Online Therapy & Counselling Across the UK

Your space to be heard

Working together

Starting therapy can feel like stepping into the unknown – especially if you’ve never experienced it before. So I’ve put together an overview of what to expect, from your first conversation with me through to our ongoing sessions.

My hope is that this helps you feel more comfortable taking that first step and gives you a sense of how we can work together.

Therapy with me, Elizabeth Paterson

How I work

My approach is rooted in person-centred therapy, which means our relationship is at the heart of the work we do together. I won’t arrive with a programme for you to follow or a list of things you need to fix. Instead, we’ll work together to understand what’s happening for you and what you want from therapy.

You don’t need to know exactly what you need before we begin. We can start with whatever feels most present and gradually make sense of the thoughts, feelings, experiences and patterns that have brought you here.

Sometimes therapy might involve exploring anxiety, burnout, relationships, boundaries, people-pleasing, perfectionism, identity or self-criticism. Sometimes the most important thing is simply having somewhere to say the things you’ve been carrying around without having to edit or minimise them.

I’ll offer warmth, curiosity and honesty, while respecting that you’re the expert in your own experience. My role isn’t to tell you who you should be or make decisions for you, but to help you understand yourself more clearly and work out what feels right for you.

Therapy doesn’t have to look a certain way

If there are things that would make therapy more comfortable or accessible for you, please let me know. You can also use the space on my intake form if you’d rather tell me that way.

You’re very welcome to dim lights, use comfort items, stretch or move around, turn your camera off, stim, have background noise, do a craft or make other adjustments that help you feel settled and able to be present.

There isn’t a particular way you need to sit, behave or respond in therapy. We’ll find what works for you.

Blue cloud with silver lining grounding pebble for therapy
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Making online therapy work for you

Your choice

Online counselling means you can access support without the added time and stress of travelling to appointments. You might join from home, your office, car or another private space that works for you.

For some people, being in their own familiar environment can make therapy feel less intimidating and easier to fit around everyday life.

You can choose whether sessions take place by video call or phone, depending on what you prefer.

Creating a comfortable space

Therapy can bring up a lot of different emotions, so it can help to create a space where you feel as settled as possible.

You might want a drink nearby, some tissues, a blanket, or a few quiet moments afterwards to reflect. Some people find it helpful to have a walk, listen to music, or do something grounding after a session before returning to the rest of their day.

Where possible, try to find somewhere private where you won’t be interrupted or overheard. This helps protect your confidentiality and gives you space to be fully yourself.

During our sessions

I’ll send you a Microsoft Teams link the day before your appointment (this also works as a mini reminder). A few minutes before we begin, you can click the link and check your audio and video settings before joining the session.

When you open the link, you’ll be asked to add your name and will join as a guest – there’s no sign-up, sign-in, or app download required, which helps maintain your privacy.

You can open the link in any browser on your phone, tablet, or PC/laptop.

If there are technical difficulties, we’ll work through them together. We can try reconnecting, or if needed, arrange another way to complete the session.

Finding a rhythm that works

Most sessions are 50 minutes and cost £60.

If you’d prefer a shorter or longer session, we can talk about what would work best for you.

Sessions can be weekly, fortnightly or more flexible, depending on what feels right for you. We’ll agree the arrangements together in advance, so you’ll always know what to expect.

Payment is requested in advance by bank transfer.

Online therapy

From your first enquiry onwards

Before we begin

We’ll have a relaxed 15-minute conversation to see whether we might be a good fit. It’s an opportunity for you to ask any questions, get a feel for how I work, and decide whether you’d like to take the next step.

There is no pressure or obligation to continue.

If we decide to work together

If we decide to work together, I’ll send you a short welcome pack and consent form to complete before we begin.

This helps me understand a little more about you and ensures we have everything in place for our work together.

Your first session

Our first session is a chance for us to begin getting to know each other. We’ll talk about what has brought you to therapy, what you’d like support with, and what you hope might change.

You don’t need to arrive with everything figured out. We can start wherever feels right for you.

Making therapy work well

Your privacy, safety and wellbeing are important to me. While therapy is a warm and human relationship, it is also a professional one, with clear boundaries that help create a safe space for both of us.

Confidentiality

What you share with me is private and confidential, and I will not share identifying information about you without your consent, except in a small number of circumstances where I have serious concerns about your safety or someone else’s safety, or where I am legally required to do so.

I discuss my work regularly in clinical supervision. This is an important part of responsible therapeutic practice and helps me reflect on my work and provide the best support I can. I don’t share identifying information about clients in supervision.

I don’t record our sessions, and I ask that you don’t either, so that we can both feel comfortable speaking openly.

Professional boundaries

Clear boundaries help protect the therapeutic relationship and give us both a sense of safety and consistency. I work within the ethical framework of the British Association for Counselling and Psychotherapy (BACP), receive regular supervision and continue with professional development throughout my practice.

Therapy is a space for you to bring whatever you need to explore, while my role is to listen, support and work alongside you rather than become involved in your life outside our sessions.

If we happen to see each other outside therapy

If we happen to cross paths somewhere outside our sessions, I will protect your privacy by not approaching you or starting a conversation. If you choose to say hello, I’ll always follow your lead.

If something doesn’t feel right

Therapy is a relationship, and sometimes something might not feel quite right. You might disagree with me, feel misunderstood, or simply find yourself wondering about something we’ve talked about.

I hope you’ll feel able to tell me. You won’t hurt my feelings by doing so. Talking openly about what isn’t working can itself become an important part of the therapeutic work, and gives us an opportunity to understand what you need.

If you’d prefer to raise a concern independently, you can also contact the BACP for advice or information about making a complaint.

My professional commitment to you

I’m a BACP Accredited counsellor and continue to invest in professional development, supervision and reflection throughout my practice. It ignites my passion for helping others and helps me feels safe doing so. Here are some of the courses I’ve found inspiring.

Neurodiversity

  • Difference Deficit Neuroaffirmative Perspectives   PESI
  • Holding Complex Misdiagnosis and Co-occurring Conditions  PESI
  • Recognising Neurodivergent Burnout  PESI
  • Understanding the Interplay –Neurodivergence, Trauma & the Shame Cycle  PESI

Gender, Sexuality & Relationship Diversity

  • Trans & Gender Diversity Scientific Factors – GIRES
  • Gender Across the Lifespan – Pink Therapy
  • Defining Gender, Sex, and Relationship Diversity Therapy – Pink Therapy

Trauma & Attachment

  • Bessel van der Kolk on How the Body Keeps the Score – PESI
  • Trauma & the Body: Dissociation & Somatisation – Carolyn Spring
  • Working with Relational Trauma & Disorganised Attachment – Carolyn Spring
  • Working with Shame – Carolyn Spring
  • Child Sexual Abuse: Hope for Healing – Carolyn Spring

Suicide, Self-Harm & Mental Health

  • Dealing with Distress: Suicide & Self-Harm – Carolyn Spring
  • Suicide Awareness for Everyone – SafeTALK
  • Mental Health First Aider – MHFA England
  • Level 2 Awareness of Mental Health Problems – Rotherham College
  • Adult Safeguarding – Social Care Institute for Excellence
  • British Red Cross Foundation Training

Eco-Therapy & Outdoor Practice

  • Eco-Psychotherapy – Confer
  • Introduction to Taking Therapy Practice Outdoors – White Peak Wellbeing
  • Ba (Hons) Environmental Science – University of Lincolnshire

Ready when you are

Taking the first step towards therapy can feel daunting, but you don’t need to have everything worked out before reaching out.

If you have any questions, please get in touch – or book your free introductory call when you feel ready.

Online therapy can help you

feel calmer • understand yourself • build healthy boundaries • navigate relationships • reduce overwhelm • reconnect with yourself • grow your confidence • manage anxiety • recover from burnout • embrace your identity • overcome people-pleasing • find balance • feel more like yourself •feel calmer • understand yourself • build healthy boundaries • navigate relationships • reduce overwhelm • reconnect with yourself • grow your confidence • manage anxiety • recover from burnout • embrace your identity • overcome people-pleasing • find balance • feel more like yourself •

If you are in need of urgent support please contact the relevant NHS services, such as  your GP, local crisis line or call 111 or 999

If you are looking for someone to speak to right now, you may like to call Samaritans on 116123 or text Shout to 85258.