Exposure Response Prevention (ERP) Counselling in Saint Helens
You may look like you're coping on the outside, but inside your mind rarely switches off. Anxiety, panic, health worries, work pressure or burnout may be taking over, leaving you overwhelmed, exhausted or avoiding things you once did without thinking. You may also be navigating ADHD, with racing thoughts, emotional overwhelm, procrastination or low self-esteem. I offer a warm, down-to-earth space where we can understand what is driving these difficulties, identify what may be keeping them going, and find practical ways to help you move forward, feel more in control and start trusting yourself again.
You may look like you're coping on the outside, but inside your mind rarely switches off. Anxiety, panic, health worries, work pressure or burnout may be taking over, leaving you overwhelmed, exhausted or avoiding things you once did without thinking. You may also be navigating ADHD, with racing thoughts, emotional overwhelm, procrastination or low self-esteem. I offer a warm, down-to-earth space where we can understand what is driving these difficulties, identify what may be keeping them going, and find practical ways to help you move forward, feel more in control and start trusting yourself again.
Being able to connect and have meaningful engagement is an important part of our lives. We can often find times through life that we struggle to make sense of who we are, and how we fit in. We may face challenges whilst navigating events in our lives we did not expect or anticipate. Therapy can assist you to be more robust and adaptive to changes whilst being more accepting of yourself.
I'm Sarah a psychotherapist with 15 year's experience working with adolescent, adults, and couples. I am skilled working with presentations of generalised anxiety disorder, social anxiety, OCD, PTSD, panic, health anxiety and phobias.
Being able to connect and have meaningful engagement is an important part of our lives. We can often find times through life that we struggle to make sense of who we are, and how we fit in. We may face challenges whilst navigating events in our lives we did not expect or anticipate. Therapy can assist you to be more robust and adaptive to changes whilst being more accepting of yourself.
I'm Sarah a psychotherapist with 15 year's experience working with adolescent, adults, and couples. I am skilled working with presentations of generalised anxiety disorder, social anxiety, OCD, PTSD, panic, health anxiety and phobias.
I am a Clinical Psychologist specialising in work with children, their parent, young adults and couples. I have particular clinical interest in neurodiversity, health conditions (e.g. Tourette’s and diabetes) and relationships. I am also interested in working with young adults to support their mental wellbeing, relationships and career/ life goals. In particular, in managing challenges related to neurodiversity and anxiety, or unpicking early childhood experiences.
I offer sessions via video and in clinic in Warrington.
I am a Clinical Psychologist specialising in work with children, their parent, young adults and couples. I have particular clinical interest in neurodiversity, health conditions (e.g. Tourette’s and diabetes) and relationships. I am also interested in working with young adults to support their mental wellbeing, relationships and career/ life goals. In particular, in managing challenges related to neurodiversity and anxiety, or unpicking early childhood experiences.
I offer sessions via video and in clinic in Warrington.
Are you not feeling like you are getting the most out of life and feel somewhat stuck in some way? Maybe you notice that your over-reacting with certain people or when in certain places or situations? Do you avoid doing certain things due to overwhelming feelings? Are you feeling unhelpful amounts of guilt/shame, feel unsafe in someway or out of control? If so, I can help you work through these by tailoring your sessions to your individual needs so that you learn about your self, start working towards your goal(s) and then start become self-sufficient with regard to what life throws at you.
Are you not feeling like you are getting the most out of life and feel somewhat stuck in some way? Maybe you notice that your over-reacting with certain people or when in certain places or situations? Do you avoid doing certain things due to overwhelming feelings? Are you feeling unhelpful amounts of guilt/shame, feel unsafe in someway or out of control? If so, I can help you work through these by tailoring your sessions to your individual needs so that you learn about your self, start working towards your goal(s) and then start become self-sufficient with regard to what life throws at you.
Hi, I’m Cat, an experienced, neuro-affirming, integrative Counsellor (MBACP/MNCPS Acc.), LI-CBT Psychotherapist and Attachment Specialist who’s worked therapeutically with children (6+), teens and adults for over 20 years in several professional roles, including Family Support, Youth Justice, Public Health, Prisons, CAMHS contracts and NHS Talking Therapies.
When working in NHS Talking Therapies, I witnessed the frustrations of clients who wanted more connection and depth in therapy, to feel seen, heard and understood. This fuelled my passion to offer a personalised practice, working at your pace and focusing on what matters to you.
Hi, I’m Cat, an experienced, neuro-affirming, integrative Counsellor (MBACP/MNCPS Acc.), LI-CBT Psychotherapist and Attachment Specialist who’s worked therapeutically with children (6+), teens and adults for over 20 years in several professional roles, including Family Support, Youth Justice, Public Health, Prisons, CAMHS contracts and NHS Talking Therapies.
When working in NHS Talking Therapies, I witnessed the frustrations of clients who wanted more connection and depth in therapy, to feel seen, heard and understood. This fuelled my passion to offer a personalised practice, working at your pace and focusing on what matters to you.
More Therapists Nearby
I believe that developing a trusting relationship is fundamental to any therapeutic journey. I offer a safe, compassionate and collaborative environment to support clients in achieving meaningful change in their lives. My aim in therapy is to support individuals to become healthier in their mental wellbeing and develop resilience for their own, long term mental health self-management.
I believe that developing a trusting relationship is fundamental to any therapeutic journey. I offer a safe, compassionate and collaborative environment to support clients in achieving meaningful change in their lives. My aim in therapy is to support individuals to become healthier in their mental wellbeing and develop resilience for their own, long term mental health self-management.
Dr Itzia Perez Morales - Clinical Psychologist
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
For anxiety and depression, interventions may include CBT, ERP, ACT, and CFT (these focus on unhelpful cognitive, emotional, and behavioural patterns).
I specialise in helping people with long-standing trauma and anxiety, who feel stuck in patterns of intrusive thoughts, persistent worries, self-criticism, and regret. Often, there are multiple overlapping difficulties that have affected identity, confidence, relationships, or daily life. I work with people who benefit from longer-term therapy, consistent appointments, and an individualised treatment plan that may involve one therapeutic approach or a carefully integrated combination of therapies. So, if previous therapy didn't brought the change you hoped, if you've felt unheard and unseen, you may be exactly who I work best with.
For anxiety and depression, interventions may include CBT, ERP, ACT, and CFT (these focus on unhelpful cognitive, emotional, and behavioural patterns).
I specialise in helping people with long-standing trauma and anxiety, who feel stuck in patterns of intrusive thoughts, persistent worries, self-criticism, and regret. Often, there are multiple overlapping difficulties that have affected identity, confidence, relationships, or daily life. I work with people who benefit from longer-term therapy, consistent appointments, and an individualised treatment plan that may involve one therapeutic approach or a carefully integrated combination of therapies. So, if previous therapy didn't brought the change you hoped, if you've felt unheard and unseen, you may be exactly who I work best with.
Hi I'm an experienced therapist who has worked in the NHS for over 20 years.
Initially as a mental health nurse and a CBT therapist.
I now work as a psychotherapist with a wealth of experience to help support and guide you when life feels difficult.
Emotional safety and compassion are my main priority when supporting people along with clear guidance and expertise.
Hi I'm an experienced therapist who has worked in the NHS for over 20 years.
Initially as a mental health nurse and a CBT therapist.
I now work as a psychotherapist with a wealth of experience to help support and guide you when life feels difficult.
Emotional safety and compassion are my main priority when supporting people along with clear guidance and expertise.
Let’s take the ‘wait’ out of therapy at a time when life feels heavy… My ideal client feels stuck in patterns of worry, fear, or self-doubt that they haven’t been able to shift on their own. They may struggle with anxiety, panic, OCD, depression, trauma or perfectionism. Often seeking relief, clarity and freedom to live without being held back by their thoughts. Their goals are often to feel more in control, reconnect with what matters, and build lasting resilience. My role is to provide practical, evidence-based tools and supportive guidance to help break free from unhelpful cycles and create lasting change.
Let’s take the ‘wait’ out of therapy at a time when life feels heavy… My ideal client feels stuck in patterns of worry, fear, or self-doubt that they haven’t been able to shift on their own. They may struggle with anxiety, panic, OCD, depression, trauma or perfectionism. Often seeking relief, clarity and freedom to live without being held back by their thoughts. Their goals are often to feel more in control, reconnect with what matters, and build lasting resilience. My role is to provide practical, evidence-based tools and supportive guidance to help break free from unhelpful cycles and create lasting change.
If you’re feeling stuck and don’t know what to do to change then I can help. Many people know what needs to change but don’t know how to do it. Together we can look at where and how you’re getting stuck and find ways to get you back to feeling yourself
If you’re feeling stuck and don’t know what to do to change then I can help. Many people know what needs to change but don’t know how to do it. Together we can look at where and how you’re getting stuck and find ways to get you back to feeling yourself
Have you ever felt desperate or confused and not known where to turn or what help to ask for? Here at Cheshire Wellness Centre, we’re a wellness centre with a difference. We endeavour to provide a place that’s safe, where people can go when it gets too much. When it comes to mental health, we know there’s no quick fix or one-size-fits-all solution; everyone’s journey is unique, every day is different. That’s why our holistic approach is focused on overall wellbeing, rather than just traditional counselling.
Have you ever felt desperate or confused and not known where to turn or what help to ask for? Here at Cheshire Wellness Centre, we’re a wellness centre with a difference. We endeavour to provide a place that’s safe, where people can go when it gets too much. When it comes to mental health, we know there’s no quick fix or one-size-fits-all solution; everyone’s journey is unique, every day is different. That’s why our holistic approach is focused on overall wellbeing, rather than just traditional counselling.
Hi, my name is Mark and I am a HCPC registered Clinical Psychologist (PYL043072) specialising in offering support to children, young people, and adults experiencing difficulties with their mental and physical health.
I take time to understand you as an individual and tailor therapy around your needs.
I offer a welcoming and supportive space where you can feel safe to talk, reflect, and begin to make sense of your experiences.
My work is grounded in care and collaboration. My aim is to be a helpful visitor in your life by providing thoughtful, compassionate, and evidence-based psychological support.
Hi, my name is Mark and I am a HCPC registered Clinical Psychologist (PYL043072) specialising in offering support to children, young people, and adults experiencing difficulties with their mental and physical health.
I take time to understand you as an individual and tailor therapy around your needs.
I offer a welcoming and supportive space where you can feel safe to talk, reflect, and begin to make sense of your experiences.
My work is grounded in care and collaboration. My aim is to be a helpful visitor in your life by providing thoughtful, compassionate, and evidence-based psychological support.
Are you struggling with fear, intrusive distressing thoughts, avoidance and generally not living the life that you want? Or are you low, hopeless, self critical and isolating yourself? I can help with these and other mental health difficulties through challenging your thoughts and making some changes to your current behaviours. CBT can also help with improving self-esteem and with overcoming phobias and past trauma. EMDR therapy is a powerful intervention for PTSD and trauma, new studies have also shown its effectiveness with anxiety disorders &grief
Are you struggling with fear, intrusive distressing thoughts, avoidance and generally not living the life that you want? Or are you low, hopeless, self critical and isolating yourself? I can help with these and other mental health difficulties through challenging your thoughts and making some changes to your current behaviours. CBT can also help with improving self-esteem and with overcoming phobias and past trauma. EMDR therapy is a powerful intervention for PTSD and trauma, new studies have also shown its effectiveness with anxiety disorders &grief
Hi I'm Peter. I'm a CBT and EMDR therapist. I have 20+ years experience working in a range of mental and physical health settings for both children and adults. I've worked in the NHS for the past 11 years. I provide evidence based therapy for adults struggling with difficulties around their mental, psychological and emotional health and wellbeing.
I understand that for many, opening up about your problems can seem really difficult. I offer a warm, friendly and welcoming environment. We will work together and go at a pace that best suits you.
Hi I'm Peter. I'm a CBT and EMDR therapist. I have 20+ years experience working in a range of mental and physical health settings for both children and adults. I've worked in the NHS for the past 11 years. I provide evidence based therapy for adults struggling with difficulties around their mental, psychological and emotional health and wellbeing.
I understand that for many, opening up about your problems can seem really difficult. I offer a warm, friendly and welcoming environment. We will work together and go at a pace that best suits you.
My fascination with human behaviour began in high school and It quickly became clear to me that I wanted a career in understanding and supporting others, and I have never looked back. I embarked on a path to become a therapist, which has allowed me to spend my career working across diverse and demanding settings, including the NHS, CAMHS, & inpatient units, along with client across the lifespan. This means that whatever challenges you are facing, I have a breadth of knowledge needed to provide you with the support needed
I accept direct self referrals and referrals via insurance as i am registered with AXA, Aviva, WPA & Vitality
My fascination with human behaviour began in high school and It quickly became clear to me that I wanted a career in understanding and supporting others, and I have never looked back. I embarked on a path to become a therapist, which has allowed me to spend my career working across diverse and demanding settings, including the NHS, CAMHS, & inpatient units, along with client across the lifespan. This means that whatever challenges you are facing, I have a breadth of knowledge needed to provide you with the support needed
I accept direct self referrals and referrals via insurance as i am registered with AXA, Aviva, WPA & Vitality
I work with children, young people and adults experiencing anxiety, depression, trauma, stress, low self-esteem, identity-related challenges and life transitions. With extensive NHS experience as a BABCP accredited CBT Therapist and EMDR Therapist, I provide a warm, compassionate and collaborative space where you can feel heard, understood and supported. Together, we will make sense of your experiences, develop practical coping strategies and help you move towards meaningful and lasting change.
I work with children, young people and adults experiencing anxiety, depression, trauma, stress, low self-esteem, identity-related challenges and life transitions. With extensive NHS experience as a BABCP accredited CBT Therapist and EMDR Therapist, I provide a warm, compassionate and collaborative space where you can feel heard, understood and supported. Together, we will make sense of your experiences, develop practical coping strategies and help you move towards meaningful and lasting change.
Many of the men I work with appear to be coping on the surface. They go to work, support their family and keep life moving, while underneath feeling anxious, overwhelmed, disconnected or exhausted. You may be struggling with anxiety, depression, trauma, OCD, stress or the impact of baby loss, including miscarriage and stillbirth. Perhaps you've spent months or years trying to manage things alone. Therapy offers a space to slow down, make sense of what is happening and begin moving forward without having to carry everything by yourself.
Many of the men I work with appear to be coping on the surface. They go to work, support their family and keep life moving, while underneath feeling anxious, overwhelmed, disconnected or exhausted. You may be struggling with anxiety, depression, trauma, OCD, stress or the impact of baby loss, including miscarriage and stillbirth. Perhaps you've spent months or years trying to manage things alone. Therapy offers a space to slow down, make sense of what is happening and begin moving forward without having to carry everything by yourself.
It can be overwhelming finding the right therapist and therapeutic approach for you. I aim to make the process of therapy clear and comprehensible, starting with building a shared understanding (formulation) of your difficulties and setting goals. Over the last 14 years I have worked across the NHS and independent practice, supporting adults and young people with mood difficulties (including anxiety and depression), adjustment to physical health conditions, and eating disorders. My clinical experience and training, together with your self-knowledge, is our starting point for therapeutic work.
It can be overwhelming finding the right therapist and therapeutic approach for you. I aim to make the process of therapy clear and comprehensible, starting with building a shared understanding (formulation) of your difficulties and setting goals. Over the last 14 years I have worked across the NHS and independent practice, supporting adults and young people with mood difficulties (including anxiety and depression), adjustment to physical health conditions, and eating disorders. My clinical experience and training, together with your self-knowledge, is our starting point for therapeutic work.
I became a therapist because I am passionate about people and improving as well as enhancing mental wellbeing. I understand that life can be a challenge and at times it may be hard to see the light at the end of the tunnel but I want to assure you that you do not have to go through life’s struggles by yourself. I am here for you and I am here with you. With your permission, I would like to come besides you and help you explore and discover events, thoughts, feelings and patterns of behaviour and together support you to make changes.
I became a therapist because I am passionate about people and improving as well as enhancing mental wellbeing. I understand that life can be a challenge and at times it may be hard to see the light at the end of the tunnel but I want to assure you that you do not have to go through life’s struggles by yourself. I am here for you and I am here with you. With your permission, I would like to come besides you and help you explore and discover events, thoughts, feelings and patterns of behaviour and together support you to make changes.
Are you feeling upset and low ! Are you sick of unwanted thoughts messing up your day or struggling with anxiety and needing some support. I work collaboratively and support clients each step of the way, I work on individual needs tailoring my interventions to each problem. I work with a wide range of clients with various disorders working innovatively and creatively. I guide many clients to recovery by using a range of tailored CBT techniques. Together, we identify unhelpful thought patterns, develop healthy coping strategies and work through trauma in a safe and constructive way.
Are you feeling upset and low ! Are you sick of unwanted thoughts messing up your day or struggling with anxiety and needing some support. I work collaboratively and support clients each step of the way, I work on individual needs tailoring my interventions to each problem. I work with a wide range of clients with various disorders working innovatively and creatively. I guide many clients to recovery by using a range of tailored CBT techniques. Together, we identify unhelpful thought patterns, develop healthy coping strategies and work through trauma in a safe and constructive way.
Nearby Exposure Response Prevention (ERP) Counsellors Searches for Saint Helens
See More Exposure Response Prevention (ERP) Counsellors Exposure Response Prevention (ERP) Counsellors
Do I need exposure and response prevention therapy?
Many clients decide to seek help for obsessive thoughts and compulsive behaviours when these symptoms are distressing enough to disrupt everyday life. Any thoughts or behaviours that cause friction in close relationships are also worth addressing. In addition, the client’s symptoms don’t have to be severe for them to benefit from ERP therapy.
Is exposure and response prevention therapy part of cognitive behavioural therapy?
Exposure and response prevention is one specific type of CBT that focuses on behavioural change in response to triggering stimuli. It is related to exposure therapy but adds an additional component of preventing compulsive and harmful responses.
How long does exposure and response prevention therapy take?
While every patient is different, exposure and response prevention therapy typically lasts around 12 sessions, although some treatments can take longer. A therapist will determine if the treatment is complete based on how the client faces their fears, particularly the strongest ones. When a client feels less anxiety about stimuli that once evoked terror or distress, that is generally an indication that they are nearing the end of ERP therapy.
What are the limitations of exposure and response prevention therapy?
The most common pitfalls of exposure and response prevention therapy include not addressing a client’s core fears, allowing the client to avoid their most distressing stimuli, and using imaginary exposure when the client requires real-life exposure (and vice versa). ERP therapy is most effective when the client commits to the full course of treatment; if the client stops early or doesn’t practice what they have learned outside of therapy sessions, they are less likely to have successful outcomes.