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Elaine Macgregor

Integrative counsellor for relationship and life issues

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  • Relationship patterns
  • Acceptance and Commitment Therapy
  • Client-Centred work

About Elaine

Elaine Macgregor works with depression, anxiety, loss, life changes and relationship difficulties using an integrative approach that draws on several therapies. She is a member of the British Association for Counselling and Psychotherapy (BACP) and has four years of experience. Elaine works with adults aged 18 and over and accepts international clients. Sessions are offered in English and Portuguese.

Elaine trained as an integrative counsellor, which means she blends methods to suit each person’s needs. She uses Acceptance and Commitment Therapy, Cognitive Behavioural Therapy, Attachment-Based and Client-Centred approaches among others. In practice this means she may focus on thoughts and behaviour, on how attachment shapes relationships, or on exploring personal values and meaning.

In sessions she looks at relationship patterns and attachment responses to help people understand recurring dynamics. She also works on grief, loss, parenting stresses, career concerns and coping with life changes. Practical tools from CBT may be used alongside reflective conversations from existential and client-centred work.

Elaine has a particular interest in intimacy-related issues, abandonment and codependency, and in blended family and caregiver stress. She also supports people with eating and sleeping difficulties, addiction concerns, anger and compassion fatigue. Her clinical practice is informed by ongoing supervision and continuing professional development.

She also works as a clinical supervisor and counselling tutor, bringing that teaching perspective into her practice. To start, people answer a short questionnaire and book a first session through the site’s matching process.

How her approaches are used in online sessions

Elaine commonly draws on Acceptance and Commitment Therapy and Attachment-Based Therapy in her work. Acceptance and Commitment Therapy (ACT) focuses on values and committed action, helping people notice thoughts and choose actions that match what matters to them. Attachment-Based Therapy looks at how early and adult relationship patterns affect current relationships and helps people understand and change those responses.

Finding the right approach is a collaborative process. The counsellor will discuss your needs, goals and preferences and suggest which methods might fit best. That choice can change as work proceeds and will be agreed together rather than imposed.

Practical benefits of working online include greater flexibility to fit sessions around work and family life and fewer travel needs. Online sessions can make it easier to have shorter check-ins or to schedule appointments at times that suit a busy day. Confirm the current session options before booking so you know what formats are available and how they fit into your routine.

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Sessions take place through BetterHelp by video, phone or messaging. We will earn a commission if you sign up.

Topics Elaine lists

Ways of working

Questions about Elaine

Does she work with anxiety?
Yes. Anxiety is listed among the concerns she works with, alongside stress and depression.
What kind of counselling does she offer?
She practises integrative counselling, using approaches such as ACT, CBT, attachment-based and client-centred therapy.
What experience does she have?
She has four years of counselling experience and is a member of the British Association for Counselling and Psychotherapy (BACP).
Where is she based?
She is based in the United Kingdom.
Which languages are available for sessions?
Sessions are offered in English and Portuguese.
Can I work with her from outside the UK?
Yes. She accepts international clients.
How are sessions paid for?
Cost varies with location and sessions use a subscription model that can be cancelled at any time.
How do I begin counselling with her?
Use the Talk to a counsellor online button, complete a short matching questionnaire, and schedule a first session.

This page is based on Elaine's public BetterHelp listing and is not written by Elaine. It is not a recommendation. If anything here is wrong, tell us and we will correct it.

Online sessions through BetterHelp. We will earn a commission if you sign up. Talk to a counsellor online