Counselling is usually a good way to help with a current problem; something that can be discussed and - hopefully - resolved within a limited number of sessions. Over a certain number of weeks the understanding of the problem improves and away forward becomes clear. Therapy often describes work that goes a bit deeper, towards more substantial life issues and problems having a deeper effect on the client’s life. Therapy often requires a long-term approach, so the number of sessions can be open-ended.

Which option is most suitable depends on the client and the difficulties they are facing. In some cases counselling works well as an ongoing, longer-term option - or therapy can manage to resolve an issue in just a few sessions.

How long a period of counselling lasts will vary from person to person and depend on the depth of the issues they are facing. For some people a couple of sessions helps to bring their problems into focus, and they feel ready to move forward; other problems may require more of an open-ended approach.

Before we begin any work we will agree on the number of sessions we’ll undertake, and at the end of that number review our progress. As long as we both agree further therapy will be of benefit to you, sessions can continue.

My aim is to offer a first appointment - known as an initial assessment - within 1-2 weeks. Then we would arrange a set number of counselling sessions to take place at the same time every week, that is convenient for you and where I have availabity. How quickly these sessions can begin will depend on the availabity of that free ‘slot’.

Everything that is said within the counselling room is private - this is one of the main ways counselling and therapy differ from talking to a friend or relative. Once you are comfortable with the format of weekly sessions and the safe space they provide, you will find the freedom to speak in confidence is of great value.

Note that there are some situations where you may be a risk to yourself or others, and there the law requires that I notify an authority; in these cases I may not be able to keep total confidentiality. Breaking confidentiality is very rare though, and only happens after the person concerned has been informed.

Usually I am asked this question by people who are nervous about entering into counselling, or when they are looking for support in coming to see a therapist. This anxiety is understandable, but a key aspect of therapy is that you should feel free to talk about any issues you feel are important to you. Having someone else with you who can be connected those issues makes this opening-up more difficult, so for this reason I do not see clients accompanied by friends or family.