Counselling in London
Felix Bowers-Brown
Counsellor, MBACP
Verified Verified
London WC1H
By being curious, you are making the first initial step. Just by coming onto this platform with the intention of having a look, to see who you think you might like to work with. This potential journey is all about you and your discovery, but in order to do that I will share with you my discovery. My lived experience has given a depth of knowledge, that has now brought me to a place where I feel, not only have I embraced who I truly am, but curiosity, strength, compassion, and empathy have given me the ability to support others through those more challenging moments in life.
By being curious, you are making the first initial step. Just by coming onto this platform with the intention of having a look, to see who you think you might like to work with. This potential journey is all about you and your discovery, but in order to do that I will share with you my discovery. My lived experience has given a depth of knowledge, that has now brought me to a place where I feel, not only have I embraced who I truly am, but curiosity, strength, compassion, and empathy have given me the ability to support others through those more challenging moments in life.
Dr Sandra Couto
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
London SW7
Do you ever feel worried, stuck, lost, hopeless, lonely, lethargic, anxious, unable to sleep – less able to cope with life in general? Does this affect your ability to enjoy relationships, work, everyday life? Most of us experience challenging times at various stages of our lives but we don’t have to be alone with this. Psychological therapy offers a safe place that helps you to understand and overcome your issues. I will work with you as a team to understand symptoms, underlying issues, their causes and maintenance specific to you. We will find ways forward to relieving symptoms and distress and improving your wellbeing.
Do you ever feel worried, stuck, lost, hopeless, lonely, lethargic, anxious, unable to sleep – less able to cope with life in general? Does this affect your ability to enjoy relationships, work, everyday life? Most of us experience challenging times at various stages of our lives but we don’t have to be alone with this. Psychological therapy offers a safe place that helps you to understand and overcome your issues. I will work with you as a team to understand symptoms, underlying issues, their causes and maintenance specific to you. We will find ways forward to relieving symptoms and distress and improving your wellbeing.
Dr Ghislaine Badawi
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
London SW1W
I am a Chartered Clinical Psychologist. I am specialized in treating adults struggling with anxiety and mood disorders, Borderline Personality, eating disorders, trauma and other emotional and interpersonal difficulties. I utilize psychotherapies that are gold standards in the treatment of various mental health issues. Through therapy, we outline goals for treatment, identify unhelpful patterns, work on the ability to regulate emotions and improve effectiveness in relationships while cultivating acceptance and mindfulness techniques. The overall aim is to improve overall wellbeing, quality of life and reach treatment goals.
I am a Chartered Clinical Psychologist. I am specialized in treating adults struggling with anxiety and mood disorders, Borderline Personality, eating disorders, trauma and other emotional and interpersonal difficulties. I utilize psychotherapies that are gold standards in the treatment of various mental health issues. Through therapy, we outline goals for treatment, identify unhelpful patterns, work on the ability to regulate emotions and improve effectiveness in relationships while cultivating acceptance and mindfulness techniques. The overall aim is to improve overall wellbeing, quality of life and reach treatment goals.
Tom Squire
Psychotherapist, MBACP
Verified Verified
3 Endorsed
London WC1H
Waitlist for new clients
Welcome! I’m Tom and I’m a qualified psychotherapist with over twenty-five years’ experience of working in the caring professions. Life can be hard at the best of times and we all experience periods when we feel anxious, sad or overwhelmed. Sometimes we need to give ourselves the chance to take stock and work out who we are and where we want to go. I’m here to support you with that, to help you take that next step forwards. My philosophy is informed by my beliefs in people's capacity for change, in their resilience, and in their ability to find the answers for that feel right for them - to make their change.
Welcome! I’m Tom and I’m a qualified psychotherapist with over twenty-five years’ experience of working in the caring professions. Life can be hard at the best of times and we all experience periods when we feel anxious, sad or overwhelmed. Sometimes we need to give ourselves the chance to take stock and work out who we are and where we want to go. I’m here to support you with that, to help you take that next step forwards. My philosophy is informed by my beliefs in people's capacity for change, in their resilience, and in their ability to find the answers for that feel right for them - to make their change.
Irene Jermoli
Counsellor, MBACP
Verified Verified
1 Endorsed
London W4
If you are suffering because of a bereavement or a loss in your life (a breakup, chronic illness, infertility, miscarriage, financial instability), feeling sad about your present state or anxious about the future, I can help you go through your emotional and psychological difficulties, exploring together patterns and how these can be changed, so you can live your present with joy and love for yourself and the people you care about most. My extensive experience and warm approach has helped many people to live a fulfilled life, finding purpose and grow around their losses.
If you are suffering because of a bereavement or a loss in your life (a breakup, chronic illness, infertility, miscarriage, financial instability), feeling sad about your present state or anxious about the future, I can help you go through your emotional and psychological difficulties, exploring together patterns and how these can be changed, so you can live your present with joy and love for yourself and the people you care about most. My extensive experience and warm approach has helped many people to live a fulfilled life, finding purpose and grow around their losses.
Jonathan Richardson
Counsellor, MBACP
Verified Verified
3 Endorsed
London N15
I know that it takes courage to reach out and find someone to talk to, It's normal to feel uncertain or anxious, the prospect of seeking change can be as difficult and frustrating as the situation you might be in now, be that a period of depression, an experience of anxiety, a creative block, or a personal crisis. I'm Jonathan, a transpersonal counsellor working online and in my consulting room in N15. While I take my work very seriously, I am not the stoic, Freudian type. I counsel using proven, effective methods to provide a gentle, safe, and fun approach to therapy.
I know that it takes courage to reach out and find someone to talk to, It's normal to feel uncertain or anxious, the prospect of seeking change can be as difficult and frustrating as the situation you might be in now, be that a period of depression, an experience of anxiety, a creative block, or a personal crisis. I'm Jonathan, a transpersonal counsellor working online and in my consulting room in N15. While I take my work very seriously, I am not the stoic, Freudian type. I counsel using proven, effective methods to provide a gentle, safe, and fun approach to therapy.
Tom Relevitch
Psychotherapist, MA, MBACP
Verified Verified
London SW12
Reaching out can feel daunting - I offer empathy and a safe, supportive, environment in which we can explore issues and identify: your strengths, values, goals, alternative perspectives and potential changes. Many clients present with anxiety, depression, stress or lacking meaning/joy - we can address the issues that may feel overwhelming and disentangle them. We can either work on longer-term deeper changes or employ short-term strategies. Personal histories can impact on people and you have the option to address yours and change your lived experience. I work with diverse clients of all ethnicities/genders/sexualities/body shapes.
Reaching out can feel daunting - I offer empathy and a safe, supportive, environment in which we can explore issues and identify: your strengths, values, goals, alternative perspectives and potential changes. Many clients present with anxiety, depression, stress or lacking meaning/joy - we can address the issues that may feel overwhelming and disentangle them. We can either work on longer-term deeper changes or employ short-term strategies. Personal histories can impact on people and you have the option to address yours and change your lived experience. I work with diverse clients of all ethnicities/genders/sexualities/body shapes.
Stephen Smith
Psychotherapist, MA, MBACP
Verified Verified
London N19
Everyone has times when things aren't going the way we might like. We can find ourselves anywhere from, a bit grey and unhappy, to, extremely dark and depressed, overwhelmed, stressed and spun out. Talking to someone can help. I work with individuals and couples and have a comfortable, safe and confidential practice in Dartmouth Park, North West London in between Tufnell Park and Archway N19 and work online from home in NW6. I take genuine interest in my clients, like to engage openly and talk in a straightforward way, developing a strong working relationship, showing empathy and building trust. I am also a counsellor at UCL.
Everyone has times when things aren't going the way we might like. We can find ourselves anywhere from, a bit grey and unhappy, to, extremely dark and depressed, overwhelmed, stressed and spun out. Talking to someone can help. I work with individuals and couples and have a comfortable, safe and confidential practice in Dartmouth Park, North West London in between Tufnell Park and Archway N19 and work online from home in NW6. I take genuine interest in my clients, like to engage openly and talk in a straightforward way, developing a strong working relationship, showing empathy and building trust. I am also a counsellor at UCL.
Dr Stelios Gkouskos
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London W1G
Waitlist for new clients
I am a dedicated and compassionate Counselling Psychologist with over 20 years of experience in the field of mental health and psychotherapy. I have worked in a variety of public and private mental health settings. I have also been involved in training and supervising psychologists, psychotherapists and counsellors for more than 15 years. As a relationally focused integrative practitioner, I strive to offer my clients a safe and supportive therapeutic space where we work collaboratively to empower you to overcome any difficulties that you are experiencing and to facilitate your journey toward personal growth and well-being.
I am a dedicated and compassionate Counselling Psychologist with over 20 years of experience in the field of mental health and psychotherapy. I have worked in a variety of public and private mental health settings. I have also been involved in training and supervising psychologists, psychotherapists and counsellors for more than 15 years. As a relationally focused integrative practitioner, I strive to offer my clients a safe and supportive therapeutic space where we work collaboratively to empower you to overcome any difficulties that you are experiencing and to facilitate your journey toward personal growth and well-being.
Daniel Smyth
Counsellor, MSc, MBACP
Verified Verified
London N3
I am a psychodynamic therapist based in inner London. My focus is on behaviour and the catalysts behind it.My objective is to make thinking and thinking about the self, more accessible to all and to remove what may be perceived to be the difficulty to this. One of the simplest ways I do this is by how I present, smart and professional but no formal attire. Presentation, alongside communication are key catalysts in creating a space in which young people feel safe to access and begin their journey towards positive internal and external progression.
I am a psychodynamic therapist based in inner London. My focus is on behaviour and the catalysts behind it.My objective is to make thinking and thinking about the self, more accessible to all and to remove what may be perceived to be the difficulty to this. One of the simplest ways I do this is by how I present, smart and professional but no formal attire. Presentation, alongside communication are key catalysts in creating a space in which young people feel safe to access and begin their journey towards positive internal and external progression.
David Wheatley
Counsellor, MBACP
Verified Verified
London N10
Talking through problems is a good thing to do, but sometimes we know that those closest to us aren’t necessarily the easiest or best to hold all that we are thinking and feeling. Therapy can fill that space within a context of safety, trust and empathy. I am a qualified integrative therapist with experience of working with people from a diverse range of backgrounds. For me, the key is in ensuring that you feel heard and understood so that in turn, you can discern the right steps forward that you want to make in your own life.
Talking through problems is a good thing to do, but sometimes we know that those closest to us aren’t necessarily the easiest or best to hold all that we are thinking and feeling. Therapy can fill that space within a context of safety, trust and empathy. I am a qualified integrative therapist with experience of working with people from a diverse range of backgrounds. For me, the key is in ensuring that you feel heard and understood so that in turn, you can discern the right steps forward that you want to make in your own life.
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Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London E2 (Online Only)
I am a Clinical Psychologist, registered with the Health and Care Professions Council (HCPC). I have over 15 years of experience in the NHS working therapeutically with adults, young people and families. In my current NHS role as a Lead Psychologist, I offer therapy to staff (including experiences of burnout and trauma) in addition to providing consultation, training and supervision. If you are struggling with your mood, feeling stuck, or perhaps low self esteem and relationship problems, I am here to support you.
I am a Clinical Psychologist, registered with the Health and Care Professions Council (HCPC). I have over 15 years of experience in the NHS working therapeutically with adults, young people and families. In my current NHS role as a Lead Psychologist, I offer therapy to staff (including experiences of burnout and trauma) in addition to providing consultation, training and supervision. If you are struggling with your mood, feeling stuck, or perhaps low self esteem and relationship problems, I am here to support you.
Ulisses Belucio
Psychotherapist, PhD, BPC
Verified Verified
London SW12
I am an experienced Psychodynamic Psychotherapist and Counsellor with a private practice in South London. The Therapeutic process explores rooted problems and behavioural patterns repeated through life. It helps to expand awareness and self-knowledge so that you learn to recognise, understand and deal better with overwhelming feelings and thoughts. In my practice I offer a calm, safe and confidential setting where we work together in finding ways of making more sense of your life experiences and developing a greater capacity to embrace your own life history, life’s events, difficulties and opportunities.
I am an experienced Psychodynamic Psychotherapist and Counsellor with a private practice in South London. The Therapeutic process explores rooted problems and behavioural patterns repeated through life. It helps to expand awareness and self-knowledge so that you learn to recognise, understand and deal better with overwhelming feelings and thoughts. In my practice I offer a calm, safe and confidential setting where we work together in finding ways of making more sense of your life experiences and developing a greater capacity to embrace your own life history, life’s events, difficulties and opportunities.
Lowina Simms @ Simms Psychological Services
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
London E5
Individual therapy offers a private safe space in which to explore difficult issues with a trained professional. It’s an opportunity to take a closer look any underlying issues and a space to work out ways to manage difficult feelings. I work with individuals who experience difficulties with their emotions, thinking style and or behaviour. I also work with people who have difficulties related to stress, anxiety, depression or other mental health issues including, obsessive compulsive disorder (OCD), Bi-polar disorder, Post traumatic stress disorder and personality issues.
Individual therapy offers a private safe space in which to explore difficult issues with a trained professional. It’s an opportunity to take a closer look any underlying issues and a space to work out ways to manage difficult feelings. I work with individuals who experience difficulties with their emotions, thinking style and or behaviour. I also work with people who have difficulties related to stress, anxiety, depression or other mental health issues including, obsessive compulsive disorder (OCD), Bi-polar disorder, Post traumatic stress disorder and personality issues.
Walter Wills
Psychotherapist, MUKCP
Verified Verified
London NW3 (Online Only)
I provide individual adult psychotherapy and have conducted psychotherapy groups across the life span both privately and within the NHS setting over the past 30+ years. I am an Associate Fellow of the British Psychological Society (AFBPsS), a Group Analyst and Member of the Institute of Group Analysis. I was awarded Lifetime Honorary Adult Psychotherapist by the Tavistock and Portman NHS Foundation Trust. For the past twelve years I have conducted experiential groups for the Foundation Course at the Institute of Group Analysis and provided supervision of trainees in group psychotherapy within the NHS.
I provide individual adult psychotherapy and have conducted psychotherapy groups across the life span both privately and within the NHS setting over the past 30+ years. I am an Associate Fellow of the British Psychological Society (AFBPsS), a Group Analyst and Member of the Institute of Group Analysis. I was awarded Lifetime Honorary Adult Psychotherapist by the Tavistock and Portman NHS Foundation Trust. For the past twelve years I have conducted experiential groups for the Foundation Course at the Institute of Group Analysis and provided supervision of trainees in group psychotherapy within the NHS.
James Stevens
Psychotherapist, MA, BPC
Verified Verified
London E5
Effective psychotherapy can substantially improve states of anxiety, depression and impulsiveness. I work from my consulting room in Hackney and together we will seek to build a detailed picture of your life and mind, thinking carefully and creatively about the patterns and dilemmas that you have decided need to be better understood in the service of instituting positive and lasting change.
Effective psychotherapy can substantially improve states of anxiety, depression and impulsiveness. I work from my consulting room in Hackney and together we will seek to build a detailed picture of your life and mind, thinking carefully and creatively about the patterns and dilemmas that you have decided need to be better understood in the service of instituting positive and lasting change.
Sinem Uyanik
Psychotherapist, MBACP Accred
Verified Verified
London NW5 (Online Only)
Life can become overwhelming, confusing, and difficult to manage. Experiences such as loss, bereavement and major life changes like a medical crisis can make us lose our sense of self and purpose. Depression, anxiety and personality disorders can distort our sense of self, rob us off our full personal potential and quality of life leaving us feeling depleted. Therapy is a place to regain and restore your sense of self and purpose and to help you turn these experiences to an opportunity to grow.
Life can become overwhelming, confusing, and difficult to manage. Experiences such as loss, bereavement and major life changes like a medical crisis can make us lose our sense of self and purpose. Depression, anxiety and personality disorders can distort our sense of self, rob us off our full personal potential and quality of life leaving us feeling depleted. Therapy is a place to regain and restore your sense of self and purpose and to help you turn these experiences to an opportunity to grow.
Manuela Sapochnik
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London N22
Not accepting new clients
For the past 20 years I have been developing my skills as a psychological therapist, working with people of all ages and backgrounds. I've worked in inpatient, out-patient, community and hospital settings. I work with children, parents, families, adults and couples. I have extensive experience with mental and physical health issues and I believe they are deeply connected. I am passionate about delivering good therapy, tailored to each persons unique life and needs. Clinical psychologists, at their best, are 'science-helpers', turning science into a helping art.
For the past 20 years I have been developing my skills as a psychological therapist, working with people of all ages and backgrounds. I've worked in inpatient, out-patient, community and hospital settings. I work with children, parents, families, adults and couples. I have extensive experience with mental and physical health issues and I believe they are deeply connected. I am passionate about delivering good therapy, tailored to each persons unique life and needs. Clinical psychologists, at their best, are 'science-helpers', turning science into a helping art.
Anastasia Sgoumpopoulou
Psychotherapist, DCounsPsych, MBACP
Verified Verified
1 Endorsed
London NW1 (Online Only)
Hello! I'm a registered bilingual counselor/psychotherapist proudly affiliated with the BACP. My journey has meandered through the NHS, the voluntary sector, and private practice. Currently, I'm on the verge of completing my Professional Doctorate in Counselling Psychology at the University of East London. Throughout this journey, I've closely collaborated with individuals navigating a spectrum of emotional challenges and life hurdles. While my specialization lies in addictions and trauma, I engage with a diverse array of presenting issues.
Hello! I'm a registered bilingual counselor/psychotherapist proudly affiliated with the BACP. My journey has meandered through the NHS, the voluntary sector, and private practice. Currently, I'm on the verge of completing my Professional Doctorate in Counselling Psychology at the University of East London. Throughout this journey, I've closely collaborated with individuals navigating a spectrum of emotional challenges and life hurdles. While my specialization lies in addictions and trauma, I engage with a diverse array of presenting issues.
Advanced Assessments Expert Witness Psychologists
Psychologist, PhD, CPsychol
Verified Verified
London W1J
PSYCHOLOGY EXPERT SERVICES: Psychological assessment, educational testing services and occupational health assessments. EXPERT PSYCHOLOGIST ASSESSMENT OF SPECIFIC LEARNING DISABILITY & NEURODEVELOPMENTAL CONDITIONS: Dyslexia tests, dyslexia in children, dyspraxia tests, autism spectrum disorder, autism spectrum, ADHD tests, and official IQ testing. MENTAL HEALTH: Personality disorder testing, mental health assessment online, wellbeing, and assessments of malingering disorders. We provide occupational health checks, undertake occupational health referrals, work capability assessments and advise on sickness absence policy.
PSYCHOLOGY EXPERT SERVICES: Psychological assessment, educational testing services and occupational health assessments. EXPERT PSYCHOLOGIST ASSESSMENT OF SPECIFIC LEARNING DISABILITY & NEURODEVELOPMENTAL CONDITIONS: Dyslexia tests, dyslexia in children, dyspraxia tests, autism spectrum disorder, autism spectrum, ADHD tests, and official IQ testing. MENTAL HEALTH: Personality disorder testing, mental health assessment online, wellbeing, and assessments of malingering disorders. We provide occupational health checks, undertake occupational health referrals, work capability assessments and advise on sickness absence policy.
See more therapy options for London
How does your Counsellor compare?
Number of Counsellors in London
3,000+
Average cost per session
£75
Counsellors in London who prioritize treating:
91% | Anxiety |
86% | Depression |
84% | Self Esteem |
81% | Relationship Issues |
79% | Stress |
66% | Trauma and PTSD |
63% | Bereavement |
Average years in practice
10 Years
Top 3 insurances accepted
71% | Aviva |
65% | AXA PPP |
58% | Vitality |
How Counsellors in London see their clients
74% | In Person and Online | |
26% | Online Only |
Gender breakdown
75% | Female | |
24% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in London?
Search for nearby therapists or counsellors by inputting your city, 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
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 British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).
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 psychotherapists and counsellors in the UK, 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.
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 psychotherapists and counsellors in the UK, 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 the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.
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, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. 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 NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.
If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.
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 BACP, the UKCP, or BPS 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 has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.