Specialist in end of life counselling
Rafael Dupré
BACP Registered Member

Life...

There are moments when it feels completely overwhelming. Everyone struggles with its complexities and from time to time, we all need someone who will listen, will understand and will help us to get things back on track.

My name is Rafael, and I have been a professional counsellor for over 20 years.

With the right help, I'm convinced that everybody can make change happen and improve their quality of life — even in a short period of time.

It might be something specific, but equally you might not even know what's wrong at the moment, just that something is. But no matter what your situation, I'm here to provide you with the safe, non-judgmental and confidential space you need to explore your thoughts, feelings and behaviours and the experiences which may have led to them.

Together we will find a way forward, so if you or someone you care for need support or you would simply like to discuss the options then do get in touch.

Signature

Rafael Dupré - BSc, MBCAP, PGCE

rafael@a-therapy.com 01580 445 005 +44 2031 513 015

End of Life Therapy

End-of-life therapy is a compassionate approach designed to support individuals and their families as they face the final stages of life. This form of care addresses not only physical symptoms but also the emotional, psychological, and spiritual challenges that arise when death approaches.

As a therapist I help clients explore feelings of fear, regret, or anxiety, providing a space for expression and acceptance. Through counselling, mindfulness, and life review techniques, individuals can find meaning and closure, easing the emotional burden of dying.

End-of-life therapy often extends to family members, helping them navigate grief, strengthen communication, and prepare for loss. I guide families through difficult conversations about wishes, forgiveness, and legacy, fostering connection during this sensitive time.

The focus is on quality of life rather than prolonging it. Integrating emotional, spiritual, and physical care ensures that the individual’s remaining time is spent with dignity, peace, and comfort. I can collaborate with palliative care teams to align emotional and medical support.

Ultimately, end-of-life therapy helps transform fear into acceptance and isolation into connection. It encourages clients and families to reflect, heal, and find peace — turning the end of life into a meaningful part of the human experience.

MY APPROACH

Update — 14 February 2026

I currently have appointments available this week.

Appointments via telephone or video calling using FaceTime, WhatsApp or Skype can be arranged by email or booking an assessment online. For last-minute in person sessions please call.

Schedule a Free Call

Initial Assessment

First we have an initial assessment. This is an opportunity for you to talk about what you would like to achieve through therapy, to ask questions and ultimately to decide if I am someone you feel comfortable talking to and can trust and be open with.

An Individual Approach

We then decide on the best approach for you as an individual, through either a fixed number of sessions, or on an open-ended basis.

We will typically see each other once a week, usually via video call. Sessions by telephone or video calling are also possible.

Your Sessions

Each session we will talk about what is happening in your life, how you feel and what you want to change. We will explore the thoughts, feelings and behaviours that are causing you difficulty.

You can share whatever you choose, confidentially.

Counselling Techniques

I use what's known as an integrative approach — integrating the affective, behavioural, cognitive, and physiological systems within one person, as well as addressing any social and spiritual aspects. That simply means that I work with each client as a whole person and use a variety of techniques.

Goals and Outcomes

Our shared goal will be to make sure that you spend as little time 'in therapy' as possible, so that you can focus on implementing the changes that will improve your life and starting to enjoy life more as you move forward.

Review and Progress

We regularly review our work together to ensure you are getting what you need from the sessions. This helps us track your progress and adjust our approach if necessary to best support your journey. We will work together until you feel ready to move forward independently.

THE TEAM

Rafael Dupré

Rafael Dupré

Counsellor

Rafael Dupré is originally from Belgium and has lived in the UK since 2011. He currently divides his professional practice between private clinics in London and France. With over 20 years of experience in...

Read Full Bio →
Xandra Kike Spence

Xandra Kike Spence

Counsellor

Xandra Kike Spence works integratively, drawing on person-centred, psychodynamic, and cognitive behavioural (CBT) approaches rather than following a one-size-fits-all model. She adapts her work to suit each individual client, offering a collaborative space to explore...

Read Full Bio →
Ellen Waldren

Ellen Waldren

Counsellor

Ellen Waldren is an integrative psychotherapist with over 16 years of professional experience, including work within a major cancer charity and the criminal justice system. She specialises in working with anxiety, which may present as...

Read Full Bio →

Next steps

Contact me for a free initial assessment session

Rafael Dupre

Rafael Dupre

Message via WhatsApp

Alternatively you can call me on +44 2031 513 015

£80 per session for individuals and £120 for couples. First consultation free and no-obligation.

Schedule a Free Call

Pick a convenient date and time below. You will receive a confirmation email including the option for a video call or a telephone call.


Professional Endorsements

1 / 3

What Clients Say

★★★★★

“Today, I'm sober, grounded, confident, and genuinely excited to wake up every morning and live my life. That's something I never thought I'd say. Rafael's helped me reconnect with who I really am to care for myself, to love myself, and to build a future I'm proud of. He doesn't just do his job he...”

DJ, 33y Personal Trainer
★★★★★

“Forever grateful to Rafael! When psychotherapy was first recommended to me, I was sceptical. Even as a mental health professional, a large part of me resisted being vulnerable in therapy and exposing myself, after a series of traumatic life events. I didn't want to accept I needed help and even...”

RS, 40y Mental Health Professional
★★★★★

“From the first moment I spoke to Rafael, I could tell he just 'got it' - he understood exactly what I was feeling, and what I needed - someone who would challenge my ways of thinking, guide me, direct me, and help me change very deeply held damaging behaviours and beliefs stretching back to...”

JL, 43y Police Officer
★★★★★

“I trust Rafael implicitly; he is professional and yet human; compassionate while able to get to the heart of difficult issues; and adapts his level of communication so that he extremely effectively helps you understand both yourself and his suggested therapeutic approach. I would not hesitate to...”

RM, 40y Musician
★★★★★

“Working with Rafael has genuinely changed my life. He's supported me through some of the hardest, darkest, and most chaotic moments I've ever faced. His patience, kindness, and professionalism have been constant even when I wasn't at my best. He's given me structure, motivation, guidance, and...”

LD, 29y Business Owner
★★★★★

“I honestly don't think I'd be the person I am today and maybe I wouldn't even be here if it wasn't for Rafael and the work we've done together. Because of him, I've learned how to be accountable, authentic, and to finally believe in myself.”

Articles

Therapy After a Cancer Diagnosis: Healing Beyond the Physical

A cancer diagnosis has a way of instantly reshaping life. In a single moment, familiar routines arereplaced with medical appointments, treatment decisions, and...

End-of-Life Therapy: Supporting Peace and Dignity in the Final Stages

As life draws to a close, the needs of individuals and their loved ones extend far beyond physicalcare. End-of-life therapy is a compassionate and holistic...

Men’s Mental Health: Breaking the Silence

While mental health challenges affect both men and women, the way they manifest — and howindividuals respond to them — often differs. Statistically, men...

Where the Focus Goes, the Energy Flows

Have you ever noticed how often your thoughts drift toward what might go wrong during anordinary day? It happens almost unconsciously: “Did I lock the...

Actively Lifting Depression

There are countless reasons why people experience depression — whether it’s a brief period offeeling low or a long-term, clinical condition. While...

Grieving: The Price We Pay for Love

“Grief is the price we pay for love.”— Queen Elizabeth II, echoing the words of psychiatrist Colin Murray-Parkes Anyone who has lost a loved one...

Sleep Well, Feel Well

A holistic approach to mental and emotional wellbeingWhen it comes to improving mental health, there is no single solution. Therapy and counselling canbe...

They Just Don’t Listen

Understanding and Improving Communication with TeenagersFew things test a parent’s patience and confidence quite like trying to communicate with a...

Food for the Brain

There are countless reasons why people experience poor mental health. Some are genetic, otherscircumstantial or rooted in past experiences, and some are...