In its most basic form Talk Therapy, or counselling and psychotherapy, is two people sat in a room, one a trained talk therapist and the other the client, working through whatever the client has brought with them.

Everyone has different circumstances, experiences and views of the world. The skill of the therapist lies in working in collaboration with you, the client, to reveal your unique perspective, and to reflect on where, why and how certain thoughts and feelings originated. From here a competent therapist can assist you in ascertaining which aspects of your perspective are of use today, and which may be problematic, while supporting you in making any changes you deem necessary.    


Counselling, Psychotherapy and Talk Therapy - What's the difference?

The short answer is that they are interchangeable. Some organisations may differentiate between counselling and psychotherapy in a manner which relates to their way of working or is conducive to their aims and objectives. You might read that counselling is geared toward working with clients in a passive, person centred, manner allowing the client time and space to express themselves and come to their own conclusions. Or perhaps you’ve read that psychotherapy directs clients to evidence-based solutions which work toward desired outcomes. Neither or both statements could be true. A good talk therapist, whether counsellor or psychotherapist, will modify their approach depending upon the needs of the individual client.

To avoid confusion the term Talk Therapy is now used to encompass any talking treatment which has therapeutic value. Unless otherwise specified the terms counselling, psychotherapy and talk therapy are used interchangeably.


What can I expect from Talk Therapy?


It is the therapist’s responsibility to create an environment of comfort, safety and security in which you feel respected and heard without judgement. This then allows you to explore thoughts, feelings and concerns with a freedom that may be difficult to find under different circumstances and with other parties.


Therapists may provide insight, information and observation, perhaps even direction, in response to what you may bring. Ultimately, however, it is the facilitation of your ability to better understand, work through and conclude the issues brought which is of most value.

How often should I have Talk Therapy and for how long?

This very much depends upon your individual needs. Traditionally talk therapy takes place once a week. Initially, however, or in a period of difficulty, you may wish to attend more than once a week. Equally, once the mainstay of the work has been done, you may come every other week or once a month until you are happy to continue without continued support. 

You may wish simply to talk through a specific issue which is of the moment and so few sessions are required. On the other hand you may come with circumstances which require exploration to greater depth or feel there is an ongoing benefit which is worth maintaining. 



Whether in crisis and in need of urgent assistance or looking for a safe space to mull things over each client brings their own unique experience to talk therapy. What you bring may have been true for as long as you can remember, be sporadic and intermittent, or surprising and new.

Everyone's experience is their own while sharing facets with the experience of others.

Though you are unique; you are not alone.


You may:

  • Have a single burning issue that you need to resolve or

  • Wish to unpick a jumble of thoughts and/or feelings which seem unmanageable or

  • Simply be looking for time and space to get to know yourself better.


  • Know that something seems “wrong” without knowing exactly what that something is or

  • Be very clear on what you think and feel and where it all began.


  • Feel utterly overwhelmed with life with nowhere to turn or

  • Feel increasingly apathetic and numb to the world around you.


  • Have lots to say with nowhere to be heard or

  • Find it difficult to gather your thoughts and communicate with others.


  • Feel frustrated that the success you crave is inexplicably beyond your grasp or

  • Feel dissatisfied with life despite all your achievements.

  • Find relationships with friends, colleagues and/or loved ones confusing and complex or

  • Find yourself isolated and alone craving company.

  • Be stuck in the same place seemingly unable to move onto where you'd like to be or

  • Constantly change your circumstances in the hope that things will be different this time or

  • Find history repeating itself despite all your best efforts to change the record.

​Perhaps one, some or even all of these examples are true for you, or perhaps you'd like to bring something else entirely. At Leading Edge you are welcome as you are, with whatever you have to bring. We begin at the beginning wherever that may be.



NHS practitioners do an exceptional job under difficult circumstances in assisting the most vulnerable in our society. There are, however, several benefits and advantages in paying for talk therapy.


Reduced waiting times and getting counselling when it is really needed


NHS waiting times for talk therapy vary depending on location. Guidelines state a goal of six weeks, though published results show average waiting times can be as much as five months. We regularly see clients who have been waiting six months or more when working with NHS referral.


Choice of person, location, duration and timing


NHS patients have little say over who, where, when, what or how long the talk therapy they receive might be. In paying for talk therapy you have the freedom to decide on the person, place, length and timing of the talk therapy.

Choice of counselling approach


Over two-thirds of NHS clients receive Cognitive Behavioural Therapy (CBT) as a talk therapy through the NHS. This is because CBT is reasonably successful, and very quick and cost effective, at treating the symptoms associated with anxiety and depression. This can enable NHS patients to achieve a level of functionality which allows them to return to work. As with any treatment, including medication, a reasonable rate of effectiveness is around 40%. This is also true of CBT. However, NHS practitioners may not have received training beyond CBT nor have the discretion or time to implement other options if they have. As a Private Client you have the choice of various practitioners and approaches which allows you to find the right combination specific to your needs.

Getting tailored assistance which works for you


Evidence shows that recovery rates are not primarily determined by the type of talk therapy received. Across all types of therapy, all therapists and all clients, recovery rates are broadly the same. The key to effective therapy is a combination of establishing the right kind of therapeutic relationship with the right kind of approach. This means finding a therapist with the flexibility to deliver the kind of talk therapy most appropriate to your needs. This is not a one size fits all approach, but one which considers what works in general and what works for you specifically.


Getting help without a diagnosis - greater confidentiality and discretion

Many clients are understandably wary of sensitive information falling into the wrong hands. They may feel that their career could be hindered should a mental health diagnosis become a matter of NHS medical record. NHS practitioners are duty bound to disclose concerns regarding risk to fellow professionals whether this is agreed by the patient or not.

Private practitioners do have legal obligations and a duty of care to their clients. They are not, however, bound by the same organisational rules and regulations as when working within the NHS. Their records are in no way part of the NHS medical record and are less vulnerable to risk of accidental or systematic information leakage.   



Level of Demand and Quality of Service


The price that a therapist charges may reflect the level of demand for their services and the time they are able to devote to each client. A practitioner may choose to follow a "keep it cheap and pile ‘em high" model in which a high volume of clients ensures that they remain in practice.


Alternatively, the therapist may value their time according to the level of attention they feel is necessary to provide a high-quality service. For every hour of contact with the client a competent therapist may spend a similar amount of time, or more, reflecting, researching and preparing for that hour.


Location and Surroundings


It is more expensive to rent a room in Central London than in Central Manchester. It costs more to rent a room that is well appointed and easily accessible than one that is not.

Training and Expertise

There is a cost to initial and ongoing training and continuing professional development. The level, depth and breadth of the training and development undertaken by a therapist will vary, and this may be reflected in the fees charged.



Our Expertise

  • Fully qualified to postgraduate level 7 (Membership, registration and accreditation of the BACP require qualification to Level 4 only)

  • Registered membership of the British Association of Counselling and Psychotherapy

  • Actively engaged in Continuing Professional Development


The Ideal Environment

  • Our therapy room is purpose equipped for privacy, calm and comfort.

  • Neutral in tone and free from distraction at 3m by 3m there is plenty of room to breathe while small enough to provide a sense of safety and security 

  • Convenient central location

  • Warm comfortable surroundings

  • Fully Insured

  • Friendly efficient reception staff - choose to wait in our comfortable waiting area or come to the therapy room directly

  • Choice of refreshment 

Our Way of Working

The key to effective therapy is a combination of establishing the right kind of therapeutic relationship with the right kind of approach tailored to your needs. Rather than a one size fits all approach we integrate what works in general with what works for you specifically.

Our Values

Practitioner membership of the BACP requires a commitment to their Ethical Framework. Leading Edge adheres to the Framework at all times while striving to go above beyond these comprehensive requirements where possible. The ethics, values and principles which underpin Our Commitment to You is derived from this Framework.​



Our Professionalism and Competency

Is demonstrated through:

  • putting you, the client, first

  • ensuring that you are the primary focus of our attention and our work during our sessions together

  • developing, honouring and protecting your trust

  • promoting your wellbeing, self-respect and sense of self

  • respecting your privacy, dignity and autonomy

  • valuing you as a unique person

  • protecting your confidentiality and privacy

  • agreeing on how we will work together

  • working in partnership with you

  • communicating clearly what you can expect from us

  • communicating any benefits, costs and commitments

  • respecting the boundaries between our work with you and what lies outside that work

  • listening out for how you experience our working together

  • continued development in the quality of our professional knowledge and its application

Our Integrity and Accountability

Is demonstrated through:

  • maintaining honesty and openness in all aspects of our work

  • working ethically and with careful consideration of how we fulfil our obligations to you

  • discussing with you openly and honestly how best to work towards your desired outcomes 

  • seeking and respecting your views on how we are working together

  • engaging in regular review of progress

  • taking into account your expectations and concerns throughout our work together and especially at its beginning and end

  • encouraging you to raise any concerns about our work together at the earliest possible opportunity

  • give any concerns careful consideration and, when appropriate, attempt to resolve them

  • clearly communicating our complaints procedure, and that of the BACP, in the event that it is requested

  • providing you with the information you need in order to make an informed decision about the services you want to receive

  • giving clarity on how these services will be delivered and how information or data about you will be protected


Our Transparency and Confidentiality

Is demonstrated through:

  • reaching an agreement with you which takes account your expressed needs and choices

  • informing you well in advance of any planned breaks in working together, for example, holidays or medical treatments

  • informing you about how the use of personal data and information that you share with us will be used and who is within the circle of confidentiality

  • actively protecting information about you from unauthorised access or disclosure

  • stating clearly how your confidentiality and privacy will be protected

  • communicating clearly any circumstances in which confidential or private information must be communicated to others in order to protect you or others from serious harm​