Not at all. Many people I work with don’t fit neatly into a label; they just know they’re tired of feeling stuck, anxious, or repeating the same painful patterns. Therapy is about you, not a diagnosis.

That’s common, and it doesn’t mean you can’t get better. Sometimes, past therapies may have only skimmed the surface. My work focuses on encouraging you to get underneath the surface noise, so we are able to discover what’s really going on and what is driving your anxiety, shame, self-sabotage, and whatever may be holding you back from the life you want these days as an adult, increasing the potential for long-term change in your life.

The length of therapy varies. Some clients see significant changes in a few weeks or a few months. Some people come to therapy to work on something really specific, while others benefit from longer-term work. Progress depends on your readiness to engage and stay present, along with the issues we’re exploring and your goals, which will inevitably change throughout therapy. Together, we’ll set a pace that works for you.

Feeling afraid to open up is really normal. Therapy isn’t about forcing disclosure; it’s about us co-creating a confidential, professional space where you can begin to share at your own pace. Part of my role is helping you face those fears while feeling supported, not judged, because part of therapy is learning why those fears are there and how they can loosen their grip. You don’t have to face it alone.

I practice psychodynamic therapy and ISTDP principles: evidence-based approaches that help us to uncover the ‘unconscious’ emotional patterns behind anxiety, depression, trauma, shame, and relationship difficulties. It’s really not about quick fixes, and more about developing your capacity to tolerate your own anxiety, and experience your feelings and emotions so you don’t have to keep avoiding and feeling stuck within yourself.

Yes. I provide secure online therapy sessions across the UK via encrypted video (Doxy.me). Many clients find online therapy just as effective as in-person, with the added flexibility and comfort of working from home.

My fee is £65 for a 50-minute online therapy session. Morning, afternoon, and evening appointments are available.

At present, I don’t work directly with insurance providers. Therapy is paid privately, though some clients are able to claim back costs depending on their policy. It’s worth checking directly with your insurer. I can provide receipts if your provider offers reimbursement.

You’re welcome to email me about scheduling or practical matters. The core of the work happens within our scheduled sessions, which helps keep the work contained and focused.

Yes. In addition to my clinical work, I contribute to national media and press, including interviews and articles on mental health, psychotherapy, anxiety, and trauma. Please visit my Media & Press page for more details or to make an enquiry.

Therapy with Rick is based in Buxton, Derbyshire, SK17, and offers professional online therapy sessions across the UK and select locations in Europe. While clients often come from nearby cities such as Manchester, Sheffield, and Leeds, secure online sessions make it possible to work together from anywhere.