Worry that will not switch off
Racing thoughts, a body on alert, and a mind that rehearses every outcome before it happens.
Psychotherapy : Counselling
I am Mehwish Salman, a psychotherapist and counsellor holding UK CPCAB Level 4. I hold a professional, confidential space for people carrying anxiety, stress, low self esteem, relationship difficulties, emotional overwhelm and the wish to grow into something steadier. Sessions run online and in person.
UK CPCAB Level 4Online and in personEnglish and Urdu
Counselling in Pakistan is largely unregulated, so qualifications matter more than titles. Mehwish Salman holds UK CPCAB Level 4 in therapeutic counselling, registration number 433TM4D-128-303701, and works in Urdu and English, online nationwide and in person at the practice, with individuals, couples and families.
Who I work with
Most people arrive after months of managing on their own. That is the usual place to begin, not a late one.
Racing thoughts, a body on alert, and a mind that rehearses every outcome before it happens.
Work, parents, in laws, children and money. You are the one who copes, and nobody quite thinks to ask how the coping is going.
Marriage timelines, career choices and the guilt attached to wanting something different from what was planned for you.
Gottman informed sessions on communication, conflict and rebuilding the friendship underneath the relationship.
Many clients choose online sessions precisely so that nobody sees them arrive. That is a sensible choice and nothing to feel awkward about.
Exams, competition and a future that feels narrower than the one you were promised.
Sessions run online or in person, whichever suits the week.
In person and online
In person sessions take place at the practice and suit people who want the room, the routine and the walk home afterwards. Online sessions suit everyone else, and they remove two obstacles that stop people here from starting at all: travel across a large city, and the risk of being recognised in a waiting room.
Sessions run in Urdu, in English, or in both inside the same hour. Many clients switch mid sentence without noticing, and where a feeling only arrives in one language, that itself tells us something.
Couples and family sessions run slightly longer and need booking ahead. Family work looks at the pattern a household repeats rather than appointing one member as the problem, which is often the reason nothing has shifted so far.
My approach
Therapy here works best when it takes the family seriously rather than treating it as an obstacle. I hold several methods and choose between them depending on whether the week calls for talking, tools, or something quieter.
Unhurried sessions where you can say anything at all, and I help you find the shape of what you are feeling.
Small, practical things you can use between sessions to ease the daily load and look after your energy.
Simple breathing practices that settle the nervous system when thinking alone will not reach it.
Hakomi based approaches that follow what the body holds, useful when emotion sits below language.
Sessions that gently look at the patterns a family repeats together, rather than treating one person as the problem.
Gottman informed work on communication, conflict, trust, and the friendship underneath the relationship.
Your first session
Most people arrive unsure what is expected of them. Very little is, and nothing is compulsory.
We talk about practical things: confidentiality, how sessions run, and what you would like from this. Nerves are normal and very common.
You describe what brought you here, in Urdu, English or both. I ask questions, and you answer only what you want to answer.
We name what seems to be happening and what you would like to be different. No diagnosis, and no verdict on you.
We agree whether to continue, how often, and what might help before we next meet. Stopping here is a perfectly acceptable choice.
Sessions in Urdu, English, or both. Nobody needs to know you came.
Nature, breath and the nervous system
Calm is a skill rather than a personality trait, and it is taught through the body before the mind. Slow breathing, grounding through the senses, and contact with the natural world all lower the physical arousal that fuels panic and anger. Practised in ordinary moments, those skills become available in hard ones.
Most of us arrive wanting the feeling to stop. What tends to help more is learning to stay upright while it moves through, since a wave that is ridden passes far sooner than one that is fought. Nature does a surprising amount of this work on its own, and it is more available here than people assume: a morning walk before the heat, the Margalla trails, a rooftop at dusk, twenty minutes of daylight before the day swallows you. In summer that usually means early mornings, and the principle holds through the year.
Simple breathing practices that lower arousal in minutes, so thinking becomes possible again.
Sensory techniques that interrupt a spiral before it gathers pace, usable anywhere and unnoticed by anyone.
Daylight, green space and movement built into the week, because the nervous system responds to place as much as to insight.
Two minute check in
Six short questions about the last two weeks. Nobody sees your answers, nothing is saved, and it all runs inside your own browser.
This check in gives you language for what you are noticing. It does not diagnose anything, and only a proper assessment can do that.
Over the last two weeks, how often has worry stayed with you through the day?
Sessions and fees
Sessions run by secure video, so all you need is a quiet room and a pair of headphones.
Payment comes through at least 48 hours ahead, and that is what holds your slot for you.
Fees are shared as soon as you get in touch, and payment details follow with your booking confirmation.
Life happens. Let me know as early as you can and I will move your session. A last minute cancellation without a genuine reason is not refunded, because the time stays reserved for you.
If a session is cancelled at the last minute without a genuine reason, I am not able to refund it, since the hour stays reserved and cannot go to anyone else.
Message on WhatsApp. You can ask as little or as much as you like first.
About
I qualified as a psychotherapist and counsellor and I hold UK CPCAB Level 4 in therapeutic counselling, registration number 433TM4D-128-303701. I work with adults, couples and families, and I shape each session around the person in front of me rather than a fixed script.
My continuing professional development covers stress management, breathwork, Hakomi based mindful somatic approaches, family therapy, and couples therapy using Gottman methods. That range lets me bring the right tool to the right moment rather than stretching one method over every situation.
Clients here often ask what a UK qualification means in practice. It means a UK awarding body set the standard for the coursework, the supervised client hours and the final assessment, and that the same standard applies to every session I run, wherever the client happens to be.
Questions
Yes. Sessions are strictly confidential. What you bring to a session stays between us. Clients who want the extra layer of privacy choose online sessions, since nobody sees you arrive or leave.
Yes, and you can move between Urdu and English freely. Neither is a second best option.
Yes. I have training in family therapy and in couples therapy using Gottman methods. These sessions run longer, so book them ahead.
Counselling and medication are separate things, and medication needs a psychiatrist. If our work suggests an assessment would help you, I will mention it gently and you can pursue both together.
That comes up often and it is workable. Some clients keep sessions private, some bring family in later, and some make explaining it to their family part of the work itself. You decide the pace.
We spend the hour getting oriented. You describe what brings you here, I ask about your history and current situation, and together we name what you want to be different. You control how much you share on day one, and you decide afterwards whether to continue.
Some people find that six to eight sessions cover a specific issue. Others stay longer for deeper work. We review progress regularly and you decide when to stop.
Payment reaches me at least 48 hours before the session and confirms your slot. If you cancel at the last minute without a genuine reason the fee is not refunded, because the time stays reserved for you. Tell me as early as you can when something genuine comes up and I will move your session.
Tell me whether you would prefer online or in person and I will give you my current fee straight away, before you commit to anything. There is no assessment fee and no separate intake charge, and payment reaching me 48 hours ahead is what confirms the slot.
Counselling here is largely unregulated, so anyone may describe themselves as a counsellor or therapist. That is precisely why you should ask about qualifications. I hold UK CPCAB Level 4 in therapeutic counselling, registration number 433TM4D-128-303701, and you are welcome to ask me anything about it.
A psychiatrist is a medical doctor who can prescribe. A psychologist has trained in psychology and may carry out assessments. A counsellor or psychotherapist provides talking therapy. I am the third of those, so if medication or a formal assessment is needed, I will refer you rather than attempt it.
Yes, and many clients do. Sessions are strictly confidential, nothing is shared with anyone, and online sessions mean nobody sees you arrive anywhere. Some clients bring family in much later, and some never do. You set that pace, not me.
Booking
Send the form below or message me on WhatsApp. Say whether you would prefer online or in person, and I will come back with times. Every message comes straight to me.
Book on WhatsAppNot sure yet? Ask anything you like first. There is no pressure to book, and questions are always welcome.
If you need help right now
Counselling is for the longer work. If someone needs help this minute, these services answer now and cost nothing.