Dr. Annette Gensale, Counselling Psychologist, HCPC/BPS

Dr. Annette Gensale, Counselling Psychologist, HCPC/BPS


West Wickham
Bromley/ Kent

07495 973 877

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About me

I aim to support you to comfortably express your worries about any situation, and in any relationship in which you find yourself. If you are experiencing General Anxiety, Social Anxiety, Depression, Post-Natal Depression, or Parenting-related Depression, Low Confidence, or  Relationship issues,  or perhaps you are struggling to support a loved one,  through an emotional or psychological difficulty, I will support you while we explore the impact of this upon you.  If you are struggling to know who you are, and why you feel as you do, I will integrate a variety of psychological and therapeutic approaches to help you to feel happy and true to yourself.

How I work will be unique to you. I will work with you to help you to better understand and care for yourself, and to be, and to feel the best that you can in your life and in your relationships.  This may take you through an emotional journey towards appreciating who you already are, or this may involve my being alongside you in counselling sessions as you explore and undertake very important change. I am available to see Individuals, Couples, Parents with children, or any group wanting to improve communication.

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 aim to support you to feel comfortable and valued in your counselling time with me, even when the work feels challenging. I am creative and patient and will ensure my fullest understanding of your concerns, regardless of your level of confidence, or the anxiety you experience.

Counselling is usually weekly for either a single (50 minutes) or double (100 minute) session.  I also offer  intense 4 session blocks for anxiety-related issues, or more intense couples work.  'Couples' refers to any two or more people wishing to improve their relationship and communication. The only skill you need is to be yourself, as you are, right now.I offer reductions for low waged or trainee counsellors.  I can also offer reductions for intense short-term blocks of therapy, or occasional problem-specific triple sessions. I can offer parent and child sessions at my couple session rate, and reductions for couples for intense twice weekly therapy.

I offer post natal counselling, or adjustment to parenting sessions, which can sometimes take place in your own home.  Please contact me for details.

Individual Counselling and Couple 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, or perhaps motivation or procrastination; 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 issues which challenge or distress them, or through Mental Health Issues, or Autistic Spectrum Condition (ASC), Dyslexia, ADHD or any other learning or social communication disorder. Whether I see you as an individual or a couple, or as a group, I work with an underlying basis of Systems Theory, which will help you to view yourself as unique, but to understand from where difficulties may stem and could be being triggered or perpetuated. Low mood or anxiety 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 approaches, 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 approach 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.

Counselling for couples or individuals facing fertility issues.

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

Post natal counselling or adjustment to parenting counselling.

I offer Group or individual Counselling for Parenting, Anxiety, Confidence and Self-Esteem, or Communication.

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 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...

Relationships bring together different people with unique emotional worlds.

Working together with Couples:- 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.

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.

Some thoughts on how I work.

For couples, there is a small glass table in the room between yourselves and myself.  There is nothing between you both, including myself as the counsellor.  We are close but separate.  The aim is for you to be the team and not to feel that I may take sides with either of you.  You can face each other, or be alongside each other, or face me or face away as you express your thoughts and feelings to your partner.  You may utilise the table - you may write to each other or draw.  You will each have water to drink resting on the table.  You might refer to something that you wish to place on the table and show each other. Wherever possible, the aim will be to explore,  heal and nourish your relationship.

Relationship Issues..and Parent with Child Relationship Counselling.

Relationship counselling can help any two people in any relationship, to enrich that relationship, or to rebuild after conflict and to heal the stress in their connection

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.

Parent and child relationship counselling can also greatly benefit both you and your child.  Please call to discuss this.

Parting Respectfully

An important part of my work is also in working with those struggling with the pain of ending their relationship as it has been, and finding a new way forward.  Where there has been pain, there needs to be healing.  It is so important to part from each other respectfully.  Every person deserves to feel this respect, even though the couple will be experiencing extraordinarily difficult and distressing emotions.

Mediation can often necessarily focus on possessions and rights connected with these.  Sometimes, in retrospect it is clear to couples that if they had parted well, they would have moved forward with confidence and also kindness.  Sometimes  mediation ends up focusing on what is really best worked through in relationship counselling.  Many couples benefit from talking through their feelings at this point in their relationship, and either find that they no longer need mediation, or are more prepared to work well within mediation should they seek this.  This can be all the more important where children are involved, and it can be vital where there has been feelings of betrayal on either or both sides, or there has been misunderstandings in the long-term.  Please do not feel afraid of these conversations, they can be invaluable when undertaken with the support of counselling.  Going through the important process of parting respectfully, does not rule out staying together, but rather starts with the focus that the couple are struggling with the painful process of a decision to part, or a belief that they should part.  Please do call to discuss.

Training, qualifications & experience

Dr. Counselling Psychology (DPsych)

Chartered Counselling Psychologist (CPsychol)

Postgraduate  Dip in Counselling Psychology

Post-Master of Science Diploma – Counselling Psychology

MSc Counselling Psychology

Psychology and Communication PGCE

Psychology BSc

HCPC/BPS Registered and Accredited

Diploma in Supervision

Member organisations

Registered / Accredited


Other areas of counselling I deal with

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

Post natal depression and anxiety
Relationship issues
Couples and family communication
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 lives/Family relationship issues
Somatic problems – how stress is expressed through your body
Self-harmful behavioural strategies
Self-esteem and Identity issues

Parents and individuals with hearing impaired close relatives: 
Sign Language:- I have an 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 my 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' own childhood experiences of the mental illness of one or more parent.

Daughters of mental illness.

Motherless mothers

Person-centred curriculum in psychology and psychiatry


How we begin…

Complimentary phone assessment: - I offer a free brief telephone assessment.  During assessment, I will explore both what you feel you know about yourself and what may be upsetting, worrying or confusing for you currently. Sometimes tough situations make life really hard, and sometimes life is stressful because of how we feel about ourselves on the inside.

Assessment: I will usually forward you some questions which help me to know how best I may help you. Your assessment session in person will  be a double session, to ensure that I have the best understanding I can of what has prompted you to seek counselling and the approach that might best support you. Sessions would normally occur weekly after this. In this assessment I will endeavour to determine how we may start to work together.


Individual Counselling and Talking Therapy: - £70 per 50 minute session (£55 concessions for low waged committing to weekly sessions)

Individual CBT and Cognitive-based therapy: £80 per 50 minute session. .

Intense counselling a below: (please call to discuss how extremely effective this can be):-

Intense block of Integrative counselling, including cognitive therapies  one-off session:- e.g.£280 per 4 consecutive counselling hours (200 mins), in order to explore a specific issue.

Intense blocks of therapies ongoing are charged at normal hourly rate:  e.g.£320 for 4 counselling hours CBT-based, or £280 for Integrative'based counselling.

Couples Counselling:- I offer relationship counselling for couples, or any two people, at £75 per each 50 minutes (double sessions of 100 minutes are required).  Intense blocks of 200 minutes are available)

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 £80 per counselling hour (£60 concessions)

Personal Therapy for trainee counsellors:- £50 per 50 minute regular weekly sessions

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, BR1
West Wickham, BR4

Type of session

Online counselling: No
Telephone counselling: Yes
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


Wheelchair access: No


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.

Online supervision:No
Telephone supervision:Yes
View supervision profile