Counselling in Fifield

Ashley Goff
Psychologist, PsychD, CPsychol
2 Endorsed
Serves Area
My name is Dr Ashley Goff and I'm a Chartered Psychologist in private practice in Windsor. I'm an Associate Fellow of the British Psychological Society and a Chartered Scientist registered with the Science Council. I have over 15 years of experience as a Psychologist within the NHS and I also work as a sessional lecturer in Psychology at the University of Oxford and University of London. I’m a warm and empathic therapist who strives to create a trusting and genuinely caring relationship with clients. I draw on NICE guidance to inform my therapy, but also work collaboratively to find an approach tailored to individual needs.
My name is Dr Ashley Goff and I'm a Chartered Psychologist in private practice in Windsor. I'm an Associate Fellow of the British Psychological Society and a Chartered Scientist registered with the Science Council. I have over 15 years of experience as a Psychologist within the NHS and I also work as a sessional lecturer in Psychology at the University of Oxford and University of London. I’m a warm and empathic therapist who strives to create a trusting and genuinely caring relationship with clients. I draw on NICE guidance to inform my therapy, but also work collaboratively to find an approach tailored to individual needs.
01753 396271 View 01753 396271

More Therapists Nearby

Silvia Vittoria Vitello
Psychologist, MSc, GMBPsS
Online Only
I am an Italian Constructivist Therapy. According to the abovementioned approach, I will use the therapeutic relationship dynamics to help the person achieve greater emotional and relational self-awareness. My master's degree in Clinical and Health psychology helped me to dive into the psychological treatment of mental, emotional, and behavioral illnesses such as alcoholism, eating disorders, or depression. Thanks to a year-long experience in Canada, I also combine the clinical aspect with the cultural to provide a multifaceted approach where both cognitive, relational, and cultural aspects can be take into account.
I am an Italian Constructivist Therapy. According to the abovementioned approach, I will use the therapeutic relationship dynamics to help the person achieve greater emotional and relational self-awareness. My master's degree in Clinical and Health psychology helped me to dive into the psychological treatment of mental, emotional, and behavioral illnesses such as alcoholism, eating disorders, or depression. Thanks to a year-long experience in Canada, I also combine the clinical aspect with the cultural to provide a multifaceted approach where both cognitive, relational, and cultural aspects can be take into account.
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Geneen Gray
Psychotherapist, MSc, MUKCP
London SW19
You may feel as though events in life have taken over or you just can't quite seem to get to where you want to be in life. Repeated patterns in relationships may be causing you to feel unhappy or you are struggling with your self-esteem and feelings of low self-worth, or you wonder where you fit amongst your peers, in society or within your family. When you are suffering as a result of loss, struggling to cope with painful memories, or feeling stressed, talking to a psychotherapist can offer a route to understanding the emotional distress you are experiencing and over time, experience a positive change.
You may feel as though events in life have taken over or you just can't quite seem to get to where you want to be in life. Repeated patterns in relationships may be causing you to feel unhappy or you are struggling with your self-esteem and feelings of low self-worth, or you wonder where you fit amongst your peers, in society or within your family. When you are suffering as a result of loss, struggling to cope with painful memories, or feeling stressed, talking to a psychotherapist can offer a route to understanding the emotional distress you are experiencing and over time, experience a positive change.
020 4652 9618 View 020 4652 9618
Philip Walker
Psychotherapist, MSc, MUKCP
1 Endorsed
London W8
I am an accredited psychotherapist and counsellor who works is based in the Kensington, Nottinghill area of central / west London. I meet and talk with people who, maybe like you, want to change how they feel. There may be something specific that you are aware of (depression, anxiety, bereavement), but often the specifics of the difficulty might not be apparent, but the unhappiness is. My work with my clients is about surfacing what's going and helping clients process their feelings to reach a happier, more settled place. I am Certified by the European Association of Psychotherapy and have been DBS checked and cleared.
I am an accredited psychotherapist and counsellor who works is based in the Kensington, Nottinghill area of central / west London. I meet and talk with people who, maybe like you, want to change how they feel. There may be something specific that you are aware of (depression, anxiety, bereavement), but often the specifics of the difficulty might not be apparent, but the unhappiness is. My work with my clients is about surfacing what's going and helping clients process their feelings to reach a happier, more settled place. I am Certified by the European Association of Psychotherapy and have been DBS checked and cleared.
01375 807150 View 01375 807150
Anne Kariuki
Psychologist, MSc, GMBPsS
Serves Area
My aim is to offer a safe space where we can explore whatever you choose to. Together we can work through any issues you may have. I believe that you are the expert on you and we can work towards a future you decide. ​ You may be facing some personal difficulties or struggles that you wish could be resolved. These might be a persistent low mood, a recurrent anxiety, a recent or past traumatic experience, a lack of meaning or direction in life, an anger issue, the loss of a loved one a relationship breakdown, a feeling of guilt or shame, a difficult life transition, or a more enduring and chronic mental health difficulty. ​
My aim is to offer a safe space where we can explore whatever you choose to. Together we can work through any issues you may have. I believe that you are the expert on you and we can work towards a future you decide. ​ You may be facing some personal difficulties or struggles that you wish could be resolved. These might be a persistent low mood, a recurrent anxiety, a recent or past traumatic experience, a lack of meaning or direction in life, an anger issue, the loss of a loved one a relationship breakdown, a feeling of guilt or shame, a difficult life transition, or a more enduring and chronic mental health difficulty. ​
0121 817 7588 View 0121 817 7588
Star Nova Counselling
Counsellor, PNCPS Acc.
4 Endorsed
Online Only
Life can be challenging, and it's not uncommon to feel overwhelmed, anxious, or stuck at times. I provide a safe and confidential space to explore your thoughts and emotions. Whether you're dealing with stress, relationship issues, wanting to heal your inner child or address feelings of sadness. Navigating life can be tough, filled with changes, pressures, and uncertainties. As a therapist committed to working with you, I create a welcoming environment where clients can openly express their thoughts and feelings.
Life can be challenging, and it's not uncommon to feel overwhelmed, anxious, or stuck at times. I provide a safe and confidential space to explore your thoughts and emotions. Whether you're dealing with stress, relationship issues, wanting to heal your inner child or address feelings of sadness. Navigating life can be tough, filled with changes, pressures, and uncertainties. As a therapist committed to working with you, I create a welcoming environment where clients can openly express their thoughts and feelings.
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Online CBT - Briegel-Jones Psychotherapy
Psychotherapist, MBABCP
1 Endorsed
Online Only
Do you feel capable on the outside but struggle with anxiety, self-doubt, or perfectionism beneath the surface? I help high-functioning adults make sense of long-standing coping patterns and develop practical ways to respond differently, building more ease, authenticity, and self-trust. I’m a BABCP-accredited CBT therapist with over 10 years’ NHS experience. Alongside structured, evidence-based CBT, I draw on an understanding of early relational experiences to help you understand how patterns develop, what maintains them, and how to respond differently in ways that feel authentic.
Do you feel capable on the outside but struggle with anxiety, self-doubt, or perfectionism beneath the surface? I help high-functioning adults make sense of long-standing coping patterns and develop practical ways to respond differently, building more ease, authenticity, and self-trust. I’m a BABCP-accredited CBT therapist with over 10 years’ NHS experience. Alongside structured, evidence-based CBT, I draw on an understanding of early relational experiences to help you understand how patterns develop, what maintains them, and how to respond differently in ways that feel authentic.
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Simone Simonetti
Counsellor, MA, MBACP
London W12
If you are experiencing anxiety, navigating complex relationships, or seeking a deeper understanding of yourself, I’m here to support you. By considering therapy, you took a courageous step towards positive change. I offer a non-judgmental space where you can explore your thoughts and feelings, reflect on your relationships, and understand the experiences that shape your life. I believe in the transformative power of the therapeutic relationship: my approach centres on building a strong rapport based on openness, honesty, trust, and empathy. Together, we will create a safe environment for your journey of self-discovery and healing.
If you are experiencing anxiety, navigating complex relationships, or seeking a deeper understanding of yourself, I’m here to support you. By considering therapy, you took a courageous step towards positive change. I offer a non-judgmental space where you can explore your thoughts and feelings, reflect on your relationships, and understand the experiences that shape your life. I believe in the transformative power of the therapeutic relationship: my approach centres on building a strong rapport based on openness, honesty, trust, and empathy. Together, we will create a safe environment for your journey of self-discovery and healing.
020 7123 8532 View 020 7123 8532
Rachel Landau
Psychotherapist, MBACP Accred
1 Endorsed
London N16
Are you feeling overwhelmed, stuck or struggling to cope with your current situation? I offer a safe, supportive and confidential space where together we will discover the root of your difficulties, so that real change can take place. I have experience working with anxiety, depression, fears and phobias, low self-confidence, relationship difficulties, stress, trauma, unexplained physical symptoms, withdrawal from medication and more. I work with clients who appreciate that lasting change is indeed possible and have the courage to forgo the false promise of a 'quick fix'.
Are you feeling overwhelmed, stuck or struggling to cope with your current situation? I offer a safe, supportive and confidential space where together we will discover the root of your difficulties, so that real change can take place. I have experience working with anxiety, depression, fears and phobias, low self-confidence, relationship difficulties, stress, trauma, unexplained physical symptoms, withdrawal from medication and more. I work with clients who appreciate that lasting change is indeed possible and have the courage to forgo the false promise of a 'quick fix'.
020 4538 6101 View 020 4538 6101
Ayesha Alleyne
Counsellor, DCounsPsych, MBACP
London SE24
Are you searching through here knowing that you have family, friends who love, care about you yet you feel alone with no one who you feel you can talk to. No one you feel that you can be your "real" and "honest" self. Worried that you may hurt or upset their feelings or that they may even judge you. At times during different stages of our life's we can experience challenges, change, loss, pain or suffering that can be hard for us to understand. These feelings and emotions can have an impact on us as individuals in a unique way.
Are you searching through here knowing that you have family, friends who love, care about you yet you feel alone with no one who you feel you can talk to. No one you feel that you can be your "real" and "honest" self. Worried that you may hurt or upset their feelings or that they may even judge you. At times during different stages of our life's we can experience challenges, change, loss, pain or suffering that can be hard for us to understand. These feelings and emotions can have an impact on us as individuals in a unique way.
020 3974 2926 View 020 3974 2926
Elisabeth Marriner
Psychotherapist, MSc, MBACP
Online Only
Feeling left behind? Is you partnership in trouble, resentments becoming unmanageable, fights getting worse and affecting your children. Are you missing the trust and intimacy you once had? Is a sexual difficulty preventing you from finding a partner or is sex a thing of the past in your relationship? I work with individuals and couples who want to thrive not just survive
Feeling left behind? Is you partnership in trouble, resentments becoming unmanageable, fights getting worse and affecting your children. Are you missing the trust and intimacy you once had? Is a sexual difficulty preventing you from finding a partner or is sex a thing of the past in your relationship? I work with individuals and couples who want to thrive not just survive
020 3095 4695 View 020 3095 4695
Civanne Wyse
Counsellor, AFBPSsS
Online Only
I am a qualified Child Wellbeing Practitioner (CWP) with experience working within NHS services supporting children, young people, and their families using low-intensity, CBT-informed guided self-help approaches. I work in a structured and collaborative way to support emotional wellbeing, focusing on psychoeducation, coping strategies, and evidence-based behavioural approaches in line with the CWP model of care. I have experience working with neurodivergent children and young people and aim to provide an inclusive, neurodiversity-affirming approach that is thoughtful, adaptable, and supportive of individual differences.
I am a qualified Child Wellbeing Practitioner (CWP) with experience working within NHS services supporting children, young people, and their families using low-intensity, CBT-informed guided self-help approaches. I work in a structured and collaborative way to support emotional wellbeing, focusing on psychoeducation, coping strategies, and evidence-based behavioural approaches in line with the CWP model of care. I have experience working with neurodivergent children and young people and aim to provide an inclusive, neurodiversity-affirming approach that is thoughtful, adaptable, and supportive of individual differences.
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Yesim Caylakli
Counsellor, MA, MBACP
London SW11
I work with adults navigating anxiety, depression, low self-esteem, relationship difficulties, psychosomatic symptoms, developmental trauma, life transitions and parenting challenges. Many people come to therapy when old ways of coping no longer feel enough, or when they feel overwhelmed, stuck, disconnected, or unsure how to move forward. I offer a relational and reflective space to make sense of what is happening, understand deeper patterns, develop practical strategies where helpful, and move towards greater self-awareness, emotional resilience and meaningful change.
I work with adults navigating anxiety, depression, low self-esteem, relationship difficulties, psychosomatic symptoms, developmental trauma, life transitions and parenting challenges. Many people come to therapy when old ways of coping no longer feel enough, or when they feel overwhelmed, stuck, disconnected, or unsure how to move forward. I offer a relational and reflective space to make sense of what is happening, understand deeper patterns, develop practical strategies where helpful, and move towards greater self-awareness, emotional resilience and meaningful change.
020 4572 7047 View 020 4572 7047
Lisa Sanfilippo
Psychotherapist, MA, MUKCP
London W1S
While you may be seeking therapy to help you out anxiety, depression, trauma, difficulty with ADHD or relationships- out of a dark or difficult time we can learn a great deal about ourselves and others. I'm here to help you navigate the crisis to move towards greater ease and enjoyment. Together we'll explore your world-view, your assumptions and even your bodily responses to situations that you face today. We'll see what has worked for you and what causes pain or limits you. We'll open up your options and help you develop new responses- with compassion, kindness, insight, and even at times, a sense of humour.
While you may be seeking therapy to help you out anxiety, depression, trauma, difficulty with ADHD or relationships- out of a dark or difficult time we can learn a great deal about ourselves and others. I'm here to help you navigate the crisis to move towards greater ease and enjoyment. Together we'll explore your world-view, your assumptions and even your bodily responses to situations that you face today. We'll see what has worked for you and what causes pain or limits you. We'll open up your options and help you develop new responses- with compassion, kindness, insight, and even at times, a sense of humour.
020 3835 6084 View 020 3835 6084
Asselle Seitmagzimova - IFS Therapy
Counsellor, MBACP
Online Only
I've come to believe that healing begins when we stop asking, "What's wrong with me?" and start listening to the parts of us that have been carrying pain for so long. Many of the people I work with have spent years trying to understand themselves. They often arrive with deep insight into their patterns, yet still feel stuck in cycles of anxiety, self-criticism, people-pleasing or painful relationships. Together, we create a space where those patterns can finally be met with curiosity rather than judgement, allowing healing to unfold from the inside out.
I've come to believe that healing begins when we stop asking, "What's wrong with me?" and start listening to the parts of us that have been carrying pain for so long. Many of the people I work with have spent years trying to understand themselves. They often arrive with deep insight into their patterns, yet still feel stuck in cycles of anxiety, self-criticism, people-pleasing or painful relationships. Together, we create a space where those patterns can finally be met with curiosity rather than judgement, allowing healing to unfold from the inside out.
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Millie Parker
Counsellor, MBACP
1 Endorsed
London N2
Sometimes life's challenges, difficult relationships or the pressures of work or home can leave you feeling overwhelmed, emotionally exhausted or like you’ve lost sight of who you are. I support my clients by building a trusting relationship where they feel safe to explore themselves, their experiences and their relationships at a deeper level. I help clients make sense of what they’re experiencing and begin to move towards greater clarity, self-understanding and self-acceptance. Together, we'll work at a pace that feels right for you, exploring what's keeping you stuck and finding ways to bring greater balance to your life.
Sometimes life's challenges, difficult relationships or the pressures of work or home can leave you feeling overwhelmed, emotionally exhausted or like you’ve lost sight of who you are. I support my clients by building a trusting relationship where they feel safe to explore themselves, their experiences and their relationships at a deeper level. I help clients make sense of what they’re experiencing and begin to move towards greater clarity, self-understanding and self-acceptance. Together, we'll work at a pace that feels right for you, exploring what's keeping you stuck and finding ways to bring greater balance to your life.
020 3375 6847 View 020 3375 6847
Dr Mark Carey
Psychologist, PsychD, HCPC - Clin. Psych.
2 Endorsed
London SW1H
Concessions offered for NHS and Blue Light workers. Concession for online appointments. I am a Clinical Psychologist with experience in mental and physical health services within the NHS, supporting adults with anxiety, depression, PTSD, and common psychological difficulties. I also help individuals adjusting to significant changes in physical health—navigating shifts in identity, roles, relationships, and the emotional impact of their condition. Drawing on this experience, I now provide individual online and in-person therapy for adults (18+).
Concessions offered for NHS and Blue Light workers. Concession for online appointments. I am a Clinical Psychologist with experience in mental and physical health services within the NHS, supporting adults with anxiety, depression, PTSD, and common psychological difficulties. I also help individuals adjusting to significant changes in physical health—navigating shifts in identity, roles, relationships, and the emotional impact of their condition. Drawing on this experience, I now provide individual online and in-person therapy for adults (18+).
0191 743 2667 View 0191 743 2667
Scott Houston
Psychotherapist, MSc, MUKCP
London WC1X
Hello, I'm Scott, a Psychosexual & Relationship therapist committed to helping individuals navigate life's challenges. Whether you're dealing with psychosexual concerns, relationship difficulties, mental health or LGBTQI+ issues, I'm here to offer compassionate support tailored to your needs. In our sessions, you'll find a safe, confidential space where empathy & understanding take centre stage. Together, we will explore your thoughts, emotions, relationships, family history, and any past traumas, aiming to uncover the roots of your distress. My goal is to help you find relief & empower you to regain control of your life.
Hello, I'm Scott, a Psychosexual & Relationship therapist committed to helping individuals navigate life's challenges. Whether you're dealing with psychosexual concerns, relationship difficulties, mental health or LGBTQI+ issues, I'm here to offer compassionate support tailored to your needs. In our sessions, you'll find a safe, confidential space where empathy & understanding take centre stage. Together, we will explore your thoughts, emotions, relationships, family history, and any past traumas, aiming to uncover the roots of your distress. My goal is to help you find relief & empower you to regain control of your life.
020 3667 1672 View 020 3667 1672
Dr Fatoumata Jatta
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
London SW13
You'll be surprised by how much can change for you. I am able to help people from all backgrounds and those who have exhausted all other options. I am trained to provide individuals, couples, and groups with evidence-based treatments for a range of difficulties that impact well-being and quality of life. My clients struggle with low mood and anxiety, and are affected by issues such as relationship problems, low self-esteem, trauma, sexual problems, loss and bereavement, or substance misuse. Many also experience a number of issues at once, making problems seem insurmountable. They often come to therapy feeling stuck and tired.
You'll be surprised by how much can change for you. I am able to help people from all backgrounds and those who have exhausted all other options. I am trained to provide individuals, couples, and groups with evidence-based treatments for a range of difficulties that impact well-being and quality of life. My clients struggle with low mood and anxiety, and are affected by issues such as relationship problems, low self-esteem, trauma, sexual problems, loss and bereavement, or substance misuse. Many also experience a number of issues at once, making problems seem insurmountable. They often come to therapy feeling stuck and tired.
020 3962 1167 View 020 3962 1167
Luke Milton
Counsellor, MBACP
1 Endorsed
London N1
You might keep it together on the outside while feeling anxious, low, or completely worn out inside. You may struggle to put your feelings into words, or simply feel that something isn’t right. My clients come to therapy feeling exhausted, disconnected, or stuck in patterns they don’t fully understand — often including men who aren’t used to opening up, as well as people who’ve spent a long time keeping things to themselves. I offer a calm, person-centered space with no pressure, helping you make sense of things and rebuild self-trust. We begin wherever you are. I offer sessions at £60 online and £70 in person, allowing flexibility
You might keep it together on the outside while feeling anxious, low, or completely worn out inside. You may struggle to put your feelings into words, or simply feel that something isn’t right. My clients come to therapy feeling exhausted, disconnected, or stuck in patterns they don’t fully understand — often including men who aren’t used to opening up, as well as people who’ve spent a long time keeping things to themselves. I offer a calm, person-centered space with no pressure, helping you make sense of things and rebuild self-trust. We begin wherever you are. I offer sessions at £60 online and £70 in person, allowing flexibility
020 3835 5885 View 020 3835 5885

How does your Counsellor compare?

Number of Counsellors in Fifield

< 10

Counsellors in Fifield who prioritize treating:

100% Relationship Issues
100% Domestic Abuse
100% Eating Disorders
100% Depression
100% Addiction
100% Anxiety
100% Dissociative Disorders (DID)

Average years in practice

26 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% Bupa
100% Aviva

How Counsellors in Fifield see their clients

100% In Person and Online

Gender breakdown

100% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Fifield?

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.