Read our posts about counselling

Therapists and Pets: Is Three a Crowd in the Consulting Room?

Therapists and Pets: Is Three a Crowd in the Consulting Room?

When therapists talk about providing a ‘safe space’ where clients feel able to open up we are usually speaking metaphorically. We mean to indicate that the consulting room will be a place where everything is treated confidentially and judgements are on hold  regarding what is said or done by the client. But ‘safe space’ took on quite a different significance for the unsuspecting client who, towards the end of her session and in mid-thought, was attacked by a Manchester therapist’s cat. The feline who broke the therapeutic boundary had slipped unnoticed through an...
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Why is There So Much Anxiety?

Why is There So Much Anxiety?

Given that we enjoy longer and healthier lives, why are so many of us suffering from anxiety? We do live in an increasingly competitive society. We are bombarded with images of ‘success’. Are we thin enough, handsome enough, rich enough, and clever enough?  We readily use words like ‘success’ and ‘failure’, yet what do these terms really mean? It doesn’t occur to us that these ordinary concerns might be a symbolic reflection of our anxiety about mortality. In my work as a therapist I have come to understand that, often, underlying our deepest anxieties are...
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Sometimes Therapy Goes Wrong

Sometimes Therapy Goes Wrong

The course of true therapy may not always run smooth. Conflicts and ill feelings can arise just the same as elsewhere – therapists can offend, get things wrong, be clumsy or annoying as well as others. Like others too, they can also be unprofessional, unethical and even, it's tough to think, criminal. It may be that your therapist hasn't done anything 'wrong' as such, but you just feel as if you aren't getting anywhere or you have a vague and repeated sense of unease in the consulting room. Therapy works best if you are able to be as open and honest about any...
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How to Stop Feeling Stuck

How to Stop Feeling Stuck

As a psychotherapist, I meet people all the time who are feeling stuck. Motivation and interest elude them and they’re unhappy. I wanted to help people get back on their feet, not just to survive, but to thrive. Life gives us an opportunity to become the person we’re meant to be by fulfilling our unique purpose. But many people feel out of touch with their purpose. Instead of moving forward with energy and joy, it’s as though they’re caught in an eddy. Even if they knew how to get moving again, they wouldn’t know which direction to go. Somewhere along the...
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Therapy and Cultural Difference

Therapy and Cultural Difference

London is a very multi-cultural place and so cultural identity is an important consideration when choosing a therapist. But what is culture? Some people think that cultural difference is about coming from a faraway country or belonging to an ethnic minority group. In reality, culture is so ubiquitous that even therapy has its own culture; in fact one that, for many people new to it, is shocking to start with. For example, sitting in a room with a stranger, sometimes in silence, sometimes talking about some very difficult feelings, is an alien culture for somebody who...
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What's in a name?

What's in a name?

Having waited nearly an hour for a client who didn’t show up for his weekly psychotherapy appointment with me, I contacted the main office of the charity where I work to see if he’d left a message. Indeed, he had contacted the service but couldn’t remember my name so the message didn’t get to me.  After recovering from the mild humiliation with my colleagues, I began to wonder what was really going on. Did my client think so little of me that I was just another in a long line of people to speak to, or was something else afoot? I have never texted or emailed my...
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How Much Should I Pay for Therapy?

How Much Should I Pay for Therapy?

Whenever a friend consults me about starting therapy the second question after “How do I find a good therapist?” is usually “How much should I pay?”. It is a fair question. None of us like to feel we are being taken for a ride, but there is also the concern that lower fees may mean the therapist has less experience or is, simply, less good. It is not necessarily the case. Quite often the most experienced, most highly trained therapists charge the most reasonable fees. This could well be because they are psychoanalysts who traditionally charged a relatively affordable rate...
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What Therapy Did For Me

What Therapy Did For Me

I have the dubious distinction of having made my therapist cry - when I said goodbye recently, after four and a half years of therapy, I gave him a small artwork I’d made which featured the words ‘you helped me change my life’.  He was moved; it was gratifying to see him cry, since I’d struggled not to throughout our entire relationship. But I was truly grateful for his care, his insights, humour and professionalism. We’d had quite a few laughs together, along with the agony, sadness and confusion. What I have now accepted is that there are times in your life when you...
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Broken Heart: How To Cope With Bereavement

Broken Heart: How To Cope With Bereavement

We all know that loss is an inevitable consequence of making an attachment. No one gets out of here alive, as it were. Yet the severing of this attachment is literally heart breaking. A recent study by St Georges, University of London found that a person’s risk of heart attack or stroke is highest in the month after bereavement and this declines slowly over the following year. This is because grief can lead to a range of adverse physiological responses, such as changes in blood clotting, blood pressure, stress hormone levels and heart rate control – all of which are...
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