What Happens during Individual therapy?
The therapeutic process varies depending on the orientation of the therapist. It also differs for each individual client depending on the client’s circumstances. However, there are some common aspects of therapy that you are likely to experience when you enter a therapeutic relationship.

To begin with, your first session with a therapist should be a consultation session. This consultation does not commit you to working with the therapist. The goals in the consultation are to find out whether psychotherapy would be useful to you and whether this particular therapist is likely to be helpful. During this session, you may want to discuss with the therapist any values that are particularly important to you. If your therapist’s views are very different from yours, you may want to find a more compatible therapist.

The first session is a time for you to determine whether you will feel comfortable, confident, and motivated in working with this particular therapist. You should also feel that you can trust and respect your therapist and that your therapist is understanding of your situation.

This is also the time for the therapist to decide whether he or she is a good match for you. At times, a therapist may refer you to another therapist who may be able to work better with you.

After you’ve decided to work with a particular therapist, the next few sessions are usually devoted to talking about the circumstances that have brought you to therapy. Generally, during this time (assessment) your therapist will be asking quite specific questions about the concerns or challenges causing your distress and about when and where they occur.

Assessment also can be done through the use of questionnaires or tests. A therapist can use a variety of techniques in assessment. Initial assessments are used to get therapy started; however, a good therapist will continue to assess a client’s issues throughout therapy and change the direction of therapy, if needed.

After the initial assessment stage, the rest of therapy is devoted to helping you gain insight and solve current concerns and/or help you change the emotions, thoughts, and/or behaviours that you want to change. The goals you bring to therapy are the gist of the therapeutic process. How these goals are accomplished depends a great deal on both the orientation of the therapist and the techniques the therapist may use with you. Some therapists may require more activity during therapy than just talking with you about particular issues. These activities may include such things as role playing or homework assignments in which you practice some of the techniques introduced in therapy (like relaxation skills or communication methods).

Therapists also differ on how strongly they determine how therapy proceeds. Some therapists may take a more directive role, while others let the client direct the course of therapy. The amount of therapy you receive will also vary depending on the orientation of the therapist and/or the specific treatment plan used. Some therapies are relatively short (10 sessions of CBT; 24 Sessions of CAT), while others require a longer time commitment.

Each session of therapy usually lasts about an hour, and you generally meet with your therapist once a week. However, such time schedules are rarely rigid and may be changed to fit the needs of you and/or your therapist. It is a good idea to ask your therapist about the general techniques he or she may use with you in therapy, as well as about the length and frequency of therapy you might expect.

Therapy can help you in many ways. Like most human endeavours, it needs time and motivation for the most successful outcomes.

Individual therapy fees

Fees in general will vary according to the individual practitioner. We base our fees on many factors, such as experience, level of professional training and demand for our expertise, as well as the estimated amount of sessions needed- all these factors can be discussed openly so that some arrangement can be reached so you do not feel burdened by the subject of money. Please see our fee’s section for a complete breakdown.


Family therapy can be a wonderful experience where children and adults blossom. If there is unresolved conflict, hurt feelings, or tension in the household, family therapy can help.

The purpose of the family unit is to provide support, love and safety for its members. When families face special challenges, family members may need help to avoid or reverse destructive patterns. Family therapy addresses these challenges – divorce, remarriage, additions or losses in family membership, violence, grief, illness, addiction and life-style issues. Working together in therapy, families can help reduce the hurt, foster positive interactions and allow trust to develop. Even long-standing hostility or conflict may be replaced with positive, nurturing behaviours. Gently, and with mutual respect, family members can learn to support and feel safe with each other.

Family therapy provides an opportunity for all family members to come together for mutual support and re-integration. Too often families splinter because they don’t have this arena where they devote time to working through family issues. As your therapist my purpose is to ask questions, to support the family and to insure that everyone is heard. Members working together on their difficulties often find new ways to participate as a family. In this setting, issues can be honestly addressed and family living improved.

Family problems can be a reflection of the parental relationship and it is not unusual for children to misbehave when there is strife between the parents. On the other hand, parents may fight more frequently due to their child’s difficulties. Family therapy is helpful because the connections between these events become clearer. Parents then learn different parenting skills and can learn to work together as a team.

By uncovering the needs and true feelings of various family members, empathy is developed. Conflicting needs are now out in the open where they can be understood, discussed and resolved. The family begins to function better, self-esteem is maintained and new, healthier ways of dealing with others become a part of the family repertoire.

Make a commitment to your family. Get them involved in family therapy and start the process of family healing.


Sometimes people have problems communicating and handling conflict with their significant other. Marriage therapy or relationship therapy helps couples work through their emotional, sexual, financial, or other types of problems. Then they often find better ways of being with each other. Whether you want to improve a good relationship, or want to save a very troubled one, marriage therapy can make a significant contribution.

Working with couples often allows for a greater understanding and improved communication. It may allow for each individual to gain clarity about their needs and desires, as well as ways that they can change their behaviour to improve their level of satisfaction in the relationship.

Marriage therapy gives couples the tools to achieve honest, respectful, two-way communication that actually prevents arguments. You can replace resentment with respect – replace arguments with caring conversations. New skills allow you to build intimacy without sacrificing your individual identities.

Marriage therapy focuses on clearing past issues, so you can concentrate on improving your present situation. Working individually and together, you can heal old wounds, address conflicting priorities and preferences, and bring balance back into your lives. Habitual patterns of negative interaction can be replaced by fresh and love-enhancing behaviour.

Common areas that marriage therapy or couples therapy can help fix: communication difficulties, intimacy problems, sexual issues, financial conflicts, decreased fun in the relationship, infidelity problems, domestic conflict/frequent fighting, blending family/step-family problems, parenting issues, anger issues, power/control problems, lack of mutual respect, career/work conflicts, and overall decreased satisfaction within the relationship.

In today’s society, any sort of couple may want to seek help with their relationship. They could be married or “involved,” straight or gay.


If you are thinking about joining one of the groups , here are some thoughts about how groups can help you grow and change for the better, and how you can get the most out of this life changing experience you are about to embark on.

How Does Group Therapy Work?

Groups can be as small as three or four people, but group therapy sessions generally involve around seven to twelve individuals (although it is possible to have more participants). The group typically meets once or twice each week for an hour and a half. The groups we offer have a minimum of 4 and a maximum of 8 individuals partaking at any one time.

The minimum number of group therapy sessions is usually around six, but a full year of sessions is more common. Sessions may either be open or closed. In open sessions, new participants are welcome to join at any time. In a closed group, only a core group of members are invited to participate. You are more than welcome to discuss this further to identify which type of group would be most beneficial for you.

So what does a typical group therapy session look like? In many cases, the group will meet in a room where the chairs are arranged in a large circle so that each member can see every other person in the group. A session might begin with each member of the group introducing themselves and sharing why they are in group therapy, or members might share their experiences and progress since the last meeting.

The specific manner in which the session is conducted depends largely on the goals of the group and the style of the therapist. Some therapists might encourage a more free-form style of dialogue, where each member participates as he or she sees fit. Other therapists might have a specific plan for each session that might include having clients practice new skills with other members of the group.

The Effectiveness of Group Therapy

Group therapy can be very effective, especially in certain situations. Studies have shown that group therapy can be an effective treatment choice for depression and traumatic stress.

Reasons to Use Group Therapy

The key advantages of group therapy include:

Group therapy allows people to receive the support and encouragement of the other members of the group. People participating in the group are able to see that there are others going through the same thing, which can help them feel less alone.

Group members can serve as role models to other members of the group. By seeing someone who is successfully coping with a problem, other members of the group can see that there is hope and recovery is possible. As each person progresses, they can in turn serve as a role model and support figure for others. This can help foster feelings of success and accomplishment.

Group therapy is very cost effective. Instead of focusing on just one client at a time, the therapist can devote his or her time to a much larger group of people.

Group therapy offers a safe haven. The setting allows people to practice behaviours and actions within the safety and security of the group.

By working in a group, the therapist can see first-hand how each person responds to other people and behaves in social situations. Using this information, the therapist can provide valuable feedback to each client.


A life coach helps people set desired goals and then reach those goals. Life coaching asks clients to do more than they would have done on their own. Life coaching helps clients to focus better so as to produce results more quickly, by providing clients with the tools, support and structure to accomplish more. Clients get focused and produce faster because they have a coach.

Many people are tired of doing what they think they “should” do and are ready to do something special and meaningful for the remainder of their lives. One problem is that many can’t see what they “should” be doing, or, if they can, they can’t find a way to rearrange their life around it. A life coach can help them do both.

A life coach challenges you and takes the time to find out what winning in life means to you. A life coach mentors you in living the life you know you can accomplish, personally and professionally. A coach is someone who will push you to your limits and make sure you really do live up to your potential.

Would you like to work with someone who listens very well, really hears what you say, wants you to succeed, endorses you, is constructive, suggests courses of action, makes requests and helps you stay focused? Together, with your life coach, you will develop goals, make agreements for action and then discuss the resulting accomplishments or difficulties.

A life coach is your sounding board, facilitator, counsellor and awareness raiser. In absolute confidentiality, we’ll assist you to access and develop resources to facilitate your growth and overcome whatever obstacles that may block your path to clarity, prosperity, peace, success and fulfillment. Results include more energy and productivity, greater happiness, enthusiasm and deep satisfaction. These are key ingredients to achieving personal and organizational success.

Life coaching supports you to develop and hone the skills you need, and gives you the confidence to take on bigger challenges and greater responsibility. To lead others you must first lead yourself. Life coaching is about self-discovery and unleashing your unrealized potential. We help establish specific, clear personal and professional outcomes that are aligned with your deepest values and purpose; outcomes that stretch you to actualize your potential and then create the life you want.



Online Internet Psychotherapy and Counselling via Skype is becoming more popular than ever for the busy person. As a clinic that offers online Therapy, we have noticed a dramatic increase in the number of clients who prefer to have therapy sessions in the comfort of their own homes rather than making their way to a therapist’s office. Individuals find online sessions using Skype or other video conferencing formats to be less intimidating than face-to-face sessions and that they feel generally more relaxed and in charge of the process. This is important, because the purpose of any form of therapy, teaching or coaching is to give you the tools you need to better manage emotional suffering so that you can live a happier and more fulfilled life.

Online therapy can assist you with almost any issue that you have come to encounter, however the primary focus of the Online/Skype therapy is on:

• Anxiety and depression

• Agoraphobia

• Assisting in successful relationships

It is wonderful to experience the effectiveness of Skype therapy sessions for our clients. Although client and therapist may be thousands of miles apart, it feels like you are in the same room. This form of therapy is becoming very popular for people in remote areas or people who are unable to leave home for one reason or another. Interestingly, many of our clients are scattered around Europe, South Africa and the United States. In their case, there are plenty of therapists available, but because they value the manner in which we create a therapeutic relationship they continue to find Skype therapy the most effective means of challenging their difficulties.

Below is a brief guide to help you take part in Skype therapy with us.

As always, if you are experiencing any kind of medical emergency, you should contact your doctor first. Online Therapy is not a substitute for the medical treatment of mental disorders but a tool in assisting you during your period of recovery.

1. Harley Street Psychology offers free email consultation so that you can ask questions about the process. We provide you the opportunity to describe the emotional issues you are struggling with and always want you to feel satisfied with our replies. This will allow you to get a feel for the approach used at Harley Street Psychology and whether it resonates with what you feel you need from us.

2. On behalf of the Clinical Director of Harley Street Psychology LTD, we hope that you will read any written documents compiled by us in order for you to get a good feeling sense about working with us.

3. We believe it is good practice to receive payment at the end of the session rather than before to ensure you are happy with the service being offered by Harley Street Psychology.

4. The attitude of Harley Street Psychology to Online Therapy is to view it as a teaching medium from which you hope to gain certain tools and insights to help you better manage your emotional problems. You should feel that you leave with something of value from every session.

The Process Involved

You can download the software that allows you to make Skype video calls from It is easy to set up and most importantly the service from Skype is free. Most laptops have a built in video-camera and microphone, which makes it very easy. If your computer does not have this, you can purchase a video-camera that connects via the USB port.

Does Online/Skype CBT and CAT work?

CBT and CAT are generally the most effective treatments for the problems mentioned above and are recommended by NICE (National Institute for Clinical Excellence) as the psychological treatments of choice for depression and all anxiety disorders, and what makes the process more effective is that this will be in the comfort of your own home.

Having between 6 and 20 sessions of CBT and CAT can be effective forms of therapy for most problems. The number of sessions depends on the complexity of the problems you are experiencing, and how well you are able to work through your homework tasks, but we will be able to give you an estimate of the likely number of sessions needed at the start of your therapy.

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