Face-to-Face Counselling in South West London
Weekly support, held with care, clarity, and strong professional boundaries.
Many of the people who come to us are functioning well on the outside. They are working, parenting, managing. But they are carrying anxiety, overwhelm, or unresolved relational pain.
They don’t need crisis support. They haven’t hit rock bottom.
But they do need consistent, supportive therapy.
They don’t want to feel like they’re “taking a place” from someone who ‘needs it more’.
But this space is for you.
This service was created specifically for people who fall between free services and private practice - whose struggles matter, even if they don’t fit neatly into existing systems.
Who This Service Is For
This service is specifically for you if:
You earn too much to qualify for free or subsidised services, but private therapy feels out of reach right now
You’re struggling with long NHS waiting lists
You want weekly, ongoing therapy
You want support that is thoughtful, ethical, and well-supported
You are open to working with a trainee therapist supported by strong supervision.
People often choose this service when they’re ready to engage consistently and want therapy held within clear boundaries.
Affordable therapy shouldn’t mean lower standards.
Why The Middle Ground Therapy Service Exists
Too many people fall between the cracks of the current therapy system.
Free and NHS services are overstretched, with long waiting lists and limited session numbers.
Private therapy offers continuity and choice, but isn’t always financially accessible.
The Middle Ground Therapy Service exists to sit between these two worlds.
What Sets Us Apart
The Middle Ground Therapy Service offers weekly, face-to-face therapy within a robust clinical framework. Therapy is provided by trainee therapists in advanced training, supported by supervision and oversight, and sits perfectly between free (and means-tested) services and private practice
01.
Clear Structure
Therapy is held within a consistent weekly structure.
02.
Face-to-Face
In-person sessions in a professional environment.
03.
Open-Ended
Therapy continues based on need, review, and engagement, rather than a fixed entitlement.
04.
Open to All
Access is based on suitability and commitment, not benefits or eligibility criteria.
You don’t need a referral from a GP or other healthcare professional. You can make an enquiry yourself whenever you want to take the first step.
Therapy supports your whole life, not just your symptoms.
How Therapy Works Here
01.
Initial Enquiry
Submit an enquiry form to check suitability and availability.
02.
Free Assessment
An initial assessment session to explore your needs and ensure the service is a good fit. There are no right or wrong answers, just a gentle conversation to understand what would help you most.
03.
Weekly Therapy
50-minute face-to-face sessions at a fixed weekly time.
04.
Review Points
Therapy is reviewed at regular intervals to decide next steps together.
Therapy sessions take place weekly, at a fixed time, and last 50 minutes.
Clients begin with an initial assessment to ensure the service is a good fit.
If suitable, you will be offered a weekly session with a trainee therapist, matched according to availability and clinical suitability.
Therapy is typically offered in blocks of 12 sessions, with progress reviewed at the end of each block to decide next steps together.
Therapists work within a clear clinical framework, supported by regular supervision and oversight from the service.
Practical Details
Session Length: 50 Minutes
Frequency: Weekly
Fee: £35 per session
Format: Face-to-face
Location: Clapham Junction, SW London
Taking the first step can feel hard, but we are here to meet you where you are.
This service may not be suitable if you are:
In immediate crisis or need urgent support
Looking for one-off sessions or irregular attendance
Unable to commit to weekly sessions
Seeking out-of-hours or emergency contact with a therapist
Needing specialist or intensive support
If this service isn’t the right fit, we’ll aim to be transparent and, where possible, help you think about alternative options.
If you are in immediate crisis right now, please click here.
Accessibility should never come at the cost of standards.