About Louise
Louise Ralph works with adults who are feeling overwhelmed by stress, anxiety, grief, relationship strain, addictive behaviours or changes in life. She is a counsellor who aims to help people feel more able to cope, make decisions and move forward. Louise meets people online by video or phone, and she also uses live chat and text messaging for ongoing support.
She has eight years of experience and holds BACP registration with a Diploma Level 4 in therapeutic counselling.
How Louise works
Her early work included bereavement support at St Christopher's hospice, and she continues to offer services connected to that setting alongside independent practice work. She also provides telephone counselling through employee assistance programmes. Louise blends several practical approaches to suit each person.
She draws on client-centred methods to keep sessions focused on the person’s priorities. She uses cognitive behavioural ideas to spot unhelpful patterns and develop small, manageable changes. For relationship and attachment concerns she brings attachment-based and emotionally focused perspectives to help people understand connection and repair.
Where intense emotions or extreme mood difficulty appear, elements of dialectical behaviour therapy can support skills for tolerating distress and regulating feelings. Sessions typically involve talking, reflecting and trying out different coping strategies between meetings. Louise aims to build a reliable, respectful working relationship so people feel heard and steady enough to make changes.
She is based in the United Kingdom and offers work in English, including for international clients.
Louise lists 9 ways of working on the entry:
What Louise works with
The areas below are the ones Louise selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- 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 problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- 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
- Trauma and abuse
- 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 guide online sessions
Attachment-based work focuses on how early bonds shape adult relationships and emotional responses; it can help people understand trust, intimacy and patterns that repeat in current relationships. Client-centred therapy places the person at the heart of the session and offers a non-judgemental space for people to talk through what matters most to them. Cognitive behavioural therapy looks at links between thoughts, feelings and actions and supports people to test different behaviours and small practical changes to reduce distress.Choosing the best approach is a joint process. Louise discusses goals and preferences and adapts methods to fit what a person wants to achieve. That collaborative planning means the work can shift over time as needs change and progress is made.
Online sessions are available by video call, phone, live chat or text messaging to give flexibility. Video calls allow face-to-face conversation, phone sessions can be simpler when bandwidth is limited, live chat suits shorter check-ins and text messaging supports ongoing brief contact between sessions. These options help people fit therapy into busy lives and different schedules while keeping the focus on practical progress.
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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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