Dr. Nicole Gehl
B.A., PGDip CBTcyp, M.A., J.D., Adv.Dip.Ex.Psych, DProf.
BABCP, MBACP (Snr Accred), UKCP registered
PSYCHOTHERAPY AND COUNSELLING IN ST. JOHNS WOOD
Dr. Nicole Gehl
Introducing Psychosexual & Relationship Therapy
I'm pleased to share that I now offer specialist therapy for adults and couples wanting to explore intimacy, connection and sexual wellbeing in a safe, confidential setting.
Supporting Emotional Wellbeing, Relationships and Sexual Health for All Stages of Life
St John's Wood & Online
Integrative psychotherapy, CBT & Psychosexual Therapy
My name is Dr. Nicole Gehl, and I'm an existential-integrative psychotherapist with a private practice in St John's Wood, London.
I'm committed to providing counselling and psychotherapy in a safe, confidential and non-judgmental environment - a space for reflection, change and growth.
I work with adults, couples, children and young people, supporting emotional wellbeing, relationships and sexual health — either on an open-ended basis or for an agreed time.
What Counselling & Psychotherapy Can Help With
I have experience supporting adults, couples, children and young people with a wide range of emotional, relational and psychological challenges such as:
Emotional & Psychological Wellbeing
Anxiety, panic and worry
Depression and low mood
Trauma and post-traumatic stress
Obsessive or compulsive patterns (OCD)
Stress and burnout
Perfectionism and self-criticism
Low self-esteem or confidence
Children & Young People
Early signs of depression or anxiety disorders
Self-harm or high risk behaviours
Family conflict or communication challenges
Friendship or social difficulties
Exam stress and academic pressure
Self-esteem and confidence building
Moving home, school or country
Life Changes & Transitions
Grief, loss and bereavement
Separation, divorce or relationship changes
Career, education or life-stage transitions
Adjustment to illness or health concerns
Identitiy, purpose and meaning
Eating or body-image difficulties
Sleep difficulties and fatigue
Relationships & Intimacy
Rebuilding trust or intimacy
Creating healthy boundaries in relationships
Enhancing sexual connection and wellbeing
Communication difficulties
Managing jealousy, trust or emotional distance
Conflict, withdrawal or recurring arguments
Intimacy after trauma or loss
About Counselling & Psychotherapy
My practice integrates existential psychotherapy with cognitive behavioural therapy (CBT), offering a flexible and holistic approach to change
Existential Psychotherapy
Existential analysis addresses tensions around the universal themes of the human condition and investigates the many paradoxes one encounters in life, while emphasising personal responsibility and choice. Fundamental issues of existence (eg freedom, purpose of life, isolation, meaninglessness, the inevitability of death) often provoke depression and anxiety and are a source of conflict within the individual. Wellness is seen as the ability to tolerate the challenges inherent in human living with psychological flexibility, and not resorting to attempts to control, suppress or ignore reality.
Cognitive Behavioural Therapy (CBT)
Traditional CBT (cognitive behavioural therapy) is a short-term, structured psychotherapy. According to NICE guidelines, it is considered the most effective approach for a variety of problems (including depression, stress and anxiety). It integrates neuroscientific research into therapeutic practice. The premise of CBT is that thoughts, feelings and behaviour are learned, and therefore may be modified, or unlearned.
An Integrative Approach
I combine the evidence-based structure of CBT with the depth and perspective of existential psychotherapy, tailoring the process to each individual or couple. This integrative approach allows both practical change and deeper self-understanding — addressing patterns of thought and behaviour while exploring the meaning and context of experience.
Grounded in existential psychotherapy, my work is flexible and responsive to the uniqueness of each person. I recognise that our relationship with the world is complex and cannot be reduced to a single method or technique. Therapy offers a collaborative space to reflect on how you make sense of life — and how those meanings shape your choices, relationships and wellbeing.
Together, we bring awareness to underlying beliefs and assumptions, considering whether to explore, challenge or reframe them. Through shared dialogue, reflection and the practice of new ways of being, therapy becomes an opportunity for genuine and lasting growth.
This integration of CBT’s precision and existential exploration also underpins my work in psychosexual and relationship therapy, where understanding emotional patterns and meaning is essential to restoring connection, intimacy and wellbeing.
Professional Background
Clinical Experience
Before establishing my private practice in St John’s Wood, I worked across a range of clinical and therapeutic settings, including the Priory Healthcare team, NHS psychological therapy services, Child and Adolescent Mental Health Services (CAMHS), and the Hospital of St John and St Elizabeth. These roles gave me extensive experience supporting adults, couples, children and young people with complex emotional, behavioural and relational challenges.
Qualifications
I am an experienced existential–integrative psychotherapist and accredited Cognitive Behavioural Therapist (CBT), with extensive experience working with children, young people, adults and couples. My academic background includes a Doctorate in Existential Psychotherapy and a Master’s degree in Integrative Therapy, reflecting a foundation that combines philosophical depth with a flexible, evidence-based approach to practice.
I also hold a Diploma in CBT with Children and Young People from University College London (UCL) and the Anna Freud National Centre for Children and Families, and have completed intensive training in Dialectical Behaviour Therapy (DBT) with Behavioural Tech, the training organisation founded by Dr Marsha Linehan, developer of the DBT model.
I am an accredited mediator through the Civil Mediation Council (CMC), with specialist training in psychologically informed mediation.
I am a Senior Accredited Member of the British Association for Counselling and Psychotherapy (BACP), a member of the British Association for Behavioural and Cognitive Psychotherapies (BABCP), and registered with the United Kingdom Council for Psychotherapy (UKCP). I am also an active participant in the Society for Existential Analysis and affiliated with the Association for Counselling and Therapy Online (ACTO).
As part of my ongoing professional development, I am in the final stage of a Diploma in Psychosexual and Relationship Therapy and working towards full membership of COSRT (the College of Sexual and Relationship Therapists), the UK’s leading professional body for therapists specialising in sexual and relationship therapy.
I also hold specialist training in the therapeutic use of technology through the Online Therapy Institute.
Additional Professional Background
Beyond my therapeutic practice, I hold a directorship with Elite Island Resorts, a Caribbean hospitality group based in Antigua. My role includes developing wellbeing and leadership initiatives and creating restorative environments. I also support The Wishing Well, a charitable foundation associated with the group, which provides healthcare, education, and community programmes across the region.
Frequently asked questions
The initial assessment is essentially a first conversation. I'll ask about your background and current concerns, and we can begin to think about goals for therapy. It's also a time to get to know each other, to see whether we might work well together as a team.
Please contact your individual provider for details as to your policy and whether or nor not it covers you for psychotherapy, counselling and/or CBT. Please note that unfortunately I no longer accept BUPA UK, AXA, Vitality, Simply Health or Aetna due to the limitations on session numbers and/or financial caps imposed by them.
We frequently process claims from the following providers: Aviva, BUPA International, Allianz Worldwide Care, Cigna UK, GeoBlue and WPA. Details are subject to change, and we may be able to process claims apart from those listed.
In the initial consultation, should you decide to proceed with psychotherapy, we will agree to work together for a specific number of weeks, with a realistic time scale for changes to occur, and then we will review to see if it would be helpful to continue working together. Should we agree to continue, we will contract another specific number of weeks as appropriate. We agree to prioritise having consultations at regular intervals, to offer you a sense of stability.
Everything discussed in therapy is confidential. What we discuss stays between us, unless I'm concerned about your safety or someone else's, or when required by law. For children and teenagers, confidentiality is handled with care — I may invite parents or caregivers to occasional review sessions to check in about how things are going over all - what's working and what could be improved - but not to share private details from sessions.
I offer therapy for children (aged six and above) and teenagers who may be struggling with emotional, behavioural or relational concerns. For younger children, I use play and creative expression to help them communicate their inner world; for adolescents, therapy offers a private, reflective space to explore experiences, relationships and identity.
Parents are invited into the process at agreed-upon stages — not to hear what their child has said but so that we can think together about how they can support their child at home. This approach helps young people feel ownership of the therapeutic space and helps families strengthen communication. My goal is always to help young people develop resilience, self-awareness and healthier ways of coping.
Psychosexual and Relationship Therapy explores how intimacy, sexuality and connection are woven into our sense of self and meaning. Sexual difficulties can arise for many reasons — physical, emotional or relational — and often touch on deeper questions of vulnerability, identity and belonging.
This work provides a space to reflect on how we relate to ourselves and others, how past experiences shape intimacy, and what it means to live and love authentically. It combines psychological insight with practical strategies to help restore confidence, pleasure and mutual understanding.
Through this process, individuals and couples often discover not only ways to resolve difficulties, but also a renewed capacity for openness, empathy and connection.
What my clients say
Animal assisted therapy
Grizzly and Lily are my Pomeranian dogs that sometimes serve as emotional support dogs in sessions.
I've found that the presence of emotional support dogs in therapy sessions can open a channel of emotionally safe, non-threatening communication between client and therapist, easing tension in situations that can be stressful.
For adults and children alike, interaction with animals may increase self-esteem and self-confidence, as well as assist in the development of empathy and help develop nurturing skills. Psychologically, when a person nurtures, his or her own need to be nurtured is being fulfilled. Humans rely on touch to feel connection, for bonding and sensory input. The touch of an animal can be safe, non-threatening and pleasant, particularly for survivors of abuse who might not otherwise have experienced positive, appropriate physical contact. Children often view the dogs as their peers, and feel comfortable talking to or projecting their feelings onto them.
With the therapy dog, "what you see is what you get," they live in the here and now, and offer unconditional love and acceptance.
Fees
Individual Therapy
50 minutes - £140
(includes work with adults, children, young people and individual psychosexual therapy.)
Couples / Psychosexual Therapy (Joint Sessions)
£280 - (100 mins)
Fees are payable in advance of each session by bank transfer. A minimum of 24 hours' notice is required for cancellations or reschedulling to avoid being charged in full.
My location
My private clinic is in the heart of St. John's Wood, in easy reach of residents of Primrose Hill, Maida Vale and Hampstead.
Suite 16
58 Acacia Road
St John's Wood
London
NW8 6AG
My office is within moments of the St. John's Wood Underground Station, and St John's Wood High Street and close to the American School.
Press & publications
The Telegraph On Journaling
Grazia On Parents using social medial
Hayes & Jarvis Colour Me Calm and Elite Island Resorts
The Telegraph On Charisma
Express On Princess Diana
The Sunday Independent On Netflix series '13 Reasons Why'
Psychologies Lifelabs On Taking Action
The Yellow Brick Road to Better Living: A CBT Workbook for the Young and Young at Heart
CLICK HERE to download my FREE workbook in EPUB format. For other formats (PDF, Word, Mobi) contact me.
The Yellow Brick Road to Better Living is a retelling of the Wizard of OZ written to help you deal with your challenges using cognitive behaviour therapy (CBT) and other evidence based techniques tested by behavioural scientists shown to offer relief from a wide range of emotional and behaviour problems.
Get in touch
Feel free to contact me if you have any questions about how psychotherapy works, or to arrange an initial assessment appointment. This enables us to discuss the reasons you are thinking of coming to counselling, whether it could be helpful for you and whether I am the right therapist to help.
You can also call me on 07812 060 867 if you would prefer to leave a message or speak to me first. I am happy to discuss any queries or questions you may have prior to arranging an initial appointment.
© Nicole Gehl | Powered by WebHealer
I take your privacy seriously and I am fully committed to ensuring that your privacy is protected. I hope this policy is everything you need to know about how I use and protect any information that you give me, from when you first make an enquiry, right through till after therapy and coaching comes to a completion.
Third party privacy statement
Your information does not get shared with anyone else within my private practice, as I manage my practice myself, and operate my business as an independent ''sole trader''.
From the moment you get in touch with me I will never try to obtain information about you from any third party without your knowledge and consent.
I will never share your information with any third party - unless you have explicitly told me that you would like me to, in order to help you get good support or healthcare.
I am required to have regular supervision with another specialist therapist as part of my ongoing accreditation with the British Association of Behavioural and Cognitive Psychotherapy (BABCP). I never disclose any personally identifying information about my clients within supervision.
There are only three lawful exceptions where I do not need your consent to share information to a third party: child protection, court order and risk to life. I'll explain this more - read on!
The lawful basis for processing your data
I only use information about you in ways that are legally and ethically essential for me to fulfil my role as an effective, safe and responsive CBT therapist to you.
I never keep or use your information in non-essential ways. For example: as a matter of principle, I do not have any social media linked to my website and I do not send newsletters or marketing campaigns.
Under GDPR regulations 2018, I am what is known as the 'data controller' and also the 'data processor', and I have specific responsibilities and requirements, accompanying these roles to protect your privacy.
My business is registered with the Information Commissioners Office, the UK authority for upholding data protection, (www.ico.org.uk). I am bound by their policies with regards your privacy, as well as the British Association of Behavioural and Cognitive Psychotherapy (BACBP) code of professional practice.
Disclaimer: Your role in protecting your own privacy
I make every effort to ensure that my clients' personal information is held securely, and to safeguard against unauthorised access, whether I receive it via my website, emails, text, over skype or phone, or in person. At the same time, in agreeing to my privacy policy,
You acknowledge that the privacy of your communications and personal information can never be completely guaranteed when it is being transmitted over the internet.
You therefore acknowledge and agree that you share information via the internet at your own risk.
You agree to take responsibility for your own role in safeguarding your data privacy in the email address you choose to use and whether or not you choose to password protect information you send to me.
My policy is to request that clients to take the following actions wherever possible:
To email me from an email address that does not have your full name in it
To only include your first name in any documents you send me
To password protect documents that you may send me
How do I obtain information about you?
I obtain information from:
what you choose to share with me when you first contact me via my website's contact form, or you phone or email me to make an enquiry.
what you choose to share with me - information you send me by email (and attached documents) and over the phone (text or voice message)
sessions we have together in person face to face, by phone and online (Skype, Facetime or Zoom)
your health insurance company or healthcare provider, if relevant, and with your consent
If we agree to 'go for it' in teamwork together, I will of course want to get to know you, your needs and aims and life context so we can work really well together, with a really good shared understanding!
Your privacy in our teamwork together
Emailing each other
Once we've agreed on a day/time for our first therapy or coaching session together, I'll ask you for an email address to send your ''starter pack'', which has all the information you need to create an effective start. As emails from me identify me as a therapist, and I'll be sending you documents like an initial questionnaire to help us collaborate well together, please choose an email address with this in mind!
You're most welcome to bring paper copies of completed forms and questionnaires - one for each of us - if you'd prefer not to return them password protected by email.
Online sessions
Skype and FaceTime services have updated their privacy measures to ensure they are fully compliant with GDPR regulations 2018.
Sessions where we meet in person
The rooms I use on a weekly basis are dedicated therapy rooms, situated within mixed office spaces, and are therefore very discreet as you will not be heading to a clinic. There are no therapy signs on the door.
Obtaining information from third parties
If your therapy is being funded via a health insurance company, your insurance company may provide me with information, but this would never be without your prior knowledge and consent, in accordance with your agreed contract with them. Insurance companies typically encrypt or password protect sensitive information that they share.
On occasion, with your prior knowledge and consent, I may have reason to ask to obtain information from other healthcare providers involved in your care, for example if you are working with a psychologist, psychiatrist or another therapist. This will only be to ensure I am providing the most appropriate, safe, responsive and effective therapy for your needs.
If you're working with another healthcare provider, such as a psychiatrist or psychologist, you or they may wish for me to have information about you, but this is highly unlikely to ever be without your prior knowledge and consent, because, from 25 May 2018, all organisations and businesses will be required to ensure their privacy policies are fully compliant with GDPR directives. Nevertheless, you can make sure you know your privacy rights with each party involved in your care by asking them directly about their privacy policies.
In rare and exceptional situations a family member, partner or friend may contact me, but that could only happen if you decided to share my details with them. All actions from that point would need to have you at the centre, with your full consent and you guiding appropriate therapeutic decisions at every step of the way.
I will never knowingly receive information about you that you have not given permission to be shared.
What type of information do I collect about you?
I will collect the following personal information from you if we decide to work together, because, as a registered healthcare practitioner, I would be reasonably expected to have this in case of an emergency:
Personal Information
Your name, contact details and date of birth
Who should be contacted in case of an emergency (GP and next of kin)
If health insurance is funding your sessions I also need your name, date of birth, address, plus your membership and authorization codes to pass security checks with your health insurance company.
Sensitive Information
Given the nature of healthcare related data, some of the information you may share with me is likely to be classified as sensitive. I'm legally required to take strong measures to protect your confidentiality with any of the following sensitive information that would be important for me to know in order to help you:
Your mental and physical health
Use of alcohol, prescribed and non prescribed drug use
Any criminal offences or alleged offences
If you choose to share any information with me about your relationship or sexual history or orientation, your family, lifestyle, employment, religion or cultural background, this is also respected as 'sensitive information'.
What do I use your information for?
I may at times need ask you about some of the above sensitive information with the specific purposes of ensuring that:
the service I provide to you is properly responsive to your specific circumstances and needs.
I make safe and effective clinical and therapeutic decisions
I respond to you in the most considerate way
we communicate openly with one another to make wise and appropriate decisions together in a teamwork approach
With regards personal and sensitive information, I don't need to have a written record of everything you share with me! In fact, I keep my own note taking in session to a strict minimum, in order to stay fully present, attentive and connected to you, as these are far more important aspects of transformative teamwork than writing notes!
I keep my note taking outside of sessions to a minimum too, and, instead encourage my clients to keep their own notes of useful ideas, insights and reflections. As they relate to you and your progress, it's much more relevant and helpful that notes are written by you and stay in your possession!
There are of course some things that I must, legally, have a written record of, if it is in direct relation to your safety or the safety others, such as emergency contact information, or information related to suicide risk, child protection, domestic abuse, or other violent crime, or should I ever need to account for my clinical decisions and/or respond to complaints.
Transparency of record keeping
Transparency is core to the way I work. Therefore it is highly unlikely that I will ever have a stored record with your personally identifying or sensitive information that you will not have already seen.
So, to be super-clear, stored records comprise of:
the emails, reports, questionnaires, forms or letters you have decided to send or ccd to me
emails, reports, questionnaires, forms or letters I have sent or ccd to you to the email address of your choice
any information you have forwarded to me from a healthcare provider or insurance company
any information that I have recieved from a healthcare provider (I will always show you if you have not already been ccd)
any information I send to an insurance company or healthcare provider (I will make sure you have a chance to read and rectify as appropriate before I send) and, if a legal or risk issue has been identified: risk assessment and risk management plan, and my clinical supervisor's recommendations, which I will also share with you, unless it would increase a safety risk to do so.
As part of a genuinely team-oriented approach, if I think it would be helpful to write session notes on our process ("process notes"), I will write them straight into an email to you, from my iPad, during or after a session, rather than writing them by hand and then keeping them to myself. Unless of course, you would prefer me not to do this. I'll ask you as we go.
The one exception to this is if we are in the middle of a therapy process in session, where it would be disruptive for me to pull out my laptop, but might be very helpful for me to make a few quick memory jogs so I keep on point whilst we're going along. I do NOT keep more than first names with my jottings/quick scribblings of ideas (on unlikely the off chance anyone could decipher my quick hand-writing!).
Process notes are not considered the same as formal records, so I don't keep them stored with any other records. I shred all written process notes soon as our teamwork comes to a completion.
Measures I take to store your data securely
These are the measures I take to protect your data before it can be deleted or destroyed:
Storing paper information securely
I keep handwritten or printed information about you or our teamwork to an absolute minimum in order to protect your data.
I do not print or keep duplicate information wherever this can be prevented. For example, if you or your insurance company have sent me digital information via email, I do not then print it.
All handwritten or printed information that has any personally identifying information on it about my clients is kept in a securely locked filing cabinet.
Keeping electronic information securely stored
My devices are all password protected, with strong passwords that are all different from each other, and which I change at suitable intervals. I do not share my devices or passwords with anyone else.
If you get in touch with me via Skype or Facetime, the contact details you use are stored, but I do not store any therapy related information on these platforms.
I do not record phone or Skype or Facetime sessions.
If I need to electronically send a report, I send this separate to your personally identifying information or I password protect the document.
I clear my downloads related to client information on all devices when I am not actively making use of those downloads.
I do not keep your personal or sensitive information stored on any external hard drive or memory stick. While our teamwork is active, I keep electronic information stored in the following two places only:
1. On my password protected Apple laptop
2. In one Gmail account
All Apple and Google services are GDPR compliant with regards level of security and privacy protection.
Who I may need to share your information with
Third parties
There may be occasions when I need to share personal or sensitive information about you with third parties, specifically, your insurance company or other health professionals involved in your care (see below). When I do so, I comply with all aspects of the Data Protection Act 1998 (DPA).
Your insurance company
If you are claiming the cost of your sessions through your insurance company, your insurance company may request details of your treatment and progress from me in order to authorise further funding for your treatment. I will share the minimum amount of information necessary with your insurance company for you to get sufficient and appropriate further funding of treatment.
Specialist healthcare providers
If there is a specialist healthcare provider, such as a consultant physician or psychiatrist, NHS mental health service, dietician or nutritionist, psychologist or other therapist involved in your care, and your treatment with them could be negatively impacted if they did not know you were working with me, I consider this very carefully.
I will always ask you for your consent before sharing any personal or sensitive information when liaising with other health professionals who may be involved in your care. I will always ask you for your consent before making appropriate referrals to other healthcare providers.
I will also check with you what information you do and do not wish for me to share. I only share sensitive information that would be of direct importance to your healthcare ie directly relevant to you getting the most appropriate treatment for your needs. I would ensure you have a copy of any email or report I send.
General Practitioners (your GP)
It is not typically necessary for me to contact a client's General Practitioner, unless you and I have concerns about the medication or treatment that a general practitioner may be prescribing you, or if your GP is the gateway to enable you to access other healthcare that you need.
If I share any information with your GP it will be in written form, in explicit consultation and collaboration with you, with the purpose of you getting better quality health care. I would ensure you have the opportunity to edit before it is sent and that you have a copy of the final draft.
Legal exceptions to obtaining your consent
There are three situations where I would be required to share your information with third parties, without your consent:
Court Order
If I am required to disclose data about you, under a Court Order for me to do so.
Child Protection
If I am concerned about the welfare of a child, i.e., where there are child protection issues relating to potential physical, mental, sexual abuse or serious neglect
Risk to self or others Where there is an imminent risk of serious harm to yourself or harm or exploitation of others.
If you're seeking help and you are perpetrating a serious crime against someone, or you are actively suicidal, I am unable to protect your right to privacy, as I must legally take appropriate action to protect the safety of children and vulnerable adults, if I believe they, or you, are at risk of harm. In those instances, I will always follow local and national safeguarding policies and the British Association of Behavioural and Cognitive Psychotherapies (BABCP) Standards of Conduct, Performance and Ethics.
If you're worried about your safety or the safety of someone else, it is very important that you get access to the right kind of help asap. In crisis or high risk situations, it's likely to be most suitable for you to prioritise getting linked up with a therapeutic team who specialise in crisis or high risk situations. I will therefore do my best to get you linked up with the most relevant sources of help, as a sensible alternative to working with a sole practitioner like myself.
How long do I store your data?
My retention period is seven years, after which I securely delete and/or shred all information that I collect from you.
Your Individual Rights
You have a number of rights when it comes to your personal data. Please do visit www.ico.org.uk so you can get fully informed about all of your data rights. I have listed four particularly important rights here:
Your right of access
You have a right to make a written request for the details of personal information that I hold about you.
Your right to rectification
If you believe that any information I am holding on you is incorrect, incomplete or needs updating, please email me with details and I will promptly make the right changes. I will always show you any report or letter I write to a third party before I send it, and invite you to rectify it as you see fit.
Your right to portability
Any information that gets generated in our teamwork, such as questionnaires, reports or letters, you are most welcome to share with other people, as would be helpful to you. I will do my best to only keep information in a form that is easily portable for your convenience.
Your right to lodge a formal complaint
If you believe that your rights under the GDPR regulation have been infringed, or that the processing of personal data relating to you does not comply with lawful regulation, visit the Information Commissioners Office www.ico.org.uk to find out how such matters can be dealt with on your behalf. Their helpline is 0303 123 1113.
Responding to family members and concerned others:
Occasionally I get enquiries from people's family members or partners making initial enquiries that share sensitive information about their loved ones because they want to help. In these circumstances, if I have not had explicit written consent about information sharing from a potential client themselves, my policy is to not respond to such enquiries in order to ensure that I safeguard, rather than accidentally breach privacy rights, or compromise trust with a future client.
If this applies to you, and you are concerned about a loved one, I recommend that you are transparent in sharing your care and concern for them, and encourage them to contact me directly, or else their GP wherever possible. You are of course welcome to forward them a link to my website and to share my public contact details with them.
Contact me if you have any questions
If you have any questions or concerns about how your data is processed or shared, please do not hesitate to contact me