Common questions

Straightforward answers before you get started.

Practical information about appointments, fees, privacy, telehealth and starting therapy with James.

Sessions & booking

What happens in the first session?

The first session is mostly a relaxed conversation. We'll talk about what brought you in, some relevant history, and what you'd like to change. There's no pressure to share more than you're comfortable with, and by the end we'll agree on next steps together.

Do I need a referral?

No. You can book directly with me. If you'd like a Medicare rebate under a Mental Health Treatment Plan, a referral from your GP or psychiatrist is required for that specific rebate, but it isn't needed to start private work.

How long is a session?

Standard sessions run for 50 minutes. The first session runs a little longer (around 60 minutes) so we have space to properly understand your situation without rushing.

How often will we meet?

Most clients start weekly or fortnightly and then space sessions out as progress consolidates. We review this openly together, frequency is always a shared decision.

How do I cancel or reschedule?

Life happens, and that's fine. Please give at least 24 hours' notice so the time can be offered to someone else. Late cancellations and missed sessions may attract a fee, I'll always be upfront about this in advance.

Fees & rebates

What are the session fees?

Standard 50-minute sessions are $250. If cost is a barrier, please mention it when you get in touch, where possible, we'll discuss options directly. Payment is by card, bank transfer, or Medicare-supported payment arrangements.

Can I get a Medicare rebate?

Yes. With a Mental Health Treatment Plan from your GP, you may be eligible for Medicare rebates on a set number of sessions per calendar year. I'll explain the details clearly when we first meet.

Do you take private health insurance?

Many private health insurers offer rebates for psychology services depending on your level of cover. It's worth checking directly with your fund, I can provide invoices to make claiming straightforward.

Confidentiality & privacy

Is everything I say kept confidential?

Yes, within the standard limits that apply to all psychologists. That means information stays private except where required by law (risk of serious harm, child protection matters, or a court order). This is explained in plain language at our first session so nothing feels uncertain.

Where are my records kept?

All clinical records are stored securely using compliant practice management software, in line with Australian privacy legislation. Access is limited and protected. See our Privacy Policy for full detail.

Telehealth

Do you offer telehealth sessions?

Yes. Secure video sessions are available Australia-wide, and many clients move flexibly between in-person and video appointments. You'll just need a private space, a stable connection, and a phone or computer with a camera.

Is telehealth as effective as in-person therapy?

For most of the work we do, yes, research consistently shows telehealth outcomes are comparable to in-person care for common presentations. Some people simply prefer one over the other, and that preference is entirely valid too.

Therapy questions

How long will therapy take?

It depends on what you want to work on and how deep the patterns run. Some focused issues resolve in six to ten sessions; longer-standing patterns take more time. We'll discuss realistic expectations early and review progress as we go.

What if I've tried therapy before and it didn't work?

That's genuinely useful information. Fit matters enormously in therapy, and not every psychologist or approach suits every person. We can talk through what didn't work last time and try something different this time.

Should I see a psychologist, counsellor or psychiatrist?

Psychologists hold university-level clinical training and focus on evidence-based talking therapies. Psychiatrists are medical doctors who can prescribe medication. Counsellors come from a range of training backgrounds. If medication may help, I'll coordinate with your GP and, where useful, a psychiatrist, these are complementary roles, not competing ones.

Can I bring someone to a session?

Where it would genuinely help, yes, we'll talk that through together. Most work is individual, but involving a trusted person can be valuable at certain points.