Drugs and substances
Confidential support for any kind of substance use.
Online Substance Use Counselling · Truro
Online substance use counselling for Truro, by secure video. From a base in Hove I work with people across Truro, from the cathedral and the centre to the streets around the river, with the same BACP-registered, confidential support as an in-person session, and no journey.

In and around Truro
Life in Truro
Truro is Cornwall's only city and its administrative heart, set in a beautiful but remote county where wages are low and specialist help can be a long drive away. Seasonal work, second homes pricing out locals, and the isolation of the far South West all weigh on wellbeing.
Truro is Cornwall's one city and the place the whole county turns to. Its spired cathedral rises over a compact centre of Georgian streets, the Hall for Cornwall and the market on Lemon Quay, while the council offices and the Royal Cornwall Hospital at Treliske draw workers and patients from across the far south west. Much of the surrounding economy leans on tourism and farming, with wages that struggle against house prices pushed up by second homes and holiday lets. Getting anywhere else means a long drive or a long train, and that remoteness is felt keenly when things go wrong. A confidential conversation you can have from home, without a journey up-country, matters all the more here.
Beneath a calm, historic surface, struggle can be hard to voice; a confidential online hour asks nothing of appearances.
Truro is Cornwall's only city and its administrative centre, home to Truro Cathedral and the Royal Cornwall Hospital at Treliske (Royal Cornwall Hospitals NHS Trust).
Areas covered
Wherever you are in Truro, 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 Truro are living with, and why local support matters.
the rate of deaths from drug misuse was 7.1 per 100,000 in 2022 - 24, above the England average of 5.8 per 100,000. Source: OHID Fingertips – Deaths from drug misuse (2022 - 24).
5 adults per 1,000 were in treatment at specialist drug-misuse services in 2020/21, above the England average of 4.5 per 1,000. Source: OHID Fingertips – Adults in treatment at specialist drug misuse services (2020/21).
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.
Truro sits on the main Cornish railway between Penzance and London and near the A30, with a branch line down to Falmouth, but the far south west is a long way from anywhere and cross-county journeys are slow. Secure online sessions close that distance completely, so we can meet by video without travelling. The room itself is in Hove, so Truro is served online; in-person appointments are only realistic for those able to reach the Sussex coast.
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 Truro
Around Truro, much of the surrounding economy leans on tourism and farming, with seasonal, insecure work and wages that struggle against local prices. In the far South West, that pressure and isolation can leave people reaching for substances, far from easy support. Counselling gives you a non-judgemental space to understand the pattern and what feeds it, with no long journey to make. We meet by secure video; the room is in Hove, so Truro is served online, with in-person visits only for those able to reach the Sussex coast.
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 Truro, free local drug and alcohol support is available through Cornwall Council's Drug and Alcohol Action Team.
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 111 and choose the mental health option. The Samaritans are free, day or night, on 116 123, or text SHOUT to 85258.
Truro questions
Yes. I work with people right across Truro, from the cathedral and the centre outwards, and anywhere else in South West, 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.
Yes. Because we meet by secure video, the distance to bigger centres makes no difference and there is no journey up-country. We look together at what sits underneath the use. The counselling room is in Hove, so Truro is served online.
Often yes. After a short message we set up a free 15-minute call, then arrange your first session, frequently within the same week. Because we meet online, you can talk from home anywhere in Truro, whether that is Gloweth, Kenwyn or Trelander, with no waiting list to join.
I charge £80 for 60 minutes, £100 for 90 minutes and £120 for two hours, and the initial 15-minute consultation is free. NHS drug services and GP referrals in Truro are free of charge but often have waits, while private sessions can start quickly and stay flexible around you.
I hold some appointments later in the day, which helps if you work shifts or long hours around Truro. Sessions are online, so you join from wherever feels private, from Redannick to Newham. In-person work is only at my Hove room, for those who can reach the Sussex coast.
No. This is where online sessions help most: there is no long drive up-country and no train to catch, and we meet by secure video from home. The counselling room is in Hove, so Cornwall is served online rather than in person.
Of course. The strain of high housing costs and a tourism-shaped economy is a real part of life here, and we can talk it through. Sessions are held online by secure video. The room itself is in Hove, on the Sussex coast.
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 South West: Exeter, Plymouth. See all of South West.
All counselling & therapy in Truro: 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.