Psychotherapy for individuals

Session structure

Rather than working to a prescriptive structure or script I prefer to let each session find its own natural rhythm and flow.  Rather than ‘talking about’ your problems I will support and guide you as you face them and get to the bottom of them.  Rather than plugging or binding the cracks with further coping strategies we will aim to find and resolve the causes of the stresses that led to the cracks appearing in the first place.  These causes may be from your lifetime, generations ago in your family history or even in a past life.  My direct approach often enables very deep work to be done in a brief timescale.

Every session is different and may well include some modelling (“And whereabouts in your stomach is that knot?”, “And when you see a bird, then what happens?); dialoguing (“And if Fred was here now … what would you like to be able to say to him?”); time line work (“Imagine floating way up above your life … and back to the first time that it ever happened …”); spatial work (“Move to a space in the room that knows about …”); visualization (“And if you were to imagine being there now …”); technique learning (such as breathing exercises, meridian tapping or peripheral vision).

During sessions I am very attentive to all my senses – especially to my sense of external feeling.  This ability could be called rapport, empathy, intuition or clairsentience.  I use it to sense the emotional structures in and around a client in order to choose and pace my communications.

Session length and therapy duration

Many therapists work a 50 minute ‘hour’ with average fees in London ranging from £30 to £120 for this time.   Longer term therapy can last for years and some therapists have contracts in which the the therapist is allowed a holiday but clients have to pay for all missed sessions – even if they give prior notice.

In my experience 50 minutes is just not long enough for us to settle down, get into deep work, work through it and close the session properly.   When you also consider the time you invest travelling to and from the session I believe longer sessions offer far greater value for money.   While I can see the value of a regular therapy meeting I also recognise that busy people have diaries that change from week to week.   I prefer to offer flexible appointments which you can book week to week and are free to move or cancel so long as you give me at least 48 hours notice.

I usually see people once a week for the first few weeks.   As we work through more stuff and as things start to settle down it is usual for us to meet less frequently.  How long does therapy last?  My answer is ‘for as long as it offers you good value for money’.   For some people this is just a handful of sessions to address a specific issue; for others it a regular part of their long term personal development.   It is common for clients to take therapy breaks and contact me months or years later to resume sessions.

15 thoughts on “Psychotherapy for individuals

  1. Sue Hammond

    Good afternoon.
    Have you ever successfully treated anxiety which manifests itself in debilitating ‘rush’ of adrenaline up and down the left hand side of the body, banging at the temple and disorientating co-ordination and vision. Episodes last anything from 30 mins to 1 hour, leaving the sufferer washed out for several hours later. The frequency of these episodes varies from 1 to several attacks per day. We have not found a successful treatment in 8 years and have visited numerous consultants who have performed various tests which show the sufferer to be in good physical health.
    I look forward to hearing from you.

    1. Richard Evans-Lacey Post author

      Hi Sue,

      Thanks for your comment.

      While I have not worked with those exact symptoms I am experienced in resolving severe anxiety and associated feelings.

      I’ll contact you directly and we can continue our discussions in private.

      All the best,



    Hi Richard,I feel like I’m breaking a religious law here (as I am a devout christian), but my situation has become a lot more severe since the first time I thought I might have some sort of psychological disorder. This is also what lead me thinking that I might have bipolar disorder. It’s like I have no control over my emotion anymore. I’m 22 and I believe I started recognizing these unwanted characterstics on my 20th birthday. Now, whenever I have a confontration wth anyone I start to cry at involuntarily. As if that wasn’t bad when the waterworks is over I start to beat myself up and don’t understand why I was crying in the first place. I’ve always been an introvert for as long as I can remember, its so bad now that I can’t even begin to imagine how I managed to go through college and university without giving a class presentation or ever contributed to class discussions. I’m unable to make both life altering and regular decisions for myself on a daily bass that I feel I always have to heck with my mum or my sis to make sure I’m not making an utter disaster with my life . What’s even more incomprehensible is the involuntary fluctuation of my moods. One minute I’m happy full of life and just want to love everybody the next I can’t wait to get away from them. What bothers me the most is my inability to make insightful and in-depth contributions to discussions I find myself in with people, that I’ve even taken an account to what a friend of mine said to me a year ago to what my sister mentioned to me just recently about my inexcusable habit of blurting out random topics. Am I just plain stupid or do I have some sort of psychological impairment. I’ve come to a point where I really need to know.
    If no for myself but for the people I love and care dearly about that I involuntarily and unintentionally hurt.
    Thanks look forward to your diagnosis.


      Oh I forgot to include the rapid growing patterns of insomnia. I’m lucky if I get any form of shut eye before the break of dawn. Also just as additional information, things I find most pleasure in are excessive shopping, sitting in my room at home all day on my laptop watching movies or playing my guitar. Things I don’t find pleasure in e.g, making uneccessary conversation, going out of my way to please people, performing in front of large crowds or a minuscule number amount of people for that matter. (which by the way has prevented me from moving on ahead in my music career). I always have to wait for things to be perfect before I can deliver it on a silver platter, because even then I don’t think it’s good enough. Hence the word silver not Gold! I havn’t ever done anything to tarnish my reputation that will permitt me to walk around with a character that is less noble or undignified, but for some reason every now and again when things aren’t going the way I expected them to, I can’t help but start to feel like I have myself to blame.
      I’m sorry I know this goes against your code of practice. I promise to stop ranting.

  3. Tony Lemard

    Richard, I’m having problem controlling stress and anxiety.
    These seem to start when i’m in a confusing situation, that i cannot find how to cope with.

    1. Richard Evans-Lacey Post author

      Probably. If you give me a bell then we can talk.
      I’m guessing from the question that you have some kind of compulsion to bite them and it is causing some other kind of problem like pain in the fingers. Unlike some other ‘therapists’ I will NOT to put more rules / suggestions over the top of the issue (e.g. to hypnotise you to believe that your fingers taste disgusting). This adds more tensions into a body that is already stressed. Instead I work with people to reveal the sensations that they are avoiding by doing the compulsive behaviour … to face them, feel them, follow them, and release them. This often involves starting at the symptom and working back into deeper issues. Anything else is just papering over the cracks and can cause more problems later on.
      How does that sound to you?

  4. sam

    hi richard,
    I was hypnotised to help me quit smoking about a year ago, it lasted just about a month then started smoking again, the therapy has left me with some pretty severe guilt issues as he tied it into my personal life and career – is there a way, in your perspective, of reversing these effects as well as finally putting a stop to all my self-destructive habits?

    1. Richard Evans-Lacey Post author

      Hi Sam,

      Sorry to hear of your experience. This is what happens when well meaning hypnotherapists try to force behavioural change in without resolving the underlying issues. The good news is that, if you changed, then you can change back. My work is about revealing the real issues and creating space for them to resolve. The key here sounds like getting to the bottom of the self-destruction …

      Guesses: Are you angry with yourself? Because you believe you are guilty about something? For being a bad person? Who made you feel that way?

      Mostly the deepest feelings of guilt do not actually belong to the person who is feeling them. Mostly.

      Please feel free to telephone me or let me know a number I can get you on so we can chat about your options.

      All the best,


  5. ayrborne reborne

    hi there please to meet you, please explain in as much detail as you can to me the meanings of family and ancestrial debts please. much obligied libi c


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