Joanna Efford Registered MBACP

Joanna Efford Registered MBACP


01582 469639 / 07757 225646

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01582 469639 / 07757 225646

About me

I am a professional qualified counsellor and cognitive behavioural therapist (CBT). I offer a safe, accepting and confidential place where you can explore thoughts and feelings without judgement.

We all at some time in our lives find things difficult, overwhelming and struggle to cope. Sometimes we understand why and other times not. If you would like to have a better understanding of yourself and explore your difficulties whether past or present then counselling and/or CBT can help.

Counselling helps you make sense of difficulties by talking to an impartial listener, to gain insight and understanding and find new perspectives. It helps uncover inner resources and develop new helpful coping strategies. The process of counselling supports you in exploring and reflecting on whatever is troubling you. It can enable you to find a way of either resolving your problems or find a better way of living with them.

People come to therapy for many different reasons. Either they have a specific problem with a particular area of their life of they have a deeper feeling of dissatisfaction. Counselling is the first step in taking control of your life and managing overwhelming feelings. Therapy can be short or long term depending on the nature of the difficulty. CBT tends to be a shorter term therapy as it focuses on the here and now, specific presenting problems and is goal orientated.

CBT is a type of talking treatment that focuses on how your thoughts, beliefs, behaviour and attitudes affect your feelings, it teaches you coping skills for dealing with different problems. It combines cognitive therapy (examining the things you think) and behaviour therapy (examining the things you do) bringing about awareness and the opportunity for change. Evidence has shown it to be highly effective in dealing with anxiety, depression.

I am empathic and caring with over 10 years’ experience working with individuals from young adolescents to older adults experiencing a wide range of difficulties including anxiety, depression, relationship problems, bereavement and low self-esteem.

If you want to work towards making changes and feel more positive about your future I would like the opportunity to work with you. The quality of the relationship between the client and therapist is key to the success of therapy, it is important you find the right therapist for you. I understand that embarking on therapy can be a scary step to take and I am happy to discuss any concerns you may have.

Training, qualifications & experience

I am a qualified Integrative counsellor and cognitive behavioural therapist (CBT). My qualifications include:

Advanced Diploma in Integrative Therapeutic Counselling

Post Grad Diploma in Cognitive Behavioural Therapy.

As well as private practice I currently work for MIND mental health charity.

I have previously worked in a N.H.S. G.P. surgery, F.E.College with young and mature students, in schools with Place 2 Be children's charity.

I am a registered member of the British Association of Counselling and Psychotherapy (BACP) and continue to adhere to their ethical codes of practice.

I routinely attend professional development courses and workshops to enhance my counselling work.

Member organisations


Accredited register membership


My fees are £40 per session. Each session lasts for an hour.

Concessions available.

I do offer a number of reduced fee sessions for counselling students and those unable to pay the full rate.

Fees are payable in cash, cheque or bank transfer at each session.

I ask for at least 24 hours notice if you need to cancel. Non attendance may incur a cancellation fee.

I hold full professional indemnity and public liability insurance and have an up to date CRB certificate.

Further information

I offer counselling in a quiet private and comfortable environment from my consulting room in Harpenden.. No toilet facilities are available.

I am within easy reach of M25 junction 21A and 22 and Junction 7 Redbourn of the M1. I am 5 minutes drive from St Albans and 10 minutes drive from Luton.

Parking is easy unrestricted and free.

I can also be reached via the 321 bus route and Harpenden train station.

Maps & Directions

Harpenden, AL5

Type of session

Online counselling: No
Telephone counselling: No
Face to face counselling: Yes

Practical details

Sign language: No
Other languages: None


Daytime and evenings Monday- Friday and Saturday mornings.

Types of client

Young people
Older adults
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