What to expect

I practice as a cognitive behavioural psychotherapist (CBT) and, in a nutshell, this means working with you to deal with the thoughts and beliefs that arise from an event rather than the event itself. It is therapy that aims to reduce distress by helping clients to become expert at understanding and, if necessary, modifying their patterns of thinking and behaviour. Many people find the process of talking in itself very helpful especially when it has been a problem they have kept to themselves for a long time.

This type of therapy begins with an assessment which consists of a discussion of what you want from therapy and an outline of your current problems and a brief resume of your past. There is the use of some psychological symptom measures which can help to highlight potential areas of work and also service as reliable measures that, over time, will show that the therapy itself has been effective. One of the hall marks of CBT is that the sessions comprise a mutual exploration of relevant issues. There is a review and an outline of the session. There is likely to be the setting of ‘homework’ which might comprise taking exercise (indicated in mild to moderate depression).

CBT is especially useful in treating depression, anxiety related disorders, post-traumatic stress disorder (I am considered an expert in treating this). For these disorders the evidence base is good. However, CBT can also be very useful in working with common problems such as relationship breakup, sleeping problems, worry and work related stress. I am also trained in mindfulness techniques which can be very helpful to some people.

Choosing a therapist is a very personal choice and something I am well aware of. The assessment session is not binding on either side but it enables us to decide whether or not we can work together.

I am registered with BUPA.

Length and Cost of Psychotherapy

The current cost of assessment and each subsequent session if £85. Both the assessment and treatment sessions last about an hour. The last few minutes are often spent making new appointments and paying for the session. Please note that I take payment by cheque, cash or bank transfer. I do not have the facility to accept debit or credit cards. The average length of treatment is eight sessions but this can range from between two and twenty five sessions. Once the assessment has been completed you can ask for a rough estimate in terms of possible sessions required. If you have been referred through an organization then please bring the relevant paperwork with you. Sessions are spaced to meet particular needs, often people attend weekly initially and then space sessions to either fortnightly or even monthly depending on how they are progressing.

Between Session Tasks

People often find it useful to keep their own notes as a result of our sessions. This may take the form of a diary or recording thoughts and feelings in a more structured way. At other times I may suggest a particular book or reading material that will aid your understanding. Doing these tasks will help you move forward in your life between sessions.


Psychotherapy sessions are confidential. In order to ensure the quality of their own work practicing psychological therapists consult a supervisor, on a regular basis, in regard to their clients.

Occasionally, I will need to write to another professional involved in your care. I will normally undertake this with you and then send you a copy of the letter. If an urgent clinical report is required then I may send this electronically. I keep paper notes which are stored securely.

If there are circumstances in which I feel you may be a danger to yourself or to others, I may need to discuss a change in confidentiality, which may involve other professionals.

I adhere to the ethical codes of the British Association for Counselling and Psychotherapy and the Nursing and Midwifery Council.


Twenty four hours of notice of cancellation is required in order that I can potentially allocate the session to someone else. Therefore if you think you are unable to make a session, please give me as much notice as possible.

Cancellations within twenty four hours will incur a cancellation fee of 50% unless there are extenuating circumstances.

Feedback Form

On completion of therapy I sometimes ask clients to provide feedback on the process. This enables you to comment on the quality of the therapy you have received and how this has affected you. This also provides very useful feedback to me.