Counselling in E2

Photo of Gemma Jackson, Psychotherapist, MBACP
Gemma Jackson
Psychotherapist, MBACP
London E2
Psychotherapy offers a confidential space where you can take time to explore different aspects of yourself, your relationships, and your life more deeply. Through collaborative reflection, we can develop greater understanding and new perspectives, opening up the possibility for meaningful change. Starting therapy can feel daunting. I believe the foundation of effective therapy is a strong, trusting relationship, one in which you feel safe enough to explore areas of life that may be difficult or painful. I work both in person in East London and online.
Psychotherapy offers a confidential space where you can take time to explore different aspects of yourself, your relationships, and your life more deeply. Through collaborative reflection, we can develop greater understanding and new perspectives, opening up the possibility for meaningful change. Starting therapy can feel daunting. I believe the foundation of effective therapy is a strong, trusting relationship, one in which you feel safe enough to explore areas of life that may be difficult or painful. I work both in person in East London and online.
020 4572 0473 View 020 4572 0473
Photo of Mari Mansfield, Psychotherapist, MSc, BPC
Mari Mansfield
Psychotherapist, MSc, BPC
London E2
I consider all my clients as unique individuals -- my role is not to judge you or label you, rather, my role is to help you reach your full potential in all aspects of your life, working towards you living the life you desire. I provide a confidential, warm and non-judgemental space where together we will explore your difficulties to gain insight and understanding, working towards you developing a fuller sense of who you are and what you need from yourself and your relationships to promote positive change.
I consider all my clients as unique individuals -- my role is not to judge you or label you, rather, my role is to help you reach your full potential in all aspects of your life, working towards you living the life you desire. I provide a confidential, warm and non-judgemental space where together we will explore your difficulties to gain insight and understanding, working towards you developing a fuller sense of who you are and what you need from yourself and your relationships to promote positive change.
020 3960 5186 View 020 3960 5186
Photo of Martha Nicholls, Psychotherapist, MA, HCPC-Music Therap.
Martha Nicholls
Psychotherapist, MA, HCPC-Music Therap.
London E2
I have experience of working closely with people with enduring and complex mental health difficulties, suicidal ideation, troubling relational patterns and people recovering from grief and loss. I use music as a tool to facilitate the building of the therapeutic relationship, and listening, songwriting, lyric analysis and composing can all be incredibly accessible ways of starting to explore what is troubling you. Equally, sometimes we may spend most sessions talking. Clients do not need to have any prior musical experience, and I am very happy working with children, young people and adults.
I have experience of working closely with people with enduring and complex mental health difficulties, suicidal ideation, troubling relational patterns and people recovering from grief and loss. I use music as a tool to facilitate the building of the therapeutic relationship, and listening, songwriting, lyric analysis and composing can all be incredibly accessible ways of starting to explore what is troubling you. Equally, sometimes we may spend most sessions talking. Clients do not need to have any prior musical experience, and I am very happy working with children, young people and adults.
020 4524 5290 View 020 4524 5290
Photo of Sebastian Brown - Sebastian Charles, Counsellor, UKCP Trainee
Sebastian Charles
Counsellor, UKCP Trainee
London E2
Hello, my name is Sebastian (he / him), I am psychotherapist in advanced training running a quiet private practice in East London and online; a short walk from Bethnal Green, Shoreditch, Hackney and London Fields. You may be reading this during a time of stress and uncertainty or when life feels overwhelming. I offer short and long-term therapy, working extensively with men, women and non-binary people. I work collaboratively and a gentle approach ensures trust and safety is at the heart of our conversations.
Hello, my name is Sebastian (he / him), I am psychotherapist in advanced training running a quiet private practice in East London and online; a short walk from Bethnal Green, Shoreditch, Hackney and London Fields. You may be reading this during a time of stress and uncertainty or when life feels overwhelming. I offer short and long-term therapy, working extensively with men, women and non-binary people. I work collaboratively and a gentle approach ensures trust and safety is at the heart of our conversations.
020 4572 5498 View 020 4572 5498
Photo of Graham Gerrans, Psychotherapist, MSc, MBACP
Graham Gerrans
Psychotherapist, MSc, MBACP
London E2
You may be functioning on the outside but struggling on the inside - experiencing depression, anxiety, or navigating significant life transitions such as bereavement, relationship difficulties, or ADHD related challenges. Sometimes there isn't a clear "problem" - Just a sense something isn't right. Therapy can be a transformative experience, and I am here to guide you. I offer a deeply attentive and non-judgmental space where you can explore your thoughts and feelings without fear. Together, we'll delve into the patterns that may be holding you back, empowering you to make lasting positive changes.
You may be functioning on the outside but struggling on the inside - experiencing depression, anxiety, or navigating significant life transitions such as bereavement, relationship difficulties, or ADHD related challenges. Sometimes there isn't a clear "problem" - Just a sense something isn't right. Therapy can be a transformative experience, and I am here to guide you. I offer a deeply attentive and non-judgmental space where you can explore your thoughts and feelings without fear. Together, we'll delve into the patterns that may be holding you back, empowering you to make lasting positive changes.
020 3835 2398 View 020 3835 2398
Photo of Michelle Mclean, Psychotherapist, BPC
Michelle Mclean
Psychotherapist, BPC
London E2
Psychotherapist & Counsellor in Bethnal Green, East London & Online. People often come to therapy when they are feeling overwhelmed, stuck, anxious, disconnected, or simply not quite themselves. Sometimes there is a clear reason for seeking support; at other times, it is more difficult to put into words. Having a consistent, confidential space to talk and feel heard can make a meaningful difference.
Psychotherapist & Counsellor in Bethnal Green, East London & Online. People often come to therapy when they are feeling overwhelmed, stuck, anxious, disconnected, or simply not quite themselves. Sometimes there is a clear reason for seeking support; at other times, it is more difficult to put into words. Having a consistent, confidential space to talk and feel heard can make a meaningful difference.
020 3869 5986 View 020 3869 5986
Photo of Zoë Doran, Psychotherapist, MBACP
Zoë Doran
Psychotherapist, MBACP
London E2
Navigating life is hard and sometimes too much to bear alone. Things that once made sense lose meaning, relationships break down and our sense of purpose falters. Therapy is a space to untangle yourself, to make sense of who you are and where you are going. For me, having an awareness of the socio-political systems and structures we live within is just as important as understanding our internal worlds. We cannot separate who we are, and the problems we face, from the world around us. My approach tries to help you to see yourself not just as an individual but part of a larger collection of people, places and histories.
Navigating life is hard and sometimes too much to bear alone. Things that once made sense lose meaning, relationships break down and our sense of purpose falters. Therapy is a space to untangle yourself, to make sense of who you are and where you are going. For me, having an awareness of the socio-political systems and structures we live within is just as important as understanding our internal worlds. We cannot separate who we are, and the problems we face, from the world around us. My approach tries to help you to see yourself not just as an individual but part of a larger collection of people, places and histories.
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Neil Farrelly
Psychotherapist, MA, BPC
1 Endorsed
London E2
At various points in our lives we can experience distressing events or feelings which seem overwhelming. They can result from particular circumstance such as difficulties in our work lives, relationships, bereavement, illness or dealing with painful memories from our childhood. Sometimes we are unsure as to what is making us feel the way we do. All we know is that life may have become directionless, distressing, or even intolerable. It might be at these times psychotherapy might be helpful.
At various points in our lives we can experience distressing events or feelings which seem overwhelming. They can result from particular circumstance such as difficulties in our work lives, relationships, bereavement, illness or dealing with painful memories from our childhood. Sometimes we are unsure as to what is making us feel the way we do. All we know is that life may have become directionless, distressing, or even intolerable. It might be at these times psychotherapy might be helpful.
020 4538 8490 View 020 4538 8490
Photo of Georgina May, Psychotherapist, MBACP
Georgina May
Psychotherapist, MBACP
London E2
Deciding to come to therapy can be daunting. Perhaps you've been experiencing stress at work, relationship difficulties, or a general sense of feeling low. In considering therapy, you're already showing great courage and commitment to your wellbeing. I believe that our unique experiences shape our thoughts, feelings, and ways of relating, and will work with you to build self-awareness and move towards positive personal growth. I have experience working with a diverse range of challenges including anxiety, body dysmorphia, depression, panic, bereavement, sex and relationship difficulties, neurodiversity and suicidal ideation.
Deciding to come to therapy can be daunting. Perhaps you've been experiencing stress at work, relationship difficulties, or a general sense of feeling low. In considering therapy, you're already showing great courage and commitment to your wellbeing. I believe that our unique experiences shape our thoughts, feelings, and ways of relating, and will work with you to build self-awareness and move towards positive personal growth. I have experience working with a diverse range of challenges including anxiety, body dysmorphia, depression, panic, bereavement, sex and relationship difficulties, neurodiversity and suicidal ideation.
020 4572 2954 View 020 4572 2954
Photo of Carlo Ricciardi, Psychotherapist, MSc, MBACP
Carlo Ricciardi
Psychotherapist, MSc, MBACP
London E2
I provide a welcoming, non-judgemental therapeutic space for you to explore your issues in an open, honest, safe, confidential way. I work with a wide variety of people with different issues. Whatever you are seeking support for, I am happy to discuss how I can help. You may be seeking support with low mood, anxiety, depression, LBGT+ issues or adjusting to a family member's LGBT+ identity. Or you may be seeking to explore your subconscious and what is causing your thoughts and feelings. I have additional specialist expertise is in working with positive HIV diagnosis, helping people adjust and thrive while managing their condition.
I provide a welcoming, non-judgemental therapeutic space for you to explore your issues in an open, honest, safe, confidential way. I work with a wide variety of people with different issues. Whatever you are seeking support for, I am happy to discuss how I can help. You may be seeking support with low mood, anxiety, depression, LBGT+ issues or adjusting to a family member's LGBT+ identity. Or you may be seeking to explore your subconscious and what is causing your thoughts and feelings. I have additional specialist expertise is in working with positive HIV diagnosis, helping people adjust and thrive while managing their condition.
020 8138 8657 View 020 8138 8657
Photo of Malgosia Fijak-Koch, Psychologist, CPsychol
Malgosia Fijak-Koch
Psychologist, CPsychol
London E2
I am an integrative practitioner which means that my practice is influenced by more than one approach. In my work I focus on adapting the best-suited approach to your individual needs. This might entail helping you find coping strategies to address specific symptoms or assisting you to increase understanding of yourself and your relationships with others. I am also using DIT model (Dynamic Interpersonal Therapy) which is a 16 sessions time limited therapy aiming to identify and change unhelpful patterns affecting your important relationships and professional achievements.
I am an integrative practitioner which means that my practice is influenced by more than one approach. In my work I focus on adapting the best-suited approach to your individual needs. This might entail helping you find coping strategies to address specific symptoms or assisting you to increase understanding of yourself and your relationships with others. I am also using DIT model (Dynamic Interpersonal Therapy) which is a 16 sessions time limited therapy aiming to identify and change unhelpful patterns affecting your important relationships and professional achievements.
020 3962 2073 x079699 View 020 3962 2073 x079699
Photo of Janos Verebes-Weisz, Psychotherapist, MUKCP
Janos Verebes-Weisz
Psychotherapist, MUKCP
London E2
I’m an individual and group analytic psychotherapist offering therapy to help clients understand themselves better and make meaningful change in their life. My experience includes working with complex trauma, personality disorders, anger, eating disorders, anxiety, and depression. I support people struggling with deep-rooted patterns that impact relationships and self-worth, creating a safe space to explore emotions, build resilience, and move toward a more authentic and fulfilling life.
I’m an individual and group analytic psychotherapist offering therapy to help clients understand themselves better and make meaningful change in their life. My experience includes working with complex trauma, personality disorders, anger, eating disorders, anxiety, and depression. I support people struggling with deep-rooted patterns that impact relationships and self-worth, creating a safe space to explore emotions, build resilience, and move toward a more authentic and fulfilling life.
020 3897 7324 View 020 3897 7324
Photo of Frances Kettley, Psychotherapist, MNCPS Acc.
Frances Kettley
Psychotherapist, MNCPS Acc.
London E2
Psychotherapy supports you to find a deeper connection with yourself and cope with the challenging parts of living. Our sessions are a supportive environment for you to speak without censoring yourself and I will listen with an open heart and mind. Ultimately I believe you hold the answers, and I actively avoid assigning labels or pathologising what you are experiencing. Instead I'm here to listen, offer an outside perspective on the issues you bring, and support you to get curious about yourself.
Psychotherapy supports you to find a deeper connection with yourself and cope with the challenging parts of living. Our sessions are a supportive environment for you to speak without censoring yourself and I will listen with an open heart and mind. Ultimately I believe you hold the answers, and I actively avoid assigning labels or pathologising what you are experiencing. Instead I'm here to listen, offer an outside perspective on the issues you bring, and support you to get curious about yourself.
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Photo of Douglas Douglas - Shoreditch Counselling , Psychotherapist, MBACP
Shoreditch Counselling
Psychotherapist, MBACP
London E2
Hi! I am Doug Edwards, psychotherapist and founder of Shoreditch counselling.Experience has shown me that we all have the capacity for transformation, at any time. I am passionate about helping people use their inner resources to achieve a greater sense of well-being and fulfilment in their lives. We will work together to form an authentic relationship and create a foundation for healing and growth. My specialist areas include anxiety, depression,trauma,bereavement,parenting issues, anger/ aggression and relationship issues. I also have extensive experience addressing addictions and I am familiar with 12 step recovery programs.
Hi! I am Doug Edwards, psychotherapist and founder of Shoreditch counselling.Experience has shown me that we all have the capacity for transformation, at any time. I am passionate about helping people use their inner resources to achieve a greater sense of well-being and fulfilment in their lives. We will work together to form an authentic relationship and create a foundation for healing and growth. My specialist areas include anxiety, depression,trauma,bereavement,parenting issues, anger/ aggression and relationship issues. I also have extensive experience addressing addictions and I am familiar with 12 step recovery programs.
020 8138 8517 View 020 8138 8517
Photo of Diana Ivankovic, Counsellor, MBACP
Diana Ivankovic
Counsellor, MBACP
London E2
Navigating adult life challenges whilst carrying the impact of earlier relationships can be, at the least, difficult to make sense of and at worst, a heavy burden that grows heavier with each new experience. Are you wondering how you learned to cope and how your environment helped shape who you are? Your desires and ambitions may have taken a back seat because it is hard to feel accomplished, when it seems like you're your worst enemy. Therapy and counselling helps better understanding and acceptance of yourself, giving you safe, attachment based relational space where you can explore the new, better balanced self.
Navigating adult life challenges whilst carrying the impact of earlier relationships can be, at the least, difficult to make sense of and at worst, a heavy burden that grows heavier with each new experience. Are you wondering how you learned to cope and how your environment helped shape who you are? Your desires and ambitions may have taken a back seat because it is hard to feel accomplished, when it seems like you're your worst enemy. Therapy and counselling helps better understanding and acceptance of yourself, giving you safe, attachment based relational space where you can explore the new, better balanced self.
020 3984 8194 View 020 3984 8194
Photo of Sam Briggs, Psychotherapist, MBACP
Sam Briggs
Psychotherapist, MBACP
London E2
Hi, I'm Sam - a warm, experienced and attentive relational psychodynamic therapist. This means I bring a curiosity in understanding how past experience influences the person that you are today, and provide an open-minded, safe and accepting space where we can work together to make sense of the questions or issues that you might bring to therapy. I bring experience of work in community mental health, suicide prevention & homelessness services. Therapy provides an opportunity to gain a deeper understanding of yourself, the ways in which you relate to yourself and others, and the patterns in your life which seem to repeat themselves.
Hi, I'm Sam - a warm, experienced and attentive relational psychodynamic therapist. This means I bring a curiosity in understanding how past experience influences the person that you are today, and provide an open-minded, safe and accepting space where we can work together to make sense of the questions or issues that you might bring to therapy. I bring experience of work in community mental health, suicide prevention & homelessness services. Therapy provides an opportunity to gain a deeper understanding of yourself, the ways in which you relate to yourself and others, and the patterns in your life which seem to repeat themselves.
020 4634 7975 View 020 4634 7975
Photo of Dr Madeleine Roantree - The London Neurofeedback Clinic, Psychologist, DCounsPsych, HCPC - Couns. Psych.
The London Neurofeedback Clinic
Psychologist, DCounsPsych, HCPC - Couns. Psych.
1 Endorsed
London E2
We offer a computer assisted therapy, that is non-evasive and pain free. An alternative to medication, addressing symptoms of anxiety, panic, depression, ADHD, ASD, developmental trauma and PTSD, as well as sleep issues, headaches and migraines and other forms of pain. Led by counselling psychologist Dr Madeleine Roantree, the clinic offers ILF neurofeedback in East London.
We offer a computer assisted therapy, that is non-evasive and pain free. An alternative to medication, addressing symptoms of anxiety, panic, depression, ADHD, ASD, developmental trauma and PTSD, as well as sleep issues, headaches and migraines and other forms of pain. Led by counselling psychologist Dr Madeleine Roantree, the clinic offers ILF neurofeedback in East London.
020 4652 2183 View 020 4652 2183
Photo of Julia Hawkins, Psychotherapist, MA, MBACP
Julia Hawkins
Psychotherapist, MA, MBACP
London E2
Sometimes you can feel like you’re surviving rather than living. You find yourself sad, anxious or stuck in old patterns, and it’s impacting your life, relationships or work. Therapy can help you rediscover your joy, purpose and nurturing relationships. I provide a safe space for you where we collaboratively work towards living authentically. My therapy is tailored to your unique situation, working in either a short or long-term capacity depending on your needs. Bringing a warmth to the therapeutic relationship, together we can explore what is weighing on you, set goals and work together to find a way through, towards living again.
Sometimes you can feel like you’re surviving rather than living. You find yourself sad, anxious or stuck in old patterns, and it’s impacting your life, relationships or work. Therapy can help you rediscover your joy, purpose and nurturing relationships. I provide a safe space for you where we collaboratively work towards living authentically. My therapy is tailored to your unique situation, working in either a short or long-term capacity depending on your needs. Bringing a warmth to the therapeutic relationship, together we can explore what is weighing on you, set goals and work together to find a way through, towards living again.
020 3095 4671 View 020 3095 4671
Photo of Dr Rebecca Conway, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Rebecca Conway
Psychologist, PsychD, HCPC - Clin. Psych.
London E2
It's normal to need support with our mental health and wellbeing. Sometimes we need help to feel more at ease in a specific area of our lives, or perhaps to explore why we feel the way we do. Whatever your hopes are for therapy, I strive to create a safe and supportive space tailored for you. I am a Clinical Psychologist, which means I am trained to support people with different hopes, needs, and difficulties, by using a wide range of therapies. I work by first understanding more about you and what has brought you to therapy, before agreeing on a therapeutic approach which will best suit your individual needs.
It's normal to need support with our mental health and wellbeing. Sometimes we need help to feel more at ease in a specific area of our lives, or perhaps to explore why we feel the way we do. Whatever your hopes are for therapy, I strive to create a safe and supportive space tailored for you. I am a Clinical Psychologist, which means I am trained to support people with different hopes, needs, and difficulties, by using a wide range of therapies. I work by first understanding more about you and what has brought you to therapy, before agreeing on a therapeutic approach which will best suit your individual needs.
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Photo of Eujenny Isaac-George, Psychotherapist, MSc, MUKCP
Eujenny Isaac-George
Psychotherapist, MSc, MUKCP
1 Endorsed
London E2
I am a qualified Family and Systemic Psychotherapist. Relationship in any context can be full of complexities and challenges. I work with relational issues including poor communication, lack of trust, parenting, caregiving , life transition, and health issues. These can be experienced by individuals, couples and families and which sometimes leave us feeling unseen, unheard and misunderstood. Talking to a trained professional like myself can provide a safe, supportive space to explore thoughts, feelings and concerns. It can help you to gain insight, develop coping skills improve communication and mental wellbeing.
I am a qualified Family and Systemic Psychotherapist. Relationship in any context can be full of complexities and challenges. I work with relational issues including poor communication, lack of trust, parenting, caregiving , life transition, and health issues. These can be experienced by individuals, couples and families and which sometimes leave us feeling unseen, unheard and misunderstood. Talking to a trained professional like myself can provide a safe, supportive space to explore thoughts, feelings and concerns. It can help you to gain insight, develop coping skills improve communication and mental wellbeing.
020 4538 4658 View 020 4538 4658

How does your Counsellor compare?

Number of Counsellors in E2

200+

Average cost per session

£80

Counsellors in E2 who prioritize treating:

96% Anxiety
92% Depression
88% Relationship Issues
83% Self Esteem
76% Stress
73% Trauma and PTSD
71% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

68% Aviva
64% AXA PPP
58% Vitality

How Counsellors in E2 see their clients

86% In Person and Online
14% Online Only

Gender breakdown

67% Female
31% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in E2?

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.