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.

For those experiencing the onset of Tinnitus, I can offer a one-off counselling session offering simple techniques and a practical toolkit to help overcome the anxiety associated with the onset of the condition. See fees below. I've written two articles on tinnitus at the bottom of this profile: "Tinnitus - adapting and coping techniques" & "Tinnitus - learning to live with it".


  • Adult Children of Alcoholics issues (ACOA)
  • 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 APM (Federation of Drug and Alcohol Professionals - Advanced Practioner) 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

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


Concessions offered for

  • Low income

Additional information

I offer a free initial telephone brief chat.
I charge £45 per 50 minute session and £65 for couples and families.
I can offer some concessionary rates for those on a low income or income support. Please ask.

A one-off counselling session for onset Tinnitus offering simple techniques and a practical toolkit - £90.


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

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 at 30,000 feet 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

Types of client

Young people
Older adults

Key details

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


Hugh Trethowan

Hugh Trethowan