Practice Information for Sessions 

 

Paula Miles Therapy
www.paulamilestherapy.com

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Welcome to my practice — a space for your truth, your healing, and your becoming.

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Hello

I'm so glad you've found your way here. This space was created for you.

Whether it’s anxiety, feeling overwhelmed, emotional exhaustion, or a quiet ache for something more — you don’t have to carry it alone.

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What Therapy with Me Is Like

“You don’t need to be articulate, insightful, or ‘have it all together’ to come to therapy. You just need to be willing to show up. Some days you may talk a lot. Others, not at all. All of you is welcome here.”

 

 

 

 

 

 

 

 

 

 

 

 

Session Structure

Individual Session Fee: £70

Block payments available: If you choose block payments the month investment is (4 session - block payment)*: £240

Payable via bank transfer (BACS) or by debit/credit card at least 24 hours prior to the session or by card.

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Sessions are available online or in-person, depending on your needs and current availability.

 

Payment & Confirmation:
All sessions are confirmed only upon payment.
If payment is not received at least 24 hours before the session, the appointment slot will be automatically released.
Payment details will be provided in your booking confirmation email.

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Block Payment Policy

A block payment of £240 covers 4 sessions and must be used within the same calendar month of purchase.
Unused sessions cannot be carried forward or refunded.
If you cannot attend a scheduled session, it may be rescheduled within the same week or added as a double session during the following appointment, subject to therapist availability.
This policy ensures fairness in scheduling and supports the continuity and integrity of the therapeutic process.

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Rescheduling & Cancellations

Therapy is most effective when sessions take place regularly, though I understand that sometimes unexpected circumstances arise.

If you need to cancel or reschedule, I kindly ask that you provide at least 24 hours’ notice. Messages sent over the weekend regarding a Monday session you have will be answered on Sunday (time not guaranteed).

Please note that same-day cancellations, including those made just a few hours before the session, are charged at the full session fee. This is because the time has been set aside specifically for you and cannot usually be offered to another client at short notice.

If cancellations at short notice happen repeatedly, we may need to review the ongoing work and your regular appointment time.

This policy helps protect the therapeutic space and ensures respect for both your commitment and my professional time.

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Emergency Support

Please note that I do not provide one off session or crisis services and am not available 24/7. While I aim to offer a consistent and holding space during our sessions, I am unable to respond to urgent or emergency situations outside of our scheduled time. Also I do not provide same day session

If you are in crisis or feel unable to keep yourself safe, please seek immediate support from one of the following services:

• Call 999 or go to your nearest Accident & Emergency (A&E) department

• Samaritans (free, 24/7 emotional support): Call 116 123

• Shout (24/7 text support for anyone in distress): Text SHOUT to 85258

Your safety matters. Please don’t hesitate to reach out to these services if you are in need of immediate support.

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Same-Day Session Requests

Therapy is most effective when sessions are planned in advance and take place regularly. While I understand that unexpected circumstances may arise, I do not offer same-day appointments.

• Current clients – If you feel the need for extra support before your next scheduled session, please contact me to request an additional appointment. over all sessions require preparation and cannot be arranged on the same day. I will do my best to offer you a suitable time as soon as possible, depending on availability.

• New clients – Initial consultations and over all sessions (specially first session) require preparation and cannot be arranged on the same day. I will respond to your enquiry as soon as possible and offer you the earliest available appointment.

I will respond as soon as I can, usually within 24 hours on working days.

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If You Are in Crisis

If you feel unable to keep yourself safe, or you are in urgent need of immediate support, please do not wait for my reply. Instead, reach out to one of the following services straight away:

• Call 999 or go to your nearest Accident & Emergency (A&E) department

• Samaritans – free, 24/7 emotional support: 116 123

• Shout – 24/7 text support for anyone in distress: Text SHOUT to 85258

Your safety is the priority. Please don’t hesitate to use these services if you are in crisis.

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Contact Between Sessions

For scheduling or practical matters such as cancellations, you are welcome to contact me via email or SMS. I will respond as soon as I can, usually within 24 hours on working days. Messages received during weekends or bank holidays will be answered on the next working day.

Therapeutic content is best explored within the session itself. If something important arises between sessions, I will acknowledge your message but I will invite you to bring it to your next appointment so we can work through it together.

If you feel you would benefit from support before your scheduled session, you are welcome to request an additional session or ask if we can bring your appointment forward, depending on availability.

Same-Day Session Requests are not available.

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If You Are in Crisis

If you feel unable to keep yourself safe, or you are in urgent need of immediate support, please do not wait for my reply. Instead, reach out to one of the following services straight away:

• Call 999 or go to your nearest Accident & Emergency (A&E) department

• Samaritans – free, 24/7 emotional support: 116 123

• Shout – 24/7 text support for anyone in distress: Text SHOUT to 85258

Your safety is the priority. Please don’t hesitate to use these services if you are in crisis.

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Opening Time

I currently offer sessions Monday to Friday, between 10:00 am and 6:00 pm. These hours are designed to provide flexibility during the day while also supporting a consistent rhythm to our work together..

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Confidentiality & Safeguarding

Everything you share in session is treated with the utmost confidentiality. Therapy provides a safe and private space for you to explore your thoughts, emotions, and experiences openly.

However, there are a few legal and ethical exceptions where I may need to share information with relevant professionals or authorities to ensure your safety or the safety of others:

• If there is a serious risk of harm to yourself or to others

• If there is a disclosure of abuse or risk involving a child or vulnerable adult

• If I am required by a court of law or by legal authorities

• In clinical supervision, where I discuss my work without revealing identifying details

If a disclosure or safeguarding concern arises, I will always aim to discuss this with you first, whenever it is safe and appropriate to do so. The goal of any action is to protect and support — not to punish or judge.

 

My Safeguarding Duty

As a registered psychotherapist with the British Association for Counselling and Psychotherapy (BACP), I am professionally and legally obligated to act if I believe that:

• You are at serious risk of harm,

• Another person, particularly a child or vulnerable adult, is at risk of abuse, neglect, or exploitation, or

• A criminal offence such as terrorism or money laundering has been disclosed.

In such situations, I may need to contact:

• Your GP or other relevant health professional,

• The local safeguarding team (Adult or Children’s Services), or

• Emergency services (999) if there is immediate danger.

These steps would only ever be taken to protect life and wellbeing, in line with the Care Act 2014, Children Act 1989/2004, and the BACP Ethical Framework (2018).

 

Supervision and Ethical Oversight

I work under regular clinical supervision to ensure safe and ethical practice. Supervisors adhere to the same confidentiality standards and do not receive identifying information about clients.

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Public Encounters

To protect your privacy and maintain the confidentiality of our therapeutic work, if we happen to cross paths in a public setting (like a store, café, or on the street), I won’t acknowledge or approach you.

Please don’t take it personally—this isn’t about distance, it’s about care. It’s a standard I uphold with all my clients to ensure your comfort and confidentiality.

Of course, if you choose to say hello, that’s completely okay. I’ll follow your lead.

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Holidays and Session Planning

I take holidays throughout the year to rest and maintain my well-being, and I will always inform you at least 1–2 weeks in advance of any planned time off.

When a holiday coincides with a scheduled session, we will discuss the best approach together, including:

• Skipping the session that week and resuming the following week.

• Online sessions, if I am available and it suits your schedule/if you prefer instead of skipping.

• Double sessions during the next appointment, if agreed upon.

For clients on block payment plans, please note that any sessions affected by my holidays will not be lost. The payment schedule remains the same, and we will adjust the session timing accordingly, either by carrying over the session or planning an alternative that works for both of us.

My goal is to ensure continuity of care and clarity, so we can plan around holidays in a way that supports your therapy without disruption.

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Insurance and Invoices

Paula Miles Therapy does not work directly with private health insurance providers or offer direct billing. However, clients may request reimbursement from their insurance company using the invoices provided.

Once you become an active client, invoices will be available through our secure system Carepatron, containing all the necessary details for reimbursement (session type, duration, and payment information). Invoices are issued for both individual sessions and block payments.

Invoices are typically generated within the same week of your session — usually the day before, on the day, or shortly after — as administrative work is completed at the end of each week.

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Social Media

To protect your privacy and to uphold therapeutic boundaries, I do not accept friend or contact requests from clients on social media platforms.

You are welcome to view or follow my professional social media pages, where I share general resources and information about mental health and wellbeing.

Please note:

• Direct messages (DMs) should not be used for therapeutic content or urgent matters. Practical communication (such as scheduling) is best sent by email or SMS.

• Comments on posts are public. For your confidentiality, I will not respond to personal comments or questions about your own therapy in that space. If something feels important, please bring it into your session.

These boundaries are in place to protect both your privacy and the integrity of our therapeutic work together.

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Use of Technology & Online Sessions

Online therapy is available via main system Carepatron or Zoom, Google Meet, or similar platforms.

*Please ensure you are in a private, quiet environment for your sessions.

Therapy works best when there is consistency and a space free from distractions.

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Complaints Procedure

I am committed to offering a professional, ethical, and compassionate therapeutic service. Your feedback is important and helps to ensure the highest standard of care. If you ever have a concern, the way it is raised will shape how we address it:

1. Concerns Raised in Session

If you raise a concern during a session, we will take time to talk it through together. The session will provide space to explore what has felt difficult and to look for a resolution collaboratively.

2. Concerns Raised Between Sessions (by email or SMS, calls are not accepted)

Email: enquiries@paulamilestherapy.com

If you share a concern via email or SMS, I will acknowledge your message and invite you to book a session where we can discuss it in person if possible. This ensures that your concern is given the time, attention, and confidentiality it deserves, and avoids extended discussion outside of the therapeutic space or misunderstandings.

3. Concerns Raised in Writing (formal letter or email)

Email: enquiries@paulamilestherapy.com

If you prefer to make a formal written complaint, I will acknowledge receipt within 3-5 working days and aim to provide a full response within 20 working days.

If You Remain Dissatisfied, let me know and we will go through the next steps with you

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Ending Therapy

You’re free to end therapy at any time, with 7 days’ notice. We’ll use the final session(s) to wrap things up gently.  

I’ll never pressure you to continue — but I’ll always care about your closure.

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Use of Your Information in Supervision

I may discuss part of your case with another professional, a supervising analyst. I discuss various cases as a way to improve my analytical skills. This analyst is subject to the same confidentiality rules to which I adhere.

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Right of Revocation

The client has the right to revoke this authorization at any time by providing written notice (message or email) to the therapist. Revocation will not affect actions taken before the notice.

enquiries@paulamilestherapy.com

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ALL OF THIS INFORMATION YOU WILL RECEIVE AFTER WE HAVE OUR 30 MIN INITIAL CONSULTATION, AND AGREED ON DATE AND TIME FOR YOU FIRST THERAPY. I WILL BOOK THE SEESION AND YOU WILL RECEIVE THE BOOKING CONFIRMATION EMAIL THAN A SECOND EMAIL WITH PRACTICE INFORMATION FORM AND INTAKE FORM FO YOU TO READ AND SIGN.