Your Questions Answered

Starting counselling can sometimes be a difficult or confusing experience and you may have questions about what you should expect when beginning therapy.

Finding the right counsellor or psychotherapist is important to most people and often factors like cost and location of appointments will play a role in deciding when and where to begin counselling. We have put together our answers to some common questions.

All kinds of people find counselling useful and our clients are of all ages and come from all walks of life. Personal life events can cause anyone problems or distress and time spent with a therapist can be invaluable in sorting these issues out. Counselling is a popular and acceptable way of getting help and support for any personal, emotional or psychological issue.

At your first appointment we will ask a few questions, discuss some of the circumstances that have brought you to therapy and look at how therapy might be useful to you. At this first meeting we will also determine which one of our therapists is the best match for you. You will have an opportunity to ask any questions you have about counselling or psychotherapy.

At the end of this initial consultation, you will be able to decide whether you would like to continue with further appointments.

In most cases, the therapist you meet with at your first appointment with us will become your permanent therapist if you decide to have more sessions. However, we always try to find the best therapist for your personal needs so, after your first appointment we might suggest another therapist who might be a better fit for you. Also, you may have a preference for the therapist you see and we will try to accommodate any preferences you have, too.

You should expect confidential, professional appointments in a comfortable private setting including —

  • An opportunity to make sense of your individual circumstances
  • An experienced, qualified counsellor or psychotherapist who helps you identify and resolve issues
  • Warm, non-judgemental support throughout your therapy
  • A chance to talk about any life experiences without being judged
  • The development of greater self-awareness
  • An end result that leaves you better equipped to cope with the future.

Consultant Therapists are experienced counsellors and psychotherapists who have been trained in the UK. We hand-select Consultant Therapists to make sure they are effective and approachable for our clients.

Your therapist will work together with you from your first appointment.

Senior Consultant Therapists have worked with One Therapy at least 5 years and have a minimum of 10 years of experience working with clients over the course of their careers. Some of our Senior Consultant Therapists have more than 20 years of experience working as therapists.

Since 2006 and since that time, we’ve helped thousands of people understand and resolve all kinds of life issues. We are grateful to have been part of London’s well-being and mental health services for so many years.

We opened One Therapy Brighton in 2012.

Weekly therapy is the only kind of therapy that is effective for making long-term personal changes. It takes consistent, weekly appointments to make real progress in therapy. Changing yourself or your personal circumstances takes commitment and patience.

We understand many people in London lead busy lives. We offer appointments Mondays to Fridays from 7.30 am until 8.30 pm and on Saturdays and Sundays from 8.00 am until 6.00 pm. Depending on your availability, it’s likely that we will have an appointment time that’s convenient for you. Appointment options can be discussed in more detail at your initial consultation. 

Online counselling is also available.

We understand that nobody likes paying for sessions they cannot attend. Your appointment time and your therapist will be reserved for you every week. No other person can use your appointment time. This is our commitment to you. If you can’t attend your appointment, payment for your missed appointment will be due. This is your commitment to your therapist.

In most cases, missed or cancelled session (even with notice) are payable in full.

Unfortunately, we only see clients who are 18 years of age and older. We are unable to see anyone under the age of 18. If you are under 18, you may want to look for a therapist who specialises in adolescent or child therapy.

We do not judge behaviour or personal life experiences and we respect each client for their individual choices. We operate a policy of non-discrimination. We do not discriminate on grounds of age, race, gender, sexuality, religion, illness or ethnicity.

Different types of therapy have different ways of addressing issues. For instance, cognitive behavioural therapy is about how you think and behave, and attempts to address recurring thought or behaviour patterns. In bereavement therapy, there would be more emphasis on supporting you through very difficult emotions.

 Psychodynamic counselling looks at your past and the effect the past is having on your life today, while other therapies concentrate on the future. Everyone’s counselling needs are unique. We try to find the best approach for you.

We offer telephone and online counselling for clients who live abroad or who cannot get to our central London practices easily. Many of our clients meet with their therapists online. For more information about online or telephone counselling, please continue here.

We are trained and experienced in situations as diverse as coping with stress and anxiety, bereavement and loss, relationship problems, depression, personal problem-solving, sex and sexuality issues, addictions, eating disorders, concerns around work and career, self-esteem and self-worth issues as well as helping victims of child abuse and trauma. We employ male, female and non-binary counsellors and psychotherapists, gay, bi and straight therapists, relationship specialists, psychosexual therapists and counsellors and psychotherapists from different cultural backgrounds.

Sometimes clients ask for a therapist who specialises in a certain issue. Most of our therapists are trained and experienced enough to work with most life experiences. Generally, therapists do not specialise in one issue, like anxiety or bereavement.

Weekly. Effective counselling and psychotherapy involves weekly appointments with your therapist. This is how therapy works. Attending your appointment each week is important.

We do not provide fortnightly or monthly counselling options as this type of therapy will not be very helpful to you. 

Fees for individual counselling and psychotherapy are based on each client’s personal financial circumstances. We feel the quality of our therapists, rooms and locations makes our fees reasonable and competitive. For more information or an updated list of our fees, please continue here

We have several locations across London. Our practices are within easy walking distance of the following train stations: Oxford Circus, Tottenham Court Road, Holborn, Piccadilly Circus, Great Portland Street, Notting Hill, Earl’s Court and Kensington High Street.

You have a right to any information you might require. Ask about the location, cost and duration of appointments. It’s important to be clear about what you want.

Sometimes, depending on the issues and emotions that need addressing. We support our clients through many challenging emotions. Therapy can also be exciting, enlightening and life-changing.

Yes. Everything you discuss in therapy is confidential, just between you and your therapist. There are certain legal exceptions to this policy and we will clarify these exceptions to you at your first appointment.

If you proceed with therapy after your initial consultation, your room and your therapist will be reserved for you at an agreed day and time each week until your therapy ends. Your appointment will be reserved for you and cannot be used for anyone else. To make this possible and to maintain the consistency of your appointments, payment is due for all sessions including any you cannot attend. Sessions cancelled by your therapist will not be charged.

Yes. You may end your sessions whenever you feel necessary and without explanation, just by letting your therapist know. Or you may wish to take a counselling break and resume therapy, when you are ready, at a later date.

Please let us know. During your first meeting with your therapist trust your instinct because your relationship with us is at the heart of our work. If you are unsure about your counsellor please feel confident about making this known to us. A connection with your therapist is important and will enable you to get the best out of the time the two of you spend together.

Please provide any feedback regarding your experience with us to the director. All feedback will be received in confidence. We appreciate comments on our services. Email feedback to Dwayne Jackson at or telephone 0333 207 9330.

You can’t. A person cannot be ‘sent’ for counselling. They must choose to use our services and make the approach themselves.

Everyone’s needs in therapy are different and it’s hard to estimate how many sessions you will need to achieve the results you are after. Some people benefit from a few sessions while other continue for longer. Unrealistic expectations usually result in disappointment.

Regular meetings with an experienced and qualified therapist have helped many people overcome a wide range of personal, emotional and behavioural problems. Most people who come to therapy report that the experience was helpful to them.

There is no point trying to coerce another person into coming for counselling – therapy is not going to work if they really don’t want to be there. However, what’s more often the case is that people have mixed feelings – hopes as well as fears. If a partner can be encouraged to come for the initial consultation, with no obligation to continue, the therapist can help to explore their hopes and fears. Hopefully the partner will arrive at a point where their fears are lessened and couples counselling feels like a more positive choice.

You could ask yourselves if the problems you’re having arise because of how the two of you relate to each other (in which case couples counselling would be good) or would they still be problematic if you were single (in which case individual counselling would be helpful).

This is a hard question to answer and you’re unlikely to get a clear-cut answer, but you may feel it’s more one than the other. If you’re still unsure, try couples counselling. We see couples issues being blamed on one individual in the couple more than the other way round. Also, at the initial consultation, the two of you can then get the therapist’s help with your decision. It’s simpler to transfer from couples counselling to individual therapy than the other way round.

Yes. The only limitation is that it shouldn’t be with the same therapist. At One Therapy London, we have had many couples also see us for individual counselling, with one therapist for the couple and another for one or both individuals. We have strict procedures in place to ensure that nothing is passed between the therapists involved, so all sessions remain confidential.

This depends on your therapist. Some therapists think it’s preferable to only see the couple as a couple, others are willing to have individual sessions. Different couples therapists also have different policies on the confidentiality of individual sessions – some treat them as confidential to the individual while others say that anything said in individual sessions can be shared with the other partner. If you think you might want individual sessions, please ask your therapist about this at the outset.

About us

Appointments available

Mondays to Fridays
7.30 am until 8.30 pm
Saturdays and Sundays
8.00 am until 6.00 pm

Call to book a first appointment
0333 207 9330

Connect with Us

What to expect in counselling

When I trained as a psychotherapist, me and my fellow students were given the assignment of doing something we’d never done before. The course tutors wanted us to get in touch with how scary it can be to do something new, to feel the fear of the unknown. I chose to …

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What to expect in couples counselling

I’m often struck by the anxiety that I see on the faces of clients when they come to their first couples counselling appointment. They are invariably wondering what’s going to happen. Will they have to reveal things they don’t want to say in front of their partner? Will their…

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Individual counselling

Personal counselling can be about anything that’s on your mind.

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Couples counselling

Couples counselling provides space for couples to discuss problems in their relationship and find solutions.

Read more

Therapists in London

Finding the right therapist is an important first step.

Read more

Counselling, psychotherapy and couples therapy in London since 2006

Client Reviews

One Therapy London

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Therapist Jackson
Dwayne Jackson

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Rhiannon Whipps

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Therapist Marta Pisarri
Marta Pisarri

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Therapist Silvi Naskinova
Silvi Naskinova

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Therapist Evan Bates
Evan Bates

Consultant Therapist Evan is a psychodynamic therapist, offering both long and short term therapy He creates a non-judgemental and reflective space to help clients explore their difficulties and concerns Working together to understand the connections between past and current relationships, Evan supports clients in developing a deeper awareness of their recurring...



Therapist Patricia Connolly
Patricia Connolly

Consultant Psychodynamic Psychotherapist Patricia works within a psychodynamic approach This focuses on early life experience and  relationships to help you understand how they shape who you are in the present When you begin to more fully explore your emotions and attitudes you can find a deeper self–knowledge, which can also transform the way you relate to...