Counselling in Birmingham
Mahalia Hamilton
Psychotherapist, MA, MBACP
Verified Verified
Birmingham B11 (Online Only)
Hello, I am Mahalia. I am a person-centred psychotherapist. Sometimes we need space to feel heard, sometimes we need space to think and be present with ourselves. I am non-judgemental regardless of my own values and beliefs. As your therapist I will accept you for who you are and meet you with empathy. I will be with you in your chaos, in your binding and I will be patient with your process. With a person-centred approach I welcome people from all walks of life providing empathy, honesty, and unconditional positive regard.
Hello, I am Mahalia. I am a person-centred psychotherapist. Sometimes we need space to feel heard, sometimes we need space to think and be present with ourselves. I am non-judgemental regardless of my own values and beliefs. As your therapist I will accept you for who you are and meet you with empathy. I will be with you in your chaos, in your binding and I will be patient with your process. With a person-centred approach I welcome people from all walks of life providing empathy, honesty, and unconditional positive regard.
Dr Cathy Ghaib
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Birmingham B1 (Online Only)
Hello! I specialise in working with adults who experience a range of difficulties including trauma, anxiety, self-esteem, depression, pregnancy and difficulties in culture and religious identity. Sometimes life can be difficult, we can feel lost and not know who we are or how to navigate our life. Therapy is not just about treating your symptoms and focusing on your difficulties it is also about getting to know you, and what makes you, you...even when you are unsure. You may or may not know what might help which is why I am happy to talk this through with you in a free initial consultation and we can decide together.
Hello! I specialise in working with adults who experience a range of difficulties including trauma, anxiety, self-esteem, depression, pregnancy and difficulties in culture and religious identity. Sometimes life can be difficult, we can feel lost and not know who we are or how to navigate our life. Therapy is not just about treating your symptoms and focusing on your difficulties it is also about getting to know you, and what makes you, you...even when you are unsure. You may or may not know what might help which is why I am happy to talk this through with you in a free initial consultation and we can decide together.
Amanda Garnett
Psychotherapist, MNCPS Acc.
Verified Verified
2 Endorsed
Birmingham B14
Welcome, my name is Amanda and I am a fully qualified integrative psychotherapist/counsellor. I work with individual adults offering an empathetic space for you to explore and make sense of your challenges, supporting you in feeling understood without judgements or expectations. As an integrative therapist I use a range of therapies such as person-centered, CBT, and psychodynamic. I will work together with you to tailor our approach to therapy that sees you for the unique individual that you are, helping you to create meaningful and lasting change.
Welcome, my name is Amanda and I am a fully qualified integrative psychotherapist/counsellor. I work with individual adults offering an empathetic space for you to explore and make sense of your challenges, supporting you in feeling understood without judgements or expectations. As an integrative therapist I use a range of therapies such as person-centered, CBT, and psychodynamic. I will work together with you to tailor our approach to therapy that sees you for the unique individual that you are, helping you to create meaningful and lasting change.
Parveen Kaur
Psychotherapist, MSc, MBABCP
Verified Verified
Birmingham B17
I am a fully accredited and qualified psychotherapist and counsellor, working in both the private and public sector. I have over 14 years of experience working in mental health NHS services and can support people experiencing low mood, depression, generalised anxiety, phobias, PTSD, relationship difficulties, anger, loss, bereavement, trauma, bulimia nervosa, anorexia nervosa, binge eating disorder, OCD, identity and cultural issues. I am able to offer integrative psychotherapy, cognitive behavioural therapy, EMDR or person centred counselling to help people move forward in their lives when they feel stuck or distressed.
I am a fully accredited and qualified psychotherapist and counsellor, working in both the private and public sector. I have over 14 years of experience working in mental health NHS services and can support people experiencing low mood, depression, generalised anxiety, phobias, PTSD, relationship difficulties, anger, loss, bereavement, trauma, bulimia nervosa, anorexia nervosa, binge eating disorder, OCD, identity and cultural issues. I am able to offer integrative psychotherapy, cognitive behavioural therapy, EMDR or person centred counselling to help people move forward in their lives when they feel stuck or distressed.
Eshmit Kaur
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
Birmingham B18
Going to therapy can be hard; having to share inner conflicts and pain can feel exposing, yet liberating. My purpose is to create an empowering environment with you for these vulnerabilities to be safely shared. At EK Therapy, my aim is to reduce barriers of access for individuals and communities that feel like care systems have not fully understood their needs. Embedded in Sikh Ethos, I value honesty, non-judgement and universal truth. “EK” in Gurmukhi means “One.” Integration of the Soul, Mind and Body means we’re able to reach a more fulfilled state and way of living.
Going to therapy can be hard; having to share inner conflicts and pain can feel exposing, yet liberating. My purpose is to create an empowering environment with you for these vulnerabilities to be safely shared. At EK Therapy, my aim is to reduce barriers of access for individuals and communities that feel like care systems have not fully understood their needs. Embedded in Sikh Ethos, I value honesty, non-judgement and universal truth. “EK” in Gurmukhi means “One.” Integration of the Soul, Mind and Body means we’re able to reach a more fulfilled state and way of living.
Plug-in Therapy - Rajie Sokhi
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B18
As an integrative practitioner, I have researched and worked with various models and approaches over the years and have found a holistic therapeutic process increases the success rate of managing and resolving emotional difficulties. My approach looks at the past, present, and future, and therapy offered is tailored to your unique experiences and needs. I believe the therapeutic relationship is the most important aspect of therapy and I base my relationships with clients on collaboration, trust and partnership. I am dedicated in helping you each step of the way and understand how daunting therapy can be especially for first timers.
As an integrative practitioner, I have researched and worked with various models and approaches over the years and have found a holistic therapeutic process increases the success rate of managing and resolving emotional difficulties. My approach looks at the past, present, and future, and therapy offered is tailored to your unique experiences and needs. I believe the therapeutic relationship is the most important aspect of therapy and I base my relationships with clients on collaboration, trust and partnership. I am dedicated in helping you each step of the way and understand how daunting therapy can be especially for first timers.
Menka Sura
Counsellor, MNCPS Acc.
Verified Verified
Birmingham B28
Every now and then life puts in front of us some obstacles that can be difficult to overcome without support. When left to our own accords these hurdles can often take us on a downward spiral, and lead us to feel insufficient, insecure, anxious, stressed or even depressed. It may be a familiar relationship that brings in the challenge or a social, behavioural, financial or work related issue. The worries that keep you up at night may be due to many reasons but if they are taking over and leave you feeling isolated in life, it might be time to seek support from someone who can help navigate through the difficult period.
Every now and then life puts in front of us some obstacles that can be difficult to overcome without support. When left to our own accords these hurdles can often take us on a downward spiral, and lead us to feel insufficient, insecure, anxious, stressed or even depressed. It may be a familiar relationship that brings in the challenge or a social, behavioural, financial or work related issue. The worries that keep you up at night may be due to many reasons but if they are taking over and leave you feeling isolated in life, it might be time to seek support from someone who can help navigate through the difficult period.
VanEssence Counselling
Counsellor, MA, MBACP Accred
Verified Verified
Birmingham B9 (Online Only)
Stress, anxiety, depression is no longer such a taboo subject, yet we often tell ourselves, I can cope with this myself or maybe nobody will want to listen because nobody has time, or how about I’m too ashamed and I blame myself so I will cope with this by myself...... Well I am here to offer you the space to speak the unspoken and explore worrying thoughts together. The problem might be a recent incident that has left you feeling unsettled or a long standing concern deep rooted in unresolved trauma that has affected you e.g. sleepless nights, social anxiety, fear, relationship issue, performance at work, mood, self worth.
Stress, anxiety, depression is no longer such a taboo subject, yet we often tell ourselves, I can cope with this myself or maybe nobody will want to listen because nobody has time, or how about I’m too ashamed and I blame myself so I will cope with this by myself...... Well I am here to offer you the space to speak the unspoken and explore worrying thoughts together. The problem might be a recent incident that has left you feeling unsettled or a long standing concern deep rooted in unresolved trauma that has affected you e.g. sleepless nights, social anxiety, fear, relationship issue, performance at work, mood, self worth.
Claire Rhodes
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B13
Hi, my name is Claire and I am a child and adult psychotherapist. Often people don't fully understand why they feel bad and this can lead to confusion and feeling ashamed. The feelings are experienced throughout the whole body and can be so overwhelming that they can lead to panic, depression, anxiety and challenging or self-destructive behaviours. I help clients understand how things are for them right now, validate their challenges and help them see their unique strengths, all within the context of an accepting and compassionate relationship. I use neuro-scientifically informed approaches to help heal
Hi, my name is Claire and I am a child and adult psychotherapist. Often people don't fully understand why they feel bad and this can lead to confusion and feeling ashamed. The feelings are experienced throughout the whole body and can be so overwhelming that they can lead to panic, depression, anxiety and challenging or self-destructive behaviours. I help clients understand how things are for them right now, validate their challenges and help them see their unique strengths, all within the context of an accepting and compassionate relationship. I use neuro-scientifically informed approaches to help heal
Helen Gaynor - Sheemore Counselling
Counsellor, MBACP Accred
Verified Verified
Birmingham B13
Has life thrown something in your path that you are struggling to make sense of? Are you aware that your stress or anxiety levels are heightened and you are confused by these feelings? Then perhaps you need someone to talk to, to help you make sense of the confusion you are feeling and the unexplained emotions that can feel overwhelming and leave you feeling alone. As a qualified person-centred counsellor I can offer an empathic, open, safe environment, enabling you to explore those feelings, allowing you to better understand them and helping you to reconnect with you inner values and sense of self-worth.
Has life thrown something in your path that you are struggling to make sense of? Are you aware that your stress or anxiety levels are heightened and you are confused by these feelings? Then perhaps you need someone to talk to, to help you make sense of the confusion you are feeling and the unexplained emotions that can feel overwhelming and leave you feeling alone. As a qualified person-centred counsellor I can offer an empathic, open, safe environment, enabling you to explore those feelings, allowing you to better understand them and helping you to reconnect with you inner values and sense of self-worth.
Sharon Hinsull
Psychotherapist, MBACP
Verified Verified
Birmingham B4
Not accepting new clients
Seeking out the services of a suitable therapist can be a daunting prospect at the best of times. Perhaps you're currently undergoing a particularly stressful or distressing period in your life, struggling to cope with mounting pressures at home or work, experiencing feelings of sadness or loss, relationship difficulties, or unforeseen changes in your personal circumstances. Maybe you are seeking help with a mental health issue such as anxiety or depression, aiming to find ways of better managing your condition and its impact on your everyday life. Whatever your reasons for seeking therapy, I'm here to offer you my support.
Seeking out the services of a suitable therapist can be a daunting prospect at the best of times. Perhaps you're currently undergoing a particularly stressful or distressing period in your life, struggling to cope with mounting pressures at home or work, experiencing feelings of sadness or loss, relationship difficulties, or unforeseen changes in your personal circumstances. Maybe you are seeking help with a mental health issue such as anxiety or depression, aiming to find ways of better managing your condition and its impact on your everyday life. Whatever your reasons for seeking therapy, I'm here to offer you my support.
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Terina Talbot Counselling & Psychotherapy
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B14
Welcome. My name is Terina. Therapy is a bit like a walk through a forest that we agree to go on together. We don't yet know what the experience will be like, where it will take us or what might come up and we can't determine the outcome - it is new and unknown for both of us. The difference between us (therapist and client) is that I have walked similar paths before so I am able to recognise the challenge and your courage in taking the first step. The important thing is, we do this walk together. I can offer you my support, empathy and honesty and the space to explore anything that matters to you, without judgement.
Welcome. My name is Terina. Therapy is a bit like a walk through a forest that we agree to go on together. We don't yet know what the experience will be like, where it will take us or what might come up and we can't determine the outcome - it is new and unknown for both of us. The difference between us (therapist and client) is that I have walked similar paths before so I am able to recognise the challenge and your courage in taking the first step. The important thing is, we do this walk together. I can offer you my support, empathy and honesty and the space to explore anything that matters to you, without judgement.
Kat Wawer
Psychologist, MA, HCPC - Couns. Psych.
Verified Verified
Birmingham B17
I have been providing therapy to clients who have a wide range of life issues and problems for over 20 years. I work with individuals and couples from various social and cultural backgrounds. My areas of interest among others are depression and anxiety disorders, self-esteem, traumas, chronic health and relationship difficulties. I also offer vitality coaching sessions focusing on introducing positive changes in the areas of stress management, nutrition/weight, sleep and exercise. We will explore what is truly important to you and motivates you to overcome obstacles, create an action plan and go on a journey together.
I have been providing therapy to clients who have a wide range of life issues and problems for over 20 years. I work with individuals and couples from various social and cultural backgrounds. My areas of interest among others are depression and anxiety disorders, self-esteem, traumas, chronic health and relationship difficulties. I also offer vitality coaching sessions focusing on introducing positive changes in the areas of stress management, nutrition/weight, sleep and exercise. We will explore what is truly important to you and motivates you to overcome obstacles, create an action plan and go on a journey together.
Mariyam Farooq
Counsellor, MSc, MBACP
Verified Verified
Birmingham B8
As individuals we can sometimes encounter a range of difficulties and challenging times which can make it tough for us. Therefore, it is crucial to recognise when you need help in these times of difficulty. In therapy with me I will provide you a safe, non-judgemental space where you feel comfortable to talk about anything that is on your mind. I will offer you a safe empathetic space to come and speak to me about any emotions and thoughts that you are feeling. I am fully committed to providing a safe, non-judgemental, and confidential space where you can openly talk about anything that is on your mind.
As individuals we can sometimes encounter a range of difficulties and challenging times which can make it tough for us. Therefore, it is crucial to recognise when you need help in these times of difficulty. In therapy with me I will provide you a safe, non-judgemental space where you feel comfortable to talk about anything that is on your mind. I will offer you a safe empathetic space to come and speak to me about any emotions and thoughts that you are feeling. I am fully committed to providing a safe, non-judgemental, and confidential space where you can openly talk about anything that is on your mind.
Iolanda Gravagna
Counsellor, MBACP
Verified Verified
Birmingham B5
Hello! I’m Iolanda. I am an integrative, psychotherapeutic counsellor and I work with clients who are experiencing distress, anxiety, and issues in their relationships. If you're going through difficult changes, feeling stuck, or you're asking yourself what you really need and want, I may here to help. I have supported clients from diverse backgrounds and walks of life in finding their identity, their boundaries and their voice. My approach is warm and informal and I am very passionate about my work.
Hello! I’m Iolanda. I am an integrative, psychotherapeutic counsellor and I work with clients who are experiencing distress, anxiety, and issues in their relationships. If you're going through difficult changes, feeling stuck, or you're asking yourself what you really need and want, I may here to help. I have supported clients from diverse backgrounds and walks of life in finding their identity, their boundaries and their voice. My approach is warm and informal and I am very passionate about my work.
The Growth & Guidance Clinic
Psychotherapist, MSc
Verified Verified
Birmingham B1
My Name is Letoya Bailey and I consider myself an incredibly grateful person. Every day I get to do work that not only feels meaningful and fulfilling but also, to me, feels like nothing short of a calling. I believe wholeheartedly in the transformative power of the work of therapy and I consider it an honour to be able to support you on your journey. I work with the full range of mental health difficulties, from short term to those that are severe. Emotional struggles present themselves in many ways, for example, Depression, Anxiety and Relationship Difficulties.
My Name is Letoya Bailey and I consider myself an incredibly grateful person. Every day I get to do work that not only feels meaningful and fulfilling but also, to me, feels like nothing short of a calling. I believe wholeheartedly in the transformative power of the work of therapy and I consider it an honour to be able to support you on your journey. I work with the full range of mental health difficulties, from short term to those that are severe. Emotional struggles present themselves in many ways, for example, Depression, Anxiety and Relationship Difficulties.
Dr Chanae Mayers
Psychologist, HCPC - Clin. Psych.
Verified Verified
Birmingham B33 (Online Only)
I am a qualified Senior Clinical Psychologist and EMDR Therapist, registered with The Health and Care Professions Council (HCPC), British Psychological Society (BPS) and EMDR Academy. My mission as a psychologist is to help people build resilience, heal from past traumas, and develop healthy attachment relationships. I believe in the power of connection and the importance of seeking help when needed.
I am a qualified Senior Clinical Psychologist and EMDR Therapist, registered with The Health and Care Professions Council (HCPC), British Psychological Society (BPS) and EMDR Academy. My mission as a psychologist is to help people build resilience, heal from past traumas, and develop healthy attachment relationships. I believe in the power of connection and the importance of seeking help when needed.
Sara Salih
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Birmingham B12
Life can be challenging at times, and it's important to recognize when you need help. If you're feeling depressed, anxious, overwhelmed, or struggling with relationships, trauma, or grief, taking the step towards therapy is a courageous and vital move towards your well-being. In therapy with me, I will provide you with a safe and non-judgmental space where you can feel comfortable talking freely about what's on your mind.
Life can be challenging at times, and it's important to recognize when you need help. If you're feeling depressed, anxious, overwhelmed, or struggling with relationships, trauma, or grief, taking the step towards therapy is a courageous and vital move towards your well-being. In therapy with me, I will provide you with a safe and non-judgmental space where you can feel comfortable talking freely about what's on your mind.
Laura Chaisty
Psychotherapist, BPC
Verified Verified
Birmingham B14
Not accepting new clients
When emotional problems arise it can be difficult to know where to turn and pressures to cope can leave us isolated and desperate. There may be people around who offer their time but feelings of shame and fears can make it difficult to make use of them. It might be that there is no-one to speak to and problems originating in the past are getting in the way of you finding satisfaction in life. Traumas can remain unprocessed and present themselves in everyday life. Psychotherapy is a way of exploring oneself and relationships to try to make sense of the patterns and issues that are blocking you.
When emotional problems arise it can be difficult to know where to turn and pressures to cope can leave us isolated and desperate. There may be people around who offer their time but feelings of shame and fears can make it difficult to make use of them. It might be that there is no-one to speak to and problems originating in the past are getting in the way of you finding satisfaction in life. Traumas can remain unprocessed and present themselves in everyday life. Psychotherapy is a way of exploring oneself and relationships to try to make sense of the patterns and issues that are blocking you.
Irene Luque
Psychologist, MSc, GMBPsS
Verified Verified
Birmingham B1 (Online Only)
Do you feel you don’t have goals or you can’t achieve them although you have tried everything? Do you feel paralysed or overwhelmed facing certain situations? Do you feel everything is annoying or your anger, sadness or fear last for long time? Do you feel stuck with some thoughts and you can’t stop overthinking them? Do you see these features within a member of your family? I think everyone will feel like this over the course of our lives, even it can be adaptative. However, sometimes we can struggle to find clarity and understanding , at the same time that respect both ourselves and others.
Do you feel you don’t have goals or you can’t achieve them although you have tried everything? Do you feel paralysed or overwhelmed facing certain situations? Do you feel everything is annoying or your anger, sadness or fear last for long time? Do you feel stuck with some thoughts and you can’t stop overthinking them? Do you see these features within a member of your family? I think everyone will feel like this over the course of our lives, even it can be adaptative. However, sometimes we can struggle to find clarity and understanding , at the same time that respect both ourselves and others.
See more therapy options for Birmingham
How does your Counsellor compare?
Number of Counsellors in Birmingham
500+
Average cost per session
£60
Counsellors in Birmingham who prioritize treating:
93% | Anxiety |
89% | Depression |
85% | Self Esteem |
82% | Stress |
78% | Relationship Issues |
68% | Trauma and PTSD |
66% | Bereavement |
Average years in practice
10 Years
Top 3 insurances accepted
63% | Aviva |
57% | AXA PPP |
49% | Bupa |
How Counsellors in Birmingham see their clients
66% | In Person and Online | |
34% | Online Only |
Gender breakdown
73% | Female | |
26% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Birmingham?
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.