Counselling in Bristol

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Photo of Dr Sarah Krantz, Psychologist, PsychD, HCPC - Couns. Psych.
Dr Sarah Krantz
Psychologist, PsychD, HCPC - Couns. Psych.
Bristol BS8
I am a highly experienced counselling psychologist and psychotherapist. With additional training in Internal Family Systems, EMDR, CBT, Mindfulness and Couples Therapy, I have experience of working with complex client presentations. I also supervise other clinicians and have taught advanced clinical practice to doctoral students.
I am a highly experienced counselling psychologist and psychotherapist. With additional training in Internal Family Systems, EMDR, CBT, Mindfulness and Couples Therapy, I have experience of working with complex client presentations. I also supervise other clinicians and have taught advanced clinical practice to doctoral students.
0117 463 8249 View 0117 463 8249
Photo of Olivia Loveday Woodhouse - Wild Wood Counselling, Counsellor, MBACP
Wild Wood Counselling
Counsellor, MBACP
Bristol BS6
I offer support for the difficult, deeper feelings of children, teenagers, young adults, parents & infants and expectant parents. My aim is to provide a space where you feel safe to bring and explore what is bothering you and where you are heard and understood. When we are listened to from the heart and met with curiosity and compassion it is amazing what can change in our lives. We can begin to understand ourselves better, find self acceptance and our own wisdom This can help us feel more self loving and better able to navigate the ups and downs of life. I offer sessions in Nature and/or Indoors (see more info below).
I offer support for the difficult, deeper feelings of children, teenagers, young adults, parents & infants and expectant parents. My aim is to provide a space where you feel safe to bring and explore what is bothering you and where you are heard and understood. When we are listened to from the heart and met with curiosity and compassion it is amazing what can change in our lives. We can begin to understand ourselves better, find self acceptance and our own wisdom This can help us feel more self loving and better able to navigate the ups and downs of life. I offer sessions in Nature and/or Indoors (see more info below).
0117 463 3328 View 0117 463 3328
Photo of Tadeja Duncan, Psychotherapist, MA, MUKCP
Tadeja Duncan
Psychotherapist, MA, MUKCP
1 Endorsed
Bristol BS4
Most of our emotional wounds stem from difficult relationships we've had with others, and I believe they can be most effectively healed within a supportive environment of empathy, attunement, and a deep interest in you as a person. Hence I put at the core of my approach building a safe and trusting therapeutic relationship that can foster healing, growth, learning and development. I draw on more than 10 years of experience of working in the mental health field with clients who have been facing anxiety, depression, childhood trauma, neurodivergence, addictions, relationship difficulties, anger, lack of confidence etc.
Most of our emotional wounds stem from difficult relationships we've had with others, and I believe they can be most effectively healed within a supportive environment of empathy, attunement, and a deep interest in you as a person. Hence I put at the core of my approach building a safe and trusting therapeutic relationship that can foster healing, growth, learning and development. I draw on more than 10 years of experience of working in the mental health field with clients who have been facing anxiety, depression, childhood trauma, neurodivergence, addictions, relationship difficulties, anger, lack of confidence etc.
0117 463 7553 View 0117 463 7553
Photo of Karen J O'Connell - Counselling & Psychotherapy Service , Psychotherapist, MA, MUKCP
Counselling & Psychotherapy Service
Psychotherapist, MA, MUKCP
1 Endorsed
Bristol BS8
Welcome to my Counselling & Psychotherapy Service in Bristol and Cheltenham. I am an experienced and fully accredited UKCP Psychotherapist (MA Dip, Hip) and Couples Counsellor. I see clients with a range of issues on both a long term and short-term basis. This includes: Anxiety, Depression, Low Self-Esteem, Work Related Stress and Relationship difficulties too early childhood trauma. Also as a Qualified Social Worker I have many years practice of supporting client's through adverse experiences in their lives.
Welcome to my Counselling & Psychotherapy Service in Bristol and Cheltenham. I am an experienced and fully accredited UKCP Psychotherapist (MA Dip, Hip) and Couples Counsellor. I see clients with a range of issues on both a long term and short-term basis. This includes: Anxiety, Depression, Low Self-Esteem, Work Related Stress and Relationship difficulties too early childhood trauma. Also as a Qualified Social Worker I have many years practice of supporting client's through adverse experiences in their lives.
0117 456 2138 View 0117 456 2138
Photo of Dr Shelley Kerr, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Shelley Kerr
Psychologist, PsychD, HCPC - Clin. Psych.
12 Endorsed
Bristol BS3
We all want to enjoy the lives we have, not be bogged down in self criticism, overwhelmed by emotions, stuck in spirals of negative thinking, or be haunted by the past. If you find yourself here because you're struggling with anxiety, depression, painful emotions, self criticism, or patterns of coping that are damaging your life and your relationships, then you're in the right place. Again and again I have seen the power of compassion in releasing people from the suffering that can come with these cycles. With the right support you too can take the courageous, and sometimes painful steps towards becoming the person you'd like to be.
We all want to enjoy the lives we have, not be bogged down in self criticism, overwhelmed by emotions, stuck in spirals of negative thinking, or be haunted by the past. If you find yourself here because you're struggling with anxiety, depression, painful emotions, self criticism, or patterns of coping that are damaging your life and your relationships, then you're in the right place. Again and again I have seen the power of compassion in releasing people from the suffering that can come with these cycles. With the right support you too can take the courageous, and sometimes painful steps towards becoming the person you'd like to be.
01275 402881 View 01275 402881
Photo of Ana Corral, Psychotherapist, MUKCP
Ana Corral
Psychotherapist, MUKCP
Bristol BS8
Finding your way here takes courage. Whether it was a moment of crisis, a quiet sense that something isn't right, or simply a feeling that you deserve more from life. Life can shake us in ways we never expected. Anxiety, grief, anger, emptiness, or a disconnection from the life force that makes us feel alive. Sometimes what we experience isn't just one feeling, but many, pulling in different directions, often at the same time. Parts of us that long to be seen, others that protect, withdraw, or fight. When these parts are in conflict or feel disconnected from each other, life can feel fragmented.
Finding your way here takes courage. Whether it was a moment of crisis, a quiet sense that something isn't right, or simply a feeling that you deserve more from life. Life can shake us in ways we never expected. Anxiety, grief, anger, emptiness, or a disconnection from the life force that makes us feel alive. Sometimes what we experience isn't just one feeling, but many, pulling in different directions, often at the same time. Parts of us that long to be seen, others that protect, withdraw, or fight. When these parts are in conflict or feel disconnected from each other, life can feel fragmented.
01275 402946 View 01275 402946
Photo of Christian John Liberati, Counsellor, MBACP
Christian John Liberati
Counsellor, MBACP
Bristol BS4
Perhaps you feel lost, ungrounded, unable to understand your emotional way of being and always seem to be at conflict with yourself and others in your life. Perhaps you suffer from anxiety, stress, OCD, addictions, lack of self-worth. Perhaps you are grieving a loss of a loved one, relationship break-up or a job. In these times of stress and anxiety, one needs to find one’s inner core strength to be able to be fully grounded and able to fully move into life with clarity and focus. With my counselling skills and our teamwork, you can become the person you were born to be.
Perhaps you feel lost, ungrounded, unable to understand your emotional way of being and always seem to be at conflict with yourself and others in your life. Perhaps you suffer from anxiety, stress, OCD, addictions, lack of self-worth. Perhaps you are grieving a loss of a loved one, relationship break-up or a job. In these times of stress and anxiety, one needs to find one’s inner core strength to be able to be fully grounded and able to fully move into life with clarity and focus. With my counselling skills and our teamwork, you can become the person you were born to be.
01275 408887 View 01275 408887
Photo of Zoe Hobson, Counsellor, MBACP
Zoe Hobson
Counsellor, MBACP
Bristol BS1
I am an experienced Integrative Counsellor with a particular interest in supporting young adults experiencing anxiety. This stage of life can bring unique pressures—academic, social, professional, and personal—and anxiety can leave you feeling overwhelmed, exhausted, or stuck. You may find yourself overthinking, struggling to manage intense emotions, feeling disconnected from others, or unsure how to understand or express what you’re going through.
I am an experienced Integrative Counsellor with a particular interest in supporting young adults experiencing anxiety. This stage of life can bring unique pressures—academic, social, professional, and personal—and anxiety can leave you feeling overwhelmed, exhausted, or stuck. You may find yourself overthinking, struggling to manage intense emotions, feeling disconnected from others, or unsure how to understand or express what you’re going through.
01275 402776 View 01275 402776
Photo of Jamie N Bird, Counsellor, DCounsPsych, MNCPS Acc.
Jamie N Bird
Counsellor, DCounsPsych, MNCPS Acc.
1 Endorsed
Bristol BS13
I have worked for many years helping my clients to accept themselves for who they are and how they survive in the hidden world that goes on inside their heads, the world where fear holds them back and keeps them stuck. The world we are all familiar with, the place we go when we put our heads on our pillows at night and we know! I believe that through honest exploration, reflection and acceptance of our past, we can start to accept ourselves and begin to build our self-esteem, self respect, our confidence and compassion for ourselves. We can embrace the parts of us that work and let go of the parts that don't, we can change.
I have worked for many years helping my clients to accept themselves for who they are and how they survive in the hidden world that goes on inside their heads, the world where fear holds them back and keeps them stuck. The world we are all familiar with, the place we go when we put our heads on our pillows at night and we know! I believe that through honest exploration, reflection and acceptance of our past, we can start to accept ourselves and begin to build our self-esteem, self respect, our confidence and compassion for ourselves. We can embrace the parts of us that work and let go of the parts that don't, we can change.
0117 463 1826 View 0117 463 1826
Photo of Kirsty Fraser, Psychotherapist, MA, HCPC-Drama Therap.
Kirsty Fraser
Psychotherapist, MA, HCPC-Drama Therap.
Bristol BS34
If you are struggling with your mental health, would like to better understand yourself and your needs or would like support to find ways to improve your life, then I am here to help. I aim to creatively and compassionately work alongside my clients to make sense of their difficulties, challenges and strengths and offer effective intervention to improve their lives in the ways that matter to them.
If you are struggling with your mental health, would like to better understand yourself and your needs or would like support to find ways to improve your life, then I am here to help. I aim to creatively and compassionately work alongside my clients to make sense of their difficulties, challenges and strengths and offer effective intervention to improve their lives in the ways that matter to them.
0117 463 7758 View 0117 463 7758
Photo of Dr Laura Wade, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Laura Wade
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Bristol BS9
I am a specialise in working with adults and young people with a neurodevelopmental disorder and/or identify as neurodiverse. My area of expertise is ADHD and I offer diagnostic assessment, psychosocial treatment and work closely with two excellent clinical partners who can offer medical treatments. I am have training in CBT and compassion focused interventions and worked greatly with adults who have experienced trauma. Check out our partnership website Attention to Health for more information or to book an expert consultation.
I am a specialise in working with adults and young people with a neurodevelopmental disorder and/or identify as neurodiverse. My area of expertise is ADHD and I offer diagnostic assessment, psychosocial treatment and work closely with two excellent clinical partners who can offer medical treatments. I am have training in CBT and compassion focused interventions and worked greatly with adults who have experienced trauma. Check out our partnership website Attention to Health for more information or to book an expert consultation.
0117 463 3295 View 0117 463 3295
Photo of Sophie Alexandra Leather, Psychotherapist, MBABCP
Sophie Alexandra Leather
Psychotherapist, MBABCP
Online Only
Waitlist for new clients
I am a Cognitive Behavioural Psychotherapist with fourteen years’ experience of working within the NHS and in private practice. I trained at the Institute of Psychiatry, King’s College London, a leading institution worldwide for clinical research and training in psychology and psychiatry. I am fully accredited by the British Association for Behavioural and Cognitive Psychotherapists (BABCP), which is the gold standard in CBT. I am committed to providing effective, evidence-based therapy and high standards of care. I specialise in working with clients with anxiety and depression.
I am a Cognitive Behavioural Psychotherapist with fourteen years’ experience of working within the NHS and in private practice. I trained at the Institute of Psychiatry, King’s College London, a leading institution worldwide for clinical research and training in psychology and psychiatry. I am fully accredited by the British Association for Behavioural and Cognitive Psychotherapists (BABCP), which is the gold standard in CBT. I am committed to providing effective, evidence-based therapy and high standards of care. I specialise in working with clients with anxiety and depression.
01454 804728 View 01454 804728
Photo of Monika Frise, Psychotherapist, MA, UKCP Trainee
Monika Frise
Psychotherapist, MA, UKCP Trainee
Bristol BS2
I offer affordable psychotherapy for adults who may be feeling anxious, overwhelmed, emotionally stuck, or caught in patterns of self-doubt and overthinking. I work with issues including anxiety, stress, self-esteem, relationship difficulties, burnout, identity, and life transitions. I welcome adult clients from all backgrounds and walks of life, particularly young adults, students, and those navigating periods of change or emotional overwhelm.
I offer affordable psychotherapy for adults who may be feeling anxious, overwhelmed, emotionally stuck, or caught in patterns of self-doubt and overthinking. I work with issues including anxiety, stress, self-esteem, relationship difficulties, burnout, identity, and life transitions. I welcome adult clients from all backgrounds and walks of life, particularly young adults, students, and those navigating periods of change or emotional overwhelm.
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Photo of Catherine Knowles, Psychotherapist, MBABCP
Catherine Knowles
Psychotherapist, MBABCP
Online Only
I am happy to offer a free one hour assessment (see below). I also offer a concessionary reduced rate to students and those on low incomes (proof/evidence is required), at my discretion. We will explore together your difficulties and how they may be impacting your mental health, we will reach an understanding of how these issues affect you, in your thoughts, behaviours and feelings, and we will work on your goals, and hopes for the future, and aim to improve your wellbeing and mental health, through the use of Cognitive Behaviour Therapy.
I am happy to offer a free one hour assessment (see below). I also offer a concessionary reduced rate to students and those on low incomes (proof/evidence is required), at my discretion. We will explore together your difficulties and how they may be impacting your mental health, we will reach an understanding of how these issues affect you, in your thoughts, behaviours and feelings, and we will work on your goals, and hopes for the future, and aim to improve your wellbeing and mental health, through the use of Cognitive Behaviour Therapy.
01747 440068 View 01747 440068
Photo of Arian Aseeley, Psychotherapist, MBACP
Arian Aseeley
Psychotherapist, MBACP
Bristol BS16
My ideal clients are thoughtful, introspective people who feel stuck, disconnected, or emotionally overwhelmed. They may struggle with anxiety, low mood, unresolved emotional patterns, or confusion about who they are or where they’re going in life. They want more than surface-level fixes — they want depth, understanding, and meaningful change. They seek a safe, non-judgemental space to reconnect with themselves, make sense of their inner world, and move forward with greater clarity, authenticity, and purpose.
My ideal clients are thoughtful, introspective people who feel stuck, disconnected, or emotionally overwhelmed. They may struggle with anxiety, low mood, unresolved emotional patterns, or confusion about who they are or where they’re going in life. They want more than surface-level fixes — they want depth, understanding, and meaningful change. They seek a safe, non-judgemental space to reconnect with themselves, make sense of their inner world, and move forward with greater clarity, authenticity, and purpose.
029 2271 1916 View 029 2271 1916
Photo of Kerry Rawlings - KR Ltd Supervision & Consultancy, Counsellor, MBACP
Are you a counsellor looking for supervision within the Bristol area but also want something that is affordable? My name is Kerry I am a qualified integrative counsellor and supervisor. I am the founder of a well established and recognised counselling company in Bristol, where I manage and support a team of up to 30 student and qualified counsellors. My ethos has always been to provide support to others that is affordable and easy to access and this is exactly what I hope to provide as a supervisor to. I am able to work both online/telephone and in person.
Are you a counsellor looking for supervision within the Bristol area but also want something that is affordable? My name is Kerry I am a qualified integrative counsellor and supervisor. I am the founder of a well established and recognised counselling company in Bristol, where I manage and support a team of up to 30 student and qualified counsellors. My ethos has always been to provide support to others that is affordable and easy to access and this is exactly what I hope to provide as a supervisor to. I am able to work both online/telephone and in person.
0117 456 5065 View 0117 456 5065
Photo of Carly Read, Counsellor, MA, BACP
Carly Read
Counsellor, MA, BACP
Bristol BS6
Hi I’m Carly. I don’t believe there’s a one size fits all approach to therapy so I will tailor therapy to you. I specialise though in working with children & young people and survivors of trauma and abuse. I'm really passionate about supporting people who have spent their lives feeling othered, silenced and ignored. In therapy your voice will be heard. I have years of experience working for respected charities such as Off the Record, Women's Aid and Rape Crisis. I’m also a believer in the healing power of creativity and play. I’m happy to work with you in this way if you want to though equally there’s never any pressure to.
Hi I’m Carly. I don’t believe there’s a one size fits all approach to therapy so I will tailor therapy to you. I specialise though in working with children & young people and survivors of trauma and abuse. I'm really passionate about supporting people who have spent their lives feeling othered, silenced and ignored. In therapy your voice will be heard. I have years of experience working for respected charities such as Off the Record, Women's Aid and Rape Crisis. I’m also a believer in the healing power of creativity and play. I’m happy to work with you in this way if you want to though equally there’s never any pressure to.
0117 456 3051 View 0117 456 3051
Photo of Simone Passos, Psychologist, MSc, HCPC - Clin. Psych.
Simone Passos
Psychologist, MSc, HCPC - Clin. Psych.
Bristol BS6
Seeking therapy is an act of courage and self-care. You don't need a diagnosis to benefit from therapy with a psychologist; that's a common myth. Therapy isn't just for crises; it's also a powerful tool for growth, clarity, and emotional well-being. I work with people facing anxiety, relationship challenges, life transitions, and everyday stress. In a safe and confidential space, we explore your thoughts and feelings without judgment. Using evidence-based approaches, I help you gain insights, develop coping skills, and create meaningful and lasting change.
Seeking therapy is an act of courage and self-care. You don't need a diagnosis to benefit from therapy with a psychologist; that's a common myth. Therapy isn't just for crises; it's also a powerful tool for growth, clarity, and emotional well-being. I work with people facing anxiety, relationship challenges, life transitions, and everyday stress. In a safe and confidential space, we explore your thoughts and feelings without judgment. Using evidence-based approaches, I help you gain insights, develop coping skills, and create meaningful and lasting change.
0117 456 5092 View 0117 456 5092
Photo of Sarah Lock, Counsellor, MBACP
Sarah Lock
Counsellor, MBACP
Online Only
Hi, I’m an experienced Psychodynamic therapist and I presently work with adults and students privately and within the education sector. I understand that life can be challenging and it's not always easy to talk about our issues. I provide a safe and supportive environment where you can explore your feelings and gain insight into your life. Psychodynamic therapy focuses on unconscious processes as they are manifested in a person's present behaviour. It emphasises the importance of the individual's personal history and the role that past experiences play in current behaviour.
Hi, I’m an experienced Psychodynamic therapist and I presently work with adults and students privately and within the education sector. I understand that life can be challenging and it's not always easy to talk about our issues. I provide a safe and supportive environment where you can explore your feelings and gain insight into your life. Psychodynamic therapy focuses on unconscious processes as they are manifested in a person's present behaviour. It emphasises the importance of the individual's personal history and the role that past experiences play in current behaviour.
01275 408965 View 01275 408965
Photo of Caroline Jane Canfield-M'caw, Counsellor, MUKCP
I understand that when looking for some sort of therapy, to relieve difficult feelings and symptoms, the choice can feel overwhelming. You may wonder how you can know what would be most helpful. Two things are crucial. The first is that you find someone you can feel comfortable enough with to be open and trust to be alongside you and guide you. Secondly that that they can enable you to articulate your struggles, understand something of their origin and together explore underlying issues and barriers to positive change. If you want to explore if you and I would be a good fit, contact me for a free 15minute consultation.
I understand that when looking for some sort of therapy, to relieve difficult feelings and symptoms, the choice can feel overwhelming. You may wonder how you can know what would be most helpful. Two things are crucial. The first is that you find someone you can feel comfortable enough with to be open and trust to be alongside you and guide you. Secondly that that they can enable you to articulate your struggles, understand something of their origin and together explore underlying issues and barriers to positive change. If you want to explore if you and I would be a good fit, contact me for a free 15minute consultation.
01225 434430 View 01225 434430

See more therapy options for Bristol

How does your Counsellor compare?

Number of Counsellors in Bristol

1,000+

Average cost per session

£64

Counsellors in Bristol who prioritize treating:

90% Anxiety
84% Depression
81% Self Esteem
76% Stress
75% Relationship Issues
67% Trauma and PTSD
58% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

71% Aviva
64% AXA PPP
56% Bupa

How Counsellors in Bristol see their clients

74% In Person and Online
26% Online Only

Gender breakdown

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

How can I find a therapist in Bristol?

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.