James Stevens

Frequently asked questions

How would we begin to establish whether you are the right person for me to work with?

Choosing a psychotherapist is a serious responsibility. The best way to discern whether I might be able to help you is to meet, and to trust your own convictions about what you experience in the room with me. Am I somebody who seems to understand you, who might be able to bear what you need to bring, and can you imagine letting me get close to you in such an intimate and serious way over time? In an initial consultation I'm paying attention not only to what you tell me but to how it feels between us — whether there's a sense of being able to make emotional contact, of something starting to loosen, even within that first 90 minutes. If it doesn't feel right, I will encourage us to think about that together. I often help people find other therapists or treatment pathways after an initial consultation, and this can be a fruitful outcome for both of us.

How soon might I expect the treatment to begin helping me?

If the work is going well, you shouldn't have to wait long to notice some shift — even if the bigger picture is still murky. My training is psychoanalytic, so I hold deep convictions about the value of slow, sustained work — but you are seeking help, and this work should feel helpful, sometimes in unexpected ways, from the outset. When the fit between patient and therapist is right, you should walk away from early sessions sensing that something real is moving, even when the path forward isn't obvious yet and even when the work itself still feels hard.


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js@psychotherapyeast.org · 07743 775087
British Psychoanalytic Council #39168
British Association for Counselling and Psychotherapy #00990795