Counselling in BD18

Photo of Carol Metcalfe, Counsellor, MNCPS Acc.
Carol Metcalfe
Counsellor, MNCPS Acc.
Shipley BD18
I am a fully qualified Counsellor, i am an accredited member of the National Counselling Psychotherapy Society. (NCPS) I have always had a passion for helping others, and I have experience working with anxiety, depression, loss, bereavement and domestic abuse. I work with adults (18+) and my aim is to help clients overcome their struggles and develop self-understanding to enjoy a meaningful healthier, and happier future. I endeavour to create a safe space for clients to feel comfortable to be able to share things with me that are preventing them from moving forward.
I am a fully qualified Counsellor, i am an accredited member of the National Counselling Psychotherapy Society. (NCPS) I have always had a passion for helping others, and I have experience working with anxiety, depression, loss, bereavement and domestic abuse. I work with adults (18+) and my aim is to help clients overcome their struggles and develop self-understanding to enjoy a meaningful healthier, and happier future. I endeavour to create a safe space for clients to feel comfortable to be able to share things with me that are preventing them from moving forward.
01274 003807 View 01274 003807
Photo of Jemma Boocker, Counsellor, MBACP
Jemma Boocker
Counsellor, MBACP
Shipley BD18
I have a true passion for helping people escape the grip of anxiety, overwhelm and low self-esteem. Do you ever feel like your mind is so busy it might explode? Like you live in a constant state of worry and stress? Maybe relaxation feels impossible, or self-care leaves you feeling guilty instead of refreshed. Do you feel like your own worst enemy at times? Able to give time, care and compassion to others yet struggle to offer the same to yourself? I understand how difficult and lonely it can be to feel this way, but you are not alone and therapy can help.
I have a true passion for helping people escape the grip of anxiety, overwhelm and low self-esteem. Do you ever feel like your mind is so busy it might explode? Like you live in a constant state of worry and stress? Maybe relaxation feels impossible, or self-care leaves you feeling guilty instead of refreshed. Do you feel like your own worst enemy at times? Able to give time, care and compassion to others yet struggle to offer the same to yourself? I understand how difficult and lonely it can be to feel this way, but you are not alone and therapy can help.
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Photo of Keturah Leishman, Counsellor, MA, MBACP
Keturah Leishman
Counsellor, MA, MBACP
Shipley BD18
Welcome! I'm Keturah, a qualified children and young people's counsellor, and I'm passionate about creating a safe, nurturing space where every child can feel heard, valued, and supported. Working with children is more than a profession for me—it's a calling. I believe that every child has an innate capacity for healing and growth when given the right support and environment. Through gentle, child-led therapy, I help young people navigate their emotions, build resilience, and discover their own strength.
Welcome! I'm Keturah, a qualified children and young people's counsellor, and I'm passionate about creating a safe, nurturing space where every child can feel heard, valued, and supported. Working with children is more than a profession for me—it's a calling. I believe that every child has an innate capacity for healing and growth when given the right support and environment. Through gentle, child-led therapy, I help young people navigate their emotions, build resilience, and discover their own strength.
01274 041457 View 01274 041457
Photo of Hanah Ahmed, Psychotherapist, BACP
Hanah Ahmed
Psychotherapist, BACP
1 Endorsed
Shipley BD18
Therapy shouldn’t feel cold or clinical—it should feel like a space where you can exhale, feel supported, and start healing. I am a fully qualified therapist working with children, adults and young people. I provide support for a variety of challenges, including low mood, anxiety, trauma, self-esteem struggles, and relationship difficulties. I have experience working with neurodivergent clients. As a culturally sensitive therapist, I am particularly attuned to the unique experiences of Muslims in a western world, navigating faith, family expectations, and the balance between personal and cultural identities in a Western world.
Therapy shouldn’t feel cold or clinical—it should feel like a space where you can exhale, feel supported, and start healing. I am a fully qualified therapist working with children, adults and young people. I provide support for a variety of challenges, including low mood, anxiety, trauma, self-esteem struggles, and relationship difficulties. I have experience working with neurodivergent clients. As a culturally sensitive therapist, I am particularly attuned to the unique experiences of Muslims in a western world, navigating faith, family expectations, and the balance between personal and cultural identities in a Western world.
01274 015681 View 01274 015681
Photo of Gemma Thomas - Gemma - Navigating Minds Therapy, Psychotherapist, MNCPS Acc.
Gemma - Navigating Minds Therapy
Psychotherapist, MNCPS Acc.
Shipley BD18
I’m Gemma and I'm a qualified integrative therapist. I work with integrity, curiosity and care as the core values of my therapeutic practice. Because life is not predictable you could be seeking counselling for all sorts of reasons. Whether you're facing anxiety, ADHD or other neurodiversity, low self-esteem, workplace stress, identity questions, grief and loss, or just need to talk so you can try and understand what's going on. I am a qualified, professional therapist and will be alongside as you explore and untangle whatever has bought you to therapy. Sessions will be tailored around your individual needs and goals.
I’m Gemma and I'm a qualified integrative therapist. I work with integrity, curiosity and care as the core values of my therapeutic practice. Because life is not predictable you could be seeking counselling for all sorts of reasons. Whether you're facing anxiety, ADHD or other neurodiversity, low self-esteem, workplace stress, identity questions, grief and loss, or just need to talk so you can try and understand what's going on. I am a qualified, professional therapist and will be alongside as you explore and untangle whatever has bought you to therapy. Sessions will be tailored around your individual needs and goals.
01274 003591 View 01274 003591
Photo of Sean Dobiech, Counsellor, MNCPS Acc.
Sean Dobiech
Counsellor, MNCPS Acc.
Shipley BD18
Hello, my name is Sean. I am a person-centred therapist. Accredited by the National Counselling and Psychotherapy Society. I have experience in counselling adults and young people as well as 11 years’ experience supporting people with mental health difficulties. I know that life can bring challenges that can be understood better through sharing with a skilled listener. I also know that it is very difficult to reach out and ask to be heard. Baring this in mind, I offer a friendly, non-judgmental, and confidential space where you can explore your emotions and experiences.
Hello, my name is Sean. I am a person-centred therapist. Accredited by the National Counselling and Psychotherapy Society. I have experience in counselling adults and young people as well as 11 years’ experience supporting people with mental health difficulties. I know that life can bring challenges that can be understood better through sharing with a skilled listener. I also know that it is very difficult to reach out and ask to be heard. Baring this in mind, I offer a friendly, non-judgmental, and confidential space where you can explore your emotions and experiences.
01274 015287 View 01274 015287
Photo of Sam Keeley, Psychotherapist, MSc, GMBPsS
Sam Keeley
Psychotherapist, MSc, GMBPsS
Shipley BD18
I offer a wide range of evidence-based psychological assessments and interventions for children, adults and families. I can support parents who are worried about their children's difficulties, I can help adults and children who may struggle with emotional regulation, aggression, self-injury, depression, anxiety, harmful sexual behaviour, trauma, and attachment difficulties.
I offer a wide range of evidence-based psychological assessments and interventions for children, adults and families. I can support parents who are worried about their children's difficulties, I can help adults and children who may struggle with emotional regulation, aggression, self-injury, depression, anxiety, harmful sexual behaviour, trauma, and attachment difficulties.
01274 041573 View 01274 041573
Photo of Anna Burnham, Psychotherapist, BPC
Anna Burnham
Psychotherapist, BPC
Shipley BD18
Whether you're looking for help with a specific issue such as a phobia, situation related anxiety, pervasive low mood or generalised anxiety, or are just looking for someone to hear and understand your difficulties with compassion and skill, my 20 year experience of working with all kinds of people, with all sorts of life issues has equipped me to witness, understand and help with your distress. I qualified as a psychodynamic psychotherapist 8 years ago and have a core training as a mental health nurse. I am also an EMDR therapist, and as a result, I can offer therapy that is responsive to your needs. I am trained in Reiki too.
Whether you're looking for help with a specific issue such as a phobia, situation related anxiety, pervasive low mood or generalised anxiety, or are just looking for someone to hear and understand your difficulties with compassion and skill, my 20 year experience of working with all kinds of people, with all sorts of life issues has equipped me to witness, understand and help with your distress. I qualified as a psychodynamic psychotherapist 8 years ago and have a core training as a mental health nurse. I am also an EMDR therapist, and as a result, I can offer therapy that is responsive to your needs. I am trained in Reiki too.
01274 015944 View 01274 015944
Photo of Marta Kurowska-Barnett, Psychotherapist, MBACP
Marta Kurowska-Barnett
Psychotherapist, MBACP
Shipley BD18
I work with adults aged 18+ who are experiencing anxiety, depression, low self-esteem, relationship or attachment difficulties, trauma, domestic abuse, grief, and major life changes. If you’re feeling stuck in repeating patterns, overwhelmed, disconnected, or unsure how to move forward, we’ll explore together how these challenges affect your life and process your experiences in a safe, supportive way. Therapy with me can help you build self-awareness and more fulfilling ways of relating to yourself and others, while also providing tools to strengthen confidence, emotional resilience, and clarity.
I work with adults aged 18+ who are experiencing anxiety, depression, low self-esteem, relationship or attachment difficulties, trauma, domestic abuse, grief, and major life changes. If you’re feeling stuck in repeating patterns, overwhelmed, disconnected, or unsure how to move forward, we’ll explore together how these challenges affect your life and process your experiences in a safe, supportive way. Therapy with me can help you build self-awareness and more fulfilling ways of relating to yourself and others, while also providing tools to strengthen confidence, emotional resilience, and clarity.
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Photo of Rosie Sharp, Counsellor, MBACP
Rosie Sharp
Counsellor, MBACP
1 Endorsed
Serves Area
Hello, I'm Rosie, a registered and experienced person-centred counsellor specialising in anxiety, depression and relationship issues. I work online or in person in the Bingley and Shipley area with a particular focus on self compassion and positive action. Welcome to my page and well done for making what can be a difficult first step. Something isn't working for you and you want it to change. Perhaps you’re at a crossroads, perhaps there are things in your past that are affecting your present. Whatever brings you to this point, I passionately believe that when the student is ready, the teacher appears, and that change is possible.
Hello, I'm Rosie, a registered and experienced person-centred counsellor specialising in anxiety, depression and relationship issues. I work online or in person in the Bingley and Shipley area with a particular focus on self compassion and positive action. Welcome to my page and well done for making what can be a difficult first step. Something isn't working for you and you want it to change. Perhaps you’re at a crossroads, perhaps there are things in your past that are affecting your present. Whatever brings you to this point, I passionately believe that when the student is ready, the teacher appears, and that change is possible.
01535 282595 View 01535 282595
Photo of Lauren Fretwell - connect 2 emdr, Psychotherapist, MA
connect 2 emdr
Psychotherapist, MA
Serves Area
Hi, I'm Lauren a trauma therapist specalising in EMDR psychotherapy. EMDR is now the front line treatment for PTSD. It can be used to treat single traumas, For example a road traffic accident, multiple traumas, veterans and abuse survivors. EMDR is hugley succesful at treating a range of mental health issues (anxiety, low mood, poor sleep, self harm, self esteem, self sabotage behaviours and many more). For some starting therapy can be extremely daunting. Together we will develop a plan and pace that suits you.
Hi, I'm Lauren a trauma therapist specalising in EMDR psychotherapy. EMDR is now the front line treatment for PTSD. It can be used to treat single traumas, For example a road traffic accident, multiple traumas, veterans and abuse survivors. EMDR is hugley succesful at treating a range of mental health issues (anxiety, low mood, poor sleep, self harm, self esteem, self sabotage behaviours and many more). For some starting therapy can be extremely daunting. Together we will develop a plan and pace that suits you.
01484 627683 View 01484 627683
Photo of Shabana Shafiq - New Dawn Psychological Therapies, Psychologist, PhD, GMBPsS
New Dawn Psychological Therapies
Psychologist, PhD, GMBPsS
Serves Area
Thank you for visiting New Dawn Psychological Therapies profile. Are you feeling overwhelmed? Struggling to manage stress, anxiety, depression or cope with past trauma? You're not alone. If you feel like you're barely keeping your head above water, I'm here to help. As a psychologist and counsellor therapist, I recognise that life is not linear. We are all on a journey towards realising our full potential however, this journey can often be hindered by negative life experiences outside of our control. But please know, you are a unique individual of worth, and it is possible to heal, energise, and become aware of your inner strengths.
Thank you for visiting New Dawn Psychological Therapies profile. Are you feeling overwhelmed? Struggling to manage stress, anxiety, depression or cope with past trauma? You're not alone. If you feel like you're barely keeping your head above water, I'm here to help. As a psychologist and counsellor therapist, I recognise that life is not linear. We are all on a journey towards realising our full potential however, this journey can often be hindered by negative life experiences outside of our control. But please know, you are a unique individual of worth, and it is possible to heal, energise, and become aware of your inner strengths.
0113 519 1877 View 0113 519 1877
Photo of Robert Cavalleri - Gateway Counselling, Counsellor, MBACP
Gateway Counselling
Counsellor, MBACP
Serves Area
Whether you are finding it difficult to cope, would like support for a specific issue or are feeling stuck, therapy can offer you a safe, confidential space to explore difficulties with the help of a professional trained to listen and respond in an insightful, non-judgmental and caring way. You do not need to be in crisis to benefit from therapy, although it is fine if you are. Working together we can address the issue which you bring while gaining greater self-awareness and self-acceptance so you can make meaningful and enduring changes in your life. I offer counselling in Bingley and online.
Whether you are finding it difficult to cope, would like support for a specific issue or are feeling stuck, therapy can offer you a safe, confidential space to explore difficulties with the help of a professional trained to listen and respond in an insightful, non-judgmental and caring way. You do not need to be in crisis to benefit from therapy, although it is fine if you are. Working together we can address the issue which you bring while gaining greater self-awareness and self-acceptance so you can make meaningful and enduring changes in your life. I offer counselling in Bingley and online.
01274 019960 View 01274 019960
Photo of Gurchehn Singh, Psychotherapist, MA, MBACP
Gurchehn Singh
Psychotherapist, MA, MBACP
Serves Area
My name is Gurchehn, I am a Counsellor/Psychotherapist. I offer therapy for anxiety, depression, low mood and relationship issues. I believe life can be a rollercoaster but within the challenges we face, we can have the ability to grow and develop. My background - I was born and raised in a traditional Punjabi household and have an understanding of cultural limitations. I found my passion supporting and empowering others whilst working as a case worker to support carers. I believe life can be a rollercoaster but within the challenges we face, we can have the ability to grow and develop.
My name is Gurchehn, I am a Counsellor/Psychotherapist. I offer therapy for anxiety, depression, low mood and relationship issues. I believe life can be a rollercoaster but within the challenges we face, we can have the ability to grow and develop. My background - I was born and raised in a traditional Punjabi household and have an understanding of cultural limitations. I found my passion supporting and empowering others whilst working as a case worker to support carers. I believe life can be a rollercoaster but within the challenges we face, we can have the ability to grow and develop.
0113 519 5366 View 0113 519 5366
Photo of Janina Grimshaw, Counsellor, MBACP
Janina Grimshaw
Counsellor, MBACP
Serves Area
Hi, my name’s Janina and I am a fully qualified therapist offering in-person counselling in the centre of Leeds, Ilkley and Saltaire, as well as online counselling to people across the UK. You may be looking for support to process difficult events, time to explore your own sense of identity, or space to allow your feelings to be heard. Taking the decision to start counselling can be a difficult and daunting step and my priority is to ensure we work together at a pace that feels right for you. As every person is unique, every therapeutic relationship is too, so the way we work together will be individual to you.
Hi, my name’s Janina and I am a fully qualified therapist offering in-person counselling in the centre of Leeds, Ilkley and Saltaire, as well as online counselling to people across the UK. You may be looking for support to process difficult events, time to explore your own sense of identity, or space to allow your feelings to be heard. Taking the decision to start counselling can be a difficult and daunting step and my priority is to ensure we work together at a pace that feels right for you. As every person is unique, every therapeutic relationship is too, so the way we work together will be individual to you.
0113 519 0564 View 0113 519 0564
Photo of Brian Padden, Counsellor, MA, BACP
Brian Padden
Counsellor, MA, BACP
2 Endorsed
Serves Area
I'm a counsellor with years of experience working with children, teenagers and young people as well as adults. I use a range of different counselling styles to help you with your issues in a way that works for you. I work in a non-judgemental way to help you untangle and unlock your issues. Often emotions and behaviours are caused by unknown and unmet needs. I work in a supportive person-centred way to help you to find whatever it is that makes you angry, worried, stressed, lacking in confidence and any other unwanted feeling. With support you will be able to change these negative feelings and find control over your emotions.
I'm a counsellor with years of experience working with children, teenagers and young people as well as adults. I use a range of different counselling styles to help you with your issues in a way that works for you. I work in a non-judgemental way to help you untangle and unlock your issues. Often emotions and behaviours are caused by unknown and unmet needs. I work in a supportive person-centred way to help you to find whatever it is that makes you angry, worried, stressed, lacking in confidence and any other unwanted feeling. With support you will be able to change these negative feelings and find control over your emotions.
01535 286045 View 01535 286045
Photo of Spencer Bridge, Psychotherapist, MBACP
Spencer Bridge
Psychotherapist, MBACP
1 Endorsed
Online Only
Reaching out can be difficult. Maybe you feel stuck, anxious, unsettled, lost your way, or uncomfortable with whom you have become. The difficulties within our lives can change who we are or how we see the world. It can lead to thoughts or behaviours that take us away from who we are, resulting in a feeling of something not being right, struggling to cope or to make sense of things. When entering therapy, our life experiences enter too, and healing occurs within the processing. We will work together to build trust and explore your emotions and thoughts within a non-judgemental and safe environment, working at your own pace.
Reaching out can be difficult. Maybe you feel stuck, anxious, unsettled, lost your way, or uncomfortable with whom you have become. The difficulties within our lives can change who we are or how we see the world. It can lead to thoughts or behaviours that take us away from who we are, resulting in a feeling of something not being right, struggling to cope or to make sense of things. When entering therapy, our life experiences enter too, and healing occurs within the processing. We will work together to build trust and explore your emotions and thoughts within a non-judgemental and safe environment, working at your own pace.
01274 015347 View 01274 015347
Photo of Rachel Kaye, Counsellor, MBACP
Rachel Kaye
Counsellor, MBACP
Online Only
The world can be a hard place for people who feel a lot. You might have been told you’re too sensitive or too much. I provide trauma-informed, LGBTQ+ affirmative therapy for people who have always felt different in some way. There’s space for you to put down who you've been told you 'should' be and come as you are. You might be struggling with anxiety, relationships or an over-active inner critic. My own journey has given me proof that change is always possible. Together, we’ll work to overcome the things that have been holding you back so you can start to feel better.
The world can be a hard place for people who feel a lot. You might have been told you’re too sensitive or too much. I provide trauma-informed, LGBTQ+ affirmative therapy for people who have always felt different in some way. There’s space for you to put down who you've been told you 'should' be and come as you are. You might be struggling with anxiety, relationships or an over-active inner critic. My own journey has given me proof that change is always possible. Together, we’ll work to overcome the things that have been holding you back so you can start to feel better.
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Anna - AS Holistic Counselling
Counsellor, MBACP
Shipley BD18
01274 015357 View 01274 015357

More Therapists Nearby

Photo of Chris Madden, Counsellor, MBACP
Chris Madden
Counsellor, MBACP
1 Endorsed
Leeds LS1
Hello, my name is Chris. I’m an experienced Integrative Counselling Psychotherapist (bit of a tongue twister) which essentially means that I will offer you a confidential, safe & non-judgemental space to explore whatever brings you to therapy. I will accept you for who you are, seeing the world through your eyes. I will really hear you, offering the time to find the answers you are looking for. I will not tell you what to do or who you should be but I will encourage you explore & navigate towards new insights & perspectives which can bring about a better way of relating to yourself and others. I work with individuals & couples.
Hello, my name is Chris. I’m an experienced Integrative Counselling Psychotherapist (bit of a tongue twister) which essentially means that I will offer you a confidential, safe & non-judgemental space to explore whatever brings you to therapy. I will accept you for who you are, seeing the world through your eyes. I will really hear you, offering the time to find the answers you are looking for. I will not tell you what to do or who you should be but I will encourage you explore & navigate towards new insights & perspectives which can bring about a better way of relating to yourself and others. I work with individuals & couples.
0113 467 8440 View 0113 467 8440

How does your Counsellor compare?

Number of Counsellors in BD18

10+

Average cost per session

£55

Counsellors in BD18 who prioritize treating:

95% Anxiety
89% Depression
89% Stress
79% Relationship Issues
79% Self Esteem
68% Coping Skills
63% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

50% Other
50% AXA PPP
50% Bupa

How Counsellors in BD18 see their clients

89% In Person and Online
11% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counselling

How can I find a therapist in BD18?

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.