FAQs and Further information

FAQs: Frequently asked questions about therapy

Starting therapy can raise a lot of questions, especially if you’ve never done it before. Many people wonder what actually happens in sessions, how long therapy takes, or what to expect emotionally along the way. Below you’ll find answers to some of the most common questions clients ask me, written to help you get a sense of what therapy with me is like and how we might work together.

  • Many people arrive saying, “I’m not even sure where to start.” That’s completely fine. Therapy helps you find language for feelings and experiences that have felt confusing or buried. Sometimes we begin with whatever feels most pressing; other times we start with silence or uncertainty. Either way, we’ll explore together until things begin to make more sense.

  • Yes. Insight doesn’t always lead to change on its own. Therapy helps bridge that gap by exploring what happens emotionally and relationally when you try to do things differently. We’ll look at the patterns that keep you looping back, so understanding turns into something you can actually live, feel and do differently.

  • Many people find themselves repeating familiar dynamics, even when they desperately want things to be different. In therapy, we explore how early experiences and unspoken rules shape what feels safe or familiar in adult relationships. As awareness grows, you can start to choose differently, creating relationships that feel more equal, connected, and honest.

  • There’s no set length because every person and relationship is different. Some people come for a few months to work through a specific issue, while others stay longer to explore deeper emotional patterns. We’ll review progress together, and you can end therapy whenever it feels right. I recommend starting with an open mind and giving yourself time to notice what shifts.

  • That’s often when therapy can be most valuable. You might appear capable to others while feeling anxious, drained, or unseen inside. Therapy offers a space where you don’t have to hold it all together, where you can let the mask go, feel, and understand what’s driving the pressure to manage. Over time, that awareness allows more ease and balance to return.

  • It’s normal to feel unsure about what to expect. The first session is a gentle starting point to talk about what’s been happening and what’s brought you here. You don’t need to prepare anything or know exactly what to say. We’ll use the time to get a sense of how it feels to work together and what you might want from therapy, at a pace that feels comfortable.

  • That’s a very common concern. Therapy can touch on parts of life that have felt painful or hidden, and it’s natural to worry about feeling overwhelmed. We’ll always go at a pace that feels manageable. You don’t need to talk about anything before you’re ready. My role is to support you in feeling safe enough to explore things when the time feels right.

  • It’s understandable to wonder that, especially if you’ve tried therapy before. Therapy isn’t a quick fix, but it can become a space for genuine change when there’s safety and trust. We’ll check in regularly about how the process feels and adjust if needed, so it stays relevant and helpful to you. Change often happens gradually, in ways that feel steadier and more lasting.

  • Confidentiality is an important part of therapy. What you share is kept private, with a few exceptions, for example, if I believe you or someone is at serious risk of harm. I am happy to explain these limits in more detail and what that might mean. Additionally, as part of ongoing ethical practice, I discuss my case work in clinical supervision, which is also a confidential space. Any personal data I hold is stored securely in line with data protection laws. You can read my full privacy policy here.‍ ‍

  • Please see my fees page for up-to-date fees and availability. I offer a limited number of concession spaces. You can email me to arrange an initial session or ask any questions before booking. I typically work weekly, at on same day and time, as consistency helps the work take shape.

  • Yes. I work online as well as in person from rooms in Greenwich and Central London. The process is the same either way, if we do work online, please make sure you are in a confidential indoor space.

  • I see clients weekly for 50-minute sessions at the same time and day each week. If you arrive late, the session will still finish at the scheduled time. For long-term clients, I also work on a bi-weekly basis, if agreed in advance.

  • Payment is made by bank transfer the day before each session. If you need to reschedule, I’ll offer an alternative slot in the same week if available. In order to keep your slot on an ongoing basis, I operate a policy of one unpaid cancellation every three months (excluding my holidays).

This site is written by Alex Vendittelli, a UK-based psychotherapeutic counsellor specialising in helping individuals and couples achieve lasting change in their relationships. Alex works with people experiencing overthinking, emotional overwhelm, recurring arguments, and negative patterns that disrupt connection. He offers therapy online and in person from rooms in Greenwich and Central London, providing an inclusive, LGBTQ+ affirmative space