Counselling in Sydney, NSW

Photo of Sarah Sera El-Assaad, Counsellor in Sydney, NSW
Sarah Sera El-Assaad
Counsellor, PACFA
Verified Verified
1 Endorsed
Sydney, NSW 2000  (Online Only)
I am an experienced counsellor with over 8 years of experience supporting teenagers right through to adults. I work with people experiencing difficulties in the areas of depression, anxiety, grief and loss, trauma, parenting, relationships and workplace issues. I am bilingual and work within a cultural sensitive framework.
I am an experienced counsellor with over 8 years of experience supporting teenagers right through to adults. I work with people experiencing difficulties in the areas of depression, anxiety, grief and loss, trauma, parenting, relationships and workplace issues. I am bilingual and work within a cultural sensitive framework.
(02) 8776 3315 View (02) 8776 3315
Photo of Malak Shakhtour, Clinical Social Work/Therapist in Sydney, NSW
Malak Shakhtour
Clinical Social Work/Therapist, AMHSW
Verified Verified
1 Endorsed
Sydney, NSW 2000  (Online Only)
Not accepting new clients
If you're feeling lost, confused, stuck or trying to navigate difficult emotions, I am here to help support you through your next life chapter. I am an accredited mental health social worker with experience working with children, adolescents, and adults. I specialise in addiction and understand the difficulty associated to changing patterns of behaviour. Whether your goal is to learn to cope with difficult emotions, understanding your psyche or looking to get "unstuck", we can work together to meet your goals.
If you're feeling lost, confused, stuck or trying to navigate difficult emotions, I am here to help support you through your next life chapter. I am an accredited mental health social worker with experience working with children, adolescents, and adults. I specialise in addiction and understand the difficulty associated to changing patterns of behaviour. Whether your goal is to learn to cope with difficult emotions, understanding your psyche or looking to get "unstuck", we can work together to meet your goals.
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Photo of Seedling Psychology - Online Telehealth, Psychologist in Sydney, NSW
Seedling Psychology - Online Telehealth
Psychologist, MA, PsyBA - Couns. Psych.
Verified Verified
Sydney, NSW 2000  (Online Only)
Narelle Gibbs, Senior Psychologist at Seedling Psychology: Narelle is a warm and compassionate psychologist who has extensive experience in Child/Adolescent & Young Adult treatment. She integrates a range of evidence-based therapies including Cognitive Behaviour Therapy (CBT), Solution Focused Therapy (SFT), Psychoeducation, and positive psychology principles and practices. Narelle has 27 years' experience working with children, adolescents and young adults in public health, schools, and residential settings, both here in Australia and in the UK. She understands rural life, which informs her approach for clients from these areas.
Narelle Gibbs, Senior Psychologist at Seedling Psychology: Narelle is a warm and compassionate psychologist who has extensive experience in Child/Adolescent & Young Adult treatment. She integrates a range of evidence-based therapies including Cognitive Behaviour Therapy (CBT), Solution Focused Therapy (SFT), Psychoeducation, and positive psychology principles and practices. Narelle has 27 years' experience working with children, adolescents and young adults in public health, schools, and residential settings, both here in Australia and in the UK. She understands rural life, which informs her approach for clients from these areas.
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Photo of Relationship-Talk: Dr Cory Middleton, Psychologist in Sydney, NSW
Relationship-Talk: Dr Cory Middleton
Psychologist, PhD, PsyBA General
Verified Verified
Sydney, NSW 2000
Highly experienced psychologist supporting individuals & couples. Come discuss: Relationship challenges, mental health (stress, anxiety & depression), men's issues, marriage counselling, workplace stress. Feeling stuck? Cory provides non-judgmental, deeply supportive, experienced professional skill in guiding you through life's challenges. Proactively address issues that may be impacting your personal and relationship happiness.
Highly experienced psychologist supporting individuals & couples. Come discuss: Relationship challenges, mental health (stress, anxiety & depression), men's issues, marriage counselling, workplace stress. Feeling stuck? Cory provides non-judgmental, deeply supportive, experienced professional skill in guiding you through life's challenges. Proactively address issues that may be impacting your personal and relationship happiness.
(02) 9100 0542 View (02) 9100 0542
Photo of The PTSD Clinic, Psychotherapist in Sydney, NSW
The PTSD Clinic
Psychotherapist, PhD
Verified Verified
Sydney, NSW 2000
The PTSD Clinic is a private specialist clinic operating in Victoria, ACT, NT, WA & NSW (not taking on WC or CTP patients in NSW) with experienced Psychologists who are skilled in treating the broad spectrum of psychological disorders including trauma resulting from car and work accidents ie, PTSD, Relationship and Family issues, NPD, Depression, Anxiety etc. A GP referral is required for Medicare rebates. We also conduct Expert Reports in Family Law, Criminal Law, Personal Injury and other Medico-legal proceedings,
The PTSD Clinic is a private specialist clinic operating in Victoria, ACT, NT, WA & NSW (not taking on WC or CTP patients in NSW) with experienced Psychologists who are skilled in treating the broad spectrum of psychological disorders including trauma resulting from car and work accidents ie, PTSD, Relationship and Family issues, NPD, Depression, Anxiety etc. A GP referral is required for Medicare rebates. We also conduct Expert Reports in Family Law, Criminal Law, Personal Injury and other Medico-legal proceedings,
(02) 8063 8435 View (02) 8063 8435
Photo of Tam Korodi, Counsellor in Sydney, NSW
Tam Korodi
Counsellor, MSc
Verified Verified
Sydney, NSW 2000  (Online Only)
Hi, I'm Tam! I am an attachment expert, specialising in relationship issues. Whether you're single and seeking your happily-ever-after, trying to save your marriage, or picking yourself up after a shattering divorce or breakup, I can help you. I also work with clients who have toxic and high-conflict familial or professional relationships. For my single female clients, I offer my signature 10-session program designed to help you find the right partner and build a healthy, lasting relationship. I provide online sessions to both individuals and couples using the most up-to-date scientific methods.
Hi, I'm Tam! I am an attachment expert, specialising in relationship issues. Whether you're single and seeking your happily-ever-after, trying to save your marriage, or picking yourself up after a shattering divorce or breakup, I can help you. I also work with clients who have toxic and high-conflict familial or professional relationships. For my single female clients, I offer my signature 10-session program designed to help you find the right partner and build a healthy, lasting relationship. I provide online sessions to both individuals and couples using the most up-to-date scientific methods.
(02) 9100 0706 View (02) 9100 0706
Photo of Resilient Heart Psychology, Psychologist in Sydney, NSW
Resilient Heart Psychology
Psychologist, MPsych, PsyBA - Clin. Psych
Verified Verified
Sydney, NSW 2000
I am passionate about working with clients facing a variety of personal challenges. Whether it be anxiety, depression, eating disorders and body image concerns, anger, self-esteem, difficulties with relationships (family, partners, work) or general stress and not feeling 'yourself'. I hope to support you back to the kind of life that feels meaningful for you. I use a combination of evidence-based approaches with clients (EMDR, Schema Therapy, ACT, DBT, CBT) to guide healing and change.
I am passionate about working with clients facing a variety of personal challenges. Whether it be anxiety, depression, eating disorders and body image concerns, anger, self-esteem, difficulties with relationships (family, partners, work) or general stress and not feeling 'yourself'. I hope to support you back to the kind of life that feels meaningful for you. I use a combination of evidence-based approaches with clients (EMDR, Schema Therapy, ACT, DBT, CBT) to guide healing and change.
(02) 8069 9781 View (02) 8069 9781
Photo of Dr Clare Manns, Psychologist in Sydney, NSW
Dr Clare Manns
Psychologist, MSc, MACPA
Verified Verified
Sydney, NSW 2000
I am a clinical psychologist with over sixteen years experience helping people to resolve emotional problems, overcome problem behaviours, and cope with issues in their relationships. I help people with a wide variety of difficulties, including diagnosable mental health disorders such as anxiety and depression. I provide a safe and supportive environment for my clients to explore their concerns and I can suggest skills and strategy when required to help them make the changes they desire in their live's, their relationships, and themselves.
I am a clinical psychologist with over sixteen years experience helping people to resolve emotional problems, overcome problem behaviours, and cope with issues in their relationships. I help people with a wide variety of difficulties, including diagnosable mental health disorders such as anxiety and depression. I provide a safe and supportive environment for my clients to explore their concerns and I can suggest skills and strategy when required to help them make the changes they desire in their live's, their relationships, and themselves.
(02) 9100 0376 View (02) 9100 0376
Photo of Steven Segal, Psychologist in Sydney, NSW
Steven Segal
Psychologist, PhD, PsyBA General
Verified Verified
Sydney, NSW 2000
It is said that we live in an ‘age of anxiety.’ It is not only you or me that experiences anxiety and depression. Mental health issues challenge most of us at some time in our lives. We need to develop resilience and resolve in the face of uncertainties, anxieties and challenges. This enables us to grow, flourish and develop practical wisdom. To face the challenges of life on our own is difficult. It is helpful to recognise that we need the support of significant others. As a psychologist, I provide a secure environment in which to turn your mental health concerns into opportunities for well-being
It is said that we live in an ‘age of anxiety.’ It is not only you or me that experiences anxiety and depression. Mental health issues challenge most of us at some time in our lives. We need to develop resilience and resolve in the face of uncertainties, anxieties and challenges. This enables us to grow, flourish and develop practical wisdom. To face the challenges of life on our own is difficult. It is helpful to recognise that we need the support of significant others. As a psychologist, I provide a secure environment in which to turn your mental health concerns into opportunities for well-being
(02) 9100 0103 View (02) 9100 0103
Photo of Angela Mifsud, Psychologist in Sydney, NSW
Angela Mifsud
Psychologist, MPsych, PsyBA - Clin. Psych
Verified Verified
1 Endorsed
Sydney, NSW 2000
I appreciate seeing a psychologist can be daunting. The idea of being vulnerable and sharing your struggles with someone you just met can be tough. I really admire my clients – taking the brave step to commence therapy and honour that they recognise life can be better. We all deserve to be at peace, experience joy and live our lives in alignment to our values. I hope to support people on that journey.
I appreciate seeing a psychologist can be daunting. The idea of being vulnerable and sharing your struggles with someone you just met can be tough. I really admire my clients – taking the brave step to commence therapy and honour that they recognise life can be better. We all deserve to be at peace, experience joy and live our lives in alignment to our values. I hope to support people on that journey.
(02) 9100 0699 View (02) 9100 0699
Photo of Beaches Psychotherapy, Counsellor in Sydney, NSW
Beaches Psychotherapy
Counsellor, PACFA
Verified Verified
Sydney, NSW 2000  (Online Only)
Andrea is a clinical counsellor and psychotherapist with a passion and focus for individual and relationship counselling. Her approach to counselling is warm and supportive, providing clients a confidential, respectful and caring space for discussing sensitive issues and exploring challenges through therapy. Andrea is warm and personable, wants to ensure that clients feel heard and valued. At the sessions, a variety of evidence-based therapeutic approaches are used for dealing with emotional, relationship and psychological difficulties, such as anxiety, depression, dealing with trauma, substance abuse and dependence.
Andrea is a clinical counsellor and psychotherapist with a passion and focus for individual and relationship counselling. Her approach to counselling is warm and supportive, providing clients a confidential, respectful and caring space for discussing sensitive issues and exploring challenges through therapy. Andrea is warm and personable, wants to ensure that clients feel heard and valued. At the sessions, a variety of evidence-based therapeutic approaches are used for dealing with emotional, relationship and psychological difficulties, such as anxiety, depression, dealing with trauma, substance abuse and dependence.
(02) 8320 9165 View (02) 8320 9165
Photo of Katie Thorncraft, Psychologist in Sydney, NSW
Katie Thorncraft
Psychologist, Assoc MAPS
Verified Verified
Sydney, NSW 2000
I work to help people create better relationships with themselves, and better relationships with other people. I help my clients to understand and learn to regulate what is happening in their bodies, dealing with anxiety, stress, depression and trauma in practical, tangible and simple ways. I aim to help people become less self-critical, frustrated and stressed and create a more meaningful life.
I work to help people create better relationships with themselves, and better relationships with other people. I help my clients to understand and learn to regulate what is happening in their bodies, dealing with anxiety, stress, depression and trauma in practical, tangible and simple ways. I aim to help people become less self-critical, frustrated and stressed and create a more meaningful life.
0432 586 344 View 0432 586 344
Photo of Jacob Lee, Psychologist in Sydney, NSW
Jacob Lee
Psychologist, PsyBA - Clin. Psych
Verified Verified
Sydney, NSW 2000
Everyone can live a more fulfilling life, although thoughts and feelings make it easy to get stuck. I believe therapy offers space to take a step back and do our best thinking about 'whats working well?' and 'whats not working well?', when it comes to thoughts, feelings, and relationships. I work with people experiencing a wide range of difficult thoughts, feelings, and situations such as: anxiety, low mood, relationship stress, and low motivation.
Everyone can live a more fulfilling life, although thoughts and feelings make it easy to get stuck. I believe therapy offers space to take a step back and do our best thinking about 'whats working well?' and 'whats not working well?', when it comes to thoughts, feelings, and relationships. I work with people experiencing a wide range of difficult thoughts, feelings, and situations such as: anxiety, low mood, relationship stress, and low motivation.
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Photo of Jennifer Mackenzie, Psychologist in Sydney, NSW
Jennifer Mackenzie
Psychologist, MPsych, MACPA
Verified Verified
Sydney, NSW 2000
I focus is on providing the right tools for my clients so they are able to live their lives to their fullest potential. ​​I am an experienced registered Clinical Psychologist with a background in both corporate, clinical and research settings.
I focus is on providing the right tools for my clients so they are able to live their lives to their fullest potential. ​​I am an experienced registered Clinical Psychologist with a background in both corporate, clinical and research settings.
(02) 9158 6485 View (02) 9158 6485
Photo of Mark Anns, Psychologist in Sydney, NSW
Mark Anns
Psychologist, PsyBA - Health Psych.
Verified Verified
Sydney, NSW 2000
Many people struggle to incorporate healthy lifestyles into day to day living. Most of us know the behaviours that are recommended however, there are many challenges - structural, economic and personal that impact on us on a day to day basis. The end result can be a feeling of being overwhelmed and behaviours and thoughts that we feel we cannot control. Although it is not always possible to change structures we can build personal resilience and learn to control thoughts, feelings and behaviours. I offer services to assist you to achieve your goals - by gaining control over your feelings, and building resilience in how you react.
Many people struggle to incorporate healthy lifestyles into day to day living. Most of us know the behaviours that are recommended however, there are many challenges - structural, economic and personal that impact on us on a day to day basis. The end result can be a feeling of being overwhelmed and behaviours and thoughts that we feel we cannot control. Although it is not always possible to change structures we can build personal resilience and learn to control thoughts, feelings and behaviours. I offer services to assist you to achieve your goals - by gaining control over your feelings, and building resilience in how you react.
(02) 9159 6112 View (02) 9159 6112
Photo of Pikria Meladze, Psychologist in Sydney, NSW
Pikria Meladze
Psychologist, MPsych, PsyBA - Clin. Psych
Verified Verified
Sydney, NSW 2000
I primarily work with older adolescents aged 16+ years and professional adults wanting help with adjustment to parenthood, ADHD, anxiety, body image/dysmorphia, depression, eating disorders, OCD, parent-adult child estrangement, stress and work-related burnout, childhood trauma and PTSD. I also offer supervision to fully registered Psychologists and Clinical Psychologists.
I primarily work with older adolescents aged 16+ years and professional adults wanting help with adjustment to parenthood, ADHD, anxiety, body image/dysmorphia, depression, eating disorders, OCD, parent-adult child estrangement, stress and work-related burnout, childhood trauma and PTSD. I also offer supervision to fully registered Psychologists and Clinical Psychologists.
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Photo of Rhiannon Derrig, Psychotherapist in Sydney, NSW
Rhiannon Derrig
Psychotherapist, MSc, PACFA
Verified Verified
Sydney, NSW 2000
As a clincial psychotherapist and registered psychosexual therapist, I specialise in helping individuals with trauma and PTSD, self-esteem issues, relationship issues, and sexual difficulties, including intimacy and trust. I am also passionate about providing support for navigating gendered, sexual, racial, and neuro diversity, and cultural identities, who may experience discrimination or internalised stigma. Centering unconditional positive regard, I work closely with the client to deeply explore how their past experiences, current situations, family background, and social elements of their lives have impacted their wellbeing.
As a clincial psychotherapist and registered psychosexual therapist, I specialise in helping individuals with trauma and PTSD, self-esteem issues, relationship issues, and sexual difficulties, including intimacy and trust. I am also passionate about providing support for navigating gendered, sexual, racial, and neuro diversity, and cultural identities, who may experience discrimination or internalised stigma. Centering unconditional positive regard, I work closely with the client to deeply explore how their past experiences, current situations, family background, and social elements of their lives have impacted their wellbeing.
(02) 9100 0199 View (02) 9100 0199
Photo of Candice Bailey, Counsellor in Sydney, NSW
Candice Bailey
Counsellor, PACFA
Verified Verified
Sydney, NSW 2000
Hello! I am Candice, founder of Connection Space Counselling. I'm a PACFA Registered Clinical Counsellor and a Certified Gottman Couples Therapist (Level 2). I specialise in individual counselling for anxiety, depression, trauma and self-esteem, as well as a range of relationship difficulties including conflict and communication challenges. I believe in the importance of self-care and connection to others to enhance our well-being and help individuals and couples to find balance and fulfilment in their lives.
Hello! I am Candice, founder of Connection Space Counselling. I'm a PACFA Registered Clinical Counsellor and a Certified Gottman Couples Therapist (Level 2). I specialise in individual counselling for anxiety, depression, trauma and self-esteem, as well as a range of relationship difficulties including conflict and communication challenges. I believe in the importance of self-care and connection to others to enhance our well-being and help individuals and couples to find balance and fulfilment in their lives.
(02) 9100 0858 View (02) 9100 0858
Photo of Dipak Jilka, Psychotherapist in Sydney, NSW
Dipak Jilka
Psychotherapist, PACFA
Verified Verified
Sydney, NSW 2000
There are times in our lives when we get that sinking feeling that something is not right. Such moments often follow major life events, such as grieving for a loved one, the break-up of a relationship, moving countries, facing health issues or even children leaving home and retirement. Other times, they appear from nowhere. Resulting feelings can be so pervasive that they impact our mental, emotional and physical well-being, creating conflict in relationships and impact our ability to function. They may also start manifesting in one’s seeking isolation, inability to see joy in life and can lead to depressive conditions.
There are times in our lives when we get that sinking feeling that something is not right. Such moments often follow major life events, such as grieving for a loved one, the break-up of a relationship, moving countries, facing health issues or even children leaving home and retirement. Other times, they appear from nowhere. Resulting feelings can be so pervasive that they impact our mental, emotional and physical well-being, creating conflict in relationships and impact our ability to function. They may also start manifesting in one’s seeking isolation, inability to see joy in life and can lead to depressive conditions.
(02) 9159 6091 View (02) 9159 6091
Photo of Rose Vala, Clinical Social Work/Therapist in Sydney, NSW
Rose Vala
Clinical Social Work/Therapist, MC, AMHSW
Verified Verified
Sydney, NSW 2000
We can all have times in our lives when things can seem unmanageable, whether it is within our family or close relationships, divorce or bereavement, or our health, our work or in coming to terms with difficult events that have happened either recently or in the past , which still don’t feel resolved. You are not alone, as human beings we all have difficult times. It is a brave decision to try to resolve those issues in the best way you can. A counsellor is not there to judge you, or to give you text book solutions. They are there to help and guide you towards the solution that is right for you.
We can all have times in our lives when things can seem unmanageable, whether it is within our family or close relationships, divorce or bereavement, or our health, our work or in coming to terms with difficult events that have happened either recently or in the past , which still don’t feel resolved. You are not alone, as human beings we all have difficult times. It is a brave decision to try to resolve those issues in the best way you can. A counsellor is not there to judge you, or to give you text book solutions. They are there to help and guide you towards the solution that is right for you.
(02) 9100 0835 View (02) 9100 0835

See more therapy options for Sydney

How does your Counsellor compare?

Number of Counsellors in Sydney, NSW

800+

Average cost per session

$176

Counsellors in Sydney, NSW who prioritize treating:

90% Anxiety
83% Depression
80% Stress
78% Self Esteem
77% Relationship Issues
68% Trauma and PTSD
65% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

64% Medicare Rebates
52% Bupa
44% Medibank Private

How Counsellors in Sydney, NSW see their clients

70% In Person and Online
30% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Sydney?

Search for nearby psychologists or counsellors by inputting your city, suburb, postcode, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postcode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the Australian Counselling Association and the Psychotherapy and Counselling Federation of Australia. Psychologists must be registered in the Australian Health Practitioner Regulation Agency (AHPRA). Most Social Workers listed in the directory are members of the Australian Association of Social Workers (AASW).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for social workers, psychotherapists and counsellors in Australia, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in Australia.

Psychologists have earned a 4 year undergraduate degree in psychology and have completed a postgraduate internship or postgraduate degree. Psychotherapists generally have an undergraduate degree in a health related field in addition to 3-4 years of specialist training in psychotherapy and a period of personal psychotherapy. In order to belong to a professional organisation such as the ACA or PACFA, counsellors and psychotherapists are required to have completed a certain level of AQF qualifications and/ or an approved training course as well as clinical and supervision hours. Social Workers registered with the AASW are required to have a Bachelor’s or Master’s degree in Social Work from an accredited institution.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Australia could be between $100 and $250. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The Better Access Scheme is a government program offering Medicare rebates for mental health care. To access the program you will need to be assessed and diagnosed by your GP and get a Mental Health Plan. This will allow you to receive up to 10 individual sessions and 10 group sessions a year with practitioners who accept bulk billing, with no out of pocket costs for you.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the ACA, PACFA, or the APS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others or when a minor is in danger, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.