Drugs and substances
Confidential support for any kind of substance use.
Online Substance Use Counselling · Perth
Online substance use counselling 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.
The local picture
These figures are local context from official sources, not a description of you, but they show the scale of what people in and around Perth are living with, and why local support matters.
the age-standardised drug-misuse death rate in Perth and Kinross averaged 18.0 per 100,000 over 2020-2024, below the Scotland average of 22.5 Source: National Records of Scotland, Drug-related deaths in Scotland 2024 (Table C4) (2020-2024).
Local data last reviewed June 2026. Each figure shows the year and links to the official source it was read on.
Substance use counselling here is non-judgemental and one-to-one, working with the pain, fear or loneliness the substance has been managing, at a pace that protects your sense of safety.
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 substance use counselling 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
Confidential support for any kind of substance use.
Letting go of the protective self that no longer serves you.
One-to-one sessions shaped entirely around you.
Rediscovering the authentic self beneath the coping.
Treating what the substance has been masking.
Growing into recovery rather than forcing it.
Substance Use Counselling in Perth
Away from the bigger cities, substance use in and around Perth can be easy to keep hidden and harder to find help for, with specialist support often a long way off. Whether it is cannabis, prescription medication, cocaine or something else that has grown into more of your life than you would like, where you live should not decide whether you get support. This work is private and non-judgemental. By secure video, reaching the Fair City and the wider countryside alike, we look honestly at what the substance does for you and how to change your relationship with it, with no journey and no labels.
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 local NHS-funded drug and alcohol services, and you can find your nearest one via the NHS “find a service” directory.
For confidential information and advice, FRANK (on 0300 123 6600) and Drinkline on 0300 123 1110 are free, and Alcoholics Anonymous and SMART Recovery run peer-support meetings you can find online.
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.
Yes. This is non-judgemental, one-to-one work that meets you where you are, and it can run alongside any medical or detox support you have.
It is individual and shaped entirely around you. Some people use it instead of groups, others alongside them.
No. What you share is confidential within the BACP framework; nothing goes to anyone else without your consent.
Online work opens things up. Because sessions run by secure video, you are not limited to what is available locally or to a long drive elsewhere. We can meet from your own home, wherever you are in Perth or the surrounding countryside, entirely privately.
Usually within days of a free 15-minute consultation. As long as you have a steady connection and a private space, secure video reaches you wherever you are in Perthshire, far more practically than driving into Perth or beyond for each appointment.
Fees are £80 for 60 minutes, £100 for 90 and £120 for 120, after a free 15-minute consultation. NHS Tayside support is free but often carries a wait, with travel on top for rural clients; private sessions carry a fee and can start promptly.
By secure, confidential video from home, in the city or in the villages of Perthshire. Evening slots are available around work, and there is no drive to a service, which spares the distances that make specialist help hard to reach across this wide rural county.
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 · Drinking Problems · Anxiety · Depression · Relationship · Trauma · Counselling & Therapy · Psychotherapy.
Closer to the Sussex coast? The same substance use counselling is available in person in Brighton & Hove, or see all in-person areas.