Recurring patterns
When the same difficulty keeps returning in different forms.
Online Psychotherapy · London
Online Psychotherapy in London
Online psychotherapy for London, by secure video. From a base in Hove I work with people across London, from the inner boroughs to the streets around the City, with the same BACP-registered, confidential support as an in-person session, and no journey.
BACP registered member25+ years of experienceLived experience
ConfidentialA safe, private space
Person-centredThe therapy fits you
In and around London
Psychotherapy for London, at a glance
- Areas covered online
- All of London: from the inner boroughs to the outer suburbs, Zone 1 out to the edges of the M25
- Known for
- The City, the West End, the river and the great parks
- Region
- London & South East (England)
- Local NHS / support route
- your local borough's NHS Talking Therapies service
- Format
- Secure video, UK-wide. In-person also available on the Sussex coast.
Life in London
Why people in London get in touch
There is a version of London life that looks complete from outside and feels hollow from within. The promotion lands, the flat in Wandsworth or Greenwich finally gets bought, and the same low ache turns up on schedule. People move towards longer work when they start noticing patterns rather than incidents: the third relationship that ended in precisely the same way, the fourth job where you waited to be found out. The capital draws people who left somewhere else in order to become someone else, and that carries its own weight. Nothing about it is urgent in the way a crisis is urgent. It is simply old, and it keeps coming round.
Areas covered
Neighbourhoods in and around London
IslingtonCamdenHackneyShoreditchBrixtonCroydonEalingGreenwichCanary WharfWandsworthWalthamstow
Wherever you are in London, the work is the same, a calm, confidential space shaped around you.
The local picture
The local picture in London
Official figures for London, for context rather than as a description of you.
Across the London region as a whole (all 32 boroughs), recorded depression on GP registers stood at 10.3% of patients aged 18 and over in 2024/25, below the England average of 14.3%. Source: OHID Fingertips - Depression: QOF prevalence (2024/25).
Across the London region as a whole (all 32 boroughs), the rate of emergency hospital admissions for intentional self-harm was 51.7 per 100,000 in 2023/24, well below the England average of 117.0 per 100,000. Source: OHID Fingertips - Emergency Hospital Admissions for Intentional Self-Harm (2023/24).
Across the London region as a whole (all 32 boroughs), the share of adults reporting a high anxiety score was 23.7% in 2022/23, in line with the England average of 23.3%. Source: OHID Fingertips - Self-reported wellbeing: people with a high anxiety score (2022/23).
Reviewed June 2026.
What does psychotherapy involve?
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 approach does not change with the postcode, so rather than repeat it on every page you can read it in full, the methods and what each session covers, on the main psychotherapy page, alongside how sessions run and what they cost and my BACP registration.
How does meeting by video work in practice?
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.
Depth work needs somewhere it can settle, and online sessions give it exactly that: a fixed weekly hour that does not depend on getting across town in rush hour. Bradley sees London clients by secure video from Hove. When you change borough, or spend a month working abroad, the hour travels with you instead of ending. For long-term work in this city, that continuity is the strongest practical argument there is.
Book a free 15-minute callWhat I help with
Which difficulties does psychotherapy address?
Attachment and relationships
How early bonds still shape the way you connect now.
Identity and self-worth
Working with a harsh inner voice and a shaky sense of self.
The past in the present
When something unresolved keeps replaying beneath the surface.
Beyond symptom relief
Understanding the root, not just quieting the symptom.
Lasting change
Insight that holds, so change does not slip back.
Psychotherapy in London
Why people in London come for psychotherapy
Psychotherapy asks a different question from short-term counselling. Not what is happening this month, but why this particular thing keeps finding you, and what you learned very early about being wanted, being useful or being safe. That takes time. Open-ended weekly work across a year or more is ordinary here, and the middle stretch is often less comfortable than the beginning. It tends to suit people who have already completed a short course of therapy, found it genuinely useful, and watched the same thing return within eighteen months. London complicates this in one specific way: with services commissioned separately by each of the 32 boroughs, and long-term therapy thin inside the NHS, the free route through your local borough's NHS Talking Therapies service is built for briefer, present-focused help. That is still worth using. Depth work is what you add when the brief version keeps almost working.
A free, unhurried first step
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 callFinding support in London
My online counselling sits alongside the help available locally. In London, you can refer yourself directly to your local borough's 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:
If you need urgent help now
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.
London questions
Online Psychotherapy in London: common questions
How long does open-ended work usually run for?
Longer than most people expect at the start. A year of weekly sessions is common and some continue well beyond that, reviewing it together every few months rather than fixing an end date at the beginning. You are free to stop at any point. Nothing obliges you to commit to a block.
What does a year of weekly sessions actually cost?
Sessions are £80 / 60 min, £100 / 90 min or £120 / 120 min, paid one at a time rather than in blocks, so the commitment is only ever to the next week. Most long-term work runs on the 60-minute slot. The opening 15-minute call costs nothing and obliges you to nothing afterwards.
Can I get long-term therapy through the NHS in my borough?
It is scarce. Your local borough's NHS Talking Therapies service is free and self-referral, but it is designed around shorter, present-focused courses, and the 32 boroughs commission differently from one another. Some people use that first and turn to private depth work when the pattern reappears.
Does deeper work really hold up over video?
It does, and the evidence for online therapy at depth is now reasonably settled. What matters more is consistency: the same hour, the same week after week. Many people find they say difficult things earlier from their own space than they would in an unfamiliar building across the city.
I have already tried short-term counselling twice. Why would this be different?
Short courses do the job they are built for, which is the present. If the same difficulty keeps returning after each one, the useful question stops being what happened this year and becomes where the pattern was learned. That is slower work, and it goes at the pace you set.
How is this different from shorter-term counselling?
Psychotherapy tends to run for longer and looks beneath the immediate problem to the recurring patterns underneath. For many Londoners that means understanding why the same difficulties keep returning, rather than only managing the current crisis, and building change that lasts.
How soon can longer-term psychotherapy start online in London?
Soon, and without a waiting list. After a free 15-minute consultation we agree a regular weekly time and begin, usually within a week or two. The deeper work is held securely online from wherever you are in the capital, so the demands of getting across town never interrupt it.
What will ongoing psychotherapy cost compared with the NHS?
Each session is £80 for 60 minutes, with longer 90 and 120-minute options at £100 and £120, after a free 15-minute consultation. NHS therapy tends to be shorter-term and can involve a wait, whereas open-ended private work with Bradley continues for as long as it stays useful.
Does open-ended online therapy fit a demanding London life?
Yes. With no journey to each session, a steady weekly hour can hold even when work in the City or the studios is relentless. Evening times are available, and keeping the same slot and the same therapist week to week is often what makes the deeper work possible.
Online Psychotherapy in London, whenever you are ready
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 London & South East: Watford, Slough, Reading, Guildford. See all of London & South East.
People who come for psychotherapy in London often also look at counselling and therapy, depression counselling and trauma counselling.
Some further reading, if that helps before getting in touch: dislocation and the modern world.
Closer to the Sussex coast? The same psychotherapy is available in person, in Brighton, or see every area I cover.