Counselling in Knowle

Photo of Beth Kite, Counsellor, MBACP Accred
Beth Kite
Counsellor, MBACP Accred
Knowle B93
Many of the people I work with feel overwhelmed, stuck or unsure of who they are becoming. They want clarity, confidence and a calmer inner world but often carry long-standing patterns that feel hard to shift alone. I offer a steady, compassionate space where you can explore your feelings, understand your story and make sense of the deeper roots of your struggles. Together, we work toward creating a more grounded, connected and authentic sense of self so you can move forward with greater ease.
Many of the people I work with feel overwhelmed, stuck or unsure of who they are becoming. They want clarity, confidence and a calmer inner world but often carry long-standing patterns that feel hard to shift alone. I offer a steady, compassionate space where you can explore your feelings, understand your story and make sense of the deeper roots of your struggles. Together, we work toward creating a more grounded, connected and authentic sense of self so you can move forward with greater ease.
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Photo of Elise Dewes, Counsellor, MBACP
Elise Dewes
Counsellor, MBACP
Knowle B93
I am a counsellor and psychotherapist based in Birmingham and Solihull, committed to providing a supportive space that is grounded in proven approaches and guided by genuine care. I would be happy to hear from you whatever it is that brings you to therapy.  Therapy with me is collaborative, non-judgemental, and underpinned by the belief that human beings are resilient, creative and capable of overcoming and surviving in profound ways. The work we will do together is about allowing you to make sense of your story, understand yourself and your needs more deeply, and to live with greater intentionality and freedom.
I am a counsellor and psychotherapist based in Birmingham and Solihull, committed to providing a supportive space that is grounded in proven approaches and guided by genuine care. I would be happy to hear from you whatever it is that brings you to therapy.  Therapy with me is collaborative, non-judgemental, and underpinned by the belief that human beings are resilient, creative and capable of overcoming and surviving in profound ways. The work we will do together is about allowing you to make sense of your story, understand yourself and your needs more deeply, and to live with greater intentionality and freedom.
01827 948342 View 01827 948342
Photo of Trisha Murphy, Counsellor, MSc, MBACP
Trisha Murphy
Counsellor, MSc, MBACP
Knowle B93
As an integrative psychotherapeutic counsellor, I draw on different therapeutic approaches so that our work together is shaped around you, your needs, your pace, and what feels most supportive. I work in a relational and compassionate way to create a safe, steady space where you can explore what’s been feeling difficult or overwhelming. People often come to me experiencing anxiety, depression, low self-esteem, burnout, or feeling stuck in patterns such as overthinking, people-pleasing, or masking. I also work with family issues, trauma, and obsessive compulsive disorder (OCD), including intrusive thoughts and rumination.
As an integrative psychotherapeutic counsellor, I draw on different therapeutic approaches so that our work together is shaped around you, your needs, your pace, and what feels most supportive. I work in a relational and compassionate way to create a safe, steady space where you can explore what’s been feeling difficult or overwhelming. People often come to me experiencing anxiety, depression, low self-esteem, burnout, or feeling stuck in patterns such as overthinking, people-pleasing, or masking. I also work with family issues, trauma, and obsessive compulsive disorder (OCD), including intrusive thoughts and rumination.
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Photo of Pippa Trace, Counsellor, BACP
Pippa Trace
Counsellor, BACP
1 Endorsed
Serves Area
People seek counselling and psychotherapy for various reasons. Not everyone knows what is bothering them. Often it is the difficulties and challenges of daily life that become overwhelming and unmanageable, impacting relationships, work and decision making. It is sometimes beyond the control of the individual to address those issues without professional help.
People seek counselling and psychotherapy for various reasons. Not everyone knows what is bothering them. Often it is the difficulties and challenges of daily life that become overwhelming and unmanageable, impacting relationships, work and decision making. It is sometimes beyond the control of the individual to address those issues without professional help.
0121 285 7924 View 0121 285 7924
Photo of Lianne Crofts - Magenta Owl, Psychotherapist, MBACP
Magenta Owl
Psychotherapist, MBACP
Serves Area
Both in and out of sessions, I encourage self-care and self-compassion. Having diagnoses of both Autism and ADHD, I focus on neurodivergence and how it can impact wellbeing and self-esteem. I also work with adult daughters who have destabilising or unhealthy relationships with their mothers... moving toward greater self-respect and autonomy here is vital for your own growth. We will agree on "homework" tasks; utilising boundary-setting, CBT and NLP for optimal outcomes. If you are committed to deepening self-understanding, contact me to talk about how we might work together towards your better, bolder, more liberated future.
Both in and out of sessions, I encourage self-care and self-compassion. Having diagnoses of both Autism and ADHD, I focus on neurodivergence and how it can impact wellbeing and self-esteem. I also work with adult daughters who have destabilising or unhealthy relationships with their mothers... moving toward greater self-respect and autonomy here is vital for your own growth. We will agree on "homework" tasks; utilising boundary-setting, CBT and NLP for optimal outcomes. If you are committed to deepening self-understanding, contact me to talk about how we might work together towards your better, bolder, more liberated future.
01527 962131 View 01527 962131
Photo of Katie Helen Jeffery - Katie Jeffery Counselling, Psychotherapist, MBACP
Katie Jeffery Counselling
Psychotherapist, MBACP
4 Endorsed
Serves Area
Hi, I am Katie Jeffery and I provide counselling for children, teens and adults. I believe there is hope for you and a safe space here where you will feel seen and heard. From personal experience of having to overcome difficult challenges I understand the courage and energy it takes to reach out for help. I know the importance of making an effort to understand you as you are, show empathy for what you go through and actively listen when others don't.
Hi, I am Katie Jeffery and I provide counselling for children, teens and adults. I believe there is hope for you and a safe space here where you will feel seen and heard. From personal experience of having to overcome difficult challenges I understand the courage and energy it takes to reach out for help. I know the importance of making an effort to understand you as you are, show empathy for what you go through and actively listen when others don't.
024 7542 6616 View 024 7542 6616
Photo of Helen Andrews, Psychologist, PsychD, HCPC - Clin. Psych.
Helen Andrews
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
I specialise in working with children & their families, particularly young children. Parents contact me because they are concerned about their child's behaviour or development, sometimes they can see that their child is worried, cross or seems sad. Often parents have questions about how best to respond to their child in different situations, or want to learn more about different parenting approaches. Parents also worry about relationships within the family; whether they feel as close to their child as they thought they would, or whether difficult times have put a strain on relationships. These are all good reasons to get in touch.
I specialise in working with children & their families, particularly young children. Parents contact me because they are concerned about their child's behaviour or development, sometimes they can see that their child is worried, cross or seems sad. Often parents have questions about how best to respond to their child in different situations, or want to learn more about different parenting approaches. Parents also worry about relationships within the family; whether they feel as close to their child as they thought they would, or whether difficult times have put a strain on relationships. These are all good reasons to get in touch.
01883 778996 View 01883 778996
Photo of Julie Ellis - Crystalclear counselling, Counsellor, MBACP
Crystalclear counselling
Counsellor, MBACP
Serves Area
My name is Julie and I am a qualified counsellor offering face to face counselling in my garden studio in Solihull. Psychodynamic therapy allows you to understand how events and emotions from your past may be acting as a trigger in the present. This is just one of the many techniques I use to unpack the unconscious thought patterns that can impact your behaviour and emotions. Therapy is for anyone suffering from any of the following:- Depression Anxiety Grief or bereavement Trauma Anger issues Stress Separation or relationship issues Low self esteem And many more every day mental health issues.
My name is Julie and I am a qualified counsellor offering face to face counselling in my garden studio in Solihull. Psychodynamic therapy allows you to understand how events and emotions from your past may be acting as a trigger in the present. This is just one of the many techniques I use to unpack the unconscious thought patterns that can impact your behaviour and emotions. Therapy is for anyone suffering from any of the following:- Depression Anxiety Grief or bereavement Trauma Anger issues Stress Separation or relationship issues Low self esteem And many more every day mental health issues.
0121 816 0220 View 0121 816 0220
Photo of Elizabeth Sanders, Counsellor, MBACP
Elizabeth Sanders
Counsellor, MBACP
1 Endorsed
Serves Area
Hello and thank you for looking at my profile. My name is Liz and I run a small counselling practice covering Warwickshire and the West Midlands. I offer a calm, safe, reassuring presence to work with you to make sense of difficulties in your life and move towards a more positive future. We cannot change what happens to us, but we can change how we respond. Counselling can help with a wide range of issues such as bereavement, loss of purpose or identity, anxiety, depression, stress, trauma, ill health, low self-worth or self-esteem, relationship challenges or a sense of something missing in life.
Hello and thank you for looking at my profile. My name is Liz and I run a small counselling practice covering Warwickshire and the West Midlands. I offer a calm, safe, reassuring presence to work with you to make sense of difficulties in your life and move towards a more positive future. We cannot change what happens to us, but we can change how we respond. Counselling can help with a wide range of issues such as bereavement, loss of purpose or identity, anxiety, depression, stress, trauma, ill health, low self-worth or self-esteem, relationship challenges or a sense of something missing in life.
01827 948337 View 01827 948337
Photo of Jenny Cavendish, Psychotherapist, MSc, MUKCP
Jenny Cavendish
Psychotherapist, MSc, MUKCP
Serves Area
Reaching out for therapy can feel like a huge step. Sometimes a particular experience leads us to seek therapy, or we may want to explore significant themes in our lives or how we relate to others. You may want to explore both of these. Maybe you're currently feeling that you would benefit from exploring the impact our past has on our day-to-day life and relationships.
Reaching out for therapy can feel like a huge step. Sometimes a particular experience leads us to seek therapy, or we may want to explore significant themes in our lives or how we relate to others. You may want to explore both of these. Maybe you're currently feeling that you would benefit from exploring the impact our past has on our day-to-day life and relationships.
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Photo of Polly Jennens, Counsellor, MSc, MBACP Accred
Polly Jennens
Counsellor, MSc, MBACP Accred
Serves Area
Are you feeling "how do I deal with this" or "how can I change things" and you just don't know where to start.........then I can help. Counselling can make a huge difference to how you live your life. People come to therapy for all sorts of reasons and you're certainly not alone if you are finding making the first move quite daunting. I provide a quiet, safe space where you can freely discuss your fears, worries, hopes and dreams without judgement. This will allow you to gain a greater understanding of where you are now, where you want to be and how to get there.
Are you feeling "how do I deal with this" or "how can I change things" and you just don't know where to start.........then I can help. Counselling can make a huge difference to how you live your life. People come to therapy for all sorts of reasons and you're certainly not alone if you are finding making the first move quite daunting. I provide a quiet, safe space where you can freely discuss your fears, worries, hopes and dreams without judgement. This will allow you to gain a greater understanding of where you are now, where you want to be and how to get there.
01789 331102 View 01789 331102
Photo of Amy Kershaw, Counsellor, MBACP
Amy Kershaw
Counsellor, MBACP
Serves Area
I am a person-centred therapist with a special interest in grief, loss, and bereavement. I am experienced at working with many forms of distress, anxiety, depression and trauma. One-to-one support gives you a confidential, non-judgemental space to talk, feel, reflect — and begin to heal.
I am a person-centred therapist with a special interest in grief, loss, and bereavement. I am experienced at working with many forms of distress, anxiety, depression and trauma. One-to-one support gives you a confidential, non-judgemental space to talk, feel, reflect — and begin to heal.
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More Therapists Nearby

Photo of Esther Titilayo Akinola, Psychotherapist, MSc, MBACP
Esther Titilayo Akinola
Psychotherapist, MSc, MBACP
Online Only
I am a BACP Registered Therapist with a BSc in Psychology, MSc in Cognitive Neuroscience, and Postgraduate training in Counselling Psychology. I specialise in therapy and psychoeducation for children and teenagers (8–18), university students and young adults (18–27), and parents supporting their children's emotional development. I work integratively, drawing on Humanistic, Trauma-Informed, CBT, Compassion-Focused, and Play-based approaches, tailoring every session to the person in front of me. If you are looking for a space to feel safe, heard and seen, I would love to hear from you.
I am a BACP Registered Therapist with a BSc in Psychology, MSc in Cognitive Neuroscience, and Postgraduate training in Counselling Psychology. I specialise in therapy and psychoeducation for children and teenagers (8–18), university students and young adults (18–27), and parents supporting their children's emotional development. I work integratively, drawing on Humanistic, Trauma-Informed, CBT, Compassion-Focused, and Play-based approaches, tailoring every session to the person in front of me. If you are looking for a space to feel safe, heard and seen, I would love to hear from you.
0121 387 6840 View 0121 387 6840
Photo of Vivine Caroline Adams - Viv Adams Counselling, Counsellor, DCounsPsych, MNCPS Acc.
Viv Adams Counselling
Counsellor, DCounsPsych, MNCPS Acc.
I felt that I can use my skills from when I was a social worker to work with people who feel that they would benefit from talking to someone about what is happening to your life at the moment. I can be that person to give you that space for talk to about what is happening in your life(s) at this moment. I can work with you on issues that are causing your stress , anxiety bereavement and loss or you might have family relationship difficulties people close to you . As a counsellor I would be able to help you to work through those feelings. I work primarily with adults and i also work with couples on your relationship
I felt that I can use my skills from when I was a social worker to work with people who feel that they would benefit from talking to someone about what is happening to your life at the moment. I can be that person to give you that space for talk to about what is happening in your life(s) at this moment. I can work with you on issues that are causing your stress , anxiety bereavement and loss or you might have family relationship difficulties people close to you . As a counsellor I would be able to help you to work through those feelings. I work primarily with adults and i also work with couples on your relationship
01527 390330 View 01527 390330
Photo of Fianna Pacheco, Psychologist, HCPC - Clin. Psych.
Fianna Pacheco
Psychologist, HCPC - Clin. Psych.
Are you going through difficult times? Do you feel anxious, depressed and/or angry? Are you unhappy with your life? Are your emotions getting in the way of your goals? Are you interested in trying to understand yourself better to help relieve your symptoms? I’m a Clinical Psychologist with over 15 years of experience dealing with anxiety, depression, anger and other issues in adults and young people. Talking about your problems can help you rebuild your self-confidence and achieve a clearer understanding of yourself and your relationships. Through self-reflection, we analyse the past and how you are now.
Are you going through difficult times? Do you feel anxious, depressed and/or angry? Are you unhappy with your life? Are your emotions getting in the way of your goals? Are you interested in trying to understand yourself better to help relieve your symptoms? I’m a Clinical Psychologist with over 15 years of experience dealing with anxiety, depression, anger and other issues in adults and young people. Talking about your problems can help you rebuild your self-confidence and achieve a clearer understanding of yourself and your relationships. Through self-reflection, we analyse the past and how you are now.
0121 227 4252 View 0121 227 4252
Photo of Aurora Dipple - Aurora Therapies Limited, Counsellor, MBACP
Feeling anxious, overwhelmed or stuck? You don’t have to face it alone! Hi, I’m Aurora, a qualified Counsellor and Psychotherapist with over 20 years’ experience supporting people through difficult life experiences. Additionally, I have more than five years’ experience working therapeutically with individuals affected by general anxiety disorder (GAD), complex trauma and emotional overwhelm. I offer a warm, compassionate and non-judgemental space where you can talk openly and feel truly heard. Together we can begin to understand what you’re experiencing and work towards creating the life you want to live.
Feeling anxious, overwhelmed or stuck? You don’t have to face it alone! Hi, I’m Aurora, a qualified Counsellor and Psychotherapist with over 20 years’ experience supporting people through difficult life experiences. Additionally, I have more than five years’ experience working therapeutically with individuals affected by general anxiety disorder (GAD), complex trauma and emotional overwhelm. I offer a warm, compassionate and non-judgemental space where you can talk openly and feel truly heard. Together we can begin to understand what you’re experiencing and work towards creating the life you want to live.
01789 643080 View 01789 643080
Photo of Dr Harriet Norcott, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Harriet Norcott
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
As an accredited Clinical Psychologist and Cognitive Behavioural Therapist (CBT), I am committed to supporting individuals on their journey towards mental well-being. I have over 10 years experience in specialist NHS services, and more recently I have worked in Child and Adolescent Mental Health (CAMHS), Complex Trauma, and Perinatal services in London and Birmingham. I am particularly dedicated to supporting individuals who have experienced complex trauma, depression, anxiety, stress/burnout, and emotion regulation difficulties. I can offer therapy to people of all ages, including children (and parents), adolescents and adults.
As an accredited Clinical Psychologist and Cognitive Behavioural Therapist (CBT), I am committed to supporting individuals on their journey towards mental well-being. I have over 10 years experience in specialist NHS services, and more recently I have worked in Child and Adolescent Mental Health (CAMHS), Complex Trauma, and Perinatal services in London and Birmingham. I am particularly dedicated to supporting individuals who have experienced complex trauma, depression, anxiety, stress/burnout, and emotion regulation difficulties. I can offer therapy to people of all ages, including children (and parents), adolescents and adults.
0121 816 0650 View 0121 816 0650
Photo of Julie Rose Sanders, MA
Julie Rose Sanders
Verified Verified
Serves Area
I have over 25 years experience in supporting people with Autism, ADHD, relationship issues, developmental trauma, CPTSD, addictions. I have a passion about neurodivergent people living life to the full. I brought up two neurodivergent children. I offer a safe, calm non-judgemental space essential for the growth of trust. I learnt how the nervous system impacts relationships, how the past plays a role in the present. In therapy you can learn how to regulate emotions, communicate effectively, set boundaries and prioritise your needs. You will empower yourself, live more authentically and learn to make choices that nourish you.
I have over 25 years experience in supporting people with Autism, ADHD, relationship issues, developmental trauma, CPTSD, addictions. I have a passion about neurodivergent people living life to the full. I brought up two neurodivergent children. I offer a safe, calm non-judgemental space essential for the growth of trust. I learnt how the nervous system impacts relationships, how the past plays a role in the present. In therapy you can learn how to regulate emotions, communicate effectively, set boundaries and prioritise your needs. You will empower yourself, live more authentically and learn to make choices that nourish you.
01323 402585 View 01323 402585
Photo of Natalie Young, Psychotherapist, MBACP
Natalie Young
Psychotherapist, MBACP
2 Endorsed
Do you find yourself repeating the same patterns and behaviours? Perhaps for years, even decades? Is the simple act of getting through the day (and night) becoming unmanageable and overwhelming? Or perhaps you feel numb, stuck, confused even? Perhaps you do not even know where to begin or what you are looking for? Are you finally ready to let go of what no longer serves you and embrace challenge, change, and desire - rejuvenating your relationships not only with others, but with yourself?
Do you find yourself repeating the same patterns and behaviours? Perhaps for years, even decades? Is the simple act of getting through the day (and night) becoming unmanageable and overwhelming? Or perhaps you feel numb, stuck, confused even? Perhaps you do not even know where to begin or what you are looking for? Are you finally ready to let go of what no longer serves you and embrace challenge, change, and desire - rejuvenating your relationships not only with others, but with yourself?
01789 339443 View 01789 339443
Photo of Jeanette Payne, Counsellor, MBACP
Jeanette Payne
Counsellor, MBACP
Leicester LE19
I provide sensitive caring counselling specialising in relationship issues, bereavement, anxiety and depression. I offer an affordable flexible service with daytime, evening and weekend appointments available. My counselling practice is called Solace Counselling and is situated on School Lane in Narborough, LE19, close to Narborough train station, not far from Fosse Park and the motorway network and it has plenty of parking. Nestled down a quiet and charming village lane, Solace Counselling offers a peaceful, confidential sanctuary a place of safety where you can feel at ease to talk openly in a supportive, relaxed environment.
I provide sensitive caring counselling specialising in relationship issues, bereavement, anxiety and depression. I offer an affordable flexible service with daytime, evening and weekend appointments available. My counselling practice is called Solace Counselling and is situated on School Lane in Narborough, LE19, close to Narborough train station, not far from Fosse Park and the motorway network and it has plenty of parking. Nestled down a quiet and charming village lane, Solace Counselling offers a peaceful, confidential sanctuary a place of safety where you can feel at ease to talk openly in a supportive, relaxed environment.
0116 464 9813 View 0116 464 9813

How does your Counsellor compare?

Number of Counsellors in Knowle

10+

Average cost per session

£60

Counsellors in Knowle who prioritize treating:

92% Anxiety
83% Depression
75% Family Conflict
75% Self Esteem
58% Relationship Issues
58% Bereavement
58% Stress

Average years in practice

6 Years

Top 3 insurances accepted

100% Aviva
100% WPA
100% Vitality

How Counsellors in Knowle see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Knowle?

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.