Gillian Titmuss
Psychodynamic Therapist and Clinical Supervisor
You don’t need more coping strategies.
You already have plenty of those.
What brings people here is something harder to put into words.
A sense that things don’t quite sit right.
That you’re managing — often very well — but something underneath feels off, strained, or quietly exhausting.
You might find yourself:
- going over the same thoughts repeatedly
- feeling disconnected in relationships
- holding things together on the outside while something else is happening internally
Or simply knowing — without being able to fully explain it — that something needs attention.
Therapy offers a space to slow this down and look at it properly.
Not to be fixed or rushed, but to be understood.
I work in a way that is steady, thoughtful, and grounded.
We won’t skim the surface — but we also won’t force anything before it’s ready.
What brings people to therapy
People come to therapy for many different reasons, including:
- anxiety or persistent worry
- relationship difficulties
- low self-confidence
- feeling stuck or dissatisfied with life
- grief, loss or life transitions
- repeating patterns in relationships
Sometimes people arrive without a clear explanation of what is wrong. Often that understanding develops within the therapy itself.
How I work
My approach is grounded in psychodynamic psychotherapy.
That means we pay attention not just to what is happening now, but to the patterns and experiences that sit underneath it.
Often, the things that feel most confusing or frustrating in the present have a longer history.
Ways of thinking, reacting, or relating that once made sense — and may even have been necessary — but no longer quite fit.
We take time to understand these patterns properly.
Not to analyse for the sake of it, but to begin making sense of why things feel the way they do.
I won’t offer quick fixes or surface-level solutions.
And I won’t push you to go somewhere you’re not ready to go.
What I will do is stay with you in the process — paying attention to what emerges, including the parts that are less obvious or harder to articulate.
At times, this work can feel exposing or uncomfortable.
That’s often where something important is beginning to take shape.
But it is always held within a space that is steady, thoughtful, and respectful of your pace.
I also pay attention to what happens between us in the room — the subtle shifts, reactions, or patterns that emerge in the relationship itself — as these can often mirror the ways you experience and relate to others outside of therapy.
Sessions
Sessions last 50 minutes and usually take place once a week.
I offer therapy:
- in person
- online
- by telephone if appropriate
Fees are £65 per 50-minute session.
This fee applies to in-person, online and telephone sessions.
Clinical supervision
Alongside my therapy practice, I provide clinical supervision for counsellors and psychotherapists.
Supervision offers a reflective space to think about clinical work and the therapeutic relationship.
Further information and fees can be found on the Clinical Supervision page.
Contact
If you are considering therapy or supervision, you are welcome to get in touch.
Initial enquiries usually lead to a short conversation so we can think together about what you are looking for and whether working together feels appropriate.
