Starting Therapy – Your Questions Answered
Can CBT really help?
Cognitive Behavioural Therapy (CBT) is one of the most researched psychological therapies available and is recommended by NICE for many common mental health difficulties.
Like any therapy, it isn't a quick fix, but many people find that understanding the patterns that keep problems going and learning practical skills to change them can make a significant difference.
CBT works best when we work together as a team. The more you are able to practise the skills we develop between sessions, the more likely you are to experience lasting change.
What happens in the first session?
The first appointment is an opportunity for us to get to know each other.
We'll spend time exploring what has brought you to therapy, how your difficulties are affecting your life and what you would like to achieve. I'll also explain how CBT works and answer any questions you may have.
There is no pressure to share everything straight away. We will work at a pace that feels comfortable for you.
What if I'm nervous about starting therapy?
Many people feel anxious before their first appointment.
It's completely understandable.
You don't need to prepare anything special, and there is no expectation that you'll know exactly what to say. My role is to help guide the conversation and create a space where you feel safe, listened to and understood.
Most clients tell me that they feel much more at ease after the first few minutes.
How many sessions will I need?
There isn't a set number of sessions because everyone's circumstances are different.
During the assessment, we'll discuss your goals and develop an initial treatment plan. As therapy progresses we'll regularly review how things are going and decide together whether further sessions would be helpful.
The aim is always to provide the right amount of therapy for your individual needs.
Will our sessions be confidential?
Yes.
Everything we discuss is confidential and handled in accordance with UK GDPR and professional BABCP standards.
There are a small number of situations where I may have a legal or ethical duty to share information—for example if there is a serious risk of harm to yourself or someone else, safeguarding concerns or a legal requirement.
Wherever possible, I would always discuss this with you first.
What happens during a CBT session?
CBT sessions are structured but flexible.
Together we'll agree an agenda for each session, review progress since we last met, explore the difficulties you're experiencing and develop practical strategies to help you move towards your goals.
There is always time for reflection, questions and feedback.
How do I know if you're the right therapist for me?
Finding the right therapist is important.
I encourage you to ask questions during our initial consultation so that you can decide whether you feel comfortable working with me.
Therapy works best when there is trust, openness and a good therapeutic relationship.
How do I pay?
Payment is made before each appointment by secure bank transfer.
Details will be provided when your appointment is confirmed.
What if I need to cancel?
Please provide at least 48 hours' notice if you need to cancel or rearrange your appointment.
Appointments cancelled with less than 48 hours' notice, or missed appointments, are charged in accordance with the cancellation policy.
What if I need urgent help?
I do not provide a crisis or emergency service.
If you are concerned about your immediate safety, or someone else's, please contact:
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NHS 111
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Your GP
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999 in an emergency
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Attend your nearest Emergency Department
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Samaritans (available 24 hours a day)