Matthew Costello

Matthew Costello is a person-centred counsellor and psychotherapist who works from a compassionate, client-led stance. He is registered with the British Association for Counselling and Psychotherapy (BACP). Matthew aims to offer a calm, respectful space where people can talk about what matters to them and begin to make changes.

He uses straightforward conversation to help people identify strengths and options. His background includes work with a range of mental health tensions and neurodiversity-related challenges. That experience informs his practical, down-to-earth way of working.

Matthew supports people facing stress, anxiety, anger and addictions, among other concerns. He also helps with relationship and intimacy-related issues, parenting pressures, grief, sleep and eating problems, and career or life-purpose questions. He is comfortable discussing mood conditions such as depression and bipolar experiences as part of broader therapy work.

Sessions aim to help people reduce overwhelm, improve communication and build coping strategies they can use day to day. Matthew talks through patterns, reactions and goals with each person and crafts a plan together. He encourages small steps and realistic changes rather than quick fixes.

Clients can expect an empathic, patient approach that focuses on what the person wants to achieve. Matthew describes therapy as a collaborative process where the person sets the pace and the therapist offers steady support and practical ideas.

Person-centred work and online options

Person-centred therapy focuses on listening, empathy and supporting each person to find their own solutions. The therapist follows the person’s lead, reflecting back concerns and helping them clarify goals. This approach suits people who want a supportive space to make changes and build on their strengths.

Many therapists also use evidence-based techniques to tackle specific problems such as anxiety or sleep disturbance. For example, brief behavioural strategies can help with sleep and routine, using small practical steps to change daily patterns. Simple grounding and breath-based approaches can reduce panic or intense anger in the moment by shifting attention and breathing.

Finding the right approach is part of the therapy process. The therapist will work together with the person to decide which techniques fit their needs, goals and preferences. That means adapting the pace, trying different ways of working and checking in about what helps.

The biography does not list specific session formats, so please confirm current options before booking. Online therapy can make it easier to fit sessions around work, childcare and travel, and can reduce time spent getting to appointments. It also allows for shorter check-ins when that better suits someone’s week.