About me
Tired of scrolling through therapist profiles that all sound the same?
💡 What if therapy had a clear beginning, a middle, and a meaningful end?
Integrative Counselling and Coaching offers something different.
Most people come to therapy not knowing what to expect, how long it might take, or whether it will really help. At The Karter Consultancy (TKC), I offer Personal Consultancy, a structured four-stage model combining the reflective depth of counselling with the forward movement of coaching.
This means we can explore the experiences, emotions and patterns that may be keeping you stuck, while also working towards practical, meaningful change. Rather than choosing between understanding yourself and moving forward, you can benefit from both within one integrated approach.
I’m Ryan Karter MBACP MSc MA BA (Hons), an integrative therapist and coach, and founder of TKC in Richmond, South West London. I created TKC for people who want to understand themselves more deeply, make sense of their difficulties and create lasting change. My approach combines reflection, structure and direction, informed by neuroscience and psychoeducation to help you better understand your thoughts, emotions and patterns, and develop new ways of responding.
My ultimate goal is to help you reach a point where therapy is no longer needed. In other words, to make myself redundant. Together, we work towards meaningful change so that you can move forward independently, equipped with greater self-understanding and the skills to lead a more purposeful life.
Who I Work With
I work with adults aged 18 and over who want to understand themselves better, overcome difficulties that are affecting their lives, and make meaningful changes.
Whether you’re new to therapy or have tried it before, my integrative approach brings together the reflective space of counselling and the practical direction of coaching, tailored to your individual needs.
Areas of Specialism
I specialise in three areas: addiction, anxiety and depression.
These difficulties can look very different from one person to another, but they can share a common experience: feeling caught in patterns that are difficult to understand, manage or change.
You might know intellectually what you want to do differently, yet find yourself repeating familiar behaviours, feeling overwhelmed by your thoughts or struggling to find the motivation to move forward.
My approach looks beyond the immediate symptoms to explore what may be driving these difficulties, the purpose certain patterns have come to serve, and what might help you change them. By combining counselling with coaching, we can work towards both a deeper understanding of yourself and practical steps towards a different way of living.
My three areas of specialism:
Addiction
Difficulties involving alcohol, drugs and other substances, gambling, sex and pornography, compulsive eating patterns, overspending, problematic/dependent use of mobile phones and social media. I also have significant experience supporting “affected others”; those who may have a family member or loved one struggling with addiction.
Anxiety
Anxiety, panic (including panic attacks) intrusive thoughts, overthinking, OCD and “Pure O”, avoidance, phobias, fear, self-doubt and patterns of behaviour that can gradually make life feel smaller or more restricted.
Depression
Low mood, loss of motivation, low self-worth, loneliness, feeling stuck, loss of direction, anhedonia, life feeling meaningless, and difficulties reconnecting with activities or relationships that once felt meaningful.
In addition to my above areas of specialism, I also work with the following: relationship issues (including infidelity, break-ups, separation and divorce), dating, managing stress, age-related concerns, bereavement, and neurodivergence (including ASD, ADHD, PDA).
Training, qualifications & experience
I hold an MSc in Integrative Counselling and Coaching from the University of East London and am a registered member of the British Association for Counselling and Psychotherapy (BACP).
My training brings together counselling and coaching, informing my Personal Consultancy model. This integrated approach combines the depth of counselling, helping you explore your experiences and understand the patterns underlying your difficulties, with the forward direction of coaching, helping you work towards meaningful and sustainable change.
Alongside my private practice, I have clinical experience in addiction work at Addiction Support and Care Agency (ASCA) in Richmond, supporting individuals and families affected by alcohol and substance misuse.
I also hold an MA in Applied Anthropology, Community and Youth Work, validated by the National Youth Agency, and a BA (Hons) in Management Studies.
My wider professional background spans more than 17 years working with children, young people, adults and families across charities, local authorities, the NHS, schools and community settings. This experience has included supporting people experiencing anxiety, depression, OCD, trauma, burnout, relationship difficulties and significant mental health challenges, as well as working with individuals with autism, ADHD, learning difficulties and physical impairments.
This breadth of experience informs my understanding of the different personal, relational and social factors that can shape our wellbeing, and the importance of an approach tailored to the individual.
Member organisations
BACP is one of the UK’s leading professional bodies for counselling and psychotherapy with around 60,000 members. The Association has several different categories of membership, including Student Member, Individual Member, Registered Member MBACP, Registered Accredited Member MBACP (Accred) and Senior Registered Accredited Member MBACP (Snr Acccred). Registered and accredited members are listed on the BACP Register, which shows that they have demonstrated BACP’s recommended standards for training, proficiency and ethical practice. The BACP Register was the first register of psychological therapists to be accredited by the Professional Standards Authority (PSA). Accredited and senior accredited membership are voluntary categories for members who choose to undertake a rigorous application and assessment process to demonstrate additional standards around practice, training and supervision. Individual members will have completed an appropriate counselling or psychotherapy course and started to practise, but they won’t appear on the BACP Register until they've demonstrated that they meet the standards for registration. Student members are still in the process of completing their training. All members are bound by the BACP Ethical Framework and a Professional Conduct Procedure.
Accredited register membership
The Accredited Register Scheme was set up in 2013 by the Department of Health (DoH) as a way to recognise organisations that hold voluntary registers which meet certain standards. These standards are set by the Professional Standards Authority (PSA).
This therapist has indicated that they belong to an Accredited Register.
Areas of counselling I deal with
Other areas of counselling I deal with
Alongside my areas of specialism, I work with a broader range of concerns that can affect emotional wellbeing and everyday life. These may include stress and burnout, low self-esteem, confidence difficulties, shame, indecision, relationship problems, emotional isolation, and periods of feeling lost, overwhelmed or uncertain about what comes next.
You don’t need to have a diagnosis or be in crisis to benefit from therapy; sometimes it is enough to recognise that something doesn’t feel right, or that you would like life to feel different.
Therapies offered
Photos & videos
Fees
£80.00 per session
Concessions offered for
Additional information
Step 1: Initial Consultation*: FREE
Step 2: First 50 minute session: £40 (half price)
Step 3: All Follow Up sessions (50 minutes): £80
*The initial consultation lasts up to 20 minutes and takes place by telephone or online video. It isn’t a therapy session, but an opportunity to talk a little more about what has brought you to therapy, ask any questions you may have, and get a sense of whether we might be a good fit to work together.
Block Booking Options (sessions paid upfront)
6 sessions: £450 (save £30)
12 sessions: £840 (save £120)
Concessions may be available for students and those on low incomes or receiving state benefits. Please contact me for further information.
When I work
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Further information
What's Different About the TKC Approach?
The unique four-staged approach of integrative counselling and coaching, delivered through the Personal Consultancy model, addresses reparative exploration combined with therapeutic coaching. This dual approach embeds deeper and long-lasting change, so that is it both meaningful and sustainable.
Our work together will be purposeful and collaborative, with an emphasis on helping you move beyond repeated, unhelpful patterns so that you can build more clarity, steadiness and self-understanding. I aim to offer a space that is honest, respectful and supportive, while also being appropriately direct where that is useful.
I often work with both the deeper and the more practical side of change. This can include understanding unconscious patterns, exploring what lies underneath current difficulties, and then building new habits, boundaries and responses that feel more sustainable in everyday life. Insight is important, but lasting change often comes through practising different ways of thinking, responding and behaving. This is where integrating counselling with coaching can be particularly useful.
And finally...
As an alternative to conventional therapy, I also offer walk-and-talk therapy in suitable outdoor locations in the borough of Richmond upon Thames, which can be a helpful option for clients who find movement or being outside easier than sitting in a room.
