Counselling in Manchester

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Photo of Salmaa Timol, Counsellor in Manchester, England
Salmaa Timol
Counsellor, MSc, MBACP
Verified Verified
Manchester M2
At any stage in life, we can experience changes or moments where it becomes difficult to cope with our thoughts and feelings. This can result in feeling stuck and not knowing how to process what we're experiencing. What can make this more difficult is knowing who or how to open up to others or feeling like what you're experiencing is too much for someone to understand. Having a therapist allows you to share all parts of you, parts that are accepted wholeheartedly without shame or judgement, which may not feel possible even with those you feel closest to.
At any stage in life, we can experience changes or moments where it becomes difficult to cope with our thoughts and feelings. This can result in feeling stuck and not knowing how to process what we're experiencing. What can make this more difficult is knowing who or how to open up to others or feeling like what you're experiencing is too much for someone to understand. Having a therapist allows you to share all parts of you, parts that are accepted wholeheartedly without shame or judgement, which may not feel possible even with those you feel closest to.
01707 246829 View 01707 246829
Photo of Howie Martinez: Individual & Group Therapy, Psychotherapist in Manchester, England
Howie Martinez: Individual & Group Therapy
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
Manchester M21
By clicking on my page, you've taken a significant step. Acknowledging the need for support can be daunting, yet it marks the beginning of your journey towards the best version of yourself. Life's complexities may leave you feeling stuck, overwhelmed by emotions, unsure of your next move – that's ok. Perhaps you aspire to live more fully or break free from unproductive patterns – this is ok, too. My approach comes from an "I'm Ok, You're Ok" place, fostering mutual respect and confidence in your capabilities. I trust in your ability to navigate change. Central to my work is the belief that you deserve be seen and heard.
By clicking on my page, you've taken a significant step. Acknowledging the need for support can be daunting, yet it marks the beginning of your journey towards the best version of yourself. Life's complexities may leave you feeling stuck, overwhelmed by emotions, unsure of your next move – that's ok. Perhaps you aspire to live more fully or break free from unproductive patterns – this is ok, too. My approach comes from an "I'm Ok, You're Ok" place, fostering mutual respect and confidence in your capabilities. I trust in your ability to navigate change. Central to my work is the belief that you deserve be seen and heard.
0161 509 6605 View 0161 509 6605
Photo of Jed Bridge, Counsellor in Manchester, England
Jed Bridge
Counsellor, MBACP
Verified Verified
1 Endorsed
Manchester M3
Hello; I am an experienced therapist committed to your growth and helping you navigate a range of challenges and life issues. I believe that with the right support, most of us can make changes to improve our situation, recover our 'mojo', and find answers or peace of mind. Are there areas in your life you’re finding difficult, or where you feel overwhelmed, stuck or lacking in fulfilment? These might include: relationship/trust issues; managing anxiety and stress; improving your self-esteem; navigating life changes or difficult experiences? Or, maybe you'd like some support in your journey of self-discovery and personal development?
Hello; I am an experienced therapist committed to your growth and helping you navigate a range of challenges and life issues. I believe that with the right support, most of us can make changes to improve our situation, recover our 'mojo', and find answers or peace of mind. Are there areas in your life you’re finding difficult, or where you feel overwhelmed, stuck or lacking in fulfilment? These might include: relationship/trust issues; managing anxiety and stress; improving your self-esteem; navigating life changes or difficult experiences? Or, maybe you'd like some support in your journey of self-discovery and personal development?
01707 240930 View 01707 240930
Photo of Dr Hoyin Chan, Psychologist in Manchester, England
Dr Hoyin Chan
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Manchester M1
I am a Principal Clinical Psychologist and have worked in various mental health services in the NHS for over 20 years. I have worked in various clinical health services, including burns and plastics, respiratory, cancer and HIV services. I am trained in EMDR, CBT, CFT and ACT. I am passionate in working with people presenting with life-changing physical health conditions and their related psychological trauma. We will work together addressing your psychological needs, ranging from unmanageable stress to childhood trauma, to being stuck in patterns of unsuccessful or broken relationships, in addition to depression and anxiety.
I am a Principal Clinical Psychologist and have worked in various mental health services in the NHS for over 20 years. I have worked in various clinical health services, including burns and plastics, respiratory, cancer and HIV services. I am trained in EMDR, CBT, CFT and ACT. I am passionate in working with people presenting with life-changing physical health conditions and their related psychological trauma. We will work together addressing your psychological needs, ranging from unmanageable stress to childhood trauma, to being stuck in patterns of unsuccessful or broken relationships, in addition to depression and anxiety.
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Photo of Amna Rahim, Counsellor in Manchester, England
Amna Rahim
Counsellor, MSc, MBACP
Verified Verified
Manchester M30  (Online Only)
Hey, thank you for exploring my page. If you're struggling with anxiety, low self-esteem, and the complex balance of cultural expectations, whether from Western or other diverse backgrounds, I'm here to provide the support you need. My knowledge is dedicated to guiding individuals through the challenges of anxiety and self-discovery in our diverse world.
Hey, thank you for exploring my page. If you're struggling with anxiety, low self-esteem, and the complex balance of cultural expectations, whether from Western or other diverse backgrounds, I'm here to provide the support you need. My knowledge is dedicated to guiding individuals through the challenges of anxiety and self-discovery in our diverse world.
0161 694 8109 View 0161 694 8109
Photo of PG Psychotherapy, Psychotherapist in Manchester, England
PG Psychotherapy
Psychotherapist, UKCP Trainee
Verified Verified
1 Endorsed
Manchester M21
Do you feel overwhelmed? Stuck? Overly anxious? Looking for a healthier work/life balance? I work with individuals on a whole range of different issues, such as anxiety, low mood, stress, relationship issues, and unhealthy patterns of behaviour. People turn to therapy, usually, when they find that they are stuck: either not knowing what to do next, or how to get out of unhelpful repetitive situations.
Do you feel overwhelmed? Stuck? Overly anxious? Looking for a healthier work/life balance? I work with individuals on a whole range of different issues, such as anxiety, low mood, stress, relationship issues, and unhealthy patterns of behaviour. People turn to therapy, usually, when they find that they are stuck: either not knowing what to do next, or how to get out of unhelpful repetitive situations.
0161 694 6315 View 0161 694 6315
Photo of KLW Counselling, Psychotherapist in Manchester, England
KLW Counselling
Psychotherapist, MBACP
Verified Verified
Manchester M20
Life, either current or past, can throw up many challenges and difficulties that could be more manageable with support. Whatever may be troubling you or causing you stress or distress, talking therapy can be an important tool to help explore these issues and navigate a path to peace.
Life, either current or past, can throw up many challenges and difficulties that could be more manageable with support. Whatever may be troubling you or causing you stress or distress, talking therapy can be an important tool to help explore these issues and navigate a path to peace.
0161 524 1300 View 0161 524 1300
Photo of Mark Hamlin, Psychotherapist in Manchester, England
Mark Hamlin
Psychotherapist, MUKCP
Verified Verified
Manchester M21
Are you struggling with something difficult in your life and need some support? I offer a space where you can be yourself, supporting you to find new ways to explore what's important. I am passionate about what I do, by the changes in behaviour, insights and new perspectives experienced by my clients. I'm a registered trainee Psychotherapist accredited by the UKCP and registered with the Gender Intelligence Network for Therapists and Counsellors.
Are you struggling with something difficult in your life and need some support? I offer a space where you can be yourself, supporting you to find new ways to explore what's important. I am passionate about what I do, by the changes in behaviour, insights and new perspectives experienced by my clients. I'm a registered trainee Psychotherapist accredited by the UKCP and registered with the Gender Intelligence Network for Therapists and Counsellors.
0161 509 6314 View 0161 509 6314
Photo of Adele King, Counsellor in Manchester, England
Adele King
Counsellor, MBACP
Verified Verified
Manchester M21
If you are feeling overwhelmed with anxiety or having stress in your relationships, daily life can seem very hard. Low mood and sadness could leave you feeling lonely or even isolated. Perhaps you find yourself putting on a pretence that everything is okay, when the reality is very different. You might be unclear about what is troubling you. As an experienced counsellor, I provide affordable therapy in a confidential, safe environment, helping you make sense of how you’re feeling. Counselling can also give you practical ways of coping; I will work at your pace during sessions so that you feel truly heard and accepted, not judged.
If you are feeling overwhelmed with anxiety or having stress in your relationships, daily life can seem very hard. Low mood and sadness could leave you feeling lonely or even isolated. Perhaps you find yourself putting on a pretence that everything is okay, when the reality is very different. You might be unclear about what is troubling you. As an experienced counsellor, I provide affordable therapy in a confidential, safe environment, helping you make sense of how you’re feeling. Counselling can also give you practical ways of coping; I will work at your pace during sessions so that you feel truly heard and accepted, not judged.
0161 850 7431 View 0161 850 7431
Photo of Berny Sansome, Psychotherapist in Manchester, England
Berny Sansome
Psychotherapist, MBACP
Verified Verified
2 Endorsed
Manchester M2
If you are experiencing anxiety, have family struggles, feeling sad or low, or finding the current economic or climate crisis overwhelming counselling may help. If you are struggling to process bereavement or loss, counselling can help. I keep you, the client, at the centre of the therapeutic relationship. Counselling can be daunting, and sometimes you may not know what to expect. Working with me, you will find a safe, confidential, non-judgemental space where you can work at your pace, and be truly heard whether we meet face to face, via video counselling, or Walk & Talk. I work within the BACP Ethical Framework.
If you are experiencing anxiety, have family struggles, feeling sad or low, or finding the current economic or climate crisis overwhelming counselling may help. If you are struggling to process bereavement or loss, counselling can help. I keep you, the client, at the centre of the therapeutic relationship. Counselling can be daunting, and sometimes you may not know what to expect. Working with me, you will find a safe, confidential, non-judgemental space where you can work at your pace, and be truly heard whether we meet face to face, via video counselling, or Walk & Talk. I work within the BACP Ethical Framework.
0161 696 8223 View 0161 696 8223
Photo of Philipp C. Berkovits, Psychotherapist in Manchester, England
Philipp C. Berkovits
Psychotherapist, MBACP Accred
Verified Verified
Manchester M25
Choosing a therapist can be a tricky task, there are just so many! Perhaps taking a moment to pause and check inwardly for a 'felt sense' about a potential match may help you decide. This experiential practice is known as 'focusing'. I frequently invite my clients to pause and check for a bodily felt sense as I believe talking about a problem is not always enough. My approach to psychotherapy is integrative, drawing on humanistic, cognitive (CBT) and Internal Family Systems Therapy (IFS). I am also currently training in EMDR therapy.
Choosing a therapist can be a tricky task, there are just so many! Perhaps taking a moment to pause and check inwardly for a 'felt sense' about a potential match may help you decide. This experiential practice is known as 'focusing'. I frequently invite my clients to pause and check for a bodily felt sense as I believe talking about a problem is not always enough. My approach to psychotherapy is integrative, drawing on humanistic, cognitive (CBT) and Internal Family Systems Therapy (IFS). I am also currently training in EMDR therapy.
0161 524 1364 View 0161 524 1364
Photo of Chloe Brew Counselling, Counsellor in Manchester, England
Chloe Brew Counselling
Counsellor, MBACP
Verified Verified
Manchester M21
Not accepting new clients
Self-criticism can feel like it’s on a painful, repeating loop. You might find you are telling yourself that you are not good enough, or boring, ugly or fat. Far from motivating you, it’s my belief that punishing yourself in this way actually limits your choices and actions and keeps you stuck. Quite simply, talking to yourself in a mean way doesn’t get you anywhere. Talking to another person, and opening up about this habit can really help.
Self-criticism can feel like it’s on a painful, repeating loop. You might find you are telling yourself that you are not good enough, or boring, ugly or fat. Far from motivating you, it’s my belief that punishing yourself in this way actually limits your choices and actions and keeps you stuck. Quite simply, talking to yourself in a mean way doesn’t get you anywhere. Talking to another person, and opening up about this habit can really help.
0161 696 0968 View 0161 696 0968
Photo of Mental-health4u in Manchester, England
Mental-health4u
MA
Verified Verified
1 Endorsed
Manchester M29  (Online Only)
Hi, I’m Elle, I’m the lead therapist at Mental-Health4u. I’m a mental health and neurodivergent therapist with over 10 years of experience. I pride myself on being a warm and caring practitioner who is never afraid to go the extra mile. I can provide support with different mental health concerns including: anxiety, panic attacks, OCD, low mood, difficulties with emotional regulation and self harm. The only thing I would require is a motivation from you to work on your mental health.
Hi, I’m Elle, I’m the lead therapist at Mental-Health4u. I’m a mental health and neurodivergent therapist with over 10 years of experience. I pride myself on being a warm and caring practitioner who is never afraid to go the extra mile. I can provide support with different mental health concerns including: anxiety, panic attacks, OCD, low mood, difficulties with emotional regulation and self harm. The only thing I would require is a motivation from you to work on your mental health.
01942 559703 View 01942 559703
Photo of James Alastair King, Counsellor in Manchester, England
James Alastair King
Counsellor, MBACP
Verified Verified
Manchester M3
Although I regularly work with clients of all ages and genders, the majority of my clients tend to be young men, who have unresolved feelings or experiences which are impacting on their daily lives. I work as an integrative counsellor, from a person-centred perspective. This means that you can bring whatever you wish to the session, while we work at your pace and depth. I employ theory and techniques from CBT, psychodynamic and other therapeutic philosophies which I feel may be useful. Where we start is not the important thing as ultimately, you will naturally discover the things that matter the most to you.
Although I regularly work with clients of all ages and genders, the majority of my clients tend to be young men, who have unresolved feelings or experiences which are impacting on their daily lives. I work as an integrative counsellor, from a person-centred perspective. This means that you can bring whatever you wish to the session, while we work at your pace and depth. I employ theory and techniques from CBT, psychodynamic and other therapeutic philosophies which I feel may be useful. Where we start is not the important thing as ultimately, you will naturally discover the things that matter the most to you.
0161 509 6177 View 0161 509 6177
Photo of Rebecca Smith, Counsellor in Manchester, England
Rebecca Smith
Counsellor, BACP
Verified Verified
Manchester M27  (Online Only)
Waitlist for new clients
Firstly, I’m so glad you’re taking this step. I know how scary it can feel to reach out when you’re depressed, anxious, traumatised, stressed – or however it is you’re feeling right now. Whether you’re struggling with longstanding circumstances, reeling from a recent event, or you’re confused with your emotions … you’re doing the right thing by seeking help. As a fully qualified counsellor to post-graduate degree level, and a registered member of the BACP, I believe the best therapy is open, honest and human.
Firstly, I’m so glad you’re taking this step. I know how scary it can feel to reach out when you’re depressed, anxious, traumatised, stressed – or however it is you’re feeling right now. Whether you’re struggling with longstanding circumstances, reeling from a recent event, or you’re confused with your emotions … you’re doing the right thing by seeking help. As a fully qualified counsellor to post-graduate degree level, and a registered member of the BACP, I believe the best therapy is open, honest and human.
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Photo of Joseph Sheridan-Ruddy, Counsellor in Manchester, England
Joseph Sheridan-Ruddy
Counsellor, MBACP
Verified Verified
Manchester M1
Are you an LGBTQ+ person and looking to gain some clarity in life? Are you struggling with your romantic relationships or trying to make sense of your past? You might find that you feel isolated, alone and are missing out on connections with loved ones. These difficult feelings can cloud the parts of your life which should bring you joy; this unhappiness can lead to further disconnect with those around us.
Are you an LGBTQ+ person and looking to gain some clarity in life? Are you struggling with your romantic relationships or trying to make sense of your past? You might find that you feel isolated, alone and are missing out on connections with loved ones. These difficult feelings can cloud the parts of your life which should bring you joy; this unhappiness can lead to further disconnect with those around us.
0161 850 8472 View 0161 850 8472
Photo of Al Constant, Counsellor in Manchester, England
Al Constant
Counsellor, PhD, MBACP
Verified Verified
Manchester M18
Sometimes life can get on top of you, and feels more difficult than it should. You may be feeling stuck, unfulfilled, or unable to connect fully with those around you. I will support you to work through these feelings, understanding and accepting where you are right now, and exploring what you might want to do to move forward. I provide a safe, warm and non-judgemental environment where you feel valued and heard; a supportive space where you have the opportunity to talk about your life and experiences. working through things at your own pace.
Sometimes life can get on top of you, and feels more difficult than it should. You may be feeling stuck, unfulfilled, or unable to connect fully with those around you. I will support you to work through these feelings, understanding and accepting where you are right now, and exploring what you might want to do to move forward. I provide a safe, warm and non-judgemental environment where you feel valued and heard; a supportive space where you have the opportunity to talk about your life and experiences. working through things at your own pace.
0161 543 1097 View 0161 543 1097
Photo of Dr Shoaib Psychology Practice Ltd, Psychologist in Manchester, England
Dr Shoaib Psychology Practice Ltd
Psychologist, PsychD, CPsychol
Verified Verified
Manchester M21
I'm Dr Sohbia Shoaib a highly skilled Chartered Psychologist with over 20 years working experience in mental health. In the NHS, forensic and private sector. I am trained in a range of interventions including Schema Therapy, EMDR, DBT and CBT. I have expertise in completing a full range of assessments and interventions for clients who present from mild to severe/ complex mental health problems and psychological presentations e.g., trauma, anxiety, depression, anger, stress, burnout, interpersonal difficulties and emotional dysregulation, personality disorder, substance misuse, bipolar, psychosis.
I'm Dr Sohbia Shoaib a highly skilled Chartered Psychologist with over 20 years working experience in mental health. In the NHS, forensic and private sector. I am trained in a range of interventions including Schema Therapy, EMDR, DBT and CBT. I have expertise in completing a full range of assessments and interventions for clients who present from mild to severe/ complex mental health problems and psychological presentations e.g., trauma, anxiety, depression, anger, stress, burnout, interpersonal difficulties and emotional dysregulation, personality disorder, substance misuse, bipolar, psychosis.
0161 524 5114 View 0161 524 5114
Photo of Catherine Mantack, Counsellor in Manchester, England
Catherine Mantack
Counsellor, MBACP
Verified Verified
Manchester M22
Hi, welcome to my page and thank you for taking the time to read my profile, you’ve made the first step of getting help which is always the hardest, be proud of yourself for starting your journey. My name’s Catherine and I am a person-centred counsellor, which means I take my lead from you as I believe you are the expert on yourself. I also draw on other modalities of therapy and counselling to tailor my approach to your individual needs. We will explore together from whatever part of your journey you are on, I'd like to help you discover more choice in how you respond to situations and more movement in places you might feel stuck
Hi, welcome to my page and thank you for taking the time to read my profile, you’ve made the first step of getting help which is always the hardest, be proud of yourself for starting your journey. My name’s Catherine and I am a person-centred counsellor, which means I take my lead from you as I believe you are the expert on yourself. I also draw on other modalities of therapy and counselling to tailor my approach to your individual needs. We will explore together from whatever part of your journey you are on, I'd like to help you discover more choice in how you respond to situations and more movement in places you might feel stuck
0161 524 6970 View 0161 524 6970
Photo of Equa, Counsellor in Manchester, England
Equa
Counsellor, MSc, MBACP
Verified Verified
Manchester M1  (Online Only)
I'm a Person Centred Diversity-Affirming Counsellor and have extensive experience in working successfully with people to overcome relationship/s and family problems caused by anxiety, depression, low self esteem, trauma and abuse. Whether it's a relationship break up, cheating, jealousy, frequent arguments, lack of trust, poor communication, fear of rejection and abandonment, navigating polyamory, coming out, explaining ADHD or Autism to your partner/s, friends and family, the list goes on.
I'm a Person Centred Diversity-Affirming Counsellor and have extensive experience in working successfully with people to overcome relationship/s and family problems caused by anxiety, depression, low self esteem, trauma and abuse. Whether it's a relationship break up, cheating, jealousy, frequent arguments, lack of trust, poor communication, fear of rejection and abandonment, navigating polyamory, coming out, explaining ADHD or Autism to your partner/s, friends and family, the list goes on.
0161 524 4320 View 0161 524 4320

See more therapy options for Manchester

How does your Counsellor compare?

Number of Counsellors in Manchester

800+

Average cost per session

£60

Counsellors in Manchester who prioritize treating:

91% Anxiety
87% Depression
84% Self Esteem
81% Stress
78% Relationship Issues
67% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

63% Aviva
58% AXA PPP
46% Vitality

How Counsellors in Manchester see their clients

64% In Person and Online
36% Online Only

Gender breakdown

71% Female
27% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Manchester?

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.