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At Counselling in the Community, we understand that relationships can face difficult and challenging times. Our Couples Counselling service in Blackpool offers a safe, supportive, and confidential space where partners can explore issues, improve communication, rebuild trust, and strengthen their connection.

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Whether you're facing conflict, struggling with life changes, or simply want to reconnect, our trained counsellors are here to help. As a local charity, we’re committed to making counselling accessible and affordable for all, with flexible sessions and a donation-based model.

Take the first step towards healing together.


Fill out the form below to book your first appointment. 

Couples Counselling

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We do our best to match you with the right counsellor based on the information you provide. However, sometimes during sessions, it might become clear that your needs would be better supported by a counsellor with different experience or specialisms. If that happens, your counsellor will talk it through with you and explain the next steps to make sure you get the best support possible.

Supporting Relationships in Blackpool

Your Details

Client 1 - Date of Birth
Day
Month
Year
Client 2 - Date of Birth
Day
Month
Year

Next of Kin/Emergency Contact

Please note: your listed next of kin cannot be the other person filling out this form.

Other Information

Do you have a counsellor preference?
Male
Female
No Preference
Other
Client 1 - Are you currently working?
Yes
No
Client 2 - Are you currently working?
Yes
No

Consent

Client 1 - Can We Leave You Voicemails?
Yes
No
Client 2 - Can We Leave You Voicemails?
Yes
No
Client 1 - Can We Send You Texts?
Yes
No
Client 2 - Can We Send You Texts?
Yes
No

Health and History

This information helps us understand the kind of support you need and allows us to tailor our services to best suit you. Please note that some questions in this section may cover sensitive or difficult topics.

Any pending or live court proceedings?
Are you involved with any other services?
Client 1 - Have you ever attempted self-harm?
Yes, Recently
Yes, In the past
No, Never
Client 2 - Have you ever attempted self-harm?
Yes, Recently
Yes, In the past
No, Never
Client 1 - Have you ever attempted to take your own life?
Yes
No
Client 2 - Have you ever attempted to take your own life?
Yes
No
Client 1 - Do you currently have any plans to harm yourself or attempt suicide
Yes
No
It's Complicated
Client 2 - Do you currently have any plans to harm yourself or attempt suicide
Yes
No
It's Complicated

Submitting

By submitting this form, you confirm that you have obtained full and informed consent from the other person named to share their personal details for the purpose of accessing couples counselling.

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contact@citc.team

For couples counselling, please submit the form then call us directly using the clickable phone number and email address below to arrange your appointment.

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0808 1963483 

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© 2025 by Counselling in the Community. Powered and secured by Wix​​

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ID: 261738

Charity No. 1195816

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