Frequently Asked Questions
Starting counselling or reflective supervision can come with questions, especially when you’re not sure what to expect. I’ve brought together some of the things people often want to know, so you can find clear information in your own time, reduce some of the uncertainty, and feel more informed before taking the next step.
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The first session gives us time to begin getting to know one another and understand what has brought you to counselling. Building the relationship between us is at the core of the work, so there is no pressure to arrive with everything neatly explained or to tell me everything straight away.
We’ll talk through confidentiality, how we might work together, and anything that would help sessions feel more comfortable or accessible for you. We can also begin to explore what you might like to get from counselling, including any goals, changes or areas you would like to focus on.
We’ll do this collaboratively and at your pace. If you already know what you would like to work towards, that can give us a helpful starting point. If you don’t, that is completely fine too, we’ll work together to make sense of that as the work develops.
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Counselling and psychotherapy sessions are usually 50 minutes long. However, in keeping with a pluralistic way of working, the structure of the session is something we can shape together rather than following a fixed formula.
We can talk about what feels most helpful for you and whether you prefer more structure, more space to reflect, or a different balance as the work develops.
The same applies to session length. If you feel that 50 minutes is too long, or that a shorter session may feel more manageable or accessible, we can discuss this together and, where possible, arrange a length that better suits your needs.
The aim is for the way we work, including the pace, structure and length of sessions, to support you rather than expecting you to fit around a set model of therapy.
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Not at all. You might arrive with something very specific in mind, or you may simply know that something doesn’t feel quite right. We can begin wherever you are and work together to understand what feels most important.
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That’s okay. Counselling does not have to rely entirely on finding the “right” words. Sometimes experiences can be difficult to explain verbally, or we may understand something intellectually without yet having a clear sense of how it feels.
Where it is helpful, we might use writing, imagery, visual mapping, timelines, photographs, objects or other creative exercises. These can help make thoughts and experiences more visible, give shape to things that feel difficult to express, and allow us to explore them from a different perspective.
Different people process information in different ways, so these approaches can also be particularly helpful for clients who find visual, creative or practical ways of working easier than relying on conversation alone. They are never something you have to do, we would use them collaboratively and only if they add therapeutic value.
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A pluralistic approach starts from the idea that there is no single way of doing therapy that will be right for everyone. At the centre is collaboration where we’ll talk openly about what you want from counselling, what matters to you, and what feels helpful as the work develops.
We may also complete the Cooper–Norcross Inventory of Preferences (C-NIP) together. This is a short questionnaire that can help us think about things such as whether you prefer therapy to be more structured or more open, whether you would like us to focus on specific goals or allow things to unfold more naturally, and whether you prefer me to be more gentle and supportive or more challenging when appropriate.
There are no right or wrong answers. The purpose is simply to help us understand how you prefer to work, so we can shape the therapy around you. Those preferences may also change over time, and our way of working can change with them.
If you have experienced therapy before, this may feel a little different because there is often more conversation about how we are working, not just what we are talking about.
You are not expected to know which therapeutic approach you need. Part of my role is to bring my knowledge and experience, while you bring your knowledge of yourself and your life. We use both to work out what may be most helpful for you.
As our work develops, I can draw on ideas, theories and resources from different therapeutic approaches where they may be useful. That might mean bringing in a particular way of understanding what you are experiencing, a practical exercise, a creative resource, or a different way of exploring something when talking alone does not feel enough. The aim is not to fit you into one model of therapy, but to use what is most helpful for you as your needs evolve.
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Yes. Counselling should feel accessible and workable for you, and I’m happy to adapt the way we work to meet your individual needs wherever possible.
This might include thinking together about communication preferences, sensory needs, physical accessibility, neurodivergence, disability, learning differences, pacing, session structure, or anything else that may help you feel more comfortable and able to engage in the process.
There is no one-size-fits-all way to do counselling, so we can talk openly about what works well for you, what doesn’t, and make adjustments together along the way.
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Counselling is collaborative rather than about me giving you instructions or making decisions for you. We can explore different perspectives, possibilities and ways of understanding what is happening, while keeping you at the centre of the work.
An important part of that is supporting your autonomy by making sure your experiences, values and choices remain central. I can offer reflection, knowledge, different perspectives and therapeutic resources where they may be helpful, but the decisions about what feels right for you remain yours.
The aim is for us to work alongside one another in a way that helps you develop your own understanding, recognise what you need, and feel more confident making choices that are meaningful to you. Over time, the intention is that you become increasingly able to use the insight, tools and strategies we have explored together independently, so that you feel more confident navigating future challenges without needing to rely on ongoing therapy.
FAQs Counselling and Psychotherapy
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Many people choose to meet weekly, particularly at the beginning, as this can help provide consistency and continuity in the work. However, there is no single frequency that will suit everyone.
We can agree together how often feels right for you, taking into account what you want from counselling, your circumstances, and what feels manageable. For some people that may mean weekly sessions, while others may prefer a different rhythm.
The frequency of sessions does not have to stay the same throughout our work either. We can review it together as your needs change, so the arrangement continues to feel supportive and appropriate for you.
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There is no set number of sessions that will be right for everyone. Some people come to counselling with something quite specific they want to explore and may find a shorter period of work helpful, while others may want or need more time.
We can talk together about what you would like from counselling and review how the work is feeling as we go. There is no expectation that you commit to a particular number of sessions from the outset.
As your needs, goals or circumstances change, we can revisit what feels right. The length of our work together should be guided by what is helpful for you, rather than by a fixed programme or timetable.
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Yes. You do not have to commit to one way of meeting for the whole of our work together.
You may prefer to meet in person most of the time but occasionally need an online session because of work, travel, caring responsibilities or simply because it feels more manageable that week. Equally, you may begin online and later decide that you would like to meet in person.
Where availability allows, we can be flexible and agree what works best for you. The important thing is that the way we meet continues to feel accessible, comfortable and supportive.
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Doxy is the secure video platform I use for online counselling and reflective supervision. You do not need to download any software or create an account, you simply follow the link I send you and join the session from your phone, tablet or computer.
Before the session, it can help to find somewhere private and comfortable where you are unlikely to be interrupted, and to check that your camera, microphone and internet connection are working.
If we are moving from in-person to online work, we may briefly re-contract how we work together so that things such as privacy, confidentiality, what happens if the connection drops, and what we would do if either of us became concerned about your wellbeing are clear from the outset.
Online sessions are still collaborative and can be adapted in the same way as in-person work. We can think together about what helps you feel most comfortable and able to engage, including pace, structure, breaks, or using written and visual resources where helpful.
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That’s completely okay. You do not need to arrive with a label, diagnosis or clear explanation of what is happening.
Often experiences overlap, and what you are feeling may not fit neatly into one category. We can take time to explore what has been happening, how it is affecting you, and what feels most important to understand or work on.
The aim is not to force your experience into a particular box, but to make sense of it together and shape the work around what you need.
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That is something we can talk about openly. I want you to feel able to tell me if something does not feel helpful, if the pace or way we are working is not quite right, or if you are unsure whether counselling is making a difference.
We can review the work together, look at what you hoped to get from therapy, and consider whether we need to change the focus, structure or approaches we are using. Sometimes a different way of working can make a real difference.
If, after reflecting together, it seems that I am not the right person to support you, we can also talk honestly about what other options or sources of support may be more appropriate. Your needs remain at the centre of the work.
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There is no single frequency that will be right for everyone.
Some professionals find regular monthly sessions useful, while others may prefer more or less frequent support depending on the nature and demands of their role.
We can discuss what feels appropriate for you or your organisation and review this as needs change.
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Yes. Reflective Supervision can be offered individually or to groups and teams.
Individual sessions provide dedicated space to focus on your own role and experiences.
Group sessions can allow colleagues to reflect together on shared challenges, team dynamics, the emotional impact of the work and recurring themes within their professional environment.
For group or organisational work, we can agree the format, frequency and focus in advance.
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Item description
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Yes. Reflective Supervision can take place within your organisation where there is a suitable private and confidential space available.
This can be particularly useful for groups, teams or organisations looking to build reflective practice into their wider staff support.
If you are considering Reflective Supervision for a team or organisation, I would recommend arranging a 15-minute complimentary consultation so we can discuss what you need and how the sessions could be structured.
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Individual Reflective Supervision sessions are usually 50 minutes.
For groups, teams or organisational work, a longer session may be more appropriate depending on the number of people involved and what the group needs. This can be agreed in advance.
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Confidentiality is an important part of Reflective Supervision and helps create a space where you can speak openly about the impact of your work.
At the beginning of our work, we will agree clearly how confidentiality operates and any circumstances in which information may need to be shared. This may include situations involving serious risk of harm, safeguarding concerns, legal requirements or other professional obligations.
Where Reflective Supervision is being provided on behalf of an organisation, we will also agree in advance what, if anything, is reported back to the organisation so that everyone understands the boundaries of the arrangement.
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Reflective supervision offers a confidential and collaborative space to step away from the demands of your role and think about the impact your work is having on you.
It can provide space to explore difficult situations, emotional responses, professional relationships, boundaries, decision-making, safeguarding incidents and the pressures that can come with working in emotionally demanding roles.
For example, you may want to reflect on a safeguarding concern that has stayed with you after work, a difficult interaction with a colleague or service user, a challenging professional decision, or the emotional impact of supporting someone through a distressing situation.
The focus is not simply on what happened, but on how the experience affected you, what you noticed in yourself, what you may be carrying from it, and what might help you move forward in your role.
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Item descriptionReflective Supervision may be helpful for professionals working in education, healthcare, safeguarding, care, leadership and other emotionally demanding roles.
This might include Designated Safeguarding Leads, headteachers and school leaders, nurses, doctors, pastoral staff, safeguarding professionals, care professionals, managers and others whose roles involve significant responsibility for, or emotional involvement with, other people.
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No. Reflective Supervision is not a replacement for any clinical, statutory, safeguarding or managerial supervision that your role or organisation requires.
It does not involve performance management, assessing your competence, directing your professional practice or taking responsibility for decisions that sit within your role or organisation.
Instead, it provides an additional reflective space in which you can think about the work, your responses to it and what you may need.
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You can bring anything connected with your professional role that you feel would benefit from time and reflection.
This might include a challenging situation, safeguarding concern, difficult conversation, professional relationship, decision you are weighing up, questions around boundaries, the emotional impact of particular work, feelings of responsibility, or something that has stayed with you after the working day has ended.
You do not need to arrive with a prepared agenda. We can work out together what feels most useful to focus on.
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There is no fixed formula that every session has to follow.
We can agree a structure that works for you and your role. You may want to focus on one particular situation, reflect more broadly on patterns in your work, or use the session simply to slow things down and think.
I may offer questions, reflections, different perspectives, visual mapping or other ways of exploring what you bring, but the process remains collaborative and shaped around what feels most useful to you.

