Karen Tottman MBACP Counselling & Psychotherapy
First Step Counselling Ltd
Cranham Community Association Room 11
115a Marlborough Gardens
Karen 07428 911002 please leave me a message and I will call you back as soon as I can / Please leave a message 07428911002
I am a qualified integrative counsellor and Psychotherapist. I have over 15 years of experience working with individuals, couples and families, children, young people and adults up to any age. I trained at St Luke's Hospice and also volunteered after I qualified. I feel I use my skills to help you explore your difficult times to help you understand your situation. I offer support short term or long term counselling and psychotherapy, and work with many different issues such as depression, anxiety, suicidal thoughts and difficulties with relationship issues. I offer support and explore choices which will be positive to change how you think, feel, and react to life. I adapt the session accordingly to each individuals needs as every individual reacts differently to obstacles they may face.
Changing your life may come easily, or there can be some hard work or maybe it will be somewhere in between! I work with both individuals and couples, and families with compassion to help you to enhance your life and to live it more fully.
"There are times we all need a bit of extra support and help with life's difficulties."
If you feel anxious or low, are you suffering from depression, mild, moderate, to manic depression, feeling confused or overwhelmed with relationship issues, troubles and feelings? you may be struggling with panic attacks and phobias, struggling with self harm related issues. Depending on what you feel your needs might be for example: Life and work stress; relationship difficulties; low mood; bereavement and loss; trauma; anger; anxiety; low self esteem; couples work; personal growth... are some of the areas which you may bring to therapy, please ask if you are uncertain about whether we will be able to work together with your issue.
I can offer you a warm-safe environment where you can share your feelings. Whether this is due to feeling lost and alone or just want a helping hand to find your way. Life can be a struggle and maybe you need help with: bereavement, relationship difficulties, divorce, depression, stress, work related stress, eating disorders , domestic abuse, anger. any issue please call 07428911002 for any further information, or book a consultation.
I am committed to my professional development and attend different training sessions to enhance my work as a counsellor. I am also a member of the British Association Of Counselling and Psychotherapy and abide by it's Ethical Framework (BACP).
Please contact Karen on 07428911002, or if you prefer email me your enquiry.
Training, qualifications & experience
- Couples Therapy Training
- Life Story Work Shop
- What is Play Therapy Workshop
- Mindfulness for Healthy Living Workshop
BACP Certificate of Proficiency
Pods Trauma, Dissociation Disorder & Recovery
- Working with Shame and Compulsively
Attachment Focused Counselling Training 2014
Barnardo's Adoption Service Certificate Approved Counsellor with Barnardo's Adoption Agency
Certificate of Attendance Safeguarding Children Foundation
Certificate of Attendance Adoption Counselling Workshop
Certificate of Proficiency of British Association of Counselling Practitioners
Introduction to couple work training programme
Diploma in Counselling and Psychotherapy
Diploma in Therapeutic Counselling
Certificate in Counselling Studies
Certificate in Counselling Skills
Play Therapy Training (3 Day Course)
Working with Loss and Grief
Supporting Substance Misuse Clients Awareness Training
Equality and Diversity Training (20 Hours)
Enhanced Certificate CRB 25th/02nd/2013
Child Sexual Abuse Awareness Training 23rd/01st/2013
Child Protection Training 2011
Go Girls Multi-Agency Training 8th/03rd/2011
Safeguarding Children Training 2010
OCR Level 3 NVQ Teaching Assistants
Level 2 Stop Smoking Training
Brief Interventions Stop Smoking Training 1st/04th/2011
Thurrock c-card Outlet Training 2010
Sexual Health Awareness Foundation Training (SHAFT) 2010
Delay Multi-Agency Training 26th/10th/2010
Introduction to the Study of Psychology 2005
Areas of counselling I deal with
- Affairs and betrayals
- Anger management
- Anorexia nervosa
- Asperger's syndrome
- Attachment disorder
- Binge-eating disorder
- Bipolar disorder/Manic depression
- Borderline personality disorder
- Bulimia nervosa
- Child related issues
- Chronic fatigue syndrome/ME
- Domestic violence
- Drug abuse
- Eating disorders
- Emotional abuse
- Family issues
- Generalised anxiety disorder
- Hearing voices
- Learning difficulties
- Low self-confidence
- Low self-esteem
Other areas of counselling I deal with
I have worked for Open Door since April 2010; working with young people is the focal point of our role. We attend a variety of settings including primary schools, secondary schools, and a special needs school. All settings are in Thurrock and we deal with children and families from a range of backgrounds and ethnicities. Working with each age group has given me vast experience in assessing the therapeutic needs of the client; then designing a counselling programme in order to target the specific issues that particular child is facing, in a way that is suitable for their age or educational needs.
Within my job role working for Open Door I regularly attend child protection training to up date my knowledge on safeguarding children and working with vulnerable adults. This is important for me because confidentiality is a key part of the role of a counsellor; particularly when counselling children as confidentially cannot be promised.
I attend regularly group supervision and also have one to one supervision following the requirement of BACP guidelines as a counsellor. I regularly attend team meetings to review clients and explore positive outcomes, this is to evaluate the importance of our service and to share ideas on how to allow a child to progress.
Throughout my counselling qualification grief counselling played a huge part of my training. I actually completed my placement hours with Dove community counselling service in 2009. After I qualified I completed voluntary hours for a further year. I have a very good understanding of the grief cycle stages, and following my clients journey through the shock stage by addressing the person who has died as lost, following this could possibly lead to the denial stage where they are not ready to accept their family member has died. The anger and guilt stage explore their blame, and they question why is this happening to me. None of these stages from my experience are set in stone each individual has their own experience following each stage. Throughout each stage it is essential to assess and adapt the sessions according to the child’s age and what stage of the grief cycle they are at. Working in a secondary school I would work on memory books, timelines, and exercises I call “My world” exploring with post-its and this allows me to gain targeted personal information, which I would then assess and use to move forward.
I am an approved adoption counsellor and work for Barnardo’s alongside families struggling with different issues surrounding adoption.
- Behavioural therapy
- Cognitive and behavioural therapies
- Cognitive behavioural therapy (CBT)
- Cognitive therapy
- Couples counselling
Fees: First sessions are a one off fee of £50.00 for up to 60 minutes consultation for individuals, although couples are a one off fee of £60, and following individual appointments are £40.00 for 50 minute appointments. Couples counselling would be £60.00 for up to 60 minute appointment. Home visit can be arranged at a cost of £90 pounds for upto 60 minutes, upto 90 minutes at a cost £120. All fees are payable in advance to confirm your appointments for the following week. If you are unable to keep your appointment half fees are payable once an appointment has been booked. Full fees are payable less than 48 hours notice.
Reduced fees for students can be discussed at an initial consultation. For example 12 sessions of students counselling fees £480.00 Reduced fees £300.00 (saving £180) Students fees £30.00 per session All fees paid in advance to secure reduced fees
Payments in advance: Book 6 sessions of 1--1 individual counselling for £200 pounds. (Saving £40.00)
Payments in advance for couples: Book 6 sessions for £300 pounds. (Saving £60.00)
Payments in advance for Home visits: Book 6 sessions of Home visits £90.00 for 60 minutes £450.00 (Saving £90.00 Pounds)
Payments in advance for Home Visits: Book 6 sessions of Home visits at a cost of £120.00 for 90 minutes £600.00 (Saving £120.00)
Payments in advance for groups: My groups are held on a Thursday evening and they start at 6:30pm and run until 8:00pm. Initial consultations to join a group would be at a cost of £50.00 pounds then the cost of the Eight group weekly sessions would be at a cost of £210:00, Two free sessions are including to allow for absent sessions, although you are more than welcome to attend all eight at no extra cost. .
Please contact me if you would like to know anymore about the above. My next group would be due to start January 2018, if you would like to join this group please contact me on: 07428911002.
I work for Open Door as part of their youth intervention team. My main job role includes one to one counselling supporting young people in schools in Thurrock. I also by planning and executing workshops dealing with issues of bullying, low self esteem. friendship and bereavement workshops.
I joined St Luke's to complete my counselling diploma, although after I qualified I volunteered for St Luke's for a further year to gain experience in working with clients, that had bereavement issues with family members of patients at the hospice. These clients were battling with cancer themselves, or a family member and they worked through this difficult time to overcome issues they are faced with one to one counselling support.
As of November 2013 I started as seasonal counsellor for Luke's Counselling where I work one to one with my clients with bereavement related issues..
Some of the different examples of the kind of issues my clients have brought to my counselling sessions were clients with Low self esteem, Trauma, Anxiety, Relationship difficulties, including family relationships, also Depression, and Anger Management. Grief cycle and unresolved grief, Anger problems related with alcohol and drugs, Fear and domestic violence, Rape and guilt and shame also many other issues.
Counselling can offer you warm safe environment where you can share your feelings. Whether this is due to feeling lost and alone or just want a helping hand to find your way, counselling will help you to explore difficult times in your life, and help you have a better understanding and develop confidence which enhances positive change for a more fulfilling happier life, because feelings are what makes us express our selves as humans. My counselling sessions will connect thoughts and feelings, and together work through why negative experience can drain and effect us in life, and to find solutions together. Emotions can be very powerful, and create sadness within life. Together with not feeling positive, and to work through theses thoughts and feelings are important to restore the balance in life. Counselling can be a journey and to work through negative feelings to feel complete, be positive and enjoy a happier life.
Experience with all of the above, and relationship counselling between couples and family members. Eating disorders, also mild moderate and severe depression. Post traumatic stress disorders known as PTSD. Grief counselling pre and post bereavement counselling.
Maps & Directions
Type of session
|Face to face counselling:||Yes|
Types of client
|Employee Assistance Programme|