Autonomous Psychotherapy & Counselling
Private psychotherapy.
Wherever you are.
For people accustomed to handling things themselves. Private online psychotherapy with Justin Duwe for individuals, couples and relationships navigating the more complicated parts of life.
The person underneath the competence
You can be successful and still be struggling.
People know you as capable. Decisive. Reliable. The person who fixes things for everybody else, usually before they've finished asking.
They may not know about the marriage that is quietly falling apart. The argument you keep having. The affair. The cocaine use you're increasingly worried about. The anxiety you can't explain to anyone, least of all yourself. The sex you're not having. The loneliness that sits underneath a full calendar. The decisions you keep postponing.
Or the uncomfortable feeling that, despite everything you have achieved, something isn't right.
Competence is not the same as being well. I work with the person underneath it.
Ways to work with Justin
Three principal areas of practice.
How I work
I won't simply sit back and ask how that makes you feel.
My style is engaged rather than passive. I'll ask direct questions, and I'll notice the contradiction between what you say you want and what you keep doing. I'll help you name emotions and needs that have gone unexamined for a long time, and trace the patterns underneath them.
But insight is not the finish line. Understanding why you do something is only useful if it changes what you decide to do next. The work is designed to end somewhere practical.
Directness and compassion are not opposites. You should expect challenge, accountability and a complete absence of judgement — including about the things you have been rehearsing how to say.
A separate programme
Looking specifically for help with chemsex?
Chemsex Freedom is a separate specialist programme created by Justin Duwe: a structured 90-day course for men who want to understand or change their relationship with chemsex. It is distinct from ongoing psychotherapy, with its own format, pathway and pace.
Professional background
Justin Duwe
- Discipline
- Psychologist
- Specialism
- Sexologist
- Accreditation
- BACP Accredited Psychotherapist
- Publishing
- Author
- Practice
- 21+ years clinical experience
Published work
Two books, written across years of clinical practice in sexual health, sexuality and behaviour.
The Truth About Chemsex
On chemsex, its appeal and its costs.
The Penis Manual
On sexual function, anxiety and the body.
Online by design
Private psychotherapy. Wherever you are.
My practice is exclusively online, by choice. After the pandemic I kept it that way because I think it is where serious private psychotherapy is going — not because it is convenient, but because it is better suited to the lives my clients actually lead.
For clients who are professionally visible, the discretion matters. No waiting room, no reception desk, no chance encounter in a corridor.
- Privacy and discretion
- Flexibility around demanding schedules
- Continuity while travelling
- No waiting rooms, no commuting
- Speaking from your own private environment
- International work where legally permitted
Fees
Clear, and stated in advance.
Individual Psychotherapy
50 minutes
£225 / $300
Couples Psychotherapy
50 minutes
£300 / $400
Extended Couples Psychotherapy
90 minutes
£450 / $600
For relationship sessions involving more than two partners, session length and fee are arranged individually, depending on the needs and number of people involved.
I work with selected insurers. Insurance-funded arrangements may differ from private self-funded fees; please raise this in your appointment request if relevant.
You don't need to have everything figured out before you ask for help.
Send a short request. I read every one personally. Requests are reviewed for availability, suitability and jurisdiction, and I'll reply either way.