Counselling in E14

Photo of Tiff Hudson, Psychotherapist, MA, MBACP
Tiff Hudson
Psychotherapist, MA, MBACP
London E14
I have experience working with a wide range of presentations in both private practice and the NHS. I am especially passionate about supporting individuals through challenging relationships, feelings of shame, guilt, anxiety, and people-pleasing behaviors. My practice is firmly grounded in being inclusive of Gender, Sexuality, and Relationship Diversity (GSRD) as well as LGBTQ+ identities, and I embrace a sex-positive approach.
I have experience working with a wide range of presentations in both private practice and the NHS. I am especially passionate about supporting individuals through challenging relationships, feelings of shame, guilt, anxiety, and people-pleasing behaviors. My practice is firmly grounded in being inclusive of Gender, Sexuality, and Relationship Diversity (GSRD) as well as LGBTQ+ identities, and I embrace a sex-positive approach.
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Photo of Bożena Skarbek-Cielecka, Psychotherapist, MA, MUKCP
Bożena Skarbek-Cielecka
Psychotherapist, MA, MUKCP
London E14
I am trained in psychoanalysis and I integrate different approaches such as art, music therapy and body awareness work. I prefer to work collaboratively to help us choose the best approach that will meet your needs. I have a high degree of skill and understanding of underlying issues and difficulties.
I am trained in psychoanalysis and I integrate different approaches such as art, music therapy and body awareness work. I prefer to work collaboratively to help us choose the best approach that will meet your needs. I have a high degree of skill and understanding of underlying issues and difficulties.
020 3984 8963 View 020 3984 8963
Photo of Ryan Hegarty, Psychotherapist, MBABCP
Ryan Hegarty
Psychotherapist, MBABCP
1 Endorsed
London E14
You may know what you want to change, but not how to change it. ​ Lasting change requires more than self-awareness - it only happens if we identify the specific factors maintaining the problem. ​ Together, we identify what is keeping you stuck, use a clear psychological framework to understand how these factors interact, and apply evidence-based strategies to produce meaningful change. ​ ​Less talking for the sake of it. More doing.
You may know what you want to change, but not how to change it. ​ Lasting change requires more than self-awareness - it only happens if we identify the specific factors maintaining the problem. ​ Together, we identify what is keeping you stuck, use a clear psychological framework to understand how these factors interact, and apply evidence-based strategies to produce meaningful change. ​ ​Less talking for the sake of it. More doing.
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Steve Wills
Psychotherapist, MSc, MUKCP
London E14
My name is Steve Wills and I am a psychoanalytic psychotherapist and counsellor who has been practising in London for over thirty years. I am professionally qualified, and accredited by UK Council for Psychotherapy (UKCP), the UK’s leading professional body for the training and accreditation of psychotherapists and psychotherapeutic counsellors. I was a founder member of Deptford Psychotherapy Centre in southeast London where I provided open-ended psychotherapy to local residents, as well as time-limited counselling and psychotherapy to NHS patients referred by local GPs. I now work in private practice in Poplar in East London.
My name is Steve Wills and I am a psychoanalytic psychotherapist and counsellor who has been practising in London for over thirty years. I am professionally qualified, and accredited by UK Council for Psychotherapy (UKCP), the UK’s leading professional body for the training and accreditation of psychotherapists and psychotherapeutic counsellors. I was a founder member of Deptford Psychotherapy Centre in southeast London where I provided open-ended psychotherapy to local residents, as well as time-limited counselling and psychotherapy to NHS patients referred by local GPs. I now work in private practice in Poplar in East London.
020 4634 0873 View 020 4634 0873
Photo of Tatiana Azevedo, Psychotherapist, MSc
Tatiana Azevedo
Psychotherapist, MSc
London E14
I offer a warm and supportive space to support your growth and healing process. "Someone I loved once gave me a box full of darkness. It took me years to understand That this too, was a gift." Mary Oliver . Mental and emotional suffering are part of life, the pain at times can be too much to bear on our own, which impacts our ability to enjoy life. Counselling can be a safe space to be held, seen and find the gifts that otherwise could be lost in the crisis and challenges we face. Suffering is inevitable but it does not need to be endless. I offer free teachings on self-care through my Instagram and YouTube accounts.
I offer a warm and supportive space to support your growth and healing process. "Someone I loved once gave me a box full of darkness. It took me years to understand That this too, was a gift." Mary Oliver . Mental and emotional suffering are part of life, the pain at times can be too much to bear on our own, which impacts our ability to enjoy life. Counselling can be a safe space to be held, seen and find the gifts that otherwise could be lost in the crisis and challenges we face. Suffering is inevitable but it does not need to be endless. I offer free teachings on self-care through my Instagram and YouTube accounts.
020 3817 3977 View 020 3817 3977
Photo of Alaa Alsaraji, Psychotherapist, UKCP Trainee
Alaa Alsaraji
Psychotherapist, UKCP Trainee
2 Endorsed
London E14
I'm a trainee Integrative Arts Psychotherapist in the final stages of my training accredited by the UK Council for Psychotherapists (UKCP), and the Health and Care Professional Council (HCPC), offering in-person talking and art therapy. I offer a warm, non-judgmental and confidential space to explore your emotions, thoughts or behavioural patterns. I invite you to come as you are, as all parts of yourself are welcome in the therapy room. I see the therapy space as a place to rehearse new ways of expressing yourself, relating to others, and a place to re-imagine new possibilities for yourself and how you wish to live your life.
I'm a trainee Integrative Arts Psychotherapist in the final stages of my training accredited by the UK Council for Psychotherapists (UKCP), and the Health and Care Professional Council (HCPC), offering in-person talking and art therapy. I offer a warm, non-judgmental and confidential space to explore your emotions, thoughts or behavioural patterns. I invite you to come as you are, as all parts of yourself are welcome in the therapy room. I see the therapy space as a place to rehearse new ways of expressing yourself, relating to others, and a place to re-imagine new possibilities for yourself and how you wish to live your life.
020 3761 4106 View 020 3761 4106
Photo of Jonathan Ganesh - Jonathan Ganesh, Counsellor
Jonathan Ganesh
Counsellor
London E14
Jonathan offers a non-judgemental, warm and empathic and confidential service and would welcome the opportunity to be alongside you during your journey. In 1996 Jonathan was left severely injured as a consequence of the London Docklands terrorist bomb which also killed his two friends. However, he has utilized his challenging experiences to help others with mental health conditions to move forward. Jonathan has frequently lectured at a number of renowned educational organisations and also liaised with the governments across the world concerning PTSD and mental health conditions.
Jonathan offers a non-judgemental, warm and empathic and confidential service and would welcome the opportunity to be alongside you during your journey. In 1996 Jonathan was left severely injured as a consequence of the London Docklands terrorist bomb which also killed his two friends. However, he has utilized his challenging experiences to help others with mental health conditions to move forward. Jonathan has frequently lectured at a number of renowned educational organisations and also liaised with the governments across the world concerning PTSD and mental health conditions.
020 4538 2614 View 020 4538 2614
Photo of Silvia Melis, Counsellor, MBACP
Silvia Melis
Counsellor, MBACP
London E14
I am a qualified counsellor and a registered member of the British Association for Counselling and Psychotherapy (MBACP). I work with adults on a one-to-one basis offering short-term and open-ended talking therapy. I use an integrative approach, which means that I draw from different models and techniques (psychodynamic, CBT and person centred) to best suit your individual needs. My aim is to help you find and change those repetitive unhelpful or destructive patterns in your behaviour and relationships, as well as providing you with a space for personal development, growth and exploration.
I am a qualified counsellor and a registered member of the British Association for Counselling and Psychotherapy (MBACP). I work with adults on a one-to-one basis offering short-term and open-ended talking therapy. I use an integrative approach, which means that I draw from different models and techniques (psychodynamic, CBT and person centred) to best suit your individual needs. My aim is to help you find and change those repetitive unhelpful or destructive patterns in your behaviour and relationships, as well as providing you with a space for personal development, growth and exploration.
020 3871 8461 View 020 3871 8461
Photo of Ana Vidal, Psychotherapist, MSc, MBACP Accred
Ana Vidal
Psychotherapist, MSc, MBACP Accred
1 Endorsed
London E14
I am an a counsellor and psychotherapist in private practice and I am passionate about empowering people. Do you feel overwhelmed, anxious or struggling with self-esteem? Perhaps you feel stuck in patterns of behaviour as if nothing can change? Do you struggle with narcissistic relationships? Do you feel depressed and is hard to cope with certain feelings?. Does it feel as if work and family struggles are increasingly hard to handle? Perhaps you fear social situations? Are you living with a visual impairment or chronic illness? Do you feel burdened by the past and unable to move on? This is when a therapist like me can help.
I am an a counsellor and psychotherapist in private practice and I am passionate about empowering people. Do you feel overwhelmed, anxious or struggling with self-esteem? Perhaps you feel stuck in patterns of behaviour as if nothing can change? Do you struggle with narcissistic relationships? Do you feel depressed and is hard to cope with certain feelings?. Does it feel as if work and family struggles are increasingly hard to handle? Perhaps you fear social situations? Are you living with a visual impairment or chronic illness? Do you feel burdened by the past and unable to move on? This is when a therapist like me can help.
020 3962 1519 View 020 3962 1519
Photo of San Wong, Psychotherapist, MA, MBACP
San Wong
Psychotherapist, MA, MBACP
London E14
Are you struggling for your kid's emotion and hyperactivity? I am here to help you. I am San Vtgotsky Wong. I am a Senior Clinical Psychotherapist and University Supervisor, expert in ADHD and autism clients for 25 years. I am very passionate about therapeutic interventions that vary from deep psychological interventions based on the client's history and memories, to an emphasis on the relationship between therapist and client, including their cultural context and systems. I am also very interested in using symbolic representations and meanings in the therapeutic setting to assist clients on their reflections and self-awareness.
Are you struggling for your kid's emotion and hyperactivity? I am here to help you. I am San Vtgotsky Wong. I am a Senior Clinical Psychotherapist and University Supervisor, expert in ADHD and autism clients for 25 years. I am very passionate about therapeutic interventions that vary from deep psychological interventions based on the client's history and memories, to an emphasis on the relationship between therapist and client, including their cultural context and systems. I am also very interested in using symbolic representations and meanings in the therapeutic setting to assist clients on their reflections and self-awareness.
020 8138 8672 View 020 8138 8672
Photo of Sherylin Thompson - Dr Sherylin Thompson, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Sherylin Thompson
Psychologist, DCounsPsych, HCPC - Couns. Psych.
London E14
I’m a fully qualified Psychologist and Psychotherapist offering a warm, supportive and professional space for therapy in Canary Wharf. I am integratively trained, which means I draw from a rich blend of therapeutic approaches tailored to your unique needs, rather than using a one-size-fits-all model. Whether you're struggling with anxiety, relationships, self-esteem, or simply feeling stuck, my flexible approach allows us to explore what’s going on in a way that works best for you. I am registered with four of the UK’s leading professional bodies (HCPC, BPS, UKCP & BACP) giving you peace of mind that you’re in qualified hands.
I’m a fully qualified Psychologist and Psychotherapist offering a warm, supportive and professional space for therapy in Canary Wharf. I am integratively trained, which means I draw from a rich blend of therapeutic approaches tailored to your unique needs, rather than using a one-size-fits-all model. Whether you're struggling with anxiety, relationships, self-esteem, or simply feeling stuck, my flexible approach allows us to explore what’s going on in a way that works best for you. I am registered with four of the UK’s leading professional bodies (HCPC, BPS, UKCP & BACP) giving you peace of mind that you’re in qualified hands.
020 8106 0846 View 020 8106 0846
Photo of Dr Fabienne Palmer, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Fabienne Palmer
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
London E14
I am an experienced HCPC-registered Clinical Psychologist and Director of Wise Mynd Ltd. For more than a decade, I've effectively supported individuals, teams and organisations achieve meaningful change and enhanced well-being. I offer evidence-based psychological therapy, consultation, and training, tailored to support motivated individuals who are ready to invest in their personal growth and development. In particular, I work with clients to help them understand, process and overcome their experiences of stress, anxiety, trauma, low mood, or life transitions, working holistically to align with your values, needs and ambitions.
I am an experienced HCPC-registered Clinical Psychologist and Director of Wise Mynd Ltd. For more than a decade, I've effectively supported individuals, teams and organisations achieve meaningful change and enhanced well-being. I offer evidence-based psychological therapy, consultation, and training, tailored to support motivated individuals who are ready to invest in their personal growth and development. In particular, I work with clients to help them understand, process and overcome their experiences of stress, anxiety, trauma, low mood, or life transitions, working holistically to align with your values, needs and ambitions.
020 8138 0277 View 020 8138 0277
Photo of Laura Jayne Nice, Counsellor, MBACP
Laura Jayne Nice
Counsellor, MBACP
2 Endorsed
London E14
Hi I'm Laura. I have experience working with clients from gender, sexual & relationship diverse backgrounds. I'm sex positive, sex worker allied and have experience of kink dynamics. Importantly I wont assume anything about you or your experiences, I listen to You as we work together to uncover patterns, develop insights, and build strategies for healing & growth.
Hi I'm Laura. I have experience working with clients from gender, sexual & relationship diverse backgrounds. I'm sex positive, sex worker allied and have experience of kink dynamics. Importantly I wont assume anything about you or your experiences, I listen to You as we work together to uncover patterns, develop insights, and build strategies for healing & growth.
020 3828 7396 View 020 3828 7396
Amiral Nabi
Psychotherapist, MBABCP
London E14
Life can feel overwhelming when stress, anxiety, low mood, or past experiences start to build up. We might find ourselves worrying constantly, feeling flat, or struggling to switch off. Many people come to therapy because they want to understand what’s behind these feelings, make sense of their experiences, and find better ways to cope. They’re looking for lasting change and not just quick fixes, they want to feel calmer, more confident and more in control of their lives.
Life can feel overwhelming when stress, anxiety, low mood, or past experiences start to build up. We might find ourselves worrying constantly, feeling flat, or struggling to switch off. Many people come to therapy because they want to understand what’s behind these feelings, make sense of their experiences, and find better ways to cope. They’re looking for lasting change and not just quick fixes, they want to feel calmer, more confident and more in control of their lives.
020 4634 3835 View 020 4634 3835
Photo of Majida Othman - The Healing Hub Mental Wellness , MSc
I’m a Mental Health Practitioner with a Master’s Degree in Psychology and a strong foundation in therapeutic-informed work. Based in Canary Wharf, London, I specialise in non-clinical emotional support for individuals seeking clarity, healing, and personal growth. Through The Healing Hub Mental Wellness, I offer in-person sessions informed by integrative approaches. My focus is on helping you reconnect with your inner self, understand past emotional patterns, and move toward a more grounded, authentic way of being.
I’m a Mental Health Practitioner with a Master’s Degree in Psychology and a strong foundation in therapeutic-informed work. Based in Canary Wharf, London, I specialise in non-clinical emotional support for individuals seeking clarity, healing, and personal growth. Through The Healing Hub Mental Wellness, I offer in-person sessions informed by integrative approaches. My focus is on helping you reconnect with your inner self, understand past emotional patterns, and move toward a more grounded, authentic way of being.
020 4538 4006 View 020 4538 4006
Photo of Sabina Rahman, Counsellor, MBACP
Sabina Rahman
Counsellor, MBACP
London E14
Welcome to my profile. Are you feeling like something just isn’t quite right? You may know deep down that you have the strength to get through it, but perhaps you just need a little support or guidance to move forward. You're not alone — and you don’t have to face it alone. As a British Bangladeshi and bilingual therapist. I have worked extensively with clients from South Asian and Muslim communities. I understand the complexities of navigating cultural expectations, intergenerational conflict, identity struggles, shame, and stigma around mental health.
Welcome to my profile. Are you feeling like something just isn’t quite right? You may know deep down that you have the strength to get through it, but perhaps you just need a little support or guidance to move forward. You're not alone — and you don’t have to face it alone. As a British Bangladeshi and bilingual therapist. I have worked extensively with clients from South Asian and Muslim communities. I understand the complexities of navigating cultural expectations, intergenerational conflict, identity struggles, shame, and stigma around mental health.
020 4538 7992 View 020 4538 7992
Photo of Alisanne Bell, Counsellor, MSc, MBACP Accred
Alisanne Bell
Counsellor, MSc, MBACP Accred
London E14
Hello, my name is Alisanne. I am here to work with you along a journey to explore your experiences, unconscious thoughts, feelings and behaviours by providing you with a safe space, free from judgement and discrimination. This will enable you to have a greater insight into who you are, with the confidence and the clarity to tackle issues facing you so that you are able to thrive.
Hello, my name is Alisanne. I am here to work with you along a journey to explore your experiences, unconscious thoughts, feelings and behaviours by providing you with a safe space, free from judgement and discrimination. This will enable you to have a greater insight into who you are, with the confidence and the clarity to tackle issues facing you so that you are able to thrive.
020 4538 1264 View 020 4538 1264
Photo of Joanna Burbury, Psychologist, MA, HCPC - Clin. Psych.
Joanna Burbury
Psychologist, MA, HCPC - Clin. Psych.
London E14
I am a Clinical Psychologist, Cognitive-Behavioural Therapist and EMDR Therapist with over 20 years of experience in the field. I am passionate about helping you to create a life that is rich and fulfilling, where fears, self-doubt or other difficult thoughts or feelings, don't hold you back.  I work with individuals experiencing a broad range of difficulties. This may include struggling with distressing thoughts or memories, experiencing emotions or sensations that feel overwhelming, lacking a sense of purpose and meaning or feeling stuck and unable to take positive action in life.
I am a Clinical Psychologist, Cognitive-Behavioural Therapist and EMDR Therapist with over 20 years of experience in the field. I am passionate about helping you to create a life that is rich and fulfilling, where fears, self-doubt or other difficult thoughts or feelings, don't hold you back.  I work with individuals experiencing a broad range of difficulties. This may include struggling with distressing thoughts or memories, experiencing emotions or sensations that feel overwhelming, lacking a sense of purpose and meaning or feeling stuck and unable to take positive action in life.
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Photo of Joohyun Lee, Counsellor
Joohyun Lee
Counsellor
London E14
So, you are taking that hardest first step to reach out for help. I am a qualified psychodynamic psychotherapeutic counsellor with a Master's degree in Psychodynamic Practice from the University of Oxford. I have over 10 years clinical experience in various settings, working with a wide range of issues including: • Addictive, Self-harming behaviours • Anxiety and Depression • Identity and Self-esteem • Loss and Trauma • Obsessive Compulsive Disorder (OCD) • Relationship difficulties • Sex or Sexuality related issues.
So, you are taking that hardest first step to reach out for help. I am a qualified psychodynamic psychotherapeutic counsellor with a Master's degree in Psychodynamic Practice from the University of Oxford. I have over 10 years clinical experience in various settings, working with a wide range of issues including: • Addictive, Self-harming behaviours • Anxiety and Depression • Identity and Self-esteem • Loss and Trauma • Obsessive Compulsive Disorder (OCD) • Relationship difficulties • Sex or Sexuality related issues.
020 3540 7327 View 020 3540 7327
Photo of Anne Glynn, Counsellor, MBACP Accred
Anne Glynn
Counsellor, MBACP Accred
London E14
The most important thing I can do for you is to help you understand yourself better, to know why you do the things you do and find certain situations difficult. I work with people who want to understand why they can't assert themselves, find enjoyment in life, make friends, recover from bereavement or the end of a relationship, why they get so angry, have addictions, obsessions and intrusive thoughts or why they don't know what to do about a partner who is controllling or abusive. Alternatively, I can offer EMDR, which is a treatment for trauma and other experiences from the recent or distant past which have adversely affected you.
The most important thing I can do for you is to help you understand yourself better, to know why you do the things you do and find certain situations difficult. I work with people who want to understand why they can't assert themselves, find enjoyment in life, make friends, recover from bereavement or the end of a relationship, why they get so angry, have addictions, obsessions and intrusive thoughts or why they don't know what to do about a partner who is controllling or abusive. Alternatively, I can offer EMDR, which is a treatment for trauma and other experiences from the recent or distant past which have adversely affected you.
020 3871 7985 View 020 3871 7985

See more therapy options for E14

How does your Counsellor compare?

Number of Counsellors in E14

200+

Average cost per session

£80

Counsellors in E14 who prioritize treating:

95% Anxiety
90% Depression
87% Self Esteem
84% Stress
83% Relationship Issues
74% Trauma and PTSD
62% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

78% Aviva
74% AXA PPP
60% Vitality

How Counsellors in E14 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in E14?

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.