Counselling in London

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Photo of Zara N, Counsellor in London, England
Zara N
Counsellor, MSc, MBACP
Verified Verified
London E10
I am a BACP qualified therapist who has worked extensively with a diverse range of clients and with highly regarded organisations for over a 13 years. I can help with an extensive range of issues including stress, loss, bereavement, anxiety, relationships, self harm, depression, marital issues, divorce, redundancy, mental health disorders, work related issues, abuse, identity, parenthood, menopause and life challenges. I provide an empathic, non judgemental and safe space for clients. I have an impressive professional and educational background. I provide online, telephone and mobile therapy as well as a face to face service.
I am a BACP qualified therapist who has worked extensively with a diverse range of clients and with highly regarded organisations for over a 13 years. I can help with an extensive range of issues including stress, loss, bereavement, anxiety, relationships, self harm, depression, marital issues, divorce, redundancy, mental health disorders, work related issues, abuse, identity, parenthood, menopause and life challenges. I provide an empathic, non judgemental and safe space for clients. I have an impressive professional and educational background. I provide online, telephone and mobile therapy as well as a face to face service.
07400 346099 View 07400 346099
Photo of Songul Guler, Psychotherapist in London, England
Songul Guler
Psychotherapist, MSc, MUKCP
Verified Verified
London N16
Hello, and welcome to my side. My main focus areas are anxiety, depression and PTSD in one-to-one therapy. As a family and couple therapist, I also offer systemic therapy in which I provide a reflexive, curious, non-judgmental, and confidential space for you to explore your patterns of relationship that has been an issue over time and the area of concern you like to make a difference in your relationship. I have helped thousands of people who wanted to address their struggles with mental, psychological, emotional state and relationship issues in the last 20 years with positive outcomes.
Hello, and welcome to my side. My main focus areas are anxiety, depression and PTSD in one-to-one therapy. As a family and couple therapist, I also offer systemic therapy in which I provide a reflexive, curious, non-judgmental, and confidential space for you to explore your patterns of relationship that has been an issue over time and the area of concern you like to make a difference in your relationship. I have helped thousands of people who wanted to address their struggles with mental, psychological, emotional state and relationship issues in the last 20 years with positive outcomes.
020 3974 2089 View 020 3974 2089
Photo of Eleni Papadopoulos, Counsellor in London, England
Eleni Papadopoulos
Counsellor, MBACP
Verified Verified
London SW4
Welcome! I'm Eleni Papadopoulos. I believe that counselling and talking therapy can change our challenging experiences. I work with my clients in a way that is specific to them. I have a lot of experience in many areas and I work with all areas of distress. I find it paramount to include the whole of the person. This means also the Spiritual dimension of life as well as our Body, Feelings and Mind. This inclusive approach provides a lot of information that we can explore and work with. As I work with clients I encourage and empower clients to determine the direction of the work. In essence we work with what is trying to emerge.
Welcome! I'm Eleni Papadopoulos. I believe that counselling and talking therapy can change our challenging experiences. I work with my clients in a way that is specific to them. I have a lot of experience in many areas and I work with all areas of distress. I find it paramount to include the whole of the person. This means also the Spiritual dimension of life as well as our Body, Feelings and Mind. This inclusive approach provides a lot of information that we can explore and work with. As I work with clients I encourage and empower clients to determine the direction of the work. In essence we work with what is trying to emerge.
020 8629 9743 View 020 8629 9743
Photo of Jay Sharpe, Counsellor in London, England
Jay Sharpe
Counsellor, MBACP
Verified Verified
1 Endorsed
London W1F
I am a BACP registered, person-centred counsellor. I practice in a humanistic and holistic manner drawing on a range of therapeutic approaches to maximise effective outcomes. Working with you at your pace without judgment and in complete confidence, on whatever you bring to our sessions. I take pride in remaining up to date with emerging thinking regarding counselling, community, and identity. Alongside my private practice, I am a volunteer counsellor at London’s long established “London Friend” a charity offering support to the LGBTQIA+ community living in and around the capital.
I am a BACP registered, person-centred counsellor. I practice in a humanistic and holistic manner drawing on a range of therapeutic approaches to maximise effective outcomes. Working with you at your pace without judgment and in complete confidence, on whatever you bring to our sessions. I take pride in remaining up to date with emerging thinking regarding counselling, community, and identity. Alongside my private practice, I am a volunteer counsellor at London’s long established “London Friend” a charity offering support to the LGBTQIA+ community living in and around the capital.
020 3912 9646 View 020 3912 9646
Photo of Shammi Kohli, Psychotherapist in London, England
Shammi Kohli
Psychotherapist, DCounsPsych, MBACP
Verified Verified
London N12
There are many reasons why you would chose to seek therapy. You maybe experiencing stress or anxiety, feeling overwhelmed or that you just can't cope at this moment in time. You maybe experiencing difficulties with intimate relationships or your family. Could you be suffering a bereavement, or loss, divorce or separation. There maybe issues you have been struggling for a long time, traumatic experiences, low self esteem, your identity or your sexuality. Or feeling like you 'don't quite fit in'. You could be stuck in certain relationship patterns that you want to change.
There are many reasons why you would chose to seek therapy. You maybe experiencing stress or anxiety, feeling overwhelmed or that you just can't cope at this moment in time. You maybe experiencing difficulties with intimate relationships or your family. Could you be suffering a bereavement, or loss, divorce or separation. There maybe issues you have been struggling for a long time, traumatic experiences, low self esteem, your identity or your sexuality. Or feeling like you 'don't quite fit in'. You could be stuck in certain relationship patterns that you want to change.
07480 488339 View 07480 488339
Photo of Alana Black, Psychotherapist in London, England
Alana Black
Psychotherapist, MA, MBACP
Verified Verified
London W1G
There are many reasons why we may seek the help of a therapist. Sometimes it can be because we feel overwhelmed, defeated, or find ourselves in crisis, due to relationship difficulties, employment changes or life-transitions. Sometimes we feel isolated and painfully stuck and may be having difficulty understanding why, or we may be struggling to work through challenging personal and relational issues. Perhaps we have lost touch with important aspects of ourselves, or are getting caught up in rigid or self-defeating behavioural patterns.
There are many reasons why we may seek the help of a therapist. Sometimes it can be because we feel overwhelmed, defeated, or find ourselves in crisis, due to relationship difficulties, employment changes or life-transitions. Sometimes we feel isolated and painfully stuck and may be having difficulty understanding why, or we may be struggling to work through challenging personal and relational issues. Perhaps we have lost touch with important aspects of ourselves, or are getting caught up in rigid or self-defeating behavioural patterns.
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Photo of Hannah Rowley, Counsellor in London, England
Hannah Rowley
Counsellor, DCounsPsych, MBACP
Verified Verified
London SW16
I have a warm down to earth approach and I treat my client’s confidentiality with complete discretion, providing a safe environment to talk without judgement. I can assist you in moving towards greater ease and wellbeing at your own pace, working with you so we can understand your challenges together. I work on both a short and long term basis. I truly believe psychotherapy has the power to bring meaningful change to people’s lives.
I have a warm down to earth approach and I treat my client’s confidentiality with complete discretion, providing a safe environment to talk without judgement. I can assist you in moving towards greater ease and wellbeing at your own pace, working with you so we can understand your challenges together. I work on both a short and long term basis. I truly believe psychotherapy has the power to bring meaningful change to people’s lives.
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Photo of Andy Rushton, Counsellor in London, England
Andy Rushton
Counsellor, MUKCP
Verified Verified
London N4
Problems are part of life, but sometimes you cannot handle your problems alone. Friends and family can help, but maybe you don’t want to burden them, maybe they don’t really help, or maybe they are the problem.
Problems are part of life, but sometimes you cannot handle your problems alone. Friends and family can help, but maybe you don’t want to burden them, maybe they don’t really help, or maybe they are the problem.
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Photo of Nadja Julia Rolli, Psychotherapist in London, England
Nadja Julia Rolli
Psychotherapist, MA
Verified Verified
London W14
I am a qualified and experienced Integrative Child and Adolescent Psychotherapist. Previous to the MA in Child Psychotherapy, I have been trained in Switzerland as Psychomotor Therapist, with a focus on Play Therapy and Body Work for Children and young adults. I have many years of experience working with my clients through play therapy and talking therapy but integrate EMDR, body awareness and symbolism, art materials, clay and sand into my work to facilitate unconscious emotional processes.
I am a qualified and experienced Integrative Child and Adolescent Psychotherapist. Previous to the MA in Child Psychotherapy, I have been trained in Switzerland as Psychomotor Therapist, with a focus on Play Therapy and Body Work for Children and young adults. I have many years of experience working with my clients through play therapy and talking therapy but integrate EMDR, body awareness and symbolism, art materials, clay and sand into my work to facilitate unconscious emotional processes.
020 8103 6087 View 020 8103 6087
Photo of Katie Simpson, Psychotherapist in London, England
Katie Simpson
Psychotherapist, MSc, MBABCP
Verified Verified
London SE6  (Online Only)
I have worked as a therapist for over ten years with a wide range of people from different backgrounds and with a variety of difficulties. My training and early experience began in Cognitive Behavioural Therapy, before developing myself further with Compassionate, EMDR, Mentalisation based, Schema and Narrative therapies. Within the NHS my practice has been in both primary and secondary care psychological therapy services and I have worked in specialist anxiety and trauma teams. I have a particular interest in Obsessive Compulsive Disorder, Post Traumatic Stress Disorder including complex PTSD, and anxiety disorders.
I have worked as a therapist for over ten years with a wide range of people from different backgrounds and with a variety of difficulties. My training and early experience began in Cognitive Behavioural Therapy, before developing myself further with Compassionate, EMDR, Mentalisation based, Schema and Narrative therapies. Within the NHS my practice has been in both primary and secondary care psychological therapy services and I have worked in specialist anxiety and trauma teams. I have a particular interest in Obsessive Compulsive Disorder, Post Traumatic Stress Disorder including complex PTSD, and anxiety disorders.
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Photo of Monica Mendes, Counsellor in London, England
Monica Mendes
Counsellor, MBACP
Verified Verified
London N1
Concerns I regularly work with are: low moods & depression, anxiety & panic attacks, workplace difficulties, early childhood experiences, sexuality & sexual identity, bereavement & loss, relationship break-down, inter-personal relationship difficulties, anger issues, domestic violence & abuse, low self-esteem & confidence and lack of motivation.
Concerns I regularly work with are: low moods & depression, anxiety & panic attacks, workplace difficulties, early childhood experiences, sexuality & sexual identity, bereavement & loss, relationship break-down, inter-personal relationship difficulties, anger issues, domestic violence & abuse, low self-esteem & confidence and lack of motivation.
020 4538 8154 View 020 4538 8154
Photo of Betul Balci Gray, Psychotherapist in London, England
Betul Balci Gray
Psychotherapist, MBACP
Verified Verified
London W5
I am a BACP registered Therapist with a BA(Hons) Counselling Psychology degree. I have 12 years and 5000+ hours of clinical experience. I believe in Therapy because it is life changing. Many of us are fiercely independent & also overworked, exhausted, resentful & isolated. But you don’t have to wait until you’re at your breaking point before you ask for help or support. The thought of sharing our personal feelings & experiences with a stranger is scary. But with the right therapist - it can be the most rewarding thing you ever do. It creates room for growth, room for you to release built up emotion & more.
I am a BACP registered Therapist with a BA(Hons) Counselling Psychology degree. I have 12 years and 5000+ hours of clinical experience. I believe in Therapy because it is life changing. Many of us are fiercely independent & also overworked, exhausted, resentful & isolated. But you don’t have to wait until you’re at your breaking point before you ask for help or support. The thought of sharing our personal feelings & experiences with a stranger is scary. But with the right therapist - it can be the most rewarding thing you ever do. It creates room for growth, room for you to release built up emotion & more.
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Photo of Ginny Louise Hulin, Counsellor in London, England
Ginny Louise Hulin
Counsellor, DCounsPsych, MBACP
Verified Verified
London W5
I am qualified as Psychotherapeutic Counsellor, and work both on time limited sessions as well as open-ended long-term basis with my clients. I work in person and online. I trained at the Metanoia Institute of Counselling and Psychotherapy and have qualified with a Diploma in Psychotherapeutic Counselling. The modality I have trained in is called TA – Transactional Analysis which is an Integrative approach and I use a rage of theories from my studies to underpin my work. But ultimately the relationship is key to the success of therapy and that is why I suggest we have six sessions to see how we go.
I am qualified as Psychotherapeutic Counsellor, and work both on time limited sessions as well as open-ended long-term basis with my clients. I work in person and online. I trained at the Metanoia Institute of Counselling and Psychotherapy and have qualified with a Diploma in Psychotherapeutic Counselling. The modality I have trained in is called TA – Transactional Analysis which is an Integrative approach and I use a rage of theories from my studies to underpin my work. But ultimately the relationship is key to the success of therapy and that is why I suggest we have six sessions to see how we go.
020 3002 6614 View 020 3002 6614
Photo of Daniel Oppioli, Psychotherapist in London, England
Daniel Oppioli
Psychotherapist, MSc, MUKCP
Verified Verified
London W14
Hello my name is Daniele Oppioli and I am fully qualified Clinical Psychotherapist and Counsellor. I offer counselling and psychotherapy in a non-judgmental, highly confidential, safe, accepting and affirmative environment where you will be fully supported in exploring your challenges at your own pace, getting to the sources of your concerns, doubts, anxieties and insecurities and allowing you to develop a reparative awareness of those patterns that were not available to you before. I work with LGBTQ, heterosexual and cysgender individuals of different age, gender identity, sexual orientation, origins, culture, profession etc.
Hello my name is Daniele Oppioli and I am fully qualified Clinical Psychotherapist and Counsellor. I offer counselling and psychotherapy in a non-judgmental, highly confidential, safe, accepting and affirmative environment where you will be fully supported in exploring your challenges at your own pace, getting to the sources of your concerns, doubts, anxieties and insecurities and allowing you to develop a reparative awareness of those patterns that were not available to you before. I work with LGBTQ, heterosexual and cysgender individuals of different age, gender identity, sexual orientation, origins, culture, profession etc.
01748 901507 View 01748 901507
Photo of Sebastian Colonna, Psychotherapist in London, England
Sebastian Colonna
Psychotherapist, BPC
Verified Verified
London SW18
I am an accredited psychodynamic psychotherapist and counsellor with experience in offering help with depression, anxiety, trauma and relationship issues. I specialise in early childhood, generational and complex trauma, and in intercultural issues. I formerly worked in frontline emergency work and have worked in private practice since 2014.
I am an accredited psychodynamic psychotherapist and counsellor with experience in offering help with depression, anxiety, trauma and relationship issues. I specialise in early childhood, generational and complex trauma, and in intercultural issues. I formerly worked in frontline emergency work and have worked in private practice since 2014.
020 3389 7102 View 020 3389 7102
Photo of Dr Michele McCulley, Psychologist in London, England
Dr Michele McCulley
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
London SW6
I am an integrative psychologist, psychotherapist and sexologist and my training has followed this route because I believe the way we come to understand ourselves develops dynamically in formative years in relationship with our parents, extended families and more broadly the cultures in which families are embedded. In short, we come to know who we are in relationship with other people. That also means that most of our difficulties and adaptive skills - which often cause difficulties later on are formed as we navigate the different demands of these environments too. Becoming aware of these challenge the way to improved mental health.
I am an integrative psychologist, psychotherapist and sexologist and my training has followed this route because I believe the way we come to understand ourselves develops dynamically in formative years in relationship with our parents, extended families and more broadly the cultures in which families are embedded. In short, we come to know who we are in relationship with other people. That also means that most of our difficulties and adaptive skills - which often cause difficulties later on are formed as we navigate the different demands of these environments too. Becoming aware of these challenge the way to improved mental health.
020 3984 8247 View 020 3984 8247
Photo of Dr Sofia Robleda, Psychologist in London, England
Dr Sofia Robleda
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SE20  (Online Only)
Bienvenidos & Welcome - to Wise Oak Psychology, an intimate, online private psychology practice run by Dr Sofia Robleda, who has over 10 years’ post-doctoral experience in using a range of evidence-based approaches to support adults experiencing depression, anxiety, stress, relationship difficulties, and many other emotional and mental problems. Dr Robleda's values are to be compassionate, professional, and effective. She aims to support people to live a full, meaningful life in accordance to their values and beliefs, and to achieve this in as short a time as possible.
Bienvenidos & Welcome - to Wise Oak Psychology, an intimate, online private psychology practice run by Dr Sofia Robleda, who has over 10 years’ post-doctoral experience in using a range of evidence-based approaches to support adults experiencing depression, anxiety, stress, relationship difficulties, and many other emotional and mental problems. Dr Robleda's values are to be compassionate, professional, and effective. She aims to support people to live a full, meaningful life in accordance to their values and beliefs, and to achieve this in as short a time as possible.
020 3962 0710 View 020 3962 0710
Photo of Dr Ranjeet Kaur Bassi, Psychologist in London, England
Dr Ranjeet Kaur Bassi
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
London E11  (Online Only)
Hello! I work with a mixture of Children/Adolescents and adults. I work with a range of difficulties including anxiety, depression, experiences of trauma, low self-esteem, eating difficulties, OCD, and grief. You might not have a "goal" for therapy; you might just know you aren't happy right now and you want to find a way to live a life you value. I'm happy to talk though this with you in an initial consultation, to figure out if therapy may be helpful for you! I'll always approach your journey with kindness, compassion and warmth, and make therapy a positive (and sometimes challenging) process!
Hello! I work with a mixture of Children/Adolescents and adults. I work with a range of difficulties including anxiety, depression, experiences of trauma, low self-esteem, eating difficulties, OCD, and grief. You might not have a "goal" for therapy; you might just know you aren't happy right now and you want to find a way to live a life you value. I'm happy to talk though this with you in an initial consultation, to figure out if therapy may be helpful for you! I'll always approach your journey with kindness, compassion and warmth, and make therapy a positive (and sometimes challenging) process!
020 3910 6978 View 020 3910 6978
Photo of Rene Coffey, Psychotherapist in London, England
Rene Coffey
Psychotherapist, MBACP
Verified Verified
London SE17
Waitlist for new clients
I believe in a respectful, collaborative relationship which focuses on your individual history, context, personality and life situation in the here-and-now. Through empathic listening, I aim to enable us to explore your patterns and concerns at a safe pace, and in depth. Our thoughtful dialogue can help you build a more compassionate and insightful understanding, appreciation and acceptance of yourself. We will explore ways to enable you to connect with your feelings, wishes, needs and voice, and to build on strategies for managing your life in ways that feel more empowered, authentic, creative and meaningful.
I believe in a respectful, collaborative relationship which focuses on your individual history, context, personality and life situation in the here-and-now. Through empathic listening, I aim to enable us to explore your patterns and concerns at a safe pace, and in depth. Our thoughtful dialogue can help you build a more compassionate and insightful understanding, appreciation and acceptance of yourself. We will explore ways to enable you to connect with your feelings, wishes, needs and voice, and to build on strategies for managing your life in ways that feel more empowered, authentic, creative and meaningful.
020 3835 5342 View 020 3835 5342
Photo of Sue Wilson, Counsellor in London, England
Sue Wilson
Counsellor, MBACP
Verified Verified
London W6
I hold huge love and commitment in working alongside people to empower them in looking at events in their lives which may have been overwhelming or distressing and can happen to anyone at any time. Sometimes life can leave us feeling stuck, not knowing where to turn. Distressing events can fill us with fear in taking the next step. Feeling confused and overwhelmed can unexpectedly stop us in our tracks. Whatever your challenge, my approach is to offer an honest, trusting relationship within which to accompany you through your difficulties to regain your confidence in finding your way to a better place in life.
I hold huge love and commitment in working alongside people to empower them in looking at events in their lives which may have been overwhelming or distressing and can happen to anyone at any time. Sometimes life can leave us feeling stuck, not knowing where to turn. Distressing events can fill us with fear in taking the next step. Feeling confused and overwhelmed can unexpectedly stop us in our tracks. Whatever your challenge, my approach is to offer an honest, trusting relationship within which to accompany you through your difficulties to regain your confidence in finding your way to a better place in life.
020 3871 3241 View 020 3871 3241

See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
58% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.