Joanna Efford Registered MBACP

Joanna Efford Registered MBACP


01582 469639 / 07757 225646

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About me

If you find yourself not coping whether suffering with anxiety, depression, low self-esteem, difficult relationships or just not feeling right, counselling can help. Through exploration, reflection and understanding it can enable you to find a way of either resolving your problems or find a better way of living with them. Together we can look at what causes and maintains unhelpful thinking and behaviours, learn to manage overwhelming feelings, gain insight and understanding and find new perspectives. I offer a safe place for you to talk about anything that is causing you discomfort. No problem is too big or too small, all matter.
I am a professional qualified counsellor and cognitive behavioural therapist (CBT). I have over 15 years experience working with all age groups.

I am a professional qualified counsellor and cognitive behavioural therapist (CBT). I offer a safe, accepting and confidential place where you can explore thoughts and feelings without judgement.

We all at some time in our lives find things difficult, overwhelming and struggle to cope. Sometimes we understand why and other times not. If you would like to have a better understanding of yourself and explore your difficulties whether past or present then counselling and/or CBT can help.

People come to therapy for many different reasons. Either they have a specific problem with a particular area of their life of they have a deeper feeling of dissatisfaction. Counselling is the first step in taking control of your life and managing overwhelming feelings. Therapy can be short or long term depending on the nature of the difficulty. CBT tends to be a shorter term therapy as it focuses on the here and now, specific presenting problems and is goal orientated.

CBT is a type of talking treatment that focuses on how your thoughts, beliefs, behaviour and attitudes affect your feelings, it teaches you coping skills for dealing with different problems. It combines cognitive therapy (examining the things you think) and behaviour therapy (examining the things you do) bringing about awareness and the opportunity for change. Evidence has shown it to be highly effective in dealing with anxiety, depression.

I am empathic and caring with over 15 years’ experience working with individuals from young adolescents to older adults experiencing a wide range of difficulties including anxiety, depression, relationship problems, bereavement and low self-esteem.

If you want to work towards making changes and feel more positive about your future I would like the opportunity to work with you. The quality of the relationship between the client and therapist is key to the success of therapy, it is important you find the right therapist for you. I understand that embarking on therapy can be a scary step to take and I am happy to discuss any concerns you may have.

Getting started:

Click on the email above or telephone to any questions or book an appointment.
Tell me days/times that suit you.
I will reply to your e-mail or phone message usually the same day.
Once we agree an appointment I will give you my address and directions if needed.
We will meet on the agreed day/time for an hour.
I will talk to you about confidentiality and ask a few general questions, then listen to your story in a safe accepting place.
Payment is due at the end of the session by cheque or cash unless bank transfer is agreed.
There is no obligation to continue having sessions if you feel it is not right for you.
If you do decide to have further sessions we will aim to meet once a week.

Training, qualifications & experience

I am a qualified Integrative counsellor and cognitive behavioural therapist (CBT). My qualifications include:

Advanced Diploma in Integrative Therapeutic Counselling

Post Grad Diploma in Cognitive Behavioural Therapy.

As well as private practice I currently work for MIND mental health charity.

I work with students at their primary and secondary schools as a counsellor and CBT therapist.

I also work as a counsellor at a hospice supporting patients and their family members.

I have previously worked in an N.H.S. G.P. surgery, F.E.College with young and mature students, in schools with Place 2 Be children's charity.

I am a registered member of the British Association of Counselling and Psychotherapy (BACP) and continue to adhere to their ethical codes of practice.

I routinely attend professional development courses and workshops to enhance my counselling work.

Member organisations


Accredited register membership

Other areas of counselling I deal with

I see a number of children and young people with a range of difficulties.


My fees are £45 for an initial consultation that takes around an hour.

Counselling and CBT sessions (usually weekly to start) are £45.00 per session. Each session lasts for 50 minutes.

Concessions available.

Under 18's or students in full time education fees are £35.00 for 45 minutes.

I do offer a number of reduced fee sessions for counselling students and those unable to pay the full rate.

Fees are payable in cash, cheque or bank transfer at each session.

I ask for at least 24 hours notice if you need to cancel. Non attendance may incur a cancellation fee.

I hold full professional indemnity and public liability insurance and have an up to date DBS certificate.

Further information

I offer counselling in a quiet private and comfortable environment from my consulting room in Harpenden.. No toilet facilities are available.

I am within easy reach of M25 junction 21A and 22 and Junction 7 Redbourn of the M1. I am 5 minutes drive from St Albans and 10 minutes drive from Luton.

Parking is easy unrestricted and free.

I can also be reached via the 321 bus route and Harpenden train station.

Maps & Directions

Harpenden, AL5

Type of session

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

Practical details

Sign language: No
Other languages: None


Accessibility information
Wheelchair access: Unspecified


Daytime Monday- Thursday 9 am - 5 pm.

Types of client

Young people
Older adults