Joanna Efford Registered MBACP
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.
Counselling helps you make sense of difficulties by talking to an impartial listener, to gain insight and understanding and find new perspectives. It helps uncover inner resources and develop new helpful coping strategies. The process of counselling supports you in exploring and reflecting on whatever is troubling you. It can enable you to find a way of either resolving your problems or find a better way of living with them.
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 10 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.
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.
Areas of counselling I deal with
- Affairs and betrayals
- Anger management
- Anorexia nervosa
- Asperger's syndrome
- Attachment disorder
- Attachment disorder in children
- Avoidant personality disorder
- Behaviour problems
- Binge-eating disorder
- Bipolar disorder
- Body dysmorphic disorder
- Borderline personality disorder
- Bulimia nervosa
- Career counselling
- Carer support
- Child related issues
- Childhood bereavement
- Childhood bullying
- Children’s learning difficulties
- Chronic fatigue syndrome/ME
- Dependent personality disorder
- Depression and anxiety in children
- Domestic violence
- Eating disorders
- Emotional abuse
- Family issues
- Feeling sad
- Generalised anxiety disorder
- Hearing voices
- Low self-confidence
- Low self-esteem
- Obsessive compulsive disorder (OCD)
- Obsessive-compulsive personality disorder
- Panic disorder
- Passive aggressive behaviour
- Personality disorders
- Physical abuse
- Post-traumatic stress disorder (PTSD)
- Postnatal depression
- Pregnancy and birth
- Relationship problems
- Seasonal affective disorder (SAD)
- Separation and divorce
- Separation anxiety
- Sexual abuse
- Suicidal thoughts
- Work-related stress
- Young carers
Other areas of counselling I deal with
I see a number of children and young people with a range of difficulties.
- Behavioural therapy
- Cognitive and behavioural therapies
- Cognitive behavioural therapy (CBT)
- Cognitive therapy
- Compassion-Focused Therapy
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.
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.
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
Type of session
|Face to face counselling:||Yes|
Daytime Monday- Thursday 9 am - 5 pm.
Types of client