Anxiety and worry
When your mind will not settle and everything feels urgent.
Online Counselling and Therapy · Derby
Online counselling and therapy for Derby, by secure video. From a base in Hove I work with people across Derby, from the Cathedral Quarter and the centre to the streets around the Silk Mill, with the same BACP-registered, confidential support as an in-person session, and no journey.

In and around Derby
Life in Derby
It rarely announces itself. You are sleeping badly, the fuse is short, and the things that used to be easy have become oddly heavy, but nothing has happened that would explain it to anyone. Derby is a city where people describe themselves by what they make, and being unable to say what is wrong sits awkwardly with that. Perhaps the rota has wrecked your sleep for months. Perhaps a restructuring took the certainty out of a job you thought you had for life. Perhaps you are in Littleover or Mickleover with a decent house, a decent income and no explanation at all. You do not need one to start.
Areas covered
Wherever you are in Derby, 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 Derby are living with, and why local support matters.
29.3% of adults reported a high anxiety score in 2022/23, above the England average of 23.8%. Source: OHID Fingertips – Self-reported wellbeing: high anxiety score (2022/23).
recorded depression on GP registers stood at 13.6% of patients aged 18+ in 2024/25, below the England average of 14.3%. Source: OHID Fingertips – Depression: QOF prevalence (2024/25).
the rate of emergency hospital admissions for self-harm was 133.1 per 100,000 in 2023/24, above the England average of 117 per 100,000. Source: OHID Fingertips – Emergency Hospital Admissions for Intentional Self-Harm (2023/24).
Local data last reviewed June 2026. Each figure shows the year and links to the official source it was read on.
Counselling and therapy here is one steady starting point for whatever you are carrying, anxiety, low mood, addiction, relationships or the past, integrative and led by you, so we begin with what matters most and shape the work around you.
Rather than say the same thing on every page, the substance lives on the counselling and therapy page, with how I work for the practical questions and qualifications, registration and ethics for registration and ethics.
Sessions run over a secure, encrypted video link, held to the same BACP confidentiality as meeting in person. After a free fifteen-minute call, you join from any private space on a phone, tablet or laptop.
Everything here is online, run from Hove. That removes the awkwardness of being seen going somewhere, which matters in a city where colleagues live on the same streets. It also means a session can happen at eight in the morning after nights, or at nine in the evening, rather than only in office hours. The free 15-minute call asks for nothing but a quiet spot and half an hour of your time.
Book a free 15-minute callWhat I help with
When your mind will not settle and everything feels urgent.
For the flatness, exhaustion and loss of interest that drain the colour from things.
Alcohol, drugs, gambling or behaviours that have stopped feeling like a choice.
Conflict, distance and trust, as a couple or on your own.
When something you have been through still shapes your present.
For the big transitions, losses and crossroads that leave you unsure which way to turn.
Counselling and Therapy in Derby
This is the door for people who cannot yet name the thing. You will not be asked to diagnose yourself or to arrive with a story already tidied up. We start with the actual week: what happened, what you dreaded, what you have stopped doing without noticing you stopped. Names tend to emerge from that, and once something has a name it stops being a fog. Recorded depression on Derby GP registers stood at 13.6% of patients aged 18 and over in 2024/25, just below the England average of 14.3%, and that is a record of who reached a doctor, not of who is struggling. This work stays in the present and is often short: six to twelve weekly hours does a great deal. If something older is sitting underneath, we will both notice, and you can decide then. Derby and Derbyshire Talking Therapies is the NHS self-referral route.
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 Derby, you can refer yourself directly to Derby and Derbyshire Talking Therapies for free NHS talking therapy, with no GP referral needed.
Private sessions with me usually mean you can start sooner and stay with the same counsellor throughout; I am glad to work alongside any NHS or GP support you already have.
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.
Derby questions
You can, and that is the ordinary starting position rather than an obstacle. Putting words to it is the first part of the work. Bring the evidence you have: the four o'clock waking, the irritability, the flatness on a Sunday. We build the picture from there together.
An hour is £80, ninety minutes £100 and two hours £120, and most people at this stage take the hour. Nothing is booked as a block, so you stop when it has done its job, which is often sooner than expected. Nothing at all is charged for the opening 15-minute call.
Derby and Derbyshire Talking Therapies is the local NHS Talking Therapies service for anxiety and low mood, and in England you can refer yourself straight to it without a GP appointment. Waiting times move around. A number of people start privately and keep their NHS referral live at the same time.
It can be both, and a GP is the right person for the medical side. What counselling works on is everything sleep loss drags in with it: the temper, the dread, the sense of coping on a thread. Those respond well to talking, often quite quickly.
Completely. Sessions happen from wherever you are, nobody sees you arrive anywhere, and what is said stays between us within the usual professional limits. In a city built around a few large employers that matters, and it is one of the reasons people in Derby choose online over anything local.
Because everything is online, appointments can often be arranged for early mornings, evenings or other times that fit a rotating pattern at Rolls-Royce, Toyota or across the city's engineering firms. It is worth raising the times that work for your particular rota.
Counselling and therapy is available to anyone in Derby online, with no waiting list. It starts with a free 15-minute consultation to test the fit, and regular weekly sessions usually follow soon after, wherever you are from Spondon to the Cathedral Quarter.
Derby's NHS Talking Therapies are free but often busy, so expect a wait. Private sessions are £80 an hour, 100 for 90 minutes and 120 for two hours, with a free 15-minute consultation first. Some people combine an NHS referral with private sessions to bridge the gap.
Everything is by video, so a private room and a steady connection are all that is needed, whether in Alvaston or Oakwood. Evening slots are frequently available, which suits long shifts across Derby's manufacturing and rail engineering employers.
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 Midlands: Nottingham, Leicester, Stoke-on-Trent. See all of Midlands.
People who come for counselling and therapy in Derby often also look at anxiety counselling, depression counselling and psychotherapy.
Some further reading, if that helps before getting in touch: how change actually sticks and where to start when you cannot name it.
Within reach of Sussex? counselling and therapy is offered in the room in Hove, where the room is as well as online; see the full list of areas.