Reduced-fee Clinic

If you are an adult or young person seeking help for yourself, then the information in this section will enable you to get the help you need. It can feel daunting talking to someone about a mental health issue or problems with emotional well-being. However, these kinds of problems are surprisingly common – it is estimated that one in four adults have significant emotional difficulties at any one time. There is a great deal of research to show that talking treatments are very effective for a range of emotional problems. The government's health body that identifies good practice, NICE (National Institute of Clinical Excellence), recommends talking treatments for a range of emotional problems including depression, anxiety, phobias, obsessions, eating disorders and compulsions.

Perhaps you feel unable to cope, wonder how you've got to where you are in your life, find yourself questioning the very meaning of your life, harbour feelings of resentment, disappointment or despair, feel the burdens of family problems are too much to bear, feel lonely and demoralised, feel that things could be better but something is keeping you stuck and making it difficult for you to pursue your potential. Psychoanalytic psychotherapy provides a confidential space to reflect on yourself and your life, and an opportunity to discover how the past may influence your present and your capacity to pursue your potential.

The Guild offers a community-based Reduced-Fee Clinic at 47 Nelson Square, London SE1.

This is how the clinic works


The aim of the Clinic is to provide psychoanalytic psychotherapy for people on a low income (up to £18,000 per annum) who live in Southwark, Lambeth and Lewisham.


The clinic is staffed by experienced psychotherapists and trainees in supervision. The Guild is a member of the United Kingdom Council for Psychotherapy (UKCP).

Length of Psychotherapy

The clinic offers a once weekly 50-minute psychotherapy session for up to a maximum of two years, at an agreed regular time.

The Referral Process

City of London Crest Hi Res2

The Referral Process

Those seeking psychotherapy in the Clinic are asked to self-refer, by phoning the Guild office on 020 7401 3260. There is usually a waiting list to attend the Clinic, restricted to fifteen people at any one time. If the waiting list is open, you will be added to it and offered an initial consultation as soon as possible.

We have recently received funding from the City of London Corporation Charity, City Bridge Trust, to help members of the black, Asian or ethnic minority populations in Lambeth, Southwark and Lewisham access psychotherapy in the Clinic.  Please contact the Clinic if you would like to explore the possibility of working with one of our therapists.

When psychotherapy begins, it is normal practice for your GP to be informed. If you are under the care of a psychiatrist, it is also normal practice for there to be liaison with this professional.


The cost of the initial consultation is £35. There is a sliding scale for sessional fees according to income and personal circumstances, with a minimum fee of £5.

If you are someone on low income, live in Southwark, Lambeth or Lewisham, and you think that psychotherapy may help, or if you have any queries, please call our office on 020 7401 3260 or email