Jamie Last

I currently have availability for new clients Monday to Friday, between 9am and 4pm.

I offer counselling in person in Epsom and by secure video call to adults across the UK. Sessions last 50 minutes and cost £80.

I offer a free 15-minute initial conversation by phone or video. This gives you an opportunity to tell me a little about what brings you to counselling, ask questions and see whether working together feels right.

To arrange an initial conversation, please contact me by email or through the enquiry form. I aim to respond within one working day.

If you feel overwhelmed or trapped in a cycle where one worry is quickly replaced by another, you may find that your mind rarely gets a moment to rest. From the outside you might appear to be coping well, while inside it can feel very different.

You may be overthinking, replaying conversations, worrying about things that haven't happened yet, or finding it difficult to switch off. Sometimes we know exactly what we're anxious about. At other times, it's much harder to understand why we feel the way we do.

I'm Jamie, a psychodynamic counsellor working with adults experiencing anxiety and related difficulties. I offer a thoughtful, down-to-earth and conversational space where we can begin to understand what's happening for you.

My approach is based on curiosity rather than judgement. We can look beyond the immediate worry and begin thinking about the feelings, relationships, experiences and patterns that may be contributing to how you're feeling now.

You don't need to arrive knowing exactly what you want to talk about. Sometimes working that out together is part of the counselling.

I work psychodynamically, which means we can explore what feels difficult now alongside how your experiences and relationships may be shaping the way you think and feel.

You might notice that you often put other people’s needs first, worry about disappointing someone, or find yourself in familiar difficulties despite wanting things to change. Together, we can become curious about these patterns and what they mean for you.

Our sessions are conversations. I’ll listen carefully, ask questions and think with you about what emerges. You can say when something doesn’t fit your experience, and we can take time with things that feel difficult to put into words.

Some sessions may focus on something that happened that week. Others may lead us towards earlier experiences or feelings you haven’t had much opportunity to talk about. We don’t need to force a particular direction.

Through this work, we can develop an understanding of what keeps you caught in familiar patterns and explore different ways of responding to yourself and others.

I usually meet with clients weekly for 50 minutes, either in person in Epsom or by secure video call. The work can be open-ended, allowing time to explore at a manageable pace. We’ll discuss how the counselling is feeling as we go.

Before starting counselling, I offer a free 15-minute conversation by phone or video. You can tell me a little about what brings you here, ask questions and get a sense of whether you feel comfortable talking with me. We can both consider whether working together feels right, with no obligation to continue.

If we decide to go ahead, we’ll arrange our first 50-minute counselling session, either in person in Epsom or by secure video call.

In that session, we can begin exploring what has been troubling you and what you hope to get from counselling. I’ll also explain confidentiality and the practical arrangements, including fees and cancellations, and make time for any questions.

You don’t need to prepare anything or arrive knowing where to begin. We can start with whatever is on your mind and take it from there.