Counselling in London

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Photo of Craig Schorn, Counsellor in London, England
Craig Schorn
Counsellor, MBACP
Verified Verified
London SE1
You may be feeling down, unmotivated, anxious or angry and need a safe, impartial space to work through what's troubling you or holding you back, to find a clearer perspective on behaviour patterns and coping mechanisms that no longer serve you. I will guide and nurture you in your process so we can reflect deeply on your concerns and gain the necessary insight into your subconscious drives to discover the change that will enable you to move forward in your life and flourish as your authentic self.
You may be feeling down, unmotivated, anxious or angry and need a safe, impartial space to work through what's troubling you or holding you back, to find a clearer perspective on behaviour patterns and coping mechanisms that no longer serve you. I will guide and nurture you in your process so we can reflect deeply on your concerns and gain the necessary insight into your subconscious drives to discover the change that will enable you to move forward in your life and flourish as your authentic self.
020 8629 9135 View 020 8629 9135
Photo of Marcia Gamsu, Psychotherapist in London, England
Marcia Gamsu
Psychotherapist, MA, MBACP Accred
Verified Verified
London NW11
I'm a down to earth, warm and proactive psychotherapist with over 15 years experience of therapy, working with both individuals and couples. I try to be very engaged when I work I work whilst at the same time giving you the space to think in your way and in your own time. I work with depression, anxiety, isolation, life dilemmas and relationship and sexual issues. You may decide to have a one off session, a short course of sessions or longer term therapy. Sessions are usually once a week or once every two weeks.
I'm a down to earth, warm and proactive psychotherapist with over 15 years experience of therapy, working with both individuals and couples. I try to be very engaged when I work I work whilst at the same time giving you the space to think in your way and in your own time. I work with depression, anxiety, isolation, life dilemmas and relationship and sexual issues. You may decide to have a one off session, a short course of sessions or longer term therapy. Sessions are usually once a week or once every two weeks.
07480 537452 View 07480 537452
Photo of Gosia Millward, Psychotherapist in London, England
Gosia Millward
Psychotherapist, MSc, BACP
Verified Verified
London E1
Seeking therapy is a sign of courage in the depths of conflict. Currently, you may be troubled or overwhelmed, not knowing what is happening either within you, your partner or communicatively between your couple. To be understood and appreciated while conveying the same qualities to another person is an essential component of any satisfying relationship, but it is one that takes an emotional commitment from those involved in finding a resolution. The question I often ask my clients is, "Can you bear the difference of the other, or even tolerate the possibility that they may have a different perspective to the one in your mind?"
Seeking therapy is a sign of courage in the depths of conflict. Currently, you may be troubled or overwhelmed, not knowing what is happening either within you, your partner or communicatively between your couple. To be understood and appreciated while conveying the same qualities to another person is an essential component of any satisfying relationship, but it is one that takes an emotional commitment from those involved in finding a resolution. The question I often ask my clients is, "Can you bear the difference of the other, or even tolerate the possibility that they may have a different perspective to the one in your mind?"
07446 510752 View 07446 510752
Photo of Jane Eldridge, Psychotherapist in London, England
Jane Eldridge
Psychotherapist, PhD, MUKCP
Verified Verified
London SE26
Sometimes people come to counselling or therapy with a particular symptom, after a significant life event or with work-related difficulties. Other times it's more about not quite feeling fulfilled in life, career or relationships. I believe the many ways we come to understand and make sense of who we are, including how we relate to others and the world around us, are central to our mental health and physical wellbeing. Unforseen life events, separations, losses and disappointments can all profoundly affect our sense of who we are.
Sometimes people come to counselling or therapy with a particular symptom, after a significant life event or with work-related difficulties. Other times it's more about not quite feeling fulfilled in life, career or relationships. I believe the many ways we come to understand and make sense of who we are, including how we relate to others and the world around us, are central to our mental health and physical wellbeing. Unforseen life events, separations, losses and disappointments can all profoundly affect our sense of who we are.
020 8106 8860 View 020 8106 8860
Photo of Bilge (Bea) Ozbudun, Counsellor in London, England
Bilge (Bea) Ozbudun
Counsellor, MA, MBACP
Verified Verified
London W1G
I am a Psychodynamic Psychotherapist based mostly at the Priory Hospital North London. I also offer private sessions in Harley Street. My approach emphasises the significance of the unconscious mind, early experiences and the therapeutic relationship. I have experience working with a range of clinical conditions on a weekly long-term and short-term basis and also facilitate group therapy. My practice offers a place to explore challenges together, perhaps finding the words where they may have previously been absent before. Being able to shed light on your hidden parts and deepest feelings can be one of the most healing experiences.
I am a Psychodynamic Psychotherapist based mostly at the Priory Hospital North London. I also offer private sessions in Harley Street. My approach emphasises the significance of the unconscious mind, early experiences and the therapeutic relationship. I have experience working with a range of clinical conditions on a weekly long-term and short-term basis and also facilitate group therapy. My practice offers a place to explore challenges together, perhaps finding the words where they may have previously been absent before. Being able to shed light on your hidden parts and deepest feelings can be one of the most healing experiences.
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Photo of Erin Hope Thompson (Online Sessions Available), Psychologist in London, England
Erin Hope Thompson (Online Sessions Available)
Psychologist, HCPC - Clin. Psych.
Verified Verified
London N21
I offer both in-person and online therapy. I have over ten years’ experience working in the mental health sector, helping people overcome and manage their difficulties, be it in their personal or professional lives. I specialise in working with anxiety, depression, OCD, bereavement, health difficulties, and relationship counselling. I work with both adults and young people and can incorporate a number of different therapeutic approaches, including Cognitive Behavioural Therapy, systemic therapy, Acceptance and Commitment therapy, schema therapy, and compassion focused therapy.
I offer both in-person and online therapy. I have over ten years’ experience working in the mental health sector, helping people overcome and manage their difficulties, be it in their personal or professional lives. I specialise in working with anxiety, depression, OCD, bereavement, health difficulties, and relationship counselling. I work with both adults and young people and can incorporate a number of different therapeutic approaches, including Cognitive Behavioural Therapy, systemic therapy, Acceptance and Commitment therapy, schema therapy, and compassion focused therapy.
07403 936134 View 07403 936134
Photo of Krysia Zalewska, Psychotherapist in London, England
Krysia Zalewska
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
London WC2A
Hello, I am a qualified and fully registered psychodynamic psychotherapist in private practice, with experience working in the NHS and the charitable sector, I have worked and continue to work with diverse group of clients. I provide a safe, confidential and non-judgemental space to explore what might be troubling you or preventing you in experiencing your life fully. People seek therapy many reasons including anxiety, bereavement, depression, low self-esteem, self-development, stress, relationship or work issues and trauma.
Hello, I am a qualified and fully registered psychodynamic psychotherapist in private practice, with experience working in the NHS and the charitable sector, I have worked and continue to work with diverse group of clients. I provide a safe, confidential and non-judgemental space to explore what might be troubling you or preventing you in experiencing your life fully. People seek therapy many reasons including anxiety, bereavement, depression, low self-esteem, self-development, stress, relationship or work issues and trauma.
020 3856 8832 View 020 3856 8832
Photo of Manch Joshi, Psychotherapist in London, England
Manch Joshi
Psychotherapist, MBACP
Verified Verified
London SW20
We all have psychological ups and downs caused by the rollercoaster of life, specific events or our past. Work, relationships, families, finances, the behaviour of others, our past and health can lead us to develop unhealthy emotions. These include anxiety (shown as general stress, fatigue, panic attacks and OCD), depression (feeling lethargic or unfocussed), anger (outbursts, intolerance), guilt (we did something wrong) or shame (I’m not good enough). I work closely with clients to move forward from these to heal, achieve personal goals, enjoy life to its fullest and experience joy.
We all have psychological ups and downs caused by the rollercoaster of life, specific events or our past. Work, relationships, families, finances, the behaviour of others, our past and health can lead us to develop unhealthy emotions. These include anxiety (shown as general stress, fatigue, panic attacks and OCD), depression (feeling lethargic or unfocussed), anger (outbursts, intolerance), guilt (we did something wrong) or shame (I’m not good enough). I work closely with clients to move forward from these to heal, achieve personal goals, enjoy life to its fullest and experience joy.
020 4538 8435 View 020 4538 8435
Photo of Charlotte Bloor, Counsellor in London, England
Charlotte Bloor
Counsellor, MBACP
Verified Verified
1 Endorsed
London SW11
I am an integrative therapist, meaning that I use a number of approaches when working with clients. I believe that one size does not fit all and so my approach offers flexibility to suit you as an individual and your individual needs. I will support you not only to explore how your history may be impacting your present-day life, but also to look forward to a more purposeful and meaningful future. I offer individual therapy for adults (18+) both online and in-person in multiple locations in London (Clapham, Wimbledon and London Bridge).
I am an integrative therapist, meaning that I use a number of approaches when working with clients. I believe that one size does not fit all and so my approach offers flexibility to suit you as an individual and your individual needs. I will support you not only to explore how your history may be impacting your present-day life, but also to look forward to a more purposeful and meaningful future. I offer individual therapy for adults (18+) both online and in-person in multiple locations in London (Clapham, Wimbledon and London Bridge).
020 3871 8991 View 020 3871 8991
Photo of Naila Shah, Counsellor in London, England
Naila Shah
Counsellor, MBACP
Verified Verified
London SW4
I offer a safe and empathic space where you can feel at ease to be yourself and feel truly heard, to be able to explore any difficult thoughts and emotions you may be experiencing. My aim is to help facilitate and to develop greater self awareness in order to promote personal growth in a supportive environment. I have had experience of working with a diverse range of client groups with presenting issues around anxiety, depression, low mood, self-esteem, loss, identity, cultural difference, family and relationships issues.
I offer a safe and empathic space where you can feel at ease to be yourself and feel truly heard, to be able to explore any difficult thoughts and emotions you may be experiencing. My aim is to help facilitate and to develop greater self awareness in order to promote personal growth in a supportive environment. I have had experience of working with a diverse range of client groups with presenting issues around anxiety, depression, low mood, self-esteem, loss, identity, cultural difference, family and relationships issues.
020 3874 1872 View 020 3874 1872
Photo of Sharareh Keyani, Counsellor in London, England
Sharareh Keyani
Counsellor, MA, MBACP
Verified Verified
London N20
Seeking help is not always easy, but it's the first step in helping you find the tools to tackle the challenges life brings. Counselling can help you renew your sense of well-being and discover methods to heal and care for your inner self. Whether you are dealing with a difficult situation, struggling to make sense of what's going on, feeling depressed, stressed out or dealing with painful emotions, therapy can be the key to help you through your journey. My core belief is that most people have a sense of their own well being and know when
Seeking help is not always easy, but it's the first step in helping you find the tools to tackle the challenges life brings. Counselling can help you renew your sense of well-being and discover methods to heal and care for your inner self. Whether you are dealing with a difficult situation, struggling to make sense of what's going on, feeling depressed, stressed out or dealing with painful emotions, therapy can be the key to help you through your journey. My core belief is that most people have a sense of their own well being and know when
020 3962 1221 View 020 3962 1221
Photo of Emily Smith, Psychotherapist in London, England
Emily Smith
Psychotherapist, MBACP
Verified Verified
London SW20
Life can throw us off course, from time to time we can all feel overwhelmed, confused, stuck, frightened or alone. Counselling gives the opportunity to talk through feelings, thoughts and worries in a safe, non-judgmental space. It is not always easy to talk to our family and friends, the therapeutic relationship offers a confidential and consistent space to share and work through the problems we can find difficult to bring up with others.
Life can throw us off course, from time to time we can all feel overwhelmed, confused, stuck, frightened or alone. Counselling gives the opportunity to talk through feelings, thoughts and worries in a safe, non-judgmental space. It is not always easy to talk to our family and friends, the therapeutic relationship offers a confidential and consistent space to share and work through the problems we can find difficult to bring up with others.
020 4538 4266 View 020 4538 4266
Photo of Chelsea Dodgen in London, England
Chelsea Dodgen
Verified Verified
London N1  (Online Only)
My primary focus is working with adults who have experienced trauma or loss. This includes victims of violence, those grieving significant losses, immigrants/refugees and people who've been diagnosed with frightening illnesses. I also specialize in clients who are traumatized in the course of their work, such as medical professionals, essential workers, and journalists. Clients tend to come to me feeling disconnected from their lives, from other people, and from who they used to be. They often say they feel out of control of their moods and feelings, and are looking to regain that sense of agency.
My primary focus is working with adults who have experienced trauma or loss. This includes victims of violence, those grieving significant losses, immigrants/refugees and people who've been diagnosed with frightening illnesses. I also specialize in clients who are traumatized in the course of their work, such as medical professionals, essential workers, and journalists. Clients tend to come to me feeling disconnected from their lives, from other people, and from who they used to be. They often say they feel out of control of their moods and feelings, and are looking to regain that sense of agency.
020 3974 2576 View 020 3974 2576
Photo of Natalia Vavassori, Counsellor in London, England
Natalia Vavassori
Counsellor, MSc, MBACP
Verified Verified
London EC4V
Therapy can help us to understand ourselves, identifying areas of struggle to find a way to change and live a more fulfilling life. Sometimes there is a traumatic incident in our past that we start remembering or we start experiencing general anxiety, depression or relationship issues. Often we have an idea about what we need to do but are unable to move on and feel stuck. I believe that talking about things is helpful. It is a way of dealing with our difficulties and a step towards a different path.
Therapy can help us to understand ourselves, identifying areas of struggle to find a way to change and live a more fulfilling life. Sometimes there is a traumatic incident in our past that we start remembering or we start experiencing general anxiety, depression or relationship issues. Often we have an idea about what we need to do but are unable to move on and feel stuck. I believe that talking about things is helpful. It is a way of dealing with our difficulties and a step towards a different path.
01748 901224 View 01748 901224
Photo of Annette (Anna) Fraser, Psychotherapist in London, England
Annette (Anna) Fraser
Psychotherapist, MNCPS Acc.
Verified Verified
London E4
Not accepting new clients
In my counselling sessions, I use a unique, tried and tested approach, which allows me to help with a range of common human problems. I explore the clients past, present and future and implement different techniques and skills to help clients heal, become whole, resolve their issues and achieve their goals. I work with individuals drawing on the Mindful, Cognitive Behavioural and Humanistic schools of theory with the aim of enabling clients to enhance life rewardingly. Promoting healthier emotional responses through building sound psychotherapeutic relationships is my particular skill.
In my counselling sessions, I use a unique, tried and tested approach, which allows me to help with a range of common human problems. I explore the clients past, present and future and implement different techniques and skills to help clients heal, become whole, resolve their issues and achieve their goals. I work with individuals drawing on the Mindful, Cognitive Behavioural and Humanistic schools of theory with the aim of enabling clients to enhance life rewardingly. Promoting healthier emotional responses through building sound psychotherapeutic relationships is my particular skill.
020 3871 8651 View 020 3871 8651
Photo of George Teare, Counsellor in London, England
George Teare
Counsellor, BACP
Verified Verified
2 Endorsed
London N1
I work with a wide range of issues including anxiety, depression, anger, addiction, past or present trauma, shame, and LGBTQIA+ related issues. Life can bring many challenges where you may feel overwhelmed. It may be a specific life event, relationship problems or work related stress; or an ongoing anxiety, depression or low mood that concerns you. Perhaps you have questions of identity? Or perhaps feel your life is lacking purpose? Life can be difficult to navigate and this is where counselling can support you.
I work with a wide range of issues including anxiety, depression, anger, addiction, past or present trauma, shame, and LGBTQIA+ related issues. Life can bring many challenges where you may feel overwhelmed. It may be a specific life event, relationship problems or work related stress; or an ongoing anxiety, depression or low mood that concerns you. Perhaps you have questions of identity? Or perhaps feel your life is lacking purpose? Life can be difficult to navigate and this is where counselling can support you.
020 8138 8768 View 020 8138 8768
Photo of Sophie Worthington, Psychotherapist in London, England
Sophie Worthington
Psychotherapist, MA, MBACP
Verified Verified
London W11
Are you looking for a safe and supportive space to explore difficult feelings, relationships, or experiences? We all encounter difficulties at some points in our lives: problems with relationships, anxiety or depression, sexual concerns, low self-esteem, addiction to alcohol or drugs, bereavement, trauma or feelings of anger, grief or panic. As a qualified psychotherapist and counsellor, I offer a non-judgemental, confidential space in which to explore the conflicts and issues that bring you to therapy and to start to address the underlying patterns that may prevent you from moving forward in your life.
Are you looking for a safe and supportive space to explore difficult feelings, relationships, or experiences? We all encounter difficulties at some points in our lives: problems with relationships, anxiety or depression, sexual concerns, low self-esteem, addiction to alcohol or drugs, bereavement, trauma or feelings of anger, grief or panic. As a qualified psychotherapist and counsellor, I offer a non-judgemental, confidential space in which to explore the conflicts and issues that bring you to therapy and to start to address the underlying patterns that may prevent you from moving forward in your life.
020 3974 1299 View 020 3974 1299
Photo of Mike Mayos, Psychotherapist in London, England
Mike Mayos
Psychotherapist, PsychD, COSRT Accred
Verified Verified
London SW1V  (Online Only)
Mike works with a broad range of psychosexual issues including low libido, unreliable erections, delayed ejaculation, as well as all aspects of anxiety surrounding sexuality. Aiming to create as positive an experience of sexuality as possible for his clients, he works within a Bio-psycho-social pluralistic approach, incorporating a broad range of theoretical approaches as best suits the client’s needs. He specialises and is particularly trained in supporting clients struggling with compulsive sexual behaviour, as well as those struggling with Chemsex issues, aiming to re-establish a fulfilling and healthy sex life for his clients .
Mike works with a broad range of psychosexual issues including low libido, unreliable erections, delayed ejaculation, as well as all aspects of anxiety surrounding sexuality. Aiming to create as positive an experience of sexuality as possible for his clients, he works within a Bio-psycho-social pluralistic approach, incorporating a broad range of theoretical approaches as best suits the client’s needs. He specialises and is particularly trained in supporting clients struggling with compulsive sexual behaviour, as well as those struggling with Chemsex issues, aiming to re-establish a fulfilling and healthy sex life for his clients .
01964 211765 View 01964 211765
Photo of Caroline Moore, Psychotherapist in London, England
Caroline Moore
Psychotherapist, UKCP Trainee
Verified Verified
London N1
We can all face difficulties in our lives and sometimes it’s helpful to talk things through in a safe, warm and accepting environment. Whether you are experiencing anxiety, depression, trauma, loss, relationship issues, life transitions or other challenges, we can work together to gain insight into the difficulties you are facing and your responses to them. Insight can facilitate change. When we are stuck in the past it robs us of the richness of the present moment and limits who we can be. Together we can move towards healing and self discovery and explore what's preventing you from living a more free and fulfilling life.
We can all face difficulties in our lives and sometimes it’s helpful to talk things through in a safe, warm and accepting environment. Whether you are experiencing anxiety, depression, trauma, loss, relationship issues, life transitions or other challenges, we can work together to gain insight into the difficulties you are facing and your responses to them. Insight can facilitate change. When we are stuck in the past it robs us of the richness of the present moment and limits who we can be. Together we can move towards healing and self discovery and explore what's preventing you from living a more free and fulfilling life.
020 3962 1273 View 020 3962 1273
Photo of Raffaella Hilty, Psychotherapist in London, England
Raffaella Hilty
Psychotherapist, MA, MUKCP
Verified Verified
London NW2
The choice to start psychotherapy may come for a variety of reasons. Becoming aware of repeating patterns of behaviour, struggling in personal and professional relationships, coming to terms with a particular traumatic event, or with feelings of depression, lack of purpose and meaning. Ultimately, there will be a unique reason for each person. Whilst my work takes into account the influence of the past onto the present, it also places as much attention to the future and to the fact that in the present psychological suffering there may be the potential for a meaningful new direction.
The choice to start psychotherapy may come for a variety of reasons. Becoming aware of repeating patterns of behaviour, struggling in personal and professional relationships, coming to terms with a particular traumatic event, or with feelings of depression, lack of purpose and meaning. Ultimately, there will be a unique reason for each person. Whilst my work takes into account the influence of the past onto the present, it also places as much attention to the future and to the fact that in the present psychological suffering there may be the potential for a meaningful new direction.
020 8629 5259 View 020 8629 5259

See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
58% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.