
General FAQs
Find answers to common questions about starting therapy, session logistics, and what to expect from our work together. This is a space built on empathy and professional understanding.
How do I book an initial session?
You can reach out via the contact form or email. We will find a suitable time for an initial assessment to discuss your needs and how we might work together.
How long is each therapy session?
Therapy sessions typically last 50 minutes. This is a standard therapeutic hour allowing time for reflection and closure within each encounter.
Do you offer online or in-person therapy?
I provide specialist in-person therapy in Ashford, Kent, as well as online sessions utilising Zoom for those who prefer more flexibility or are located elsewhere.
What is your cancellation policy?
A minimum of 12 hours notice is required for cancellations, for no charge.
Rates & Payments
Therapy Sessions
Individual sessions are priced at £60 per session.
Couples counselling is £90 per session. Payments to be made before the session starts.
Clinical Supervision
Hourly rate is £60, and this forms the basis for reducing or increasing the cost of sessions which are shorter (45 minutes) or longer (90 minutes).
Insurance & Employee Assistance Programmes.
I am registered with several major health insurance providers and EAP service providers - please contact me by email if you are interested in utilising my services.
Your First Consultation
The first conversation is a gentle space for us to get to know each other, explore what brings you to therapy, and see if I am the right person to support you on your journey.
What should I expect?
We will talk about your current concerns and some of your background. There is no pressure to share everything at once; we go at your pace to ensure you feel secure.
How long does it last?
Initial consultations typically last 20 minutes. This provides enough time to discuss your needs and for you to ask any questions you might have about my approach.
Do I need to prepare?
You don't need to bring anything specific. Just yourself. It can be helpful to think about what you hope to achieve, but we can also discover that together.
What are the next steps?
If we both feel that we are a good match, we can discuss regular sessions. If not, I am happy to recommend colleagues who might be better suited to your needs.
Counselling FAQs
Attachment-Based Therapy in Ashford, Kent
Answers to common questions about attachment-based psychotherapy, person-centred counselling, anxiety, depression, relationships, online therapy and counselling in Ashford, Kent.
Attachment-based psychotherapy explores how your experiences of safety, care, closeness and separation may influence the way you relate to yourself and other people today. It can help you understand recurring emotional and relationship patterns without reducing you to a label.
What is attachment theory?
Attachment theory describes the human need to form protective and emotionally meaningful relationships. It considers how early experiences of care can influence our expectations of closeness, trust, rejection, independence and support.
Who developed attachment theory?
Attachment theory is most closely associated with psychiatrist and psychoanalyst John Bowlby. Researcher Mary Ainsworth later made important contributions through her observations of different attachment patterns.
Is attachment only about childhood?
No. Childhood experiences are important, but attachment continues throughout life. Friendships, romantic relationships, losses, trauma, parenting, therapy and other meaningful relationships can all influence how we experience connection.
Does attachment-based therapy blame parents?
No. The purpose is not to allocate blame or decide that one person caused everything. We explore what happened, how you adapted and whether those adaptations are still helping you now.
What is an attachment style?
An attachment style is a broad description of how somebody may respond to closeness, dependence, rejection or emotional uncertainty. It is not a fixed personality type or a clinical diagnosis.
Can I have more than one attachment pattern?
Yes. You may feel secure in one relationship and anxious or avoidant in another. Attachment responses can also change according to stress, loss, conflict and the behaviour of the other person.
What is secure attachment?
Secure attachment usually involves being able to experience closeness without losing your sense of yourself. You can express needs, receive support, tolerate reasonable separation and work through disagreements without assuming the relationship must end.
Does secure attachment mean never feeling anxious?
No. Securely attached people still experience anxiety, jealousy, anger and uncertainty. Security is not the absence of difficult feelings; it is a greater capacity to recognise, communicate and recover from them.
What is avoidant attachment?
Avoidant attachment can involve placing a strong emphasis on independence and finding emotional dependence uncomfortable. A person may minimise their needs, withdraw during conflict or struggle to remain emotionally available when closeness feels threatening.
What does it mean to be dismissive-avoidant?
Dismissive-avoidant generally describes a pattern in which somebody distances themselves from vulnerability and places considerable value on self-reliance. They may appear unaffected while privately managing feelings by suppressing or disconnecting from them.
Does being avoidant mean I do not care?
No. Avoidant behaviour is often mistaken for a lack of feeling. Somebody may care deeply but have learned that showing need, relying on another person or remaining emotionally exposed does not feel safe.
Why do I pull away when somebody gets close?
Closeness may activate expectations of being controlled, disappointed, engulfed, rejected or hurt. Pulling away can therefore become a protective response, even when another part of you wants connection.
What is anxious attachment?
Anxious attachment can involve a strong need for reassurance and heightened sensitivity to possible rejection or abandonment. Small changes in another person’s communication or availability may feel unusually significant.
What does anxious-ambivalent attachment mean?
Anxious-ambivalent attachment describes wanting closeness while finding it difficult to trust that closeness will remain available. A person may seek reassurance but struggle to feel reassured for very long.
Why do I become anxious when somebody does not reply?
A delayed reply may activate fears of rejection, abandonment or having done something wrong. Therapy can help separate what is happening in the present from older expectations that may be intensifying the response.
Is needing reassurance unhealthy?
Everybody needs reassurance sometimes. It becomes difficult when reassurance provides only very brief relief, must be repeated constantly or prevents you from developing trust in yourself and the relationship.
What is disorganised attachment?
Disorganised attachment can involve experiencing relationships as both wanted and threatening. A person may move quickly between seeking closeness, withdrawing, becoming overwhelmed or expecting harm.
What is fearful-avoidant attachment?
Fearful-avoidant is a term often used to describe a pattern involving a desire for connection alongside a strong fear of vulnerability, rejection or dependence. It may look like moving towards somebody and then pulling away.
Does disorganised attachment mean there is something seriously wrong with me?
No. It usually describes protective responses that developed within confusing, frightening or inconsistent relationships. These responses may now create difficulties, but they are not evidence that you are broken.
Is attachment style a mental health diagnosis?
No. Attachment styles are conceptual descriptions rather than formal mental health diagnoses. Online quizzes may be thought-provoking, but they cannot provide a full psychological assessment.
Can attachment patterns change?
Yes. Attachment patterns are not fixed for life. Greater self-awareness, emotionally reliable relationships and a consistent therapeutic relationship can all support change.
What is earned secure attachment?
Earned security describes developing a more secure way of understanding yourself and relating to others, despite having experienced insecurity earlier in life.
How do you earn secure attachment?
Earned security can develop through recognising your patterns, understanding their origins, practising clearer communication and experiencing relationships in which boundaries, repair and emotional availability are possible.
Can therapy help me become more securely attached?
Therapy can provide a steady relationship in which your expectations about closeness, trust and conflict can be explored. Over time, you may develop new ways of recognising needs, managing vulnerability and responding to other people.
What does a secure therapeutic relationship feel like?
It should feel reliable, respectful and emotionally safe enough for honesty. This does not mean that therapy will always be comfortable, but difficulties can be discussed rather than ignored.
What is attachment trauma?
Attachment trauma can arise when the people a child depended upon were also frightening, unavailable, unpredictable or unable to protect them. The impact may continue through difficulties with trust, regulation, self-worth and relationships.
Is attachment trauma the same as complex trauma?
They can overlap, but they are not identical. Complex trauma commonly refers to repeated or prolonged traumatic experiences, particularly when escape or protection was difficult. Attachment trauma specifically concerns disruptions within important caring relationships.
Why do I repeat the same relationship patterns?
Familiar patterns can feel emotionally predictable, even when they are painful. We may also unconsciously use old protective strategies in new relationships because they once helped us cope.
Why am I attracted to emotionally unavailable people?
Emotional unavailability may feel familiar or may allow you to pursue connection without having to face the full vulnerability of mutual intimacy. This is something therapy can explore without blaming or shaming you.
Why do I fear abandonment?
Fear of abandonment can develop through inconsistent care, significant losses, rejection, betrayal or relationships that felt unpredictable. Present-day situations may then activate older fears very quickly.
Why do I struggle to trust people?
Difficulty trusting may be a reasonable adaptation to experiences in which trust was broken. Therapy is not about forcing you to trust; it is about helping you notice what safety and reliability look like.
Why do I struggle to ask for help?
You may have learned that asking led to rejection, criticism, disappointment or loss of control. You may also believe that having needs makes you weak or burdensome.
Can attachment affect friendships as well as romantic relationships?
Yes. Attachment patterns can appear in friendships, family relationships, professional relationships and therapy—not only in romantic partnerships.
Can attachment affect parenting?
Yes. Parenting can reactivate memories and feelings connected with your own childhood. Understanding your attachment history can help you respond more thoughtfully rather than simply repeating or reacting against what you experienced.
Can attachment affect the way I respond to conflict?
Yes. Conflict may trigger fighting, withdrawing, appeasing, shutting down or urgently seeking reassurance. These responses often make more sense when understood as attempts to protect the relationship or yourself.
What is co-regulation?
Co-regulation is the way one person’s calm, reliable presence can help another person settle and manage strong emotions. Over time, repeated co-regulation can support a greater capacity for self-regulation.
What is emotional regulation?
Emotional regulation means being able to notice, tolerate and respond to feelings without becoming completely overwhelmed or disconnected. It does not mean suppressing emotion.
What is relational depth in counselling?
Relational depth describes moments of profound psychological contact in which both client and therapist are genuinely present and engaged. It can allow somebody to feel deeply recognised rather than merely analysed.
What is person-centred counselling?
Person-centred counselling is a humanistic approach in which you are treated as the expert on your own experience. The counsellor provides empathy, acceptance and honesty, helping you explore your feelings and develop greater self-understanding.
What are the origins of person-centred therapy?
Person-centred therapy was developed by American psychologist Carl Rogers in the 1940s. His approach moved away from the idea that the professional should diagnose, direct or interpret everything for the client.
What is humanistic therapy?
Humanistic therapy considers the whole person rather than viewing you as a collection of symptoms. It emphasises personal meaning, choice, emotional awareness, relationships and the human capacity for growth.
What are the core conditions in person-centred therapy?
The best-known core conditions are empathy, congruence and unconditional positive regard. In everyday language, this means trying to understand your experience, being genuine with you and valuing you without requiring you to become somebody else.
What is unconditional positive regard?
Unconditional positive regard means that you are accepted and valued as a person, including when you are discussing feelings, decisions or experiences that are difficult to acknowledge.
What does congruence mean in therapy?
Congruence means that the counsellor works honestly and genuinely rather than hiding behind a distant professional role. This honesty must always be used thoughtfully and in the client’s interests.
What does empathy mean in counselling?
Empathy involves trying to understand your experience from your point of view while recognising that only you can fully know what it is like to be you.
Is person-centred counselling completely unstructured?
Not necessarily. You decide what is most important, but the therapist remains actively engaged. I may reflect what I hear, ask questions, notice patterns and gently challenge you when it may be helpful.
Will you just sit silently while I talk?
No. I offer space to think and speak, but my style is relational and dialogical. I participate in the conversation and will not leave you feeling as though you are talking to an empty room.
Will you tell me what to do?
Usually, I will help you understand your choices rather than make decisions for you. Advice can sometimes bring temporary relief, but therapy aims to strengthen your ability to make decisions that fit your own values and circumstances.
What does dialogical counselling mean?
Dialogical counselling means that therapy is a genuine conversation between two people. I bring my responses, curiosity and humanity to the work while keeping your needs at its centre.
Will you challenge me?
At times, yes. Challenge should not feel aggressive or humiliating. It is an invitation to notice something that may be difficult to see, and you are always free to disagree with me.
How do attachment-based and person-centred therapy work together?
Person-centred therapy provides empathy, acceptance and respect for your autonomy. Attachment-based thinking helps us understand how safety, trust and earlier relationships may be influencing what happens for you now.
Will you analyse everything about my childhood?
No. Childhood may be relevant, but therapy does not have to revolve around it. We begin with what matters to you and explore earlier experiences when they help us understand the present.
Is attachment-based therapy directive?
My approach remains collaborative rather than prescriptive. I may introduce attachment ideas or notice relational patterns, but we consider together whether they fit your experience.
Is counselling confidential?
Counselling is confidential, with specific ethical and legal exceptions. These may include situations involving serious and immediate risk, safeguarding concerns or legal requirements. I explain confidentiality before therapy begins so that you can ask questions.
Will you judge me?
My role is to understand rather than condemn you. We can talk about thoughts, feelings and experiences that you may never have felt able to say aloud.
Can I talk about something illegal or shameful?
You can bring difficult subjects to counselling. Confidentiality still has limits, particularly where there is an identifiable risk of serious harm or a safeguarding concern, and these limits will be explained clearly.
Do I have to talk about trauma in detail?
No. You should not be pressured to disclose traumatic experiences before you feel ready. We can work with present-day feelings, bodily responses, boundaries and relationship patterns without immediately recounting every detail.
What happens if I disagree with my counsellor?
You can say so. Disagreement can become a valuable part of therapy when it is approached openly. You do not have to accept my interpretation simply because I am the counsellor.
How do I know whether I need counselling?
You do not need a diagnosis or a crisis to begin counselling. You may simply feel stuck, overwhelmed, disconnected or curious about recurring patterns in your life.
What can counselling help with?
Counselling may help with anxiety, depression, low self-esteem, grief, relationship difficulties, trauma, attachment concerns, identity, chronic illness, stress and major life changes.
What happens during the first counselling session?
We begin discussing what has brought you to therapy, what you hope may change and anything you need to feel safer in the work. You do not need to tell your entire life story during the first meeting.
What should I talk about in therapy?
You can talk about whatever feels important, confusing or difficult. This might be something happening now, a past experience, a relationship, a feeling or simply the fact that you do not know where to begin.
What if I do not know what to say?
That is completely acceptable. We can begin with the uncertainty itself. You are not responsible for filling every moment or arriving with a prepared subject.
Do I need to prepare for counselling?
No preparation is required. Some people find it helpful to make a brief note of what they want to discuss, but you can also arrive exactly as you are.
What if I cry during counselling?
Crying is a natural emotional response and nothing to apologise for. Equally, not crying does not mean that your experience is unimportant or that therapy is not working.
What if I become angry in a session?
Anger is welcome as a subject for exploration. We can look at what it is protecting, communicating or responding to without treating the feeling itself as unacceptable.
What if I feel embarrassed?
Embarrassment is common when discussing private experiences. You can take your time, and you do not need to reveal everything immediately.
Can I stop counselling whenever I choose?
Yes. Counselling is voluntary. Where possible, it can be helpful to discuss the decision and have a planned final session, particularly when endings are emotionally significant for you.
What if I do not feel comfortable with my counsellor?
The relationship matters. You can raise what feels uncomfortable, and sometimes discussing it improves the work. You are also entitled to decide that another therapist would suit you better.
How do I know whether a counsellor is right for me?
Consider whether you feel listened to, respected and able to disagree. Qualifications matter, but the way you experience the relationship also matters.
Do you offer a consultation before counselling begins?
I offer a free initial 20-minute conversation. This gives us an opportunity to meet, discuss what has brought you to counselling and consider whether working together feels right.
Do you provide counselling in Ashford, Kent?
Yes. I provide counselling in the Ashford, Kent area as well as online counselling for clients who cannot or prefer not to attend in person.
Do you offer online counselling?
Yes. Online counselling allows you to attend sessions from a private and suitable location without travelling to a therapy room.
Is online counselling effective?
Many people find online counselling valuable and accessible. Its suitability depends on your circumstances, privacy, preferences and the type of support you require.
What do I need for online therapy?
You need a reliable internet connection, a device with a camera and microphone, and a private space where you can speak without being overheard or interrupted.
Can I attend therapy from my car?
A parked car may occasionally provide privacy, but it is important that you are comfortable, stationary and somewhere safe. You must never attend a counselling session while driving.
Can I have counselling if I live outside Kent?
Online counselling may make this possible, subject to professional, insurance and jurisdictional considerations. Your location should be discussed before sessions begin.
How long is a counselling session?
A standard counselling session is usually around 50 minutes. Your agreed session length and practical arrangements will be confirmed before beginning.
How often will I attend counselling?
Weekly sessions are common because regularity can help build continuity and trust. Other arrangements may be possible depending on your needs and availability.
What happens if I miss a session?
Cancellation and missed-session arrangements should be explained in the counselling agreement. Giving as much notice as possible allows us to manage the time fairly.
Will counselling make me feel better?
Counselling can support meaningful change, but no ethical therapist can guarantee a particular outcome. Many people develop greater understanding, self-compassion and choice, although the process is rarely a straight line.
How long does therapy take to work?
There is no universal timescale. Some people notice changes within a few sessions, while longstanding trauma or relationship patterns may need longer-term work.
How many counselling sessions will I need?
This depends on what brings you to therapy, what you want from it and how the work develops. We can review progress together rather than deciding that one length suits everybody. One conversation can offer relief or clarity, but deeper patterns usually require more time. Therapy works through the gradual development of understanding and trust.
Why do I sometimes feel worse after therapy?
Talking about painful experiences can temporarily bring feelings closer to the surface. This does not automatically mean that therapy is harmful, but any lasting deterioration or concern should be discussed with your therapist.
How will I know whether therapy is working?
You may notice that you understand your reactions more clearly, recover more quickly from distress, communicate more honestly or make different choices. Progress may appear in small changes before it becomes dramatic.
Is therapy supposed to be difficult?
Therapy can be challenging, but it should not feel relentlessly unsafe or overwhelming. Helpful challenge happens within a relationship that also provides respect, care and emotional steadiness.
What if nothing seems to be changing?
Tell me, as your therapist. We can review what you hoped for, what feels stuck and whether the approach or focus needs to change.
Can therapy change my personality?
The aim is not to replace your personality. Therapy may help you feel less controlled by fear, shame or protective patterns, allowing more of your existing personality to emerge.
Can counselling change my attachment style?
Attachment responses can become more flexible and secure, but change does not usually happen by adopting a new label. It develops through awareness, practice, boundaries and different relational experiences.
Can therapy help me set boundaries?
Yes. Therapy can help you recognise your limits, understand why saying no feels difficult and practise communicating boundaries without automatically assuming that you are selfish.
Can therapy help my self-esteem?
Counselling can help you explore where harsh beliefs about yourself developed and whether they remain accurate or useful. Self-esteem often grows through a more compassionate and realistic relationship with yourself.
Can therapy help me understand who I am?
Yes. Therapy can create space to explore identity, values, needs and the different versions of yourself that may have developed to meet other people’s expectations.
Does counselling involve homework?
My approach is primarily relational rather than based on compulsory worksheets. At times, we may agree something to notice, reflect upon or practise between sessions.
Will everything be solved by talking?
Talking is only one part of therapy. Change can also involve experiencing a different kind of relationship, noticing bodily responses, trying new boundaries and responding differently outside the counselling room.
What is depression?
Depression can involve persistent low mood, loss of interest, reduced motivation, hopelessness, guilt, irritability, sleep changes and difficulty concentrating. It is more than simply having a bad day.
What helps with depression?
Helpful support may include counselling, medical advice, medication when appropriate, manageable activity, sleep support and connection with other people. The right combination differs from person to person.
Can counselling help with depression?
Counselling can help you express feelings that have become difficult to carry alone and understand experiences, relationships or beliefs contributing to your depression.
Should I speak to my GP about depression?
Yes, particularly when symptoms are persistent, worsening or interfering with everyday life. A GP can assess your needs, discuss treatment options and consider whether physical health factors may also be relevant.
Why do I feel depressed when my life looks fine?
Emotional distress is not measured by how your life appears from the outside. Depression may be connected with loss, relationships, trauma, biology, chronic stress, identity or feelings that have remained unexpressed.
Why can I not motivate myself?
Low motivation is a common experience during depression and is not simply laziness. When energy is limited, very small and realistic steps may be more helpful than demanding a dramatic transformation.
Can grief look like depression?
Grief and depression can share features such as sadness, withdrawal, sleep disruption and reduced concentration. Grief is not an illness, but additional support may be needed when distress becomes overwhelming or prolonged.
Can chronic illness affect my mental health?
Yes. Chronic illness can affect independence, identity, relationships, employment, energy and hopes for the future. Emotional support is a valid part of adjusting to physical change.
What is anxiety?
Anxiety is the mind and body’s response to anticipated danger or uncertainty. It may involve racing thoughts, tension, restlessness, nausea, a rapid heartbeat, avoidance or a sense that something bad is about to happen.
What helps with anxiety?
Support may include counselling, medical advice, grounding, improved sleep, reducing avoidance gradually and understanding what the anxiety is trying to protect you from.
Can counselling help anxiety?
Counselling can help identify triggers, understand the meaning of anxious responses and develop more compassionate and manageable ways of responding.
What is the difference between anxiety and stress?
Stress is often connected with identifiable pressure or demands. Anxiety may continue even when there is no obvious immediate threat, although the two frequently overlap.
Why does my anxiety come from nowhere?
The trigger may not be immediately conscious. Anxiety can be activated by bodily sensations, memories, relationship changes, uncertainty or cues that resemble earlier threatening experiences.
What is a panic attack?
A panic attack is a sudden surge of intense fear or discomfort that may include breathlessness, dizziness, shaking, chest sensations and fear of losing control. New, severe or unexplained physical symptoms should be medically assessed.
Why do I overthink everything?
Overthinking may be an attempt to prevent mistakes, predict rejection or create certainty. Unfortunately, repeatedly analysing every possibility often increases rather than resolves anxiety.
Can perfectionism be linked with anxiety?
Yes. Perfectionism can develop as an attempt to avoid criticism, rejection, shame or loss of control. The standard becomes so demanding that nothing feels safe or good enough.
Why do I always expect the worst?
Expecting the worst may be a protective strategy. If you anticipate danger or disappointment, you may feel less vulnerable to surprise, but remaining constantly prepared can become exhausting.
What is people-pleasing?
People-pleasing involves repeatedly prioritising other people’s comfort, approval or needs at your own expense. It may have developed because agreement and helpfulness once made relationships feel safer.
Why can I not say no?
Saying no may activate fears of conflict, rejection, guilt or being considered selfish. Therapy can help you understand these fears and build boundaries gradually.
What is emotional overwhelm?
Emotional overwhelm occurs when feelings and demands exceed your current capacity to process them. You may become panicked, tearful, angry, numb, confused or unable to make decisions.
Why do I shut down during arguments?
Shutting down can be an involuntary protective response when conflict feels threatening. Your nervous system may move towards freezing or disconnection when fighting or escaping does not feel possible.
What is dissociation?
Dissociation can involve feeling detached from yourself, your surroundings, your memories or your emotions. It exists on a spectrum, but frequent or severe experiences should be discussed with a qualified health professional.
Can counselling help with relationship difficulties?
Yes. Individual counselling can help you understand your needs, attachment responses, communication patterns and boundaries even when the other person does not attend therapy.
Why do I lose myself in relationships?
You may have learned that maintaining connection requires adapting to another person, suppressing your needs or monitoring their mood. Therapy can help you reconnect with your own preferences and limits.
Why am I frightened of being alone?
Being alone may activate feelings of abandonment, worthlessness or emotional danger. It may also be connected with previous losses or relationships in which separation was unpredictable.
Why do I need everybody to like me?
Approval may have become associated with safety, belonging or self-worth. When disapproval feels dangerous, you may work very hard to avoid it.
Why do I struggle to accept compliments?
Compliments may conflict with deeply held beliefs about yourself or create discomfort about being seen. Dismissing praise can feel safer than allowing it to challenge an old self-image.
Why do I feel responsible for everybody?
You may have taken on emotional or practical responsibility early in life. Being useful, calm or attentive may have become the way you maintained connection and avoided conflict.
What is parentification?
Parentification describes a situation in which a child takes on emotional or practical responsibilities that would usually belong to an adult. This can affect boundaries, self-worth and the ability to receive care later in life.
Why do I feel guilty when I put myself first?
You may have learned that meeting your own needs disappoints or harms other people. Guilt does not always mean you are doing something wrong; sometimes it appears because you are doing something unfamiliar.
Can counselling help after an abusive relationship?
Yes. Counselling can support you in understanding what happened, rebuilding trust in your judgement and developing safety and boundaries. Current danger or safeguarding concerns may require specialist domestic abuse support alongside therapy.
Can counselling help with childhood emotional neglect?
Counselling can help you recognise emotional needs that were overlooked and understand how neglect may influence self-worth, relationships and the ability to identify feelings.
What if I cannot remember much of my childhood?
You do not need detailed memories for therapy to be useful. We can explore what you experience now, what you believe about yourself and how your current relationships feel.
Can counselling help me become more emotionally available?
Yes. We can explore what makes emotional closeness difficult, what you fear may happen and how vulnerability can be approached more safely.
Can I learn to trust myself?
Yes. Self-trust can grow by noticing your feelings, making manageable decisions, reviewing experiences honestly and learning that mistakes do not remove your right to respect yourself.
Can a counsellor diagnose me?
Counselling and psychiatric diagnosis are different processes. I can explore your experiences with you, but formal diagnosis may require assessment by an appropriately qualified medical or clinical professional.
Do I need a diagnosis to have counselling?
No. You can begin counselling because you are distressed, confused, stuck or want to understand yourself more fully.
Can counselling replace medication?
Counselling and medication serve different purposes. Do not stop or change prescribed medication without consulting the clinician responsible for your care.
Can I have counselling while taking antidepressants?
Yes. Many people have counselling while taking antidepressants or other prescribed medication. It can be useful to keep your prescriber informed about significant changes in your wellbeing.
Can I see a counsellor and another mental health professional?
Sometimes, yes. It is important that everybody understands their role and that the support is safe, coordinated and not unnecessarily confusing.
Is counselling suitable for trauma?
Counselling may help with trauma when it is provided within the therapist’s competence and at an appropriate pace. Stabilisation and safety may need to come before detailed exploration.
What does BACP accreditation mean?
BACP accreditation indicates that a counsellor has met additional standards relating to training, practice, ethical awareness and professional development. It does not mean that one therapist will be the right fit for every client.
Attachment-based psychotherapy explores how your experiences of safety, care, closeness and separation may influence the way you relate to yourself and other people today. It can help you understand recurring emotional and relationship patterns without reducing you to a label.
What is attachment theory?
Attachment theory describes the human need to form protective and emotionally meaningful relationships. It considers how early experiences of care can influence our expectations of closeness, trust, rejection, independence and support.
Who developed attachment theory?
Attachment theory is most closely associated with psychiatrist and psychoanalyst John Bowlby. Researcher Mary Ainsworth later made important contributions through her observations of different attachment patterns.
Is attachment only about childhood?
No. Childhood experiences are important, but attachment continues throughout life. Friendships, romantic relationships, losses, trauma, parenting, therapy and other meaningful relationships can all influence how we experience connection.
Does attachment-based therapy blame parents?
No. The purpose is not to allocate blame or decide that one person caused everything. We explore what happened, how you adapted and whether those adaptations are still helping you now.
What is an attachment style?
An attachment style is a broad description of how somebody may respond to closeness, dependence, rejection or emotional uncertainty. It is not a fixed personality type or a clinical diagnosis.
Can I have more than one attachment pattern?
Yes. You may feel secure in one relationship and anxious or avoidant in another. Attachment responses can also change according to stress, loss, conflict and the behaviour of the other person.
What is secure attachment?
Secure attachment usually involves being able to experience closeness without losing your sense of yourself. You can express needs, receive support, tolerate reasonable separation and work through disagreements without assuming the relationship must end.
Does secure attachment mean never feeling anxious?
No. Securely attached people still experience anxiety, jealousy, anger and uncertainty. Security is not the absence of difficult feelings; it is a greater capacity to recognise, communicate and recover from them.
What is avoidant attachment?
Avoidant attachment can involve placing a strong emphasis on independence and finding emotional dependence uncomfortable. A person may minimise their needs, withdraw during conflict or struggle to remain emotionally available when closeness feels threatening.
What does it mean to be dismissive-avoidant?
Dismissive-avoidant generally describes a pattern in which somebody distances themselves from vulnerability and places considerable value on self-reliance. They may appear unaffected while privately managing feelings by suppressing or disconnecting from them.
Does being avoidant mean I do not care?
No. Avoidant behaviour is often mistaken for a lack of feeling. Somebody may care deeply but have learned that showing need, relying on another person or remaining emotionally exposed does not feel safe.
Why do I pull away when somebody gets close?
Closeness may activate expectations of being controlled, disappointed, engulfed, rejected or hurt. Pulling away can therefore become a protective response, even when another part of you wants connection.
What is anxious attachment?
Anxious attachment can involve a strong need for reassurance and heightened sensitivity to possible rejection or abandonment. Small changes in another person’s communication or availability may feel unusually significant.
What does anxious-ambivalent attachment mean?
Anxious-ambivalent attachment describes wanting closeness while finding it difficult to trust that closeness will remain available. A person may seek reassurance but struggle to feel reassured for very long.
Why do I become anxious when somebody does not reply?
A delayed reply may activate fears of rejection, abandonment or having done something wrong. Therapy can help separate what is happening in the present from older expectations that may be intensifying the response.
Is needing reassurance unhealthy?
Everybody needs reassurance sometimes. It becomes difficult when reassurance provides only very brief relief, must be repeated constantly or prevents you from developing trust in yourself and the relationship.
What is disorganised attachment?
Disorganised attachment can involve experiencing relationships as both wanted and threatening. A person may move quickly between seeking closeness, withdrawing, becoming overwhelmed or expecting harm.
What is fearful-avoidant attachment?
Fearful-avoidant is a term often used to describe a pattern involving a desire for connection alongside a strong fear of vulnerability, rejection or dependence. It may look like moving towards somebody and then pulling away.
Does disorganised attachment mean there is something seriously wrong with me?
No. It usually describes protective responses that developed within confusing, frightening or inconsistent relationships. These responses may now create difficulties, but they are not evidence that you are broken.
Is attachment style a mental health diagnosis?
No. Attachment styles are conceptual descriptions rather than formal mental health diagnoses. Online quizzes may be thought-provoking, but they cannot provide a full psychological assessment.
Can attachment patterns change?
Yes. Attachment patterns are not fixed for life. Greater self-awareness, emotionally reliable relationships and a consistent therapeutic relationship can all support change.
What is earned secure attachment?
Earned security describes developing a more secure way of understanding yourself and relating to others, despite having experienced insecurity earlier in life.
How do you earn secure attachment?
Earned security can develop through recognising your patterns, understanding their origins, practising clearer communication and experiencing relationships in which boundaries, repair and emotional availability are possible.
Can therapy help me become more securely attached?
Therapy can provide a steady relationship in which your expectations about closeness, trust and conflict can be explored. Over time, you may develop new ways of recognising needs, managing vulnerability and responding to other people.
What does a secure therapeutic relationship feel like?
It should feel reliable, respectful and emotionally safe enough for honesty. This does not mean that therapy will always be comfortable, but difficulties can be discussed rather than ignored.
What is attachment trauma?
Attachment trauma can arise when the people a child depended upon were also frightening, unavailable, unpredictable or unable to protect them. The impact may continue through difficulties with trust, regulation, self-worth and relationships.
Is attachment trauma the same as complex trauma?
They can overlap, but they are not identical. Complex trauma commonly refers to repeated or prolonged traumatic experiences, particularly when escape or protection was difficult. Attachment trauma specifically concerns disruptions within important caring relationships.
Why do I repeat the same relationship patterns?
Familiar patterns can feel emotionally predictable, even when they are painful. We may also unconsciously use old protective strategies in new relationships because they once helped us cope.
Why am I attracted to emotionally unavailable people?
Emotional unavailability may feel familiar or may allow you to pursue connection without having to face the full vulnerability of mutual intimacy. This is something therapy can explore without blaming or shaming you.
Why do I fear abandonment?
Fear of abandonment can develop through inconsistent care, significant losses, rejection, betrayal or relationships that felt unpredictable. Present-day situations may then activate older fears very quickly.
Why do I struggle to trust people?
Difficulty trusting may be a reasonable adaptation to experiences in which trust was broken. Therapy is not about forcing you to trust; it is about helping you notice what safety and reliability look like.
Why do I struggle to ask for help?
You may have learned that asking led to rejection, criticism, disappointment or loss of control. You may also believe that having needs makes you weak or burdensome.
Can attachment affect friendships as well as romantic relationships?
Yes. Attachment patterns can appear in friendships, family relationships, professional relationships and therapy—not only in romantic partnerships.
Can attachment affect parenting?
Yes. Parenting can reactivate memories and feelings connected with your own childhood. Understanding your attachment history can help you respond more thoughtfully rather than simply repeating or reacting against what you experienced.
Can attachment affect the way I respond to conflict?
Yes. Conflict may trigger fighting, withdrawing, appeasing, shutting down or urgently seeking reassurance. These responses often make more sense when understood as attempts to protect the relationship or yourself.
What is co-regulation?
Co-regulation is the way one person’s calm, reliable presence can help another person settle and manage strong emotions. Over time, repeated co-regulation can support a greater capacity for self-regulation.
What is emotional regulation?
Emotional regulation means being able to notice, tolerate and respond to feelings without becoming completely overwhelmed or disconnected. It does not mean suppressing emotion.
What is relational depth in counselling?
Relational depth describes moments of profound psychological contact in which both client and therapist are genuinely present and engaged. It can allow somebody to feel deeply recognised rather than merely analysed.
What is person-centred counselling?
Person-centred counselling is a humanistic approach in which you are treated as the expert on your own experience. The counsellor provides empathy, acceptance and honesty, helping you explore your feelings and develop greater self-understanding.
What are the origins of person-centred therapy?
Person-centred therapy was developed by American psychologist Carl Rogers in the 1940s. His approach moved away from the idea that the professional should diagnose, direct or interpret everything for the client.
What is humanistic therapy?
Humanistic therapy considers the whole person rather than viewing you as a collection of symptoms. It emphasises personal meaning, choice, emotional awareness, relationships and the human capacity for growth.
What are the core conditions in person-centred therapy?
The best-known core conditions are empathy, congruence and unconditional positive regard. In everyday language, this means trying to understand your experience, being genuine with you and valuing you without requiring you to become somebody else.
What is unconditional positive regard?
Unconditional positive regard means that you are accepted and valued as a person, including when you are discussing feelings, decisions or experiences that are difficult to acknowledge.
What does congruence mean in therapy?
Congruence means that the counsellor works honestly and genuinely rather than hiding behind a distant professional role. This honesty must always be used thoughtfully and in the client’s interests.
What does empathy mean in counselling?
Empathy involves trying to understand your experience from your point of view while recognising that only you can fully know what it is like to be you.
Is person-centred counselling completely unstructured?
Not necessarily. You decide what is most important, but the therapist remains actively engaged. I may reflect what I hear, ask questions, notice patterns and gently challenge you when it may be helpful.
Will you just sit silently while I talk?
No. I offer space to think and speak, but my style is relational and dialogical. I participate in the conversation and will not leave you feeling as though you are talking to an empty room.
Will you tell me what to do?
Usually, I will help you understand your choices rather than make decisions for you. Advice can sometimes bring temporary relief, but therapy aims to strengthen your ability to make decisions that fit your own values and circumstances.
What does dialogical counselling mean?
Dialogical counselling means that therapy is a genuine conversation between two people. I bring my responses, curiosity and humanity to the work while keeping your needs at its centre.
Will you challenge me?
At times, yes. Challenge should not feel aggressive or humiliating. It is an invitation to notice something that may be difficult to see, and you are always free to disagree with me.
How do attachment-based and person-centred therapy work together?
Person-centred therapy provides empathy, acceptance and respect for your autonomy. Attachment-based thinking helps us understand how safety, trust and earlier relationships may be influencing what happens for you now.
Will you analyse everything about my childhood?
No. Childhood may be relevant, but therapy does not have to revolve around it. We begin with what matters to you and explore earlier experiences when they help us understand the present.
Is attachment-based therapy directive?
My approach remains collaborative rather than prescriptive. I may introduce attachment ideas or notice relational patterns, but we consider together whether they fit your experience.
Is counselling confidential?
Counselling is confidential, with specific ethical and legal exceptions. These may include situations involving serious and immediate risk, safeguarding concerns or legal requirements. I explain confidentiality before therapy begins so that you can ask questions.
Will you judge me?
My role is to understand rather than condemn you. We can talk about thoughts, feelings and experiences that you may never have felt able to say aloud.
Can I talk about something illegal or shameful?
You can bring difficult subjects to counselling. Confidentiality still has limits, particularly where there is an identifiable risk of serious harm or a safeguarding concern, and these limits will be explained clearly.
Do I have to talk about trauma in detail?
No. You should not be pressured to disclose traumatic experiences before you feel ready. We can work with present-day feelings, bodily responses, boundaries and relationship patterns without immediately recounting every detail.
What happens if I disagree with my counsellor?
You can say so. Disagreement can become a valuable part of therapy when it is approached openly. You do not have to accept my interpretation simply because I am the counsellor.
How do I know whether I need counselling?
You do not need a diagnosis or a crisis to begin counselling. You may simply feel stuck, overwhelmed, disconnected or curious about recurring patterns in your life.
What can counselling help with?
Counselling may help with anxiety, depression, low self-esteem, grief, relationship difficulties, trauma, attachment concerns, identity, chronic illness, stress and major life changes.
What happens during the first counselling session?
We begin discussing what has brought you to therapy, what you hope may change and anything you need to feel safer in the work. You do not need to tell your entire life story during the first meeting.
What should I talk about in therapy?
You can talk about whatever feels important, confusing or difficult. This might be something happening now, a past experience, a relationship, a feeling or simply the fact that you do not know where to begin.
What if I do not know what to say?
That is completely acceptable. We can begin with the uncertainty itself. You are not responsible for filling every moment or arriving with a prepared subject.
Do I need to prepare for counselling?
No preparation is required. Some people find it helpful to make a brief note of what they want to discuss, but you can also arrive exactly as you are.
What if I cry during counselling?
Crying is a natural emotional response and nothing to apologise for. Equally, not crying does not mean that your experience is unimportant or that therapy is not working.
What if I become angry in a session?
Anger is welcome as a subject for exploration. We can look at what it is protecting, communicating or responding to without treating the feeling itself as unacceptable.
What if I feel embarrassed?
Embarrassment is common when discussing private experiences. You can take your time, and you do not need to reveal everything immediately.
Can I stop counselling whenever I choose?
Yes. Counselling is voluntary. Where possible, it can be helpful to discuss the decision and have a planned final session, particularly when endings are emotionally significant for you.
What if I do not feel comfortable with my counsellor?
The relationship matters. You can raise what feels uncomfortable, and sometimes discussing it improves the work. You are also entitled to decide that another therapist would suit you better.
How do I know whether a counsellor is right for me?
Consider whether you feel listened to, respected and able to disagree. Qualifications matter, but the way you experience the relationship also matters.
Do you offer a consultation before counselling begins?
I offer a free initial 20-minute conversation. This gives us an opportunity to meet, discuss what has brought you to counselling and consider whether working together feels right.
Do you provide counselling in Ashford, Kent?
Yes. I provide counselling in the Ashford, Kent area as well as online counselling for clients who cannot or prefer not to attend in person.
Do you offer online counselling?
Yes. Online counselling allows you to attend sessions from a private and suitable location without travelling to a therapy room.
Is online counselling effective?
Many people find online counselling valuable and accessible. Its suitability depends on your circumstances, privacy, preferences and the type of support you require.
What do I need for online therapy?
You need a reliable internet connection, a device with a camera and microphone, and a private space where you can speak without being overheard or interrupted.
Can I attend therapy from my car?
A parked car may occasionally provide privacy, but it is important that you are comfortable, stationary and somewhere safe. You must never attend a counselling session while driving.
Can I have counselling if I live outside Kent?
Online counselling may make this possible, subject to professional, insurance and jurisdictional considerations. Your location should be discussed before sessions begin.
How long is a counselling session?
A standard counselling session is usually around 50 minutes. Your agreed session length and practical arrangements will be confirmed before beginning.
How often will I attend counselling?
Weekly sessions are common because regularity can help build continuity and trust. Other arrangements may be possible depending on your needs and availability.
What happens if I miss a session?
Cancellation and missed-session arrangements should be explained in the counselling agreement. Giving as much notice as possible allows us to manage the time fairly.
Will counselling make me feel better?
Counselling can support meaningful change, but no ethical therapist can guarantee a particular outcome. Many people develop greater understanding, self-compassion and choice, although the process is rarely a straight line.
How long does therapy take to work?
There is no universal timescale. Some people notice changes within a few sessions, while longstanding trauma or relationship patterns may need longer-term work.
How many counselling sessions will I need?
This depends on what brings you to therapy, what you want from it and how the work develops. We can review progress together rather than deciding that one length suits everybody. One conversation can offer relief or clarity, but deeper patterns usually require more time. Therapy works through the gradual development of understanding and trust.
Why do I sometimes feel worse after therapy?
Talking about painful experiences can temporarily bring feelings closer to the surface. This does not automatically mean that therapy is harmful, but any lasting deterioration or concern should be discussed with your therapist.
How will I know whether therapy is working?
You may notice that you understand your reactions more clearly, recover more quickly from distress, communicate more honestly or make different choices. Progress may appear in small changes before it becomes dramatic.
Is therapy supposed to be difficult?
Therapy can be challenging, but it should not feel relentlessly unsafe or overwhelming. Helpful challenge happens within a relationship that also provides respect, care and emotional steadiness.
What if nothing seems to be changing?
Tell me, as your therapist. We can review what you hoped for, what feels stuck and whether the approach or focus needs to change.
Can therapy change my personality?
The aim is not to replace your personality. Therapy may help you feel less controlled by fear, shame or protective patterns, allowing more of your existing personality to emerge.
Can counselling change my attachment style?
Attachment responses can become more flexible and secure, but change does not usually happen by adopting a new label. It develops through awareness, practice, boundaries and different relational experiences.
Can therapy help me set boundaries?
Yes. Therapy can help you recognise your limits, understand why saying no feels difficult and practise communicating boundaries without automatically assuming that you are selfish.
Can therapy help my self-esteem?
Counselling can help you explore where harsh beliefs about yourself developed and whether they remain accurate or useful. Self-esteem often grows through a more compassionate and realistic relationship with yourself.
Can therapy help me understand who I am?
Yes. Therapy can create space to explore identity, values, needs and the different versions of yourself that may have developed to meet other people’s expectations.
Does counselling involve homework?
My approach is primarily relational rather than based on compulsory worksheets. At times, we may agree something to notice, reflect upon or practise between sessions.
Will everything be solved by talking?
Talking is only one part of therapy. Change can also involve experiencing a different kind of relationship, noticing bodily responses, trying new boundaries and responding differently outside the counselling room.
What is depression?
Depression can involve persistent low mood, loss of interest, reduced motivation, hopelessness, guilt, irritability, sleep changes and difficulty concentrating. It is more than simply having a bad day.
What helps with depression?
Helpful support may include counselling, medical advice, medication when appropriate, manageable activity, sleep support and connection with other people. The right combination differs from person to person.
Can counselling help with depression?
Counselling can help you express feelings that have become difficult to carry alone and understand experiences, relationships or beliefs contributing to your depression.
Should I speak to my GP about depression?
Yes, particularly when symptoms are persistent, worsening or interfering with everyday life. A GP can assess your needs, discuss treatment options and consider whether physical health factors may also be relevant.
Why do I feel depressed when my life looks fine?
Emotional distress is not measured by how your life appears from the outside. Depression may be connected with loss, relationships, trauma, biology, chronic stress, identity or feelings that have remained unexpressed.
Why can I not motivate myself?
Low motivation is a common experience during depression and is not simply laziness. When energy is limited, very small and realistic steps may be more helpful than demanding a dramatic transformation.
Can grief look like depression?
Grief and depression can share features such as sadness, withdrawal, sleep disruption and reduced concentration. Grief is not an illness, but additional support may be needed when distress becomes overwhelming or prolonged.
Can chronic illness affect my mental health?
Yes. Chronic illness can affect independence, identity, relationships, employment, energy and hopes for the future. Emotional support is a valid part of adjusting to physical change.
What is anxiety?
Anxiety is the mind and body’s response to anticipated danger or uncertainty. It may involve racing thoughts, tension, restlessness, nausea, a rapid heartbeat, avoidance or a sense that something bad is about to happen.
What helps with anxiety?
Support may include counselling, medical advice, grounding, improved sleep, reducing avoidance gradually and understanding what the anxiety is trying to protect you from.
Can counselling help anxiety?
Counselling can help identify triggers, understand the meaning of anxious responses and develop more compassionate and manageable ways of responding.
What is the difference between anxiety and stress?
Stress is often connected with identifiable pressure or demands. Anxiety may continue even when there is no obvious immediate threat, although the two frequently overlap.
Why does my anxiety come from nowhere?
The trigger may not be immediately conscious. Anxiety can be activated by bodily sensations, memories, relationship changes, uncertainty or cues that resemble earlier threatening experiences.
What is a panic attack?
A panic attack is a sudden surge of intense fear or discomfort that may include breathlessness, dizziness, shaking, chest sensations and fear of losing control. New, severe or unexplained physical symptoms should be medically assessed.
Why do I overthink everything?
Overthinking may be an attempt to prevent mistakes, predict rejection or create certainty. Unfortunately, repeatedly analysing every possibility often increases rather than resolves anxiety.
Can perfectionism be linked with anxiety?
Yes. Perfectionism can develop as an attempt to avoid criticism, rejection, shame or loss of control. The standard becomes so demanding that nothing feels safe or good enough.
Why do I always expect the worst?
Expecting the worst may be a protective strategy. If you anticipate danger or disappointment, you may feel less vulnerable to surprise, but remaining constantly prepared can become exhausting.
What is people-pleasing?
People-pleasing involves repeatedly prioritising other people’s comfort, approval or needs at your own expense. It may have developed because agreement and helpfulness once made relationships feel safer.
Why can I not say no?
Saying no may activate fears of conflict, rejection, guilt or being considered selfish. Therapy can help you understand these fears and build boundaries gradually.
What is emotional overwhelm?
Emotional overwhelm occurs when feelings and demands exceed your current capacity to process them. You may become panicked, tearful, angry, numb, confused or unable to make decisions.
Why do I shut down during arguments?
Shutting down can be an involuntary protective response when conflict feels threatening. Your nervous system may move towards freezing or disconnection when fighting or escaping does not feel possible.
What is dissociation?
Dissociation can involve feeling detached from yourself, your surroundings, your memories or your emotions. It exists on a spectrum, but frequent or severe experiences should be discussed with a qualified health professional.
Can counselling help with relationship difficulties?
Yes. Individual counselling can help you understand your needs, attachment responses, communication patterns and boundaries even when the other person does not attend therapy.
Why do I lose myself in relationships?
You may have learned that maintaining connection requires adapting to another person, suppressing your needs or monitoring their mood. Therapy can help you reconnect with your own preferences and limits.
Why am I frightened of being alone?
Being alone may activate feelings of abandonment, worthlessness or emotional danger. It may also be connected with previous losses or relationships in which separation was unpredictable.
Why do I need everybody to like me?
Approval may have become associated with safety, belonging or self-worth. When disapproval feels dangerous, you may work very hard to avoid it.
Why do I struggle to accept compliments?
Compliments may conflict with deeply held beliefs about yourself or create discomfort about being seen. Dismissing praise can feel safer than allowing it to challenge an old self-image.
Why do I feel responsible for everybody?
You may have taken on emotional or practical responsibility early in life. Being useful, calm or attentive may have become the way you maintained connection and avoided conflict.
What is parentification?
Parentification describes a situation in which a child takes on emotional or practical responsibilities that would usually belong to an adult. This can affect boundaries, self-worth and the ability to receive care later in life.
Why do I feel guilty when I put myself first?
You may have learned that meeting your own needs disappoints or harms other people. Guilt does not always mean you are doing something wrong; sometimes it appears because you are doing something unfamiliar.
Can counselling help after an abusive relationship?
Yes. Counselling can support you in understanding what happened, rebuilding trust in your judgement and developing safety and boundaries. Current danger or safeguarding concerns may require specialist domestic abuse support alongside therapy.
Can counselling help with childhood emotional neglect?
Counselling can help you recognise emotional needs that were overlooked and understand how neglect may influence self-worth, relationships and the ability to identify feelings.
What if I cannot remember much of my childhood?
You do not need detailed memories for therapy to be useful. We can explore what you experience now, what you believe about yourself and how your current relationships feel.
Can counselling help me become more emotionally available?
Yes. We can explore what makes emotional closeness difficult, what you fear may happen and how vulnerability can be approached more safely.
Can I learn to trust myself?
Yes. Self-trust can grow by noticing your feelings, making manageable decisions, reviewing experiences honestly and learning that mistakes do not remove your right to respect yourself.
Can a counsellor diagnose me?
Counselling and psychiatric diagnosis are different processes. I can explore your experiences with you, but formal diagnosis may require assessment by an appropriately qualified medical or clinical professional.
Do I need a diagnosis to have counselling?
No. You can begin counselling because you are distressed, confused, stuck or want to understand yourself more fully.
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Is counselling suitable for trauma?
Counselling may help with trauma when it is provided within the therapist’s competence and at an appropriate pace. Stabilisation and safety may need to come before detailed exploration.
What does BACP accreditation mean?
BACP accreditation indicates that a counsellor has met additional standards relating to training, practice, ethical awareness and professional development. It does not mean that one therapist will be the right fit for every client.
Do counsellors receive supervision?
Ethical counsellors undertake regular clinical supervision. Supervision supports safe and reflective practice while protecting client confidentiality.
Why does a counsellor need continuing professional development?
Ongoing training helps counsellors maintain knowledge, reflect on their practice and develop competence. It does not replace the importance of recognising professional limits.