About Gemma
Gemma Pattison is a counsellor based in the United Kingdom with eight years of professional experience. She draws on person-centred ways of working while adding other methods when helpful. Gemma presents herself as calm and encouraging and aims to make first steps into therapy feel manageable.
She believes people are experts in their own stories and that they carry strengths they can use to change things that feel overwhelming. Sessions focus on listening, making sense of difficult feelings, and finding practical steps to try between meetings.
How Gemma works
Gemma encourages steady progress rather than quick fixes. Her work covers many everyday and complex concerns including stress and anxiety, low mood and depression, relationship and family difficulties, trauma and abuse, grief, and issues around identity and intimacy. She also supports people facing changes such as parenting challenges, career shifts, chronic illness, and caregiving stress.
Addictions, ADHD, eating and sleeping problems, and compassion fatigue are also within her scope. Gemma describes using approaches such as attachment-based work, cognitive behavioural methods, mindfulness, motivational interviewing, and narrative ideas alongside a client-centred stance. That means conversations are shaped around the person in front of her while drawing on practical tools when they suit the situation.
She offers sessions by video, phone, live chat or text-based messaging and responds regularly to messages. The emphasis is on accessibility and on building a working relationship that fits each person’s needs.
Gemma lists 10 ways of working on the entry:
What Gemma works with
The areas below are the ones Gemma selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trichotillomania
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | BACP |
|---|---|
| Years in practice | 8 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | United Kingdom |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that suit online counselling
Attachment-based work focuses on how relationships shape emotional responses. In online sessions this approach helps people understand patterns that affect trust, closeness and reactions to loss or abandonment, and can be useful for relationship and attachment issues.Client-centred therapy places the person and their experience at the heart of the work. The counsellor listens without judgement and follows the person’s pace, which can feel steady and supportive during remote sessions.
Cognitive behavioural therapy, or CBT, looks at how thoughts, feelings and behaviours interact and teaches practical skills to reduce anxiety, low mood and unhelpful patterns. It often includes short tasks to try between sessions which suit messaging or video check-ins.
Deciding which approach to use is collaborative. The therapist will talk through goals, preferences and life demands, then suggest methods to try together. Plans can change as progress is made and new priorities appear.
Online therapy by video, phone, live chat or text-based messaging gives flexibility. Video is good for face-to-face conversation, phone works well when bandwidth is limited, live chat or messaging can fit short check-ins or ongoing support. These options make it easier to fit therapy around work, family and other commitments while keeping the focus on practical, relationship-based work with registered or accredited professionals.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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