Frequently Asked Questions

If you are considering therapy, the first step is to reach out (text or call - 0452 129 860 or email - Anneke@anestacounselling.com.au). A free 15-minute consultation call is available. This gives you the opportunity to briefly share what has brought you here, ask any questions you may have, and get a sense of whether working together feels like the right fit.

If we both feel comfortable moving forward, we can schedule your first session.

The first session is an opportunity for us to get to know each other and begin understanding what has brought you to therapy.

We will talk about what you are currently experiencing, what you would like to change or understand more clearly, and what you hope to gain from therapy. You are welcome to share at your own pace. There is no pressure to explain everything all at once.

My role is to provide a calm and supportive space where we can begin making sense of things together.

Many clients begin with weekly or fortnightly sessions, particularly at the start of therapy. Over time, the frequency can change depending on your needs and circumstances.

Some people continue with regular sessions, while others move to less frequent appointments once things begin to stabilise.

The length of therapy varies from person to person.

Some clients come for support around a specific issue and may attend for a shorter period of time. Others choose to work more deeply over a longer period, particularly when exploring long-standing patterns, relationships, or life transitions.

We regularly reflect together on how the process is going and what feels most helpful for you.

This is more common than many people expect. You don’t need to arrive with everything clearly organised.

Often people simply begin by describing how they have been feeling, what has been weighing on them, or what has prompted them to reach out. From there, the conversation naturally unfolds.

Part of my role is to help guide the process and create a space where it feels easier to explore what is on your mind.

The relationship between therapist and client is one of the most important parts of therapy. Feeling comfortable and safe with your therapist matters.

If at any point you feel that the fit is not quite right, you are always welcome to talk about it. Sometimes it can be helpful to explore what is feeling uncomfortable, and other times it may be best to consider a different therapist.

My priority is that you receive the support that is right for you.

Individual sessions are available in person in Pymble, NSW, or via telehealth.

Couples and family sessions are held in person in Pymble.

My work is grounded in a person-centred approach, which means therapy is collaborative and guided by what feels most important in your life.

I also draw on perspectives from attachment theory, interpersonal neurobiology, polyvagal theory, and somatic approaches. These approaches help us understand how experiences, relationships, and the nervous system influence emotional wellbeing.

Together, we explore thoughts, emotions, relationships, and bodily responses to help build greater understanding, emotional regulation, and resilience.

Yes. Confidentiality is a fundamental part of therapy. What you share in sessions is treated with care and respect.

There are a small number of situations where confidentiality may need to be broken, such as where there is a serious risk of harm to yourself or others, or where disclosure is required by law. If this situation were ever to arise, I would aim to discuss it with you wherever possible.

I understand that financial pressures can make accessing therapy difficult.

A limited number of sliding scale places are available for clients who are experiencing genuine financial hardship. If this is your situation, you are welcome to raise it during the initial consultation so we can discuss what may be possible.

At present, psychotherapy and counselling services are not eligible for Medicare rebates. This is expected to evolve as the National Standards for Counsellors and Psychotherapists in Australia are finalised.

Some private health funds offer rebates for counselling or psychotherapy services depending on your level of cover. It is best to check directly with your health fund to see if you are eligible.