Counselling in Frampton Cotterell

Photo of David Cox, Counsellor, MBACP
David Cox
Counsellor, MBACP
1 Endorsed
Serves Area
I understand that you’re here because something in life just isn’t sitting right. Whether it’s anxiety, depression, or a vague, lingering feeling of being “stuck,” it can be incredibly lonely to face it on your own. I believe that no one should have to navigate these moments without support. Counselling is a place for you to feel safe, seen, and understood—a chance to unpack what’s weighing on your mind. We all have times when the stress of work, relationships, or simply carrying past experiences becomes overwhelming.
I understand that you’re here because something in life just isn’t sitting right. Whether it’s anxiety, depression, or a vague, lingering feeling of being “stuck,” it can be incredibly lonely to face it on your own. I believe that no one should have to navigate these moments without support. Counselling is a place for you to feel safe, seen, and understood—a chance to unpack what’s weighing on your mind. We all have times when the stress of work, relationships, or simply carrying past experiences becomes overwhelming.
01454 809561 View 01454 809561
Photo of Leah Head, Counsellor, MBACP Accred
Leah Head
Counsellor, MBACP Accred
Serves Area
Life can be a challenge in all sorts of ways, sometimes we need some independent support finding our way through those challenges. The issues affecting you may be current or things from the past that still impact you. You may be experiencing anxiety, depression, loneliness and isolation. Perhaps you have experienced a bereavement, trauma or a life event that you need a safe space to process. Therapy can help you understand what you are feeling and find a way forward.
Life can be a challenge in all sorts of ways, sometimes we need some independent support finding our way through those challenges. The issues affecting you may be current or things from the past that still impact you. You may be experiencing anxiety, depression, loneliness and isolation. Perhaps you have experienced a bereavement, trauma or a life event that you need a safe space to process. Therapy can help you understand what you are feeling and find a way forward.
0117 463 7982 View 0117 463 7982

More Therapists Nearby

Photo of Lindsey Heathcote-Elliott - Change4Me Counselling Service (MBACP, Accred), Counsellor, MBACP Accred
Change4Me Counselling Service (MBACP, Accred)
Counsellor, MBACP Accred
Serves Area
Hi my name is Lindsey, I am an accredited Psychotherapist/ Counsellor with the British Association of Counselling and Psychotherapy. I have been in practice since 2012. I work with adults experiencing a range of issues including generalised anxiety, assertiveness issues,panic attacks, depression, PTSD, panic attacks, loss and bereavement. I offer a FREE 10 minute phone consultation. If you decide to have counselling with me, we will establish what you wish to achieve from therapy and we will work together in sessions to set a direction in moving forward towards your goal.
Hi my name is Lindsey, I am an accredited Psychotherapist/ Counsellor with the British Association of Counselling and Psychotherapy. I have been in practice since 2012. I work with adults experiencing a range of issues including generalised anxiety, assertiveness issues,panic attacks, depression, PTSD, panic attacks, loss and bereavement. I offer a FREE 10 minute phone consultation. If you decide to have counselling with me, we will establish what you wish to achieve from therapy and we will work together in sessions to set a direction in moving forward towards your goal.
01656 334088 View 01656 334088
Photo of Helen Travis- McGhee, Psychotherapist, MA, MUKCP
Helen Travis- McGhee
Psychotherapist, MA, MUKCP
Wells BA5
I am a psychotherapist providing both long and medium term therapy. I am able to help you understand yourself, the way you feel and what you hope for in your life. I provide time, space, support and expertise to enable you to look at the things that are difficult and painful. This can be key to unlocking past patterns and moving beyond the things that are holding you back. You may have a long standing difficulty that has been hard to understand and resolve, or a present day problem that is worrying you. Psychotherapy can look at underlying causes and feelings and help you make connections, enabling positive change.
I am a psychotherapist providing both long and medium term therapy. I am able to help you understand yourself, the way you feel and what you hope for in your life. I provide time, space, support and expertise to enable you to look at the things that are difficult and painful. This can be key to unlocking past patterns and moving beyond the things that are holding you back. You may have a long standing difficulty that has been hard to understand and resolve, or a present day problem that is worrying you. Psychotherapy can look at underlying causes and feelings and help you make connections, enabling positive change.
01798 309655 View 01798 309655
Photo of Jackie O'Brien
Jackie O'Brien
Verified Verified
Serves Area
Counselling is a very personal experience and is different for everyone. I offer a safe and confidential service, enabling you to start to explore difficulties without judgment or criticism. If you are feeling depressed, vulnerable, stressed or confused, counselling may be the right help for you. I will support you to develop an understanding of yourself, giving you the space and time to find your own solutions. As well as talking therapy I use therapeutic creativity. Mediums such as paints, sand-tray and clay, may help you put words to difficult feelings and emotions in a non-threatening way.
Counselling is a very personal experience and is different for everyone. I offer a safe and confidential service, enabling you to start to explore difficulties without judgment or criticism. If you are feeling depressed, vulnerable, stressed or confused, counselling may be the right help for you. I will support you to develop an understanding of yourself, giving you the space and time to find your own solutions. As well as talking therapy I use therapeutic creativity. Mediums such as paints, sand-tray and clay, may help you put words to difficult feelings and emotions in a non-threatening way.
01278 553260 View 01278 553260
Photo of Ramona Mihaela Scutea, Psychotherapist, MSc, MBACP Accred
Ramona Mihaela Scutea
Psychotherapist, MSc, MBACP Accred
Online Only
Hi, I am a bilingual (English & Romanian) highly skilled Counselling therapist working with NHS and private practice. My clinical work is informed by a range of treatment models, including Dialectical Behaviour Therapy (DBT), Cognitive Behavioural Therapy (CBT), Eye Movement Desensitization and reprocessing, Motivational interviewing. I offer an integrative approach, adapting therapy according to each client's unique needs, which allows me to provide the best possible therapeutic experience for my clients
Hi, I am a bilingual (English & Romanian) highly skilled Counselling therapist working with NHS and private practice. My clinical work is informed by a range of treatment models, including Dialectical Behaviour Therapy (DBT), Cognitive Behavioural Therapy (CBT), Eye Movement Desensitization and reprocessing, Motivational interviewing. I offer an integrative approach, adapting therapy according to each client's unique needs, which allows me to provide the best possible therapeutic experience for my clients
01792 949227 View 01792 949227
Photo of Laura Colquhoun, Psychotherapist, MBACP
Laura Colquhoun
Psychotherapist, MBACP
Life can be difficult at times. We can feel depressed, anxious, stressed, worried or unable to cope. This can impact on all aspects of our lives; personal and professional. Sometimes all a client needs is someone to really listen to them and to accept what they are saying in a non-judgemental way. Therapy comes in all different shapes and sizes and I believe the mode of therapy should fit the client, we are all individuals after all. I put you, the client at the centre of the work and believe that together we can work collaboratively to help you mange your life more happily and successfully.
Life can be difficult at times. We can feel depressed, anxious, stressed, worried or unable to cope. This can impact on all aspects of our lives; personal and professional. Sometimes all a client needs is someone to really listen to them and to accept what they are saying in a non-judgemental way. Therapy comes in all different shapes and sizes and I believe the mode of therapy should fit the client, we are all individuals after all. I put you, the client at the centre of the work and believe that together we can work collaboratively to help you mange your life more happily and successfully.
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Photo of Rachel John, Psychotherapist, MA, MNCPS Acc.
Rachel John
Psychotherapist, MA, MNCPS Acc.
Online Only
Are you seeking a space where you can feel heard and supported? I’m Rachel, an accredited trauma-informed and relational counsellor and MA trained psychotherapist. I specialise in supporting adults who are healing from trauma, struggling with anxiety, self-doubt, seeking more fulfilling relationships or wishing to find healthier coping strategies. I believe change happens in an accepting, collaborative, and empowering relationship grounded in trust, safety, and choice. My approach is flexible, valuing your unique lived-experiences and personal preferences. Together, we’ll explore what matters to you most, working at your own pace.
Are you seeking a space where you can feel heard and supported? I’m Rachel, an accredited trauma-informed and relational counsellor and MA trained psychotherapist. I specialise in supporting adults who are healing from trauma, struggling with anxiety, self-doubt, seeking more fulfilling relationships or wishing to find healthier coping strategies. I believe change happens in an accepting, collaborative, and empowering relationship grounded in trust, safety, and choice. My approach is flexible, valuing your unique lived-experiences and personal preferences. Together, we’ll explore what matters to you most, working at your own pace.
01792 949069 View 01792 949069
Photo of Robert McCracken, Counsellor, MNCPS Acc.
Robert McCracken
Counsellor, MNCPS Acc.
2 Endorsed
Bristol BS8
I am a straight man who crossdresses, having struggled for many of my 60 years to understand myself. I was dismissed from the RAF after admitting to crossdressing, for which I have endured much shame and guilt. Most of my life I was in the closet, but in the last decade, I've found the courage to be my true self. My journey includes battles with severe depression and a period of homelessness. I have recently come to terms with my diagnosis of ADHD. Now, I am in a loving relationship with a woman who accepts me completely. I hope my story can help others navigate their gender and sexual identity. I love my job.
I am a straight man who crossdresses, having struggled for many of my 60 years to understand myself. I was dismissed from the RAF after admitting to crossdressing, for which I have endured much shame and guilt. Most of my life I was in the closet, but in the last decade, I've found the courage to be my true self. My journey includes battles with severe depression and a period of homelessness. I have recently come to terms with my diagnosis of ADHD. Now, I am in a loving relationship with a woman who accepts me completely. I hope my story can help others navigate their gender and sexual identity. I love my job.
0117 463 7029 View 0117 463 7029
Photo of Ramesh Gopie - mgtherapies, Psychotherapist, MBABCP
mgtherapies
Psychotherapist, MBABCP
Swindon SN25
I am an experienced therapist who have worked in the NHS since 1990 and has been a full time therapist since 2009 . I have helped clients overcome various cognitive problems to regain a sense of balance in their life . I am confident with my vast knowledge and skills of various therapies that I am able to help you . I am a accredited CBT Practitioner, I am also a trained DBT Therapist and a Qualified Mental Health Nurse for over 30years. My overall experience can help meet your needs and achieve your goals (example a balance life mentally).
I am an experienced therapist who have worked in the NHS since 1990 and has been a full time therapist since 2009 . I have helped clients overcome various cognitive problems to regain a sense of balance in their life . I am confident with my vast knowledge and skills of various therapies that I am able to help you . I am a accredited CBT Practitioner, I am also a trained DBT Therapist and a Qualified Mental Health Nurse for over 30years. My overall experience can help meet your needs and achieve your goals (example a balance life mentally).
01793 569141 View 01793 569141
Photo of Dr Jessie Gough - Dr Jessie Gough at Neurodiverseonline, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Jessie Gough at Neurodiverseonline
Psychologist, PsychD, HCPC - Clin. Psych.
Bristol BS6
Have you always felt different or had trouble fitting in? Perhaps you're thinking that you might have Autism/ASD, ADHD or Tics/Tourette’s, Dyslexia or a learning disability. Would you like an assessment for yourself or your child to confirm this? Or maybe you have been newly diagnosed or have traits of ASD, ADHD or Tourette’s and are looking for further information and support. I, and my small team of expert psychologists at Neurodiverseonline, offer diagnostic assessments for adults and children with Autism/ASD, ADHD, Tourette's/Tics, Dyslexia and cognitive assessments (IQ tests) / learning disability assessments.
Have you always felt different or had trouble fitting in? Perhaps you're thinking that you might have Autism/ASD, ADHD or Tics/Tourette’s, Dyslexia or a learning disability. Would you like an assessment for yourself or your child to confirm this? Or maybe you have been newly diagnosed or have traits of ASD, ADHD or Tourette’s and are looking for further information and support. I, and my small team of expert psychologists at Neurodiverseonline, offer diagnostic assessments for adults and children with Autism/ASD, ADHD, Tourette's/Tics, Dyslexia and cognitive assessments (IQ tests) / learning disability assessments.
0117 463 0477 View 0117 463 0477
Photo of Dr Sonia Gallucci, Psychotherapist, PhD, MBACP
Dr Sonia Gallucci
Psychotherapist, PhD, MBACP
Online Only
I can support you therapeutically in many ways, but probably the best help I can give you is in relation to those areas of life where I have been through myself, as I experienced the struggles and the pain of being there. Being far from home, striving for acceptance and a sense of belonging. Studying or building a career in a university environment, with the stress and demands that sometimes can be felt as overwhelming. If this sounds well too familiar to you, I want you to know that I can support you.
I can support you therapeutically in many ways, but probably the best help I can give you is in relation to those areas of life where I have been through myself, as I experienced the struggles and the pain of being there. Being far from home, striving for acceptance and a sense of belonging. Studying or building a career in a university environment, with the stress and demands that sometimes can be felt as overwhelming. If this sounds well too familiar to you, I want you to know that I can support you.
024 7542 0188 View 024 7542 0188
Photo of Chloe Powell, Counsellor, MBACP
Chloe Powell
Counsellor, MBACP
Bristol BS1
Searching for the right counsellor can feel daunting. How do you know which one to choose, and who you will be comfortable with? It's a big decision. Let me tell you a little about me and the way I work. I am a dedicated and compassionate psychodynamic counsellor, a member of the British Association of Counsellors and Psychotherapists (BACP) and the British Psychoanalytic Council (BPC). I believe that our past experiences shape who we are today and that by uncovering and understanding unconscious behaviours and choices, we can gain insight and self-awareness, and light the way for future growth.
Searching for the right counsellor can feel daunting. How do you know which one to choose, and who you will be comfortable with? It's a big decision. Let me tell you a little about me and the way I work. I am a dedicated and compassionate psychodynamic counsellor, a member of the British Association of Counsellors and Psychotherapists (BACP) and the British Psychoanalytic Council (BPC). I believe that our past experiences shape who we are today and that by uncovering and understanding unconscious behaviours and choices, we can gain insight and self-awareness, and light the way for future growth.
01454 800867 View 01454 800867
Photo of Dr Ella Rafferty, Psychologist, HCPC - Clin. Psych.
Dr Ella Rafferty
Psychologist, HCPC - Clin. Psych.
Online Only
The clients I work with are elite performers dedicated to excelling in their field, whether it be sport, the arts, business, or high-stakes industry. They are committed to personal & professional growth, seeking to harness their full potential while maintaining emotional well-being. These individuals are ambitious & open to exploring all aspects of themselves to achieve sustained excellence. They understand the value of psychological support in navigating the pressures of top-level performance & I often become part of their ‘team’ when they are seeking to engage in a transformative process to enhance resilience, creativity & success
The clients I work with are elite performers dedicated to excelling in their field, whether it be sport, the arts, business, or high-stakes industry. They are committed to personal & professional growth, seeking to harness their full potential while maintaining emotional well-being. These individuals are ambitious & open to exploring all aspects of themselves to achieve sustained excellence. They understand the value of psychological support in navigating the pressures of top-level performance & I often become part of their ‘team’ when they are seeking to engage in a transformative process to enhance resilience, creativity & success
01446 506681 View 01446 506681
Photo of Kate Walker, Psychotherapist, MSc, MBABCP
Kate Walker
Psychotherapist, MSc, MBABCP
Serves Area
Welcome to my profile. It may be daunting to first reach out for therapy but I can assure you, you are taking the right steps to feeling better, managing your symptoms and moving forwards with all aspects of your daily life. Life can be difficult and we all experience challenges with our mental, physical or emotional health. Through exploration together in a safe environment, we can uncover difficulties and start to make valuable discoveries and positive changes.
Welcome to my profile. It may be daunting to first reach out for therapy but I can assure you, you are taking the right steps to feeling better, managing your symptoms and moving forwards with all aspects of your daily life. Life can be difficult and we all experience challenges with our mental, physical or emotional health. Through exploration together in a safe environment, we can uncover difficulties and start to make valuable discoveries and positive changes.
0118 230 2004 View 0118 230 2004
Photo of Jonathan La Fèvre, Psychotherapist, MBACP
Jonathan La Fèvre
Psychotherapist, MBACP
Online Only
Are you feeling anxious, overwhelmed, misunderstood, wishing to feel more satisfied in your relationships? Life can be difficult, and navigating it alone can feel overwhelming. I specialize in supporting individuals with ADHD, ASD, and OCD who may experience anxiety, overwhelm, burnout, or struggle with connection.
Are you feeling anxious, overwhelmed, misunderstood, wishing to feel more satisfied in your relationships? Life can be difficult, and navigating it alone can feel overwhelming. I specialize in supporting individuals with ADHD, ASD, and OCD who may experience anxiety, overwhelm, burnout, or struggle with connection.
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Photo of Kate Burn, Psychotherapist, MA, HCPC-Art Therap.
Kate Burn
Psychotherapist, MA, HCPC-Art Therap.
Bristol BS4
I offer a space for children, young people and their families using a blended approach of art therapy and psychodynamic psychotherapy to come alongside each individual to help them to explore their inner world. With over 15 years of experience working in a number of settings, including schools, charitable organisations and the NHS, I love to meet new people and work together to build a trusting relationship in which thoughts and feelings can be explored and understood. The added dynamic of art and play allows an opportunity for children’s primary mode of communication to enable expression where words sometimes cannot be found.
I offer a space for children, young people and their families using a blended approach of art therapy and psychodynamic psychotherapy to come alongside each individual to help them to explore their inner world. With over 15 years of experience working in a number of settings, including schools, charitable organisations and the NHS, I love to meet new people and work together to build a trusting relationship in which thoughts and feelings can be explored and understood. The added dynamic of art and play allows an opportunity for children’s primary mode of communication to enable expression where words sometimes cannot be found.
0117 463 8779 View 0117 463 8779
Photo of Misma Hemming - Misma Counselling & Psychotherapy Service, Psychotherapist, MBACP Accred
Misma Counselling & Psychotherapy Service
Psychotherapist, MBACP Accred
Bristol BS1
I am an Accredited MBACP counsellor and psychotherapist and BPF offering individual, couple therapy and online therapy in Exeter and Bristol. I provide a safe, confidential, and supportive space to explore challenges that may feel confusing, painful, or difficult to put into words. I have extensive experience working with identity and relationship issues, cultural transitions, and the complexities of intercultural or multicultural partnerships, as well as with trauma, eating disorders, domestic violence, and mood disorders.
I am an Accredited MBACP counsellor and psychotherapist and BPF offering individual, couple therapy and online therapy in Exeter and Bristol. I provide a safe, confidential, and supportive space to explore challenges that may feel confusing, painful, or difficult to put into words. I have extensive experience working with identity and relationship issues, cultural transitions, and the complexities of intercultural or multicultural partnerships, as well as with trauma, eating disorders, domestic violence, and mood disorders.
01392 321879 View 01392 321879
Photo of Eleni Kourtidou-Sextou, Psychologist, HCPC - Clin. Psych.
Eleni Kourtidou-Sextou
Psychologist, HCPC - Clin. Psych.
Bristol BS6
Have you been struggling with the impact of something painful or confusing, unsure how to move forward? Maybe you’ve experienced trauma that left you feeling unsafe, vulnerable, unheard, or carrying responsibility that wasn’t yours. Whether recent or long-standing, you don’t have to face it alone.
Have you been struggling with the impact of something painful or confusing, unsure how to move forward? Maybe you’ve experienced trauma that left you feeling unsafe, vulnerable, unheard, or carrying responsibility that wasn’t yours. Whether recent or long-standing, you don’t have to face it alone.
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Photo of Annie Watkins - Annie Watkins Therapy , Counsellor, MA, MNCPS Acc.
Annie Watkins Therapy
Counsellor, MA, MNCPS Acc.
2 Endorsed
Serves Area
As a qualified integrative therapist, respect is at the centre of my beliefs. I fervently believe that an individual, no matter who you are, should have the arena in which to be heard, without prejudice, without judgement, and with compassion. Our inclusive space will be one of confidentiality, trust and a pace that you feel able to go at, and my hope is that we will work to resolve, or at least identify, some, if not all, of the reasons that you've decided to reach out.
As a qualified integrative therapist, respect is at the centre of my beliefs. I fervently believe that an individual, no matter who you are, should have the arena in which to be heard, without prejudice, without judgement, and with compassion. Our inclusive space will be one of confidentiality, trust and a pace that you feel able to go at, and my hope is that we will work to resolve, or at least identify, some, if not all, of the reasons that you've decided to reach out.
01923 961960 View 01923 961960

How does your Counsellor compare?

Number of Counsellors in Frampton Cotterell

< 10

Counsellors in Frampton Cotterell who prioritize treating:

100% Relationship Issues
100% Depression
100% Addiction
100% Anxiety
100% Bereavement
100% Parenting
100% Alcohol Use

Average years in practice

7 Years

Gender breakdown

50% Female
50% Male

How Counsellors in Frampton Cotterell see their clients

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

How can I find a therapist in Frampton Cotterell?

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.