Terms of Agreement

The clinical process

Melody Coutts practices psychoanalytic psychotherapy which draws on theories and practices of analytical psychology and psychoanalysis. It is a therapeutic process which helps patients understand and resolve their problems by increasing awareness of their inner world and its influence over relationships both past and present.

Individual therapy can be once, twice or three times weekly and is open ended. Appointments take place on a mutually agreed day and time each week and last for 50 minutes. Couple therapy is the same as above but is normally once a week. Sessions are not less than once weekly for either mode of therapy. As working towards an ending is an important part of the work it is helpful to discuss this first and allow a minimum of four weeks to the end of treatment.


Melody Coutts is registered to practice by the British Psychoanalytic Council practising by their Code of Ethics and maintains professional indemnity insurance.

Fees and Cancellation

Fees are based on income and whether the appointment time is off peak (start time from 10am until 5pm) or peak time, (starting before 10am and from 6pm onwards and any time on Saturdays).

Individual  Therapy

Annual gross income                               Off Peak                                   Peak

£29,000 or below                                    £50.00                                     £60.00

£30 - 39,000                                           £60.00                                     £70.00

£40 - 49,000                                           £70.00                                     £80.00

£50 - £60,000                                        £80.00                                     £90.00

£61,000 and above                                 £100.00                                    £110.00

Fees per session

Not including initial consultation

Couples therapy is normally once weekly and lasts 50 minutes.

Off peak and peak times are as set out above.

Joint gross income                              Off peak                                     Peak

Less than £59,000                              £70.00                                       £80.00

£60 - £69,000                                    £80.00                                       £90.00

£70 - £79,000                                    £90.00                                       £100.00

£80,000 and above                            £110.00                                      £120.00

The above is a guide to fees and is dependent upon circumstances. If special circumstances prevail please discuss this with the therapist.

Couples Therapy

Payment is by cash, cheque or bank transfer.

Terms are 7 days from receipt of invoice with the exception of the initial consultation which is due upon presentation.

Fee rates are reviewed annually and are notified in advance

Invoices are presented monthly unless otherwise agreed.


The standard practice in psychoanalytic psychotherapy of charging for missed or cancelled sessions is adopted unless otherwise agreed. There are usually three holiday breaks per annum at Christmas, Easter and during the summer. This policy is undertaken as therapy is a commitment by both parties and as such the session time is exclusively allocated to the client and not normally re-allocated in the event of absence

Cancellation Policy