Alcohol
For when drinking has stopped feeling like a choice.
Online Addiction Counselling · Truro
Online addiction counselling for Truro, by secure video. From a base in Hove I work with people across Truro, from the cathedral and the centre to the streets around the river, with the same BACP-registered, confidential support as an in-person session, and no journey.

In and around Truro
Life in Truro
Truro is Cornwall's only city and its administrative heart, set in a beautiful but remote county where wages are low and specialist help can be a long drive away. Seasonal work, second homes pricing out locals, and the isolation of the far South West all weigh on wellbeing.
Truro is Cornwall's one city and the place the whole county turns to. Its spired cathedral rises over a compact centre of Georgian streets, the Hall for Cornwall and the market on Lemon Quay, while the council offices and the Royal Cornwall Hospital at Treliske draw workers and patients from across the far south west. Much of the surrounding economy leans on tourism and farming, with wages that struggle against house prices pushed up by second homes and holiday lets. Getting anywhere else means a long drive or a long train, and that remoteness is felt keenly when things go wrong. A confidential conversation you can have from home, without a journey up-country, matters all the more here.
Beneath a calm, historic surface, struggle can be hard to voice; a confidential online hour asks nothing of appearances.
Truro is Cornwall's only city and its administrative centre, home to Truro Cathedral and the Royal Cornwall Hospital at Treliske (Royal Cornwall Hospitals NHS Trust).
Areas covered
Wherever you are in Truro, the work is the same, a calm, confidential space shaped around you.
The local picture
These figures are local context from official sources, not a description of you, but they show the scale of what people in and around Truro are living with, and why local support matters.
the rate of hospital admissions for alcohol-related conditions (narrow definition) was 467.9 per 100,000 in 2023/24, below the England average of 504.1 per 100,000. Source: OHID Fingertips – Admission episodes for alcohol-related conditions (narrow) (2023/24).
the rate of deaths from drug misuse was 7.1 per 100,000 in 2022 - 24, above the England average of 5.8 per 100,000. Source: OHID Fingertips – Deaths from drug misuse (2022 - 24).
Local data last reviewed June 2026. Each figure shows the year and links to the official source it was read on.
Addiction counselling here treats the pain beneath the habit, not just the symptom, alcohol, drugs, gambling, food or behavioural, so recovery is something you grow into rather than force.
The approach is the same wherever you live, so rather than repeat it on every page you can read it in full, the methods, what each session covers and fees, on the main addiction counselling page and on how I work.
Sessions run over a secure, encrypted video link held to the same strict BACP confidentiality as meeting in person. After a free fifteen-minute call to check we are a good fit, you join each session from any private space using a phone, tablet or laptop, no software to install, no waiting room and no journey at either end.
Truro sits on the main Cornish railway between Penzance and London and near the A30, with a branch line down to Falmouth, but the far south west is a long way from anywhere and cross-county journeys are slow. Secure online sessions close that distance completely, so we can meet by video without travelling. The room itself is in Hove, so Truro is served online; in-person appointments are only realistic for those able to reach the Sussex coast.
Book a free 15-minute callWhat I help with
For when drinking has stopped feeling like a choice.
Compassionate, confidential help with substance use.
Breaking the cycle of compulsive gambling, guilt and debt.
Support for food and process addictions.
Help for those living alongside someone's addiction.
We treat the cause, not just the symptom.
Addiction Counselling in Truro
In Truro, the place the whole of Cornwall turns to, remoteness is felt keenly when things go wrong, and getting anywhere else means a long drive or a long train. That distance, alongside low wages and the strain of a tourism-shaped economy, can leave a habit to grow with little support close at hand. A confidential conversation you can have from home, without a journey up-country, matters all the more here. Sessions are by secure video; the room is in Hove, so Truro is served online, with in-person appointments only for those able to reach the Sussex coast.
Not sure if it is right for you? A free fifteen-minute call is a no-obligation way to talk it through.
Book a free 15-minute callMy online counselling sits alongside the help available locally. In Truro, free local drug and alcohol support is available through Cornwall Council's Drug and Alcohol Action Team.
For confidential information and advice, FRANK (on 0300 123 6600) and Drinkline on 0300 123 1110 are free, and Alcoholics Anonymous and SMART Recovery run peer-support meetings you can find online.
Other local and national support verified for this area includes:
This is not a crisis service. If anyone is in immediate danger call 999. For urgent mental health support, call NHS 111 and choose the mental health option. The Samaritans are free, day or night, on 116 123, or text SHOUT to 85258.
Truro questions
Yes. I work with people right across Truro, from the cathedral and the centre outwards, and anywhere else in South West, by secure video, no need to travel to Hove, and just as confidential as meeting in the room.
No. We begin wherever you are. The work is about understanding the need the behaviour has been meeting, not passing a test first.
Yes. The same approach applies to gambling, food and other compulsive behaviours, because we work with the underlying pattern rather than only the substance.
Completely. Sessions are private, online means no waiting room, and everything is held under the BACP Ethical Framework.
No. This is where online sessions help most: no long drive up-country and no train to catch, and we meet by secure video from home. The counselling room is in Hove, so Cornwall is served online rather than in person.
Once you get in touch we usually arrange a free 15-minute consultation within a few days, then book your first full session soon after. Everything runs online, so wherever you are in Truro, from Highertown to Malabar, you can begin without waiting for a local referral.
Sessions are £80 for 60 minutes, £100 for 90 minutes and £120 for 120 minutes, with a free 15-minute consultation first. NHS support in Truro, through your GP or services around the Royal Cornwall Hospital at Treliske, is free but can involve a wait, whereas private online work with me usually starts within days.
For most people it works just as well, and many prefer the privacy. My consulting room is in Hove, so face-to-face suits only those able to travel to the Sussex coast. Meeting online spares you the trip across Truro near the cathedral, and I keep some later appointments for busy weeks.
No. This is where online sessions help most: there is no long drive up-country and no train to catch, and we meet by secure video from home. The counselling room is in Hove, so Cornwall is served online rather than in person.
Of course. The strain of high housing costs and a tourism-shaped economy is a real part of life here, and we can talk it through. Sessions are held online by secure video. The room itself is in Hove, on the Sussex coast.
A free fifteen-minute call is the simplest place to start, no obligation, just a chance to see if we are the right fit.
Also available online across South West: Exeter, Plymouth. See all of South West.
All counselling & therapy in Truro: Substance Use · Drinking Problems · Anxiety · Depression · Relationship · Trauma · Counselling & Therapy · Psychotherapy.
Closer to the Sussex coast? The same addiction counselling is available in person in Brighton & Hove, or see all in-person areas.