Counselling and Mental Health


Counselling is a therapy which involves talking through your problems to a counsellor. There are several types of talking therapies and they can be used to treat a number of health conditions including mental health.

Primary Care counselling is a free, short-term, weekly counselling service, commissioned by Bedfordshire Clinical Commissioning Group, for patients aged sixteen years or more. Counselling is available at Caddington Surgery on Wedensdays. You can be referred for counselling by your GP, or other health professional.

The primary care counsellor at the surgery is Margaret Pike. She is experienced in working with a wide variety of psychological problems and work within a clear ethical framework. We can support you in addressing a specific problem, such as:

  • Anxiety
  • Family issues 
  • Bereavement and other losses
  • Relationship issues 
  • Coping with injury or illness 
  • Self image and identity issues 
  • Mild to moderate depression
  • Sexuality issues 
  • Emotional, physical or sexual abuse issues
  • Stress

At an initial appointment, she will talk with you about why you have been referred for counselling, identify whether primary care counselling may be of help to you, and if so, help you to identify the problem you need to focus on. She can also signpost you to other services which might be of help to you.

Counselling appointments generally last for 50 minutes and provide a place for you to talk about your problem, express your feelings, and feel supported and heard. Counselling can help with working through what has happened in the past as well as what might be going on now. Counselling can help you to make changes and move forward in a more positive way.

Counselling is confidential. However, confidentiality may be breached if there is a risk of harm to you or someone else, or where required by law.

External Websites:

Counselling - NHS Choices

Mental Health - NHS Choices


Bullying UK


The Royal College of Psychiatrists

Cruse: Bereavement Counselling

CHUMS - Child Bereavement and Trauma Service provides a community based emotional wellbeing support service for children and young people with mild to moderate mental health difficulties and their families. Support is offered in a variety of ways including 1:1 support, group work, advice and consultation.

Videos from NHS Choices:

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