Recurring patterns
When the same difficulty keeps returning in different forms.
Online Psychotherapy · Bristol
Online psychotherapy for Bristol, by secure video. From a base in Hove I work with people across Bristol, from the harbourside and the centre to the streets around the Suspension Bridge, with the same BACP-registered, confidential support as an in-person session, and no journey.

In and around Bristol
Life in Bristol
Bristol is a good city to reinvent yourself in, which is part of the difficulty. You can change your work, your friends and your postcode from St Pauls to Redland and still find the same thing waiting. The same collapse of confidence in your thirties that arrived in your twenties. The same instinct to leave before anyone leaves you. A city built on independence and self-expression can make it look like a personality rather than a pattern, and around Clifton or Stokes Croft that reading holds up for years. Then something ordinary happens, a job ends or a relationship does, and the old shape underneath is suddenly plain to see.
Areas covered
Wherever you are in Bristol, the work is the same, a calm, confidential space shaped around you.
The local picture
Official figures for Bristol, for context rather than as a description of you.
recorded depression on GP registers stood at 15.6% of patients aged 18+ in 2024/25, above the England average of 14.3%. Source: OHID Fingertips – Depression: QOF prevalence (2024/25).
the rate of emergency hospital admissions for self-harm was 222.9 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).
23.2% of adults reported a high anxiety score in 2022/23, below the England average of 23.8%. Source: OHID Fingertips – Self-reported wellbeing: high anxiety score (2022/23).
Reviewed June 2026.
Psychotherapy here goes a little deeper and usually a little longer than counselling, into the patterns, beliefs and early relationships that shape how you feel now, so change is understood at the root and holds.
Because the work itself is the same wherever you live, the detail sits in one place rather than all of them: the main psychotherapy page sets out the methods, session lengths and fees covers the practicalities, and qualifications, registration and ethics covers accountability.
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.
Long work suits the online format better than most people expect. Bradley is in Hove, so a weekly hour becomes a fixed point that does not depend on the traffic, the bus or which side of Bristol you have moved to. Deep therapy lives on continuity, and continuity is what a video appointment protects. What you must have is a room where you cannot be overheard, week after week, for months at a stretch.
Book a free 15-minute callWhat I help with
When the same difficulty keeps returning in different forms.
How early bonds still shape the way you connect now.
Working with a harsh inner voice and a shaky sense of self.
When something unresolved keeps replaying beneath the surface.
Understanding the root, not just quieting the symptom.
Insight that holds, so change does not slip back.
Psychotherapy in Bristol
Most people arriving for psychotherapy have been in a therapy room before. Something briefer helped, and then a year or two later the same feeling was back with a different story attached. That is the signal for slower work. We look at where the pattern was learned: what happened when you needed something as a child, whose feelings had to be managed, what you decided about yourself in order to make sense of it. Self-worth and identity sit at the centre of this rather than at the edges. Emergency hospital admissions for self-harm in the city ran at 222.9 per 100,000 in 2023/24, against an England average of 117 per 100,000, and behind a figure like that is a great deal of private distress. Expect months rather than sessions, with the pace set by you. VitaMinds, the BNSSG NHS Talking Therapies service, stays open by self-referral.
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 Bristol, you can refer yourself directly to VitaMinds, the BNSSG NHS Talking Therapies service 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.
Bristol questions
Depth and duration, mostly. Counselling deals with the present difficulty over weeks or months. Psychotherapy takes the long view, going back to early relationships and the beliefs formed there. If short work has already been tried and worn off, the longer version is usually the honest answer.
Weekly hours at £80 is the standard pattern, and that is the figure to plan around for however many months the work runs. Ninety minutes is £100 and two hours £120 if more room is ever needed. Nothing has to be paid up front in a block.
You can. VitaMinds, the BNSSG NHS Talking Therapies service, is separate from private work and using both is not a conflict. Some people find the NHS course helps with immediate symptoms while the longer work deals with what keeps producing them.
It does, provided the conditions are right. What depth requires is honesty and an unbroken thread, neither of which depends on being in the same building. Many people say the safety of their own surroundings let them reach difficult material sooner than a consulting space ever did.
It is worth naming that pattern early rather than hoping it will not appear. Leaving before things get difficult is itself material for the work, and the moment you want to stop is often the most useful hour in the whole course of it.
Psychotherapy tends to be longer and more exploratory, looking at where lasting patterns began rather than only current stresses. It suits deeper, ongoing work. Sessions are held by secure video from wherever you are in Bristol, since the consulting room is in Hove, on the Sussex coast.
Deeper psychotherapy is open-ended, so we start when you are ready rather than after a long wait. People across Bristol usually book a first session within a week or two of the free 15-minute consultation. It is all delivered online by secure video from the Hove room.
Longer-term psychotherapy is private and self funded. Each 60-minute session is £80, with £100 for 90 minutes and £120 for two hours, plus a free 15-minute consultation. NHS Talking Therapies in Bristol are reachable through a GP, but they rarely offer the open-ended depth that private work in Bristol allows.
Yes. Regular online sessions let deeper work continue even with a demanding Bristol routine or travel, the kind familiar to students at the University of Bristol and UWE. A consistent weekly slot, including some evenings, keeps the therapy steady. The consulting room is in Hove, so psychotherapy is delivered UK-wide by secure video.
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: Bath, Weston-super-Mare, Gloucester. See all of South West.
Also available in Bristol: counselling and therapy, depression counselling and trauma counselling.
You may also find it useful to read about dislocation and the modern world.
Within reach of Sussex? psychotherapy is offered in the room in Brighton as well as online; see the full list of areas.