About me

"If nothing changes, nothing changes".

I have long-term experience working with those brought up in alcoholic or dysfunctional homes (ACOA or ACA) - or clients who may be fighting addictions of their own (see my articles below).

Please feel free to call me and ask whatever questions you like. Perhaps then we can arrange an initial appointment currently via Skype, Facetime or phone. A first session, in complete confidence, gives us the opportunity to talk and to see whether you feel my counselling may suit you or not.

I am (NCAC) Accredited - which means I have jumped through all sorts of hoops for my counselling governing body (FDAP) to become a better counsellor and therefore better able to help you. I see a trained supervisor regularly for the same purpose.

I was able to offer counselling to people faced with the difficult task of managing their tinnitus in the early days of the onset, but clients and I found that focusing on our tinnitus made it worse for both of us.
What I can offer, however, is support over the phone and simple techiques I've used to help overcome the huge anxiety associated with the onset of the condition. Please do call if you are in difficulty. Also see my article about tinnitus at the bottom of this profile: "Tinnitus - learning to live with it"


  • Adult Children of Alcoholics issues (ACOA)
  • Living with Tinnitus and how to manage it
  • Giving up Smoking
  • Anxiety
  • Depression
  • Low Self-Confidence/ Low Self-Esteem

I run a private practice and have worked in both daycare (DHI, Bath) and residential (Clouds House/ Action on Addiction) centres and have long experience in 12 Step methods (abstinence) and Harm Reduction models of treatment (cutting down). I will work collaboratively with you to seek solutions and in the case of an addiction, help in overcoming a growing problem over which you may feel you have little or no control.
I am under regular & professional supervision and am committed to developing and expanding my counselling skills to better help you.

Due to the pandemic I am happy to see you for sessions via Skype or Facetime. Hopefully, face-to-face sessions will resume again soon.

I hold National Counsellor Accreditation (NCAC) and am an Accredited Drug & Alcohol Counsellor and member of FDAP (The Federation of Drug and Alcohol Professionals).

Training, qualifications & experience

  • FDAP (Federation of Drug and Alcohol Professionals) Accredited NCAC.
  • FDSc in Addictions Counselling (University of Bath/ Action On Addiction).
  • Intermediate Certificate in Counselling Skills. (Bath College)
  • Models and approaches used:
    Egan's Skilled Helper Model
    Person-centred counselling (Rogerian Approach)
    Abstinence Based Approach (12 Step)
    Harm Reduction (Relapse Prevention)
    Motivational Interviewing MI (Miller & Rollnick)

    As counsellors, we are strongly encouraged to advance our own professional and personal development on a continuing basis These are some of the CPD modules and courses that I have attended since qualifying:
  • Transactional Analysis - TA 101 (Iron Mill College, Exeter)
  • Understanding and Recognising Sex Addiction (ISAT Training)
  • SWEDA: Eating disorders training for professionals.
  • Boarding School Survivors Workshops, London.
  • Introduction to Use of EMDR in Traumatic Experience (Iron Mill College, Exeter)
  • Introduction to Pesso Boyden Psychotherapy - A New Approach to Healing the Past.
  • Security (re)gained - Attachment as a therapeutic modality.
  • The Music of Being - Becoming a self through the therapeutic qualities of music.
  • The Long Goodbye - A Psycho-social investigation of endings in life and therapy.
  • Group Analysis Today.
  • The Rescued Fragment – What underlies shame?
  • Between the Given and What Gives.
  • Co-Morbidities: What is the Future Direction?
  • The Buddhist Wheel of Life - Six Realms of Existence - Their place in the therapy room.

Member organisations


Federation of Drug and Alcohol Professionals

FDAP is the professional body for the substance use field and works to help improve standards of practice across the sector. Membership of FDAP is open to individual practitioners and managers, service providers, academic institutions and commissioning bodies and there are different categories of membership.

FDAP members are bound by a Code of Practice and subject to a Complaints & Disciplinary Procedures.

Other areas of counselling I deal with

12 Step programmes of recovery.
Motivation to change (Motivational Interviewing).
Tinnitus support (ringing in the ears).

Therapies offered

  • Couples counselling
  • Family/systemic therapy
  • Humanistic therapies
  • Person-centred therapy
  • Solution focused brief therapy


I charge £45 per 50 minute session and £65 for couples and families.

I can offer some concessionary rates for students and for those on a low income or income support. Please ask.

Concessions offered for

  • Low income
  • Unemployed

Further information

Hugh has worked for many years in the music industry as a musician/composer with a West End show to his credit and another running at London's Roundhouse. He spent 20 years in Hong Kong writing music for Chinese Theatre and TV Advertising before returning to live and work in the lovely city of Bath.

His counselling studies started at Bath College under Cynthia Barker followed by a two year Addictions Counselling course at the University of Bath under the auspices of Action on Addiction. He has experience supporting the counselling team at Clouds House and has been running his own private practice since 2013.

He also still finds time to compose, create ceramic designs, and produce audiobooks for the BBC and can be found on Thursday evenings flying around the world with the Bristol Flight Simulation Group.

Flat 4 Riverside House
19 Osborne Road

Type of session

In person
Home visits

Practical details

Sign language
Other languages None


Wheelchair user access

Wheelchair-accessible premises should have step-free access for wheelchair users and individuals who are unable to climb stairs. If a counsellor's premises aren't step-free, they may offer alternative services such as telephone/web-based appointments, home visits, or meeting clients in different location, so you can choose the option that suits you best.

You can contact the counsellor to discuss the options available.

Under the Equality Act 2010 service providers have a duty to make reasonable adjustments to ensure that individuals with disabilities can access their service. You can read more about reasonable adjustments to help you to access services on the CAB website.

Wheelchair user access

My practice room is on the first floor. Parking is free in the street outside.


I counsel on Tuesdays and Thursdays, currently only online using Skype or Facetime.

Types of client

Young people
Older adults


Hugh Trethowan

Hugh Trethowan

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