Terms and Conditions

New Thoughts Hampshire is referred to as the service provider

Service Users refers to who ever uses our services. 

We are an association of affiliates based on our professional qualifications and experience. 

New Thoughts Hampshire is not responsible for individual affiliates but provides a recommendation based on each affiliate's professional qualifications and experience. 

Each affiliate manages their caseload and fixes their prices accordingly. Affiliates may work out of their own practice which may be located outside of the offices provided by New Thoughts Hampshire.

By accepting your appointment, you are accepting the terms and conditions as stated by the affiliate. You can find each affiliate's terms and conditions on their website. New Thoughts Hampshire is not responsible for these websites or how each individual affiliate manages their work. 

Each affiliate abides by a strict confidentiality clause and does not share their client information.

We kindly ask that all services are paid in full BEFORE your appointment begins, unless otherwise agreed.

Cancellation policy: Ideally, we'd love you to get in touch as soon as you can but we ask for a minimum of 48 hrs notice.

Contact the affiliate directly to give notice of change or cancellation. If you cancel your appointment within 48 hrs you will not be charged.

If you miss an appointment without notice or if you simply forget then will need to pass on the £12 room fee. We will NOT charge you for the service or clinician's time.

If you do not attend your appointment or give less than 48hrs notice, you will be charged for the full price of the service. 

Cost of Services 2026

Each affiliate sets the rate for their service which will be discussed with you beforehand.

Victoria Karp:

Initial chat/ consultation (30 minutes) FREE

Youth Counselling Session £40-£50

Psychological Assessment: £110

Child psychological assessment £70 (includes report)

Treatment session: £50 -£60     

Training and CPD £72/2 hrs 

 

New Thoughts Hampshire’s (NTH) Safeguarding Policy

All my sessions are strictly confidential unless the child/ young person/adult client gives direct consent for specific information to be shared with specific people (parent, school, social worker, GP etc).

Confidentiality will need to be broken if there is a serious disclosure of abuse, neglect or a real risk of harm to the client or a third party. I will explain the rules confidentiality in the first session. Below is a in depth explanation of my procedures and confidentiality break clauses:

THERAPISTS PROCEDURES

The therapists’ procedures outlines what therapists need to do in a range of situations in order to best protect the client within the therapeutic setting.

As with all these procedures, the first step at a general level is Supervision.

Supervision’s major focus is to help the therapist to provide their best services for the client. It is in supervision that the therapist brings their anxieties, worries and concerns to the supervisor.

If the client discloses that they are being abused, harming themselves or have been abused in the past:

* The first port of call is to gently enquire and check out what I have heard to make sure I am understanding correctly – this is not interrogation – though I have to be specific to make sure of the facts this needs to be done in a relational manner.

* Remember that the information I am hearing in this context will be very difficult for clients to talk about and it will have taken a lot of courage for them to disclose at this level, so it is imperative that I treat the person in an empathic manner with a great sense of integrity, authenticity and respect.

* It is imperative that I do not lead the client to the conclusion that they were being, or were, abused. For example, do not put thoughts into the client’s head or ask leading questions* If there is a risk to the person, or I am not sure if there is a risk to the person, it is imperative I speak to my supervisor as soon as possible to discuss the situation fully. And the situation needs to be recorded in my notes.

* If there is a risk I may need to disclose – dependent on level of risk, ie if I think they are of harm to themselves or other people, I will need to disclose this immediately. If there is no immediate risk, then discuss it at my next scheduled personal supervision.

If this client is under 18, then I will contact my supervisor immediately or as soon as possible, as well as speak to an appropriate adult (parent/carer/social worker) as long as that is not the person accused of the abuse. Let child/young person know that they have done nothing wrong and they are not in trouble. Explain that this information needs to be shared with the appropriate adults who can help them and stop the abuse as soon as possible.

* If the child draws what happened, keep this as evidence to be shared with the relevant authorities. Date and Sign document as therapist

* Ask child/young person to write down what they have said/ Or to write it down for them verbatim. Date and sign the document as the therapist.

* Keep client notes up to date and record all discussions with the client, supervisor

* All actions that I take will be noted in my client records and shared with my supervisor with dates and times against each of the actions.

If the client discloses they are abusing:

* Check out gently what I have heard to make sure I have understood them correctly and remind them of the contracting about confidentiality and its limits.

* Try to get them to take the appropriate action, for example with your support contacting the police.

* You will need to disclose the information that is being given to you and you must make this clear to your client.

* If the risk is significant and imminent I will need to disclose it straightaway to social services or the police.

* Offer to continue to support the client through the ongoing therapy if appropriate and safe to do so.

* If I no longer feel safe to work with the client I will seek advice from my supervisor.

* Make sure that I have up to date motes of all my actions and discussions with the client, supervisor and authorities (where relevant)

If the client discloses that a Third Party is Abusing:

* First of all, check out gently what was heard was

understood correctly.

* Try to get them to take appropriate action.

SUICIDE AND SELF HARM FRAMEWORK

This document has been informed by the BACP Information Sheet P7 Working With

Suicidal Clients

When working with clients who present with a wide variety of issues, such as depression, anxiety, stress, repression of feelings, hopelessness, and a feeling ofhelplessness in the world and indeed in their levels of functioning, you may well find as

the therapeutic sessions evolve that sitting underneath these presenting issues the client may report feelings/thoughts of suicide/suicidal idealisation.

Suicidal Idealisation

This is when clients may have fantasies, dreams or even imaginations of the ideas of what it’s like to take their own life and indeed may have whole thought processes on how their suicide may impact other people around them.

More often than not when people report suicidal idealization it does not mean that they are then going to go and take their life. However, their reporting of this to yourself is

important and must be taken extremely seriously by yourself. This is where supervision is imperative.

The Threshold Model

The threshold model shows how different types of risk and protective factors interact to produce a threshold for suicidal behaviour for the individual. The different types of factors are:

1. Long term predisposing risk factors that can be present at birth or soon after birth – these identify people who are in risk groups.

Genetic or Biological Influences:

(a) Family history of suicide or attempted suicide

(b) Family history of depression

(c) Family history of alcohol or other substance misuse

2. Personality Traits

Rigid thinking characterized by patterns of thought that are difficult to change.

Black and white thinking or “nothing thinking”

Excessive perfectionism, where high standards are causing distress to the person or others.

Hopelessness with bleak and pessimistic views of the future

Impulsivity, tending to do things on the spur of the moment

Low self esteem with feelings of worthlessness

3. Short Term Risk Factors

Environmental Factors:

(a) Divorced, separated of widowed

(b) Being older and/or retired

(c) Having few social supports

(d) Being unemployed

Psychiatric Diagnosis

The three psychiatric disorders most strongly correlated with suicide are:

* depression

* Substance misuse (including alcohol)

* Schizophrenia

4. Precipitating Factors

These are events that may tip the balance when a person is at risk. They include:

* High stress/life crises

* Divorce

* Imprisonment or threat of imprisonment* Recent job loss

* Recent house move

* Recent loss or separation

* Unwanted pregnancy

* Interpersonal problems

Managing Suicide Risk

Managing suicide risk in many ways comes with the territory of risk assessment and management techniques will differ depending on the assessed level of risk. For example, if your risk assessment is low then the management techniques will differfrom working with a high assessment risk.

Low Risk to High Risk (in Ascendency with 1 being Low risk and 7 being High risk):

1. If a risk is low, maintain usual contact/sessional arrangements.

2. A therapeutic approach is useful in promoting contact and encouraging the client

to take a shared responsibility for their future care and safety.

3. If I am concerned or anxious I will talk to my Supervisor

4. Use the person’s existing support system by encouraging them to engage with their contact/friends/family.

5. As said earlier, if I believe the risk is more urgent contact my Supervisor as soon as possible

6. If they are the high end of suicide risk contact the Supervisor immediately to work out an action plan with regards to future sessions.

7. The same as above – immediate contact with your Supervisor and immediate plans may need to be implemented, such as an urgent mental health assessment or even a 999 call.

Conclusion

(a) Always be aware of suicide risk.

(b) It is vital to keep good and accurate records.

(c) Explain to the client my concerns and reasons for breaking confidentiality

(d) Work with them as much as possible to ensure the next steps

SAFEGUARDING POLICY STATEMENT – CHILDREN ADOLESCENTS AND VULNERABLE ADULTS

The policy exists to ensure that NTH implements appropriate arrangements, systems and procedures to ensure that the therapist has the right skills, means and resources to protect and safeguard clients.

NTH recognises safeguarding means protecting an individual’s right to live in safety, free from abuse and neglect.

Safeguarding means protecting an individual’s right to live in safety, free from abuse and neglect. It is about people and organizations working together to prevent and stop both the risks and experience of abuse or neglect, while at the same time making sure that the client’s wellbeing is promoted including, where appropriate, having regard to theirviews, wishes, feelings and beliefs in deciding on any action. This must recognise thatclients sometimes have complex interpersonal relationships and may be ambivalent, unclear or unrealistic about their personal circumstances.

The aims of safeguarding are to:

Stop abuse or neglect wherever possible.

Prevent harm and reduce the risk of abuse or neglect

Safeguard in a way that supports them in making choices and having control about how they want to live.

Promote an approach that concentrates on improving life for the client

Provide information and support in accessible ways to help client’s understand the different types of abuse, how to stay safe and what to do to raise a concern about the safety or well-being of a client

Empowerment – People being supported and encouraged to make their own decisions and informed consent

Prevention – It is better to act before harm occurs.

Proportionality – The least intrusive response appropriate to the risk presented.

Protection – Support and representation for those in greatest need.

Partnership – Where possible work with local authorities in preventing, detecting and

reporting neglect and abuse.

Accountability – Accountability and transparency in delivering safeguarding.

Therapists may be particularly well-placed to spot abuse and neglect, the individual

may say or do things that hint that all is not well. It may come in the form of a complaint, or an expression of concern.

The Care Act 2014 defines the following areas of abuse and neglect; they are not

exhaustive but are a guide to behaviour that may lead to a safeguarding enquiry.

This includes:

Physical abuse

The physical mistreatment of one person by another which may or may not result in

physical injury, this may include slapping, burning, punching, unreasonable

confinement, and pinching, force-feeding, misuse of medication, shaking,

inappropriate

moving and handling.

Signs and indicators -

Over or under use of medication, burns in unusual places; hands, soles of feet,

sudden incontinence, bruising at various healing stages, bite marks, disclosure,

bruising in the shape of objects, unexplained injuries or those that go untreated,

reluctance to uncover parts of the body.

Sexual abuse

Any form of sexual activity that the adult does not want and or have not considered, a

sexual relationship instigated by those in a position of trust,

rape, indecent exposure, sexual harassment, inappropriate looking or touching, sexual

teasing or innuendo, sexual photography, subjection to pornography or witnessingsexual acts, indecent exposure and sexual assault or sexual acts to which the adult has

not consented or was pressured into consenting.

Signs and indicators

Signs of being abused may include recoiling from physical contact, genital

discharge, fear of males or female, inappropriate sexual behaviour in presence

of others, bruising to thighs, disclosure, and pregnancy. Abusers may take longer

with personal care tasks, use offensive language, work alone with clients, or

show favouritism to clients.

Financial or material abuse

Financial or material abuse – including theft, fraud, internet scamming, coercion in

relation to an adult’s financial affairs or arrangements, including in connection with

wills, property, inheritance or financial transactions, or the misuse or misappropriation

of property, possessions or benefits

Signs and indicators

This may include not allowing a person to access to their money, not spending

allocated allowance on the individual, denying access to their money, theft from

the individual, theft of property, misuse of benefits. There may be an over

protection of money, money not available, forged signatures, disclosure, inability

to pay bills, lack of money after payments of benefits or other, unexplained

withdrawals. An abuser may be evasive when discussing finances, goods

purchased may be in the possession of the abuser, there may be an over

keenness in participating in activities involving individuals money

Psychological and/or Emotional abuse

This abuse may involve the use of intimidation, indifference, hostility, rejection, threats

of harm or abandonment, humiliation, verbal abuse such as shouting, swearing or the

use of discriminatory and or oppressive language. A deprivation of contact, blaming,

controlling, coercion, harassment, cyber bullying, isolation or unreasonable and

unjustified withdrawal of services or supportive networks. There may be a restriction of

freedom, access to personal hygiene restricted, name calling, threat to withdraw care or

support, threat of institutional care, use of bribes or threats or choice being neglected

Signs and indicators

Stress and or anxiety in response to certain people, disclosure, compulsive

behaviour, reduction in skills and concentration, lack of trust, lack of self-esteem,

someone may be frightened of other individuals, there may be changes in sleep

patterns

Neglect and acts of omission

Behaviour by carers that results in the persistent or severe failure to meet the physical

and or psychological needs of an individual in their care. This may include ignoring

medical, emotional or physical care needs, failure to provide access to appropriate

health-care and support or educational services, the withholding of the necessities of

life, such as medication, adequate nutrition and heating, wilful failure to intervene or

failing to consider the implications of non-intervention in behaviours which are

dangerous to them or others, failure to use agreed risk management procedures,

inadequate care in residential setting, withholding affection or communication, denying

access to services,Signs and indicators

There may be disclosure. Someone being abused may have low self-esteem,

deterioration, depression, isolation, continence problems, sleep disturbances,

pressure ulcers. There may be seemingly uncertain attitude and cold

detachment from a carer, denying individuals request, lack of consideration to

the individuals request, denying others access to the individual health care

professionals

Self-neglect: This covers a wide range of behaviour neglecting to care for one’s personal

hygiene,

health or surroundings and includes behaviour such as hoarding.

Discriminatory Abuse

This includes forms of harassment, slurs or similar treatment; because of race, gender

and gender identity, age, disability, sexual orientation, and religion or health status and

may be the motivating factor in other forms of abuse. It can be personal, a hate crime

or institutional.

Signs and indicators

There may be a withdrawal or rejection of culturally inappropriate services e.g.

food, mixed gender groups or activities. Individual may simply agree with the

abuser for an easier life, there may be disclosure, or someone may display low

self-esteem. An abuser may react by saying “ I treat everyone the same”, have

inappropriate nick names, be uncooperative, use derogatory language, or deny

someone social and cultural contact.

Institutional or Organisational Abuse

Neglect and poor care practice within an institution or specific care setting such as a

hospital or care home, for example, or in relation to care provided in one’s own home.

This may range from one off incidents to on-going ill-treatment. It can be through

neglect or poor professional practice as a result of the structure, policies, processes

and practices within an organisation.

Signs and indicators

This may include a system that condones poor practice, deprived environment,

lack of procedures for staff, one commode used for a number of people, no or

little evidence of training, lack of staff support/supervision, lack of privacy or

personal care, repeated unaddressed incidents of poor practice, lack of homely

environment, manager implicated in poor practice. There may be a lack of

personal clothing, no support plan, lack of stimulation, repeated falls, repeated

infections, unexplained bruises/burns, pressure ulcers, unauthorised deprivation

of liberty. Abusers may have a lack of understanding of a person’s disability,

misuse medication, use illegal controls and restraints, display

undue/inappropriate physical intervention, and inappropriately use

power/control.

Domestic abuse

The cross-government definition of domestic violence and abuse is: any incident or

pattern of incidents of controlling, coercive, threatening behaviour, violence or abuse

between those aged 16 or over who are, or have been, intimate partners or familymembers regardless of gender or sexuality. The abuse can encompass, but is not

limited to:

Psychological

Sexual

Financial

Emotional

A new offence of coercive and controlling behaviour in intimate and familial

relationships was introduced into the Serious Crime Act 2015. The offence will impose

a maximum 5 years imprisonment, a fine or both.

Signs and indicators

May include many of those indicators listed under previous categories in this

document, including unexplained bruising, withdrawal from activities, work or

volunteering, not being in control of finances, or decision making

Modern slavery

Encompasses slavery, human trafficking, and forced labour and domestic servitude.

Traffickers and slave masters use whatever means they have at their disposal to coerce,

deceive and force individuals into a life of abuse, servitude and inhumane treatment.

Signs and indicators

There may be signs of physical or psychological abuse, victims may look

malnourished or unkempt, or appear withdrawn. Victims may rarely be allowed

to travel on their own, seem under the control, influence of others, rarely

interact or appear unfamiliar with their neighbourhood or where they work.

They may be living in dirty, cramped or overcrowded accommodation, and / or

living and working at the same address. Victims may have no identification

documents, have few personal possessions and always wear the same clothes

day in day out. What clothes they do wear may not be suitable for their work.

People may have little opportunity to move freely and may have had their travel

documents retained, e.g. passports. They may be dropped off / collected for

work on a regular basis either very early or late at night. Victims may avoid eye

contact, appear frightened or hesitant to talk to strangers and fear law enforcers

for many reasons, such as not knowing who to trust or where to get help, fear of

deportation, fear of violence to them or their family.

Radicalisation to terrorism

The Government through its PREVENT programme has highlighted how some children,

young people and adults may be vulnerable to radicalisation and involvement in

terrorism. This can include the exploitation of vulnerable people and involve them in

extremist activity. Radicalisation can be described as a process, by which a person to

an increasing extent accepts the use of undemocratic or violent means, including

terrorism, in an attempt to reach a specific political/ideological objective. Vulnerable

individuals being targeted for radicalisation/recruitment into violent extremism is

viewed as a safeguarding issue.

Signs and indicators

May include being in contact with extremist recruiters. Articulating support for

violent extremist causes or leaders. Accessing violent extremist websites,

especially those with a social networking element. Possessing violent extremist

literature. Using extremist narratives to explain personal disadvantage. Justifyingthe use of violence to solve societal issues. Joining extremist organisations.

Significant changes to appearance and/or behaviour.

Who might abuse?

Abuse of adults at risk, may be perpetrated by a wide range of people including

relatives, family members, professional staff, paid care workers, volunteers, other

service users, neighbours, friends and associates, people who deliberately exploit

vulnerable people and strangers.

Incidents of abuse may be one-off or multiple, and affect one person or more.

Professionals and others should look beyond single incidents or individuals to identify

patterns of harm.

Patterns of abuse vary and include:

Serial abusing in which the perpetrator seeks out and ‘grooms’ individuals.

Sexual abuse sometimes falls into this pattern as do some forms of financial

abuse;

Long-term abuse in the context of an ongoing family relationship such as

domestic violence between spouses or generations or persistent psychological

abuse;

Or opportunistic abuse such as theft occurring because money or jewellery