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* Covid-19 Update 02/08/20 *

I am currently offering online or telephone sessions at this time. I will be reassessing this at the end of August 2020.



Hello - I am Richard Hughes - a qualified and accredited psychotherapist and counsellor (UKCP - United Kingdom Council for Psychotherapy).


I offer weekly psychotherapy and counselling in central Walthamstow which is on the Victoria line - 17 mins from Oxford Circus - or on the overground from Liverpool Street Station.

Weekly one hour sessions: £50

I am sure you will have some questions, so in the first instance if you would like to speak with me, please call me on 07970 245 899 - there is no obligation.

 

ABOUT ME

I work with adults from all walks of life, LGBT+ and BAME and with all age groups.  

Issues I work with include: Relationships, anxiety, depression, stress, bereavement, loss, toxic work environments, work/life balance, family dynamics, panic attacks, trauma, adult ADHD, feeling stuck, sexuality, intimacy and sex, life/career changes, self-confidence and self-esteem, being broken-hearted and being relationship ready.

I work with complex issues such as childhood trauma, PTSD and diagnosed personality disorders. 

I am committed to changing the perception of psychotherapy and counselling which I believe is 'everyday, essential, wellness maintenance'.

I also work within Wandsworth NHS as a counselling team leader, managing a team of trainee counsellors.

I have completed a 5 Year MSc in Psychotherapy (Level 7) at the Metanoia Institute which is validated by Middlesex University.

I am a fully accredited member of the UKCP (United Kingdom Council for Psychotherapy) www.psychotherapy.org.uk and I accept their Code of Ethics and Conduct.

The UKCP is the leading body for the education, training and accreditation of psychotherapists and as an organisation, requires annual renewal and continual professional development.

I also have a diploma in Cognitive Behavioural Hypnotherapy (NCFE), which can be helpful for phobias, anxiety, insomnia and habits such as nail-biting and smoking.

I carry full professional indemnity and public liability insurance and I have an up-to-date enhanced DBS certificate.

I am registered with the ICO and follow GDPR principles and guidelines which can be found in my privacy policy.

I worked in television production for over 20 years and was actively involved in creative diversity and mental health awareness in that industry. 

 

PSYCHOTHERAPY & COUNSELLING

What I Do:

I offer both psychotherapy and counselling. So what is the difference between them?

I have heard it said that counselling is for when you have a problem in your life and psychotherapy is for when your life has become a problem. 


This is reflected in the open-ended or long term nature of psychotherapy, whilst the counselling I offer is usually short term, perhaps 12 sessions in the first instance.

Psychotherapy and counselling is a safe and effective way to explore the many emotional, practical and psychological issues that play a part in your life.

Through this, you will begin to develop new perspectives, whilst gaining greater self-knowledge, self-care, self-reflection and self-acceptance. This can facilitate change.

There are many reasons why people decide to do psychotherapy and counselling, and with this in mind, I am interested in how you understand the issues that have brought you here – and then – within the professional boundary of our weekly sessions, we will begin to explore how you have dealt with these issues up until now – what works for you – and what you find challenging.

Here are a few questions people often ask as they embark on psychotherapy and counselling: 

 

THINGS TO KNOW

Everyone has a few questions - here are just a few of them

IS IT CONFIDENTIAL?

As a accredited member of the United Kingdom Council for Psychotherapy (UKCP), I abide by their Code of Ethics. 

I respect, protect and preserve the confidentiality of everyone I see in practice.

It is also important to understand that there are legal and ethical limits of that confidentiality. There are circumstances under which I might need to disclose confidential information to a third party. We will always discuss this if possible.

For example:

- Due to a request by a court of law, a child protection agency or the terrorism act.

- If there is a possibility of harm to yourself or others or in cases of crime.

- If a referring agency require a report. 


All psychotherapists have supervision. I will therefore share some of the content of our sessions with my clinical supervisor though your full name and personal details will not be shared.


I may keep notes and records and these are kept securely locked away at my place of work in accordance with the Data Protection Act (2018). You have the right to inspect your notes and records should you so wish, and this request will be fulfilled during a therapy session.

COUNSELLING? PSYCHOTHERAPY? OR BOTH?

Psychotherapy is usually open-ended or long-term, which means at least a year. Whilst this is a significant commitment, I enjoy working with people who have decided to make that step.


The type of counselling I offer is short term, usually 12 sessions. 

As a psychotherapist, I have completed 5 years of training to Level 7 which includes the clinical skills and experience to work with complex issues including diagnosed personality disorders, childhood trauma and PTSD.

All counsellors and psychotherapists need to do annual CPD, continuing professional development, throughout their careers.

It is important to have an understanding and to ask questions about your therapist's background, their qualifications and ethical framework (their membership of an association).

HOW DO WE MAINTAIN BOUNDARIES?

Boundaries are extremely important. They allow us to build and maintain trust.


I uphold the UKCP Code of Ethics which sets out boundaries concerning the therapist's conduct as well as confidentiality both in and outside of the therapy room. 

Psychotherapy and counselling are only formally described when the therapist and client work together on an agreed basis, and for this reason, we will draw up a contract together, which will include a focus on the work, the responsibilities of both sides.

In the first instance, I will email you my terms and conditions. If you have any questions about any of this, please do contact me. 

WITH SO MANY DIFFERENT TYPES OF THERAPY, HOW DO I CHOOSE BETWEEN THEM?

Just some of the modalities of psychotherapy include classical psychoanalysis, relational psychoanalysis, existential, integrative, gestalt, and person-centred. There is art therapy, drama therapy, CBT and body work and that's just the start! 

Empirical research shows that the 'therapeutic relationship' is key to the effectiveness of psychotherapy and counselling - the type of therapy is rather less important.

I practice integrative psychotherapy which is probably the most popular way of working these days. Integrative psychotherapy is about the 'integration' and self-acceptance of all those differents parts of your 'self' that make you the complex and unique human being that you are. 

As a process, psychotherapy is not about me telling you what to do, rather I encourage curiosity and self-reflection and together we will begin to explore what makes you 'you'. 

HOW LONG WILL THERAPY LAST FOR?

As a psychotherapist I generally work in an open-ended, long therm way which is necessary for working at a deeper level.

It may be that if you have done therapy before, or if you are familiar with the therapeutic process, you may now feel that open-ended work is something you want to explore further. 

Some people decide to do an initial course of 12 sessions, which may be of use if you have never done counselling or psychotherapy before or if you have a particular issue you want to explore.

Whatever you decide, I would suggest is that we use the first 1-2 sessions as an assessment. This will give us the opportunity to see how we might work. together. We may then decide to contract a time frame. I would suggest a minimum of 12 sessions. You can stop whenever you want to, and we will keep this under review. I would class anything over a couple of years as longer, open-ended work.

IS IT ALL ABOUT THE PAST AND MY CHILDHOOD?

Traditionally, psychotherapy has always been interested in childhood and family dynamics - for good reason - but there's a lot more to it than just that.


Together we might explore how old narratives get replayed in current relationships, including in the therapy room, and how our experiences of gender, race, sexuality and class interact with our developmental and relational history.


Sometimes the sessions may touch on big 'existential' themes, such as purpose and meaning.


Or we may spend time talking about dreams and how we relate to archetypal characters and stories. 

WILL I LIE ON A COUCH?

Integrative psychotherapy does not involve lying on a couch.


Rather, we sit with each other in a relaxed, informal environment; this is key to building a consistent and trusting working relationship.


I do have a sofa though - and you are more than welcome to sit on that too.

WILL THERAPY FIX ME?

Many people embarking on therapy ask if it will 'fix' them.

It is a good question. After all, the anticipation of change is at the heart of the psychotherapeutic process. Anticipation usually presents itself as hope and expectancy but of course, as we all know, there is no 'magic wand'.

There is plenty of empirical evidence that some therapeutic techniques can help people reframe their issues - giving them space to be more flexible and self-reflective.

But I also hold this observation from psychotherapist Thomas Moore in his book The Care Of The Soul

'The trouble with some of our modern therapies and psychologies is that they aim at goals that are known, fantasies or normality or unquestioned values ... but there are times when we may need to be weak and powerless, vulnerable and open to experience ... in relation to the symptom itself, observance means first of all listening and looking carefully at what is being revealed in the suffering. An intent to heal can get in the way of seeing. By doing less, more is accomplished.’

HOW DOES THERAPY END?

Usually by agreement between us. Endings can trigger all sorts of thoughts and feelings and it is important to acknowledge and explore that as part of our time together. For this reason, I always suggest that we take at least 2-4 sessions to process the ending.

WEEKLY THERAPY?

I offer weekly psychotherapy. There are many reasons why I believe this is preferable. It establishes a clear parameter and this creates a more 'holding' or 'containing' environment. If sessions are done twice monthly or once a month they can become 'catch up'.


Sometimes when people have been doing long term psychotherapy - over a year - less frequent sessions can be part of the ending process.

 

OFFICE HOURS

I offer weekly sessions that are for 50 minutes - a therapeutic hour.

The sessions happen at the same time on consecutive weeks for as long as we contract for.

How long is up to you.

Cost: £50.

Please email me at richard@richardhughestherapy.com or call me on 07970 245 899

Mon - Fri: 7.30am - 8.30pm

 
 

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