We provide a range of 1-2-1 counselling and therapy for adults affected by sexual abuse, sexual violence and traumatic crime. This may have occured at any point in their lives. Our Hope for Harm service provides counselling for adults who self-harm.

We support adult victims and survivors of rape and sexual abuse through person-centred counselling, trauma focussed therapy and group activity. 

We have over 30 years’ experience of supporting adult survivors of rape and sexual abuse. Our counsellors provide help through person-centred support in places where people feel safe and comfortable. This may be in a private facility in the community or at our centre in Truro. Our service is proven to help, with 92% of adults who access support reporting an increase in emotional health and wellbeing.

There will usually be a wait between your referral being accepted and for counselling to begin. Once your referral has been accepted, we will contact you to let you know the current wait time and offer some options for support while waiting. This might be:

  • Signposting to other services
  • Provision of resources and information to support emotional wellbeing
  • The opportunity to join one of our projects such as Inside Out or CLEAR Connect

Following any waiting period, when we have a space available, you will be booked for a telephone assessment with a qualified counsellor. This is to ensure we fully understand each situation and match it to the service that best meets your need. This could be:

  • Counselling support: up to 20 weeks with a best match counsellor according to geography, age, gender and circumstance. Counselling takes place in a safe venue, most convenient for you.
  • Trauma focussed therapy such as trauma-focussed CBT or EMDR. EMDR is an interactive psychotherapy, proven to be highly effective in treating trauma and post-traumatic stress and an effective alternative for people not able to engage readily with talking therapies. Please note that there is usually a longer waiting list for EMDR therapy.
  • Psychoeducation for the you and/or your support network – this is an evidence-based therapeutic intervention to help you better understand your situation and improve your mental health/emotional resilience
  • Group or peer support - this might be before, instead of, or after counselling.  
  • Signposting and referrals to other appropriate services


Our current funding from the Ministry of Justice supports people who have been affected by rape and sexual abuse at any point in their lifetime. The Office of the Police and Crime Commissioner provide funding for victims of traumatic crime. 

Individuals can self-fund their support at a cost of £60 per session. Please note that this does not reduce waiting times for those individuals..

 Download the  pdf CLEAR for Adults (894 KB)  leaflet here

  You can find our  pdf Vulnerable Adults Safeguarding Policy (316 KB) here.


We highly value your feedback on our service. It helps us understand what we do well, where we can make changes to improve what we do and where we can grow in terms of developing our services. You can provide us with feedback here

What people have told us about CLEAR:

   "Extremely helpful and a positive experience, I can't praise enough how much it has helped."

   "The therapy has helped me process the past and give me useful tools to help in the future."

   "It worked really well for the trauma I have faced recently and in the past."

We, as a service adhere to the British Association of Counselling & Psychotherapy (BACP) Ethical Framework for the Counselling Professions.

We are building a bank of useful resources and links to other organisations and services that provide wider support for people and families.

Everyone who comes into our Adult Service needs to complete a referral form.

Hope for Harm is a service for adults who self-harm as a way of coping with overwhelming emotional experiencing and/or psychological pain. While it is true that for some people self-harm is a risk factor for suicide, it is also true that for many people, it is a means of coping and staying alive.

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