How Therapy Works | What to Expect
First contact: Reach out by email or via the contact form to introduce yourself and share a little of what's brought you here. I'll respond within two working days. From there, if it feels like a good fit, we'll arrange an initial assessment session.
Initial assessment session: The first session is an opportunity for us to meet properly. You don't need to have everything figured out or know exactly what you want to say. We'll talk about what has brought you to therapy, what's feeling hardest right now, and what you're hoping things might look like on the other side. It's also a chance for you to ask me anything you want to know about how I work. There's no pressure to commit to anything beyond that first session. We'll check in regularly to make sure therapy is feeling useful and right for you.
Ongoing work: Some clients want short‑term, focused support. Others prefer longer‑term work to understand deeper patterns. We will decide together.
My approach: Integrative, drawing on relational, person‑centred, psychodynamic and mindfulness methods.
Confidentiality and ethics: I follow the BACP Ethical Framework and receive regular supervision.
Questions People Often Ask
1. Is therapy right for me if I am not in crisis?
Yes. Many clients come to therapy not in acute crisis, but at a crossroads such as navigating fertility challenges, adjusting to parenthood, or feeling a quiet sense of having lost themselves. You don't have to be at breaking point to deserve support.
2. Do you offer online sessions?
Yes. I work in person in London and online across the UK.
3. How many sessions will I need?
It varies. Some people find shorter work helpful. Others choose longer‑term therapy to explore deeper patterns. We will review together.
4. Do you work with children or teenagers?
No, I only work with adults over the age of 18.
5. Do you work with couples or families?
I work with individuals rather than couples or families. However, many of my clients want to explore struggles and patterns in their relationships, whether that’s with a partner, family members, or friends. Our work can help you understand what’s happening beneath the surface, make sense of recurring dynamics, and develop tools for healthier, more fulfilling connections.
6. Do you accept insurance?
I don’t work directly with insurance providers, which means sessions are self‑funded. Many clients prefer this because it gives them complete privacy and flexibility because your therapy stays confidential, and you can choose the pace and focus without restrictions from an insurer. If you’d like to check whether your provider offers reimbursement for out‑of‑network therapy, I’m happy to provide receipts for you to submit.
7. Can I leave a review or testimonial?
I do not solicit testimonials in order to protect your privacy and to honour professional ethics.
Ready to take the first step?
Send me a message at MadisonJacobyTherapy@proton.me or use the contact form on the home page. I'll be in touch within two working days.