Counselling in Foxham

Photo of Dr Isobel Scaife, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Isobel Scaife
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Foxham SN15
As a Counselling Psychologist, registered with the HCPC, I recognise that there is not one approach to therapy that will suit everyone. Taking the first step to access therapy can be a nerve-wracking process. The most important indicator of therapeutic success is the relationship between client and therapist so do get in touch for a free phone consultation to see if I am the right therapist for you.
As a Counselling Psychologist, registered with the HCPC, I recognise that there is not one approach to therapy that will suit everyone. Taking the first step to access therapy can be a nerve-wracking process. The most important indicator of therapeutic success is the relationship between client and therapist so do get in touch for a free phone consultation to see if I am the right therapist for you.
01249 477442 View 01249 477442

More Therapists Nearby

Photo of Dr Flora Wilson - Wilson Psychology Ltd, HCPC - Clin. Psych., Psychologist
Dr Flora Wilson - Wilson Psychology Ltd
Psychologist, HCPC - Clin. Psych.
Verified Verified
Chippenham SN15
Waitlist for new clients
I specialise in working with adults who are living with the impact of long-term physical health conditions. I have many years' experience of working in specialist health services for a range difficulties, including chronic pain, chronic fatigue (ME/CFS and Long Covid), respiratory conditions, neurological conditions, and diabetes. When you are diagnosed with a long-term health condition, this can often lead to significant life changes. I am experienced in supporting people to process the feelings of loss, low mood, or anxiety that can accompany these changes, and to better manage their physical and psychological wellbeing.
I specialise in working with adults who are living with the impact of long-term physical health conditions. I have many years' experience of working in specialist health services for a range difficulties, including chronic pain, chronic fatigue (ME/CFS and Long Covid), respiratory conditions, neurological conditions, and diabetes. When you are diagnosed with a long-term health condition, this can often lead to significant life changes. I am experienced in supporting people to process the feelings of loss, low mood, or anxiety that can accompany these changes, and to better manage their physical and psychological wellbeing.
01249 479431 View 01249 479431
Photo of Donna Linden, MNCPS Acc., Counsellor
Donna Linden
Counsellor, MNCPS Acc.
Verified Verified
Chippenham SN14
Welcome. I am guessing this may have been a difficult step for you but I hope it is the first on working through whatever is on your mind at this time. I am an Integrative Counsellor with strong foundations in Person Centred therapy - I believe you know YOU better than anyone. I would be privileged to support you whilst you explore the things on your mind. The strength of our therapeutic relationship is paramount so we can have an initial 30 minute session to make sure you feel comfortable that I am the right counsellor for you. We would also look at any goals you would like to achieve.
Welcome. I am guessing this may have been a difficult step for you but I hope it is the first on working through whatever is on your mind at this time. I am an Integrative Counsellor with strong foundations in Person Centred therapy - I believe you know YOU better than anyone. I would be privileged to support you whilst you explore the things on your mind. The strength of our therapeutic relationship is paramount so we can have an initial 30 minute session to make sure you feel comfortable that I am the right counsellor for you. We would also look at any goals you would like to achieve.
01249 911042 View 01249 911042
Photo of Rachael Trainor, BACP, Counsellor
Rachael Trainor
Counsellor, BACP
Verified Verified
1 Endorsed
Chippenham SN15
Not accepting new clients
Life can be really tough at times, but you don’t have to face it alone. Maybe you’re struggling to cope with a current life situation or recent event, such as a significant loss. Perhaps you’re suffering more generally with ongoing feelings of anxiety, stress, anger, sadness, isolation, depression, or low self-esteem. It might also be that you want to explore a painful aspect of your past and how it’s affected you. Whatever's troubling you, I can support you with a warm, compassionate, non-judgemental relational space, where we can unpack what’s going on for you and work together to find ways forward that feel right for you.
Life can be really tough at times, but you don’t have to face it alone. Maybe you’re struggling to cope with a current life situation or recent event, such as a significant loss. Perhaps you’re suffering more generally with ongoing feelings of anxiety, stress, anger, sadness, isolation, depression, or low self-esteem. It might also be that you want to explore a painful aspect of your past and how it’s affected you. Whatever's troubling you, I can support you with a warm, compassionate, non-judgemental relational space, where we can unpack what’s going on for you and work together to find ways forward that feel right for you.
01249 477634 View 01249 477634
Photo of Cerian Louise Lye-Owens, MBACP, Counsellor
Cerian Louise Lye-Owens
Counsellor, MBACP
Verified Verified
2 Endorsed
Chippenham SN15
How are you? That's a question that gets asked a lot but it's often more of a statement, a greeting than an actual question. Most people don't even stop for the response and if they do, they're often too busy thinking about what they want to say, rather than listening to what's being said. It's no wonder then that we often stop asking ourselves that question too. If you're ready to stop and answer that question, then I'm here to listen and to hear what you have to say. Even if right now, you don't have the words, or you just don't know what to say... we can start with the question and go from there.
How are you? That's a question that gets asked a lot but it's often more of a statement, a greeting than an actual question. Most people don't even stop for the response and if they do, they're often too busy thinking about what they want to say, rather than listening to what's being said. It's no wonder then that we often stop asking ourselves that question too. If you're ready to stop and answer that question, then I'm here to listen and to hear what you have to say. Even if right now, you don't have the words, or you just don't know what to say... we can start with the question and go from there.
01249 911060 View 01249 911060
Photo of Neil Carrigan, PhD, HCPC - Clin. Psych., Psychologist
Neil Carrigan
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Chippenham SN15
Waitlist for new clients
Depression, fear, and anxiety are some of the most common and uncomfortable emotions that we can experience at points in our lives. Through treatment, I can help you (re)gain motivation, perspective, and joy in your life. I worked in the NHS for many years in both primary and secondary care mental health services with adults over 18yrs. I am a registered Clinical Psychologist with the Health and Care Professions Council (HCPC) and a Chartered Clinical Psychologist with the British Psychological Society (BPS). I am also a fully accredited CBT Therapist.
Depression, fear, and anxiety are some of the most common and uncomfortable emotions that we can experience at points in our lives. Through treatment, I can help you (re)gain motivation, perspective, and joy in your life. I worked in the NHS for many years in both primary and secondary care mental health services with adults over 18yrs. I am a registered Clinical Psychologist with the Health and Care Professions Council (HCPC) and a Chartered Clinical Psychologist with the British Psychological Society (BPS). I am also a fully accredited CBT Therapist.
01249 477625 View 01249 477625
Photo of Thea Gibbings
Thea Gibbings
Verified Verified
Chippenham SN15
My name is Thea and I provide Eye movement Desensitiation Reprocessing (EMDR) and Solution Focused Hypnotherapy to help individuals overcome a range of mental health issues. This includes historic and/or recent trauma that could be causing you anxiety, depression, PTSD symptoms and more. My approach is tailored to your unique needs and goals, and my aim is to help you to achieve lasting positive change in your life.
My name is Thea and I provide Eye movement Desensitiation Reprocessing (EMDR) and Solution Focused Hypnotherapy to help individuals overcome a range of mental health issues. This includes historic and/or recent trauma that could be causing you anxiety, depression, PTSD symptoms and more. My approach is tailored to your unique needs and goals, and my aim is to help you to achieve lasting positive change in your life.
01249 479124 View 01249 479124
Photo of Louise Urquhart - Rewired Counselling, MA, MNCPS Acc., Psychotherapist
Rewired Counselling
Psychotherapist, MA, MNCPS Acc.
Verified Verified
1 Endorsed
Chippenham SN14
Sometimes in life, the public face we present can be very different to the private experience behind the mask. Our emotional distress can get in the way of us being able to live our life fully. I offer a safe space to reveal the private experience and change the narrative. After gaining an understanding of what you are going through, together we build ways to help improve your mood and get you doing what you want to be doing.
Sometimes in life, the public face we present can be very different to the private experience behind the mask. Our emotional distress can get in the way of us being able to live our life fully. I offer a safe space to reveal the private experience and change the narrative. After gaining an understanding of what you are going through, together we build ways to help improve your mood and get you doing what you want to be doing.
07971 809123 View 07971 809123
Photo of Theresa Bell, DCounsPsych, MBACP, Counsellor
Theresa Bell
Counsellor, DCounsPsych, MBACP
Verified Verified
Lyneham SN15
I offer Counselling and Supervision. My background is in education, providing support for students from Primary, Secondary, Sixth Form/College, and University. While working with a diverse range of people, I have received specialist training for working with students and adults with Autism, ADHD, Asperger's and challenging behaviour. I have also previously worked in a Specialist Autistic (SRP) unit. I also work with adults and those that have received a late diagnosis to help accept, adjust and make sense of this impact on their lives and that of their family.
I offer Counselling and Supervision. My background is in education, providing support for students from Primary, Secondary, Sixth Form/College, and University. While working with a diverse range of people, I have received specialist training for working with students and adults with Autism, ADHD, Asperger's and challenging behaviour. I have also previously worked in a Specialist Autistic (SRP) unit. I also work with adults and those that have received a late diagnosis to help accept, adjust and make sense of this impact on their lives and that of their family.
01793 379659 View 01793 379659
Photo of Dr Neil Clapton, PsychD, HCPC - Clin. Psych., Psychologist
Dr Neil Clapton
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Chippenham SN15
I am a friendly experienced Clinical Psychologist (HCPC registered) with extensive training, prolonged practice and expertise in a number of therapeutic models including Cognitive Behavioural Therapy (CBT), specializing in Compassion Focused Therapy (CFT) and Dialectical Behaviour Therapy (DBT). My clinical training and many years of clinical practice mean I am equipped to help people with a wide range of emotional and psychological difficulties, including anxiety, depression, stress, low self-esteem/self-worth, relationship difficulties, and more complex presentations such as personality disorders and trauma (e.g. PTSD, cPTSD).
I am a friendly experienced Clinical Psychologist (HCPC registered) with extensive training, prolonged practice and expertise in a number of therapeutic models including Cognitive Behavioural Therapy (CBT), specializing in Compassion Focused Therapy (CFT) and Dialectical Behaviour Therapy (DBT). My clinical training and many years of clinical practice mean I am equipped to help people with a wide range of emotional and psychological difficulties, including anxiety, depression, stress, low self-esteem/self-worth, relationship difficulties, and more complex presentations such as personality disorders and trauma (e.g. PTSD, cPTSD).
01249 475118 View 01249 475118
Photo of Jo Robinson, MBACP, Counsellor
Jo Robinson
Counsellor, MBACP
Verified Verified
Chippenham SN15
Are you finding life a challenge right now? Struggling with grief or the loss of a loved one? Anxiety or low mood becoming unmanageable?
Are you finding life a challenge right now? Struggling with grief or the loss of a loved one? Anxiety or low mood becoming unmanageable?
01249 471021 View 01249 471021
Photo of Sharon Louise Reid - Healing Steps Counselling, MSc, MBACP, Counsellor
Healing Steps Counselling
Counsellor, MSc, MBACP
Verified Verified
Chippenham SN14
I am a warm hearted, open-minded individual who understands how difficult taking the first steps into counselling can sometimes be. Many people have 'life events' that bring them to counselling such as relationship breakdown, bereavement, or redundancy. Often feelings that accompany these life events can lead to depression and anxiety. Or it may be that suppressed or undesired feelings keep recurring, leading to painful repeating patterns of behavior or outcomes in your life. My role in your therapeutic journey is to facilitate your awareness, to gently challenge perspective where appropriate and to walk alongside you at your pace.
I am a warm hearted, open-minded individual who understands how difficult taking the first steps into counselling can sometimes be. Many people have 'life events' that bring them to counselling such as relationship breakdown, bereavement, or redundancy. Often feelings that accompany these life events can lead to depression and anxiety. Or it may be that suppressed or undesired feelings keep recurring, leading to painful repeating patterns of behavior or outcomes in your life. My role in your therapeutic journey is to facilitate your awareness, to gently challenge perspective where appropriate and to walk alongside you at your pace.
01225 541124 View 01225 541124
Photo of Hayley Bambrough - Hayley at Open Couch Counselling, MBACP, Counsellor
Hayley at Open Couch Counselling
Counsellor, MBACP
Verified Verified
Chippenham SN15  (Online Only)
Have you been affected by domestic or sexual abuse? Are you unsure if you've experienced sexual assault or rape? Maybe you have but have never been able to talk about it, or you're unsure if what you went through really was abuse? If you are struggling to understand or process the impact of sexual assault, childhood abuse or domestic violence - whether past or current - you will find an safe space here.
Have you been affected by domestic or sexual abuse? Are you unsure if you've experienced sexual assault or rape? Maybe you have but have never been able to talk about it, or you're unsure if what you went through really was abuse? If you are struggling to understand or process the impact of sexual assault, childhood abuse or domestic violence - whether past or current - you will find an safe space here.
01249 470138 View 01249 470138
Photo of Isabel Tate, MBACP, Counsellor
Isabel Tate
Counsellor, MBACP
Verified Verified
1 Endorsed
Chippenham SN15
We all have a unique history that often shapes us as a person and therefore our lives. We all have a story to tell, sharing your story, thoughts and feelings can offer them space to breathe, leading to new insights, perspectives and understanding. Feeling alone with your thoughts can be isolating, and discussing them with people close to you isn't always easy. I'm here to listen without judgement, providing support and understanding. Together, we'll navigate through whatever has brought you to counselling to help you find a way forward that feels right for you.
We all have a unique history that often shapes us as a person and therefore our lives. We all have a story to tell, sharing your story, thoughts and feelings can offer them space to breathe, leading to new insights, perspectives and understanding. Feeling alone with your thoughts can be isolating, and discussing them with people close to you isn't always easy. I'm here to listen without judgement, providing support and understanding. Together, we'll navigate through whatever has brought you to counselling to help you find a way forward that feels right for you.
01249 479065 View 01249 479065
Photo of Michael Blakeborough, MBACP Accred, Psychotherapist
Michael Blakeborough
Psychotherapist, MBACP Accred
Verified Verified
Chippenham SN15
I am experienced in providing counselling to adults and I am ACTO certified for online and telephone counselling and clinical supervision. I use an integrative humanistic approach where I will walk alongside you within your process while providing a safe, confidential and non-judgemental space. I will challenge you when it may be helpful to unlock and discover more about you or your mental health. I will also safely encourage you to connect with your emotions as we work together with no pressure to go any deeper than you are comfortable going, as we build a unique and trusting counselling relationship to reach your goals.
I am experienced in providing counselling to adults and I am ACTO certified for online and telephone counselling and clinical supervision. I use an integrative humanistic approach where I will walk alongside you within your process while providing a safe, confidential and non-judgemental space. I will challenge you when it may be helpful to unlock and discover more about you or your mental health. I will also safely encourage you to connect with your emotions as we work together with no pressure to go any deeper than you are comfortable going, as we build a unique and trusting counselling relationship to reach your goals.
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Photo of Sheila Field, MA, MUKCP, Psychotherapist
Sheila Field
Psychotherapist, MA, MUKCP
Verified Verified
Chippenham SN14
I am a trained, accredited and registered (UKCP and UKAHPP) Counsellor, Psychotherapist and Supervisor, with over 15 years’ experience. Apart from six years’ training (humanistic, UKCP accredited) as a Psychotherapist, I have also done further courses in Cognitive Behavioural Therapy (CBT), Sex Therapy, Addictions counselling, Couples’ counselling and have specialised in working with domestic abuse survivors. Before training as a Psychotherapist, I worked in Higher education Administration. I am experienced in working with individuals bringing a whole range of issues from anxiety and depression to bullying and other abuse.
I am a trained, accredited and registered (UKCP and UKAHPP) Counsellor, Psychotherapist and Supervisor, with over 15 years’ experience. Apart from six years’ training (humanistic, UKCP accredited) as a Psychotherapist, I have also done further courses in Cognitive Behavioural Therapy (CBT), Sex Therapy, Addictions counselling, Couples’ counselling and have specialised in working with domestic abuse survivors. Before training as a Psychotherapist, I worked in Higher education Administration. I am experienced in working with individuals bringing a whole range of issues from anxiety and depression to bullying and other abuse.
01225 617348 View 01225 617348
Photo of Jennifer Parsons - JP Counselling , MNCPS Acc., Counsellor
JP Counselling
Counsellor, MNCPS Acc.
Verified Verified
Chippenham SN14
My ideal client is someone who is ready to start the journey of self discovery in a safe and non judgmentaI space. I enjoy working with clients who are not really sure why they feel the way they do, but know that something is not quite right and feel the need to investigate this further. I have a particular interest and expertise in working with clients who have anxiety, depression, lack of self confidence and body image issues along with relationship difficulties. I work with clients to identify their needs and goals to create a unique personal treatment plan in order for them to reach their goals within a sensible time frame.
My ideal client is someone who is ready to start the journey of self discovery in a safe and non judgmentaI space. I enjoy working with clients who are not really sure why they feel the way they do, but know that something is not quite right and feel the need to investigate this further. I have a particular interest and expertise in working with clients who have anxiety, depression, lack of self confidence and body image issues along with relationship difficulties. I work with clients to identify their needs and goals to create a unique personal treatment plan in order for them to reach their goals within a sensible time frame.
07723 486462 View 07723 486462
Photo of Dr Emma Hartley, PsychD, HCPC - Clin. Psych., Psychologist
Dr Emma Hartley
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Swindon SN15
I specialise in EMDR and Trauma Focused Interventions. I have specific expertise in working with people with trauma related mental health conditions such as PTSD, childhood trauma, domestic violence, dissociative difficulties and psychosis. I offer an integrative approach to therapy drawing heavily on attachment and trauma- informed ways of understanding how difficulties in the here and now often have their origins in earlier life experiences. I believe that effective therapy should be empowering, focused and meaningful and built upon the foundation of a strong therapeutic relationship.
I specialise in EMDR and Trauma Focused Interventions. I have specific expertise in working with people with trauma related mental health conditions such as PTSD, childhood trauma, domestic violence, dissociative difficulties and psychosis. I offer an integrative approach to therapy drawing heavily on attachment and trauma- informed ways of understanding how difficulties in the here and now often have their origins in earlier life experiences. I believe that effective therapy should be empowering, focused and meaningful and built upon the foundation of a strong therapeutic relationship.
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Photo of Louise Blake, BACP, Counsellor
Louise Blake
Counsellor, BACP
Verified Verified
Chippenham SN15
If you're experiencing difficulty or distress in your life, whatever the root cause, then I can help. Maybe it's from dealing with persistent anxiety, navigating difficult relationships, or feeling a deep sense of dissatisfaction. Perhaps you're desperate for change, but feel trapped, stuck, unsure or unable to take action. Or maybe you're feeling overwhelmed by life events and the expectations placed on yourself from you or others? If you're seeking hope, change, transformation, and a deeper understanding of yourself and your relationships, you're in the right place, I can help.
If you're experiencing difficulty or distress in your life, whatever the root cause, then I can help. Maybe it's from dealing with persistent anxiety, navigating difficult relationships, or feeling a deep sense of dissatisfaction. Perhaps you're desperate for change, but feel trapped, stuck, unsure or unable to take action. Or maybe you're feeling overwhelmed by life events and the expectations placed on yourself from you or others? If you're seeking hope, change, transformation, and a deeper understanding of yourself and your relationships, you're in the right place, I can help.
01249 471450 View 01249 471450
Photo of Dr Kiran Spence, PsychD, HCPC - Clin. Psych., Psychologist
Dr Kiran Spence
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Chippenham SN15
I am a highly skilled Clinical Psychologist with 19 years experience working in the NHS within adult mental health and physical health services. I am collaborative and flexible in my approach, drawing on a range of approaches to ensure therapy is best suited to your individual needs and goals. I aim to support you to develop an understanding of your difficulties, and develop the necessary strategies to make the changes needed to work towards your goals and values in life.
I am a highly skilled Clinical Psychologist with 19 years experience working in the NHS within adult mental health and physical health services. I am collaborative and flexible in my approach, drawing on a range of approaches to ensure therapy is best suited to your individual needs and goals. I aim to support you to develop an understanding of your difficulties, and develop the necessary strategies to make the changes needed to work towards your goals and values in life.
01380 717476 View 01380 717476

How does your Counsellor compare?

Number of Counsellors in Foxham

< 10

Counsellors in Foxham who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% Eating Disorders
100% Bereavement
100% Obsessive-Compulsive (OCD)

Gender breakdown

100% Female

How Counsellors in Foxham see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Foxham?

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.