Harley Street Counselling & Training Psychotherapy & counselling in Central London, City of London,
Tunbridge Wells & Rochester, in Kent

Practicalities. sea cloudsbeach blue

Harley Street Counselling and Training
  • Practicalities
  • 1. How does it work?
    2. What happens in the first session?
    3. How long is a session?
    4. How many will I need?
    5. Fees for self-paying clients
    6. Fees - private health insurance
    7. Confidentiality

    How does it work?

    Once a session has been agreed, we will send you an agreement by email for you to sign and return prior to the initial session. The agreement outlines practicalities such as confidentiality, fees, when and how to make a payment.

    What happens in the first session?

    Information gathering is an important part of the initial counselling session. In order to work effectively, an assessment is carried out with you. This explores what brings you to counselling, relevant history, symptoms and the focus of therapy.

    The therapeutic relationship between the counsellor and the client determines how effective therapy becomes (as research suggests). The first session explores the nature of the work and how this work might be achieved together.

    How long is a session?

    Counsellors and Psychotherapists work to 50 minute sessions. In some forms of therapy such as the DNMS, it might be necessary to have longer sessions in order to safely set up and perform an intervention.

    How many will I need?

    We agree when a review of the work takes place (usually after 4 sessions of counselling) which is an honest discussion about how the therapy is going, subsequently we make an agreement for time-limited therapy, open-ended counselling or long term psychotherapy.

    Fees for self-paying clients

    All counselling related sessions are chargeable and we accept payments by cash or cheque payable on the day. We also accept payments by balance transfer payable prior to the counselling session taking place. Please note that we do not have credit/debit card facilities.

    If you need to cancel any session please let us know at least 48 hours prior to your appointment so that spaces can be allocated to other clients. There is a cancellation charge for the session (in full) for missed sessions.

    Fees - private health insurance

    We accept clients who self-fund or clients who fund through private health insurance policies such as Cigna, Bupa, Aviva, Simply Health, Pruhealth, WPA, Allianz, AXA PPP, Medisure (and other insurers).

    Clients with Bupa cover will normally require a GP referral letter in order for cover to be granted. Each counsellor profile will indicate if they are registered to provide psychotherapy through insurance companies.

    Please note that there is a different fee structure for sessions funded by insurers. This is due to the arrangement between the insurance provider and practitioner (which differs with each insurer) and covers additional administration.

    Recognition as a psychotherapist with: AXA PPP, Bupa, Aviva, Simply Health, Pru-Health, WPA, Allianz, Medisure

    AXA PPP - £85 per session in all locations.
    Bupa - £60 per session in all locations.
    All other insurers: £100 per session in all locations.

    The fee is paid by the client at the time of the session. The client then claims back from the insurers using the receipt issued by the counsellor. This system excludes AXA PPP & Bupa because the counsellor will claim from the insurance company directly.


    Therapy sessions are confidential, however their are limits to confidentiality which is important for potential clients to be aware of in advance.

    1. If someone were to give the therapist information that led them to believe that someone was at serious risk of harm (to self or others).

    2. When the giving of information is required in law.

    3. In consultation with a professional supervisor with whom a therapist regularly meets to discuss the quality and standard of their clinical work with clients.

    We do our best to provide a safe, confidential and non-judgemental space which is an important factor in fostering acceptance and change in the areas of your life where you feel it is important. We are available at our practice rooms in Harley Street, Liverpool Street, Tunbridge Wells and Rochester and we are happy to discuss any questions that might arise for you when deciding to proceed your enquiry further.

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