Louise Ralph, BACP

Louise Ralph is a counsellor who helps people facing midlife changes, stress and loss. She offers calm, straightforward support for worries like anxiety, depression, relationship pain and coping with life transitions. People often come to her when they feel stuck or overwhelmed and want practical ways to move forward.

Louise holds a Diploma Level 4 in therapeutic counselling and psychotherapy and is a member of the British Association for Counselling and Psychotherapy (BACP). She runs a private practice based just outside London and combines elements of psychodynamic and person-centred work. That means she listens closely to personal history while keeping the session focused on what matters now.

She draws on a blend of approaches including attachment-based ideas, cognitive behavioural techniques and emotionally focused work to suit each person. Sessions tend to focus on building a trusting relationship, identifying unhelpful patterns, and practising new ways of coping. Louise also uses skills from dialectical behaviour therapy and mindfulness when these fit someone’s needs.

Her early counselling experience began with bereavement support at St Christopher’s hospice, and she also works with employee assistance and health organisations alongside her private practice. She sees people for issues such as addictions, trauma, grief, parenting strain, ADHD, and career concerns.

Sessions are available by telephone and video, and she offers daytime, evening and Saturday daytime appointments. To start, clients use the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

How these approaches translate to online therapy

Attachment-based work focuses on patterns in close relationships and how past connections affect present feelings. Online sessions can help people notice these patterns, practise different responses, and rebuild trust in relationships.

Client-centred therapy is based on respectful listening and following the person’s lead. In an online setting this looks like careful reflection, empathic responses and pacing the work to what someone is ready to address, which can suit gentle exploration of grief or midlife uncertainty.

Finding the right approach is part of the work together. The therapist will talk with the client about goals, preferences and what feels most useful. That discussion helps decide whether to emphasise attachment ideas, cognitive tools or emotion-focused methods, and the plan can change as therapy progresses.

Practical benefits of online therapy include fitting sessions around work or family life, avoiding travel, and choosing a time that suits a busy day. Telephone or video sessions may make it easier to attend evening or Saturday daytime appointments. Confirm the exact session formats available before booking so arrangements match individual needs.