What We Do

About our psychotherapy process

We are psychodynamic practitioners. This means that as therapists we are interested in listening to you and trying to help you understand how past experiences, often from childhood, affect your life today and the way you view yourself.

Together with the therapist you can think in a different way about your past, present and future. The therapist doesn’t tell you what to do, be directive or give advice, but in the forming of the relationship with the therapist, you will find it helps you to make your own choices.

There is no particular point in life when people turn towards therapy, but it is often when confronted by some sense of not being able to move forward, or change. Significant events such as bereavement and loss, relationship difficulties, questioning who one is or feeling unable to get over past events are common reasons for seeking a therapist. Depression and anxiety are often present and very hard to get over alone.

How long does each session last?

Each session lasts 50 minutes. In terms of how long you meet with a therapist this can vary a lot, and we would talk about it during the first meeting, which we call an assessment. During this session, we would ask you questions and get you to describe yourself so you and the therapist get a sense of why you have come to seek psychotherapy. The session is also an opportunity for you to see whether you feel this might be the right place for you.

There is no right or wrong length for therapy however, but we would generally work with patients for 2 years or more, as the type of therapy we practice involves thinking about often deep-seated ideas and sometimes traumas that are not easily talked about. Building up a sense of trust of the therapist takes time which is another reason for working for what may seem like quite a long time together.


Fees for sessions are on a sliding scale and will normally be discussed and negotiated during the consultation. Sometimes the therapist and client may agree to a second consultation session before agreeing whether to work together on an ongoing basis.

All fees are subject to annual review.

To read more about us please click here or to arrange an appointment click here.

Contact Us

To arrange an appointment or ask any questions, please call us on

020 7659 4611
07770 444000

or email contact@21southstreet.com.

How To Find Us

Our psychotherapy practice is located in Mayfair, central London. To view a map of the area, please click here.