Dr. Annette Gensale, Counselling Psychologist, HCPC/BPS

Dr. Annette Gensale, Counselling Psychologist, HCPC/BPS

Bromley/ Kent

The Artemis Clinic
West Wickham
Bromley/ Kent

07495 973 877

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Bromley/ Kent

The Artemis Clinic
West Wickham
Bromley/ Kent

07495 973 877

About me

How I work will be unique to you. Whether you seek counselling, psychotherapy or compassionate CBT the only skill you need is to be yourself, as you are, right now. If you are experiencing relationship issues, anxiety, depression. or self-doubt, or you are struggling to cope with supporting a loved one or a family member through any emotional or psychological difficulty, I aim to work with you to comfortably express and address your concerns, regarding any situation in which you find yourself.

I am a Chartered Counselling Psychologist with over 15 years’ counselling experience in both Private Practice and GP surgeries. I am HCPC registered and BPS accredited. I am creative and patient and able to call upon most psychological and therapeutic models. I may integrate approaches in order to work most effectively with you towards enabling you to better understand and care for yourself and to be and to feel the best that you can in your life and your relationships.

I will ensure my fullest understanding of your concerns, regardless of your level of confidence or the anxiety you experience. For some people, this process will take them through an emotional journey towards appreciating who they already are, and for others, this will involve my being alongside them in counselling sessions as they explore and undertake very important change.

All therapies, including Cognitive based therapies, depend upon a strong relationship between the client or clients and their therapist and our good communication together will be key to you having the best therapy. I will aim to support you to feel comfortable in your counselling, even when the work feels challenging.

Individual Counselling:

Whether your difficulty is connected with family or work relationships, or concerns confidence or social anxiety, or perhaps performance anxiety, or a specific fear or phobia, or trauma, and whether or not there is an issue of trust or betrayal, something is making you want to seek support in order to feel better about 'you'. Sometimes this is because there has been a change in your life. Low mood and increased anxiety are common when we feel uncertain or threatened by change, such as can happen with post natal depression, or when supporting a child or loved one through Mental Health Issues, or Autistic Spectrum Condition (ASC), Dyslexia, ADHD or any other learning, or social communication disorder. Low mood may follow a challenge of any kind, even when you have succeeded in your efforts, and certainly, if you have been unable to achieve what you hoped to, and even if that challenge is prolonged.

Counselling and Psychological Treatments:

Our work together can involve as little as  one session, or relatively few sessions, or it can be longer term therapy if this is assessed as best, or is desired by you. You can receive your therapy in person, or through telephone counselling. I can offer you specific psychological treatments, or I can work as an Integrative Counsellor by applying a blend of more than one approach to whatever is troubling you. The way that each approach would be tailored would be highly specific to you. It is not enough to know counselling approaches as techniques; success is maximised by working with you to create the best therapeutic treatment for you. I will help you to explore, clarify and work through your thoughts and feelings towards being a healthier and more confident you.

How I can help:

I offer Counselling and Therapy for:


Couples and relationships and communication in families

CBT/Parent re Child CBT (please call to discuss)

Group Counselling for Parenting, Anxiety, Confidence and Self-Esteem

I may use any of the approaches below, individually or in combination

  • Cognitive Behavioural Therapy (CBT)
  • Schema Therapy
  • Solution Focused Therapy
  • Humanistic and Person-Centred Therapy
  • Psychodynamic Therapy
  • Cognitive Analytical Therapy (CAT)
  • Creative Therapies
  • Couples and Systems Theory

I also offer 'Walk and Talk Therapy' (for agoraphobia and social anxiety). This may involve telephone counselling in the first instance, and then working with you at your door, or walking with you in your immediate surrounding area, or this may involve meeting for example in a shopping centre and working there.

I aim to involve you as much as possible in helpful change and I would share with you my skills and strategies openly and collaboratively.

Relationship and Couples Counselling...

As a couple you have brought together two different and unique emotional worlds. By using a highly individual approach to relationship counselling, which blends aspects of several key therapies, I will be able to work with you both, to enrich your relationship. Relationships are not just about you as a couple, they are about how each partner views themselves and the world around them and how they feel that the world has viewed them in their past and in their present. I aim to help couples to explore the stresses upon them and to support them through difficult times in the life of their relationship. The goal of couples counselling is to maximise the health of your relationship and to keep it at its best.#

Relationship dynamics are unique to you as a couple. The way that you react to each other and then in turn each of you reacts to that interaction, combines with other life factors, past and present, and is also a factor of the reactions of those around you.  Sometimes as couples stresses mean that we become stuck in our relating.  it can be easier than you might think to unravel complexities and wonderful things can emerge when you undertake couples counselling.  Often, incredible benefit occurs, not only to you as a couple but also as individuals and in all your relationships.

As with all counselling, people come to Couples Counselling for many different reasons. You do not have to have serious problems in your relationship, you may simply want to explore an aspect of your relationship in order to keep your relationship healthy. It may even be that one of you has suffered an individual trauma but you feel it best to deal with this as a couple. It is healthy to be proactive and to seek couples counselling before any crisis. Please do not feel that it will be assumed that your relationship is in any serious trouble just because you have sought support as a couple.

Sometimes couples do come to counselling in the middle of a crisis, perhaps because a sudden event has caused trauma or distress within the relationship. Often one or other of them may feel hopeless at the possibility of mending and nurturing their relationship. Unlike in individual therapy, there are two people who may feel very differently about their relationship, and about counselling, as they walk in the door to see me. One may feel brought along by the other and the other may feel offended or anxious about the unwillingness of the other. The relationship may have experienced a change which feels frightening or threatening.   It may be that something has caused a fracture in the relationship and trust has been damaged. The couple may be distressed as a result of an argument, or an affair or betrayal, or just have fears regarding trust. Alternatively, couples may come to therapy after many years of having wondered whether they should try to get some help from someone outside of their relationship. Sometimes life’s pressures have harmed the relationship temporarily, or sometimes childhood wounds have been impacting the relationship and the couple feel that it is time to look at this.   Wherever possible, the aim will be to heal and nourish your relationship.

I have been a part of rekindling so many relationships that were thought to be almost completely lost. So please come to Relationship Counselling soon and try not to continue to hope it will all go away, or to just give up too easily without adding counselling to your important journey together. My free 30 minute assessment will help you both. Couples counselling can help any two people in any relationship, to enrich that relationship.

Family and Relationship Issues...

Relationship issues, may be part of family issues, or you may be wanting to explore relationship difficulties as a parent, or with one or more members of your family, or indeed a friendship or work group. It may be that you, or a partner, or someone in your family has a particular difficulty which is affecting your relationship, or any relationship within a family structure. Our relationships are the most important aspect of our lives. I will be happy to support you to find the best way forward.

Training, qualifications & experience

DPsych Counselling Psychology (Dr)

Chartered Counselling Psychologist (CPsychol)
HCPC/BPS Registered and Accredited
Psychology BSc; Counselling Psychology Diploma and MSc
Psychology and Communication PGCE
Diploma in Supervision

Member organisations

Registered / Accredited


Other areas of counselling I deal with

Special interests:
Post natal depression and anxiety
Relationship issues
Couples and family groups
Obsessive Compulsive Disorder/parents of young people with OCD
Parenting issues and Stress.
Being a parent of a child or young person with special needs or mental health difficulties
Autism, Aspergers Syndrome
Young livesFamily relationship issues
Somatic problems – how stress is expressed through your body
Self-harmful behavioural strategies
Self-esteem and Identity issues

Entertainment business and related issues
Singers and other Creative artists
Music and language processing

Parents and children who are hearing impaired. . 
Sign Language:- I have a strong understanding of deaf culture. If you are a hearing child of deaf parents, or if you would like to see if I can be of help with the little signing I understand, and the good understanding of speech from a hearing impaired person that I am told I have, or just good understanding of some of the experiences you might have had as a person who is hearing impaired, or who is from a family where there are individuals who have hearing impairment, please do email me to discuss. You may however, find this link more useful than I can be for you: http://righttherapist.com/dir/languages/british-sign-language.

Research and involvement:
Parents' childhood experiences of the mental illness of one or more parent.
Person-centred curriculum in psychology and psychiatry


How we begin…

Complimentary phone assessment: - I offer a free 30 minute telephone assessment for us to begin to work out how I might help you.  During assessment, I will explore both what you feel you know about yourself and what may be upsetting, worrying or confusing you curently. Sometimes tough situations make life really hard.   In this assessment I will endeavour to determine how we may start to work together.

Assessment: I will usually forward you some questions which help me to know how best I may help you. Your first session in person will normally be a double session, to ensure that I have the best understanding I can of what has prompted you to seek counselling and which approach might best support you. Sessions will normally occur weekly after this, but this is agreed between us as being whatever is best for you.


Individual Counselling and Talking Therapy: - £55 per 50 minute session (£45 concessions for low waged committing to weekly sessions).

Individual CBT: £70 per 50 minute session. I am able to offer specialist rates if your doctor refers you for CBT.

Walk and Talk Counselling: £70 per 50 minute session

Intense CBT or other cognitive therapies one off session: £180 per 3 consecutive intense counselling hours in order to explore a specific issue (please call to discuss, this can be extremely effective).

Couples Counselling:- I offer relationship counselling for couples, or any two people, at £75 per each 50 minutes (double sessions are required)

For relationship counselling for more than two individuals, or parent re child CBT, or family communication sessions, please contact me to discuss.

Supervision:-I offer supervision at £60 per counselling hour (£50 concessions)

Further information

Keep Yourself Safe...

It is important that you always remember that counselling is NOT an emergency point of contact.

Outside of your counselling sessions, keep yourself safe by doing your best to stay aware and to remain honest about the extent of any low feelings you have. Look ahead and make sure that you know who to contact should you ever suddenly feel at risk. Make your own list of what will help you if you feel low,

You may find the following helpful:

The Samaritans

Web: Samaritans

If you live in the UK, the quickest way that the Samaritans recommend that you contact them is by phone on 116 123, this number is FREE to call.

Crisis Teams:

There should be a crisis team in your area available 24 hours a day, seven days a week. Find out the local telephone number for the Crisis Team in your area.

Call 999 or go straight to your local Accident and Emergency Department in your local hospital if you ever feel at immediate risk.

Maps & Directions

Bromley/ Kent, BR1
West Wickham, BR4 0ND

Type of session

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

Practical details

Sign language: Unspecified
Other languages: BSL - I have some understanding only but I have considerable experience about the impact of deafness


Please contact me to discuss availability and I will do all I can to help you to access Counselling, CBT, or a Therapy most helpful to you - as an individual, or part of any relationship.

Types of client

Young people
Older adults

Supervision & training

I offer supervision for qualified counsellors and also, when I have availability, for trainee counsellors, as I limit the number of trainees I work with in order to ensure I can give each sufficient support.

View supervision profile