Online psychotherapy across the UK
I offer online psychotherapy for adults based within the UK, including people who sometimes travel abroad in time zones that allow us to find mutually workable appointment times. Working online can make it possible to choose a therapist whose experience and approach fit your needs, without being limited by travelling distance.
I work with adults experiencing trauma, dissociation, the lasting effects of childhood abuse or neglect, recurring emotional or relationship patterns, and other difficulties. I have provided online therapy since 2017.
What is online psychotherapy?
Online psychotherapy takes place by secure video link, with sessions arranged for an agreed time in much the same way as face-to-face therapy. Telephone sessions may also be possible where appropriate, although video generally allows us to see and respond to more of what is happening between us.
I do not provide therapy through email, text messaging or automated AI systems.
Online work is not simply face-to-face therapy transferred to a screen. It brings its own practical, relational, ethical and confidentiality considerations. I have completed 80 hours of specialist training aligned with the BACP competences for online and telephone therapy.
Can a therapeutic relationship develop online?
A meaningful therapeutic relationship can develop online. Being physically in different places does not prevent us from noticing feelings, patterns and responses as they emerge between us.
Some people find that speaking from familiar surroundings makes it easier to feel comfortable and talk openly. Others prefer the separation between home and the therapist’s consulting room that face-to-face work provides.
Neither format is automatically better. What matters is whether online psychotherapy is appropriate for you, your circumstances and the difficulties you want help with.
Benefits of online psychotherapy
Online therapy may be particularly useful if:
- you live too far from central London to attend regularly
- travelling would take too much time or energy
- disability, physical health, anxiety or other circumstances make travelling difficult
- your work or caring responsibilities make online appointments more practical
- you travel within the UK or sometimes abroad and need greater continuity
- you want access to relevant specialist experience that is not available locally
- you simply feel more comfortable meeting from your own environment.
You will need a private place where you can speak without being overheard or interrupted. A reliable internet connection and a device suitable for video calls are also important.
Possible limitations
Online therapy will not suit everyone. It may be less suitable if you cannot find a private and comfortable place for sessions, or if an unreliable connection disrupts the conversation.
Video also gives us a more limited view of each other than meeting in the same room. We may sometimes need to describe reactions or experiences that would be easier to notice face to face.
For some people, attending a separate consulting room helps create a helpful boundary between therapy and the rest of life. If you already spend much of your working day online, another video call may also feel tiring.
We can discuss these considerations before you decide.
Privacy and security
Online therapy inevitably creates a different digital footprint from meeting face to face. I use appropriate systems and take reasonable steps to protect your privacy, but no electronic communication can be guaranteed to be completely secure.
Making any form of recording of our sessions—including video or audio recordings and AI-generated notes—is not permitted and will constitute a breach of our Therapy Agreement.
You should use a private device and location wherever possible. We will agree what to do if the connection fails. I will use your emergency contact details, if supplied, and/or call an emergency service on 999 if an urgent concern arises during a session.
I will explain the relevant confidentiality and practical arrangements before online therapy begins.
How I work online
My approach is centred on a relational, psychodynamic model. We can explore not only the difficulty that brings you to therapy, but also the feelings, expectations and relationship patterns that may be operating beneath it.
Online psychotherapy can include work with trauma and dissociation, but we will need to consider carefully how working online may affect each of these. The impact varies widely from person to person and can be reviewed as the work develops.
You do not need a diagnosis or a clear explanation of what is wrong before contacting me.
Taking the next step
I usually offer a free short video or telephone consultation. This gives you an opportunity to explain briefly what is bringing you to therapy, ask questions and consider whether working together online may be right for you.
Alternatively, instead of the free consultation, you can arrange an introductory session at a reduced fee.
Please use the Contact page if you would like to arrange a consultation or make an enquiry.
Photo (cropped) by Parker Perkins on Unsplash.
