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Gemma Lillington

Integrative counsellor for stress and relationships

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  • Stress and anxiety
  • Cognitive behavioural therapy
  • Mindfulness practice

About Gemma

Gemma Lillington helps people address stress, anxiety, relationship difficulties, low mood and life changes using a mix of talking therapies. She is a member of the British Association for Counselling and Psychotherapy (BACP) and has five years' clinical experience in the United Kingdom.

Gemma uses an integrative approach, drawing on several methods to suit each person. Sessions focus on understanding what is happening now and developing practical ways to cope. She offers direct conversation about feelings, patterns in relationships, and unhelpful thinking, and works on building simple strategies for day-to-day life.

Her practice includes elements of client-centred work, which places the person's concerns and goals at the centre of sessions. Cognitive behavioural techniques are used to help spot and change thought patterns that feed anxiety and low mood. Mindfulness practices may be introduced to support attention and reduce stress.

Gemma also uses psychodynamic ideas to look at longer-term patterns rooted in past experience, and solution-focused steps to set short-term goals. This combination aims to give both insight and practical skills for coping with grief, trauma, addictions, eating or sleeping difficulties, anger, intimacy issues, career pressures and ADHD-related challenges.

Sessions are collaborative and paced to what feels manageable. People are encouraged to try techniques between sessions and review what works. The approach is clear and conversational, with an emphasis on useful steps as well as understanding the background to current problems.

How Gemma uses therapy approaches in online work

Client-centred therapy places the person's concerns and goals at the heart of sessions and is about the counsellor listening, reflecting and responding to what matters most. It helps when someone wants to be understood and to set their own pace for change.

Cognitive behavioural therapy (CBT) looks at how thoughts, feelings and actions interact and uses practical exercises to test and change patterns that maintain anxiety or low mood. It can be useful for stress, insomnia, eating difficulties and anger by giving step-by-step tools to try between sessions.

Mindfulness therapy introduces attention and breathing practices to reduce reactivity and support calmer thinking. These exercises often suit people looking to manage day-to-day stress and improve sleep or focus.

Finding the right approach is part of the work together. Gemma will discuss your goals, preferences and what has or has not helped before, and then agree a plan. This is a collaborative process and can change as progress is reviewed.

Session formats are not specified in the biography, so please confirm available options before booking. Online sessions can make it easier to fit counselling around work, childcare or travel, and they allow short check-ins or longer weekly sessions depending on what suits everyday life.

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Sessions take place through BetterHelp by video, phone or messaging. We will earn a commission if you sign up.

Topics Gemma lists

Ways of working

Questions about Gemma

Does she work with anxiety?
Yes. Gemma lists anxiety among her main areas and uses CBT and mindfulness to help manage anxious thoughts and bodily symptoms.
What kind of counselling does she offer?
She works in an integrative way, combining client-centred, CBT, mindfulness, psychodynamic and solution-focused methods.
What experience does she have?
Gemma has five years' experience working as a counsellor in the United Kingdom.
Is she registered with a professional body?
She is registered with the British Association for Counselling and Psychotherapy (BACP).
Can I book sessions in other languages?
Sessions are offered in English.
What session formats are available?
Please confirm current session formats before booking, as the biography does not specify which formats Gemma offers.
How much do sessions cost?
Cost varies with location; sessions use a subscription that can be cancelled at any time.
How do I get started?
Select the Talk to a counsellor online button, complete the short matching questionnaire, and schedule a first session.

This page is based on Gemma's public BetterHelp listing and is not written by Gemma. It is not a recommendation. If anything here is wrong, tell us and we will correct it.

Online sessions through BetterHelp. We will earn a commission if you sign up. Talk to a counsellor online