Lucy Middleton, NCPS

Lucy Middleton is a counsellor who brings six years of practice in the United Kingdom. She holds the NCPS credential and draws on a mix of approaches to meet each person’s needs. Lucy aims to make the first step feel manageable and straightforward.

She works from a person-centred stance that lets people set the agenda. Sessions are focused on listening without judgement and noticing strengths the client already has. That approach is often paired with practical tools that help with day-to-day coping.

Lucy commonly uses Cognitive Behavioural Therapy, which helps identify unhelpful thoughts and build practical self-help strategies. She also draws on trauma-focused methods and solution-focused techniques when these are a better fit for the situation. The exact approach is chosen with the client, based on goals and what feels most useful.

Her background includes work at a women’s charity in a community facing social and economic challenges. There she supported people affected by childhood harm, ongoing trauma, and limited access to resources. That experience informs how she approaches complex, long-standing problems now.

Lucy currently works with the NHS Talking Therapies and in private practice. She helps people facing anxiety, depression, relationship and family concerns, grief, addiction-related issues, eating and intimacy-related difficulties, parenting strain, and many other life changes. Sessions aim to be practical, relational and focused on steps forward.

How these approaches work online

Client-Centred Therapy focuses on listening and understanding the person’s own view of their life. Online sessions let the counsellor follow your agenda and reflect what you bring, which is useful for relationship issues, grief and self-esteem work.

Cognitive Behavioural Therapy (CBT) helps identify unhelpful thinking and build practical coping strategies. In remote sessions this can include structured exercises, thought records and homework that you can complete between contacts to track change.

Finding the right way of working is part of the process. The counsellor will discuss different approaches with the client and agree what to try based on goals and preferences. That collaborative choice can change as progress is made and new needs emerge.

Online therapy provides flexible ways to meet. Video calls suit longer conversations and visual connection, phone sessions need less bandwidth and can fit into a work break, and live chat or text-based messaging offer brief check-ins or ongoing written reflection. These options make it easier to fit therapy around daily life and to keep continuity when scheduling is difficult.