20th October 2019

Therapy with me

Karin Sieger, MA. BA. Reg. MBACP (Accred)

Seeking support is not a sign of weakness. It can be the smart thing to do and it can be life changing.

On this page you will find everything you need to know about the services I offer, fees and how to book an appointment.

1. How I can help you

I am a fully accredited and registered psychotherapist and offer one off, short or medium term therapy (eg 5 sessions to 6 months) in person in Richmond (West London), online via Zoom or via email for adults (aged 18+, not couples).

My client base is international and I specialise in support for general anxiety, loss, grief, life transitions (crisis of purpose, mid life, career change etc), personal development, counselling for cancer (for which I have been treated myself) and other life-changing illnesses. I also offer therapy in German.

Support to suit your needs

I offer regular daytime appointments in person in Richmond (West London) on Tuesdays, Thursdays and Fridays.

Extended one off consultations can also be scheduled on Saturdays.

Online appointments via Zoom and email support schedules can be more flexible to help accommodate clients bases outside the UK and Europe.

I also operate a waiting list, in case appointment times you are interested in are currently not available.

My Fees

My fees are as follows:

In person: £75 (50 mins)

Online: £90 (60 mins), £135 (90 mins)

Intensive one off consultation in person or online: £195 (120 mins + 30 mins follow up call)

Email support: One off: £90, Weekly: £80

Payments are done online via bank transfer or PayPal.



2. I believe in what I do

Therapy is about telling your story to someone who is independent and listens without judgment, in a calm and confidential setting. It can lighten your burden, help you understand your life, your options and get you back on track with a renewed sense of energy, direction and motivation.

I am passionate about the healing and life-changing power of counselling and therapy, which I have experienced first-hand and in my work with my clients.

The over-arching aim of my work is to help you develop a refreshed sense of purpose, hope, determination and motivation – for whatever lies ahead.

Whoever you are, whatever has happened, making peace is possible.


3. A bit about me

I hold an MA in Integrative Counselling and Psychotherapy, trained and previously worked in the NHS. I was born in Germany and have been living, studying and working in the UK since the mid 80s. Prior to retraining as a therapist, I spent some 25 years in consumer and media research (including BBC World Service, De Beers and AOL). You can find more about me here.


4. Working with me: What to expect and how does it work?

The first session

The first meeting gives you an opportunity to tell me, why you are considering therapy at this stage in your life, and to ask me any relevant questions. Based on that we can work out whether I am the right support and whether you would like to work with me.

How many sessions?

The length of our work would depend on your goal for therapy. This would be discussed at our first meeting and reviewed as appropriate. Please note that I no longer offer long-term therapeutic support, which may last several years. I now offer short and medium term work ranging from 5 sessions to 6 months. I would let you know, should I think that longer-term support may be more appropriate for your needs.

The session frequency

For regular work, sessions would be weekly, on the same day and at the same time. Because a lack of regularity and continuity undermines the effectiveness of therapy. I offer less frequent (eg fortnightly) slots to clients who are preparing to end therapy. For clients who undergo cancer or other medical treatment separate arrangements will be agreed as appropriate.

Book an Appointment

To book an appointment, send me a brief email outlining the issue your seeking support with and whether you would like an appointment in person or online.


My Office Location

My therapy premises are based in central Richmond at Parkshot House (Regus), 5 Kew Road, Richmond TW9 2PR opposite Richmond Station with Starbucks next door, on the right-hand-side (Google Map here). The main entrance of the building is a revolving glass door which leads into the main foyer, with a comfortable waiting area. The building also offers disabled access. My practice  is on the ground floor, in a confidential and quiet setting, with a welcoming, warm and informal atmosphere.

Richmond is easily accessible via the underground (District line), Overground Service from East or West London, 20 minutes by British Rail from Waterloo, or by bus from South West and West London, Hounslow or Surrey. A public car park is situated at the back of the station, and a large public NCP car park is located next to the station.

Online sessions are held via Zoom. Find out more here

Terms and conditions

In the interest of transparency, every client receives a written agreement from me, which outlines the terms of our work and your goals. You can view my Privacy Policy here.


For therapy cancellations with at least 48 hours notice (2 working days) a fee of £20 to cover room rent and admin charges applies. For all cancellations with less than 48 hours (2 working days) notice the full session fee applies. However, within reason, I would always aim to offer you a suitable replacement slot, if available.

For clients undergoing cancer or other medical treatment we would agree a suitable arrangement for cancellations due to feeling unwell.


5. A brief overview of what integrative therapy means and how I practice.

I am what is called an integrative therapist. That means I have been trained in several approaches, which I ‘integrate’ and rely on depending on what is most helpful to my clients at any given time. I combine four main approaches:

I. The Humanistic approach, which encourages us to think about our feelings and to take responsibility for our thoughts and actions.  The emphasis is on self-development and achieving our potential.

II. The Person-Centered Therapy is intended to help for us to become able to see ourselves as a person with power and freedom to change.  Crucial to this are a range of conditions, which the practitioner brings to the work; core are accurate empathy, genuineness or congruence, warmth and unconditional positive regard for the client.

III. The Psychodynamic Therapy approach is derived from Freudian psychoanalysis, but it is not analysis.  It acknowledges the importance of the unconscious and past experiences (eg with our parents or other significant people in our lives) in shaping our current behaviour.  Here, insight is the tool by which what is unconscious is brought to consciousness, freeing us to make new choices.

IV. Cognitive Behavioural Therapy (CBT) focuses on the link between our thinking and behaviour patterns, and how changes in our thinking can bring about changes in how we behave, and thus enhance our well being.  Negative thoughts and ‘self-talk’ are challenged using various techniques and the introduction of different ways of thinking.  CBT is applied mostly to short-term solution-focussed counselling.




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