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James Costigan

Counsellor for stress, anxiety, and addictions

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  • Stress and anxiety
  • Addictions and recovery
  • CBT and mindfulness

About James

James Costigan works with stress, anxiety, addictions, relationship and self‑esteem concerns using a client‑centred approach and cognitive behavioural techniques. He is a member of the British Association for Counselling and Psychotherapy (BACP) and has nine years' experience in counselling.

James focuses on helping men slow down and make sense of their emotions. He uses straightforward conversation to build self‑awareness and to identify the patterns that keep problems repeating. Sessions aim to give practical ways of coping, clearer thinking about choices, and steadier responses to pressure.

His work often covers depression, anxiety, and stress related to work or performance expectations. He also helps with relationship difficulties, intimacy and sexual concerns including kink and alternative sex culture, and addiction challenges such as drug and alcohol dependency and problematic porn use.

James supports people with attachment and abandonment issues, codependency, communication and control problems, and those facing separation or family conflict. He draws on experience from the corporate world when helping with career pressure and professional development.

Therapy with him combines listening and reflection with cognitive behavioural tools and mindfulness exercises. Sessions move at a pace the client is comfortable with and focus on clear steps the client can use between meetings.

To start, people are invited to use the site matching process to choose a counsellor and schedule a first session. Costs vary by location and sessions use a subscription that can be cancelled at any time.

Using client‑centred, CBT and mindfulness approaches online

Client‑centred therapy focuses on the individual’s experience and involves reflective listening and open conversation to help someone make sense of their feelings and choices. It suits people who want a supportive space to explore what matters to them.

Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviour and offers practical techniques to change unhelpful patterns. It is often used for anxiety, low mood and stress. Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and improve focus, which can help with stress and emotional regulation.

Finding the right approach is part of the work. James will discuss goals, preferences and the problems you bring and then agree which methods to try together. That collaborative process helps tailor sessions to what actually helps you in daily life.

Confirm the session formats before booking, as the biography does not list them. Online work can make it easier to fit counselling around work, study or caregiving, reduce travel time, and allow shorter or more flexible check‑ins when needed. Registered or accredited professionals can use a mixture of talking and structured exercises in remote sessions to support progress without needing to be in the same room.

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

Topics James lists

Ways of working

Questions about James

Does he work with anxiety?
Yes. He works with anxiety and related stress using cognitive behavioural techniques and mindfulness.
What kind of counselling does he offer?
He uses client‑centred counselling alongside Cognitive Behavioural Therapy (CBT) and mindfulness approaches to help people think and respond differently.
How long has he been practising?
He has nine years' experience in counselling and psychotherapy.
Is he registered with a professional body and where is he based?
He is a member of the British Association for Counselling and Psychotherapy (BACP) and operates from the United Kingdom.
Can I work with him if I live outside the UK?
Yes. He accepts international clients and conducts sessions in English.
What session formats does he offer?
Please confirm the current session options before booking, as the biography does not specify formats.
How much do sessions cost?
Cost varies with location and sessions use a subscription that can be cancelled at any time.
How do I get started?
Use the Talk to a counsellor online button, complete a short matching questionnaire, and schedule your first session.

This page is based on James's public BetterHelp listing and is not written by James. 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