Photo of Lara Akers-Douglas, PsychD, HCPC - Clin. Psych., Psychologist
Lara Akers-Douglas
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
4 Endorsed
Cowes PO31
Hello and welcome. My name is Dr Lara Akers-Douglas, a Clinical Psychologist who works between the Isle of Wight and Southampton, as well as virtually online. Have you experienced events that continue to have unwanted repercussions throughout your life? My passion lies in helping people who have experienced trauma on their journey towards recovery. With a deep understanding of the profound impact trauma can have on mental and emotional well-being, I can provide expert guidance and support to older teenagers and adults, and help you on your path to recovery.
Hello and welcome. My name is Dr Lara Akers-Douglas, a Clinical Psychologist who works between the Isle of Wight and Southampton, as well as virtually online. Have you experienced events that continue to have unwanted repercussions throughout your life? My passion lies in helping people who have experienced trauma on their journey towards recovery. With a deep understanding of the profound impact trauma can have on mental and emotional well-being, I can provide expert guidance and support to older teenagers and adults, and help you on your path to recovery.
0117 463 5164 View 0117 463 5164
Photo of Trudie Johnston - Trudie Johnston Counselling and Bereavement , MBACP, Counsellor
Trudie Johnston Counselling and Bereavement
Counsellor, MBACP
Verified Verified
1 Endorsed
Cowes PO31
Are you someone who lies awake at night struggling to make sense of things that are happening in your life? Are these things you are struggling with recent, or have you kept them bottled up, perhaps, for a long time? Is it difficult to express these feelings to friends and family, maybe you are worried about overwhelming other people. If some of this sounds familiar, then contact me. Together we can work on helping you to make sense of your thoughts and feelings, enable you to feel better and move forward with your life.
Are you someone who lies awake at night struggling to make sense of things that are happening in your life? Are these things you are struggling with recent, or have you kept them bottled up, perhaps, for a long time? Is it difficult to express these feelings to friends and family, maybe you are worried about overwhelming other people. If some of this sounds familiar, then contact me. Together we can work on helping you to make sense of your thoughts and feelings, enable you to feel better and move forward with your life.
01983 214015 View 01983 214015
Photo of Jennifer McKean, MSc, MNCPS Acc., Counsellor
Jennifer McKean
Counsellor, MSc, MNCPS Acc.
Verified Verified
Cowes PO31
Hi, I'm Jennifer, a neurodivergent counsellor. Whether you’ve faced significant challenges or just need a supportive space to talk, I’m here to help. Therapy offers the opportunity to work through difficult experiences in a safe environment with a non-judgemental counsellor.
Hi, I'm Jennifer, a neurodivergent counsellor. Whether you’ve faced significant challenges or just need a supportive space to talk, I’m here to help. Therapy offers the opportunity to work through difficult experiences in a safe environment with a non-judgemental counsellor.
01983 217854 View 01983 217854
Photo of Mary Biles, UKCP Trainee, Counsellor
Mary Biles
Counsellor, UKCP Trainee
Verified Verified
Cowes PO31
Are you feeling overwhelmed navigating life’s big challenges such as bereavement, illness, changing career, or difficult relationships? Do you feel alone with your problems, misunderstood or unheard? Do you struggle to find meaning and purpose in your life or feel stuck in a rut and ready for change? If these questions resonate with you, and you are interested in exploring how to live with more authenticity and emotional ease, then Psychosynthesis Counselling might be for you.
Are you feeling overwhelmed navigating life’s big challenges such as bereavement, illness, changing career, or difficult relationships? Do you feel alone with your problems, misunderstood or unheard? Do you struggle to find meaning and purpose in your life or feel stuck in a rut and ready for change? If these questions resonate with you, and you are interested in exploring how to live with more authenticity and emotional ease, then Psychosynthesis Counselling might be for you.
01983 214336 View 01983 214336
Photo of Rebekah Jones, MSc, MUKCP, Psychotherapist
Rebekah Jones
Psychotherapist, MSc, MUKCP
Verified Verified
Serves Area
I am a UKCP accredited Clinical Psychotherapist, Certified EMDR Therapist and Trauma Therapist, and have worked extensively with clients who have experienced a range of traumas in their lives. I work in a way which invites my clients to build a high level of confidence in the therapeutic space, in order to ensure this then becomes a safe space; where the deepest most thoughts and feelings can be explored and considered without fear of judgement or negative consequence. I am currently also training to become a COSRT approved sex therapist in addition, and within this am building upon my previous skills with couples in therapy.
I am a UKCP accredited Clinical Psychotherapist, Certified EMDR Therapist and Trauma Therapist, and have worked extensively with clients who have experienced a range of traumas in their lives. I work in a way which invites my clients to build a high level of confidence in the therapeutic space, in order to ensure this then becomes a safe space; where the deepest most thoughts and feelings can be explored and considered without fear of judgement or negative consequence. I am currently also training to become a COSRT approved sex therapist in addition, and within this am building upon my previous skills with couples in therapy.
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More Therapists Nearby

Photo of Tracey Burgess, MNCPS Acc., Psychotherapist
Tracey Burgess
Psychotherapist, MNCPS Acc.
Verified Verified
Newport PO30
The changing times we are living in seem to offer uncertainty meaning, for many different reasons and in all sorts of ways, we could find ourselves placed under increasing pressure and faced with unreasonable expectations. Life can suddenly be turned upside down by unexpected life altering events which you may not have the energy to deal with, feel less able to cope and may lead to impacting your relationships with family, peers and also work colleagues. Counselling can help when faced with challenges, overwhelmed by feelings of distress, confusion and anxiety about past issues or finding it hard to make decisions in the present.
The changing times we are living in seem to offer uncertainty meaning, for many different reasons and in all sorts of ways, we could find ourselves placed under increasing pressure and faced with unreasonable expectations. Life can suddenly be turned upside down by unexpected life altering events which you may not have the energy to deal with, feel less able to cope and may lead to impacting your relationships with family, peers and also work colleagues. Counselling can help when faced with challenges, overwhelmed by feelings of distress, confusion and anxiety about past issues or finding it hard to make decisions in the present.
01983 214482 View 01983 214482
Photo of Annie Macdonald - Box Tree Clinic, MSc, MBACP Accred, Psychotherapist
Box Tree Clinic
Psychotherapist, MSc, MBACP Accred
Verified Verified
Shanklin PO37
If you're feeling trapped by old patterns of behaviour, or if your life just doesn't feel fulfilling, or there are some problems - or some people - you find difficult to deal with :- then I can help you to discover new resources or unlock old ones. Together we can work towards creating a better future for you. I have helped hundreds of clients over more than 20 years to find more peace and satisfaction.
If you're feeling trapped by old patterns of behaviour, or if your life just doesn't feel fulfilling, or there are some problems - or some people - you find difficult to deal with :- then I can help you to discover new resources or unlock old ones. Together we can work towards creating a better future for you. I have helped hundreds of clients over more than 20 years to find more peace and satisfaction.
020 3962 0340 View 020 3962 0340
Photo of Tilda Lindsey, MSc, MBACP, Counsellor
Tilda Lindsey
Counsellor, MSc, MBACP
Verified Verified
Newport PO30
Hello, and a very warm welcome. My name is Tilda, and I’m a qualified person-centred counsellor and psychotherapist. Warmth, empathy, and authenticity are at the heart of my practice, and I am driven to offer a safe and affirming space for all. I hold a neuroaffirming approach, meaning together we can adapt our sessions to fit you as an individual - no matter your neurotype.
Hello, and a very warm welcome. My name is Tilda, and I’m a qualified person-centred counsellor and psychotherapist. Warmth, empathy, and authenticity are at the heart of my practice, and I am driven to offer a safe and affirming space for all. I hold a neuroaffirming approach, meaning together we can adapt our sessions to fit you as an individual - no matter your neurotype.
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Photo of Iben Driffield, MA, HCPC-Drama Therap., Psychotherapist
Iben Driffield
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
Ryde PO33
If you feel overwhelmed, stuck and unable to see a way forward, there is likely deeper issues that are useful to look at and I can work alongside you to start to make sense of why you are experiencing these issues and be able to see a way forward.
If you feel overwhelmed, stuck and unable to see a way forward, there is likely deeper issues that are useful to look at and I can work alongside you to start to make sense of why you are experiencing these issues and be able to see a way forward.
01983 213205 View 01983 213205
Photo of Sammy Greig - SJG Counselling Services, MBACP, Counsellor
SJG Counselling Services
Counsellor, MBACP
Verified Verified
Online Only
Hi my name is Sammy and I am a qualified and accredited Integrative Counsellor and a registered member of the BACP (British Association for Counselling and Psychotherapy) and the ACC (Association for Christians in Counselling and Psychotherapy). I understand that life can be challenging and even overwhelming at times, however the fact that you are here shows that you have taken a huge step in taking back control of your life. Finding the right counsellor is essential to your therapeutic journey. Life can be tough, but with the right support, I know that you can overcome your challenges and reach your full potential.
Hi my name is Sammy and I am a qualified and accredited Integrative Counsellor and a registered member of the BACP (British Association for Counselling and Psychotherapy) and the ACC (Association for Christians in Counselling and Psychotherapy). I understand that life can be challenging and even overwhelming at times, however the fact that you are here shows that you have taken a huge step in taking back control of your life. Finding the right counsellor is essential to your therapeutic journey. Life can be tough, but with the right support, I know that you can overcome your challenges and reach your full potential.
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Photo of Elizabeth Rowlinson, PsychD, MUKCP, Psychotherapist
Elizabeth Rowlinson
Psychotherapist, PsychD, MUKCP
Verified Verified
Ryde PO33
I am a fully qualified and registered psychotherapist and supervisor working with adults, adolescents and couples on the Isle of Wight and on-line across the UK. Sometimes life can be challenging, we can feel lost or stuck or that we have no control over what is happening. We may struggle with relationships or feeling good about ourselves. Expressing thoughts and feelings confidentially without being judged can help us to feel heard and understood. It can also bring clarity, insight and a better understanding of ourselves and how we relate to others.
I am a fully qualified and registered psychotherapist and supervisor working with adults, adolescents and couples on the Isle of Wight and on-line across the UK. Sometimes life can be challenging, we can feel lost or stuck or that we have no control over what is happening. We may struggle with relationships or feeling good about ourselves. Expressing thoughts and feelings confidentially without being judged can help us to feel heard and understood. It can also bring clarity, insight and a better understanding of ourselves and how we relate to others.
01983 219487 View 01983 219487
Photo of Birgitta Renate Heiller, PhD, CPsychol, Psychologist
Birgitta Renate Heiller
Psychologist, PhD, CPsychol
Verified Verified
Sandown PO36
Over 25 years of experience of psychotherapy for clients with a wide variety of presenting issues, with a special interest in the treatment of developmental and single incident trauma, as well as life changes and transitions of all kind, including issues of sexual and gender identity. I see anxiety and depression as the result of life circumstances and not 'chemical imbalances in the brain', even though they might result in those. I treat people as individuals, not as diagnoses. I tend to work long-term but can offer short term, symptom focussed treatment.
Over 25 years of experience of psychotherapy for clients with a wide variety of presenting issues, with a special interest in the treatment of developmental and single incident trauma, as well as life changes and transitions of all kind, including issues of sexual and gender identity. I see anxiety and depression as the result of life circumstances and not 'chemical imbalances in the brain', even though they might result in those. I treat people as individuals, not as diagnoses. I tend to work long-term but can offer short term, symptom focussed treatment.
07480 487600 View 07480 487600
Photo of Caroline Devereux, MBACP, Counsellor
Caroline Devereux
Counsellor, MBACP
Verified Verified
Ryde PO33
“Sometimes what you are most afraid of doing is the very thing that can set you free"My own professional /personal experiences counselling has taught me that all challenges can bring opportunities for growth and empowerment. Counselling is a journey,.long / short term but it must have certain factors in place to allow change. I offer you a safe environment where you can feel able to share with me the issues you are facing, to feel listened to without passing judgment and together looking at ways to create a way forward. I have further specialized training in Child Abuse,Autism, Bereavement( also Pet Bereavement) Sex Addiction
“Sometimes what you are most afraid of doing is the very thing that can set you free"My own professional /personal experiences counselling has taught me that all challenges can bring opportunities for growth and empowerment. Counselling is a journey,.long / short term but it must have certain factors in place to allow change. I offer you a safe environment where you can feel able to share with me the issues you are facing, to feel listened to without passing judgment and together looking at ways to create a way forward. I have further specialized training in Child Abuse,Autism, Bereavement( also Pet Bereavement) Sex Addiction
07878 604296 View 07878 604296
Photo of Fiona C Kennedy - GreenWood Mentors, PsychD, CPsychol, Psychologist
GreenWood Mentors
Psychologist, PsychD, CPsychol
Verified Verified
Ryde PO33
Dr Fiona Kennedy, Consultant Clinical Psychologist, is Director of GreenWood Mentors www.greenwoodmentors.com. Providing evidence-based therapies proved to work. We are best placed to help those who want to move forward to be their best selves using an integration of evidence-based therapies. We are well-equipped to help people deal with trauma and the effects on their lives today. Our ideal client is motivated to do hard things in order to achieve their goals and willing to try new things. They are interested in developing a new, kinder, relationship with themself and others.
Dr Fiona Kennedy, Consultant Clinical Psychologist, is Director of GreenWood Mentors www.greenwoodmentors.com. Providing evidence-based therapies proved to work. We are best placed to help those who want to move forward to be their best selves using an integration of evidence-based therapies. We are well-equipped to help people deal with trauma and the effects on their lives today. Our ideal client is motivated to do hard things in order to achieve their goals and willing to try new things. They are interested in developing a new, kinder, relationship with themself and others.
01983 217853 View 01983 217853
Photo of Sam Gouldthorp, MBACP, Counsellor
Sam Gouldthorp
Counsellor, MBACP
Verified Verified
2 Endorsed
Fareham PO16
Hi, I'm Sam and welcome to my profile. Life can, at times, feel challenging and overwhelming for many reasons. You may be feeling stuck in a rut or dealing with relationship issues, anxiety, or low self-esteem. Or perhaps you are battling childhood trauma, grief, or depression, whatever your reason for looking at counselling I can work with you to support you through it. I will provide a safe and confidential space, online or face-to-face, where you can talk and explore your thoughts and feelings free from judgement. Creating such a space is important, it allows trust to develop and our therapeutic relationship to grow.
Hi, I'm Sam and welcome to my profile. Life can, at times, feel challenging and overwhelming for many reasons. You may be feeling stuck in a rut or dealing with relationship issues, anxiety, or low self-esteem. Or perhaps you are battling childhood trauma, grief, or depression, whatever your reason for looking at counselling I can work with you to support you through it. I will provide a safe and confidential space, online or face-to-face, where you can talk and explore your thoughts and feelings free from judgement. Creating such a space is important, it allows trust to develop and our therapeutic relationship to grow.
01329 756844 View 01329 756844
Photo of Clare Webber, MBACP, Counsellor
Clare Webber
Counsellor, MBACP
Verified Verified
Eastleigh SO50
I am a qualified Humanistic Gestalt counsellor; I am based in Eastleigh, where I see clients at my home. I believe you can only go as far as your counsellor has been. This lived experience means I don't just imagine what you have been through; I have worked through similar situations, which enriches the work we can do together. I see myself as a collective counsellor with further training in different types of counselling, including CBT, Solution-Focused, Person-Centered, TA and addiction counselling. I create a strong therapeutic relationship and use my knowledge to tailor the sessions to meet your needs.
I am a qualified Humanistic Gestalt counsellor; I am based in Eastleigh, where I see clients at my home. I believe you can only go as far as your counsellor has been. This lived experience means I don't just imagine what you have been through; I have worked through similar situations, which enriches the work we can do together. I see myself as a collective counsellor with further training in different types of counselling, including CBT, Solution-Focused, Person-Centered, TA and addiction counselling. I create a strong therapeutic relationship and use my knowledge to tailor the sessions to meet your needs.
023 9431 1229 View 023 9431 1229
Photo of Belinda Thomas, MBACP, Counsellor
Belinda Thomas
Counsellor, MBACP
Verified Verified
Southampton SO15
We all have times in our lives when life feels like it is spiraling, we struggle to function or face emotional challenges and life issues that can feel overwhelming. This could be from past experiences, relationships or present issues and sometimes you may want to get clarity and understanding to move forward. I can help with difficult family relationships, historical abuse, and much more. Whatever the difficulty, if you are reading this and are feeling like you need support to figure things out, counselling can help by leading to changes, healing, self discovery and understanding. I offer a free 30 min consultation for any queries.
We all have times in our lives when life feels like it is spiraling, we struggle to function or face emotional challenges and life issues that can feel overwhelming. This could be from past experiences, relationships or present issues and sometimes you may want to get clarity and understanding to move forward. I can help with difficult family relationships, historical abuse, and much more. Whatever the difficulty, if you are reading this and are feeling like you need support to figure things out, counselling can help by leading to changes, healing, self discovery and understanding. I offer a free 30 min consultation for any queries.
023 9431 1663 View 023 9431 1663
Photo of Dr Pat Gwyer, PhD, HCPC - Clin. Psych., Psychologist
Dr Pat Gwyer
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Eastleigh SO50
Is anxiety, depression, or repeating patterns of unhelpful behaviour impacting you? Are you stuck in a pattern of negative thinking, struggling with managing emotions, finding it hard to live with a traumatic event or having work or relationship difficulties? If so, you would probably benefit from evidence-based therapy to learn new ways of coping and how to get your life back on track. I am a Consultant Clinical Psychologist with over 20 years of experience specialising in the combination of Clinical and Positive Psychology for the treatment of complex mental health difficulties and may be able to help.
Is anxiety, depression, or repeating patterns of unhelpful behaviour impacting you? Are you stuck in a pattern of negative thinking, struggling with managing emotions, finding it hard to live with a traumatic event or having work or relationship difficulties? If so, you would probably benefit from evidence-based therapy to learn new ways of coping and how to get your life back on track. I am a Consultant Clinical Psychologist with over 20 years of experience specialising in the combination of Clinical and Positive Psychology for the treatment of complex mental health difficulties and may be able to help.
023 8254 4113 View 023 8254 4113
Photo of Annie Davison, SNCPS Acc., Counsellor
Annie Davison
Counsellor, SNCPS Acc.
Verified Verified
Lymington SO41
I have worked as a person-centred psychotherapist for twenty five years. I am a therapist for individuals who are in crisis or in particular difficulty. I also work with clients who are happy or already successful, who simply want to enhance their quality of life even further. I provide the opportunity to examine your life, your relationships and your career, helping you to think about and develop your options and decide what steps to take next. I offer supervision to counsellors, psychotherapists, therapists and other professionals, especially, but not exclusively, social care and teaching professionals.
I have worked as a person-centred psychotherapist for twenty five years. I am a therapist for individuals who are in crisis or in particular difficulty. I also work with clients who are happy or already successful, who simply want to enhance their quality of life even further. I provide the opportunity to examine your life, your relationships and your career, helping you to think about and develop your options and decide what steps to take next. I offer supervision to counsellors, psychotherapists, therapists and other professionals, especially, but not exclusively, social care and teaching professionals.
01590 637093 View 01590 637093
Photo of Monika Madej-Torentz, MBACP, Counsellor
Monika Madej-Torentz
Counsellor, MBACP
Verified Verified
Serves Area
Neurodiverse and neurotypical welcome. New opening for low cost. I'm specialising in ADHD, relationship, trauma and domestic abuse. With background in Person Centred counselling I specialise in working with ADHD client, being ADHD my self. Each and every person is different so do they experience and needs in counselling. A part of self awareness, acceptance, I'm making use of simple techniques from life coaching, NLP and DBT to manage life difficulties. I'm working with teenagers, adults, couples and family.
Neurodiverse and neurotypical welcome. New opening for low cost. I'm specialising in ADHD, relationship, trauma and domestic abuse. With background in Person Centred counselling I specialise in working with ADHD client, being ADHD my self. Each and every person is different so do they experience and needs in counselling. A part of self awareness, acceptance, I'm making use of simple techniques from life coaching, NLP and DBT to manage life difficulties. I'm working with teenagers, adults, couples and family.
01273 034722 View 01273 034722

See more therapy options for Cowes

How does your Counsellor compare?

Number of Counsellors in Cowes

< 10

Counsellors in Cowes who prioritize treating:

100% Depression
100% Anxiety
100% Bereavement
100% Self Esteem
100% Stress
80% Women's Issues
80% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

100% Vitality
50% Any/Out-of-network Insurance
50% Aviva

How Counsellors in Cowes see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Cowes?

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.