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

In and around Perth
Life in Perth
Perth, the Fair City on the Tay, is a prosperous-looking gateway between the central belt and the Highlands, but its rural hinterland brings low wages and isolation. The quiet pressures of small-city and country life can build slowly, with specialist help often a long way off.
Perth calls itself the Fair City, and it has the handsome, prosperous look of a place that has long been a gateway between the central belt and the Highlands. The Tay, Scotland's mightiest river, sweeps past the two broad parks known as the Inches, and Scone Palace, where Scottish kings were once crowned, lies just outside town. Perth Concert Hall and the theatre give it a cultural life beyond its size. But the smart streets sit within a wide rural county, and for people in the villages and farms of Perthshire, low wages and long distances are a fact of life. In a small, settled city where faces are familiar, difficulties can go unspoken for a long time.
Beneath a calm, historic surface, struggle can be hard to voice; a confidential online hour asks nothing of appearances.
Perth, the 'Fair City' on the Tay, is served by Perth Royal Infirmary and acts as a gateway between Scotland's central belt and the Highlands.
Areas covered
Wherever you are in Perth, the work is the same, a calm, confidential space shaped around you.
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 is the same wherever you live, so rather than repeat it on every page you can read it in full, the methods, what each session covers and fees, on the main psychotherapy page and on how I work.
Sessions run over a secure, encrypted video link held to the same strict BACP confidentiality as meeting in person. After a free fifteen-minute call to check we are a good fit, you join each session from any private space using a phone, tablet or laptop, no software to install, no waiting room and no journey at either end.
Perth serves a large rural area, and specialist counselling can mean travelling into the city or waiting for NHS Tayside talking therapy. For those out in the Perthshire countryside, distance adds another barrier. Secure video sessions reach the city and the villages around it alike, with no drive involved. I'm based in Hove on the south coast of England and see clients across Scotland and the UK online.
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 Perth
Beneath the Fair City's settled surface, some people in Perth carry things that run deeper than the current pressures of work or rural life: old losses, a difficult past, patterns that keep repeating however quiet life appears. Psychotherapy takes more time than short-term counselling, making room to explore where these patterns began and how they still shape you. We meet by secure video from wherever you feel private, whether in Perth itself or a village out in the country, so this slower, more searching work can continue steadily, with no long drive into town to fit around 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 Perth, your GP can refer you to NHS psychological therapies, and you can find trusted self-help through NHS inform. You can find support through NHS inform; for confidential listening support, Breathing Space is free on 0800 83 85 87.
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 24 on 111 for urgent mental health support. Breathing Space is free on 0800 83 85 87, and the Samaritans are on 116 123.
Perth questions
Yes. I work with people right across Perth, from the centre and the Inches outwards, and anywhere else in Scotland, by secure video, no need to travel to Hove, and just as confidential as meeting in the room.
Psychotherapy usually goes deeper and longer, into the patterns, beliefs and early relationships shaping how you feel now, rather than only the present difficulty. It suits people who notice the same things keep coming round.
Not necessarily, but depth work benefits from time. We agree the pace and depth together and review as we go, so it stays led by you.
Only where it helps make sense of the present. We follow what is alive and relevant for you, gently, never forcing a return to anything before you are ready.
There is no fixed length. Because it explores longer-term patterns rather than one problem, it usually runs longer than short-term counselling, often several months or more. We review together as we go, and you stay in control of how far the work continues.
Usually within a week or two. After a free 15-minute consultation we agree a regular weekly slot for longer-term work, all by secure video. There is no NHS Tayside referral to wait for and no clinic in Perth to attend, so deeper work can start on your timing.
That is your decision. Fees are £80 for 60 minutes, £100 for 90 and £120 for two hours, with a free first consultation. NHS Tayside offers limited long-term psychotherapy and often a wait, so private online work gives Perth clients depth, continuity and a sooner start.
Yes. Longer-term work depends on trust and consistency far more than on sharing a room, and both build well over secure video. From a village, a farm or a home in Perth itself, weekly sessions provide the steady, private setting deeper therapy needs, with no distance to cover.
Yes. As long as you have a steady connection and a private space, secure video reaches you wherever you are in Perthshire. For many in the surrounding villages that's far more practical than driving into Perth or beyond for an appointment.
No. I'm based in Hove in southern England and work with clients across Scotland and the wider UK entirely online. For anyone in Perth, that means confidential video sessions rather than a room in the city.
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 Scotland: Dundee, Stirling, Kirkcaldy. See all of Scotland.
All counselling & therapy in Perth: Addiction · Substance Use · Drinking Problems · Anxiety · Depression · Relationship · Trauma · Counselling & Therapy.
Closer to the Sussex coast? The same psychotherapy is available in person in Brighton & Hove, or see all in-person areas.