Robin Altwarg: Counselling in London
Fresh Insight Counselling London

Robin Altwarg BSc (Hons) MSc MBPsS MBACP (Accred)

Confidential, professional counsellor and psychotherapist in London

Contact London therapist Robin Altwarg
Book a counselling appointment
My practice: counselling, therapy in London
Individual and couples counselling
Counselling via Skype
Counselling: Corporate clients

Professional counselling service available from a practice in the City of London

Depression counselling in London
Everyone experiences sadness or low mood. However, depression is different from these feelings in that it lasts longer and is characterised by a pessimistic outlook, helplessness and lack of motivation. It also includes some or all of the following symptoms:

  • persistent sadness or low mood
  • loss of interest or pleasure
  • tiredness or loss of energy
  • disturbed sleep
  • poor concentration and attention or indecisiveness
  • reduced self-confidence and self-esteem
  • decreased or increased appetite
  • thoughts or acts about self-harm or suicide
  • agitation or slowing of movements
  • guilt or self-blame
  • loss of sex drive
  • bleak and pessimistic views of the future
  • physical aches and pains.

According to the Depression Alliance depression affects 1 in 5 people in the UK at some time in their life. In my experience many people are unaware that they have depression as they have become so used to the symptoms if they have experienced them for a long time.

Numerous research studies using cognitive behavioural therapy (CBT) to treat depression have demonstrated:

it is at least as effective as antidepressant medication

  • around 75% of people experience a significant decrease in their symptoms within 20 sessions
  • around 85% success rate when combined with medication
  • unlike with anti-depressants the benefits of CBT are maintained at one and two years after the end of therapy.

CBT helps people overcome depression by identifying and changing the behaviours and thinking patterns that cause and maintain depression. This approach primarily focuses on the here-and-now. Client and therapist work together to help identify what the problem is, what causes it and how to change it.

The typical number of sessions using CBT for depression is between 6 and 20.

Robin Altwarg BSc (Hons) MSc MBACP MBPsS

My expertise lies in the areas of: anxiety, depression, anger, relationship difficulties, stress and low self-esteem.

Concerns and issues
I deal with:

Adjusting to changes in your life
Affairs and betrayals
Anger management
Avoidant Personality Disorder
Binge drinking
Bisexual issues
Body image
Borderline Personality Disorder
Compulsive lying
Couples counselling
Dependent Personality Disorder
Domestic violence
Drug abuse
Emotional abuse
Gay issues
Generalised Anxiety Disorder (GAD)
Histrionic Personality Disorder
Lesbian issues
Low self-confidence
Low self-esteem
Male rape
Marriage difficulties
Men’s issues
Narcissistic Personality Disorder
Obsessive Compulsive Disorder (OCD)
Obsessive-Compulsive Personality Disorder
Panic Disorder
Personality disorders
Physical abuse
Post-Traumatic Stress Disorder (PTSD)
Relationship issues
Self harm
Self-destructive behaviour
Separation and divorce
Sexual abuse
Sexual minority issues
Social phobia
Unhappiness in childhood
Weight issues
Work related issues
Work/life balance