Counselling in Lewes
![Photo of Stephanie Joanna Monk, MBACP, Psychotherapist](https://photos.psychologytoday.com/4c3c4348-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
From time to time everyone experiences stress, sadness, anger, relational conflict and grief which we often suffer alone. Accepting help from others can be difficult but maybe you feel you’ve toughing it out on your own for too long. Whether you are struggling with an identifiable trauma or you’ve reached a point where recurring feelings are becoming unmanageable; a course of psychotherapeutic counselling may help you make sense of what is happening and enable you to gain and maintain some stability. Feelings of fear, anger, rejection and lack of confidence are difficult areas and discussing them with friends too raw and personal.
From time to time everyone experiences stress, sadness, anger, relational conflict and grief which we often suffer alone. Accepting help from others can be difficult but maybe you feel you’ve toughing it out on your own for too long. Whether you are struggling with an identifiable trauma or you’ve reached a point where recurring feelings are becoming unmanageable; a course of psychotherapeutic counselling may help you make sense of what is happening and enable you to gain and maintain some stability. Feelings of fear, anger, rejection and lack of confidence are difficult areas and discussing them with friends too raw and personal.
![Photo of Craig Morgan, MBACP, Counsellor](https://photos.psychologytoday.com/131b52a1-8796-478c-baec-bd6943fee2e0/2/320x400.jpeg)
Hello there! Thank you so much for taking the time to check out my profile. I completely understand how daunting it can be to find the right counsellor for you, which is why I am here to help. My name is Craig, and I am a person-centred therapist. Essentially, what this means is that I believe in a humanistic approach to therapy that puts the client at the centre of the process.
Hello there! Thank you so much for taking the time to check out my profile. I completely understand how daunting it can be to find the right counsellor for you, which is why I am here to help. My name is Craig, and I am a person-centred therapist. Essentially, what this means is that I believe in a humanistic approach to therapy that puts the client at the centre of the process.
![Photo of John Davis, MA, MBACP, Psychotherapist](https://photos.psychologytoday.com/483dda6c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Welcome. I am an Integrative Psychotherapist who has worked in depth with both adolescents & adults dealing with a variety of issues; depression, bereavement, sexuality, anxiety, relationships and complex life issues which sometimes cause us distress in our life. For me it is important to get to know you and learn where you would like the focus of our work to be. I can offer you a safe space in which we can explore your issues and gain new perspectives on them; hopefully enabling you to move forward in life
Welcome. I am an Integrative Psychotherapist who has worked in depth with both adolescents & adults dealing with a variety of issues; depression, bereavement, sexuality, anxiety, relationships and complex life issues which sometimes cause us distress in our life. For me it is important to get to know you and learn where you would like the focus of our work to be. I can offer you a safe space in which we can explore your issues and gain new perspectives on them; hopefully enabling you to move forward in life
![Photo of Claire Prendergast, UKCP Trainee, Psychotherapist](https://photos.psychologytoday.com/d9c604f5-b5e0-4767-a2c6-371c6004bc0a/2/320x400.jpeg)
My approach is to offer a safe and non-judgemental space in which you can explore the experiences in your life that are causing you difficulty, or those areas that you wish to take a deeper look at in order to understand more fully. There are no areas or issues that are excluded from our therapy sessions and I will meet you with compassion and curiosity, inviting a present moment exploration of your feelings, thoughts and experiences.
My approach is to offer a safe and non-judgemental space in which you can explore the experiences in your life that are causing you difficulty, or those areas that you wish to take a deeper look at in order to understand more fully. There are no areas or issues that are excluded from our therapy sessions and I will meet you with compassion and curiosity, inviting a present moment exploration of your feelings, thoughts and experiences.
Speaking to someone else may be the first steps you take in changing what isn’t working for you. I understand that holding painful feelings is hard, and you may be feeling anxious about reaching out for help. My goal is to provide a safe, non-judgemental, confidential space where you will be heard and understood. Together we can take the time to work through issues in a way that makes sense for you.
Speaking to someone else may be the first steps you take in changing what isn’t working for you. I understand that holding painful feelings is hard, and you may be feeling anxious about reaching out for help. My goal is to provide a safe, non-judgemental, confidential space where you will be heard and understood. Together we can take the time to work through issues in a way that makes sense for you.
![Photo of Jenny Stewart, MA, Counsellor](https://photos.psychologytoday.com/384b2511-b516-4fed-a47c-564acfff7380/1/320x400.jpeg)
I realise that seeking therapy may feel daunting and I know how important it is that you find a therapist you can trust with your innermost thoughts and feelings. Perhaps you have come to a time in your life when you feel you need some extra support for whatever challenges and difficulties you are facing. It may be that you have suffered a loss, a relationship issue or experienced a significant life event or that you feel the weight of depression or anxiety. Perhaps you have decided the time is right to try to make some changes in your life.
I realise that seeking therapy may feel daunting and I know how important it is that you find a therapist you can trust with your innermost thoughts and feelings. Perhaps you have come to a time in your life when you feel you need some extra support for whatever challenges and difficulties you are facing. It may be that you have suffered a loss, a relationship issue or experienced a significant life event or that you feel the weight of depression or anxiety. Perhaps you have decided the time is right to try to make some changes in your life.
![Photo of Sebastian Juliussen, MBACP, Counsellor](https://photos.psychologytoday.com/72a41c6b-6923-46d9-a830-e34b98608091/2/320x400.jpeg)
I am a dedicated therapeutic counsellor with a passion for walking with individuals through their unique paths of growth. I embrace a philosophy of accompaniment. My foundation lies in person-centered therapy, where I believe in the power of authentic connections to foster true and lasting healing. My approach is deeply relational and integrates mindfulness-based cognitive methods, recognizing the impact of mind-body awareness on overall well-being. This approach allows us to explore your inner emotional landscape, empowering you to navigate challenges and embrace your authentic self.
I am a dedicated therapeutic counsellor with a passion for walking with individuals through their unique paths of growth. I embrace a philosophy of accompaniment. My foundation lies in person-centered therapy, where I believe in the power of authentic connections to foster true and lasting healing. My approach is deeply relational and integrates mindfulness-based cognitive methods, recognizing the impact of mind-body awareness on overall well-being. This approach allows us to explore your inner emotional landscape, empowering you to navigate challenges and embrace your authentic self.
![Photo of Laura Tinkl, PsychD, CPsychol, Psychologist](https://photos.psychologytoday.com/4bcd5118-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sometimes children and young people can behave in ways that are difficult to understand. As their parents/carers, we can feel confused as to what might be happening for our child and how we can best help them. Your child might be behaving in ways that frighten you (e.g. violent outbursts or self-harming behaviours) or in other ways that concern you (e.g. increasingly anxious or withdrawn behaviour, refusing school etc.). You may have attended parenting courses, read books or spoken to friends/family, but still feel at a loss as to what to do to help your child and how to feel connected to them again. Now is the time to seek help.
Sometimes children and young people can behave in ways that are difficult to understand. As their parents/carers, we can feel confused as to what might be happening for our child and how we can best help them. Your child might be behaving in ways that frighten you (e.g. violent outbursts or self-harming behaviours) or in other ways that concern you (e.g. increasingly anxious or withdrawn behaviour, refusing school etc.). You may have attended parenting courses, read books or spoken to friends/family, but still feel at a loss as to what to do to help your child and how to feel connected to them again. Now is the time to seek help.
![Photo of Julie Skeffington, MBACP, Counsellor](https://photos.psychologytoday.com/11a2df0a-4c03-45ad-9209-615ff85d2d08/1/320x400.jpeg)
Hello and a warm welcome. Sometimes it can be hard to find the right counsellor, especially if you are feeling lost, anxious, low or completely overwhelmed by life. The process of finding someone who you feel comfortable with can be confusing and perhaps a little daunting and yet it is so important to find the right person for you. I hope this goes some way to helping you making that decision. Something may have happened in your life such as a loss, a traumatic event, a relationship breakdown, or you may just feel you have ‘lost’ yourself along the way. Perhaps you feel lonely, confused, trapped or in complete despair?
Hello and a warm welcome. Sometimes it can be hard to find the right counsellor, especially if you are feeling lost, anxious, low or completely overwhelmed by life. The process of finding someone who you feel comfortable with can be confusing and perhaps a little daunting and yet it is so important to find the right person for you. I hope this goes some way to helping you making that decision. Something may have happened in your life such as a loss, a traumatic event, a relationship breakdown, or you may just feel you have ‘lost’ yourself along the way. Perhaps you feel lonely, confused, trapped or in complete despair?
![Photo of Joe Mattinson - Joe M Online Therapy, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/c12b7c8b-792f-478f-9409-311825dcf03d/1/320x400.jpeg)
Hi, I'm Joe, someone you can really talk to. We can talk about relationship problems, we can talk about grief and bereavement, we can talk about feeling stuck, feeling depressed or anxious - we can talk about whatever you need.
Hi, I'm Joe, someone you can really talk to. We can talk about relationship problems, we can talk about grief and bereavement, we can talk about feeling stuck, feeling depressed or anxious - we can talk about whatever you need.
![Photo of Simon Greenwood, BPC, Psychotherapist](https://photos.psychologytoday.com/4b372e67-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a psychodynamic psychotherapist with over 10 years experience. I work full-time seeing individual adult clients (only) and I hope that my approach is experienced as warm, non-judgmental and relational. Whatever has led you to look for a therapist today, my own view is that current persistent difficulties in life have their roots in the past. And I believe that it is only by getting underneath these symptoms and trying to understand where they come from that real and lasting change can take place. But just to sit with someone who will listen attentively and without judgement can be a completely new experience for many people.
I am a psychodynamic psychotherapist with over 10 years experience. I work full-time seeing individual adult clients (only) and I hope that my approach is experienced as warm, non-judgmental and relational. Whatever has led you to look for a therapist today, my own view is that current persistent difficulties in life have their roots in the past. And I believe that it is only by getting underneath these symptoms and trying to understand where they come from that real and lasting change can take place. But just to sit with someone who will listen attentively and without judgement can be a completely new experience for many people.
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At times life is tough and this can challenge our emotional health and well being, making us feel overwhelmed, stuck, anxious, depressed, angry or lacking in self esteem. You may be finding it difficult to put words to your current feelings or make any sense of what you are experiencing and this can be both frightening and isolating. I believe counselling can be a transformative and meaningful experience, with change made possible through a supportive therapeutic relationship, which helps us to move towards acceptance of self or empowerment to positive change. As such, I am dedicated to bringing about healing and growth in others.
At times life is tough and this can challenge our emotional health and well being, making us feel overwhelmed, stuck, anxious, depressed, angry or lacking in self esteem. You may be finding it difficult to put words to your current feelings or make any sense of what you are experiencing and this can be both frightening and isolating. I believe counselling can be a transformative and meaningful experience, with change made possible through a supportive therapeutic relationship, which helps us to move towards acceptance of self or empowerment to positive change. As such, I am dedicated to bringing about healing and growth in others.
![Photo of Dr Kim Merrick, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/a2aba9ba-574d-42e3-a8a9-cca96d599381/1/320x400.jpeg)
Hi there, my name is Kim and I am a clinical psychologist, with two decades of experience working in NHS and local authority services with children, young people and adults. I specialise in providing psychological assessments and interventions to children (including very young children) and young people (teenagers/young adults) and in working with parents. I support children and young people with a range of presenting needs including those who are experiencing anxiety, stress, low mood and depression, difficulties with friendships, symptoms of PTSD/trauma and difficulties with relationships and behaviours at home.
Hi there, my name is Kim and I am a clinical psychologist, with two decades of experience working in NHS and local authority services with children, young people and adults. I specialise in providing psychological assessments and interventions to children (including very young children) and young people (teenagers/young adults) and in working with parents. I support children and young people with a range of presenting needs including those who are experiencing anxiety, stress, low mood and depression, difficulties with friendships, symptoms of PTSD/trauma and difficulties with relationships and behaviours at home.
![Photo of Dr Jacqueline Ann Hayes, PhD, MBACP Accred, Psychotherapist](https://photos.psychologytoday.com/68c3db57-422c-4614-8e5b-47604ec3f636/3/320x400.jpeg)
Hello, my name is Jacqueline and I am a psychotherapist and counsellor working online and in Lewes to help adults and young people to create positive changes. At the moment, you may be feeling overwhelmed by your emotions. Trauma, abuse, or neglect from the past may be haunting you. You may be approaching a life transition with anxiety and fear. You may feel too detached or numb to connect with the good things in your life.
Hello, my name is Jacqueline and I am a psychotherapist and counsellor working online and in Lewes to help adults and young people to create positive changes. At the moment, you may be feeling overwhelmed by your emotions. Trauma, abuse, or neglect from the past may be haunting you. You may be approaching a life transition with anxiety and fear. You may feel too detached or numb to connect with the good things in your life.
![Photo of Danelle Prytherch, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/8b9115f7-5344-488d-a611-fbcbee5e1082/2/320x400.jpeg)
I am a Clinical Psychologist dedicated to supporting people navigating the complexities of modern life. With over 15 years of experience in mental health, I offer a range of talking therapies in a safe and confidential environment. After a process of assessment and collaborative formulation of your difficulties, we will work with tailored, evidence based psychological interventions. Please get in touch if you are interested in working together.
I am a Clinical Psychologist dedicated to supporting people navigating the complexities of modern life. With over 15 years of experience in mental health, I offer a range of talking therapies in a safe and confidential environment. After a process of assessment and collaborative formulation of your difficulties, we will work with tailored, evidence based psychological interventions. Please get in touch if you are interested in working together.
![Photo of Paul Skinner, MBACP, Counsellor](https://photos.psychologytoday.com/c8f1b8a0-4939-4d5e-bfe8-f9ef207b094e/3/320x400.jpeg)
There are many reasons you may be seeking counselling but I imagine you are wanting something to change. My aim is to facilitate a relationship that is tailored to you and created with you. This provides the conditions for you to freely and safely explore the challenges you may face as well as the trauma or difficulties you have experienced. Counselling is not only about what we think of ourselves and our life but more importantly, our felt sense of ourselves and our visceral experience of life. Giving space and awareness to our experience is what informs us of what is needed for healing, growth and change.
There are many reasons you may be seeking counselling but I imagine you are wanting something to change. My aim is to facilitate a relationship that is tailored to you and created with you. This provides the conditions for you to freely and safely explore the challenges you may face as well as the trauma or difficulties you have experienced. Counselling is not only about what we think of ourselves and our life but more importantly, our felt sense of ourselves and our visceral experience of life. Giving space and awareness to our experience is what informs us of what is needed for healing, growth and change.
![Photo of Mary Gordon-Cumming, DCounsPsych, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/e861c114-d092-4d17-afbb-85a6d779ed48/1/320x400.jpeg)
Choosing the right therapist can feel impossible especially when you're already feeling low, overwhelmed or disconnected. I offer a free first session so you can meet me and see if you think you'd like to work together. I’m down to earth and approachable and will create a supportive space for you and all your feelings so you can explore whatever it is that’s weighing you down. I want you to feel truly seen and heard. Often that’s all it takes to find a fresh perspective but I can also push and challenge you to help break away from whatever it is that’s been holding you back. You don’t have to figure everything out on your own.
Choosing the right therapist can feel impossible especially when you're already feeling low, overwhelmed or disconnected. I offer a free first session so you can meet me and see if you think you'd like to work together. I’m down to earth and approachable and will create a supportive space for you and all your feelings so you can explore whatever it is that’s weighing you down. I want you to feel truly seen and heard. Often that’s all it takes to find a fresh perspective but I can also push and challenge you to help break away from whatever it is that’s been holding you back. You don’t have to figure everything out on your own.
![Photo of Vicki Hougham Creative Therapy And Supervision, MA, HCPC-Art Therap., Psychotherapist](https://photos.psychologytoday.com/15ebb44e-f90c-4827-86dc-e00627d33fc3/1/320x400.jpeg)
Vicki Hougham Creative Therapy And Supervision
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Lewes BN8
I work with children and adults who experience a range of mild to severe challenges in their life including anxiety, bereavement, low mood, feelings of low self esteem and lack of confidence and mental health issues both general and diagnosed conditions. I work with clients who have been diagnosed with autism and adhd. I am also a clinical supervisor and offer 1-1 and group sessions.
I work with children and adults who experience a range of mild to severe challenges in their life including anxiety, bereavement, low mood, feelings of low self esteem and lack of confidence and mental health issues both general and diagnosed conditions. I work with clients who have been diagnosed with autism and adhd. I am also a clinical supervisor and offer 1-1 and group sessions.
![Photo of Briony Lambert, MBACP, Counsellor](https://photos.psychologytoday.com/79d0e2f7-7fc3-429e-b695-b54c20b3c2a6/2/320x400.jpeg)
Hello. You might be considering counselling for the first time, or have had previous experience of therapy. Whatever your situation, therapy can help. I know from experience that we're all capable of change, and finding the right counsellor can very often be the beginning of that process. Through a series of therapeutic conversations, I can help you with a range of issues including anxiety, loss, relationship and family difficulties, sadness, and questions around identity.
Hello. You might be considering counselling for the first time, or have had previous experience of therapy. Whatever your situation, therapy can help. I know from experience that we're all capable of change, and finding the right counsellor can very often be the beginning of that process. Through a series of therapeutic conversations, I can help you with a range of issues including anxiety, loss, relationship and family difficulties, sadness, and questions around identity.
![Photo of Tara Massie - The Purple Counsellor, MBACP, Counsellor](https://photos.psychologytoday.com/fcedbf99-b2ab-4a80-a812-0b850075a5f0/2/320x400.jpeg)
Hello, my name is Tara and I am here to hear you. I am a Person Centred Counsellor which means I create a safe space so you are able to freely talk about anything you want. The focus is on you, whether it's present day troubles or something bothering you from your past. Do you feel like something or some one has stolen your joy? Sometimes we are feeling anxious, sad or angry with ourselves, other people or just life in general. I am able to help you explore those feelings and identify ways to the joy again in everyday life. I am also a Christian and happy to incorporate prayer and Biblical input into our sessions.
Hello, my name is Tara and I am here to hear you. I am a Person Centred Counsellor which means I create a safe space so you are able to freely talk about anything you want. The focus is on you, whether it's present day troubles or something bothering you from your past. Do you feel like something or some one has stolen your joy? Sometimes we are feeling anxious, sad or angry with ourselves, other people or just life in general. I am able to help you explore those feelings and identify ways to the joy again in everyday life. I am also a Christian and happy to incorporate prayer and Biblical input into our sessions.
See more therapy options for Lewes
How does your Counsellor compare?
Number of Counsellors in Lewes
100+
Average cost per session
£60
Counsellors in Lewes who prioritize treating:
88% | Anxiety |
83% | Depression |
81% | Relationship Issues |
80% | Self Esteem |
74% | Bereavement |
74% | Stress |
69% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
62% | AXA PPP |
52% | Aviva |
48% | Bupa |
How Counsellors in Lewes see their clients
90% | In Person and Online | |
10% | Online Only |
Gender breakdown
77% | Female | |
22% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Lewes?
Search for nearby therapists or counsellors by inputting your city, postcode, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postcode into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).
Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.
Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counsellor?
Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.
If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postcode.
Are therapy sessions confidential?
Therapists who are part of a professional organisation such as the BACP, the UKCP, or BPS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.