Stress Counselling
Evidence-based support for stress that has stopped easing on its own, helping you understand what is driving it and what needs to change
Stress overview
Stress is part of everyday life, and in short bursts it can be useful. It becomes harder to live with when the pressure does not let up and there is little opportunity to recover. Counselling and therapy can help you understand what is keeping the stress in place, how it is affecting you, and what might realistically change.
Book a Free CallWhat is stress?
Stress is your body and mind’s response to pressure or demand. In the short term it can sharpen focus and help you meet a challenge, and it usually settles once the demand has passed. Difficulties tend to arise when pressure continues without relief, and stress, which would ordinarily fluctuate in response to life’s demands, becomes a more constant state.
What are the symptoms of chronic stress?
Chronic stress can have a significant impact on both our physical and psychological wellbeing. When stress is prolonged, it can affect how we feel physically, how we manage our emotions, and how we think, concentrate and respond to everyday situations. You may notice some of the following:
- Feeling constantly on edge or unable to switch off
- Difficulty concentrating or remembering things
- Irritability or a shorter fuse than usual
- Disturbed sleep, or waking up feeling tired despite having slept
- Persistent muscle tension, often in the neck and shoulders
- Headaches or digestive problems
- Changes in appetite
- Becoming unwell more often than usual
- Leaning more heavily on familiar ways of unwinding
- Withdrawing from people or activities you usually enjoy
When does stress become chronic?
Stress can become chronic when we experience ongoing pressure over a prolonged period, without sufficient opportunity for our body and mind to recover. Rather than fluctuating naturally in response to life’s demands, our stress levels remain consistently elevated, which can make it increasingly difficult to relax and recover, even during periods of rest.
There is no clearly defined point at which stress becomes chronic, and the signs often develop gradually. Many people only recognise the impact of prolonged stress when they begin to notice changes in their sleep, concentration, emotional wellbeing or ability to cope with everyday situations. These changes can be subtle at first, becoming more noticeable over time.
Work and career
Long hours, high expectations or little control over how you work. Our page on work-related stress covers this in more detail.
Relationships and family
Ongoing conflict, challenging relationship dynamics, or the emotional demands of supporting others while managing your own responsibilities.
Caring responsibilities
Supporting children, parents or an unwell partner over a long period, where the demands are constant and respite is limited. This can also lead to burnout.
Money and finances
Financial pressure is among the most persistent sources of stress, partly because it is rarely resolved quickly and can feel difficult to discuss.
Health and illness
Managing a long-term condition, waiting for results, or adjusting to a diagnosis, either your own or that of someone close to you.
Change and uncertainty
Moving, separation, bereavement or changes at work. Even welcome change carries demand, and uncertainty tends to keep the stress response active.
How counselling can support stress
Many people seek counselling for stress after having already made efforts to manage it independently, perhaps by taking time off work, exercising more regularly or reducing their commitments. While these approaches can be helpful, their benefits may be limited if the underlying causes of stress remain unresolved. Counselling provides an opportunity to explore the factors contributing to stress, develop a greater understanding of how it is affecting you, and identify ways of managing it more effectively.
Counselling may involve:
- Understanding the sources of stress: Exploring the personal, professional and relational pressures that may be contributing to your stress, and developing a clearer understanding of how these different factors interact.
- Exploring thoughts and emotional responses: Understanding how your thoughts, feelings, expectations and patterns of behaviour may influence your experience of stress, and identifying ways to develop healthier responses to challenging situations.
- Identifying opportunities for change: Recognising which aspects of your circumstances may be within your control, exploring where meaningful changes might be possible, and developing strategies to manage pressures that cannot easily be changed.
- Supporting rest, recovery and wellbeing: Exploring how prolonged stress may have affected your ability to rest and recover, and identifying practical ways to restore a healthier balance between the demands of everyday life and your own psychological and physical wellbeing.
Our therapeutic approaches
We offer a range of evidence-based therapeutic approaches, tailored to each individual’s needs, circumstances and experiences. Some approaches focus on understanding and addressing the thoughts, emotions and behaviours that may contribute to ongoing stress, while others explore deeper-rooted patterns and experiences that can influence how we respond to life’s challenges. Through an initial assessment, we work collaboratively with you to identify the most appropriate therapeutic approach, taking into account your individual difficulties, needs and goals for therapy.
The London Bridge Therapy Team
Meet The Team
Who is stress counselling for?
You do not need to be at the point of not coping to seek support. Some people come because a particular pressure has become difficult to manage, while others have carried a sustained level of stress for so long that they no longer notice it until something gives. Many have already tried a range of stress management strategies and want to understand why the pressure has not eased.
Either way, the first step is a complimentary telephone consultation, where we will listen to what has been happening and carefully match you with a psychologist or psychotherapist suited to your individual needs.
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Get in touch
If you are considering counselling for stress, the first step is a short call with Dr Steven Mahan-Taylor, our Clinic Director. It is a chance to talk through what has been happening and ask anything you need to before deciding on next steps.
Book A CallFrequently Asked Questions
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Stress and anxiety are closely related and can share many of the same physical, emotional and psychological symptoms. Stress is generally associated with the demands or pressures we experience, whether these relate to work, relationships, personal circumstances or other challenges. Anxiety, on the other hand, is often characterised by feelings of worry, apprehension or fear, particularly in relation to uncertainty or perceived threats.
Although stress and anxiety can occur independently, they frequently overlap and can influence one another. Prolonged stress may contribute to increased anxiety, while anxiety itself can make everyday demands feel more difficult to manage. Understanding how these experiences relate to one another can be an important part of identifying the most appropriate therapeutic support.
If anxiety is a particular concern, you can find out more about how we can help on our anxiety page.
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Chronic stress can have a significant impact on our physical health as well as our psychological wellbeing. When we experience prolonged periods of stress, our body’s physiological stress response can become persistently activated, affecting a range of bodily functions. This may contribute to difficulties with sleep, digestive problems, muscle tension, headaches, fatigue and changes in immune functioning.
Over time, these physical effects can affect our overall health, energy levels and ability to manage everyday demands. Recognising the relationship between psychological stress and physical wellbeing is an important part of understanding and addressing chronic stress. Counselling can help us explore and manage the psychological factors contributing to stress, while any new, persistent or concerning physical symptoms should also be discussed with a GP to ensure appropriate medical assessment and support.
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Stress is a natural part of life, and we all experience it in response to different pressures, demands and challenges. However, when stress becomes persistent, feels increasingly difficult to manage or begins to affect our physical health, emotional wellbeing or everyday functioning, it may be a sign that additional support would be helpful.
We may notice changes in our sleep, difficulties concentrating or making decisions, increased irritability, or feeling overwhelmed by situations that we would ordinarily manage more comfortably. We might also find that activities which previously helped us relax and recover are no longer as effective, or that we struggle to switch off even when immediate pressures have reduced.
If stress is beginning to affect our quality of life, relationships or general wellbeing, counselling can provide an opportunity to explore what may be contributing to these difficulties and develop more effective ways of managing them.
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Recovery from chronic stress varies from person to person and is influenced by a range of factors, including how long we have been experiencing stress, the nature of the pressures involved, and our individual circumstances. There is no fixed timeframe for recovery, and improvements may happen gradually as we begin to understand and address the factors contributing to our stress.
For some of us, making changes to our circumstances, establishing healthier boundaries or finding more effective ways of managing everyday demands can help reduce stress levels. For others, particularly when certain pressures cannot easily be changed, recovery may involve developing a different relationship with those challenges and exploring how we respond to them emotionally and psychologically.
It is also important to recognise that recovery is not always a linear process. Allowing ourselves sufficient time to rest, make adjustments and gradually rebuild our capacity to manage life’s demands can support longer-term wellbeing. Counselling can provide a supportive space to explore these changes and develop approaches that are appropriate to our individual needs and circumstances.
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Stress and burnout are closely related, but there are some important differences between them. Stress is a natural response to the pressures and demands we experience in our everyday lives. While some degree of stress is normal, prolonged or excessive stress can affect our physical health, emotional wellbeing and ability to cope with daily challenges.
Burnout, on the other hand, is associated with chronic stress that has not been successfully managed. It is typically characterised by emotional and physical exhaustion, increased feelings of detachment or negativity towards our work, and a reduced sense of professional effectiveness. Unlike periods of heightened stress, burnout can leave us feeling increasingly depleted, disengaged and unable to manage demands that we may previously have coped with more comfortably.
Although stress and burnout can share many symptoms, understanding the distinction can help us recognise the nature of our difficulties and identify appropriate support. If you would like to explore this further, you can find more information on our burnout page.
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Counselling can be an effective way of managing stress, particularly when it begins to affect our emotional wellbeing, physical health, relationships or ability to cope with everyday life. It provides a supportive and confidential space to explore the pressures we are experiencing, understand how they may be affecting us, and develop healthier and more effective ways of responding to challenging situations.
A range of evidence-based therapeutic approaches can help with stress, including Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT). Therapy can help us recognise patterns of thinking, feeling and behaving that may be contributing to our difficulties, while also exploring the wider circumstances and experiences that influence how we manage stress.
Through counselling, we can develop greater self-awareness, strengthen our coping strategies, establish healthier boundaries and identify meaningful changes that support our psychological wellbeing. The aim is not necessarily to eliminate stress altogether, but to help us manage it more effectively and improve our overall quality of life.
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It may be helpful to consider counselling or therapy when stress begins to affect our emotional wellbeing, physical health, relationships or ability to manage everyday life. We might notice changes in our sleep, mood or concentration, feel increasingly overwhelmed by everyday demands, or find that our usual ways of managing stress are no longer as effective.
It is important to recognise that we do not need to wait until stress becomes overwhelming or significantly disrupts our lives before seeking support. Sometimes, the pressures we experience can become so familiar that we begin to accept them as a normal part of everyday life, making it more difficult to recognise their impact on our wellbeing.
Counselling can provide an opportunity to reflect on our experiences, gain a better understanding of the factors contributing to stress, and explore ways of managing these pressures more effectively. Seeking support at an earlier stage can also help prevent difficulties from becoming more persistent or having a greater impact on our quality of life.
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Fees for stress therapy and counselling vary according to the experience and specialism of the psychologist or psychotherapist you see, with the initial assessment charged separately. You can find our current fees in full on our fees page.
Before booking an appointment, we offer a complimentary 15-minute telephone consultation with our Clinic Director, Dr Steven Mahan-Taylor. This gives us an opportunity to understand what you are looking for, answer any questions, and carefully match you with the therapist best suited to your individual needs.