Working with me
I work with couples preparing for marriage, with individuals, and with couples already in a relationship, face-to-face and online. I work with adults of all ages. Whichever way you come, the approach is the one I describe on the How I Work page. What changes is the shape our work takes.
Starts December 2026 · Mainly online · For couples
An existential pre-marital journey for couples
If you are preparing for marriage or a long-term commitment, you have probably spent a good deal of time planning the wedding. Before We Begin gives the two of you time to think about the marriage itself: what you are choosing, what each of you brings to it, and what you hope your shared life will mean.
It is for couples who want deeper conversations than guest lists and ring sizes allow, and who are willing to talk honestly about values, hopes, fears and old wounds. You don't need a perfect relationship to begin, only a willingness to look at the real one.
Each week, we take one theme together.
It isn't religious marriage preparation, although faith and the sacred are welcome in the room. It isn't communication-skills training. I won't tell you what to think or believe, or whether you should marry. No one can guarantee a smooth marriage. What I can offer is a place where you can meet yourselves and each other honestly, as you are now and as you might become.
Some of what people bring
You might come to me facing a decision you cannot make, or a change you did not ask for: a move, a diagnosis, the end of a relationship, retirement. You might be carrying a loss that has not settled. Or there may be no single problem, only a persistent sense that your life is not quite your own.
We meet face-to-face or online for 50 minutes, usually weekly or fortnightly; we agree the rhythm together at the start. Some people come for a few months, others for longer. Along the way we talk openly about how the work is going for you, and when it might be time to finish.
Couples often come to me when they keep returning to the same argument, when trust has been damaged, or when they have drifted into living alongside each other rather than with each other. Sometimes one of you is unsure whether to stay.
I attend to each of you as a person, and to the relationship you have made together. I won't take sides, and I won't decide for you whether you should stay together. Sessions last 50 minutes and take place face-to-face or online.
I am developing two further courses: one for parents, and one on living well in later life. If you would like to hear when they open, mention it when you write to me.
Therapy takes place face-to-face or online, on Zoom; the courses are mainly online. Sessions are in English. If we meet online, please join from somewhere private where you won't be overheard or interrupted.
[Clinic locations, in central London and one other area, to be added.]
Therapy sessions from £100; concessions available. Before We Begin: introductory price of £850 for couples starting in December 2026.
What you tell me stays between us, within the limits set by my professional bodies and the law. I explain those limits at our first meeting.
Late cancellations are charged. I explain the notice period when we first agree to work together.
I practise as an HCPC-registered Practitioner Psychologist (PL045562), and I am a BACP Registered Member and a BPS Chartered Psychologist.
I am not able to offer emergency support. If you are in immediate danger, call your local emergency number: 999 in the UK, 911 in the US and Canada, or 112 in India.
For urgent support at any hour:
Our first meeting is a chance to get to know each other. You can tell me what brings you, and ask me anything about how I work. We talk through practical matters, including confidentiality, and then decide together whether to continue.
It varies. Some people come for a few months, others for longer. We agree a rhythm at the start and review it together as we go, so you are never committed to more than feels right.
Many people find online sessions work well, and they can be easier to fit around work and family. Others prefer being in the same room. We can talk about what suits you, and you can change later if you wish.
No, you can contact me directly. If you are using health insurance, your insurer may ask for a GP referral, so it is worth checking with them first.
I work with a number of UK health insurance companies. Ask me when you get in touch, and I will check whether your insurer is on my list.
You don't need to answer these now. They are the kind of question we might spend time with.
Where am I avoiding a choice that only I can make?
What would a more authentic week look like, specifically?
What conversation am I willing to have, even if it is hard?
That is a very common place to start. Write to me with a few lines about your situation, and I will reply to suggest what might fit. Replies may take a few days at present.
Or email contact@drrameshpattni.com