Counselling with Trudi Macagnino

Will counselling help? #01


Counselling can help you make sense of your feelings and experiences. It can help you to rebuild your life in a more positive and satisfying way. It can help you to regain your vibrancy and vitality, to enjoy richer relationships, and engage in life in a more rewarding way.

I work with both individuals and couples (Click here for more details about counselling for couples)

What is the difference between counselling and psychotherapy?

Counselling and psychotherapy are very similar. As a rule counselling tends to be shorter term, more problem focussed and the counsellor may not have had as long a training. Psychotherapy on the other hand tends to be longer term, more in depth and the psychotherapist will have trained for longer and have undergone their own personal therapy

Case Studies

The following case studies are examples of the kind of issues people seek professional help for. The details and names have been changed to protect identities.

Sarah is a teacher and she was referred to me by her GP because she was suffering from anxiety and panic attacks. She found it very distressing and was unable to perform her job well; even simple tasks such as shopping were extremely difficult for her. She had begun to feel increasingly depressed. After working together for a few months her anxiety had subsided and the panic attacks were less frequent and less severe. After two years of therapy she is now leading a more fulfilling life. She has taken on increased responsibilities at work and rarely suffers any panic attacks. She is able to manage her anxiety levels effectively.

John, a management consultant, came to me because he was deeply unhappy in his marriage and was in fact having an affair with another woman. He felt in crisis and was afraid that his life was falling apart. We worked together for ten months during which time he was able to break off the affair and begin to rebuild his marriage.

Julie, a nurse, sought help because of coping with a partner who suffered from an addiction. She felt that the best thing for her was to leave him even though she still cared deeply for him. We worked together for ten weeks during which she was supported to make the very difficult decision of breaking off the relationship.

Martin, a GP, was experiencing difficulties with his teenage son. The relationship had deteriorated to such a point that his son had moved out. Over about a year we were able to explore the roots of his difficulties and he has been able to rebuild the relationship in a new and more satisfying way. He is hopeful that one day his son may decide to move back home.

Counselling for Couples

Choosing a partner and staying together through life’s ups and downs can be very challenging and very few relationships remain conflict free. This can lead us to feel let down, disappointed, unhappy, frustrated and confused.

I offer a non-judging, confidential and supportive space to explore what is happening in your relationship. My aim is to help both partners to communicate openly and honestly with each other, to say the difficult things that need to be said so that a deeper understanding is gained. Only then can change and resolution happen.

Some common issues that can be explored through couples counselling include:

  • lack of trust
  • betrayal or affair
  • jealousy
  • lack of communication
  • financial issues
  • work-related stress
  • abusive behaviour
  • different sexual needs or other sexual issues
  • family conflicts
  • different goals and values
  • different parenting styles
  • controlling behaviour
  • life changes.

    Couples counselling does not need to be a last resort to save a relationship. Many couples find counselling a helpful way of keeping their relationship healthy and growing.

    I welcome couples of all ages, gender, and sexuality.

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