Why People Work With Rick Cox (MBACP)
This page gives you a clear sense of what it’s like to work with me, what I pay attention to, and why this kind of therapy reaches places other approaches miss.
A way of working shaped by experience
I’ve completed over 4,000 clinical hours online with adults across the UK. This means I’ve sat with hundreds of people while they tried to untangle fears they’ve carried for years. Patterns repeat across lives in different ways, but the core issues tend to fall into the same places:
a fear of your own feelings
a fear of closeness
a fear of yourself and your inner critic
Therapy is where we slow down enough to see what’s behind those fears. There’s no pressure to perform and there’s no expectation to have answers. Just a focused and honest space to finally look at what’s been running your life.
What people often bring to therapy with me
People usually reach out when something in them can’t stay the same:
Emotional avoidance
You sense feelings rising, but push them down.
Anxiety fills the space where the emotion should be.
Relationship patterns
You get close, then pull away.
Or you lose yourself in others and don’t know how to stop.
A harsh inner critic
Your thoughts turn against you, especially when you’re trying to change.
Chronic shame
A quiet belief that something is wrong with you, even if you can’t say it out loud.
Being stuck
Repeating the same emotional loop, knowing it hurts, unable to break it.
You don’t need perfect language to describe any of this. Most people don’t know what’s wrong…… They just know something isn’t right.
How I work with you
I work from a psychodynamic and ISTDP-informed approach.
That means we look directly at what’s happening inside you in real time, not just at the story you’re telling.
I help you notice:
the small shifts in your body
the moments you tighten or pull away
the thoughts that turn sharp
the impulse to change the subject
the feeling that rises then collapses
These micro-movements are where the real work happens. You don’t need to force anything or “do therapy right.” We follow what your nervous system is doing, not what you think you should be doing.
This is not a passive or distant therapy. It’s active, honest, and focused, but it always moves at the pace you can tolerate.
Why this approach works when others haven’t
People often come to me after trying CBT, counselling, or years of coping strategies.
Those can help, and they matter, but sometimes they don’t reach the level where change actually sticks.
This work goes deeper:
We look at the emotional truth under the symptoms.
That’s the part that’s been waiting for attention.
We work with the anxiety that stops you from feeling.
That’s the part that keeps you stuck.
We face the defences you’ve relied on for years.
Not to remove them, but to understand why they were needed.
You don’t have to be “strong enough” to feel everything at once. You only need to be willing to look at what’s happening inside you, moment by moment, with someone who knows how to track it with you.
What working with me feels like
People often describe the sessions like this:
“I said things I didn’t plan to say.”
“It felt strange but relieving.”
“I didn’t realise how much I was holding.”
“I finally understood why I react the way I do.”
“It was uncomfortable in a good way.”
“I actually felt something.”
The aim isn’t to make you feel better instantly. The aim is to help you start feeling accurately, which is what leads to feeling better over time. Therapy becomes a place where the things you’ve avoided finally have room to appear, without being too much.
Who I work best with
People who sense they’re living below their potential.
People who know they’re avoiding something important.
People who feel things deeply but can’t access those feelings when it matters.
People carrying old emotional injuries that still shape the present.
People who want their inner world to make sense.
You don’t need to arrive prepared.
You don’t need to be confident or expressive.
You don’t even need to know what you want yet.
You just need to be willing to look at what’s happening in you, with support.
What you can expect if we work together
1. Clarity
You’ll understand your emotional patterns in ways that make sense, not in abstract terms.
2. Movement
Feelings that were blocked begin to surface.
This often brings relief and direction.
3. Strength
As defences soften, you gain more choice over how you respond.
4. A more honest relationship with yourself
Self-truth instead of self-improvement.
This isn’t quick, but it is real.
Book a Consultation
Ready to have a different conversation?…
Taking the first step can feel impossible, but you don’t have to do it alone. If what you’ve read resonates with your life, reach out. Together, we can start to take a good honest look at what’s been holding you back and begin the process of change.
Fees £65 per 50-minute online session
Flexible AM/PM appointments
For media and press enquiries, please use the same form