Fees, format and practicalities
Practical information for working together
This page outlines current fees, session formats, funded work, insurance, cancellations and practical arrangements for individual and couple psychotherapy, clinical supervision and in-person neurofeedback provided through Presenting Past Psychotherapy.
Practical details can feel like a lot when you are already carrying a great deal. My aim is to keep this part clear, steady and easy to navigate.
The first step is usually a free 20-minute consultation. This gives us a chance to make initial contact, talk briefly about what you are looking for, and consider whether working together may be appropriate.
Session fees for self-funded clients
Regular appointments are ordinarily offered Monday to Friday, 9.00 am–5.00 pm UK time, excluding bank holidays.
Appointments are usually 50 minutes, and the following fees apply:
£108 for regular weekly individual psychotherapy, couple psychotherapy and neurofeedback appointments, and for individual clinical supervision, during regular hours
£120 for therapy or neurofeedback appointments arranged less frequently than weekly, and for out-of-hours therapy, neurofeedback or supervision appointments, where exceptionally available
All fees shown are the total amount payable.
Where clinically or professionally helpful, longer or alternative appointment lengths may be discussed and agreed in advance. These are charged proportionally at the applicable 50-minute rate for that service and appointment arrangement.
Where financial circumstances significantly affect access to therapy, a limited number of concessionary fee arrangements may occasionally be considered, subject to availability and periodic review.
Organisation-funded work
The fees above apply to clients and supervisees who fund their own appointments.
Where psychotherapy, neurofeedback, supervision or another professional service is funded by an employer, organisation or other third party, fees are agreed separately. This is because organisation-funded work may involve additional requirements, such as contracting, administration, liaison, reporting, invoicing or other agreed responsibilities.
Fees for organisation-funded work are therefore discussed and agreed individually before the work begins.
How we meet
Sessions are available:
in person, in Shinfield, Reading, Berkshire;
online, by video;
by phone, where appropriate.
Neurofeedback is available in person only.
If you have access needs or practical questions, you are very welcome to ask.
Cancellations and missed sessions
I ask that sessions are attended at the agreed frequency wherever possible.
If you need to cancel, please give as much notice as you can.
Cancellations made with less than seven days' notice are charged in full if the session cannot be rescheduled in a way that maintains the agreed frequency of appointments.
Cancellations with less than one working day's notice, and missed sessions, are charged in full.
Full details of my cancellation policy, working arrangements and other practical terms will be shared before we begin.
The aim of these arrangements is to provide clarity, continuity and a reliable frame for the work.
More practical information
The sections below cover some of the practical details that may vary depending on the kind of work we are doing, including session frequency, language, couple therapy arrangements and other aspects of working together.
Open any section that seems relevant to you.
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Individual psychotherapy, couple psychotherapy, ILF neurofeedback and individual supervision usually take place in 50-minute appointments.
Where clinically appropriate, 80-minute appointments may be discussed, particularly where more space is needed for the work. Longer appointments are charged proportionally at the applicable 50-minute rate.
Session frequency and format are considered together according to what is likely to be most helpful and sustainable.
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Therapy and clinical supervision can be offered in English or Italian.
If working in Italian would feel more natural or supportive, you are welcome to raise this during the initial consultation.
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“Couple” means any relationship between two people.
Session frequency and format are discussed according to what offers enough space, continuity and support for the work.
The way we work together is agreed collaboratively rather than assumed in advance.
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Neurofeedback is available in person only, as it requires specialist equipment and live monitoring so that the training can be adjusted in response to how you are experiencing it.
It is usually offered within an ongoing psychotherapeutic process or, where clinically appropriate, alongside work with another relevant clinician. This is because changes in arousal, sleep, emotion or bodily regulation are best understood within a wider clinical formulation and may need space for therapeutic integration.
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Individual clinical supervision usually takes place in 50-minute appointments.
During regular hours, the fee is £108 for 50 minutes. Where an out-of-hours supervision appointment is exceptionally agreed, the fee is £120 for 50 minutes.
Where a longer supervision appointment would be useful, this may be discussed and agreed in advance and is charged proportionally at the applicable 50-minute rate.
Group supervision is arranged separately according to the size, frequency and structure of the group.
For a regular group of two to four supervisees meeting for 100 minutes, each supervisee is usually charged the applicable 50-minute individual supervision rate.
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I do not currently offer group psychotherapy as a regular standing service, but I may occasionally develop or contribute to groups where there is a clear clinical purpose and appropriate structure.
Group psychotherapy would normally be offered online. Where group work is commissioned by an organisation, an appropriate external venue may instead be agreed as part of the arrangements. My therapy room in Shinfield is not suitable for group psychotherapy.
Fees and arrangements are agreed separately and depend on factors such as the purpose of the group, session length, frequency, number of participants, format and, where relevant, venue or organisational requirements.
If you are interested in group work, you are welcome to ask whether anything appropriate is currently available or being considered.
For more about when group psychotherapy may be relevant:
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I am an approved provider with some health insurers. However, I do not routinely accept insurance-funded work because the administrative requirements and insurer fee levels do not always fit the way I practise.
You have the right to request the therapist of your choice. However, if you wish to use private health insurance, your insurer will decide whether that practitioner and their fee are covered under your particular policy. Insurers may limit the amount they will pay per session, require you to use an approved or recognised provider, or place other conditions on funding.
If my usual fee is higher than your insurer's sessional allowance, your insurer may decline to fund the arrangement or may not permit you to use the insurance payment towards my fee and personally pay the difference. Please check this directly with your insurer before arranging insurance-funded therapy.
You can also choose to work with me on a self-funded basis independently of your insurance arrangements.
Where I do agree to work with an insurer, the arrangements need to be clarified in advance, including the authorised fee, number of sessions, invoicing or reimbursement process, and any reporting requirements.
Unless direct billing has been agreed in advance, clients are responsible for paying my fee directly and arranging any reimbursement from their insurer.
I welcome self-referrals and professional referrals, including referrals from GPs, psychiatrists, health insurers, case management organisations, counsellors and psychotherapists, therapeutic communities, and corporate or organisational sources.
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Requests made during therapy or after therapy has ended for substantial letters, reports, statements, record reviews, or involvement with solicitors, insurers, courts or other third parties are considered individually and may not always be possible.
Professional time involved in substantial external requests is charged at £120 per 50 minutes, calculated proportionally where appropriate.
This may include considering and clarifying the request, seeking necessary professional or indemnity guidance, reviewing current or historical records, correspondence, preparing documents, responding to subsequent questions, and any preparation for or attendance at legal proceedings.
Where information is intended for legal proceedings, any account I provide must be balanced, accurate, professionally impartial and supported by the available records. It cannot be prepared as advocacy or solely to support one party's position. A fair account may need to include relevant personal or clinical history, including information that does not support the position of the person requesting it or that another party may seek to examine.
Providing a letter, report or statement may also lead to requests for further clarification or attendance as a witness.
The purpose and scope of the request, consent, fees and responsibility for payment must be agreed in writing before any substantive work begins.
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Fees for organisations engaging me as a consultant psychotherapist, clinical supervisor or trauma specialist are available on request.
Please get in touch if you would like to discuss the work or request a fee proposal.
A brief professional profile is available for organisations, clinics and consultant-led services considering referral, supervision or consultancy.
My therapy room in Shinfield, Reading
The room is used for in-person psychotherapy, couple psychotherapy, supervision and neurofeedback.
There is usually free parking near the building.
Please note: there is currently no wheelchair access and no accessible toilet.
You do not need to decide everything in advance.
The free 20-minute consultation is a chance to ask initial questions and get a first sense of whether working together may be appropriate.
If we decide to begin, the first sessions give us more time to understand what you are looking for, what may be needed, and how the work might usefully start.
If you have questions about fees, format or timing, the FAQ may help.
There is no pressure to continue.