Questions you may have
Starting therapy can bring up all sorts of questions.
Here are some of the things you might want to know before we begin.
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People come to psychotherapy for many different reasons. You may be experiencing anxiety, loss or bereavement, low self-esteem, relationship difficulties, a period of change, or the effects of difficult experiences from the past.
You might also be struggling with self-criticism, finding it difficult to express what you need, or noticing the same patterns appearing in different relationships. Sometimes there isn't a particular problem at all, just a sense that something isn't quite right or that you would like to understand yourself more deeply.
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Therapy can offer an opportunity to understand patterns in how you relate to other people. You may find yourself repeatedly putting other people's needs before your own, worrying about rejection, avoiding conflict, finding it difficult to trust, or ending up in similar kinds of relationships.
Rather than assuming there is something you need to 'fix', we can be curious about how these patterns developed, what purpose they may have served, and how they affect you now.
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Yes. You don't need to have a diagnosis or a clearly defined problem to come to therapy. Sometimes people know that they feel anxious, overwhelmed, disconnected or stuck, but aren't sure why. Others find themselves repeating the same patterns in relationships or struggling with feelings that are difficult to understand.
Part of therapy can be taking the time to explore these experiences together and gradually making sense of what may be happening.
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You don't need a diagnosis, a crisis or even a clearly defined problem. Sometimes we simply know that something doesn't feel right, or there are things we'd like to understand better.
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There is no specific length - some people come with a particular issue and work for a shorter period, while others want to explore longstanding experiences or patterns more deeply.
We can discuss and review this together.
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I offer in-person psychotherapy in East Dulwich, SE22 in South East London, as well as online therapy.
You don't need to live in East Dulwich to work with me. If you're considering in-person therapy, please get in touch and I can provide more information about the location and availability.
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Yes, online sessions are 50 minutes and conducted via Zoom.
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We can arrange an initial, no-obligation 15 minute online/telephone conversation, giving you an opportunity to tell me a little about what brings them to therapy, ask questions and see whether working together feels right.
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There isn't an expectation that you tell your entire life story immediately. We'll begin to explore what has brought you and what you hope for, while getting a sense of how it feels to work together.
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We can be flexible about this. Though probably weekly at a regular time.
Consistency is an important part of the therapeutic process.
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You don't need to arrive with a plan for each session, or even know exactly why you're seeking therapy.
Sometimes knowing where to begin can itself feel difficult. We can find a way into things together
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Therapy is different from advice-giving. I won't tell you what I think you should do. Instead, we'll try to understand together what's happening for you, including the feelings, experiences and patterns that may be influencing the choices you make.
At times I may offer thoughts, information or practical strategies where these feel helpful, but we'll approach the work collaboratively.
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What we discuss in sessions is confidential, though there are limited circumstances where I may need to share information, for example if there were serious concerns about safety.
I will discuss confidentiality fully when we begin working together.
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Payment is made in advance of each session by bank transfer.
You don't need to pay for a block of sessions in advance.
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I understand that sometimes plans change. If you need to cancel or rearrange a session, I ask that you give me as much notice as possible.
Sessions cancelled with less than 48 hours' notice will normally be charged at the full fee. Where possible, I will try to offer an alternative time, although this will depend on availability.
I will always give you as much notice as possible of any breaks or changes from my side, and you will not be charged for sessions that I need to cancel.
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I will let you know in advance about my planned breaks and holidays, and you will not be charged for sessions when I am unavailable.
If you are planning time away, I ask that you let me know as early as you can.
We can discuss planned breaks and how these will work as part of our agreement when we begin therapy.