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- Introduction To Counselling -

Getting Started
Let’s dive straight into what might be useful to know. Some readers may have had prior counselling experience, while others might be newcomers starting out on their journey.
The counselling profession offers a diverse range of styles and approaches, each shaped by the unique personal style and healing philosophy that counsellors bring to their work. Because of this, it’s difficult to pinpoint one universal definition.
However, we can attempt to define counselling by taking inspiration from what most approaches have in common. I propose we start by generally exploring what counselling is, and then look more closely at one specific approach.
- What Is Counselling? -

A General Definition of Counselling
So firstly, here’s a general definition of counselling, based on some of my own experiences. My role is to meet with individuals, usually once a week, in a confidential setting, to actively listen and deeply connect with the thoughts, feelings, and experiences that are openly shared within the counselling space.
My aim is to offer complete, undivided attention and to help individuals work through barriers or blocks that may be hindering growth and development. Counselling provides a safe, reflective environment where change can begin through understanding and connection.
I believe this is a fair and accurate assessment of what counselling is at its core, regardless of the approach. Moving forward, let’s look at one specific approach to counselling — the one I use most often — as it allows me to offer a deeper level of understanding based on working knowledge and experience.
About The Person Centred Counselling Approach
I’m known as a Person‑Centred therapeutic counsellor. Person‑Centred counselling is a humanistic approach that focuses on relationships and the significance they hold in our lives. The word relationship is broad — it describes the many forms of relational contact we have with others, such as family, partners, and friendships. It can even refer to the relationship we have with ourselves.
Person‑Centred counselling is designed to be flexible and adaptive to meet the needs of each individual. From the first contact, respect, authenticity, and non‑judgement are freely given. There is a commitment to nurturing what are known as psychological conditions within the working relationship between client and counsellor — qualities that help individuals discover their own path to becoming self‑sufficient and autonomous.
I believe that, on some level, the therapist is the therapy. This means the counsellor’s qualities and contributions to the relationship are among the main sources of healing for the client. The process is deeply relational, and growth often emerges through genuine human connection.
I haven’t found a sacred magic wand or ultimate guide to “fixing” the parts of us that feel broken. However, Person‑Centred counselling offers the chance to build a strong, healthy connection in a safe environment. A well‑established dynamic between client and counsellor can — hopefully, fingers crossed — positively influence other areas of someone’s life beyond the therapy room.
Whilst on the topic of human contact, it’s worth mentioning the work of journalist Johann Hari, author of Lost Connections. Hari highlights the importance of connection and its healing potential, even suggesting that depression may be alleviated through connection. In counselling, relief is often found through that same sense of connection.
Personal Motivations of A Counsellor
Counsellors are often motivated by deeply personal reasons. My About Me section touches briefly on my own experiences, but to expand — my motivation stems from a time when I encountered a lack of professional competency from those responsible for my care. Sadly, I wasn’t met with the genuineness, care, or quality of attention I had hoped to receive.
Everything I didn’t experience then has become the foundation of my practice today — a commitment to offering authenticity, attentiveness, and genuine human connection. In many ways, it’s my way of showing how counselling can truly be done with integrity and compassion.
For other counsellors and psychotherapists, motivations may differ but are no less meaningful. Even within a single approach, many personal styles emerge. Though similar in principle, each is shaped by the counsellor’s own history, values, and lived understanding of what it means to support another person.
In summary, a counsellor will be with you on your journey to facilitate, not dictate. The Person-Centred approach is what I call real healing. Not robotic, not scripted. It's about connection and it is about being real.
- When The Right Time Might Be -
The Best Time To Have Counselling
It can be helpful to explore when counselling might be most beneficial. Timing matters — accessing support at the right moment can make the experience more meaningful and effective.
Part of this involves noticing the signs that your emotional or physical wellbeing may be shifting. Recognising these changes early can help you identify the type of support that might be most useful and when to reach out for it.

Self -Awareness
From the initial thought of needing support to the first step, counselling can be gradual process. Reaching out shouldn’t be rushed; it takes as long as it takes. Having awareness of the challenges in our lives is extremely important.
According to the Cambridge Dictionary, awareness is defined as:
“knowledge that something exists or understanding of a situation or subject at the present time
on information or experience”We may have moments of awareness throughout the day. Sometimes thoughts that we acknowledge and let go of, allowing them to run their course. Other times, we can hold onto thoughts. When we start to hold onto too many of our thoughts for longer and longer periods, instead of allowing them to pass freely through us, the body starts storing and negatively impacting us.
The body can respond to challenges emotionally, mentally and even physically. Here are just some of the ways that our bodies can do this:
- Restlessness or agitation
- sudden triggers of aggression, rage attacks, blackouts, or "seeing red"
- Excessive use of painkillers
- Dependence on substance
- Persistent anxiety and/or panic attacks
- Prolonged periods of sadness or low mood
- Being overwhelmed with thoughts and emotion
- Hearing voices that seem louder or more intrusive than usual
- Difficulty concentrating or maintaining focus
- Being sure of saying or seeing something, only to later realise they weren't real
- Suicidal thoughts
- Thoughts or the act of self- harm or engaging in self- harming behaviours
- Struggling to engage in intimacy or connection in relationships
- Consistent feelings of guilt and/or shame
- Struggling to get out of bed
- Difficulty waking up or falling asleep
- Feeling disconnected from yourself or experiencing out-of-body sensations
- Feeling afraid to leave home or go outside
Social Influence on Mental Health
Society is often where our understanding of counselling begins. Even before stepping into a therapy room, our perception of the process can be shaped by social media, television, and first‑hand accounts from people we know.
Counselling holds different meanings and significance for everyone. The only way to build a deeper, more personal understanding is to experience the journey first‑hand. When the time feels right, the body often signals this to us — a quiet invitation to begin.
Start by listening to your inner voice and allow it to guide you toward the right moment. The body will tell us what we truly need to hear if we sit with ourselves and allow space for it to come through.
- Some Areas Counselling Works With -
🧠 Mental Health
Some conditions that counselling can help with include:
⚖️ Trauma & Abuse
These relate to experiences of violence, violation, or psychological trauma:
- Domestic Abuse & Violence
- Bullying & Harassment
- Trauma Related Experiences
💬 Relational & Social Issues
These involve interpersonal dynamics or social challenges:
- Relationship issues
- Sexual relationships / encounters
- Loneliness
- Identity
- Pregnancy
- Internet & Technology Related Issues
🧒 Young People & Education
These are specific to developmental stages or school-related concerns:
- Bullying
- School attendance
- Exam Stress
🍃 Addiction & Behavioural Challenges
These involve compulsive behaviours or substance use:
- Drugs & Alcohol
- Gambling
- Rage
- Workaholism
- Addiction to Sex

The Benefits Of Counselling

Stronger Relationships
Counselling helps you understand your connections and what you need from them. It builds clearer communication, empathy, and trust — making relationships more balanced, honest, and kind.

Courage & Confidence
Counselling helps you face uncertainty with courage and trust your own direction — building steady confidence over time.

Increased Focus & Attention
Counselling helps calm mental noise so you can think clearly and stay present. With greater focus, it’s easier to give attention to what truly matters.

Increased Self Worth
Counselling helps you reconnect with your value and recognise what makes you who you are. With growing compassion and understanding, self‑criticism softens and confidence strengthens — supporting healthier choices and boundaries.

Stronger Connections
Counselling helps you understand how you relate to others and what supports genuine connection. As self‑awareness and communication grow, relationships feel more balanced and authentic — built on clarity, empathy, and trust.

See The World In a Different Light
Counselling helps you view life from new angles — revealing hope, clarity, and fresh possibilities.
- Counselling Myths Vs Realities? -
Counselling comes in all shapes and sizes. It’s one of the most diverse professions in the world, which is incredible — because people have a choice in how they want their counselling to look and feel. However, there are some assumptions about counselling that seem to have come from many sources.

Common Counselling Myths
Clients mostly lay back on a sofa to have therapy
The famous sofa is most famously associated with Sigmund Freud, known as the father of the psychoanalytic approach. He pioneered the concept of talking therapies in his work, inviting patients to feel comfortable and relaxed during sessions. Various tests and observations he conducted within his practice helped shape this image.
It’s a myth, however, that you’ll be expected to lie back and talk. Most counselling sessions begin with you sitting upright — on a chair or sofa — and you can choose to lie down if you wish. But the effectiveness of counselling doesn’t depend on being horizontal. It rests far more on the quality of the relationship, the safety of the space, and the openness of the dialogue
Counsellors Say ".. and how does that make you feel?" a lot
“How does that make you feel?” We do ask it — but not nearly as often as the media might have you believe. When you get to know someone, you can often sense when something is likely to affect them emotionally. Constantly asking can come across as condescending or even intrusive.
If it feels appropriate, we ask. But more often, we use open-ended questions like, “So what does that look like for you right now?” This shifts the emphasis to the immediate experience, helping bring awareness back to the present moment and aiding the client in staying grounded, sometimes if we sense that the client is in emotional distress.
The phrase “How does that make you feel?” is often used to outline a stereotype — especially in short clips, sketches, or theatrical portrayals. It signals to the viewer that they’re watching a counselling session. But it also tends to leave people wondering whether that’s all we contribute to the process.
In reality, counselling is far more dynamic, responsive, and relational than that one phrase suggests.
Counsellors possess notepads and write as you talk
Note-taking in counselling is a mixed bag. Some counsellors find it helps their process — allowing them to refer back to key points in a session or their client notes.
Personally, I’ve found it adds an unnecessary boundary and prevents me from being fully present. If something’s important, I tend to remember it anyway. The only time I write things down is when a resource or something online is mentioned that I want to look up later.
Even then, I always ask if it’s okay to jot it down first, and I keep the pad in full view of my clients so they can see exactly what I’ve written. All my clients know — and we often joke — that I’m hopeless when it comes to remembering names of things like series, books, films, and websites.
It’s become a bit of a running theme in sessions, and in a way, it adds to the authenticity of the space. We’re not trying to be perfect — we’re trying to be present.
Weak people need counselling
Not even close to the truth — but it’s a belief many clients carry with them. People often approach counselling during difficult times in their lives, when they feel at their lowest. So by association, it makes sense that they might think seeking help is a sign of weakness.
I’ve even had to remind myself of this in my own personal counselling. To engage in therapy, you need to have — at some point — a voice, an image, or an awareness that something isn’t quite right. That flicker of awareness is actually a sign of emotional intelligence.
The people I work with are incredibly emotionally attuned. They’re awake to what they’re experiencing and what they’re seeking. Many are reflective and engaged, which is why their presenting issues often show up in subtle, complex ways.
When you come to therapy, and you feel weak — hopefully, you’ll come to realise that there’s something deeper beneath that feeling. That it’s not about weakness at all. It’s about something else entirely. Something more human, more courageous, and more honest.
Confidentiality is one of the most important components of counselling. It allows someone to feel safe enough to speak freely, without worrying or second‑guessing whether what they’ve said might reach someone else — or be used against them in any way.
In counselling, confidentiality means that what is shared remains protected. Only under the most exceptional circumstances might a practitioner need to share something that has been spoken about. This is done solely to meet legal or ethical obligations, such as when there is immediate risk of harm.
The practitioner has a duty to uphold this commitment for the sake of your trust and the relationship you build together. Nobody outside of that relationship should be privy to what’s shared. True confidentiality requires more than reassurance — it calls for a genuine, felt sense of trust

Confidentiality & Trust in Counselling
In counselling, trust is built gradually over time. Counsellors often spend a considerable amount of time exploring confidentiality at the beginning of the process to reassure clients that whatever is shared remains protected.
A professional who shares information about you casually — even without using names — misunderstands what confidentiality truly means. From both a moral and legal standpoint, this kind of disclosure breaks your confidence unnecessarily.
Confidentiality means that what is shared stays within the counselling relationship. It is a promise of privacy, respect, and safety that allows you to speak freely and feel secure in the knowledge that your words are held in trust.
When Does Confidentiality May Need Extending?
There are a few instances when confidentiality must be extended, and in most cases, this is due to legal obligations or to protect you or someone else if there is any form of immediate risk. Exceptions include:
- If you or someone else is at immediate risk of harm
- If anything disclosed falls within the scope of the Children Act
- If anything shared is considered a serious crime—this may include money laundering, terrorism, drug trafficking, or serious driving offences
Confidentiality & Counselling Supervision
In addition to legal exceptions, counsellors may also discuss aspects of their work with a counselling supervisor. A counselling supervisor is another qualified professional whom counsellors meet with regularly to reflect on how they are doing in relation to their work. To describe it simply — supervision is like counselling for counsellors, focused on professional growth and ethical practice.
This process is less about the client’s personal content and more about the counsellor’s emotional responses and reflections on their work. In these conversations, any information that could personally identify a client is excluded. When necessary, pseudonyms are used to protect the client’s identity and maintain confidentiality.
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- Goals in Counselling? -
Goals are often seen as an important part of the counselling process. Having a specific goal — or even a general sense of direction — at the start of therapy can help shape the journey and give you something to work toward.
Much of the personal growth that emerges in counselling happens both within the sessions and in the spaces between them. The goals you set can become part of this wider process, supporting change, reflection, and movement in your everyday life.

You don’t need to arrive with a clearly defined goal to benefit from counselling. Many people come simply to explore what matters most to them, while others prefer to reflect on their experiences without setting specific objectives. Both approaches are entirely valid and can lead to meaningful insight and progress.
Whether you’re working toward something specific or simply seeking space to think and feel more freely, sessions are there to support that process — at your pace. There’s no rush or pressure; counselling unfolds naturally as trust and understanding grow.
- New To Counselling? -
Beginning therapy can be a unique experience for each individual, and it's important to recognise that people attending for the first time may feel apprehensive or anxious. Counsellors understand that taking the step to seek counselling can be challenging, so it is about making the process as warm, welcoming and comfortable as possible.

Once you've found a counsellor you feel comfortable working with, the next step is to reach out to them. Counsellors typically list their preferred contact methods in the contact section of their website.
A good starting point is to introduce yourself and share what has led you to seek counselling. This helps the counsellor understand your needs and determine how they can best support you.
Your initial message is also an excellent opportunity to ask any questions you may have about the counselling process. If both you and the counsellor agree to proceed with a first session, arrangements will be made for an initial meeting, often referred to as a "welcome meeting." The first official counselling session usually follows this welcome meeting.
After scheduling the welcome meeting, the counsellor will likely send additional information via email or message, including practical details such as their address if it's a face -to- face session, or a video link for online sessions
The First Session
The first counselling session typically follows a similar format to the welcome meeting and lasts up to an hour. During this time, you are more than welcome to talk about anything that you want. This is your opportunity to share your thoughts, feelings, and concerns in a supportive and non-judgmental environment.
Here are some topics that might be covered during your first counselling session:
- Introduction to the counselling space
- Exploring confidentiality
- Discussing what has brought you to seek counselling
- Identifying your goals
- Understanding your expectations
- Addressing any special arrangements or adjustments
FAQs
How Do I Know If I Need Counselling?
You might think about counselling when a recurring thought, difficult feeling, or significant event — such as loss, stress, or trauma — becomes hard to manage alone. These moments often prompt people to look for mental health support.
Some people recognise the need for help gradually; others feel it suddenly through overwhelm, rising anxiety, or changes in how they respond to others. These signals can be early indicators that external support could help you make sense of what’s happening.
Because humans naturally seek connection, counselling is widely seen as a healthy, accessible way to explore emotions, reduce stress, and improve wellbeing. These are common points where counselling might come to mind, though everyone’s path is different.
How Do I Start Counselling Sessions?
If you feel you’ve found a counsellor who fits your needs, one of the simplest ways to connect is by booking a short phone appointment. You can reach out by message, phone, or email, depending on what feels most comfortable. Many counsellors suggest a brief call before the first session to understand what you’re looking for and to check whether they can offer the right support. This conversation also gives you a chance to sense whether you feel comfortable, understood, and ready to move forward to an initial meeting.
How Many Sessions Will I Need?
It’s not something that can be answered easily without a conversation first. The length of therapy depends on whether you’re looking for short‑term support, longer‑term work, or simply space to explore what you need. Many people find it helpful to agree on a review point — a set time to check in, reflect on progress, and decide whether to continue, pause, or bring the work to a close. This keeps the process flexible and centred on what feels right for you.
Can I Have More Than One Session Per Week?
Most counsellors offer more than one session per week, but the key is finding a pace that supports you. Therapy can be emotionally intense, and having too many sessions too quickly may not leave enough time to process what comes up. This is why many practitioners recommend starting with one session per week, as it provides consistency without overwhelm.
The frequency can always be discussed openly. Some people choose to increase sessions when they feel it would support their progress, while others prefer to stay at a steady weekly rhythm. Your counsellor will help you explore what feels sustainable and ensure that any increase aligns with your mental health needs and overall wellbeing.
Are Sessions Confidential?
Counselling is completely confidential, creating one of the safest spaces for open and honest communication. In therapy, confidentiality is only broken in the most extreme circumstances, where information must be shared to protect you or someone else. Outside of this, what you discuss stays within the counselling relationship. This privacy is essential, because effective counselling relies on your ability to speak freely, feel supported, and express yourself without fear.
Do My Parents Have To Know That I'm Having Counselling?
If you are 14 or older, you can access counselling without parental consent. While safeguarding rules may apply in certain situations, you still have the right to seek support independently.
A counsellor may encourage you to talk with a caregiver because counselling is an important process, and it can help to have support at home. They may also explore any reasons you prefer not to share this with your family. However, if you are Gillick competent, you have full autonomy to begin counselling without adult permission. Ultimately, you are in control of your decisions and your counselling journey.
Why Is a Session 50 Minutes?
The “50‑minute hour” is a long‑standing counselling tradition. In many agency settings, sessions last 50 minutes so the final 10 minutes can be used for writing notes and taking a short break before the next client. This time is still part of the therapeutic process — it simply isn’t spent face‑to‑face.
Private counsellors often offer a full hour because they have more flexibility in their schedules. They may still take notes afterwards, but they usually leave longer gaps between appointments to stay present and grounded. I personally leave around 30 minutes between sessions so I can process the work fully and be fresh and focused for the next client.
Can Counsellors Write Notes Like Doctors Do?
Counsellors offer emotional and psychological support, but they are not medical doctors, so they cannot diagnose conditions or write medical notes for prescriptions. For any formal diagnosis, medication, or fit notes, you’ll need to see your GP or a psychiatrist.
Sometimes, you may need documentation from your counsellor, such as confirmation of attendance or the number of counselling hours completed. Depending on their judgement and your needs, they may also help with other paperwork.
Any documentation provided by a counsellor will:
- Only be written with your explicit permission and input
- Comply with all relevant legal and ethical requirements
- Accurately reflect you and your situation
- Have a clear, valid purpose with sound reasoning behind it
- This helps ensure that any written support is both safe and genuinely in your best interests.
How Impactful is One Counselling Session Per Week?
A counselling session is just one hour out of the 168 hours in a week, but the time between sessions is where much of the real work happens. This space allows you to reflect on what was discussed, make adjustments in daily life, and practise new strategies. In many ways, therapy offers the insights, and the days between sessions offer the chance to apply them.
Counselling isn’t only about tools or techniques — it’s also about giving yourself room to process emotions, notice patterns, and respond differently to situations. The integration of these insights into everyday life is often where the most meaningful growth occurs.
Whether you’re reflecting, experimenting with new coping strategies, or simply becoming more aware of your responses, the work outside the session is just as important as the session itself.
Can I Have 2 Forms of Counselling at The Same Time?
It’s generally not recommended to be in two counselling relationships at the same time. Working with two therapists can mean receiving different perspectives or approaches, which may lead to mixed messages, confusion, or added stress. In some cases, this can slow or even undo the progress you’ve already made.
Take time to reflect on what you need from counselling right now and speak openly with your current therapist. A good counsellor won’t pressure you or take it personally if you choose to end one of the relationships—they’ll help you explore your options and support the decision that feels right for you.
If the two types of support are different—such as combining counselling with acupuncture or another non‑talking therapy—there’s usually no conflict. The main concern arises when both forms of support involve talking‑based approaches, which can create unnecessary complications.
Does My Doctor Need To Be Informed About Me Having Counselling Sessions?
No, your doctor doesn’t need to be informed unless you choose to share that information or give your counsellor permission. Rather than contacting your doctor directly, your counsellor may encourage you to share relevant details yourself if it ever becomes necessary.
If your doctor requests information about your attendance, your counsellor will only respond with your prior consent. Rest assured, nothing you share in counselling is discussed without your explicit permission — your privacy and autonomy are always respected.
What is Online Counselling?
Online counselling became widely recognised during the 2020 pandemic, offering a secure alternative to in‑person sessions. It allows counsellors and clients to connect through video platforms such as Microsoft Teams, Zoom, Threema or VSee.
While the format differs slightly from face‑to‑face therapy, online sessions can make certain aspects more visible — from body language to emotional cues. Many people continue with online counselling for convenience, busy schedules or personal preference. For others, including those with agoraphobia, it provides access to support that might otherwise be out of reach.
To learn more, visit the Online Counselling section on the WCSS website for details and FAQs about how sessions work.
Can I Have More Than An Hour ?
While hourly sessions are most common, extending the duration is possible if both you and your counsellor agree it would be beneficial. There’s no strict rule governing session length, but your counsellor may want to check in with you first to discuss and arrange any changes.
An hour-long session is often a safe starting point, as counselling can be an intense process. Extending the time might not always be the best approach, as it could potentially do more harm than good. However, if you and your counsellor believe that extra time could be helpful, you can certainly trial a longer session to see if it works for you.
The goal is always to ensure the session remains productive and beneficial for your well-being.
Do Counsellors Need To Be Qualified and How Qualified Are They?
While most counselling sessions last around an hour, it’s possible to extend the time if both you and your counsellor agree it would be beneficial. There’s no strict rule on session length, but any changes are usually discussed in advance.
An hour is often a safe starting point, as counselling can be emotionally intense. Longer sessions aren’t always better and may sometimes feel overwhelming. If you and your counsellor believe extra time could help, you can trial a longer session to see what works best.
The aim is always to keep sessions productive and supportive for your wellbeing.
Can I Refer Someone To Counselling If I Am Worried About Them?
Yes, you can refer someone for counselling if you believe they’d benefit from support. A counsellor will give you space to talk through your concerns, but it’s ultimately up to the person themselves to contact the counsellor directly.
Counsellors don’t reach out or set up sessions without the individual’s consent. You can gather information to share with them, but they must make the first call. Transparency is always maintained — the counsellor will let the potential client know what’s been discussed to ensure openness and trust.Can I Have A Break From Counselling?
Counsellors don’t contact or arrange sessions without the individual’s consent. You can gather information to share with someone you’re concerned about, but they must make the first call themselves.
Transparency is always maintained — counsellors explain what’s been discussed so the potential client knows exactly what information has been shared. This openness builds trust and ensures counselling remains confidential, respectful, and client‑led.
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Benjamin Wright
Therapeutic Counselllor | Counselling Supervisor
Dip.co.MNCPS (Acc.), BSc PG dip, MBACP
Clinical Therapeutic Counselling Since 2013
Accredited Registrant with the National Counselling & Psychotherapy Society (NCPS)
British Association for Counselling & Psychotherapy member (BACP)
NCPS No. NCS22-00211
BACP No. 00716394
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