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

In and around Manchester
Life in Manchester
A lot of people arrive in Manchester to get away from something and find it packed in with them. You can rebuild an entire life here, in Hulme or Prestwich or Wythenshawe, with new work, new friends and a new postcode, and still be running the same operating instructions laid down at seven years old. Longer therapy tends to begin when someone spots that: the same collapse whenever a relationship gets serious, the same conviction that they are about to be found out at a job they are demonstrably good at. Usually they have had a short course of therapy already and know it helped without solving anything.
Areas covered
Wherever you are in Manchester, the work is the same, a calm, confidential space shaped around you.
The local picture
Official figures for Manchester, for context rather than as a description of you.
recorded depression on GP registers stood at 14.8% 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 105.9 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).
24% 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).
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.
Rather than say the same thing on every page, the substance lives on psychotherapy in detail, with how I work, sessions and fees for the practical questions and professional standards and registration 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.
Because there is no room in this city, this is weekly online work from Hove, and the steadiness is what makes it possible. One hour, the same time each week, held across months while the rest of your life changes around it. City living here means frequent moves and long hours, and an appointment that requires no travel survives both. Phone sessions are available when a camera feels like too much. Endings are prepared for over several weeks, never abrupt.
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 Manchester
Psychotherapy works on what repeats. We look at early attachment, what you had to become to be acceptable in your family, and how those old terms still govern your adult choices, your standards for yourself and your tolerance for being treated badly. This is open-ended work, weekly, usually running a year or more, and considerably slower than the structured short courses people often try first. Emergency hospital admissions for self-harm here were 105.9 per 100,000 in 2023/24, below the England average of 117, though a city with a very young population and a lot of people living far from family is not a city with less pain in it. Manchester Talking Therapies remains the free route for shorter structured work, and most people who end up here have already done a course of something like it.
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 Manchester, you can refer yourself directly to Manchester 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.
Manchester questions
Workplace schemes are short by design and aimed at getting you functioning again, which is often exactly right. This is not that. It is open-ended and goes at what produces the difficulty in the first place, which is slower and asks more of you.
One session a week, £80 for an hour or £100 for 90 minutes, paid as you go with no package and nothing in advance beyond a free 15-minute consultation. There is no notice period. If your income changes, we discuss frequency rather than you stopping abruptly.
Long-term open-ended therapy is very rarely available. Manchester Talking Therapies offers free structured courses by self-referral and Manchester Mind runs local support, both genuinely worth using. People commonly come to this work after those have helped as far as they can.
It is one of the most frequent reasons people begin longer therapy. That feeling almost never responds to evidence, because it is not really about competence. It is about something you concluded early, and it shifts when that conclusion is examined properly.
It can, and this is precisely where online work earns its place. The session travels with you, so a change of flat or even of city does not interrupt anything. Continuity of the relationship matters far more than continuity of address.
Psychotherapy tends to be longer and go deeper, looking at long-standing patterns and where they come from rather than one immediate problem. It suits people who want to understand themselves more fully. We'd talk at the start about which approach fits what you're hoping for.
We can usually begin within a week or two. Psychotherapy tends to be deeper and longer-term, so we start with a free fifteen-minute call, then an early session to understand what has brought you here. From there we settle into a regular online rhythm, wherever you are across Manchester.
Each sixty-minute session is £80, with ninety minutes at £100 if we want more room to work. NHS support through Manchester Royal Infirmary and Talking Therapies is usually shorter-term, so people wanting sustained, deeper work often choose private sessions. The initial fifteen-minute consultation is free.
It can work very well. The steadiness matters more than the room, and many people in Manchester find that speaking from their own home helps them go deeper sooner. We keep the same weekly time and a secure connection, so the work stays consistent and private over the months it may take.
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 North West: Bolton, Stockport, Oldham. See all of North West.
Related work in Manchester: counselling and therapy, depression counselling and trauma counselling.
There is more on this in my writing: dislocation and the modern world.
Closer to the Sussex coast? The same psychotherapy is available in person, in Hove, where the room is, or see every area I cover.