Physical Health Counselling in St Albans, Hertford & Online
Many individuals encounter a variety of physical health issues, encompassing conditions such as pain, persistent fatigue, diabetes, and cardiac problems. These difficulties can manifest in different ways, ranging from mild to severe and fluctuating in intensity. Some physical ailments arise abruptly following an injury or illness, while others develop gradually over time. The experience of these physical challenges can be distressing and demanding in itself. However, what further complicates matters is the necessity for adjustments in one's daily life and the inability to engage in activities as before. Understandably, accepting these changes can be challenging and may evoke feelings of frustration, anger, irritability, stress, and sadness. Moreover, relationships with others may be impacted, adding to the overall stress and strain.
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I recognise that it may seem like you are facing your struggles alone. However, you don't have to face them on your own. My expertise lies in
working with individuals who experience physical
health problems, and I have accumulated over
fifteen years of experience in this field. I am here to
assist you in acquiring coping strategies to manage
your physical difficulties, to explore methods of
adjustment, and to empower you to regain control over your life. Together, we can work towards improving your overall quality of life.
What Physical Difficulties Can I Help With?
I provide support to people experience various physical health challenges such as:
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Pain (Chronic Pain)
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Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (M.E./CFS)
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Fibromyalgia
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Cardiac problems
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Diabetes
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Irritable Bowel Syndrome
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Headaches/Migraines
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Tinnitus
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Skin conditions, such as Psoriasis and Eczema
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This is not an exhaustive list. I can provide assistance in managing any physical health challenge you may be facing. Whether you have received a definitive diagnosis or are still awaiting one, many individuals experience debilitating physical symptoms, such as pain and fatigue, that medical professionals find difficult to diagnose. There are several reasons why certain conditions can be challenging to identify. The complexity of the human body and the involvement of multiple bodily systems can contribute to the diagnostic difficulties. Additionally, in some cases, no abnormalities can be detected despite thorough physical investigations (it is important to note that this does not invalidate the reality of your physical symptoms). Dealing with such physical health difficulties can be incredibly frustrating for individuals.
The Challenges Of Living With A Physical Health Problem
Coming to terms with physical health conditions and determining the best ways to manage them can be challenging. It can feel like you have little control over your circumstances. These conditions can give rise to various emotional difficulties, including depression, anxiety, stress, frustration, low self-esteem, and anger. The impact of physical health difficulties, coupled with the resulting emotional challenges, can negatively affect all aspects of your life, including relationships, leisure activities, and work. It is understandable that life may become restricted, further impacting your emotional well-being. Moreover, some physical health conditions can worsen in response to heightened distress. It is important to note that this does not imply that your physical health problems are imagined or solely psychological; they are real and have a physiological basis.
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Physical difficulties have the potential to undermine confidence in various ways. For instance, certain conditions can alter one's appearance, leading to a lack of confidence in one's attractiveness. Other difficulties that affect mobility or cognitive functioning can diminish confidence in situations such as visiting new places or socialising. Concerns may arise about managing unfamiliar settings, especially if symptoms intensify, and there may be worries about appearing capable to others while grappling with cognitive challenges.
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One common issue faced by individuals with physical health conditions is the lack of belief or understanding from doctors, family, friends, and colleagues. Because conditions like pain and fatigue are not visible, they may be dismissed or attributed solely to psychological factors. However, seeking psychological therapy for your struggles with physical health does not mean that I view your difficulties as imaginary. I recognise that they are very much real and have a physiological basis. As demonstrated above, physical health difficulties have wide-ranging impacts beyond the physical realm. Psychological therapy can offer a supportive space to explore these challenges and help you develop effective coping strategies for both the physical symptoms and their broader impact on your life. My aim is to support you in gradually reintegrating valuable activities into your life, thus expanding your horizons in a manageable way.
Individuals with physical health difficulties may internalise the belief that they should be strong and not burden others with their needs or keep their struggles concealed altogether. This pressure to maintain appearances can be stressful and lead to overexertion. In some cases, this can exacerbate physical symptoms. It is important to recognise that seeking support and asking for help when needed is not a sign of weakness but an act of self-care.
Treatment for Physical Health Problems
During the initial stages of therapy, it can be valuable to dedicate time with your therapist to gain a deeper understanding of your difficulties, their impact on your life, and how you have been coping thus far. The therapeutic space offers a supportive and non-judgmental environment where you can freely express and share your challenging experiences. This process can be beneficial in unburdening yourself and finding relief.
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Learning effective coping strategies is another aspect that can greatly assist you in managing your difficulties and regaining a sense of control. There is compelling evidence indicating the effectiveness of Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT) in helping individuals with physical health difficulties. These therapeutic approaches provide valuable concepts and coping strategies that can be tailored to your specific needs and circumstances.
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By drawing from CBT and ACT, I can introduce you to practical tools and techniques that have proven helpful to many people facing similar challenges. Together, we can work towards empowering you with the skills and insights necessary to better manage your physical health difficulties and enhance your overall well-being.
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How Long Does Counselling Last For Physical Health Problems?
The duration of therapy is influenced by the severity of your struggles and individual circumstances. The number of sessions can vary, with some individuals finding benefit in as few as six sessions, while others may require support over a more extended period of time. As a general guideline, a range of six to twenty-four sessions can be helpful, taking into account the severity of your struggles and your specific needs. It's important to remember that therapy is a personal journey, and the duration can be adjusted based on your progress and ongoing evaluation of your therapeutic goals.
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Benefits of Counselling For Physical Health Problems
Extensive research and clinical experience have demonstrated that counselling for physical health problems offers a variety of advantages, such as:
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Enhanced self-assurance in effectively managing physical symptoms
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Decreased negative impact on one's life
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Improved overall quality of life
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Enhanced emotional well-being, including reduced anxiety, depression, anger, and stress levels
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Improved relationships with others
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Increased ability to engage in meaningful activities while minimising physical symptoms
When I Should Get Help For My Physical Health Difficulty?
Seeking therapy for your physical health difficulties can be beneficial at any point, considering the immense challenges they pose both physically and emotionally. However, many individuals turn to therapy when they experience a sense of despair, having exhausted medical options, struggling to cope, feeling a lack of control, and witnessing a significant negative impact on their lives. These signs clearly indicate that therapy can provide valuable support. Moreover, reaching out for assistance in the early stages of your condition can also prove beneficial.
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If you would like therapy for physical health difficulties in St Albans, Hertford or online please email me at contact@hertstherapypractice.com or complete the webform below.​

Contact
St Albans Rooms
21 Victoria Street
St Albans
AL1 3JJ
England
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And
Hertford Well-Being
5A Great Northern Works
Hartham Lane
Hertford
SG14 1QW
England
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07825910485
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How much does therapy cost?I provide therapy on a self funded basis and can also see individuals with insurance cover. The rate for self funded sessions is £110 per 50 minutes session. For more information, please see the following page: Fees
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How do I know if I need therapy?Knowing when to seek therapy is an important step in prioritising your mental health. While everyone’s journey is unique, certain signs and experiences suggest that professional support may be beneficial. Therapy can help if you are: 1. Feeling Overwhelmed by Stress or Emotions If you’re constantly anxious, sad, or irritable, and these emotions feel unmanageable, mental health support can provide tools to regain control and balance in your life. 2. Experiencing Persistent Negative Thoughts Repetitive worries, self-doubt, or feelings of hopelessness may signal deeper issues that a therapist can help address. 3. Struggling with Relationships Conflicts, communication challenges, or feelings of disconnection in personal or professional relationships may benefit from exploring patterns and building healthier interactions. 4. Facing Major Life Transitions Significant changes, like a breakup, job loss, or becoming a parent, can be emotionally taxing. Therapy offers a safe space to process these adjustments. 5. Dealing with Physical Symptoms of Stress If headaches, fatigue, or sleep problems persist without a clear medical cause, they might be linked to emotional distress, which therapy can help alleviate. 6. Feeling Stuck or Unfulfilled A sense of emptiness, lack of purpose, or difficulty achieving goals can often stem from unresolved personal challenges. Therapy can guide you toward clarity and growth. 7. Turning to Unhealthy Coping Mechanisms Over-relying on alcohol, food, or avoidance behaviors to cope with stress or emotions could indicate the need for healthier strategies. What Therapy Can Offer You Therapy provides a non-judgmental space to explore your thoughts and feelings, identify patterns, and develop skills to cope with life’s challenges. Whether you’re dealing with a specific issue or simply seeking personal growth, therapy can help you move forward with confidence.
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What happens in the first therapy session?The first therapy session is a welcoming space designed to help you feel comfortable and supported as you take this important step toward improving your mental health. Here’s what you can expect: 1. Exploring Your Concerns I will ask about what has brought you to therapy. Whether it’s anxiety, depression, stress, relationship issues, or something else, this is your chance to share your thoughts and feelings in a safe environment. 2. Learning About Your Background To better understand your situation, I will ask about your personal history, lifestyle, work, and relationships. This helps create a fuller picture of who you are and what you’re experiencing. 3. Goals We will explore your goals for therapy and we will discuss how therapy will be tailored to your needs. 4. Building a Connection The first session is a chance to see how you feel about my style and approach. I am warm and down to earth which can help create a strong therapeutic relationship, which is essential for successful outcomes. There’s no need to prepare extensively—just come as you are. It’s normal to feel a little nervous, but I am there to support you every step of the way.
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What types of therapy do you offer?I provide evidence-based psychological therapies tailored to your individual needs, including: 1. Cognitive Behavioural Therapy (CBT) CBT is a structured, goal-oriented approach that focuses on identifying and changing negative thought patterns and behaviors. It’s highly effective for anxiety, depression, and stress-related concerns. 2. Schema Therapy Schema Therapy helps you explore and heal deep-rooted patterns developed in childhood that may affect your relationships and emotional well-being. It’s ideal for addressing long-standing challenges such as low self-esteem, emotional dysregulation, and unhealthy relationship dynamics. 3. Acceptance and Commitment Therapy (ACT) ACT helps you develop psychological flexibility by accepting difficult emotions, clarifying your values, and committing to meaningful action. It’s particularly helpful for managing anxiety, chronic stress, and life transitions. Each therapy type is designed to address different challenges, and we’ll work together to determine the approach that best suits you. Whether you’re seeking help for anxiety, depression, relationship issues, or personal growth, the tailored therapy I offer can provide the tools you need to thrive.
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How many sessions will I need?The duration of therapy depends on your individual needs, goals, and the type of mental health difficulties you’re facing. Here’s a general guide to help you understand what to expect: 1. Short-Term Therapy Cognitive Behavioral Therapy (CBT): Typically lasts between 6 to 20 sessions for issues like anxiety, depression, or stress. It’s goal-oriented and focused on providing practical tools for change. Acceptance and Commitment Therapy (ACT): May range from 8 to 16 sessions, depending on the complexity of your goals and challenges. 2. Medium to Long-Term Therapy Schema Therapy: Often requires a longer commitment, especially for deep-rooted patterns or longstanding difficulties like low self-esteem, emotional dysregulation, or chronic relationship issues. Therapy can last 6 months to 2 years, depending on individual progress. 3. Tailored Approach Therapy duration is always personalised. Some people feel significant improvement within a few months, while others benefit from ongoing sessions to work through complex challenges or maintain mental health over time. I will regularly review your progress and goals with you, ensuring that therapy is aligned with your needs. Whether you’re seeking help for anxiety, depression or personal growth, therapy is designed to provide support at a pace that feels right for you.
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What specific regulations or qualifications do you have?I am a fully qualified Counselling Psychologist where I am trained to a Doctoral level. I am registered with the recognised body of the HCPC. I adhere to strict ethical standards, prioritise ongoing professional development, and maintain valid insurance coverage. I ensure I deliver ethical, effective, and personalised mental health care tailored to your needs.