Questions About Psychotherapy Sessions & Costs

When you are looking for a therapist it is important that you find someone with whom you feel comfortable and can build a trusting relationship. It can also be confusing knowing which sort of therapy might be right for you or the issue you wish to explore, and then there are questions about costs and length of sessions

Below are some of the more frequently asked questions and my answers. You can also find out more about how psychotherapy may help in What’s Wrong and about my way of working in  How We Work Together.

If you still have a question then please do contact me by phone or email and I will get back to you as soon as I can.

Psychotherapy in London with Jungian Analyst Agata Pisula

Questions About Psychotherapy Sessions

I offer a secure and confidential space where you can discuss whatever may be troubling you and clarify areas of difficulty without fear of judgment. You are free to discuss what you wish, from everyday events, dilemmas, feelings, and thoughts, to regrets, aspirations, memories and dreams.

The initial consultation lasts 75 minutes, regular sessions are 50 minutes

After the initial consultation, and assuming we decide to work together, we will agree the frequency of your regular sessions according to your needs and personal circumstances, as well as my understanding of best clinical practice. It is important that therapy happens regularly, and is consistent (i.e. always at the same time and in the same place), and I ask for a minimum of a weekly commitment to ensure that we get to know each other sufficiently well so that we are able to connect with and understand what’s happening at a deeper level.

My fees vary depending on circumstances, location and time of the day. We will agree a fee for the initial consultation during our telephone conversation and the fee for regular sessions will be agreed once we decide to work together in ongoing therapy.

You can pay me by cash, cheque or bank transfer.

This depends on the nature of your policy. Check with your provider to see if psychotherapy sessions are covered, how many sessions can be included if so, and if there are any other restrictions. I am a recognized health provider with Cigna, Aviva and Vitality.

Once the regular time of sessions is agreed that time will be held open for you and cancelled and missed sessions need to be paid for in full. Under exceptional circumstances I may be able to offer you another time if there is one available.

Questions About Psychotherapy With Agata Pisula

It’s important that you feel comfortable with the therapist so please call or email me to arrange a brief telephone conversation. We will then meet for an initial consultation during which we will explore how we may work together before making a longer term commitment to ongoing therapy. There is no obligation to continue after an initial session.

I have extensive clinical experience of both private practice and working as a senior clinician in various NHS settings. In my professional career I have worked with people from a variety of backgrounds experiencing a wide range of emotional and relational difficulties and psychological distress as well as providing supervision and mentoring to junior colleagues.

As a Jungian Analyst I have completed an intensive, supervised training.  Analytic training, with its high standards of professional competence and personal integrity, takes a number of years to complete. I have trained with Society of Analytical Psychology (SAP) which offers one of the most intensive Jungian Analytic trainings available. To find out more please see my About me page and you can find out more about SAP here

There are a number of professional bodies that represent the ‘Talking Therapies ‘industry, some have a wide remit and cover general ‘therapies’ whilst others focus on specific models of therapy. I am registered with the British Psychoanalytic Council which is one of the two main regulatory bodies in the UK for psychoanalytic psychotherapy practitioners and work to their ethical and professional standards.

I abide by BPC and SAP Code of Ethics which includes a Complaints Procedure, a copy of which is available on request


For psychotherapy to be effective, trust must be part of the therapeutic process, and all information disclosed is treated as confidential, whether in person, on the phone or by email. It is vitally important that you feel safe and secure in the therapeutic relationship and I place this at the heart of our work together. The rare exception would be if I felt you were at risk to yourself or to someone else, in which case I am ethically bound to break confidentially to protect you or another to the best of my ability.

Questions about the process of Psychotherapy

Psychotherapy sessions can help you to gain clarity on an issue, change old patterns, untangle complex personal issues, or embark on a journey of self-development. You may seek psychotherapy as a result of a crisis, or you may be encouraged to seek psychotherapy by family members, friends or colleagues.

Everyone will exhibit different responses to emotional or psychological stress however there are some common signs or symptoms that indicate that you may benefit from seeking help rather than struggling on your own.

  • When you have felt an overwhelming, prolonged sense of unhappiness, helplessness and sadness.
  • When your problems don’t seem to get better despite your efforts or those from family and friends.
  • When you find it difficult to concentrate on day to day tasks or struggle to perform daily activities.
  • When you find you are worrying excessively, expecting the worst or feel constantly on edge.
  • When painful thoughts, memories or dreams become overwhelming.
  • When you know your actions; eating or drinking too much, using drugs, recreational or medicinal, or being aggressive, are harming you or others.

Considering starting therapy can be a difficult step to take but finding an experienced therapist who is able to understand can feel like a relief.

You can bring any issues or problems that you want to.

This depends entirely on the individual needs which we will discuss in your initial consultation. I work in both short term and open ended way always aiming for realistic and meaningful change. Short term therapy can be of help when dealing with immediate issues or focusing on a particular difficulty or a life event. Open ended therapy offers the opportunity to explore long standing problems and difficulties at greater depth.

All the above terms describe a ‘talking therapy’ which takes place in a safe, private and confidential environment. Although there are some similarities between them, counseling is often used to refer to shorter term, more focused work, dealing with a particular issue whereas psychotherapy or analysis are longer term treatments, usually requiring more frequent sessions. Psychoanalytic psychotherapy and Jungian analysis offer the opportunity to explore problems and difficulties at greater depth. These difficulties will probably have a much longer history and form part of someone’s personality and the way they relate to other people. You can find  out more about Jungian Analysis and Psychoanalytic Psychotherapy on My Approach page

I do not not prescribe anti-depressants which need to be prescribed and monitored by your GP or psychiatrist  but I often work with people who are taking anti-depressants or support them in the process of coming off their medication.