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

In and around Dudley
Life in Dudley
In some families nothing is ever discussed, and the rule is never stated because it does not need to be. Dudley has generations of that: work that was hard, losses that went unmarked, and a shared understanding that you keep it to yourself. Growing up inside it teaches you a great deal about endurance and almost nothing about being known. Later, that shows up as a marriage where you cannot say what you need, or a persistent conviction that you are not worth much despite plenty of evidence to the contrary. It is old, it is durable, and shorter therapy tends to skate over the top of it.
Areas covered
Wherever you are in Dudley, the work is the same, a calm, confidential space shaped around you.
The local picture
Official figures for Dudley, for context rather than as a description of you.
recorded depression on GP registers stood at 17.2% 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 102.8 per 100,000 in 2023/24, below the England average of 117 per 100,000. Source: OHID Fingertips – Emergency Hospital Admissions for Intentional Self-Harm (2023/24).
19.9% 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.
The method travels; only the geography changes. the psychotherapy page explains it properly, the practical side answers the practical questions, and how to check my registration shows how the practice is held to account.
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.
This is long work and it runs online from Hove, which removes the problem of sustaining a weekly journey for a year. The hour keeps going through a change of job, a move from Woodsetton to Brierley Hill, or a bad month when going out feels impossible. That reliability is a large part of what makes depth possible. What you need to arrange is somewhere private, once a week, and a household that lets you have it uninterrupted.
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 Dudley
Almost everyone who comes for this has tried something briefer first. It helped, then the same thing came round again, and that repetition is the actual subject. We work on how you learned to be with people: what was safe to feel as a child, what earned approval, what had to be hidden. Self-worth and attachment are slow to shift because they were built slowly. Emergency hospital admissions for self-harm in Dudley ran at 102.8 per 100,000 in 2023/24, below the England average of 117 per 100,000, and a figure below average never tells you what an individual is carrying behind a closed front door. Expect months, occasionally a year or two, reviewed openly as we go. You set the pace and you may stop. The NHS Talking Therapies finder remains open to self-referral in England if you want NHS support running alongside.
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 Dudley, you can refer yourself directly to NHS talking therapies for anxiety and depression, with no GP referral needed. You can find support through the NHS Talking Therapies finder.
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.
Dudley questions
Shorter counselling stays with the present difficulty and often finishes inside a few months. This goes back to where the pattern was formed, which means it takes longer and moves at a different pace. Having already done the shorter work usually makes the deeper work easier rather than redundant.
The hourly rate does not change with the length of the work. A weekly hour is £80, with £100 for ninety minutes and £120 for two hours if more space is wanted. Bring the question of affordability to the free 15-minute call so you can plan honestly.
That is one of the most common reasons for beginning this kind of work, and it is not a sign of failure on your part. Short therapy treats the episode, which is what it was designed for. When episodes keep recurring, the structure underneath them is the thing to look at.
It can. Depth comes from consistency and from honesty, and both survive a screen intact. A lot of people find they say the hard things sooner sitting in their own home than they ever would somewhere unfamiliar. The main requirement is that your end stays genuinely private.
It often does. When the people who fixed your role are still around, the role keeps being confirmed: the strong one, the one who never complains, the one who sorts everyone else out. Seeing where that came from, and choosing whether to keep it, is much of the work.
Counselling usually focuses on a present difficulty over a shorter time, while psychotherapy is deeper and more open-ended, exploring the roots of long-standing patterns. Which fits you depends on what you are hoping for, and it is worth weighing up together before you begin.
Psychotherapy is deeper, longer-term work, and for people in Dudley it runs online with no waiting list. After a free 15-minute consultation we agree a regular weekly slot, and ongoing sessions can begin soon after, continuing for as long as they are useful.
NHS psychological therapy in Dudley is free but usually involves a wait and a limited course of sessions. Privately, an hour is £80, 90 minutes 100 and two hours 120, after a free consultation. Open-ended private work often suits deeper therapy.
Deeper work relies on consistency, so a steady weekly video session is ideal, with evening times beyond the standard day often available. You might meet from home in Sedgley or Holly Hall; all that is needed is a private, uninterrupted space.
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: Wolverhampton, Walsall, Birmingham. See all of Midlands.
Also available in Dudley: counselling and therapy, depression counselling and trauma counselling.
Some further reading, if that helps before getting in touch: dislocation and the modern world.
If you can reach the south coast, this work is also done face to face in Brighton — all in-person areas are listed here.