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Counselling 4 Anxiety

Online and in-person Counsellor in Knightsbridge, Marylebone, Marble Arch & Central London

First for Care, Counselling & Community

Generalised Anxiety Disorder (GAD)

Anxiety causes a feeling of unease, and this can include worry or fears. These can

range from mild to severe and all of us will experience anxiety at points of our lives.

For example, when we have exams and the preparation period just before an exam

can lead to stress and anxiety symptoms such as sweaty palms, a racing heart,

agitation and restlessness.

However, GAD is associated with longer term anxiety states and not just about one event that occurs in someone’s life. GAD is associated with a wider range of situations and events, and this means that GAD sufferers have a heightened state of ‘alertness’ which leads to symptoms of restlessness, anger, irritation, frustration, fear and phobias. Therefore, people with GAD feel anxious on most days and they have few reference points to times when they felt relaxed. This heightened state of ‘alertness’ is associated with the release of stress hormones such as cortisol and adrenaline which are released in the ‘fight or flight’ response that we all have and which are a defensive set of reactions to threat that we evolved over tens of thousands of years.

People with GAD also have a tendency to ‘shift’ the anxiety from one thought to another, which is why feeling relaxed is difficult for them and explains why the anxiety remains with them.

Some clients who have sought therapy through Counselling4Anxiety have said that GAD feels like “there is something unresolved in the back of their minds that makes them feel uneasy, agitated and stressed and which makes them feel on edge”. Others have said the following: “I just feel like I cannot relax and that my mind thinks from one issue to another as though I can’t switch off the fear within me and that various situations in the day trigger this ongoing sense of fear that I have to live with. It affects my sleep, and I can’t concentrate”.

anxiety and walking

How Can I Help?

As a qualified BACP registered therapist, and as someone who has lived with, managed and reduced the impacts of anxiety on my life for over 30 years, I understand how this condition can affect and permeate many parts of a person’s life.

anxiety and walking

Get in Touch

Feel free to contact me if you have any questions about how therapy works, or to arrange an initial assessment appointment.

All enquires are usually answered within 24 hours, and all contact is strictly confidential and uses secure phone and email services.

Frequently asked questions

What does counselling involve?

Counselling at its core, is about building a therapeutic relationship between a client who wants counselling and a counsellor (sometimes called a therapist). This therapeutic relationship is based on openness, commitment, empathy and curious self-exploration by the client and which is facilitated by the counsellor. This allows for reflection work to take place.


Counselling is undertaken in a confidential space and environment where clients can express their innermost thoughts and emotions. It also provides a platform through which psychoeducational work can be conducted by the counsellor providing mental health information to clients that can facilitate reflection, better understanding and help to stimulate thoughts and emotional feelings that may provide meaning and context to the client.


Some people may choose to support their mental health through ‘talking therapies’ like counselling; others choose counselling and pharmacologically based interventions through medications like Selective Serotonin Reuptake Blockers (SSRIs). It is important to acknowledge that there is no ‘one size fits all’ approach to supporting the mental health of individuals. For many, this involves trying and testing what works for them and what they feel comfortable with. However, one thing that underpins counselling work is the opportunity for a client to connect with a counsellor and to be acknowledged and heard. This form of validation can be life changing and help in the healing process.

How long will I need to have counselling?

There is no set limit or set period of time for sessions of counselling work. Some institutions like the NHS may provide blocks of counselling sessions for short term work, (such as 6 sessions), whilst other organisations or institutions may provide longer term counselling opportunities from 12 to 24 sessions, and even longer term work that can be over a year.


If you are looking for counselling services it is important to ask the relevant organisation how many sessions they can provide and whether they can provide long term support. It is also important to express your needs when talking to organisations that you approach for counselling. This also allows both parties, (the client and the organisation), to be clear on opportunities, limitations, requirements and what is feasible in the therapeutic connection.


Remember, your mental health needs are important. This means expressing these needs when you make contact with counselling services.


Counselling4Anxiety provides short, medium and long term counselling services and these range from 6 sessions through to a commitment to the provision of counselling services over a year. We will work with potential clients to develop a counselling work plan based on their needs and what we consider may be useful.

How long will I have to wait for an appointment?

Counselling4Anxiety acknowledges that some people try and access counselling services because they are in mental health crises and therefore want to be able to access services as fast as possible. We also acknowledge that some clients are willing to wait to access services and this is also sometimes led by their financial constraints.


Counselling4Anxiety therefore aims to provide all potential clients with counselling slots within 2 weeks of making contact with us. On occasions when this is not possible and where someone needs urgent assistance, Counselling4Anxiety will signpost them to other counselling providers, (Note: Counselling4Anxiety does not have specific agreements or financial arrangements with any other counselling provider around the referral of potential clients. This is important to highlight since we are independent and any such financial arrangements would be unethical and unfair to potential clients. Ultimately we believe in choice and individuals must research and review a range of counselling providers in order to come to an informed decision).

Will everything I say be kept confidential?

The short answer to this is yes, though there are specific conditions in which confidentiality may be breached by Counselling4Anxiety. These specific conditions could include if you were a threat to yourself and where you had expressed a desire to undertake suicide. Under such conditions, we would be duty bound to contact your General Practitioner (GP), any specialist psychiatric services you were accessing and/or your next of kin.


Additionally, if you express the desire to harm others within therapy, we are duty bound to inform your GP and psychiatrist and depending on the threat, other relevant bodies.


We are also duty bound ‘not to cause harm’ in our work and to protect the confidential rights of clients. These duties are not set in stone and can be breached if we consider – through your thoughts and actions, that you are a risk to yourself or members of the public.

Can I bring a friend or relative with me?

Counselling is mainly a one to one working relationship between a client and a therapist. This changes in couples therapy though as the name suggests, this involves couples who know each other intimately.


Counselling is therefore based on both parties feeling comfortable enough to work together. Introducing a third party into the work would affect the dynamics of this relationship, compromise confidentiality and skew the ability for clients to be open about their thoughts and feelings. Therefore this will not be possible and would be beyond the bounds of ‘couples therapy’ work.

Does Counselling4Anxiety provide Zoom or telephone counselling?

Yes, we provide counselling services through Zoom and via the telephone, as well as in-person. We believe that people should be able to access counselling services through platforms that feel comfortable to them and which can fit around their busy schedules and lives.

How much does a counselling session cost?

A counselling session consists of 50 minutes of one to one work and with 10 minutes used by the therapist to write up relevant notes. Each session costs £50 and Counselling4Anxiety have kept costs as low as possible, (compared to other providers), since we believe that counselling should be accessible to as many people as possible.

Get in Touch

Feel free to contact me via the form below or on 0208 906 6877 if you have any questions about how therapy works, or to arrange an initial assessment appointment.

All enquires are usually answered within 24 hours, and all contact is strictly confidential and uses secure phone and email services.

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