Issues we work with...


Abuse is any behaviour from one person towards another which causes mental, physical, or emotional harm or distress, can be identified as abuse. The main types of abuse:

  1. Physical, which includes domestic abuse (Causing intentional harm or injury to another person through, pushing, violence or physical contact).
  2. Child abuse.
  3. Sexual abuse (Rape, indecent exposure, sexual harassment, sexual teasing, photography).
  4. Emotional or psychological abuse (when one person gains control over another by use of derogatory or undermining words or gestures).
  5. Neglect (Not being offered or provided with correct forms of food or not being taken care of adequately for your needs. Leaving you dirty or inadequately clothed are forms of Neglect abuse).
  6. Discriminatory abuse (derogatory comments, harassment, being denied medical treatment because of mental health or age.
  7. Financial (includes people taking your money for their own use, making you buy something you do not want or need, will pressure you to buy things they need).

People suffering from abuse are often exhibit signs of becoming quiet or withdrawn, aggressive to others without provocation, looking dirty, this or unkempt, physical signs of violence, acting out of character.


Life events such as accommodation issues, relationship issues. isolation, financial issues, bereavement and work or health related issues can cause anxiety. Living in the 21st century with numerous events and situations occurring on a regular basis can result is us not paying attention to anxiety and stress building up in us until we feel anxious or depressed and consequently unable to cope with our everyday needs and responsibilities.


The death of someone nearest and dearest to us can be devastating. Losing a cherished pet can also be devastating. Bereavement affects different people in different ways, and at different times. What works for one person as they grieve might not work for another.

The commonly accepted stages of bereavement or grief are:

  1. Shock or disbelief.
  2. Denial.
  3. Guilt.
  4. Anger.
  5. Depression.
  6. Acceptance/adjusting to life without the deceased person.

Symptoms of bereavement/grief include, sadness, guilt.

The grieving process does not necessarily move from one to the next. The emotions experience in one stage might be stronger than that in another stage. It is important for people to grieve in their own way or manner.

Grief can also be experienced by people with terminal illnesses as they come to terms with their future demise.

Chronic Fatigue Syndrome (ME)

Chronic Fatigue Syndrome (ME) can be a short or long-term illness which can affect women more than men. ME is not confined to age groups or social groups. Children as well as adults can suffer from the condition. ME can be mild, moderate or severe. The common symptom of ME is extreme tiredness. People suffering from ME are often housebound with some being confined to their beds. Recovery from ME can be quite quick, while for others the recovery can takes months or years.


Depression or anxiety affects 1 in 5 people at some stage of their lives. Depressive episodes can differ in intensity from mild, moderate or severe. For some people depression can have a significant impact on their ability to function in their daily life. Depressive episodes can last for short periods or for months or years if not treated. Depression can have recognisable triggers such as relationship, work, or social issues, while for others the trigger can be unrecognisable at first and appear to ‘just creep up on them’.

Eating Disorders

Eating disorders include Anorexia nervosa, Bulimia and Binge eating. Anorexia Nervosa is more common amongst girls and woman than boys and men. Binge eating according to can affect over 1.6 million people in the UK.

Everyday Life Events e.g. Divorce, Health

There are numerous events, or situations, in our life which causes us distress such as relationship, employment, financial issues which can present seemingly insurmountable obstacles which can in tern lead to anxiety and depression.

Gender Identity

Our gender identity is unique to us; it is our own personal perspective of our being in terms of male, female or non-binary gender identity. Our gender influences most interaction between us and other people. It can influence how we are accepted in our own culture or different cultures. It can influence our position in employment and how we are paid.

There are some people whose internal gender identity does not match their external biological physical gender. This incongruence can be so intense to those experience (gender dysphoria) it they might seek gender reassignment.

Gender Reassignment

Gender reassignment, the transitioning from a person’s birth sex/gender to their perceived gender can lead in most cases to the person seeking gender reassignment surgery (GRS). However, not all transgender people seek full gender reassignment surgery (GRS); some seek cross-sex hormone treatment only.

Most female-to-male trans people seek partial  bi-lateral mastectomy and chest reconstruction surgery. Approximately 50% of those people go on to have phalloplasty surgery.

Many Tran’s people face discrimination work place discrimination and/or being ostracised by their families.

Gender Dysphoria

The World Professional Association for Transgender Health (WPATH) Standards of Care (SOC)  states ‘Gender dysphoria to discomfort or distress that is caused by a discrepancy between a person’s gender identity and that person’s sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics) (Fisk, 1974; Knudson, De Cuypere, & Bockting,  2010b)’.

Hearing Loss

Hearing loss due to aging is a common condition that impacts many older adults. Almost 1 in 2 adults over age 65 experience some degree of hearing loss.

Age-related hearing loss is also known as presbycusis. Although age-related hearing loss is not a life-threatening condition, it can have a significant impact on quality of life.

Hearing loss can also be the result of an accident.

We work with the above where the loss of hearing has impacted on a person’s identity, as well as their quality of life.


Obsessive Compulsory Disorder is a condition where people have thoughts about situations or practices which become obsessional urges or needs. These urges or needs can vary in intensity and can only be relieved by repeatedly carrying out acts or rituals such as washing of hands repeatedly to be sure they ‘really are  clean’ or shutting doors numerous times to confirm they are shut. The need to carry out these actions often becomes intrusive in a person’s life. It is only by carrying out these actions that the intense need to do so can become manageable. Through counselling or psychotherapy person who suffer this condition can learn how to reduce or overcome or manage the condition.

Personal Development

Counselling or psychotherapy is not only restricted to working with negative issues in a person’s life. Quite often people seek to improve their life through further education or change of employment. These changes might seem challenging, or the route to doing so might not have been fully explored. Counselling or psychotherapy can help a person identify the best way for them to achieve their goals.


Traumatic events either witnessed or having been involved by someone in can to Post Traumatic Stress Disorder. PTSD can be mild, moderate or severe in intensity. People suffering from PTSD might experience sleep issues, feeling emotionally numb or disassociated from reality. For some people the symptoms associated with their PTSD might reduce quite quickly, while for others this might take months or years. Well wishing family members or friends might encourage them to ‘get over their problems’ or simply ‘move on from them’. PTSD events or situations are not that simple to ‘get over, or move on from’ and counselling or psychotherapy is often required.

Relationship Counselling

As human beings we are relational creatures, for the majority of people being in a relationship with another person is paramount in their lives. Maintaining relationships can sometimes cause difficulties. Some relationships can survive these difficulties and prosper, while others are insurmountable and might require external involvement to overcome. There are some relationships which do not survive and result in a going of separate ways. Some people separation does not have to be negative. They are able to do so positively and remain friends.


As we grow up we develop a sense of who we are, and how we fit in with those we come into contact in our lives. If this is achieve positively we can feel good about our self.  Fitting in and getting along with these people is not always achieved positively. Other people might have negative thoughts about us and make it known. This can result in us thoughts of our self becoming significantly reduced.

People suffering from low self-esteem might not feel confident in mixing with others or trying new things. This might then lead to them becoming increasingly anxious or depressed and can lead to self-harm.


People who self-harm often do so to distract themselves from difficult or overwhelming emotions or situations. The relief often felt from self-harming is often shot-lived and replaced by feelings of guilt or shame. This in turn results in a further need to self-harm and thus the cycle continues. Counselling or psychotherapy can explore the origins of the overwhelming emotions or situations and identify ways to manage and resolve them without the need to self-harm.