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Counselling and Psychotherapy

"Life can only be understood backwards; but it must be lived forwards."

Soren Kierkegaard

How we work together

I adapt my approach to you and what you bring, but my main way of working now is as an existential therapist. What do I mean by this? Well, this approach essentially says that our problems are problems in living, not that there is some pathological flaw or disease. We live in a world of other people; others may be indifferent to us, be good to us or harm us, view us negatively, or positively - defining us in some way. Their reasons for this may elude us, or confuse and disturb us, we may withdraw from the world, or engage in confrontation and challenge. We will also, no doubt, have our view on others and impact upon them.

We were born into circumstances and cultures not of our choosing, we live through time and in the spaces we inhabit, we have a physical body and subject to the natural world, we know that every life ends but not how or when, we will encounter crises, and our stories will be made up of change, uncertainty, losses, loves, illnesses, accidents, dilemmas, limitations, opportunities, death. Political and social situations may feel in conflict with how we want to live, we may get caught up in systems or the sway of events and feel uneasy. We may know there are decisions to be made but can’t seem to make them, doubting ourselves, or others. Circumstances may feel beyond us and we may be in despair, or constantly feeling anxious and afraid. We may worry over big questions about life, what it’s all about, that it seems meaningless or pointless, that what we once believed in somehow no longer rings true. Life may feel absurd and ridiculous and strangely at a distance –like we are just ‘just going through the motions’. Both crisis and boredom take their toll on us.

Whatever life we choose, like ‘sliding doors’ for every door we go through another closes. It can be hard to make a commitment to a choice if overwhelmed, or lost, afraid of making the ‘wrong choice', of not being up to it, or of missing out. Existential therapy works with and understands the human desire for significance or meaning-making, of encountering meaninglessness.

I will work with you to help you face the things that need to be faced, to enable you to ask meaningful questions of your life, and to help you tune into your answers. With kindness, a steady attitude, and an open manner, we will work to clarify what troubles you and unearth what your options may be. Even the most entrenched problems can be loosened to release enough space and movement that new vitality and perspective is possible.

When we become disorientated, grieving, lost, disillusioned - it is at these times we may come to re-evaluate our lives; to discover a reorientation and new understanding of our capacities and what living a good life means to us. It’s so easy to become confused and out of touch with our emotions and personal wisdom – let’s rectify that – if you do your part and engage honestly in sessions prepared to reflect on your experience, I’ll endeavour to do my best by you.

I am a reflective person and keen listener, and am not one to tell you what to do, but I will engage fully in our sessions and have an active, sometimes conversational approach. We may even laugh on occasion together. I am easy to talk with and offer new ways of seeing things.

If you are interested in talking with me, get in touch and we can arrange a time to see if we can work well together. I am passionate about the difference talking with the right person can bring, I have known this in my life and when all feels lost, when we are at our lowest, or our backs are against the wall, it’s then we can become our most courageous and creative.

I can offer brief, mid or long-term counselling and psychotherapy for individual young people, adults, older adults.

 

I also offer therapy for couples.

How you can get the most from counselling and psychotherapy

Our work together will focus on how you experience the world, and you will be encouraged to tell your story and come to a clearer understanding of your current situation until you can find the way through for you.

 

For this to happen, you will be invited to talk freely and openly about what concerns you, be it in the past, in your day-to-day life now, or your fears and desires for the future. By giving attention to this, through an open and engaged discussion, we will aim to connect you with what matters most, and the options for how you may go on. It’s through this that we will establish what is genuine for you, and what the opportunities and limitations may be.

 

You will be expected to commit to the sessions, so that you can get the most from them, and through the process, it is hoped that you can be honest, and reflect on your thoughts, feelings, sensations, hopes, fears, desires, passions, which then may also strengthen the communication with yourself and others.

Some of the issues I work with

This is by no means an exhaustive list but may give you some idea of issues I work with. You may be dealing with something not mentioned here, or not described in this way (these are a ‘for example’)– if so, do still feel free to get in touch and say something briefly about what you are looking for support with. If, for any reason, I am not the right therapist for you, I may still be able to offer some guidance or a steer in the right direction.

Couples therapy

Couples therapy provides a supportive non-judgmental space to help you identify and clarify issues that you may be facing in your relationship and through communication find your way through. If you are both committed to coming for therapy together, do get in touch and I can send you a little more information about how it works.

"Most people are subjective towards themselves and objective towards all others, frightfully objective sometimes - but the task is precisely to be objective towards oneself and subjective towards all others."

Soren Kierkegaard

About counselling and psychotherapy

Counselling and Psychotherapy work with what you bring, it's your life, your concerns. One thing that often gets in the way is an idea that our troubles aren't 'real troubles', or that it can be an indulgence in some way. Another way of looking at this, is that we are each responsible for our lives, and often the most damage done is by those who do not reflect on what they do or how they affect other people. It takes courage to reveal who you are, to take hold of this for yourself, to find your ways through - we cannot always do this in an echo chamber of our own minds. Talking things through with a person who is focused on hearing and seeing you; expressing yourself, perhaps through words, art, or images, can be a great help in dark or confusing times.

​Counselling and Psychotherapy are talking therapies built on rapport and trust. Over recent years, there has been more of an understanding of the benefits of therapy - to discover insight, for personal development, to gain clarity, to name and express our emotions, to find ways to live through challenging situations, to heal when hurting.

It's common to consider talking to someone and to dismiss this too - it can be a scary prospect (as an idea) but those I have spoken with over the years have said they are glad they took that step and it was much easier than they thought it would be. ​

Anxiety

Anxiety

General unease, social anxiety, not leaving the house, health fears, distraction, inability to focus, sensations of panic, compulsions, intrusive thoughts and worries.

Depression

Depression

Depression, struggling with feelings of pointlessness, isolation, despair, feeling stuck, beaten by life, isolation, deep sadness, hopelessness.

Relationships

Relationships

Love, the lack of or desire to love and be loved, Intimate relationships, communication, addressing conflict, coming together, break-up, divorce, ‘blending’ family, family relationships, parenting.

Meaninglessness

Meaninglessness

Life feeling hollow, just ‘going through the motions’, a desire for meaning but feeling detached from life, feeling lost.

Neurodiversity Autism ADHD

Neurodiversity

All aspects of neurodiversity, including ADHD, ADD, Autism, stresses of ‘camouflaging’, recently diagnosed or considering diagnosis, self-identification, and exploring your life through this lens.

Gender and Sexuality

Gender and Sexuality

Expression of gender and sexuality and the sense of opportunity and limitations, the perceptions of others, and relationship models.

Life Crisis

Life Crisis

All issues can become a life crisis and ask serious questions of our lives and how we can possibly move forward, let go, or how we wish to be or become. This can be due to a sudden shock, traumatic event or a slow dawning realisation.

Trauma

Trauma

Trauma means 'wound'. Lasting or reopening wounds following shocking, distressing, painful experiences.

Workplace Issues

Workplace Issues

Confidence, compulsion to over-work, lack of engagement, desire for more meaningful work, conflicts in the workplace, organisational dynamics, stress, redundancy, retirement, bullying and stress, career change.

Bereavement and Loss

Bereavement and Loss

Grief, mourning, anticipatory grief, sudden or traumatic loss. Loss of loved ones, lives not lived fully, loss of previous circumstances.

Life-limiting Chronic Illness

Living with Life-Limiting and Chronic Illness

Living with uncertainty and changes in situation and physical capacity for those with the illness or for partners, close friends or family who care for those with a life-limiting illness or chronic health condition.

Life decisions and Dilemas

Life Decisions and Dilemmas

Relocation, career, love relationships, to parent or not, commitments, transitions and endings.

Personal Worth and Value

Personal Worth and Value

Low self-worth, low self-esteem, confidence issues, assertiveness, body image, loneliness, difficulty being alone, confusion and losing oneself in relationships.

Academic Issues

Academic Issues

Students: PhD, Masters and Undergraduate struggling with confidence, purpose, doubt, procrastination, and student life.

Staff: working with the demands and stresses of academic life, research, teaching, pastoral support, institutional demands and opportunities.

Climate Change

Climate Change

Concerns and fears for the present and future – how to live and the impact of climate change on decision-making in the present.

Fees and what to expect

When you get in touch, we will find a good time to meet and arrange an initial session to see if you feel comfortable talking openly with me, and whether my approach can be of benefit to you. If for any reason, another counselling/psychotherapy approach or person may be more suitable for you, I can provide some guidance for you on this.

If we do decide to continue together, we will discuss a pattern that works for your circumstances, usually this would be weekly but may be fortnightly, open-ended or for a fixed number of sessions.

Individual sessions including the initial session are 50 minutes long and the fee is £70.00.

 

Couples sessions including the initial session are 90 minutes long and the fee is £110.00.

Online therapy

Online therapy using video calling has been an established form of therapy for a number of years but has become more familiar to many since the Covid-19 pandemic. Video call sessions may also be described as 'distance therapy' or 'remote therapy' - although physically apart, video call sessions can feel much closer than this description suggests. They also tend to be quite a different experience to group social or work calls through this technology which have been tiring for many during the pandemic.
 

A benefit to this way of working is that sessions are accessible and in your space and very much 'face-to-face'. It's useful to give yourself some time before joining a session and afterwards, to create a zone for you.

I use the Zoom platform, with Zoom, you can also remove the 'self-view' which may have added to a self-consciousness and sense of detachment when meeting others online.
 

To meet by video call, you will need a private, quiet space, a firewall on your device and a good internet connection.

If you would like to arrange a session, I will give you more information ahead of our appointment.

Availability

Tuesdays
8.30am - 5.30pm
Wednesdays
8:30am - 6.30pm
Thursdays
8.30am - 5.30pm
Fridays
9.00am - 5.00pm

Susan Marshall Counselling and psychotherapy

Availability

Tuesdays
8.30am - 5.30pm
Wednesdays
8:30am - 6.30pm
Thursdays
8.30am - 5.30pm
Fridays
9.00am - 5.00pm

Life Crisis

Life Crisis

All issues can become a life crisis and ask serious questions of our lives and how we can possibly move forward, let go, or how we wish to be or become. This can be due to a sudden shock, traumatic event or a slow dawning realisation.

Anxiety

Anxiety

General unease, social anxiety, not leaving the house, health fears, distraction, inability to focus, sensations of panic, compulsions, intrusive thoughts and worries.

Depression

Depression

Depression, struggling with feelings of pointlessness, isolation, despair, feeling stuck, beaten by life, isolation, deep sadness, hopelessness.

Relationships

Relationships

Love, the lack of or desire to love and be loved, Intimate relationships, communication, addressing conflict, coming together, break-up, divorce, ‘blending’ family, family relationships, parenting.

Bereavement and Loss

Bereavement and Loss

Grief, mourning, anticipatory grief, sudden or traumatic loss. Loss of loved ones, lives not lived fully, loss of previous circumstances.

Traumatic Events

Traumatic Events

Trauma means 'wound'. Lasting or reopening wounds following shocking, distressing, painful experiences.

Life decisons and dilemmas

Life Decisions and Dilemmas

Relocation, career, love relationships, to parent or not, commitments and endings.

Life-limiting chronic illness

Living with Life-Limiting and Chronic Illness

Living with uncertainty and changes in situation and physical capacity for those with the illness or for partners, close friends or family who care for those with a life-limiting illness or chronic health condition.

Meaninglessness

Meaninglessness

Life feeling hollow, just ‘going through the motions’, a desire for meaning but feeling detached from life, feeling lost.

Academic issues

Academic Issues

Students: PhD, Masters and Undergraduate struggling with confidence, purpose, doubt, procrastination, and student life.

Staff: working with the demands and stresses of academic life, research, teaching, pastoral support, institutional demands and opportunities.

Workplace Issues

Workplace Issues

Confidence, compulsion to over-work, lack of engagement, desire for more meaningful work, conflicts in the workplace, organisational dynamics, stress, redundancy, retirement, bullying and stress, career change.

Climate change

Climate Change

Concerns and fears for the present and future – how to live and the impact of climate change on decision-making in the present.

Personal worth and value

Personal Worth and Value

Low self-worth, low self-esteem, confidence issues, assertiveness, body image, loneliness, difficulty being alone, confusion and losing oneself in relationships.

Gender and Sexuality

Gender and Sexuality

Expression of gender and sexuality and the sense of opportunity and limitations, the perceptions of others, and relationship models.

Neurodivergency Autism ADHD

Neurodiversity

All aspects of neurodiversity (including ADHD, ADD, Autism, stresses of ‘camouflaging’, recently diagnosed or considering diagnosis, self-identification, and exploring your life through this lens.

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