Louise Ralph , BACP

Louise Ralph is a counsellor with eight years' experience supporting people through stress, anxiety, grief and relationship strain. She works with a wide range of concerns including addiction, depression, trauma, eating and sleeping problems, ADHD and issues connected to identity and intimacy. Louise practises from the United Kingdom and offers sessions by phone, video and messaging.

Louise uses a combination of person-centred and psychodynamic ideas alongside more structured methods. In practice she listens closely, helps people identify patterns that cause distress, and suggests small changes to daily routines and thinking. Sessions aim to make difficult feelings easier to understand and manage.

Her first counselling experience was as a bereavement support volunteer at St Christopher’s hospice, and she continues to offer services linked to that work. She also provides telephone counselling for employee assistance programmes and health initiatives, bringing experience of brief workplace-focused support as well as longer-term therapy.

Louise places emphasis on building a trusting therapeutic relationship. In early work she focuses on what the person needs now and how therapy can fit around their life. She keeps sessions warm and straightforward, with practical steps added when useful.

People who prefer remote appointments can choose daytime, evening or Saturday daytime sessions. Therapy uses an integrative approach tailored to each person's goals, drawing on attachment-based, client-centred, cognitive behavioural and emotion-focused ideas when appropriate.

How Louise’s approaches work online

Attachment-based work focuses on how early relationships shape feelings and reactions. Online sessions use conversation to notice patterns in close relationships and develop new ways of relating that reduce anxiety and conflict.

Client-centred therapy puts the person’s experience at the heart of sessions. The counsellor offers non-judgemental listening and reflection, helping people find their own solutions and build confidence to face challenges.

Cognitive behavioural techniques help identify unhelpful thought habits and replace them with practical actions. Online work can include homework tasks, short exercises and behavioural experiments between sessions to test new ways of coping.

Choosing the right approach is part of the work together. The therapist will discuss goals, preferences and what feels most useful, then agree a plan that may blend styles. This is a collaborative process and can be adjusted as therapy progresses.

Online sessions offer flexibility and fit around everyday life. Video calls allow a face-to-face feel while phone sessions need less bandwidth. Live chat or text-based messaging can suit brief check-ins, ongoing reflections or people who prefer typing. These options make it easier to work around work, childcare and travel commitments while still getting regular support.