
FAQ's
Answers to some frequently asked questions for Amethyst Counselling based in Chorley and online
If the answer you need isn't here please get in touch and ask
1
How can counselling help me?
Counselling can offer you a safe, supportive space to talk about what is going on for you and feel genuinely heard.
I support adults with a range of difficulties, including anxiety, stress, trauma, bereavement, burnout, low self-esteem, identity questions, and relationship difficulties. Counselling can help you to:
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feel less overwhelmed by anxiety or stress
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process grief, trauma, or painful experiences
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make sense of difficult situations or emotions
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build confidence, self-esteem, and self-trust
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understand patterns in your thoughts, feelings, or behaviour
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find healthier ways of coping
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explore your strengths and what matters to you
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work through difficult relationships or life transitions
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My approach is tailored to you, which means we work in a way that feels supportive, manageable, and respectful of your individual needs.
2
What is Counselling?
Counselling is a confidential talking therapy where you have space to explore your thoughts, feelings, experiences, and challenges with a trained professional.
I offer counselling in person in Adlington, near Chorley and Horwich, as well as online counselling across the UK and telephone counselling where appropriate. In sessions, we can explore whatever is affecting you, helping you understand yourself more clearly and find ways forward that feel right for you.
My work is rooted in person-centred therapy, and I may also draw on approaches such as:
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compassion-focused therapy
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mindfulness and grounding
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psychoeducation
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cognitive and practical strategies where helpful
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EMDR, where appropriate
Counselling is not something that is done to you. It is a collaborative process, and we work together at your pace.
3
What happpens in a first session?
The first session is a chance for us to get to know each other and talk about what has brought you to counselling.
We can explore:
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what you would like support with
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what you hope to get from counselling
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how I work
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confidentiality and its limits
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practical things like session times, fees, and how your information is stored
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any questions or concerns you may have
There is no pressure to share everything straight away. The first session is simply a starting point and a chance to see whether working together feels right for you.
4
Where do sessions take place?
I offer:
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in-person counselling in Adlington, near Chorley and Horwich
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online counselling via Zoom across the UK
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telephone counselling, where suitable
This gives you the option to choose the format that feels most comfortable and accessible for you.
5
How long is each session?
Most counselling sessions last 50 minutes to 1 hour.
Sometimes, after discussion, EMDR sessions may last 90 minutes
6
How much do sessions cost?
My current fees are:
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£60 for a 50–60 minute counselling session
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£80 for a 90-minute session for some EMDR sessions
Payment can be made by card, cash, or bank transfer. Concessions may be available for those on a low income.
7
Is counselling confidential?
Yes — counselling is confidential, and protecting your privacy is very important to me.
If we meet in person, sessions take place in a private counselling room. If we work online, I use Zoom with privacy features such as a unique meeting link, password protection, and a waiting room.
There are some important limits to confidentiality. For example, I may need to break confidentiality if there is a serious risk of harm to you or someone else, or where there are safeguarding or legal concerns. I will explain this clearly when we begin working together, and you can ask questions about it at any time.
8
Will you tell my GP what we discuss?
No — I will not share the content of our sessions with your GP or anyone else without your consent, unless there is a serious safeguarding, legal, or risk-related reason to do so.
If there is ever a situation where information may need to be shared, I will discuss this with you wherever possible.
9
What is a counselling agreement?
I usually think of this as our working agreement.
This sets out the practical boundaries of how we will work together, including:
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confidentiality
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how your information is stored
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session length and frequency
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fees and payment
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cancellations
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complaints procedures
We talk through this together so you know what to expect. It is there to support safe, clear, professional working — not to tie you into a fixed number of sessions.
10
Are you a BACP accredited counsellor?
Yes — I am an accredited member of the British Association for Counselling and Psychotherapy (BACP), and I also hold accreditation with the NCPS.
Accreditation means I have met professional standards for safe, ethical, and competent practice. I work within the relevant ethical frameworks to help ensure that the counselling I offer is professional, respectful, and focused on client wellbeing.
11
How do I know counselling with you is safe?
As an accredited counsellor, I work within professional ethical frameworks designed to protect clients and support safe practice.
This includes clear boundaries, confidentiality, ongoing professional development, and accountability to professional bodies. If you ever have questions about how I work, I welcome those conversations.
12
What if I have a mental health diagnosis?
You are still very welcome to get in touch.
Having a mental health diagnosis does not automatically prevent counselling from being helpful. Whether I am the right fit will depend on your individual needs and the kind of support you are currently receiving. We can talk this through in an initial consultation.
If you are under the care of a mental health team, I may sometimes need your permission to communicate with them where appropriate, though I would not normally share the detailed content of our sessions.
13
What if I need to cancel a session?
If you need to cancel, I ask for at least 24 hours’ notice where possible.
Late cancellations may still be charged. If you do not attend a session and I have not heard from you, I may contact you within 24 hours to check in. I can also offer a free text reminder service for appointments if that would be helpful.
14
What if I need support in between sessions?
Counselling sessions are an important space for support, but I am not a crisis service.
If you need urgent mental health support between sessions, you can contact:
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NHS 111 and choose the mental health option
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Samaritans on 116 123
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Papyrus HOPELINE247 on 0800 068 4141
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your local crisis or urgent mental health team
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CALM or SANEline, depending on the type of support you need
If you are in immediate danger or unable to keep yourself safe, please call 999 or go to your nearest A&E.
15
What if I want to make a complaint?
hope you would feel able to raise any concerns with me directly in the first instance, especially if something in our work does not feel right for you.
If needed, you can also make a formal complaint through my professional bodies.
Still have questions?
You are very welcome to get in touch if there is anything else you would like to ask about counselling in Chorley or online.
Contact Ruth
📞 07834 720148
✉️ ruth@amethystcounselling.co.uk