship between you and your therapist has a big impact on how helpful therapy feels. It matters that you have a sense of trust, that you feel understood, and that you feel able to be honest with the person you are working with. I pay close attention to whether I am the right person for you. If it seems that another therapist might suit you better, I will say so and, where possible, help you think about what to look for instead. If you would like to ask any questions, or get a feel for how it might be to work together, you are welcome to contact me.
Learn more about finding and choosing a counsellor or psychotherapist here.
What sort of things do people seek therapy for?
Here are few of things people have said when they sought therapy…
- Work-related problems, exploitation or discrimination.
- Problems in relationships
- Questions about identity.
- Interested in learning more about and improving myself.
- Problems around supporting children.
- Life just does not seem as worthwhile anymore.
- Sharing a secret which has never been shared.
- Confusion about the future or life path.
- Lack of confidence.
- Loss of identity after becoming a parent, or after retirement.
- recovery from Trauma, recent or historical
- getting past a creative block
How will psychotherapy help me?
Change in psychodynamic therapy tends to be gradual rather than arriving in clear milestones. People often notice shifts in how they respond to familiar situations, in the quality of their relationships, in how much space they can give themselves, and in the grip that old patterns have on their choices. Insight tends to accumulate quietly rather than arriving in a single session. What changes tends to hold, because it reaches the layer where the patterns actually live rather than only addressing their surface effects.
Where are you located for face to face Psychotherapy?
I see clients at my practice in Bromley, in the London Borough of Bromley, South East London. The office is easy to reach from central London, with trains from Victoria, Blackfriars, and London Bridge taking around 20 minutes. I also work online via Zoom for clients across the UK, and hybrid arrangements combining both are available. See the contact page for full details.
Why would I pay to see a private Psychotherapist?
NHS provision for therapy is generally limited, typically between four and twenty sessions depending on the service, and waiting lists can be significant. Seeing a private psychotherapist gives you more flexibility in terms of choosing someone whose approach fits your needs, working at a pace that suits you, and continuing for as long as the work requires rather than a fixed allocation. Your sessions are entirely private and don’t appear on your medical records.
There are also good low-cost agencies that make therapy more accessible, some focused on specific presentations such as sexual abuse or bereavement. The resources page has some starting points if you want to explore those options.
Is therapy all about digging up the past?
Psychodynamic therapy is interested in the past, but that doesn’t mean every session is spent there. What the past offers is context, a way of understanding patterns that might otherwise seem random or confusing. How much time we spend on history versus present difficulties is shaped by what feels most useful to you and what the work actually requires. You’re always in charge of what you bring.
Is psychotherapy self indulgent?
No. Attending to your psychological wellbeing is not a luxury and it isn’t self-absorption. Most people come to therapy because something is getting in the way of living and relating the way they’d like to. Taking that seriously enough to do something about it is a reasonable response to a real difficulty, not a sign of weakness or indulgence.
Can you visit me at home?
I do not currently offer home visits.
What if I require urgent help?
I am unable to offer emergency help during times of crisis. If you require help urgently, please contact your GP or NHS111 for advice, or go to your local A & E department. You might also find the Resources page useful.
Will you leave me in silence?
Your comfort is my priority. In our sessions, you have the freedom to choose what you want to talk about, and I won’t push you in any particular direction. If you find yourself in silence, I’ll gently check in with you to see how it feels. Sometimes, silence is a space to gather your thoughts before continuing. Other times, it might feel uncomfortable or awkward, and that’s okay. We’ll work together to decide when you might need a little support to keep going.
Unlike traditional psychoanalysis, where the therapist remains neutral and silent, my approach as a psychodynamic psychotherapist is warmer and more relational. I’m here to walk with you through whatever comes up, whether in words or in silence.
Have you had psychotherapy yourself?
Yes, I have been in therapy for over a decade. My own lived experience of benefiting from therapy was a significant part of my journey, and one of the reasons I chose to train as a therapist.
I continue to have therapy today, both to support my own wellbeing and to ensure that I can be fully present and grounded in my work with clients. Therapy can be valuable for anyone at different points in life, not only during times of crisis, but also as a way of deepening self-understanding and building resilience. If you are considering therapy, you are not alone, even therapists find it an important and supportive part of life.
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