Counselling in Bristol

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Photo of Red Door Therapy, Psychotherapist in Bristol, England
Red Door Therapy
Psychotherapist
Verified Verified
Bristol BS2
My name is Catherine and I work with children in the early years (0-5 years old) and primary school age (5-11 years old) who struggle with language and communication, have difficulties socialising, struggle to attend school, who may be experiencing developmental delays or are non-verbal, or children diagnosed with Autism. Many of the children I work with are waiting for a diagnosis, however, all children are at different stages so please get in contact if you would like to discuss some specific needs/concerns that you have.
My name is Catherine and I work with children in the early years (0-5 years old) and primary school age (5-11 years old) who struggle with language and communication, have difficulties socialising, struggle to attend school, who may be experiencing developmental delays or are non-verbal, or children diagnosed with Autism. Many of the children I work with are waiting for a diagnosis, however, all children are at different stages so please get in contact if you would like to discuss some specific needs/concerns that you have.
0117 456 2035 View 0117 456 2035
Photo of Dr Elizabeth Haycock., Psychologist in Bristol, England
Dr Elizabeth Haycock.
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Bristol BS1  (Online Only)
Hi, my name is Liz and I’ve been working as a qualified Clinical Psychologist since 2010 and a Cognitive Analytic Therapist since 2014. I am also trained in Dialectical Behaviour Therapy. I have experience of working with a range of emotional, relational and mental health difficulties.
Hi, my name is Liz and I’ve been working as a qualified Clinical Psychologist since 2010 and a Cognitive Analytic Therapist since 2014. I am also trained in Dialectical Behaviour Therapy. I have experience of working with a range of emotional, relational and mental health difficulties.
0117 463 4322 View 0117 463 4322
Photo of Kirsten Malcolm (Freedom Therapy), Counsellor in Bristol, England
Kirsten Malcolm (Freedom Therapy)
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Bristol BS7
I'm Kirsten and I have a passion for empowering individuals to navigate life's inevitable challenges. Whatever you're struggling with, therapy can be a powerful tool for growth and self-discovery. As a warm and compassionate therapist, I offer you a safe and respectful space to talk and explore your concerns freely and authentically. Our work together will help you to gain understanding of everything you think and feel and gain awareness of the hows and whys of your patterns and their effect on your behaviour. Taking the first step towards positive change can be daunting and courageous, but you don't have to go through it alone.
I'm Kirsten and I have a passion for empowering individuals to navigate life's inevitable challenges. Whatever you're struggling with, therapy can be a powerful tool for growth and self-discovery. As a warm and compassionate therapist, I offer you a safe and respectful space to talk and explore your concerns freely and authentically. Our work together will help you to gain understanding of everything you think and feel and gain awareness of the hows and whys of your patterns and their effect on your behaviour. Taking the first step towards positive change can be daunting and courageous, but you don't have to go through it alone.
01454 804741 View 01454 804741
Photo of Selena Reid, Psychotherapist in Bristol, England
Selena Reid
Psychotherapist, MA, MUKCP
Verified Verified
Bristol BS6
Finding the right therapist can be a daunting process. I believe that it is important for you to feel a positive connection with your therapist if you are to receive the most beneficial experience from Psychotherapy. I believe that the healer is within you, but I also understand that it is difficult for anyone to self heal without support. My purpose is not only to assist you with the healing process, but also to facilitate your change and growth and help you to naturally awaken your own life supporting behaviours.
Finding the right therapist can be a daunting process. I believe that it is important for you to feel a positive connection with your therapist if you are to receive the most beneficial experience from Psychotherapy. I believe that the healer is within you, but I also understand that it is difficult for anyone to self heal without support. My purpose is not only to assist you with the healing process, but also to facilitate your change and growth and help you to naturally awaken your own life supporting behaviours.
0117 463 0164 View 0117 463 0164
Photo of Dr Shelley Kerr, Psychologist in Bristol, England
Dr Shelley Kerr
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Bristol BS3
We all want to enjoy the lives we have, not be bogged down in self criticism, overwhelmed by emotions, stuck in spirals of negative thinking, or be haunted by the past. If you find yourself here because you're struggling with anxiety, depression, painful emotions, self criticism, or patterns of coping that are damaging your life and your relationships, then you're in the right place. Again and again I have seen the power of compassion in releasing people from the suffering that can come with these cycles. With the right support you too can take the courageous, and sometimes painful steps towards becoming the person you'd like to be.
We all want to enjoy the lives we have, not be bogged down in self criticism, overwhelmed by emotions, stuck in spirals of negative thinking, or be haunted by the past. If you find yourself here because you're struggling with anxiety, depression, painful emotions, self criticism, or patterns of coping that are damaging your life and your relationships, then you're in the right place. Again and again I have seen the power of compassion in releasing people from the suffering that can come with these cycles. With the right support you too can take the courageous, and sometimes painful steps towards becoming the person you'd like to be.
01275 402881 View 01275 402881
Photo of Craig Davies, Psychotherapist in Bristol, England
Craig Davies
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Bristol BS34
My name is Craig Davies and I am a fully qualified and experienced Psychotherapist available for short and longer-term treatment. I hold full UKCP registration. If you are experiencing emotional difficulties, problems in relationships or patterns in your life that you want to change, psychotherapy can be an effective way of addressing these issues from within. I offer a comfortable and confidential space in which to explore your feelings. I work in accordance with the code of ethics of UKCP.
My name is Craig Davies and I am a fully qualified and experienced Psychotherapist available for short and longer-term treatment. I hold full UKCP registration. If you are experiencing emotional difficulties, problems in relationships or patterns in your life that you want to change, psychotherapy can be an effective way of addressing these issues from within. I offer a comfortable and confidential space in which to explore your feelings. I work in accordance with the code of ethics of UKCP.
0117 456 2091 View 0117 456 2091
Photo of Becky Lewis, Psychotherapist in Bristol, England
Becky Lewis
Psychotherapist, MA, MBACP
Verified Verified
Bristol BS8
Unexpected life events, such as as death of a loved one, divorce, end of a relationship, loss of employment and sexual/domestic abuse, can be overwhelming that we find ourselves reacting or behaving in uncharacteristic ways such as overcome with anxiety, depression, extreme anger or adopt unhelpful coping mechanisms such as dependence on alcohol or drugs. Therapy provides the opportunity to process such life changing events and examines our response/behaviour as we deal with these issues. It is an opportunity to be truly heard, and heal without fear of judgement, being diminished or shamed.
Unexpected life events, such as as death of a loved one, divorce, end of a relationship, loss of employment and sexual/domestic abuse, can be overwhelming that we find ourselves reacting or behaving in uncharacteristic ways such as overcome with anxiety, depression, extreme anger or adopt unhelpful coping mechanisms such as dependence on alcohol or drugs. Therapy provides the opportunity to process such life changing events and examines our response/behaviour as we deal with these issues. It is an opportunity to be truly heard, and heal without fear of judgement, being diminished or shamed.
01275 403007 View 01275 403007
Photo of Dayana Eastwood, Counsellor in Bristol, England
Dayana Eastwood
Counsellor, MBACP
Verified Verified
Bristol BS7
Not accepting new clients
If there's something you want to understand better or change, I can help you move from feeling confused, stuck or overwhelmed to a place where things make sense, there’s a way forward, and you feel in charge of your life. Feeling stressed, burnt out, anxious or depressed are some of the most common reasons people seek therapy, but there may be many reasons; some challenges feel hard to pin down or are a quiet, niggling sense that builds up over time. Or perhaps you have experienced a major life change or event and feel you need some support as you find a new way through.
If there's something you want to understand better or change, I can help you move from feeling confused, stuck or overwhelmed to a place where things make sense, there’s a way forward, and you feel in charge of your life. Feeling stressed, burnt out, anxious or depressed are some of the most common reasons people seek therapy, but there may be many reasons; some challenges feel hard to pin down or are a quiet, niggling sense that builds up over time. Or perhaps you have experienced a major life change or event and feel you need some support as you find a new way through.
0117 463 8388 View 0117 463 8388
Photo of Hannah Stewart, Psychotherapist in Bristol, England
Hannah Stewart
Psychotherapist, MA, MUKCP
Verified Verified
Bristol BS3
Psychotherapy deals with current problems. You may come because of a particular relationship issue or you may not be sure exactly what the problem is but find yourself repeating painful or limiting patterns in life. It may only be through talking to someone that you gain an understanding of what you want to work on. Therapy can be a gradual unfolding process where you have the opportunity to understand how you have become the person you are. This may include talking about how the past has influenced you, exploring your relationships then and now and the way you respond to your life as it is.
Psychotherapy deals with current problems. You may come because of a particular relationship issue or you may not be sure exactly what the problem is but find yourself repeating painful or limiting patterns in life. It may only be through talking to someone that you gain an understanding of what you want to work on. Therapy can be a gradual unfolding process where you have the opportunity to understand how you have become the person you are. This may include talking about how the past has influenced you, exploring your relationships then and now and the way you respond to your life as it is.
01275 402869 View 01275 402869
Photo of Green Trees Psychology - Dr Sharon Davey, Psychologist in Bristol, England
Green Trees Psychology - Dr Sharon Davey
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bristol BS9
Would you like life to get a little easier and have the chance to learn helpful ways to cope with stress, tension, worry or feeling low? Therapy offers time to talk things through with a caring professional and will help you to gain a sense of control. I offer in person and online talking therapy to help improve your sense of well-being. I will help you to understand your emotions and learn helpful coping strategies. We will think together about your individual needs in a confidential and safe space.   We will work together to plan the next steps to reach your goals. Your well-being matters.
Would you like life to get a little easier and have the chance to learn helpful ways to cope with stress, tension, worry or feeling low? Therapy offers time to talk things through with a caring professional and will help you to gain a sense of control. I offer in person and online talking therapy to help improve your sense of well-being. I will help you to understand your emotions and learn helpful coping strategies. We will think together about your individual needs in a confidential and safe space.   We will work together to plan the next steps to reach your goals. Your well-being matters.
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Photo of Eric William Blencowe, Counsellor in Bristol, England
Eric William Blencowe
Counsellor, MBACP
Verified Verified
Bristol BS16
I believe the most important thing in counselling is to develop a relationship of trust and confidence between therapist and client. I provide clients with a safe, confidential and warm space for them to reflect on the challenges they bring. Coming to counselling can be a daunting step; as a result it is that much more important to come into an accepting, empathic, non-judgemental environment. I take the view that there is no single approach that can be helpful to you in all situations. This gives more choice of how you want to look at your issues and creates flexibility to tailor therapy to your individual needs and aspirations.
I believe the most important thing in counselling is to develop a relationship of trust and confidence between therapist and client. I provide clients with a safe, confidential and warm space for them to reflect on the challenges they bring. Coming to counselling can be a daunting step; as a result it is that much more important to come into an accepting, empathic, non-judgemental environment. I take the view that there is no single approach that can be helpful to you in all situations. This gives more choice of how you want to look at your issues and creates flexibility to tailor therapy to your individual needs and aspirations.
0117 456 2592 View 0117 456 2592
Photo of Hermione Moore, Counsellor in Bristol, England
Hermione Moore
Counsellor, MBACP
Verified Verified
Bristol BS6
We are all confronted with some sort of struggle at times in our lives. Sometimes the source might feel obvious to us or maybe we might have begun to notice things have been 'off' for a while and it's hard to make sense of. We can be left feeling confused, lonely, disconnected from ourselves and unfulfilled in our lives. It's hard to understand what's going on, maybe things start to feel out of control or tough to manage alone. Naturally, we want to get a grasp of what's happened and take back some control of our lives so we can move in the direction we want for ourselves.
We are all confronted with some sort of struggle at times in our lives. Sometimes the source might feel obvious to us or maybe we might have begun to notice things have been 'off' for a while and it's hard to make sense of. We can be left feeling confused, lonely, disconnected from ourselves and unfulfilled in our lives. It's hard to understand what's going on, maybe things start to feel out of control or tough to manage alone. Naturally, we want to get a grasp of what's happened and take back some control of our lives so we can move in the direction we want for ourselves.
0117 463 0363 View 0117 463 0363
Photo of Luke Brownlee-Williams, Counsellor in Bristol, England
Luke Brownlee-Williams
Counsellor, MBACP Accred
Verified Verified
Bristol BS1
Counselling is a place to explore our thoughts, feelings and emotions. A chance to explore our life direction. An opportunity to pause and understand where we are and what is happening in our lives right now. It is a place to explore past and present events or traumas and a space to speak out loud thoughts that had previously been unspeakable.
Counselling is a place to explore our thoughts, feelings and emotions. A chance to explore our life direction. An opportunity to pause and understand where we are and what is happening in our lives right now. It is a place to explore past and present events or traumas and a space to speak out loud thoughts that had previously been unspeakable.
0117 325 5294 View 0117 325 5294
Photo of Tim Barker, Psychotherapist in Bristol, England
Tim Barker
Psychotherapist, MUKCP
Verified Verified
Bristol BS2
You might come to therapy because you are experiencing difficult or unbearable feelings, or perhaps you would like to understand yourself more deeply or find meaning in your life. There is no right or wrong reason to try therapy.
You might come to therapy because you are experiencing difficult or unbearable feelings, or perhaps you would like to understand yourself more deeply or find meaning in your life. There is no right or wrong reason to try therapy.
0117 463 7178 View 0117 463 7178
Photo of Stafford Wilson, Counsellor in Bristol, England
Stafford Wilson
Counsellor, MBACP
Verified Verified
Bristol BS3
Counselling is a safe space where you can talk about problems and process difficult emotions without shame or judgement. We often feel that we should be able to deal with our problems without others help. But it is often through sharing and opening up to others, that we can find the way to heal ourselves. Trauma, mental or emotional problems, disconnect us from ourselves and others. Sharing our pain and our story (in a relationship where it is held safely) can allow us to value, respect and have compassion for all parts of ourselves. This re-integration unblocks our creative/healing potential and our sense of purpose and meaning.
Counselling is a safe space where you can talk about problems and process difficult emotions without shame or judgement. We often feel that we should be able to deal with our problems without others help. But it is often through sharing and opening up to others, that we can find the way to heal ourselves. Trauma, mental or emotional problems, disconnect us from ourselves and others. Sharing our pain and our story (in a relationship where it is held safely) can allow us to value, respect and have compassion for all parts of ourselves. This re-integration unblocks our creative/healing potential and our sense of purpose and meaning.
01275 402712 View 01275 402712
Photo of Deborah Louise Creed, Psychotherapist in Bristol, England
Deborah Louise Creed
Psychotherapist, MA, MUKCP
Verified Verified
Bristol BS6
Deborah Creed is a UKCP (UK Council for Psychotherapy) and AFT (Association of Family Therapy) accredited systemic psychotherapist with over ten years experience working with children, adolescents, and adults.

She has a wealth of experience working with problems such as anxiety, behaviour, eating disorders, sleep, social anxiety, bullying, or school-related problems. Deborah has worked with many clients affected by separation, divorce, trauma, or couples wanting to reconnect. Deborah offers a bespoke service to meet the needs of the client. This is a private practice. It is a highly successful and discreet place to talk
Deborah Creed is a UKCP (UK Council for Psychotherapy) and AFT (Association of Family Therapy) accredited systemic psychotherapist with over ten years experience working with children, adolescents, and adults.

She has a wealth of experience working with problems such as anxiety, behaviour, eating disorders, sleep, social anxiety, bullying, or school-related problems. Deborah has worked with many clients affected by separation, divorce, trauma, or couples wanting to reconnect. Deborah offers a bespoke service to meet the needs of the client. This is a private practice. It is a highly successful and discreet place to talk
07576 088328 View 07576 088328
Photo of Fiona Clare Hayden, Counsellor in Bristol, England
Fiona Clare Hayden
Counsellor, DCounsPsych, MBACP
Verified Verified
Bristol BS16
I have been a counsellor for nearly ten years and within that time I have an extensive knowledge of most difficulties. I initially trained on placement for 2 years alongside my diploma within the Swan Project they specialise in Addiction and Trauma. I have successfully worked with many clients but not limited to Addiction, Trauma, ADHD, Autism, LGBTQIA, Childhood sex abuse, Childhood neglect, Domestic violence, Rape, PTSD and Eating disorders. I particularly enjoy working with neurodiversity including teenagers as I have my own personal journey and I feel this helps add an extra layer of empathy and understanding.
I have been a counsellor for nearly ten years and within that time I have an extensive knowledge of most difficulties. I initially trained on placement for 2 years alongside my diploma within the Swan Project they specialise in Addiction and Trauma. I have successfully worked with many clients but not limited to Addiction, Trauma, ADHD, Autism, LGBTQIA, Childhood sex abuse, Childhood neglect, Domestic violence, Rape, PTSD and Eating disorders. I particularly enjoy working with neurodiversity including teenagers as I have my own personal journey and I feel this helps add an extra layer of empathy and understanding.
07938 763578 View 07938 763578
Photo of Steph Ball, Counsellor in Bristol, England
Steph Ball
Counsellor, MNCPS Acc.
Verified Verified
Bristol BS13
This world is a fast-moving, pressured and sometimes, bewildering place. We are expected to navigate it while carrying the heavy weight of the opinions and expectations of others. No wonder that we can become overwhelmed, worried and sad. I can’t (sadly) change the world or your experiences in it, but together, we might be able to find a way for you to move forward, feeling more in control, more confident and hopefully, happier.
This world is a fast-moving, pressured and sometimes, bewildering place. We are expected to navigate it while carrying the heavy weight of the opinions and expectations of others. No wonder that we can become overwhelmed, worried and sad. I can’t (sadly) change the world or your experiences in it, but together, we might be able to find a way for you to move forward, feeling more in control, more confident and hopefully, happier.
0117 463 7144 View 0117 463 7144
Photo of Zoe Bartlett, Counsellor in Bristol, England
Zoe Bartlett
Counsellor, MBACP
Verified Verified
1 Endorsed
Bristol BS2
When we experience life difficulties and challenges such as relationship problems, addiction, stress, depression and anxiety, or trauma we can sometimes lose our connection to ourselves and those around us, impacting our relationships and often function in survival mode getting stuck in fight, flight and freeze responses. Working together I will encourage you to explore your thoughts, feelings, behaviours and sensations. I will closely listen, respond and sometimes gently challenge you, with compassion and focus, with the aim of building a supportive and trusting relationship where you feel safe to explore and make change.
When we experience life difficulties and challenges such as relationship problems, addiction, stress, depression and anxiety, or trauma we can sometimes lose our connection to ourselves and those around us, impacting our relationships and often function in survival mode getting stuck in fight, flight and freeze responses. Working together I will encourage you to explore your thoughts, feelings, behaviours and sensations. I will closely listen, respond and sometimes gently challenge you, with compassion and focus, with the aim of building a supportive and trusting relationship where you feel safe to explore and make change.
0117 463 3615 View 0117 463 3615
Photo of Cathy Harwood, Psychotherapist in Bristol, England
Cathy Harwood
Psychotherapist, MSc, HCPC-Art Therap.
Verified Verified
Bristol BS8
When we are bereaved it can feel as if our whole world has shattered and there is no one who understands. Whether or not our loss was expected, when someone dies it can seem as if we have been forced to walk through a door that we didn't even know was there. There is no way back. The outside world moves on fast, not realising what it's like to be left behind in a blizzard of complex feelings. People often try to cheer us up in a way that just makes us feel worse. If we have been bereaved it can be hard to talk to a parent who has their own worries, or there may simply be no words. There is no right or wrong way to grieve.
When we are bereaved it can feel as if our whole world has shattered and there is no one who understands. Whether or not our loss was expected, when someone dies it can seem as if we have been forced to walk through a door that we didn't even know was there. There is no way back. The outside world moves on fast, not realising what it's like to be left behind in a blizzard of complex feelings. People often try to cheer us up in a way that just makes us feel worse. If we have been bereaved it can be hard to talk to a parent who has their own worries, or there may simply be no words. There is no right or wrong way to grieve.
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See more therapy options for Bristol

How does your Counsellor compare?

Number of Counsellors in Bristol

600+

Average cost per session

£60

Counsellors in Bristol who prioritize treating:

90% Anxiety
85% Depression
85% Self Esteem
78% Relationship Issues
78% Stress
67% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

61% AXA PPP
60% Aviva
45% Bupa

How Counsellors in Bristol see their clients

74% In Person and Online
26% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Bristol?

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

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.

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.

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.