CBT is a short term therapy. The number of sessions needed, depends on a range of factors, including the complexity of the presenting problem(s). Often people need between 5 and 20 sessions. Sometimes people prefer to have a longer number of sessions for personal development reasons.

However, those that have completed the Stress Busters course are likely to need fewer sessions, e.g. general information is available through Stress Busters, with the 1-1
sessions then tailored to the needs and interests of each individual. Ultimately our goal is to empower people with skills, techniques and insights so that they then become their own therapists, well able to regulate and manage how they feel.

Usually by phone or video. We find that clients prefer to access supports from the comfort and privacy of home. And this also means that any notes are typed up and so easier for clients to read and review. Tel or video also works for clinicians with very busy work schedules.

Typically “yes” - we take confidentiality VERY seriously, and will spend time at our first
meeting discussing this in detail (see also our “Privacy Policy” plus or “T&Cs” for more information on how we manage information and data). Confidentiality however may be breached in very exceptional circumstances, e.g:

• if you were actively suicidal and at risk for harming yourself, or another. In such cases, we may speak with a family member or  other such as your GP, and with the sole purpose of keeping you or others safe,
• if we were compelled though a court order to share notes. 

Sessions can include some writing or reading but please do not let any writing or reading problems put you off. Instead talk to us to find solutions. For instance, any session or homework notes can be recorded in a different way; and/or all therapists are happy to talk you through any mood survey in person. Tape recorders can also be used quite easily for homework assignments between one session and another.

We absolutely try to keep costs as low as possible so that more people can avail of this wonderful therapy. The cost of the therapy is linked to the experience of the therapist, i.e. whether a trainee or an experienced clinician, and other related costs such as room rent which is higher is some venues compared to
others. As a rough guide however:

• ​1-1 CBT with a trainee is potentially free for suitable clients, i.e. those who are health anxious, or those with phobias. For the most up-to-date prices, see the "shop" tab on our menu above [or click here]. 
• If cost is an issue please consider our community Stress Busters course instead. Do also ask your GP for an onward referral for 1-1 CBT, but note that this may take around 12 months.

Yes, typically clients pay in advance 5-sessions at a time and as we want to know that each is committed to his/her own health journey.* Clients then will "lose" a session where there is non-attendance, or where the cancellation is less than 24 hours.

We will always do our best however to accommodate clients, as we do appreciate last minute things crop up. Therefore, no "loss" of a session will occur where we can reschedule another client. This means that while clients should be prepared to lose a session, they should also give us as much notice as possible re cancellations so that we can work to minimise or avoid any losses or disruptions. Additionally, this time with the therapist is very important and really precious, so clients should do their absolute best to attend on time and to engage fully in each allotted session. 

* If a client is not sure if CBT is for them, the first getting-to-know you session is a stand alone; and this includes time to ask as many questions as needed.

Unfortunately, there are never any guarantees. However, we will not accept a client unless we are reasonably sure that we can help, and once we make that commitment we will do our absolute best to ensure that each client makes progress towards his/her goals (see client testimonials here). We also hold a deep and ongoing commitment to:

• open, direct communication with all our clients, which includes open and informed consent for clients, resolving any queries as these arise, and providing clear information re all our policies, including pricing, and 
• the highest ethical and professional standards which includes treating all our clients with courtesy, dignity and respect, and continuing professional development to help ensure we are keeping up-to-date with new research and clinical findings. 

Most of our CBT sessions take place online so that people can access from the privacy and comfort of their own homes. In exceptional circumstances,
we may agree to meet at outreach, e.g. in community centres or even church
halls (only where we have permission that those from all faiths and none can attend). We do not always have full control over this physical space, however, we will always do our utmost to find alternative suitable accommodation as
needed, which includes having wheel chair access. 

At your first 1-1 assessment session, the therapist will introduce him/herself, and explain more about the therapy on offer incl confidentiality. She/he will also enquire about the main problems you are going through, and may ask you to complete a survey (surveys can be useful in monitoring progress over time).  The details of any future sessions will also be discussed, incl how often meetings will take place (usually weekly), costs, and the number of sessions likely to be needed. This information is usually written down by/for the client to aid in later recall. At the end of this session, clients typically have a plan in
place to manage their presenting issues.