Photo of Dr Kellie Jacques, HCPC - Clin. Psych., Psychologist
Dr Kellie Jacques
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
I am a Highly Specialist Clinical Psychologist and CBT practitioner with extensive experience working across the lifespan. I have specialist knowledge of assessment and intervention for children, young people, and adults for a wide variety of difficulties including anxiety, low mood, and the impact of trauma. I am also experienced in working with neurodivergent individuals and adapting therapy to make it accessible. I work collaboratively to develop a shared understanding of your difficulties and an intervention plan that is meaningful to you. I love to learn about your strengths and interests and use these to personalise therapy.
I am a Highly Specialist Clinical Psychologist and CBT practitioner with extensive experience working across the lifespan. I have specialist knowledge of assessment and intervention for children, young people, and adults for a wide variety of difficulties including anxiety, low mood, and the impact of trauma. I am also experienced in working with neurodivergent individuals and adapting therapy to make it accessible. I work collaboratively to develop a shared understanding of your difficulties and an intervention plan that is meaningful to you. I love to learn about your strengths and interests and use these to personalise therapy.
0191 743 6448 View 0191 743 6448
Photo of Helen Graham, MSc, MUKCP, Psychotherapist
Helen Graham
Psychotherapist, MSc, MUKCP
Verified Verified
IN-PERSON sessions in DURHAM. I’m a highly qualified and experienced psychotherapist who works with a diverse range of people and the whole of their issues. I understand that everyone can go through difficult times and can benefit from support in handling these challenges. I can help by offering you a relaxed, safe and confidential therapeutic space to explore issues troubling you in a caring, accepting and non-judgemental way. People I have worked with tell me their therapeutic experience with me has increased their confidence, self-awareness, personal growth and they have gained a deeper sense of meaning, purpose and contentment.
IN-PERSON sessions in DURHAM. I’m a highly qualified and experienced psychotherapist who works with a diverse range of people and the whole of their issues. I understand that everyone can go through difficult times and can benefit from support in handling these challenges. I can help by offering you a relaxed, safe and confidential therapeutic space to explore issues troubling you in a caring, accepting and non-judgemental way. People I have worked with tell me their therapeutic experience with me has increased their confidence, self-awareness, personal growth and they have gained a deeper sense of meaning, purpose and contentment.
07933 709399 View 07933 709399
Photo of Julie Ann Taksh - Durham Gate Therapy - CBT, Counselling & EMDR, MA, MBACP Snr. Accred, Psychotherapist
Durham Gate Therapy - CBT, Counselling & EMDR
Psychotherapist, MA, MBACP Snr. Accred
Verified Verified
Welcome to my profile. I am a compassionate and highly experienced Senior Accredited Counsellor, Clinical Supervisor, EMDR Consultant, Accredited Cognitive Behaviour Therapist (CBT) and Interpersonal Psychotherapist. In addition to my qualifications I have over 27 years’ experience, which has given me the diverse skills required to work with a wide range of psychological issues. I now specialise in working with adults and and teenagers. I have a particular interest in working with Trauma/PTSD, Depression, Anxiety, Panic, OCD, Worry, Stress, Work Related Issues and Bereavement. I also offer Clinical Supervision to professionals.
Welcome to my profile. I am a compassionate and highly experienced Senior Accredited Counsellor, Clinical Supervisor, EMDR Consultant, Accredited Cognitive Behaviour Therapist (CBT) and Interpersonal Psychotherapist. In addition to my qualifications I have over 27 years’ experience, which has given me the diverse skills required to work with a wide range of psychological issues. I now specialise in working with adults and and teenagers. I have a particular interest in working with Trauma/PTSD, Depression, Anxiety, Panic, OCD, Worry, Stress, Work Related Issues and Bereavement. I also offer Clinical Supervision to professionals.
0191 743 3563 View 0191 743 3563
Photo of Paul Lowe, MBACP, Counsellor
Paul Lowe
Counsellor, MBACP
Verified Verified
Working as a Humanistic Integrative Psychotherapeutic Counsellor and your guide; I am experienced in approaching each client individually, this includes drawing on CBT, Gestalt, Solution Focused, Creativity and Imagery techniques with which I am able to create a flexible and individually blended therapy plan.
Working as a Humanistic Integrative Psychotherapeutic Counsellor and your guide; I am experienced in approaching each client individually, this includes drawing on CBT, Gestalt, Solution Focused, Creativity and Imagery techniques with which I am able to create a flexible and individually blended therapy plan.
01388 439769 x075984 View 01388 439769 x075984
Photo of Wendy Clochet, DCounsPsych, HCPC - Couns. Psych., Psychologist
Wendy Clochet
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Online Only
I am a Chartered Holistic Counselling Psychologist with 11 years of experience working in services for common and complex mental health difficulties both in the NHS and in private practice. I take a very holistic mind body approach and I am therefore also a nutritional therapist in training. I am a qualified Cognitive Behavioural Therapist (CBT), Accredited Cognitive Analytic Therapist (CAT), Accredited Mindfulness teacher, Accredited Substance Misuse worker and EMDR Therapist. I take an integrative approach to my work.
I am a Chartered Holistic Counselling Psychologist with 11 years of experience working in services for common and complex mental health difficulties both in the NHS and in private practice. I take a very holistic mind body approach and I am therefore also a nutritional therapist in training. I am a qualified Cognitive Behavioural Therapist (CBT), Accredited Cognitive Analytic Therapist (CAT), Accredited Mindfulness teacher, Accredited Substance Misuse worker and EMDR Therapist. I take an integrative approach to my work.
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Photo of Jackie Walton, MA, MUKCP, Psychotherapist
Jackie Walton
Psychotherapist, MA, MUKCP
Verified Verified
Many people who seek counselling and psychotherapy are uncertain about how these services may be able to help them. I offer an initial free telephone consultation to find out more about you and the difficulties you are experiencing to help you decide whether I am the right person to help you. My therapeutic approach is to work collaboratively with you to help you reach a better understanding of the problems you are experiencing and to identify possible ways forward. I have a professional background in mental health nursing and social work with children and families. I currently work as a psychotherapist with adult clients only.
Many people who seek counselling and psychotherapy are uncertain about how these services may be able to help them. I offer an initial free telephone consultation to find out more about you and the difficulties you are experiencing to help you decide whether I am the right person to help you. My therapeutic approach is to work collaboratively with you to help you reach a better understanding of the problems you are experiencing and to identify possible ways forward. I have a professional background in mental health nursing and social work with children and families. I currently work as a psychotherapist with adult clients only.
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Photo of Amy Robson, MUKCP, Psychotherapist
Amy Robson
Psychotherapist, MUKCP
Verified Verified
2 Endorsed
Online Only
It takes courage to be reflective about ourselves and consider the things that might be getting in our way. Finding the right therapist can be an overwhelming task. I’m Amy, a humanistic and integrative Psychotherapist. Whatever has brought you here, anxiety, depression, grief, trauma, relationship difficulties, changes to your identity or other stumbling blocks in life; our co-created relationship could be the catalyst for change you’re looking for.
It takes courage to be reflective about ourselves and consider the things that might be getting in our way. Finding the right therapist can be an overwhelming task. I’m Amy, a humanistic and integrative Psychotherapist. Whatever has brought you here, anxiety, depression, grief, trauma, relationship difficulties, changes to your identity or other stumbling blocks in life; our co-created relationship could be the catalyst for change you’re looking for.
01429 802918 View 01429 802918
Photo of Darren Johnson, PsychD, HCPC - Forensic Psych., Psychologist
Darren Johnson
Psychologist, PsychD, HCPC - Forensic Psych.
Verified Verified
Taking the first step to talk about personal challenges is an act of strength and courage, and finding the right professional to support you is key to making real progress. I'm Dr Darren Johnson, a Chartered Psychologist, Chartered Scientist, HCPC-registered Practitioner Psychologist, and EMDR Therapist. With over 20 years of experience, I have had the privilege of working with individuals from diverse backgrounds, including those navigating personality and mental health challenges, trauma, neurodiversity, and forensic histories.
Taking the first step to talk about personal challenges is an act of strength and courage, and finding the right professional to support you is key to making real progress. I'm Dr Darren Johnson, a Chartered Psychologist, Chartered Scientist, HCPC-registered Practitioner Psychologist, and EMDR Therapist. With over 20 years of experience, I have had the privilege of working with individuals from diverse backgrounds, including those navigating personality and mental health challenges, trauma, neurodiversity, and forensic histories.
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Photo of Lixson J Cyriac, MSc, MBACP, Psychotherapist
Lixson J Cyriac
Psychotherapist, MSc, MBACP
Verified Verified
I am a counsellor and psychotherapist offering both short- and long-term therapy for adult individuals and couples. As an experienced practitioner, I am here to offer you a safe and confidential space in which we together can explore what is troubling you. Sometimes it is about unpacking the present situation, other times exploring the influence of past experiences and finding new ways to approach life. whatever your issues are, together we can develop our sessions to suit your unique situation.
I am a counsellor and psychotherapist offering both short- and long-term therapy for adult individuals and couples. As an experienced practitioner, I am here to offer you a safe and confidential space in which we together can explore what is troubling you. Sometimes it is about unpacking the present situation, other times exploring the influence of past experiences and finding new ways to approach life. whatever your issues are, together we can develop our sessions to suit your unique situation.
01260 541116 View 01260 541116
Photo of Amanda Fox, MUKCP, Psychotherapist
Amanda Fox
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
Waitlist for new clients
Hiya, I'm Amanda a therapist dedicated to empowering adults on their path to recovery from trauma. If you've landed here, you may have frequent anxiety, depression, complex emotions, or challenges in your relationships. Traumatic events and abusive relationships at any age can effect your identity and leave you feeling stuck in the past. If life feels like it keeps repeating the same cycles, it may be time for change.
Hiya, I'm Amanda a therapist dedicated to empowering adults on their path to recovery from trauma. If you've landed here, you may have frequent anxiety, depression, complex emotions, or challenges in your relationships. Traumatic events and abusive relationships at any age can effect your identity and leave you feeling stuck in the past. If life feels like it keeps repeating the same cycles, it may be time for change.
01388 311147 View 01388 311147
Photo of Karena Serdecka, MSc, MUKCP, Psychotherapist
Karena Serdecka
Psychotherapist, MSc, MUKCP
Verified Verified
Whether working through significant change, life event or trying to manage/resolve longer term issues which prevent you from thriving and reaching your fullest potential in life, relationships, family or work – I can work with you in a fully supportive, non-judgemental, empathic way. I am a warm, relational and person-centred integrative psychotherapist and EMDR specialist Dip Psych & DPC (child and adolescent), also clinical hypnotherapist (Adult). Additionally -Dip CBT, EFT, Mindfulness, Art and Couples Therapies. I lecture in psychotherapy, psychology and counselling and have worked with clients 5 yrs old to 80yrs+.
Whether working through significant change, life event or trying to manage/resolve longer term issues which prevent you from thriving and reaching your fullest potential in life, relationships, family or work – I can work with you in a fully supportive, non-judgemental, empathic way. I am a warm, relational and person-centred integrative psychotherapist and EMDR specialist Dip Psych & DPC (child and adolescent), also clinical hypnotherapist (Adult). Additionally -Dip CBT, EFT, Mindfulness, Art and Couples Therapies. I lecture in psychotherapy, psychology and counselling and have worked with clients 5 yrs old to 80yrs+.
07445 540791 View 07445 540791
Photo of Nicola Jones - Nicola Jones Counselling and CBT, MBABCP, Psychotherapist
Nicola Jones Counselling and CBT
Psychotherapist, MBABCP
Verified Verified
I am a fully qualified and experienced Counsellor, Psychological Therapist and High Intensity Cognitive Behavioural Therapist (CBT) and Supervisor. Often individuals will seek therapy because they feel unable to cope with the stresses of life or adjusting to a big change, not like 'their old self', isolated from others, worried or lost or just needing someone to listen. My role is to work together with individuals to make sense of what is happening for them and provide opportunities for change in away that they feel is appropriate and achievable at their own pace, within a private and confidential setting.
I am a fully qualified and experienced Counsellor, Psychological Therapist and High Intensity Cognitive Behavioural Therapist (CBT) and Supervisor. Often individuals will seek therapy because they feel unable to cope with the stresses of life or adjusting to a big change, not like 'their old self', isolated from others, worried or lost or just needing someone to listen. My role is to work together with individuals to make sense of what is happening for them and provide opportunities for change in away that they feel is appropriate and achievable at their own pace, within a private and confidential setting.
01325 809788 View 01325 809788
Photo of Caroline Harvey, PsychD, HCPC - Clin. Psych., Psychologist
Caroline Harvey
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I am a BPC registered Psychoanalytic Psychotherapist and HCPC registered Clinical Psychologist with a private practice in Darlington, providing Psychoanalytic Psychotherapy to adults in the North East of England. I have helped many people, both in private practice and the NHS, overcome problems including those related to anxiety, depression, trauma, abuse, relationships, stress, low self-esteem, loss, life transitions, or medically unexplained symptoms. Psychoanalytic Psychotherapy can also be effective when you are experiencing a more general sense of dissatisfaction in life, helping you work towards greater fulfilment.
I am a BPC registered Psychoanalytic Psychotherapist and HCPC registered Clinical Psychologist with a private practice in Darlington, providing Psychoanalytic Psychotherapy to adults in the North East of England. I have helped many people, both in private practice and the NHS, overcome problems including those related to anxiety, depression, trauma, abuse, relationships, stress, low self-esteem, loss, life transitions, or medically unexplained symptoms. Psychoanalytic Psychotherapy can also be effective when you are experiencing a more general sense of dissatisfaction in life, helping you work towards greater fulfilment.
01325 808146 View 01325 808146
Photo of Sean Mellor, MBABCP, Psychotherapist
Sean Mellor
Psychotherapist, MBABCP
Verified Verified
Online Only
Waitlist for new clients
As a dedicated CBT and EMDR therapist, I am committed to helping my clients. Through evidence-based therapeutic techniques and a compassionate, non-judgmental approach, I work collaboratively with clients to empower them to create positive change in their lives. I help clients identify and challenge negative thought patterns and beliefs that contribute to anxiety, depression, and other mental health difficulties. By teaching clients effective coping strategies and skills, I empower them to manage their emotions and behaviours in a healthier way.
As a dedicated CBT and EMDR therapist, I am committed to helping my clients. Through evidence-based therapeutic techniques and a compassionate, non-judgmental approach, I work collaboratively with clients to empower them to create positive change in their lives. I help clients identify and challenge negative thought patterns and beliefs that contribute to anxiety, depression, and other mental health difficulties. By teaching clients effective coping strategies and skills, I empower them to manage their emotions and behaviours in a healthier way.
01388 217366 View 01388 217366
Photo of Becky Simpson-Ryan - Bishop Auckland Counselling and Psychotherapy , MBACP, Psychotherapist
Bishop Auckland Counselling and Psychotherapy
Psychotherapist, MBACP
Verified Verified
Waitlist for new clients
I am a Humanistic Integrative therapist, which means my "eclectic" style of therapy is adaptable to the individual. The integrative approach views the client as a whole and considers many different therapy styles and approaches to find what works for the individual, and appeals most to their personality and attachment style. I view my clients as people, not jargon, and an advocate for personal autonomy. I use many techniques but specialise in Transactional Analysis.
I am a Humanistic Integrative therapist, which means my "eclectic" style of therapy is adaptable to the individual. The integrative approach views the client as a whole and considers many different therapy styles and approaches to find what works for the individual, and appeals most to their personality and attachment style. I view my clients as people, not jargon, and an advocate for personal autonomy. I use many techniques but specialise in Transactional Analysis.
01388 311273 View 01388 311273
Photo of Luisa Williams - My Family Psychologist, MSc, HCPC - Forensic Psych., Psychologist
My Family Psychologist
Psychologist, MSc, HCPC - Forensic Psych.
Verified Verified
1 Endorsed
My work is to empower you to understand and manage your own and your family's psychological wellbeing. From initial confusion and hopelessness the end game is enlightenment and clarity. I rely on data, clear aims, objectives, and objective measurement.
My work is to empower you to understand and manage your own and your family's psychological wellbeing. From initial confusion and hopelessness the end game is enlightenment and clarity. I rely on data, clear aims, objectives, and objective measurement.
01670 338152 View 01670 338152
Photo of David Simon, MNCPS Acc., Counsellor
David Simon
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Many of my clients decide to work with me because something significant is changing in their life. A decision to be made at a crossroads. Relationship difficulties. The devastation of a loss or bereavement. Career transition. Questions of personal identity. It is at times like these that having someone neutral to talk to can be so valuable.
Many of my clients decide to work with me because something significant is changing in their life. A decision to be made at a crossroads. Relationship difficulties. The devastation of a loss or bereavement. Career transition. Questions of personal identity. It is at times like these that having someone neutral to talk to can be so valuable.
0191 917 9291 View 0191 917 9291
Photo of Lucy Brown, BACP, Counsellor
Lucy Brown
Counsellor, BACP
Verified Verified
Hello, My name is Lucy, I am a qualified counsellor and Senior Psychological well-being practitioner for IAPT. I work in an integrative modality meaning the therapy will be led by you and what you would like to focus on. I strongly believe we are the best experts on ourselves but can sometimes become lost along the way and can refind ourselves or answer questions in therapy. I work with different counselling modalities and adapt to what may be more appropriate for you. Additionally, I can implement guided self-help CBT to help with any difficulties in the present and to provide coping strategies/interventions
Hello, My name is Lucy, I am a qualified counsellor and Senior Psychological well-being practitioner for IAPT. I work in an integrative modality meaning the therapy will be led by you and what you would like to focus on. I strongly believe we are the best experts on ourselves but can sometimes become lost along the way and can refind ourselves or answer questions in therapy. I work with different counselling modalities and adapt to what may be more appropriate for you. Additionally, I can implement guided self-help CBT to help with any difficulties in the present and to provide coping strategies/interventions
View
Photo of Eileen Moss, MA, MBACP, Counsellor
Eileen Moss
Counsellor, MA, MBACP
Verified Verified
Are you feeling stressed? Anxious? Suffering the loss of a loved one? Going through a rough patch? I can offer you a safe, confidential place to explore your problems. You can be assured of being heard with understanding and without judgement. As an integrative counsellor, I have a wide variety of theories and styles to draw on to suit the needs of the individual. I offer counselling to adults, young people and children through Microsoft Teams or the Psychology Today platform. Home visits are available locally. Counselling is an opportunity to understand what is going on for you in your life and to explore a way forward.
Are you feeling stressed? Anxious? Suffering the loss of a loved one? Going through a rough patch? I can offer you a safe, confidential place to explore your problems. You can be assured of being heard with understanding and without judgement. As an integrative counsellor, I have a wide variety of theories and styles to draw on to suit the needs of the individual. I offer counselling to adults, young people and children through Microsoft Teams or the Psychology Today platform. Home visits are available locally. Counselling is an opportunity to understand what is going on for you in your life and to explore a way forward.
01684 217891 View 01684 217891
Photo of Debbie Robinson, MA, BACP, Counsellor
Debbie Robinson
Counsellor, MA, BACP
Verified Verified
Hi I'm Debbie and I specialise in anxiety, low mood and depression. Are you struggling with big changes in your life? Have you been ambushed by a sudden inability to deal with with stress? Are you wrestling with fears, unrelenting self judgement, endless worries or feeling like you don't know where to turn? Do you have no energy and enthusiasm that used to be part of who you are and are living on autopilot? Does it feel like you have lost your purpose/way in the world? Do you have thoughts that go around in your head and keep you up at night?
Hi I'm Debbie and I specialise in anxiety, low mood and depression. Are you struggling with big changes in your life? Have you been ambushed by a sudden inability to deal with with stress? Are you wrestling with fears, unrelenting self judgement, endless worries or feeling like you don't know where to turn? Do you have no energy and enthusiasm that used to be part of who you are and are living on autopilot? Does it feel like you have lost your purpose/way in the world? Do you have thoughts that go around in your head and keep you up at night?
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1

See more therapy options for DH1

How does your Counsellor compare?

Number of Counsellors in DH1

60+

Average cost per session

£55

Counsellors in DH1 who prioritize treating:

94% Anxiety
93% Depression
90% Self Esteem
87% Stress
80% Bereavement
80% Trauma and PTSD
77% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

74% Aviva
63% AXA PPP
58% Vitality

How Counsellors in DH1 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counselling

How can I find a therapist in DH1?

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.