Anxiety Counselling in Broughton Astley
![Photo of Vanessa Owens - @thecounsellingcoach, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/b73a1588-3688-4ab8-915e-16edc7117927/1/320x400.jpeg)
Hi I'm Vanessa. I'm an Integrative Counsellor this means I offer all modes of therapy, making it tailor made to you, and as individual as you are. I have 30 years of experience in the NHS, Public Sector, Charities and latterly private practice. I specialise in working with Grief, Autism, Learning disabilities, Sexual Abuse, Trauma, Anxiety, Motivation, Confidence, Relationships, Self care strategies. I can help you understand and work with your thoughts and emotions, in mind and body. I work in a creative way often using a variety of tools to visualise where you are presently and develop some skills to move forward.
Hi I'm Vanessa. I'm an Integrative Counsellor this means I offer all modes of therapy, making it tailor made to you, and as individual as you are. I have 30 years of experience in the NHS, Public Sector, Charities and latterly private practice. I specialise in working with Grief, Autism, Learning disabilities, Sexual Abuse, Trauma, Anxiety, Motivation, Confidence, Relationships, Self care strategies. I can help you understand and work with your thoughts and emotions, in mind and body. I work in a creative way often using a variety of tools to visualise where you are presently and develop some skills to move forward.
![Photo of Nova Toni Gullen - Second Chance Counselling, BACP, Counsellor](https://photos.psychologytoday.com/4011516d-ca9e-4a39-8df4-252fe3d24e73/2/320x400.jpeg)
I offer a safe, welcoming environment for my clients to talk through any issues. I am an individual member of the BACP. I abide by the Ethical Framework for Good Practice in Counselling and Psychotherapy. Counselling can be short or long term. I hold an up to date DBS and am fully insured. I am GDPR compliant. I have experience of working with issues around anxiety, panic attacks, depression, relationship difficulties, sexual/physical abuse, family difficulties and low self esteem and others. I have over 2500 counselling hours experience and have been volunteering/working at a sexual abuse crisis centre for 8 years
I offer a safe, welcoming environment for my clients to talk through any issues. I am an individual member of the BACP. I abide by the Ethical Framework for Good Practice in Counselling and Psychotherapy. Counselling can be short or long term. I hold an up to date DBS and am fully insured. I am GDPR compliant. I have experience of working with issues around anxiety, panic attacks, depression, relationship difficulties, sexual/physical abuse, family difficulties and low self esteem and others. I have over 2500 counselling hours experience and have been volunteering/working at a sexual abuse crisis centre for 8 years
![Photo of Catherine Noake, BACP, Counsellor](https://photos.psychologytoday.com/9d3bb16a-2baf-4168-9cc1-f1efd42994c9/2/320x400.jpeg)
Life can be hard at times and can leave you feeling isolated and alone. Many current issues are often buried in childhood experiences affecting our thoughts and patterns of behaviour in the present day. Sometimes we just feel "stuck" without knowing the reason why. Exploration of difficult and sometimes painful emotions helps gain an insight into what is causing the psychological distress. We will work with whatever issues you wish to bring, at your pace without pressure or judgement.
Life can be hard at times and can leave you feeling isolated and alone. Many current issues are often buried in childhood experiences affecting our thoughts and patterns of behaviour in the present day. Sometimes we just feel "stuck" without knowing the reason why. Exploration of difficult and sometimes painful emotions helps gain an insight into what is causing the psychological distress. We will work with whatever issues you wish to bring, at your pace without pressure or judgement.
![Photo of Andrea Sparkes, MBACP, Psychotherapist](https://photos.psychologytoday.com/d03ca38c-fbe1-4903-8173-7c781ce2d41d/2/320x400.png)
I understand the challenge of finding the right therapist to work with, which is why I recommend starting with a free telephone consultation to determine if we are a good fit. I work with clients to help them process and resolve their issues, finding lasting solutions to their problems. Deep down, the person you are meant to be is waiting to emerge, so together we can unlock that potential and move forward with clarity and purpose.
I understand the challenge of finding the right therapist to work with, which is why I recommend starting with a free telephone consultation to determine if we are a good fit. I work with clients to help them process and resolve their issues, finding lasting solutions to their problems. Deep down, the person you are meant to be is waiting to emerge, so together we can unlock that potential and move forward with clarity and purpose.
![Photo of Carmela Anna Sellecchia - Its About Time Counselling, MBACP, Counsellor](https://photos.psychologytoday.com/4a46c6bd-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Life can deal us some tough cards at times creating thoughts of not knowing which way to turn or how to cope. This may generate all sorts of feelings and emotions, some that may feel alien to you which may create thoughts of not knowing what to do, or raise questions that you are unable to answer. I shall assist you in exploring areas of difficulties, ultimately allowing you to understand your own true self enabling you to live life more positively.
Life can deal us some tough cards at times creating thoughts of not knowing which way to turn or how to cope. This may generate all sorts of feelings and emotions, some that may feel alien to you which may create thoughts of not knowing what to do, or raise questions that you are unable to answer. I shall assist you in exploring areas of difficulties, ultimately allowing you to understand your own true self enabling you to live life more positively.
More Therapists Nearby
![Photo of Kelly Rippin, MSc, MBACP Accred, Counsellor](https://photos.psychologytoday.com/4a0f99ff-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have a range of experience working with, but not limited to, anxiety, low mood, panic attacks, stress, depression, bereavement and loss, sleep problems, self confidence.
Hello, I offer counselling/therapy with the aim to help you find better ways to understand yourself, or to bring about changes. I am able to offer sessions in person from my office in Hinckley or via telephone or video. Counselling is for people that experience all kinds of difficulties that impact on their well being and happiness. We can all face issues around anxiety, relationships, stress, overwhelm, bereavement. In counselling you can explore, gain deeper insight and work on making changes . People regularly say they feel 'lighter' and 'positive' right from their first consultation with me.
I have a range of experience working with, but not limited to, anxiety, low mood, panic attacks, stress, depression, bereavement and loss, sleep problems, self confidence.
Hello, I offer counselling/therapy with the aim to help you find better ways to understand yourself, or to bring about changes. I am able to offer sessions in person from my office in Hinckley or via telephone or video. Counselling is for people that experience all kinds of difficulties that impact on their well being and happiness. We can all face issues around anxiety, relationships, stress, overwhelm, bereavement. In counselling you can explore, gain deeper insight and work on making changes . People regularly say they feel 'lighter' and 'positive' right from their first consultation with me.
![Photo of Sammy Rupiya - SR Inspiration CBT Practitioner, DCounsPsych, MBACP Accred, Psychotherapist](https://photos.psychologytoday.com/490e9139-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
SR Inspiration CBT Practitioner
Psychotherapist, DCounsPsych, MBACP Accred
Verified Verified
Narborough LE19
This therapist prefers to be identified as CBT Practitioner. I aim to work emphatically and collaboratively engage the client. If you are experiencing the following : Addiction, Anger Management, Anxiety, Abuse , Bereavement, Depression, Marriage or Relationship breakdown, PTSD, Self-Esteem, Stress , and Eating disorders call this practitioner for help. Don't leave it too late. My therapeutic approach using CBT model provides a short-term, goal focused and highly structured approach to therapeutic Assessment, Stabilisation, Planning, Intervention, Resilience and Evaluation. Call now for help. Do not leave it too late.
This therapist prefers to be identified as CBT Practitioner. I aim to work emphatically and collaboratively engage the client. If you are experiencing the following : Addiction, Anger Management, Anxiety, Abuse , Bereavement, Depression, Marriage or Relationship breakdown, PTSD, Self-Esteem, Stress , and Eating disorders call this practitioner for help. Don't leave it too late. My therapeutic approach using CBT model provides a short-term, goal focused and highly structured approach to therapeutic Assessment, Stabilisation, Planning, Intervention, Resilience and Evaluation. Call now for help. Do not leave it too late.
![Photo of Ranjana Mitra, MBACP, Counsellor](https://photos.psychologytoday.com/34921d9d-299d-4aae-9e00-72ad27e022e5/1/320x400.jpeg)
Are you living with feelings of self- doubt, blame, anger or shame? Do you need help to cope with depression or anxiety? Maybe you have suffered loss, and doubt your ability to sustain meaningful relationships with family and friends. Perhaps you are in a relationship that is stuck in the rut, or mired in hopelessness, negativity, and mistrust. It may be that your relationship has changed from a loving one to one of repeated misunderstandings, heated arguments or frosty silence. Stressful life events can bring about such difficulties, or sometimes disappointments simply accumulate over time.
Are you living with feelings of self- doubt, blame, anger or shame? Do you need help to cope with depression or anxiety? Maybe you have suffered loss, and doubt your ability to sustain meaningful relationships with family and friends. Perhaps you are in a relationship that is stuck in the rut, or mired in hopelessness, negativity, and mistrust. It may be that your relationship has changed from a loving one to one of repeated misunderstandings, heated arguments or frosty silence. Stressful life events can bring about such difficulties, or sometimes disappointments simply accumulate over time.
![Photo of Jeanette Payne, MBACP, Counsellor](https://photos.psychologytoday.com/4a894ec1-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I provide sensitive caring counselling specialising in relationship issues, bereavement, anxiety and depression. I offer an affordable flexible service with daytime, evening and weekend appointments available. My counselling practice is called Solace Counselling and is situated on School Lane in Narborough, LE19, close to Narborough train station, not far from Fosse Park and the motorway network and it has plenty of parking. Nestled down a quiet and charming village lane, Solace Counselling offers a peaceful, confidential sanctuary a place of safety where you can feel at ease to talk openly in a supportive, relaxed environment.
I provide sensitive caring counselling specialising in relationship issues, bereavement, anxiety and depression. I offer an affordable flexible service with daytime, evening and weekend appointments available. My counselling practice is called Solace Counselling and is situated on School Lane in Narborough, LE19, close to Narborough train station, not far from Fosse Park and the motorway network and it has plenty of parking. Nestled down a quiet and charming village lane, Solace Counselling offers a peaceful, confidential sanctuary a place of safety where you can feel at ease to talk openly in a supportive, relaxed environment.
![Photo of Donna Haswell, DCounsPsych, MBACP, Counsellor](https://photos.psychologytoday.com/188950e4-155b-45d2-bdbb-c467c26bd002/1/320x400.jpeg)
Hi, If you're overwhelmed with life right now, I can help you find a sense of peace within. Im a compassionate soul, offering you a confidential space to speak your truth & explore what has bought you here. Whether its anxiety, stress, relationship issues, low mood, loss, past trauma/s or just struggling with life right now, counselling can help. If you want to feel more motivated, positive, calm and clear about who you are and where your going in life or make peace with your situation; I will listen without judgement helping you to find your answers. Any questions are most welcome, I aim to reply within 24hrs.
Hi, If you're overwhelmed with life right now, I can help you find a sense of peace within. Im a compassionate soul, offering you a confidential space to speak your truth & explore what has bought you here. Whether its anxiety, stress, relationship issues, low mood, loss, past trauma/s or just struggling with life right now, counselling can help. If you want to feel more motivated, positive, calm and clear about who you are and where your going in life or make peace with your situation; I will listen without judgement helping you to find your answers. Any questions are most welcome, I aim to reply within 24hrs.
![Photo of Sarah Graham, MSc, MUKCP, Psychotherapist](https://photos.psychologytoday.com/4bd07857-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Therapy can help us to manage our lives and our relationships better, it can lead to more fulfilling relationships and a renewed sense of aliveness. Learning how to manage symptoms such as overthinking, insomnia, anxiety, depression, lack of energy, or an enduring sense of helplessness and despair, can lead to renewed energy and a greater sense of freedom in our lives. In my sessions I often use teaching, in order to help make sense of and understand why you might be feeling the way you do and to help you learn ways to make changes in order to better manage those feelings.
Therapy can help us to manage our lives and our relationships better, it can lead to more fulfilling relationships and a renewed sense of aliveness. Learning how to manage symptoms such as overthinking, insomnia, anxiety, depression, lack of energy, or an enduring sense of helplessness and despair, can lead to renewed energy and a greater sense of freedom in our lives. In my sessions I often use teaching, in order to help make sense of and understand why you might be feeling the way you do and to help you learn ways to make changes in order to better manage those feelings.
![Photo of Dr Sarah Lockley Clinical Psychologist, PsychD, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/2b9dcc0a-68c4-49d3-84cf-08f86c50300a/2/320x400.jpeg)
Dr Sarah Lockley Clinical Psychologist
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Leicester LE9
Hi, my name's Sarah and I'm a clinical psychologist. The decision to see a therapist can feel daunting and anxiety provoking. Please be reassured that this is absolutely normal. In a therapy session I will give you my support and the compassion that you may be needing at this time. I would like to help you by first gaining a good understanding of the difficulties that you are facing. Using my expertise (from many years of psychology training and work with clients), my aim would be to work with you to find a way forward that is going to enhance your life and enable you to live a life that feels richer and more fulfilling.
Hi, my name's Sarah and I'm a clinical psychologist. The decision to see a therapist can feel daunting and anxiety provoking. Please be reassured that this is absolutely normal. In a therapy session I will give you my support and the compassion that you may be needing at this time. I would like to help you by first gaining a good understanding of the difficulties that you are facing. Using my expertise (from many years of psychology training and work with clients), my aim would be to work with you to find a way forward that is going to enhance your life and enable you to live a life that feels richer and more fulfilling.
![Photo of David Kaneria, MSc, Psychotherapist](https://photos.psychologytoday.com/7161557c-dd3c-416a-89d8-a18bd323975c/2/320x400.jpeg)
My name is David, I am a Cognitive Behavioural Therapist (CBT) with four university degrees in psychology. I have worked extensively in the "NHS Talking Therapies" Services (previously known as IAPT) in which I specialised in treating common mental health problems such as depression and anxiety. I have a keen interest in CBT and have published a therapist textbook and five self-help books. Click here to book a session: clientportal.uk.powerdiary.com/clientportal/kaneriacbt
My name is David, I am a Cognitive Behavioural Therapist (CBT) with four university degrees in psychology. I have worked extensively in the "NHS Talking Therapies" Services (previously known as IAPT) in which I specialised in treating common mental health problems such as depression and anxiety. I have a keen interest in CBT and have published a therapist textbook and five self-help books. Click here to book a session: clientportal.uk.powerdiary.com/clientportal/kaneriacbt
![Photo of Nicola Jane Randall, MBACP, Counsellor](https://photos.psychologytoday.com/ece8a597-0742-41a4-be6e-785160a589f0/1/320x400.jpeg)
Thank you for looking at my profile. I work in a Person-centred way, and I offer EMDR therapy. I work with adults and young people aged between 15 and 18. I work with a wide range of issues including: trauma, abuse, relationship problems, self-esteem issues, anxiety, depression, anger, shame, personality disorders, health anxiety, grief/loss, ADHD, suicidal thoughts, self-harm, work-related issues, health anxiety and more.
Thank you for looking at my profile. I work in a Person-centred way, and I offer EMDR therapy. I work with adults and young people aged between 15 and 18. I work with a wide range of issues including: trauma, abuse, relationship problems, self-esteem issues, anxiety, depression, anger, shame, personality disorders, health anxiety, grief/loss, ADHD, suicidal thoughts, self-harm, work-related issues, health anxiety and more.
![Photo of Adam Bruce, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/86b2dad4-6bcd-4247-b9c9-1d072b4b8c7a/1/320x400.jpeg)
At times it’s natural to feel overwhelmed and stressed out by life. That can create deep sadness, despair or loss of hope resulting in depression. Feeling fearful and anxious about life and the future can feel too much to cope with and have a really profound affect on everyday life. Sometimes it is recent events that are causing you to feel that you are really struggling while at other times those difficulties are linked to childhood neglect, trauma or abuse. Sometimes how you feel about yourself can result in a lack of confidence or low self esteem which can impact on your ability to feel at peace in the world and in relationship.
At times it’s natural to feel overwhelmed and stressed out by life. That can create deep sadness, despair or loss of hope resulting in depression. Feeling fearful and anxious about life and the future can feel too much to cope with and have a really profound affect on everyday life. Sometimes it is recent events that are causing you to feel that you are really struggling while at other times those difficulties are linked to childhood neglect, trauma or abuse. Sometimes how you feel about yourself can result in a lack of confidence or low self esteem which can impact on your ability to feel at peace in the world and in relationship.
![Photo of Kelly Jane Rippin - Talking Wellness, MBACP Accred, Counsellor](https://photos.psychologytoday.com/0b76e8a3-21a8-4ada-bb27-c295b7275617/2/320x400.jpeg)
Our counsellors are qualified in a range of approaches to therapy including, Cognitive Behaviour Therapy (CBT), Solution Focused, Attachment Theory and Person-Centred, we have a range of experience including, anxiety, panic attacks, stress, depression, bereavement, sleep problems, self confidence, anger, self harm, trauma, issues of eating distress.
Talking Wellness is a collective of professional counsellors who are passionate, committed and care. We offer Counselling focused on increased self-understanding, and acceptance, which can help you navigate your own way through challenges, make empowering choices and achieve your personal wellness goals. Counselling is for people that experience all kinds of difficulties that impact on their well being and happiness. We can all face issues in life and during counselling you can explore, and gain deeper insight in a safe, confidential and none judgemental relationship, focused on your best interests.
Our counsellors are qualified in a range of approaches to therapy including, Cognitive Behaviour Therapy (CBT), Solution Focused, Attachment Theory and Person-Centred, we have a range of experience including, anxiety, panic attacks, stress, depression, bereavement, sleep problems, self confidence, anger, self harm, trauma, issues of eating distress.
Talking Wellness is a collective of professional counsellors who are passionate, committed and care. We offer Counselling focused on increased self-understanding, and acceptance, which can help you navigate your own way through challenges, make empowering choices and achieve your personal wellness goals. Counselling is for people that experience all kinds of difficulties that impact on their well being and happiness. We can all face issues in life and during counselling you can explore, and gain deeper insight in a safe, confidential and none judgemental relationship, focused on your best interests.
![Photo of Jo Augustus - The Eyris Practice, HCPC-Art Therap., Psychotherapist](https://photos.psychologytoday.com/9917ad01-648b-42e9-bb91-04525243831d/1/320x400.jpeg)
The Eyris Practice
Psychotherapist, HCPC-Art Therap.
Verified Verified
Leicester LE19
Waitlist for new clients
The impact of difficult life experiences can adversely affect our mental well-being or interpersonal relationships at any time in our lives.Such life occurances may include truama, a bereavement or experiencing anxiety and depression. I use a person centred approach to develop a therapeutic relationship with you. This helps over time to support you in gaining insight and understanding of the emotional and mental difficulties you're experiencing. I provide a safe space to listen to you and identify the best therapeutic approach to meet your needs.I offer both face to face and online therapy to suit your individual needs.
The impact of difficult life experiences can adversely affect our mental well-being or interpersonal relationships at any time in our lives.Such life occurances may include truama, a bereavement or experiencing anxiety and depression. I use a person centred approach to develop a therapeutic relationship with you. This helps over time to support you in gaining insight and understanding of the emotional and mental difficulties you're experiencing. I provide a safe space to listen to you and identify the best therapeutic approach to meet your needs.I offer both face to face and online therapy to suit your individual needs.
![Photo of Sarah Knapp - Mindset for Performance, MSc, GMBPsS, Psychologist](https://photos.psychologytoday.com/cefdc62b-7fa7-4e9d-9e10-17609b34f5c6/1/320x400.jpeg)
I specialise in helping individuals manage emotions, boost confidence, enhance motivation, and tackle pre-competitive anxiety.
Are you struggling to break through mental barriers that hinder your peak performance? Do setbacks in sports or exercise leave you feeling overwhelmed? Drawing from over 8 years of experience in mental health services, I recognised a gap in support for individuals seeking psychological help in the realm of sports and exercise. This realisation drove me to undergo training as a sport and exercise psychologist, merging my two greatest passions. My mission is to ensure athletes receive the necessary support to thrive in sport, regardless of their skill level.
I specialise in helping individuals manage emotions, boost confidence, enhance motivation, and tackle pre-competitive anxiety.
Are you struggling to break through mental barriers that hinder your peak performance? Do setbacks in sports or exercise leave you feeling overwhelmed? Drawing from over 8 years of experience in mental health services, I recognised a gap in support for individuals seeking psychological help in the realm of sports and exercise. This realisation drove me to undergo training as a sport and exercise psychologist, merging my two greatest passions. My mission is to ensure athletes receive the necessary support to thrive in sport, regardless of their skill level.
![Photo of Charlotte Wileman, MBACP, Counsellor](https://photos.psychologytoday.com/70f5663f-ae58-4b24-a145-ea586ad193aa/2/320x400.jpeg)
It can often feel lonely in life, even though we might be surrounded by many people, at times we may not feel fully heard or truly understood. I aim to provide a safe space where you are able to express your thoughts and feelings around any past or present difficulties. Supporting you every step of the way, to help you find some peace and clarity.
It can often feel lonely in life, even though we might be surrounded by many people, at times we may not feel fully heard or truly understood. I aim to provide a safe space where you are able to express your thoughts and feelings around any past or present difficulties. Supporting you every step of the way, to help you find some peace and clarity.
![Photo of Annie Bradbury - Considered Counselling, MBACP, Psychotherapist](https://photos.psychologytoday.com/a6083f07-82fd-4276-8bac-8d5e040a03a1/3/320x400.jpeg)
We all experience different states, sometimes changing too quickly to catch ourselves, sometimes not changing as fast as we need them too. I am a therapist that will work with you however you are feeling. I will meet you, your authentic self, where you are at during our session times together. I'm Annie, I am an engaging, supportive and encouraging therapist and will hold your best interests and wellbeing at the heart of the process.
We all experience different states, sometimes changing too quickly to catch ourselves, sometimes not changing as fast as we need them too. I am a therapist that will work with you however you are feeling. I will meet you, your authentic self, where you are at during our session times together. I'm Annie, I am an engaging, supportive and encouraging therapist and will hold your best interests and wellbeing at the heart of the process.
See more therapy options for Broughton Astley
Nearby Anxiety Counsellors Searches for Broughton Astley
- Birstall
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- Glenfield
- Hinckley
- Kibworth
- Leicester
- Leicester Forest East
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Anxiety Counsellors
What are the most common treatments for anxiety?
Talk therapy, particularly cognitive behavioural therapy, is the most common treatment for anxiety. Studies have shown it is equally effective as medication. Other forms of therapy are popular, depending on a patient’s experience. Exposure therapy, for instance, can be useful for people dealing with fears and phobias, or who have experienced traumatic events. Dialectical Behavioural Therapy may be useful for patients who need help with emotion regulation. Anxiolytic medications, like benzodiazepines, can also help with calming a person enough to focus on the skills they’ve learned, and physical exercise has been shown to help symptoms of anxiety across the board.
How long does therapy for anxiety take to work?
The amount of time needed to alleviate symptoms depends on the severity of a person’s condition. Some therapies may take 5-20 weekly sessions to show results. Anti-depressant medications typically take two to four weeks before a benefit is felt. Anti-anxiety medications are felt typically within 20-30 minutes. Medications are best used to offer a patient a better headspace in which to work on techniques learned in therapy. Exercise, improved sleep habits, and meditation are effective, but takes weeks or months to show results.
When should I seek treatment for anxiety?
Everyone feels anxious at times, but when anxiety causes disruption to your daily life, it may be time to seek help. Such disruption can be mental, physical, or both: having fear dominate your thoughts, avoiding situations or objects that bring on feelings of anxiety, or experiencing shortness of breath, sweating, dizziness, or panic attacks. When these symptoms are recurrent and distressing, it may be time to talk to someone.
How effective is treatment for anxiety?
Treatment for anxiety has been shown to be moderately to highly effective, according to a large body of psychology studies and analyses. For some people, treatment using CBT or exposure therapy alone is effective. Others respond best to a combination of medication and therapy.