Photo of Patrycja Jackson, MA, MUKCP, Psychotherapist
Patrycja Jackson
Psychotherapist, MA, MUKCP
Verified Verified
Starting psychotherapy is a significant and personal decision. You may be considering it due to challenges such as anxiety, depression, trauma, early developmental issues, relational difficulties, crises, loss, a lack of meaning in life, or other psychological struggles. Engaging in therapy can be a valuable step towards healing and growth. My approach provides a secure and supportive space to explore and work through these life challenges, helping you gain a deeper understanding of your experiences and connect to your own authentic center.
Starting psychotherapy is a significant and personal decision. You may be considering it due to challenges such as anxiety, depression, trauma, early developmental issues, relational difficulties, crises, loss, a lack of meaning in life, or other psychological struggles. Engaging in therapy can be a valuable step towards healing and growth. My approach provides a secure and supportive space to explore and work through these life challenges, helping you gain a deeper understanding of your experiences and connect to your own authentic center.
07979 775448 x44 View 07979 775448 x44
Photo of Diana Ivankovic, MBACP, Counsellor
Diana Ivankovic
Counsellor, MBACP
Verified Verified
1 Endorsed
We all have aims and ambitions for ourselves but life events can often leave us barely able to cope, facing anxious or depressive thoughts daily. Are you struggling with certain traits of ADHD and you could use some useful steps to help you manage better? Have you wondered just how you may have learned to cope through your childhood with adverse events that have shaped the way you see yourself in the world? Are you struggling with issues that make it hard to feel like you’re prospering, enjoying life and applying yourself fully? Do you feel fulfilled in your work and your personal life? Counselling and therapy can help.
We all have aims and ambitions for ourselves but life events can often leave us barely able to cope, facing anxious or depressive thoughts daily. Are you struggling with certain traits of ADHD and you could use some useful steps to help you manage better? Have you wondered just how you may have learned to cope through your childhood with adverse events that have shaped the way you see yourself in the world? Are you struggling with issues that make it hard to feel like you’re prospering, enjoying life and applying yourself fully? Do you feel fulfilled in your work and your personal life? Counselling and therapy can help.
020 3984 8194 View 020 3984 8194
Photo of Kat Roumpedaki, MSc, MUKCP, Psychotherapist
Kat Roumpedaki
Psychotherapist, MSc, MUKCP
Verified Verified
Online Only
I am a psychologist trained in Greece and a UKCP registered Systemic Family and Couples therapist with over 10 years of experience working with individuals, families & couples in various psychological services in the NHS, while I am running a private practice. I am trained in various evidence-based approaches, but I tend to tailor my approach based on my clients needs and in collaboration with them. I believe our relationships is a mirror through which we see ourselves and the world around us and I tend to use a relational lens in my work, which also aligns with my extensive training in psychotherapy.
I am a psychologist trained in Greece and a UKCP registered Systemic Family and Couples therapist with over 10 years of experience working with individuals, families & couples in various psychological services in the NHS, while I am running a private practice. I am trained in various evidence-based approaches, but I tend to tailor my approach based on my clients needs and in collaboration with them. I believe our relationships is a mirror through which we see ourselves and the world around us and I tend to use a relational lens in my work, which also aligns with my extensive training in psychotherapy.
020 4538 7027 View 020 4538 7027
Photo of Eleanor Barreau, DCounsPsych, MBACP, Psychotherapist
Eleanor Barreau
Psychotherapist, DCounsPsych, MBACP
Verified Verified
As you consider finding a therapist, it's crucial to find someone who understands your unique story and makes you feel comfortable. I create a warm, non-judgmental space where you can explore your concerns and difficult experiences with ease. Whether you're dealing with anxiety, depression, loneliness, or anger, tackling these issues alone can be overwhelming and even frightening. With therapy, you can start to rebuild that sense of connection with yourself. I believe that creating a safe space where you can be open and honest helps you explore and concur the issues that you feel are holding you back.
As you consider finding a therapist, it's crucial to find someone who understands your unique story and makes you feel comfortable. I create a warm, non-judgmental space where you can explore your concerns and difficult experiences with ease. Whether you're dealing with anxiety, depression, loneliness, or anger, tackling these issues alone can be overwhelming and even frightening. With therapy, you can start to rebuild that sense of connection with yourself. I believe that creating a safe space where you can be open and honest helps you explore and concur the issues that you feel are holding you back.
020 3893 5973 View 020 3893 5973
Photo of Jasmine Behbahani, MBACP, Counsellor
Jasmine Behbahani
Counsellor, MBACP
Verified Verified
1 Endorsed
Sometimes we find ourselves stuck in life, unable to move forward. We may have something that’s getting in the way of us reaching our full potential; anxiety • depression• relationships• bereavement• loss• trauma• body issues• low mood• identity• suicide• motivation• loneliness• self-worth• self-esteem• self-loathing• self-harm• abuse• work stress• employment. These issues and many others alike, can throw us off course in life, losing ourselves momentarily and needing support getting through a tough time.
Sometimes we find ourselves stuck in life, unable to move forward. We may have something that’s getting in the way of us reaching our full potential; anxiety • depression• relationships• bereavement• loss• trauma• body issues• low mood• identity• suicide• motivation• loneliness• self-worth• self-esteem• self-loathing• self-harm• abuse• work stress• employment. These issues and many others alike, can throw us off course in life, losing ourselves momentarily and needing support getting through a tough time.
020 3917 4353 View 020 3917 4353
Photo of Anastasia Kotzamani, MBACP, Counsellor
Anastasia Kotzamani
Counsellor, MBACP
Verified Verified
Recognizing that each person is unique, I tailor my interventions to meet your specific needs. Offering a compassionate, collaborative, and non-judgmental space, I create a nurturing environment where you can foster a better relationship with yourself and others, explore, heal, and grow. Whether you’re facing current challenges, preparing for a life transition, exploring your past, seeking self-understanding, or enhancing well-being, I’ll support you, respecting your pace and preferences. Being an Integrative Counsellor, my approach is Person-Centered, drawing from CBT, Psychodynamic, Gestalt, and Mindfulness-based methods.
Recognizing that each person is unique, I tailor my interventions to meet your specific needs. Offering a compassionate, collaborative, and non-judgmental space, I create a nurturing environment where you can foster a better relationship with yourself and others, explore, heal, and grow. Whether you’re facing current challenges, preparing for a life transition, exploring your past, seeking self-understanding, or enhancing well-being, I’ll support you, respecting your pace and preferences. Being an Integrative Counsellor, my approach is Person-Centered, drawing from CBT, Psychodynamic, Gestalt, and Mindfulness-based methods.
020 4572 2311 View 020 4572 2311
Photo of Christopher Burke, UKCP Trainee, Psychotherapist
Christopher Burke
Psychotherapist, UKCP Trainee
Verified Verified
1 Endorsed
My ideal client is someone who feels disconnected, whether from themselves, others, or their environment. They might struggle with anxiety, depression, or relationship issues, but deep down, they seek growth and a more authentic life. They want to break free from old patterns, embrace their true feelings, and live more fully in the present. Their goal is to feel more alive, connected, and at peace with who they are. They're not just solving problems; they're on a journey to discover and embrace their true selves.
My ideal client is someone who feels disconnected, whether from themselves, others, or their environment. They might struggle with anxiety, depression, or relationship issues, but deep down, they seek growth and a more authentic life. They want to break free from old patterns, embrace their true feelings, and live more fully in the present. Their goal is to feel more alive, connected, and at peace with who they are. They're not just solving problems; they're on a journey to discover and embrace their true selves.
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Photo of Matteo Merla, MA, HCPC-Art Therap., Psychotherapist
Matteo Merla
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Hello and thank you for taking the time to read my profile. I am a therapist working with children, young people and adults. I am EMDR trained and a qualified Art Psychotherapist. I have nine years of experience in NHS and private practice. I’m passionate about aiding individuals facing various mental health and social challenges, promoting a safe and nurturing environment, and fostering creativity to facilitate personal growth.
Hello and thank you for taking the time to read my profile. I am a therapist working with children, young people and adults. I am EMDR trained and a qualified Art Psychotherapist. I have nine years of experience in NHS and private practice. I’m passionate about aiding individuals facing various mental health and social challenges, promoting a safe and nurturing environment, and fostering creativity to facilitate personal growth.
020 3866 2588 View 020 3866 2588
Photo of Angie Knight, MBACP, Counsellor
Angie Knight
Counsellor, MBACP
Verified Verified
Online Only
Whatever brings you here, I appreciate that entering therapy can be daunting. I will meet you with respect, care, and authenticity, creating a safe, judgement-free space where you’ll feel valued and heard. I can help you channel new perspectives to increase your self-awareness, and address the roots of difficult thoughts and emotions. Together, we can work to understand and change the patterns that aren’t serving you, to help you ultimately live a more positive and fulfilling life. Successful outcomes in therapy are directly linked to a positive therapeutic relationship between you and I, and I prioritise this in my work.
Whatever brings you here, I appreciate that entering therapy can be daunting. I will meet you with respect, care, and authenticity, creating a safe, judgement-free space where you’ll feel valued and heard. I can help you channel new perspectives to increase your self-awareness, and address the roots of difficult thoughts and emotions. Together, we can work to understand and change the patterns that aren’t serving you, to help you ultimately live a more positive and fulfilling life. Successful outcomes in therapy are directly linked to a positive therapeutic relationship between you and I, and I prioritise this in my work.
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Photo of Anna Lo Iacono, PhD, HCPC-Clin. Psych., Psychotherapist
Anna Lo Iacono
Psychotherapist, PhD, HCPC-Clin. Psych.
Verified Verified
Online Only
Are you feeling overwhelmed and can not keep up with daily routine? I am here to help you to convey your emotional psychological physical pain into the Pleasure of Living and overcoming daily challenges with intention, motivation, goal, pleasure and an exciting plan, tasting in advance the Success.
Are you feeling overwhelmed and can not keep up with daily routine? I am here to help you to convey your emotional psychological physical pain into the Pleasure of Living and overcoming daily challenges with intention, motivation, goal, pleasure and an exciting plan, tasting in advance the Success.
020 3479 4156 View 020 3479 4156
Photo of Ester Cunill, MSc, MBACP, Psychotherapist
Ester Cunill
Psychotherapist, MSc, MBACP
Verified Verified
Hello everyone, I am a psychologist and certified CBT therapist, GMBPsS, and MBACP. I adopt a holistic approach to well-being in my sessions with third wave Cognitive Behavioural Therapy (CBT) in English, Spanish, and Catalan. My qualifications in Health and Clinical Psychology, Gender, CBT along with additional studies in psychodynamic therapy, PTSD and complex trauma, certificate in relationships and family counselling amongst others have forged my comprehensive approach. This methodology consistently fosters improvements in overall well-being and reduction of symptoms.
Hello everyone, I am a psychologist and certified CBT therapist, GMBPsS, and MBACP. I adopt a holistic approach to well-being in my sessions with third wave Cognitive Behavioural Therapy (CBT) in English, Spanish, and Catalan. My qualifications in Health and Clinical Psychology, Gender, CBT along with additional studies in psychodynamic therapy, PTSD and complex trauma, certificate in relationships and family counselling amongst others have forged my comprehensive approach. This methodology consistently fosters improvements in overall well-being and reduction of symptoms.
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Photo of Dr Ayesha Pudaruth, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Ayesha Pudaruth
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Starting psychological therapy is a daunting process which takes a lot of courage. It may be difficult to know what you are looking for and this is something I can help you navigate. I am a registered Counselling Psychologist, with over 12 years of experience of working in the mental health sector. I have worked in range of services and with a diverse range of people. I work with people who may experience a range of difficulties including depression, anxiety, relational and personality difficulties, to name a few. I also specialise in working with people who have experienced trauma or difficult experiences in their life.
Starting psychological therapy is a daunting process which takes a lot of courage. It may be difficult to know what you are looking for and this is something I can help you navigate. I am a registered Counselling Psychologist, with over 12 years of experience of working in the mental health sector. I have worked in range of services and with a diverse range of people. I work with people who may experience a range of difficulties including depression, anxiety, relational and personality difficulties, to name a few. I also specialise in working with people who have experienced trauma or difficult experiences in their life.
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Photo of Sebastien Black, PNCPS Acc., Counsellor
Sebastien Black
Counsellor, PNCPS Acc.
Verified Verified
1 Endorsed
Are you feeling stuck, facing life transitions, or struggling with relationship challenges? I understand how overwhelming it can be, and I’m here to help you navigate those feelings. My focus is on your growth and deeper self-connection, ensuring you feel understood and supported throughout our journey together. You may seek to unlock your true potential and create meaningful change in your life. With a compassionate approach, we will work collaboratively to build resilience and find alignment in your personal and professional goals. I offer practical strategies and empathetic support to help you gain clarity, set achievable goals
Are you feeling stuck, facing life transitions, or struggling with relationship challenges? I understand how overwhelming it can be, and I’m here to help you navigate those feelings. My focus is on your growth and deeper self-connection, ensuring you feel understood and supported throughout our journey together. You may seek to unlock your true potential and create meaningful change in your life. With a compassionate approach, we will work collaboratively to build resilience and find alignment in your personal and professional goals. I offer practical strategies and empathetic support to help you gain clarity, set achievable goals
020 4572 2187 View 020 4572 2187
Photo of Carolyn Connor, MBACP, Counsellor
Carolyn Connor
Counsellor, MBACP
Verified Verified
Online Only
Born in the North of England, I emigrated to Australia with my family as a child, returning after a few years. I left for London in my late teens. My dyslexia, and not fitting in, had left me feeling as if I couldn’t learn and would have few job opportunities. In my town, I had two options: hairdressing or nuclear shipbuilding. I chose cutting hair and talking to human beings about their relationships. Working in West End salons, listening to clients’ stories, raising 4 children, and living with my husband with a terminal illness, gave me a deep understanding of human dynamics so I decided to retrain as a counsellor.
Born in the North of England, I emigrated to Australia with my family as a child, returning after a few years. I left for London in my late teens. My dyslexia, and not fitting in, had left me feeling as if I couldn’t learn and would have few job opportunities. In my town, I had two options: hairdressing or nuclear shipbuilding. I chose cutting hair and talking to human beings about their relationships. Working in West End salons, listening to clients’ stories, raising 4 children, and living with my husband with a terminal illness, gave me a deep understanding of human dynamics so I decided to retrain as a counsellor.
020 4572 5039 View 020 4572 5039
Photo of Nomhlekhabo Martha Shongwe, PNCPS Acc., Counsellor
Nomhlekhabo Martha Shongwe
Counsellor, PNCPS Acc.
Verified Verified
Many families experiencing child violence find that they have become increasingly isolated and silent about what is happening. Breaking this silence is by involving supporters as a respectful and sensitive way to address the issue. Are you struggling with your child's behavior? do you find it challenging to stand firm against physical or verbal violence due to a lack of understanding of Autism, mental health, or other factors such cultural or religious belief? Additionally, are you struggling with your parenting style.
Many families experiencing child violence find that they have become increasingly isolated and silent about what is happening. Breaking this silence is by involving supporters as a respectful and sensitive way to address the issue. Are you struggling with your child's behavior? do you find it challenging to stand firm against physical or verbal violence due to a lack of understanding of Autism, mental health, or other factors such cultural or religious belief? Additionally, are you struggling with your parenting style.
020 4572 0557 View 020 4572 0557
Photo of Bia Padilha, DCounsPsych, MUKCP, Psychotherapist
Bia Padilha
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
1 Endorsed
Hello and welcome. Starting therapy can feel daunting but also incredibly liberating once you get started. I offer a warm and welcoming environment where together we can explore what is troubling you and seek to ultimately find relief through this process. With twelve years of experience working with clients who have sought to make sense of their life, I am able to help by walking alongside you in your journey, whether this is for a short while or longer-term. In our time together, we will uncover what lies behind your anxieties and try out strategies that may support you as you work through the challenges you are facing.
Hello and welcome. Starting therapy can feel daunting but also incredibly liberating once you get started. I offer a warm and welcoming environment where together we can explore what is troubling you and seek to ultimately find relief through this process. With twelve years of experience working with clients who have sought to make sense of their life, I am able to help by walking alongside you in your journey, whether this is for a short while or longer-term. In our time together, we will uncover what lies behind your anxieties and try out strategies that may support you as you work through the challenges you are facing.
020 3389 9686 View 020 3389 9686
Photo of Letitia Heywood, MSc, MUKCP, Psychotherapist
Letitia Heywood
Psychotherapist, MSc, MUKCP
Verified Verified
Whatever the reason you are seeking therapy I will offer a safe and non-judgmental space for us to explore the difficulties you might be facing in your life. I bring a relational and empathic approach to the work. In other words, I am simply myself and I welcome whoever you are and whatever you may wish to bring. I believe such a relationship can prove to be the reparative foundation for the change and growth you seek.
Whatever the reason you are seeking therapy I will offer a safe and non-judgmental space for us to explore the difficulties you might be facing in your life. I bring a relational and empathic approach to the work. In other words, I am simply myself and I welcome whoever you are and whatever you may wish to bring. I believe such a relationship can prove to be the reparative foundation for the change and growth you seek.
020 4538 9814 View 020 4538 9814
Photo of James Waldron - Peak Potential Therapies, MA, MBACP, Psychotherapist
Peak Potential Therapies
Psychotherapist, MA, MBACP
Verified Verified
As an integrative therapist with a background in neuroscience I like provide a non judgmental environment while using psycho-education as a way of explaining what is going on in the mind, to lead towards certain decisions that we make and then how those decisions lead back to our emotions. I combine multidisciplinary approaches using motivational interviewing to find your strengths, CBT as a way of finding triggers and solutions. To explore alternative ways of finding happiness and motivation in life. I also offer supervision to other therapists.
As an integrative therapist with a background in neuroscience I like provide a non judgmental environment while using psycho-education as a way of explaining what is going on in the mind, to lead towards certain decisions that we make and then how those decisions lead back to our emotions. I combine multidisciplinary approaches using motivational interviewing to find your strengths, CBT as a way of finding triggers and solutions. To explore alternative ways of finding happiness and motivation in life. I also offer supervision to other therapists.
023 8214 6364 View 023 8214 6364
Photo of Mike Sands, PhD, MBACP, Counsellor
Mike Sands
Counsellor, PhD, MBACP
Verified Verified
I provide a safe therapeutic space in which the problems and mysteries of being human can be explored respectfully and creatively. My aim is to bring insight and understanding to the challenges in your life, facilitating growth and change. My approach is collaborative but you would remain in control, determining the pace of therapy, the material you bring, when and how we address deeply painful or traumatic issues, the duration of your therapy and eventually how we end it. ​
I provide a safe therapeutic space in which the problems and mysteries of being human can be explored respectfully and creatively. My aim is to bring insight and understanding to the challenges in your life, facilitating growth and change. My approach is collaborative but you would remain in control, determining the pace of therapy, the material you bring, when and how we address deeply painful or traumatic issues, the duration of your therapy and eventually how we end it. ​
01865 954000 View 01865 954000
Photo of Roxanne Haydon, BACP, Counsellor
Roxanne Haydon
Counsellor, BACP
Verified Verified
My name is Roxanne Haydon, I am a qualified Integrative Counsellor. I am registered with the British Association for Counselling and Psychotherapy (BACP) and currently working at Hackney Therapy Centre in Hackney and online. I believe everyone should have the chance to receive therapeutic support. Whether it’s for something specific or you want to make changes in your life in a more general way, integrative therapy and counselling can offer a safe space for you to review your where are currently, explore why you feel this way and where you would like to go next.
My name is Roxanne Haydon, I am a qualified Integrative Counsellor. I am registered with the British Association for Counselling and Psychotherapy (BACP) and currently working at Hackney Therapy Centre in Hackney and online. I believe everyone should have the chance to receive therapeutic support. Whether it’s for something specific or you want to make changes in your life in a more general way, integrative therapy and counselling can offer a safe space for you to review your where are currently, explore why you feel this way and where you would like to go next.
020 4538 3499 View 020 4538 3499
1

See more therapy options for E3

How does your Counsellor compare?

Number of Counsellors in E3

70+

Average cost per session

£77

Counsellors in E3 who prioritize treating:

95% Anxiety
89% Self Esteem
88% Depression
84% Relationship Issues
82% Stress
68% Life Transitions
66% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

72% Aviva
72% AXA PPP
67% Vitality

How Counsellors in E3 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

71% Female
28% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in E3?

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.