Counselling and Psychotherapy FAQ

We have included the most frequently asked questions for our Counselling and Psychotherapy services. If there is any other area that you need further information on, please Contact Nicholas Rose & Associates.

General Counselling Questions Relationship, Family and Child Counselling Questions Counsellor Preference Questions Timing and Accessibility Questions Medication Questions Payment Questions

General Counselling Questions

Why choose Nicholas Rose & Associates?

We only offer you therapists who have met the stringent requirements of the major UK professional bodies for counselling and psychotherapy. Our team have also shown themselves to be accomplished therapists - able to bring a wealth of experience to the therapeutic process. With your therapist you can relax in the certain knowledge that you are meeting with a leading professional in talking therapy. Our service is confidential and our comfortable consulting rooms are anonymously and conveniently located on Chiswick High Road within a health and wellbeing centre / spa.

Finally, if for reasons of privacy you have any particular requirements please do not hesitate to ask and we will see if we can meet yoour needs.

What is an Associate?

Associates are independent practitioners who Nicholas has invited to bring their practices to be based together. Whilst the Associates work independently, they have been carefully selected for their qualifications, experience and commitment to excellence. An Associate will have significant experience including at least two years in private practice.

They also have their own professional liability insurance arrangements. The team is therefore able to provide a comprehensive portfolio of professional counselling and psychotherapy services for adults, couples and families with a choice of male and female therapists experienced in working with a broad range of concerns. 

Your agreement for therapy will be with your therapist and in the initial session they will talk you through how they work, agree with you what your therapy should be and advise how to pay their fees. 

What is a Senior Associate?

A Senior Associate will have been an Associate for at least four years or have been working in private practice as a fully accredited therapist for over ten years.

How do I choose the right counsellor or psychotherapist?

A great deal of research has and is being undertaken on the subject of Counselling Services, Psychotherapy Services and the different approaches to therapy. It suggests that the most important factor in effective outcomes is the strength of the relationship between the client and the counsellor or psychotherapist. We therefore provide you with details and a photo of our Counselling and Psychotherapy Team to help you start to think about who might be right for you and when you make contact with us we will ensure you are able to meet with a therapist who has the right experience for you.

How can I know if my counsellor or psychotherapist is trained and experienced?

Counselling and psychotherapy trainings are many and varied however our therapists have all undertaken a comprehensive program of post graduate training, belong to professional bodies, have years of clinical experience, undertake CPD (continued professional development), have clinical supervisors and hold professional liability insurance.

What is the difference between a counsellor and a psychotherapist?

A Psychotherapist registered with the United Kingdom Council for Psychotherapy (UKCP) a psychotherapist will have undertaken an extensive post graduate training including an academic component generally exceeding MA level, extensive work experience and own experience of person therapy. In terms of work experience, as psychotherapy tends to be a longer term endeavour a psychotherapist will have had to work with long term clients. Psychotherapists tend to work with a wide scope of concerns from emotional difficulties to psychiatric disorders.

A Counsellor or Psychotherapist registered with the British Association of Counselling and Psychotherapy will undergo an accredited training programme that is generally shorter term than that for the UKCP. They also have extensive work experience prior to registration but will not necessarily have worked with clients on a long term basis or in psychiatric settings and they may not have undergone personal therapy themselves.  

What if I am unhappy with the therapy or my therapist?

Whilst being independent practitioners, all the Associates share the same commitment to providing the best possible standard of care and if you are in anyway unhappy or concerned about your therapy we will want to find a solution. As your agreement for therapy is between you and your therapist speak or write to them in the first instance. In the event you continue to have any concerns then the next step is to contact the therapists professional membership organisation. Associates also hold their own individual professional liability insurance arrangements.

What is the difference between counselling and psychotherapy?

The terms Counselling and Psychotherapy, these are often used interchangeably. However for the purposes of understanding what to expect, counselling is an endeavour that often has a clearer focus than psychotherapy for example a Bereavement or particular crisis. The nature of more clearly defined concerns tends to result in a limited number of sessions.

Psychotherapy is relevant where there is a sense of struggle without any particular sense of a cause of the concern, often this struggle is something which has been experienced for a considerable period of time. A psychotherapy relationship tends to be of a longer-term nature.

Do I need counselling or psychotherapy?

We will discuss this fully in your initial consultation however you might find the questionnaire on this link helpful.

How do I choose the right type of counselling or psychotherapy?

There are hundreds of recognised therapeutic approaches however these tend to be grouped under three major types Humanistic, Psychodynamic and Cognitive Behavioural. Our team members are integrative counsellors or psychotherapists, this means that they employ the philosophies and techniques from each of the major theoretical perspectives.

How many sessions will I need?

It is never possible to say at the start how many sessions will be needed however we will regularly review with you whether you are finding the sessions helpful, when you no longer feel as though you need to continue we will agree a plan for ending. We always suggest starting with six sessions and if these prove helpful then we continue.

How does counselling or psychotherapy work?

Counselling & psychotherapy with us provides an opportunity to develop a greater understanding of your difficulties, to comprehend and clarify what was previously unclear and with this new awareness to identify and implement changes in your life. Crucially we offer a supportive relationship until the point at which you feel your difficulties have been addressed.

What can counselling or psychotherapy help with?

We can explore situations related to any aspect of your personal life and relationships, your working life, or your social life. Read more about why to choose Counselling or Psychotherapy.

Will I have to lie on a couch?

No, we will sit together in chairs.

Will a counsellor or psychotherapist tell me what to do?

We work with you so that you can make the best decision to suit your own personal circumstances, we may offer different perspectives on a problem but we will not tell you what to do.

Is it ok to cry with my counsellor?

If you want to cry then you can and we can talk with you about your concerns about crying.

Is this a confidential service?

Our service is confidential within the bounds of current regulation, ask your counsellor or psychotherapist for further information.

Do you provide a Counsellor and Psychotherapist Supervision service?

Yes, Nicholas Rose offers supervision to counsellors and psychotherapists in groups and individually.

Relationship, Family and Child Counselling Questions

We are in crisis and need a lot of help straight away, can you help?

Nicholas is able to offer an intensive method where a set of sessions are delivered in a single day. This option can sometimes be made available at weekends. 

We have very busy schedules and it can be hard to find time together so traditional weekly session t

If you have limited time available, travel extensively, have many commitments etc then Nicholas can offer a set of sessions in a single day. This option can sometimes be made available at weekends. Nicholas is also able to travel to you for this. 

How does couples counselling work?

As couples counsellors we provide a warm, supportive and non-judgmental environment, and we do not take sides. Couples counsellors do not come to the sessions with an agenda; we are not there to tell you what to do or to manipulate you into staying together. We are there to facilitate you in finding your own way forward; for some couples this will mean finding a more creative and positive future for the relationship, while for others it may mean helping you to accept and manage the end of a relationship. In our assessment session we will seek to clarify the issues on which we can seek to address in the therapy. For many clients a brief therapy model will be appropriate, this usually involves an initial commitment to ten sessions either on a weekly or fortnightly basis. Read more about Couples Counselling.

We have tried couples therapy before but it didn't work, why should we try again?

We often have couples who have tried therapy before. There are many reasons why this can happen however in our experience couples work is most effective when the couple feel relaxed with their therapist, have the energy to put into the therapy and can - maybe with some initial help from the therapist - have some clarity about what they want from the therapy. We always suggest an initial session and this enables you to see if this is the case.

Does couples therapy have to be weekly?

Couples therapy is different to individual therapy and so the frequency of sessions might vary. Many couples find weekly sessions most helpful whilst for others less frequest sessions work best. Your therapist will work with you to put the right schedule in place.

Will you be able to save our relationship?

In our experience we can help best if you both agree that:

* overall your relationship is worth trying to save

* you have energy to put into trying

Does counselling make people split up?

We think a better question is whether you believe that putting off confronting your concerns will be beneficial in the longer term? In my experience though attitudes towards counselling are such that often it is considered as a last resort and couples can leave it too late before they start.

We have already decided to split up, can you help us navigate this in the best possible way?

Yes people do come to counselling to be helped to end their relationships and we hold no agenda other than to work with you to gain the outcome that you hope to achieve.

What is family therapy?

Family therapy enables family members to listen, respect and understand different perspectives and views, to appreciate each other's needs and to build on their strengths to make useful changes and find positive ways forward. Read more about Family Therapy.

Is counselling for LGBT people different?

The therapeutic process is the same for everyone and every issue however having a therapist who has either personal experience or specific training is thought to be helpful. If this is true for you then you might want to ask to see a therapist with a particular sexuality or know they have experience in training on a specific issue, however in reality it can often be more helpful speaking to someone who has no preconceived ideas / experiences. The most important thing is that you feel at ease speaking with your therapist and that is why we always recommend an initial session.

Do you have therapy for same-sex marriages and / or civil partnerships?

Yes, we welcome the opportunity to work with people from the LGBT community in same-sex marriages or civil partnerships.

Will I have to talk about my parents?

It is your space to talk about what you choose however we might ask questions if we feel they maybe relevant to the issues you want to explore.

What is Child Psychotherapy?

Child Psychotherapists work with children by building a relationship through talking, play or the use of art materials to help children express themselves and help them to resolve issues concerning them. A space and time is created for them to think about life, to talk about growing up, about what happens at school with friends and about what it is like to be them. A child psychotherapist can also offer a great deal of support for parents and families at times of struggle. Juliet Lyons is our Associate Child Psychotherapist, she works with children from years 0 to 18.

When can a child psychotherapist be helpful?

If a child is showing signs of distress at home or school or if as a parent/s you are struggling in your relationship with your child. In addition there are a number of particular difficulties which can helpfully be brought to a child psychotherapist including pre and post natal difficulties, birth trauma, aggressive behaviours, ADHD, autism, divorce and separation, adoption, bereavement and loss, eating disorders, separation anxiety, selective mutism, obsessive behaviours. self harm.

Counsellor Preference Questions

Can I ask to see a woman counsellor or psychotherapist?

Yes, it is important that you choose a counsellor or psychotherapist who you think you can talk to easily. View our Counselling and Psychotherapy Team for our female counsellors and psychotherapists.

Can I ask to see a male counsellor or psychotherapist?

Yes, it is important that you choose a counsellor or psychotherapist who you think you can talk to easily. View our Counselling and Psychotherapy Team for our male counsellors and psychotherapists

Can I see a counsellor or psychotherapist who is gay or bisexual?

Yes, it is important that you choose a counsellor or psychotherapist who you think you can talk to easily, just state your preference when you book your initial session. (Unfortunately we do not have any lesbian or transgender therapists on the team at the moment).

Timing and Accessibility Questions

Can I come to sessions after work or at weekends?

Yes, we do offer sessions in the evenings and at weekends. Read more about our Weekend Therapy Service.

How often will I have to come for counselling or psychotherapy sessions?

Counselling or psychotherapy needs a commitment of at least one session a week.

Medication Questions

Payment Questions

How do I pay for my therapy

Our therapists are independent practitioners so whilst they ask us to organise and arrange pre-payment for the initial session your agreement for therapy will be direct with your therapist. In the first session with your therapist you will be able to agree how to pay them the fee for all future sessions.

What does counselling or psychotherapy cost?

Our fees vary depending upon the type of service and time of sessions. View our Counselling and Psychotherapy Fees

How do you set your fees?

We recognise that it is possible to find lower fees however our team members are qualified, experienced and competent professionals. Our commitment to offering you the best possible standard of care brings with it a corresponding cost base including ongoing CPD (training), clinical supervision and other costs associated with meeting the requirements of the leading professional bodies. Additionally we offer you the choice to meet with us in an anonymous location in independent consulting rooms offering a private and comfortable environment in an easily accessible location.

Can I use my private health insurance to pay for counselling or psychotherapy?

Please check your policy cover with your provider.

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Call us now on 020 8996 9551


Martin is a great therapist. He immediately made me feel at ease and helped me navigate through a situation that I had experienced and which I was finding very troubling. Martin has a very natural style and I found him easy to open up to an...

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