
Maria Francesca Ciotta
Clinical Psychologist Aylesbury

What to expect from the first session?
The first session is an opportunity for us to begin building a trusting and collaborative relationship. We will take time to explore what has brought you to therapy, any concerns you may have, and what you would like to achieve from our work together. I will also ask about relevant aspects of your personal history and background, always at a pace that feels comfortable for you. I will explain how I work and answer any questions you may have, so you can make an informed decision about proceeding with therapy.
Seeking therapy takes courage. I see my role as not only a psychologist but also a collaborator — someone who walks alongside you with both professional skill and genuine care. Together, we work to make sense of your experiences, develop emotional insight, and build the tools you need to move forward with clarity and confidence.
What if I need to cancel an appointment?
Therapy is most effective when sessions are attended regularly. If you need to cancel or reschedule an appointment, I kindly ask for at least 24 hours’ notice. If less than 24 hours’ notice is given, the full session fee will usually apply. However, I do understand that life is unpredictable, and in cases of genuine emergency or exceptional circumstances, I will do my best to be flexible and considerate.
How long are the sessions, and how frequently do they take place?
Sessions are 50 minutes in duration and are typically scheduled once a week. Regular weekly sessions help to provide a sense of continuity and stability, which are important for therapeutic progress. That said, I recognise that each person’s circumstances are unique. We will discuss what frequency best suits your needs and can adjust the schedule over time if required.
Confidentiality and Ethical Practice
Confidentiality is a cornerstone of psychological therapy. Everything shared in our sessions is treated with the highest level of discretion and respect. I will not disclose any information without your consent unless there is a serious concern for your safety or someone else’s, in line with professional and legal responsibilities. I always aim to discuss any concerns transparently and compassionately.
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What should I do if I am in crisis?
While I am here to support you through our scheduled sessions, this service does not offer emergency or crisis support. If you find yourself in immediate danger or emotional distress, please reach out to the following services for urgent assistance:
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Samaritans: 116 123 (available 24/7)
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NHS 111: Dial 111
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Your local A&E department or GP
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SHOUT: Text SHOUT to 85258
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National Suicide Prevention Helpline UK: 0800 689 5652
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SANEline: 0300 304 7000
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CALM (Campaign Against Living Miserably): 0800 58 58 58
Please know that seeking immediate help is a sign of strength, and you are not alone.
Can you prescribe medication?
As a Clinical Psychologist, I do not prescribe medication. If you feel that medication may be beneficial as part of your treatment, or if you have any questions about it, I encourage you to contact your GP, who will be able to advise and support you appropriately. Therapy and medication can sometimes work well together, and if relevant, we can also discuss how therapeutic work can complement any medical treatment you are receiving.