Gestalt Therapy

Gestalt therapy works in the present tense. Rather than analysing why you feel a certain way, it asks you to notice what's happening right now — in your body, your breathing, the way you're sitting, what you're avoiding saying — on the theory that whatever you're carrying tends to show up in the room, not just in the story.

Sessions can be experiential rather than purely conversational: a therapist might ask you to speak directly to an empty chair representing someone from your life, or notice a sensation as it arises rather than explain it away. The aim is greater awareness — of your patterns, your body, and how you make contact with other people — trusting that awareness itself creates change.

It suits people who feel disconnected from their own feelings, who intellectualise rather than experience, or who are drawn to a more active, embodied style of therapy than pure talking. Gestalt therapists listed with ABCAP have verified training and insurance.

Frequently asked questions

Do I have to do the "empty chair" exercise?

No technique is compulsory — a good gestalt therapist follows what's useful for you, and some sessions are simply conversation with a present-moment focus rather than structured exercises.

Why does it focus on the present instead of the past?

The idea is that old patterns replay themselves in current relationships and even within the session itself, so working with what's happening now is often the most direct route to the pattern — not an avoidance of history.

Is gestalt therapy evidence-based?

It has a smaller research base than CBT but growing supportive evidence, particularly for depression and interpersonal difficulties, and decades of clinical use. It's usually chosen for fit and style rather than a specific diagnosis.

What kind of problems does it help with?

Feeling cut off from your emotions, low self-awareness, relationship patterns that keep repeating, and general personal growth work — less commonly used as a first-line treatment for severe symptoms.