Get In Touch

If you would like to enquire about therapy with me or ask for a referral to another therapist, please drop me a line at pa[at]tamaramhowel[dot]com.


My emails are read by my administrative team and you may receive a response from my assistant. We will try to respond within 2 working days so it might be Monday if you write on a Thursday. If you don't hear back from us, please check your Spam folder or drop us another note in case there has been a technical error.


*The reason I don't have an email form here is because the submissions were getting lost, and bots were writing to me!

What You Can Expect

Here's a roadmap of my intake process so that you have an idea of what to expect if you decide you would like to work with me.

If you'd like to start therapy with me, please submit an email enquiry. Let us know when you might be free for an introductory chat!

My assistant or myself will invite you to an introductory call so we can meet and you can ask any questions you might have about therapy.

I will offer recommendations from my professional network if helpful or schedule an intake appointment if we decide to work together.

We send over a welcome pack for you to read and sign. We will go through all aspects of paperwork together in our first session too.

You will receive appointment confirmations with payment instructions included and automatic receipts.

Useful Details

Scheduling and Cancellation

Part of the reason I work with very few clients is so that I can provide flexibility with scheduling, as my clients tend to have demanding work and personal schedules. 

I therefore do not require that we commit to the same time each week, although I am happy to accommodate a regular space. We will usually look one or two weeks ahead and I will give notice of any breaks I am planning to take with as much notice as possible.

I operate a one week rescheduling and cancellation policy, which means that I will not charge any fee if you give notice of one week or more to cancel. If you need to reschedule, I will try to offer a suitable time before Friday of the same week, however if I am unable to, I ask for the full fee to be paid.

Some therapists have 48 hour cancellation policies, or give a certain number of cancellations fee free per year and there are some who require a regular weekly payment no matter what. Each therapist will have made the choice with their clients in mind as well as their own needs. I have landed on this amount of time so that I can plan my professional and personal schedule, and want to reassure you that I am pretty flexible with rescheduling. 

When someone cancels at the last minute and I charge for the time, I take time to read or consider their therapy journey and hold the space, whether they are physically present or not. This is a topic I explore and welcome discussion around in your therapy sessions, because I am aware that cancellation fees can feel punitive (and can lead us to even stopping therapy in some cases), especially when we cancel due to something unavoidable. I always avoid charging them as much as possible and this is why I make provision for rescheduling.

Discretion in Therapy

People that come to me are often very concerned about discretion. Confidentiality is a tenet of therapy at the foundational root, and therapists promise privacy within the limitations of the law. There are certain circumstances in which we are obligated to involve someone else in a client’s care, and we will carefully discuss and explore these when we begin to work together. Most people find them completely inapplicable to them and laugh when I say I’ll have to report money laundering, but there are some others that everyone should be aware of, such as being required to release information under a court order, or needing to call emergency services if a client has a seizure in a session. 

I take your privacy and safety seriously, and my intake documentation will give you something to look at for reference if you ever need to check back.

I feel incredibly honoured to be trusted by my clients and respect that in some professions such as journalism, medicine, creative arts and business it can feel especially important to have a therapist who understands the importance of discretion. My assistant has been vetted and trained with respect to privacy and is sensitive to the needs of my clients.

Benefits of Online Therapy

If you are quietly distressed, uncomfortable or even defiant in the face of new challenges you are facing, finding a private space to take your concerns where you can focus on your own needs exclusively can be a relief. 

The benefits of online therapy? Most people have spent a lot of time online by now. The pandemic sent professionals to the corner of a bedroom squished against the window, kids were suddenly encouraged to engage in screen time and families relied on their laptops for catch ups and quiz night. Pre-Covid, I would spend time talking about the legitimacy of online therapy and trying to convince colleagues and clients that convenience and flexibility was enough of a reason to consider telehealth as an option. These days, we mostly have a widespread gratitude and appreciation for internet connectivity, but many have also had too much of it.

So how does online therapy help people who are in online meetings all day, or feeling burnt out and overwhelmed by constant access to each other? 

Top of my list is the sanctuary of home, a comfortable couch or armchair, your dog or cat next to you, a cup of tea, warm blanket and no public transport. Online therapy is a haven in a world of overstimulation.

Beyond that, I can support you in creating a dedicated therapy space, meaning increased opportunities for therapeutic association. This means that when you settle into your Therapy Corner between sessions, you might remember a moment of relief, or remember to do a grounding exercise, or read an article we discussed, which offers continuity and the opportunity for implementation between sessions. 

I won’t tell you all the reasons I love working online so much, because we’ll be here all day and you might like to have a look around the site, but I’ll end on this. Online therapy isn’t less than in person therapy. It’s different. It offers the opportunity for depth, discovery, therapeutic connection and it means you can work with a therapist who you might not have access to in person.

Where I am based

I often work with clients who live in a different country to me, or who travel. There is some research involved to make sure I meet the professional and legal requirements of the location of the client as well as myself, so I ask people to let me know their location in advance of a call.

I am based near Paris, France and occasionally practise from other countries. I always let my clients know when I will be working from a different location so they can prepare for a different visual background and I use an automatic scheduling system to ensure changes in timezones do not thwart us!

If You Are A Therapist..

I write courses, both self study and interactive on the topics of online therapy and ethical best practices in counselling and psychotherapy.

I provide templates for private practice paperwork to therapists along with tutorials, speak at conferences and run group coaching programmes along with individual coaching opportunities for therapists.

You can find out more about my therapist-supporting projects over at Private Practice Paperwork, Practice with Tamara and TheraBundle.

Tamara