Lucy Middleton

• CBT techniques
• Person-centred work
• Trauma-focused approach

About Lucy

Lucy Middleton works on stress, anxiety, relationships, trauma and abuse, depression and related concerns using an integrative, person-centred style. She combines practical techniques such as Cognitive Behavioural Therapy with a client-led way of working that lets people reflect on their experiences and make sense of them. Lucy is registered with the NCPS and has six years of professional experience in counselling and therapy.

She has worked in a women's charity in an area of low socioeconomic status, where many clients faced limited access to financial, educational and social resources. That role involved supporting people affected by difficult childhoods and ongoing trauma, including sexual abuse, and helping them find ways to move forward. This practical experience informs how she approaches complex social and personal issues.

Lucy also has experience providing services in the NHS Talking Therapies and in private practice. Her work has covered grief, parenting concerns, substance use by a client or a loved one, relationship difficulties and coping with life changes. These roles have given her experience with a wide range of emotional and behavioural issues.

In sessions she uses Cognitive Behavioural Therapy for identifying unhelpful thoughts and teaching practical self-help strategies. She also offers person-centred time to listen and help clients reflect, and can use solution-focused and trauma-focused methods when appropriate. Lucy adapts her approach to the issue presented by the person in front of her.

She works in English and accepts international clients. Booking is via an online matching process where a short questionnaire is completed and a first session scheduled.

How Lucy uses therapeutic approaches in online sessions

Lucy commonly uses Cognitive Behavioural Therapy to help people identify and challenge unhelpful thoughts and to learn clear, practical self-help strategies that can be practised between sessions. This approach is often used for anxiety, mood and stress-related difficulties.

She also uses a person-centred way of working which gives the client the lead in sessions and offers space to reflect on difficult experiences. That method can be helpful when people want to make sense of past events and their impact on current feelings and relationships.

Finding the right approach is part of the work together. The therapist will discuss options and agree a plan that fits the person's goals, needs and preferences. This is a collaborative process and can include trying different techniques to see what helps.

Session arrangements should be confirmed before booking. The practical benefits of working remotely include fitting sessions around work or family commitments, shorter check-ins when needed, and the option to avoid travel. Ask about the specific session formats available when you complete the matching questionnaire and schedule your first appointment.

Topics Lucy lists

• Stress and anxiety
• Relationship issues
• Family conflicts
• Trauma and abuse
• Depression
• Addictions
• LGBT
• Grief
• Intimacy-related issues
• Eating disorders
• Parenting issues
• Anger management
• Self-esteem
• Bipolar disorder
• Coping with life changes
• Compassion fatigue
• Abandonment
• Aging and geriatric issues
• Antisocial personality
• Attachment issues
• Autism and Asperger Syndrome
• Avoidant personality
• Blended family issues
• Body image
• Chronic pain, illness, and disability
• Codependency
• Commitment issues
• Communication problems
• Dependent personality
• Divorce and separation
• Domestic violence
• Drug and alcohol addiction
• Emptiness
• Family of origin issues
• Family problems
• Fatherhood issues
• Fertility issues
• Forgiveness
• Gender dysphoria
• Guilt and shame
• Hoarding
• Infidelity
• Isolation and loneliness
• Jealousy
• Life purpose
• Midlife crisis
• Mood disorders
• Multicultural concerns
• Narcissism
• Paranoia
• Personality disorders
• Phobias
• Postpartum depression
• Post-traumatic stress
• Pregnancy and childbirth
• Prejudice and discrimination
• Seasonal Affective Disorder (SAD)
• Self-harm
• Self-love
• Sexual assault and abuse
• Sexuality
• Social anxiety and phobia
• Women's issues
• Young adult issues

Ways of working

• Client-Centred Therapy
• Cognitive Behavioural Therapy (CBT)
• Solution-Focused Therapy
• Trauma-Focused Therapy

Questions about Lucy

Does she work with anxiety?

Yes. Anxiety and stress are stated areas of focus and she uses approaches such as CBT to address unhelpful thoughts and practical coping strategies.

What kind of counselling does she offer?

She practises an integrative, person-centred style and draws on Cognitive Behavioural Therapy, Solution-Focused Therapy and Trauma-Focused Therapy as appropriate.

How much experience does she have?

She has six years of professional counselling and therapy experience, including work in a women's charity and in NHS Talking Therapies.

Where is she based and registered?

She is based in the United Kingdom and is registered with the NCPS.

What languages are sessions offered in?

Sessions are offered in English.

Can international clients work with her?

Yes. She accepts international clients.

How are sessions organised?

Please confirm current session formats before booking; the booking process will provide details when you select a counsellor and schedule a session.

How much does counselling cost?

Cost varies with location and sessions use a subscription that can be cancelled at any time.