Frequently Asked Questions

Do you offer discounts, or payment plans?

Yes, both. There is a student discount, and I keep a limited number of reduced-fee appointments for people in financial need. Ask me and we will sort something out. I also accept weekly or monthly payments to spread the cost.

What are my payment options?

Bank transfer, card, or PayPal, with a receipt each time. You will get an automated invoice before each session, unless you have arranged to pay monthly or in advance.

What is your cancellation policy?

I ask for 48 hours' notice to cancel or reschedule. The time has been reserved for you, so late cancellations and missed sessions may be charged in full, depending on the circumstances.

Do you offer online or in-person sessions?

Both options are available, and you’re welcome to choose what feels most convenient for you.

Online sessions are held via Doxy.me, a secure, GDPR-compliant video platform used by healthcare professionals. There’s nothing to download, you can simply join via a private link.

In-person sessions are available at my offices in Belfast and Lisburn.

Do you work with people outside Northern Ireland?

Yes. Online sessions work well and I see people across the UK, Ireland and further afield. The practical considerations are time zones and, occasionally, local regulations about receiving therapy from a practitioner based elsewhere. Mention where you are when you get in touch and I will let you know if anything needs sorting out.

Do I need a referral from my GP?

No. This is a private practice, so you can get in touch directly. You do not need a referral, a diagnosis, or a formal reason. If you are already under the care of a GP or another professional for something related, it is worth mentioning, since occasionally it makes sense for me to work alongside them.

What happens in our first session? Do I have to lie on a couch?

Sit or lie down, whichever is comfortable. It is your time.

Mostly we get to know each other. I will ask about you and what has been going on, and you can ask me anything you want to know. By the end we will have agreed a way of working together.

One thing worth saying: you do not have to feel safe with me straight away. Feeling comfortable with a therapist often takes a while, and that is normal rather than a sign something is wrong.

How many sessions will I need?

This is the question I am asked most, and the honest answer is that it depends on what you bring and how you respond to the work.

What I can tell you is that the fear behind the question, that therapy means being tied in for years, does not match how I work. My main approach, BWRT®, works with automatic responses rather than through analysing them over time, and in my clinical experience change often happens sooner than people expect. Some people come for a small number of sessions. Others want longer, either because there is more to work with or because they value having the space.

We will talk about this openly at the start and keep talking about it. You are not signing up to an open-ended commitment, and you can stop whenever you want to.

What kinds of therapy do you offer?

My work is integrative, which means I draw on talking therapy and body-based approaches depending on what is needed.

My main approach is BWRT®, a bodymind therapy that works with the brain's automatic responses at the level where they are generated, without requiring you to relive or analyse past experiences in detail. You can read more about how it works.

I am also trained in psychodynamic therapy, somatic approaches, Somatic Internal Family Systems, hypnotherapy, and Pain Reprocessing Therapy.

Is BWRT® like EMDR?

They are trying to answer a similar question by different routes: how do you change a response the brain formed around a difficult experience, when understanding it has not been enough.

EMDR works with the traumatic memory directly, using bilateral stimulation while the material is held in mind. It has a substantial research base and appears in national treatment guidelines. BWRT® works with the response rather than with the memory content, which is why it asks so little of you in terms of recall: you bring the difficulty to mind briefly, and you are not asked to narrate or relive it.

I do not offer EMDR. If that is what you are looking for, it is worth finding a practitioner who does. If what drew you to it was wanting something other than talking about the past at length, BWRT® may be worth reading about.

Do you work with couples or families?

Yes. There are a few practical matters to discuss first, including how confidentiality works when more than one person is in the room, so get in touch and we can talk it through before booking.

Are you a “kink-aware” therapist?

Yes. I am familiar with BDSM and consensual adult practices, and I work with the kinds of things that bring people to a kink-aware therapist: relationship difficulties, coming out, conflicts between different parts of your life, internalised shame, and abuse or trauma.

Do you accept insurance?

Not at the moment.

Still have a question?

Ask me. Or book a free initial consultation and we can talk it through.

Dr Annalisa Manca Psychotherapy | BELFAST | LISBURN | © Copyright 2026 - All Rights Reserved