Frequently asked questions

An initial consultation usually starts by addressing what brings you to seek therapy at this moment in time. The clinician you will meet will be listening carefully in order to get to know you and help you think about what might be going on, therefore you should expect to do most of the talking at least during the first half of the session. The clinician might make small comments to clarify what you are sharing, as well as offer you some interpretations to further your thoughts.

Initial consultations are also an opportunity for you to get to know the clinician and ask any questions you might have, either about the process of therapy, the clinician or about your self.

Ultimately an initial consultation is a two way assessment, where both you and the therapist will not only be trying to reach a shared understanding about what would be your goals for therapy, but also about whether you two can work well together. Having a good working relationship with your clinician is a very important part of therapy.

Sometimes it only takes one consultation to achieve a shared understanding of the aims of therapy and to determine whether you and the clinician feel able to work well together. Sometimes this is a process in itself and some people need a period of consultations before reaching a decision about the best way forward.

Therapy can help you improve your inner state of mind, create and maintain meaningful relationships, and deal with problematic behaviours, beliefs and feelings.

Making the decision to seek therapy is a big step in taking care of yourself and/or your family. Most people that go to therapy are everyday people with everyday issues that have decided to be proactive about improving their life. There are many different reasons that might take you to consider seeking a therapeutic space, like depression, anxiety disorders, family problems, parenting issues, self-esteem, dependency issues, life purpose and sexuality, just to name a few!

For further information please read our blog on Why to seek therapy now.

Psychoanalytic psychotherapy draws on theories and practices of analytical psychology and psychoanalysis. Through the therapeutic process it aims to help patients understand and resolve their problems by increasing their awareness of their inner world and its influence over their relationships. Instead of narrowing in on individual problems, psychotherapy considers overall patterns, chronic issues, and recurrent feelings. This requires an openness to exploring the past and its impact on the present. The aim of psychotherapy is to resolve the underlying issues which fuel ongoing complaints. Psychotherapy aims for deep seated change in personality and emotional development.

In psychotherapy the relationship with the therapist is an important element in the therapy. The therapist offers a confidential and private setting which facilitates a process where unconscious patterns of the patient’s inner world become reflected in the patient’s relationship with the therapist (transference). This process helps patients gradually to identify these patterns and, in becoming conscious of them, to develop the capacity to understand and change them.

Sometimes people seek help for specific reasons such as eating disorders, psycho-somatic conditions, obsessional behaviour, or phobic anxieties. At other times help is sought because of more general underlying feelings of depression or anxiety, difficulties in concentrating, dissatisfaction in work or inability to form satisfactory relationships. It may benefit adults, children, and adolescents. It can help children who have emotional and behavioural difficulties which are evident at home or school. These can include personality problems, depression, learning difficulties, school phobias, eating or sleeping disorders.

Counselling, sometimes called “talk therapy,” is a conversation or series of conversations between a counsellor and patient. Counselling usually focuses on a specific problem and taking the steps to address or solve it. Problems are discussed in the present-tense, without too much attention on the role of past experiences. Counsellors guide clients to discover their own answers and support them through the actions they choose to take.
Counselling and Psychotherapy are sometimes used as umbrella terms for any kind of talking therapies. Confusingly some types of counselling and psychotherapy can overlap considerably in training and practice, whilst other trainings in psychotherapy (like in psychoanalytic psychotherapy) can be significantly longer.

In brief, counselling tends to focus more on the behaviours, choices, actions, emotions and challenges at the present time. Whilst psychotherapy also focuses on the present, it also seeks to understand your past experiences and how these have come to impact your current experiences and ways of feeling.

Another commonly thought difference is that counselling is generally thought of as a short to medium term process. Although there are models for brief psychotherapy, psychotherapy can also be a longer term process when both the patient and the therapist agree that this is helpful.

In reality, both counsellors and psychotherapists may work in comparable ways. At Jigsaw therapy we have both counsellors and psychotherapist from diverse and rigorous trainings.

In most cases and in general, yes. No information will be disclosed to anyone without your permission. However there are some important exceptions:
  • Suspected child abuse, dependent abuse, or elder abuse.
  • Client is threatening serious physical harm to another person.
  • Client intends to harm him/herself.
In these cases, the clinician has the ‘duty of care’ by law to report this to the appropriate authorities. Even in these circumstances your clinician will not do anything without discussing this first with you.
Many individuals; adults, couples, families, children and adolescents can benefit from therapy at the right point in time and with a well-matched therapist. After an initial, no obligation enquiry either by telephone or enquiry form, (found below or on the ‘Contact us” page), we would consider together with you if it is appropriate, to meet with a therapist for an initial consultation. This would be a process, as detailed above, of ascertaining whether therapy would be of benefit and whether the therapist is a ‘good fit’.

Occasionally, an initial consultation can highlight other issues which need to be considered prior to therapy taking place or signpost to other organisations which may be better placed to support current concerns.  Otherwise, often there will then be a joint agreement to go ahead with the therapeutic process. Your experience is always considered along the process and whilst being in therapy may stir up sometimes unexpected and unanticipated emotions, individuals usually find that therapy is a helpful and worthwhile process. You are invited to consider our testimonials, written by individuals who have completed therapy.

Therapy can be shorter or longer term. The number of sessions will depend on you, your therapist, the type of therapy and the depth and complexity of the issues you want to resolve. It is unusual for therapy to last for less than six sessions, and with mutual collaboration and agreement, some types of therapy may last for two years or more.
At Jigsaw Therapy our fees vary depending on therapist and location. Additionally, cost will vary depending on the length, frequency and duration of sessions. Some therapists are approved as providers with private health insurers which can cover some or all therapy sessions.

We are happy to have a further, no obligation conversation either via telephone or our enquiry form. These can be found either at the bottom of the page or on the ‘Contact us’ page.


“The ego is not master in its own house.”

― Sigmund Freud

Illustration by Shout, New York Times

Contact Us

Marielle Quint, Founding Partner 07857964909

Fiorella Lanata, Founding Partner 07593025879

email: info@jigsawtherapy.co.uk

Our locations

In North London:
Golders Green
Finchley Central
West Hampstead
Muswell Hill
Belsize Park

In West London:
Maida Vale