Frequently Asked Questions
Find Your Answers Here
How can you help me?
I can help you to
Process the loss/bereavement and find a way of carrying the loss with you in a way that works for you.
Feel less anxious.
Talk through a situation/issue to make sense of what has happened.
Work with and explore your strengths.
Change any behaviour/thoughts you feel are stopping you leading the life you want to lead.
Find and develop new ways of coping with situations/feelings/emotions.
Examine all your options.
Deal with painful/difficult relationships.
Improve your confidence/self-esteem/assertiveness
I achieve this through getting to know you, really listening to who you are and what has lead you to this point then helping you to find ways, that work for you, to achieve your goals for the future.
What is Counselling?
Counselling is a talking therapy offered on a confidential, one to one basis, within the boundary of a contract, agreed by client and counsellor, with no judgement. It involves you coming to my office based in Adlington, close to Chorley and Horwich (or connecting over the telephone/Zoom) where we can talk together confidentially, either individually or as a couple. I will help you to look at your thoughts, feelings and behaviour around whatever is going on for you and find ways to deal with it in whatever way works for you.
I use several different ‘types’ of counselling in a session;
Person-centred – which is focused on you as an individual, your strengths and resources, and finding what works for you
Compassion Focused Therapy looks at building skills around showing yourself and others compassion which can build feelings of safety, increased self-confidence and comfort.
Cognitive Behavioural Therapy (CBT) which looks at the ways you think and behave that are not helpful to you and ways in which you can alter these practically
Solution Focused Brief Therapy which looks at what you want to achieve in therapy and works towards getting you there
Neuro-Linguistic Programming (NLP) which looks at how you learnt to think and feel the way you do, where you are right now vs where you want to be and then how to get you there.
Psycho-education which teaches you why your brain is reacting the way it is and how to work with that.
Have a look here for more information on different types of therapy.
Counselling is not something that I do to you. I will offer you my knowledge and skills and it is your responsibility to choose what you do and how you proceed. Occasionally I may make suggestions, these should be taken as they are offered, as merely a suggestion, it is up to you if you accept them or reject them.
Counselling can be hard, it can feel like things are getting worse before they get better, this is normal. If, however, you feel your needs and expectations are not being met I will expect you to discuss this with me.
For more information on what counselling is see here;
Or contact me with any questions you may have
What is a counselling contract?
I prefer to call it an agreement. Our agreement will set out the boundaries of how we will work, covering things such as;
How I store your information
The length and frequency of our sessions
The price of our sessions
How to cancel and what happens if you cancel
We talk through this agreement together and you can add things to it if you so wish.
You are not tied into a specific amount of sessions the agreement is merely to guide how we work together in each session.
How do you make sure our sessions are confidential?
If your session is face to face it will take place in my private counselling room.
If your session is done over the telephone I will call you from my private counselling room and always ensure there is no one who can overhear our conversation from my end.
If your session is done online it will be conducted over Zoom. I use Zoom because it is recommended by my insurance and it has end to end encryption. I have a private account that only I use. For each individual session I create a new meeting with a new link and password that I send to an email address provided by you. I always enable the waiting room which means I have control over who enters the session so you can be assured it will only be the two of us.
What does it mean that you are accredited by the NCS and BACP ?
The NCS stands for the National Counselling Society and BACP for the British Association for Counselling and Psychotherapy.
They are professional associations for counsellors and psychotherapists and work to ensure clients are protected and can receive safe, ethical counselling from appropriately qualified counsellors.
To be accredited by either body means I have demonstrated to them, through a rigorous process, that I have demonstrated high standards of competent and ethical work.
How do I know you work safely?
As an accredited counsellor I adhere to their ethical framework for good practice and their professional conduct procedure and have demonstrated that I do this to a high standard. This code of ethics has been put in place to ensure I am working safely, it can be viewed on the NCS and/or BACP website at
How much do you charge?
£40 per session
Payment can be via card, cash or bank transfer.
Concessions are available for those on a low income
How long is a session?
50 minutes to an hour
What will happen in an initial session?
We will sit down and have a talk about what brought you to counselling and what you want. I will explain how I work and what I can offer. We will discuss if you want to work with me, confidentiality, dates and times for our sessions, how your information is stored and any concerns/questions you may have. We will also look at setting some goals for what you want to achieve in counselling.
Where will we meet?
I work out of an office in Adlington, close to Chorley and Horwich. Alternatively I also conduct sessions online via Zoom and over the telephone.
Will you tell my GP what we discuss?
The content of our sessions is confidential. There are some exceptions to this, such as if you or someone else's life is at serious risk, there is criminal activity or a safeguarding risk. I will discuss these exceptions further at our initial meeting and you can ask any questions about it at any point.
Any other information will not be passed on without your consent.
All your personal information is stored securely according to GDPR (2018) regulations)
What happens if I need to cancel or miss an appointment?
If you are unable to attend a session please try to give at least 24 hours’ notice, I will endeavour to do the same. I reserve the right to charge 50% of the session fee for late cancellations. You can contact me on 07444 898346 or via email at Ruth@amethystcounselling.co.uk
If you don’t attend a session and have not contacted me I will contact you within 24 hours
If you wish I can offer a free text reminder service for appointments.
What if I have a mental health diagnosis?
I can still work with you if you have a mental health diagnosis depending on your individual need. We would need to discuss your needs at the initial consultation.
If you are receiving care from the mental health team I may need permission from you to communicate with them (though I will not be discussing the exact content of our sessions)
What do I do if I have a complaint?
If you are not happy with the service, feel my way of working isn’t working for you or you wish to make a complaint please discuss it with me in the first instance.
The NCS and BACP have more information and information sheets on things such as how to get the best from your therapist and what to therapists mean by professional boundaries (click on the links for more details)
What do I do if I need help in between sessions?
If you need help and support in between sessions, there are several support services available including;
The Samaritans – 116 123
Papyrus - 0800 068 4141
The Crisis Team (Chorley) - 01772 773433
The Start team - 01772 676173 (9am-5pm Monday-Friday)
The Haven (mental Health support) - 0330 008 3672
SANEline – (Out of hours mental health support 4:30pm – 10:30pm) –0300 304 7000
Still have more questions? Get in touch and I’ll be happy to answer them