Counselling in Jarrow

Photo of Lindsay Wilkinson, Psychologist, HCPC - Clin. Psych.
Lindsay Wilkinson
Psychologist, HCPC - Clin. Psych.
Jarrow NE32
I specialise in working with individuals who have difficulties in managing their emotions and therefore struggle with things like relationships, drinking, substance use, self harming and other impulsive behaviour. You don't need a formal diagnosis to work with me, but I do have a speciality of working with people with personality disorders. I also have lots of experience of working with people who have had traumatic histories and are struggling to manage as a result. This might mean they are depressed, anxious or just finding trusting people hard. As well as these specialities, I also work with all major mental health issues
I specialise in working with individuals who have difficulties in managing their emotions and therefore struggle with things like relationships, drinking, substance use, self harming and other impulsive behaviour. You don't need a formal diagnosis to work with me, but I do have a speciality of working with people with personality disorders. I also have lots of experience of working with people who have had traumatic histories and are struggling to manage as a result. This might mean they are depressed, anxious or just finding trusting people hard. As well as these specialities, I also work with all major mental health issues
0191 917 9403 View 0191 917 9403
Photo of Lucy McLaren, Counsellor, MBACP
Lucy McLaren
Counsellor, MBACP
Online Only
Hello! I'm Lucy, a person-centred therapist who is passionate about providing a safe, non-judgemental space for clients to explore what they are thinking and feeling. Together, we can explore whatever is on your mind. My aim is to help you understand what you're experiencing now and to understand where it has come from. By gaining this self-awareness, we can work together to help you process your emotions and learn tools to regulate yourself outside of therapy. Signing up for therapy can be the hardest step - but it can also be the most rewarding, especially for your long-term mental wellbeing.
Hello! I'm Lucy, a person-centred therapist who is passionate about providing a safe, non-judgemental space for clients to explore what they are thinking and feeling. Together, we can explore whatever is on your mind. My aim is to help you understand what you're experiencing now and to understand where it has come from. By gaining this self-awareness, we can work together to help you process your emotions and learn tools to regulate yourself outside of therapy. Signing up for therapy can be the hardest step - but it can also be the most rewarding, especially for your long-term mental wellbeing.
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Photo of Chris Miller, Counsellor, UKCP Trainee
Chris Miller
Counsellor, UKCP Trainee
1 Endorsed
Serves Area
Do you feel stuck in a life that looks successful on the outside but doesn’t feel right inside? I work with adults facing burnout, loss of meaning, relationship struggles, or a growing sense that something needs to change. Together we slow things down, make sense of what’s happening beneath the surface, and understand the patterns shaping your life. From there, we begin to create more clarity, choice, and a way forward that feels more aligned and authentic.
Do you feel stuck in a life that looks successful on the outside but doesn’t feel right inside? I work with adults facing burnout, loss of meaning, relationship struggles, or a growing sense that something needs to change. Together we slow things down, make sense of what’s happening beneath the surface, and understand the patterns shaping your life. From there, we begin to create more clarity, choice, and a way forward that feels more aligned and authentic.
0191 743 3940 View 0191 743 3940
Photo of Heather Young - Diamond mental health & wellbeing counselling, Counsellor, MBACP
Diamond mental health & wellbeing counselling
Counsellor, MBACP
Serves Area
As a Member of British Association for Counselling and Psychotherapy, Diamond Mental Health & Wellbeing Counselling provides a safe and confidential space for you to talk to a person- centred trained professional about your issues and concerns. I'm here to help you explore your thoughts, feelings and behaviours so you can work towards developing a better understanding of yourself and of others. I'm not here to give you opinions, advice or prescribe medication. I'm here to help you find your own solutions - whether that's making effective changes in your life or finding ways of coping with your problems.
As a Member of British Association for Counselling and Psychotherapy, Diamond Mental Health & Wellbeing Counselling provides a safe and confidential space for you to talk to a person- centred trained professional about your issues and concerns. I'm here to help you explore your thoughts, feelings and behaviours so you can work towards developing a better understanding of yourself and of others. I'm not here to give you opinions, advice or prescribe medication. I'm here to help you find your own solutions - whether that's making effective changes in your life or finding ways of coping with your problems.
0191 743 6287 View 0191 743 6287

More Therapists Nearby

Photo of Danielle Northcott, MSc
Danielle Northcott
Verified Verified
Online Only
Waitlist for new clients
Do you feel stuck in patterns of relating to yourself and others that feel familiar, yet are holding you back? My approach to therapy is grounded in an understanding that current difficulties are often influenced by past experiences, relationships, and patterns that may sit outside of our awareness. I place great importance on the therapeutic relationship as a vehicle for meaningful change - I believe that change can happen when you feel genuinely heard and understood. My work is individually tailored, and I draw flexibly on a range of evidence-based approaches to facilitate meaning making and promote change.
Do you feel stuck in patterns of relating to yourself and others that feel familiar, yet are holding you back? My approach to therapy is grounded in an understanding that current difficulties are often influenced by past experiences, relationships, and patterns that may sit outside of our awareness. I place great importance on the therapeutic relationship as a vehicle for meaningful change - I believe that change can happen when you feel genuinely heard and understood. My work is individually tailored, and I draw flexibly on a range of evidence-based approaches to facilitate meaning making and promote change.
01752 741900 View 01752 741900
Photo of Viv Houghton, Counsellor, MBACP
Viv Houghton
Counsellor, MBACP
Hi, My name is Viv, My role as a therapist is to provide space for you to explore your difficulties at your own pace, within a safe and non- judgemental relationship. I am deeply passionate about the work I do and I would feel privileged to accompany you on your path towards healing, growth, and resilience. People come to counselling for a variety of reasons, to help cope with the stresses of everyday life or following a major life change, bereavement or perhaps to understand themselves better.
Hi, My name is Viv, My role as a therapist is to provide space for you to explore your difficulties at your own pace, within a safe and non- judgemental relationship. I am deeply passionate about the work I do and I would feel privileged to accompany you on your path towards healing, growth, and resilience. People come to counselling for a variety of reasons, to help cope with the stresses of everyday life or following a major life change, bereavement or perhaps to understand themselves better.
07761 660755 View 07761 660755
Photo of Moira Sheen - Moira Sheen Specialist in ADHD and Autism, Counsellor, MBACP
Moira Sheen Specialist in ADHD and Autism
Counsellor, MBACP
Serves Area
Hi, I’m Moira, a BACP-registered integrative counsellor. I work with adults, young people, and neurodivergent individuals, offering a calm, supportive space where you can be yourself — no pressure, no judgement. I support clients with a range of issues including anxiety, masking and burnout, emotional regulation, low mood, self-esteem, and navigating identity and relationships. I can help you unpick your feelings and understand them. I offer a confidential space where you can slow down, speak freely, and begin to make sense of what's going on beneath the surface. A space to just be YOU. A space to heal.
Hi, I’m Moira, a BACP-registered integrative counsellor. I work with adults, young people, and neurodivergent individuals, offering a calm, supportive space where you can be yourself — no pressure, no judgement. I support clients with a range of issues including anxiety, masking and burnout, emotional regulation, low mood, self-esteem, and navigating identity and relationships. I can help you unpick your feelings and understand them. I offer a confidential space where you can slow down, speak freely, and begin to make sense of what's going on beneath the surface. A space to just be YOU. A space to heal.
01322 936264 View 01322 936264
Photo of Rachel Thomlinson, Psychologist, PsychD, HCPC - Clin. Psych.
Rachel Thomlinson
Psychologist, PsychD, HCPC - Clin. Psych.
I provide support across the lifespan and can support with a wide range of difficulties, including anxiety, low mood, trauma and relationship difficulties. I have specialist experience working with Children and Young People, and will work systemically with you, as well as individually with your child, to support your child's social and emotional development. I also provide parent/carer support, from pregnancy through to adolescence. I will support you to adopt a parenting approach that will enhance your child’s social and emotional development, and will work with you to understand any triggers that might get in the way.
I provide support across the lifespan and can support with a wide range of difficulties, including anxiety, low mood, trauma and relationship difficulties. I have specialist experience working with Children and Young People, and will work systemically with you, as well as individually with your child, to support your child's social and emotional development. I also provide parent/carer support, from pregnancy through to adolescence. I will support you to adopt a parenting approach that will enhance your child’s social and emotional development, and will work with you to understand any triggers that might get in the way.
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Photo of Helen Eaves, Counsellor, MBACP
Helen Eaves
Counsellor, MBACP
Serves Area
Your mental health and emotional well-being are worth investing in. You deserve to feel happier and to live a more fulfilled life. I can help you do this by removing some of the psychological barriers that you are currently facing. These may be daily struggles with feelings of anxiety and low mood, or you may have experienced a significant life event that has left you with feelings of loss or grief, or trauma or panic. I can offer you a collaborative approach with the aim of reducing these difficult feelings you are currently experiencing.
Your mental health and emotional well-being are worth investing in. You deserve to feel happier and to live a more fulfilled life. I can help you do this by removing some of the psychological barriers that you are currently facing. These may be daily struggles with feelings of anxiety and low mood, or you may have experienced a significant life event that has left you with feelings of loss or grief, or trauma or panic. I can offer you a collaborative approach with the aim of reducing these difficult feelings you are currently experiencing.
01287 550579 View 01287 550579
Photo of Andrea Hughes - Tidal Therapy Services, Counsellor, MBACP Accred
Tidal Therapy Services
Counsellor, MBACP Accred
Seaham SR7
Counselling provides an opportunity to work through what is happening within your life, in a safe, accepted therapeutic space, where you are free to explore who you are and focus upon what brings you to counselling. Counselling enables you to gain support, to be truly heard and listened to, by a skilled professional, someone who is patient, present and focused upon supporting you without any judgement, with whatever your needs may be.
Counselling provides an opportunity to work through what is happening within your life, in a safe, accepted therapeutic space, where you are free to explore who you are and focus upon what brings you to counselling. Counselling enables you to gain support, to be truly heard and listened to, by a skilled professional, someone who is patient, present and focused upon supporting you without any judgement, with whatever your needs may be.
07445 808113 View 07445 808113
Photo of Catherine Hurley - Empower Neurodiversity , Occupational Therapist
Empower Neurodiversity
Occupational Therapist
Online Only
I provide online tailored support for individuals over 16 with diverse neurological profiles, including autism, ADHD, and other neurodevelopmental differences. I also support people experiencing mental health difficulties, such as anxiety. You don't need a formal diagnosis to work with me. As an Occupational therapist I am interested in working with your challenges, identifying your strengths and supporting your ability to engage in activities of daily living and explore what is meaningful to you as an individual. I focus on helping individuals enhance their daily living skills, and navigate work and educational settings.
I provide online tailored support for individuals over 16 with diverse neurological profiles, including autism, ADHD, and other neurodevelopmental differences. I also support people experiencing mental health difficulties, such as anxiety. You don't need a formal diagnosis to work with me. As an Occupational therapist I am interested in working with your challenges, identifying your strengths and supporting your ability to engage in activities of daily living and explore what is meaningful to you as an individual. I focus on helping individuals enhance their daily living skills, and navigate work and educational settings.
0191 743 7071 View 0191 743 7071
Photo of Dr Joanne Dixon, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Joanne Dixon
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I'm Jo, a Consultant Clinical Psychologist, CAT Practitioner and Supervisor. Lots of people struggle with their mental health at times and feel like they're not enough. Maybe you have a hard time liking yourself, find it hard to get your voice heard and feel like giving up trying or feel like it's only you struggling? We all have lots of messy feelings and I help people make sense of these. I love working alongside people to develop an understanding of what's gone on and how to make changes. I am experienced in been working with people with worry, mood, difficult relationship patterns, trauma and the effects these have on a person.
I'm Jo, a Consultant Clinical Psychologist, CAT Practitioner and Supervisor. Lots of people struggle with their mental health at times and feel like they're not enough. Maybe you have a hard time liking yourself, find it hard to get your voice heard and feel like giving up trying or feel like it's only you struggling? We all have lots of messy feelings and I help people make sense of these. I love working alongside people to develop an understanding of what's gone on and how to make changes. I am experienced in been working with people with worry, mood, difficult relationship patterns, trauma and the effects these have on a person.
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Photo of Lucia Harvey, Psychotherapist, MSc, MBACP
Lucia Harvey
Psychotherapist, MSc, MBACP
Are you looking for support for yourself or your child? I am here to help. I am here to help. My name is Lucia and I work with clients of all ages. I understand that being able to name the issue or the goal can be challenging. We often don’t know how we feel and this is even more true for children who are learning to navigate their own wellbeing and the world around them. That is why I work with clients’ needs, even unspoken ones, using various techniques from talking to creative approaches, which can help us understand ourselves and overcome challenges whilst building resilience and confidence.
Are you looking for support for yourself or your child? I am here to help. I am here to help. My name is Lucia and I work with clients of all ages. I understand that being able to name the issue or the goal can be challenging. We often don’t know how we feel and this is even more true for children who are learning to navigate their own wellbeing and the world around them. That is why I work with clients’ needs, even unspoken ones, using various techniques from talking to creative approaches, which can help us understand ourselves and overcome challenges whilst building resilience and confidence.
07936 315287 View 07936 315287
Photo of Adrian Brooks, Psychotherapist, ACP
Adrian Brooks
Psychotherapist, ACP
I work with children, adolescents, young adults, and parents who may be struggling with anxiety, low mood, emotional overwhelm, relationship difficulties, trauma, neurodiversity, or behaviours that feel difficult to understand. Sometimes young people feel stuck, withdrawn, angry, or lost without fully knowing why. I also support parents who are worried about changes in their child or unsure how best to help. Together, we think carefully about what may sit beneath these experiences and how emotional understanding and growth can begin to emerge.
I work with children, adolescents, young adults, and parents who may be struggling with anxiety, low mood, emotional overwhelm, relationship difficulties, trauma, neurodiversity, or behaviours that feel difficult to understand. Sometimes young people feel stuck, withdrawn, angry, or lost without fully knowing why. I also support parents who are worried about changes in their child or unsure how best to help. Together, we think carefully about what may sit beneath these experiences and how emotional understanding and growth can begin to emerge.
0191 743 0527 View 0191 743 0527
Photo of Maureen Courtney - Maureen Courtney , Psychotherapist, DCounsPsych, MUKCP
Maureen Courtney
Psychotherapist, DCounsPsych, MUKCP
I am a qualified and experienced Counsellor and Psychotherapist working in the Tunstall, Sunderland area. I offer one to one counselling and psychotherapy. My training was Integrative/ Transpersonal which means I learnt all the different Psychotherapy Theories and approaches in my 5 years of training. The great advantages of this training is you can tailor my work to suit each individual person best. I also work with couples & families as well as running one-to-one psychological Retreats offering.
I am a qualified and experienced Counsellor and Psychotherapist working in the Tunstall, Sunderland area. I offer one to one counselling and psychotherapy. My training was Integrative/ Transpersonal which means I learnt all the different Psychotherapy Theories and approaches in my 5 years of training. The great advantages of this training is you can tailor my work to suit each individual person best. I also work with couples & families as well as running one-to-one psychological Retreats offering.
01767 669710 View 01767 669710
Photo of Kate Alice Taylor, Psychotherapist, MUKCP
Kate Alice Taylor
Psychotherapist, MUKCP
5 Endorsed
Serves Area
Something has brought you here — perhaps a relationship that keeps hitting the same wall, a sense that you are not quite living the life you imagined, or feelings that are difficult to name, let alone share. I am a psychotherapist and group analyst based in King’s Cross, London. Before training I worked in the corporate world — I understand the gap that can open between outward achievement and inner life. I have worked across the NHS, voluntary sector and private practice, run a therapy group at the Guildhall School of Music, facilitate workshops and serve as a Trustee at the Institute of Group Analysis.
Something has brought you here — perhaps a relationship that keeps hitting the same wall, a sense that you are not quite living the life you imagined, or feelings that are difficult to name, let alone share. I am a psychotherapist and group analyst based in King’s Cross, London. Before training I worked in the corporate world — I understand the gap that can open between outward achievement and inner life. I have worked across the NHS, voluntary sector and private practice, run a therapy group at the Guildhall School of Music, facilitate workshops and serve as a Trustee at the Institute of Group Analysis.
020 3835 2880 View 020 3835 2880
Photo of Ruth Robson, Counsellor, MBACP
Ruth Robson
Counsellor, MBACP
Waitlist for new clients
If you are going through a life change, struggling with relationships, or questioning your identity, I offer a supportive space, free of judgement, to explore your experiences and next steps. I believe there’s no "one size fits all" way of doing therapy, so I take an integrative approach to tailor our sessions to you. This could mean person-centered counselling where you bring in an issue each week, coaching strategies to develop coping skills, or creative methods to explore confusing feelings. I aim to be flexible to best support your personal growth, and therapy goals.
If you are going through a life change, struggling with relationships, or questioning your identity, I offer a supportive space, free of judgement, to explore your experiences and next steps. I believe there’s no "one size fits all" way of doing therapy, so I take an integrative approach to tailor our sessions to you. This could mean person-centered counselling where you bring in an issue each week, coaching strategies to develop coping skills, or creative methods to explore confusing feelings. I aim to be flexible to best support your personal growth, and therapy goals.
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Photo of Melanie Annette Charnock - Melanie Charnock Psychotherapy and Counselling, Psychotherapist, MSc, MUKCP
Asking for help is not always easy, especially when you’re struggling with something that’s very close to you. I understand how daunting that first step of reaching out and contacting a therapist can be, which is why I always strive to provide a safe, friendly and non-judgemental space for therapy sessions. I am committed to working alongside you and through mutual discussions providing you with the strategies and tools that are the best fit for you. I have a special interest in transgenerational influences which can present as childhood trauma, attachment difficulties, anxiety and personality disorders.
Asking for help is not always easy, especially when you’re struggling with something that’s very close to you. I understand how daunting that first step of reaching out and contacting a therapist can be, which is why I always strive to provide a safe, friendly and non-judgemental space for therapy sessions. I am committed to working alongside you and through mutual discussions providing you with the strategies and tools that are the best fit for you. I have a special interest in transgenerational influences which can present as childhood trauma, attachment difficulties, anxiety and personality disorders.
0191 917 9377 View 0191 917 9377
Photo of Fennec Adams, Counsellor, DCounsPsych, BACP
Fennec Adams
Counsellor, DCounsPsych, BACP
Online Only
I offer Integrative Counselling, as well as Clinical Supervision. I have experience of working with a range of individuals and issues. I think it is really important to understand and acknowledge the complexity of every individual's experience. I endeavour to do this by holding an open mind and creating a safe, boundaried space in which we can work. I incorporate a range of theories and skills in order to best facilitate your individual process and needs. I work in a sex and kink positive way, with all types of relationship styles. Neurodiversity and how that shapes how we experience the world is also a big part of my practice.
I offer Integrative Counselling, as well as Clinical Supervision. I have experience of working with a range of individuals and issues. I think it is really important to understand and acknowledge the complexity of every individual's experience. I endeavour to do this by holding an open mind and creating a safe, boundaried space in which we can work. I incorporate a range of theories and skills in order to best facilitate your individual process and needs. I work in a sex and kink positive way, with all types of relationship styles. Neurodiversity and how that shapes how we experience the world is also a big part of my practice.
01273 099026 View 01273 099026
Photo of Julia Glover, Psychotherapist, MNCPS Acc.
Julia Glover
Psychotherapist, MNCPS Acc.
2 Endorsed
Hi, I’m Julia. If you’re struggling with anxiety, low mood or feeling stuck, you’re not alone — and you don’t have to face it on your own. I offer a calm, thoughtful space where we can explore what’s going on for you and work together to help you feel more in control. I work with adults experiencing a wide range of concerns, with a keen interest in relationships and ADHD. My approach is collaborative with and tailored to you — informed by therapeutic theories and models to meet your unique needs.
Hi, I’m Julia. If you’re struggling with anxiety, low mood or feeling stuck, you’re not alone — and you don’t have to face it on your own. I offer a calm, thoughtful space where we can explore what’s going on for you and work together to help you feel more in control. I work with adults experiencing a wide range of concerns, with a keen interest in relationships and ADHD. My approach is collaborative with and tailored to you — informed by therapeutic theories and models to meet your unique needs.
0191 743 3204 View 0191 743 3204

How does your Counsellor compare?

Number of Counsellors in Jarrow

< 10

Counsellors in Jarrow who prioritize treating:

75% Depression
75% Addiction
75% Bereavement
75% Trauma and PTSD
75% Family Conflict
75% Self Esteem
75% Women's Issues

Average years in practice

9 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% Bupa
100% Aviva

How Counsellors in Jarrow see their clients

75% In Person and Online
25% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Jarrow?

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.