We’ll begin with your experience, then work together on changes that matter to you.
Your experience
You don’t need to arrive knowing exactly what to say. We can begin with what’s brought you here and explore how it’s affecting your everyday life.
What keeps it going
CBT helps us look at the connections between thoughts, beliefs, feelings, physical responses and behaviour. Together, we’ll notice patterns and explore whether ways of coping are helping you now.
Finding what change looks like for you
We’ll explore what you’d like to be different and work on what keeps the difficulty going. That might mean questioning thoughts you take as facts, approaching things you’ve been avoiding or changing habits that help in the moment but make life harder over time.
We’ll also pay attention to how you treat yourself when you’re struggling. You might practise responding to a harsh inner voice with more understanding, learn ways to soothe yourself when anxiety rises, and begin to separate your sense of worth from mistakes, setbacks or other people’s opinions.
Taking it into everyday life
Change takes practice, and some days will be harder than others. We’ll find small steps that feel manageable for you, whether that’s noticing a familiar pattern, being less hard on yourself or trying something you’ve been avoiding. There’s room to talk about what felt difficult as well as what helped, and adjust things together.
How CBT works
Understanding what you’re going through.
The meaning we give a situation can shape how we think, feel and respond. The ABC model offers a simple way to explore that connection.
“If someone doesn’t respond, it means I don’t matter.”
CThe consequences
“I’m not important to them.” Anxiety, hurt, a tight chest, checking my phone or pulling away.
Explore this further
These are different ways to explore a belief. Start wherever feels useful.
What have I learned about how things should be? “I must keep people happy to be valued.”
What happens next can keep the pattern going.
A possible example of how we might explore this together.
The familiar response
What I do
Keep checking my phone or ask for reassurance.
What it gives me now
A reply or reassurance may bring brief relief.
What it can keep going
My sense of worth stays tied to their response. I get fewer chances to learn that I can handle waiting.
A different response to practise
What I try
Choose a manageable pause before checking again, and return to something I value.
How I speak to myself
“This feels painful. I don’t know why they haven’t replied, and I can care for myself while I wait.”
What I can learn
The hurt or uncertainty may still be there. Afterwards, we can explore what happened, what I managed and what would help next time.
Working with the feeling of “not good enough”
Feeling that you don’t matter can be painful, especially when it’s familiar. We might explore how a delayed reply becomes a judgement about your worth. Checking or asking for reassurance may bring brief relief, but can leave you relying on someone else’s response to feel okay about yourself.
A different response could begin with: “This has brought up the feeling that I don’t matter. That feeling is painful, but a delayed reply doesn’t tell me what I’m worth.”
Together, we could choose a small step: perhaps waiting before checking again, while responding to the hurt with more understanding. Afterwards, we’d look at what actually happened, what felt difficult and what you learned. We can adjust the next step from there.
The approaches I draw on
CBT is the foundation of my work. I also draw on Acceptance and Commitment Therapy (ACT), which can help you relate differently to difficult thoughts and move towards what matters to you.
Compassion Focused Therapy (CFT) can support a more understanding and helpful response to self-criticism. We can also explore the body’s stress response and ways of feeling more grounded.
We’ll choose what fits your experience and what you want from therapy.