Counselling in London

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Photo of Mark Bailey, Psychotherapist, MUKCP
Mark Bailey
Psychotherapist, MUKCP
London W1B
I am a UKCP Registered Clinical Psychotherapist and have been in Clinical Practice since 2003. I am down to earth, friendly and believe therapy is a collaborative process - my job is to help you find in a way that works for you not somebody else. No one type of therapy suits everyone so I deliberately integrate a number of approaches into my work to suit each individual's needs. I know life can be tough and sometimes overwhelming so offer a place where we can talk about what is most difficult so we can make sense of it for you. I offer in person and online therapy (using Zoom or Teams).
I am a UKCP Registered Clinical Psychotherapist and have been in Clinical Practice since 2003. I am down to earth, friendly and believe therapy is a collaborative process - my job is to help you find in a way that works for you not somebody else. No one type of therapy suits everyone so I deliberately integrate a number of approaches into my work to suit each individual's needs. I know life can be tough and sometimes overwhelming so offer a place where we can talk about what is most difficult so we can make sense of it for you. I offer in person and online therapy (using Zoom or Teams).
020 7078 9450 View 020 7078 9450
Photo of Catherine Perry, Psychotherapist, MBABCP
Catherine Perry
Psychotherapist, MBABCP
1 Endorsed
Online Only
I am so glad you found your way here! My name is Cath & ​I am a neurodivergent therapist specialising in nuero-affirming & neuro-inclusive eating disorder recovery & body image healing. I also have lived experience recovering from my own eating disorder many moons ago & as I am also an embodied yoga & movement teacher & I use a creative & embodied approach as the vessel to facilitate a safe and brave space for people's healing journeys! ​ Whether it is your first time reaching out for support, or you have tried therapy before but have struggled to make changes, I will work with you to find your own unique path to healing.
I am so glad you found your way here! My name is Cath & ​I am a neurodivergent therapist specialising in nuero-affirming & neuro-inclusive eating disorder recovery & body image healing. I also have lived experience recovering from my own eating disorder many moons ago & as I am also an embodied yoga & movement teacher & I use a creative & embodied approach as the vessel to facilitate a safe and brave space for people's healing journeys! ​ Whether it is your first time reaching out for support, or you have tried therapy before but have struggled to make changes, I will work with you to find your own unique path to healing.
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Photo of Nicola Gilbert, Counsellor, UKCP Trainee
Nicola Gilbert
Counsellor, UKCP Trainee
London SW17
You may be feeling lost, anxious, depressed, struggling to cope. I work with people to help them find themselves again. As a psychotherapist in training with a further 17 years experience of working with people, I focus on you and your individual experiences so you can become the person you want to be. I welcome people of different cultures, ages, genders, and sexual orientations in a space where you can be heard.
You may be feeling lost, anxious, depressed, struggling to cope. I work with people to help them find themselves again. As a psychotherapist in training with a further 17 years experience of working with people, I focus on you and your individual experiences so you can become the person you want to be. I welcome people of different cultures, ages, genders, and sexual orientations in a space where you can be heard.
020 4572 2393 View 020 4572 2393
Photo of Anna Joyce, Psychologist, PhD, AFBPSsS
Anna Joyce
Psychologist, PhD, AFBPSsS
Online Only
I am a Chartered Psychologist and Cognitive Behavioural Therapy for Insomnia (CBTI) Therapist. I am committed to helping individuals overcome insomnia using evidence-based techniques and a person-centred approach. I understand that insomnia is not a "one-size-fits-all" problem, which is why I focus on truly understanding your unique experiences and challenges before crafting a personalised treatment plan tailored specifically to your needs. I can help with managing bedtime routines and schedules, sleep anxiety, frustration and worries about sleep, racing mind, catastrophic thoughts, nightmares, circadian issues, and other concerns.
I am a Chartered Psychologist and Cognitive Behavioural Therapy for Insomnia (CBTI) Therapist. I am committed to helping individuals overcome insomnia using evidence-based techniques and a person-centred approach. I understand that insomnia is not a "one-size-fits-all" problem, which is why I focus on truly understanding your unique experiences and challenges before crafting a personalised treatment plan tailored specifically to your needs. I can help with managing bedtime routines and schedules, sleep anxiety, frustration and worries about sleep, racing mind, catastrophic thoughts, nightmares, circadian issues, and other concerns.
020 3835 4393 View 020 3835 4393
Photo of Liam West, Counsellor, MA, MBACP
Liam West
Counsellor, MA, MBACP
Online Only
•Working remotely only at present ! Set up Skype, Zoom, Facetime, Whatspp or whatver works best for you • I am a professional trained BACP registered Integrative therapist. I provide a safe and secure environment, one where clients can comfortably open up and share their deepest thoughts and feelings. The therapeutic bond is unique and special, and we will work together in a move towards true self awareness and self acceptance. Whatever it is that you’re struggling with, you don’t need to go through it alone
•Working remotely only at present ! Set up Skype, Zoom, Facetime, Whatspp or whatver works best for you • I am a professional trained BACP registered Integrative therapist. I provide a safe and secure environment, one where clients can comfortably open up and share their deepest thoughts and feelings. The therapeutic bond is unique and special, and we will work together in a move towards true self awareness and self acceptance. Whatever it is that you’re struggling with, you don’t need to go through it alone
07445 802593 View 07445 802593
Photo of Jakub Przemek Potorski, Psychotherapist, MSc, MUKCP
Jakub Przemek Potorski
Psychotherapist, MSc, MUKCP
Online Only
There are things that you might find yourself struggling with, such as, trying to seek meaning and purpose in life, work problems, relationship difficulties, addiction or mourning the losses and changes that are happening to our planet. You might be feeling adrift in a rapidly changing world, alone, cut off from others or caught in a trap and doing things that you do not find fulfilling anymore. Perhaps you are angry, anxious, depressed or having thoughts of suicide and you are unsure of how to cope with these feelings. Let’s create together a space where mutual understanding and trust is highly valued.
There are things that you might find yourself struggling with, such as, trying to seek meaning and purpose in life, work problems, relationship difficulties, addiction or mourning the losses and changes that are happening to our planet. You might be feeling adrift in a rapidly changing world, alone, cut off from others or caught in a trap and doing things that you do not find fulfilling anymore. Perhaps you are angry, anxious, depressed or having thoughts of suicide and you are unsure of how to cope with these feelings. Let’s create together a space where mutual understanding and trust is highly valued.
020 3958 4299 View 020 3958 4299
Photo of Ijeoma Nweze, Counsellor, DCounsPsych, MNCPS Acc.
Ijeoma Nweze
Counsellor, DCounsPsych, MNCPS Acc.
1 Endorsed
Online Only
My name Ije, I am a certified counselling psychotherapist in London area, United Kingdom. My experience comes from direct mental health advocacy and counselling with teen/young people/adolescents and adults with varied presenting issues
My name Ije, I am a certified counselling psychotherapist in London area, United Kingdom. My experience comes from direct mental health advocacy and counselling with teen/young people/adolescents and adults with varied presenting issues
020 3714 8084 View 020 3714 8084
Photo of Katy Robertson, Counsellor, BACP
Katy Robertson
Counsellor, BACP
London SW4
Hello and a warm welcome. I provide a safe, non-judgmental and confidential space for adults and adolescents to explore their feelings and difficult experiences, recognise and change unhealthy behaviours and thought patterns and grow in self-confidence. I am a qualified integrative counsellor and psychotherapist with a post graduate diploma in Child and Adolescent Counselling and Psychotherapy from Place2Be (level 7) and a BSc in Humanistic Counselling at Metanoia Institute where I qualified to work with adults. I work in private practice at The Awareness Centre in Clapham.
Hello and a warm welcome. I provide a safe, non-judgmental and confidential space for adults and adolescents to explore their feelings and difficult experiences, recognise and change unhealthy behaviours and thought patterns and grow in self-confidence. I am a qualified integrative counsellor and psychotherapist with a post graduate diploma in Child and Adolescent Counselling and Psychotherapy from Place2Be (level 7) and a BSc in Humanistic Counselling at Metanoia Institute where I qualified to work with adults. I work in private practice at The Awareness Centre in Clapham.
020 4538 9682 View 020 4538 9682
Photo of Kiran Kalar, Psychotherapist, MSc, MBABCP
Kiran Kalar
Psychotherapist, MSc, MBABCP
3 Endorsed
London EC2R
It can be daunting entering therapy (whether it's your first experience or returning), and my goal is to create a non-judgmental, safe space where you feel truly heard and valued through evidence-based techniques. I am a Cognitive Behavioural Therapist with over 5 years of experience within the NHS. We will work together to help you overcome your difficulties whether that's day-to-day stress, depression, anxiety, low self-esteem or trauma. In your one-to-one sessions, we will start to build a shared understanding of your difficulties to develop tailor-made coping strategies that suit your needs at a pace that is comfortable for you.
It can be daunting entering therapy (whether it's your first experience or returning), and my goal is to create a non-judgmental, safe space where you feel truly heard and valued through evidence-based techniques. I am a Cognitive Behavioural Therapist with over 5 years of experience within the NHS. We will work together to help you overcome your difficulties whether that's day-to-day stress, depression, anxiety, low self-esteem or trauma. In your one-to-one sessions, we will start to build a shared understanding of your difficulties to develop tailor-made coping strategies that suit your needs at a pace that is comfortable for you.
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Photo of Martha Nicholls, Psychotherapist, MA, HCPC-Music Therap.
Martha Nicholls
Psychotherapist, MA, HCPC-Music Therap.
London E2
I have experience of working closely with people with enduring and complex mental health difficulties, suicidal ideation, troubling relational patterns and people recovering from grief and loss. I use music as a tool to facilitate the building of the therapeutic relationship, and listening, songwriting, lyric analysis and composing can all be incredibly accessible ways of starting to explore what is troubling you. Equally, sometimes we may spend most sessions talking. Clients do not need to have any prior musical experience, and I am very happy working with children, young people and adults.
I have experience of working closely with people with enduring and complex mental health difficulties, suicidal ideation, troubling relational patterns and people recovering from grief and loss. I use music as a tool to facilitate the building of the therapeutic relationship, and listening, songwriting, lyric analysis and composing can all be incredibly accessible ways of starting to explore what is troubling you. Equally, sometimes we may spend most sessions talking. Clients do not need to have any prior musical experience, and I am very happy working with children, young people and adults.
020 4524 5290 View 020 4524 5290
Photo of Raquel Perez, Counsellor, DCounsPsych, MBACP Accred
Raquel Perez
Counsellor, DCounsPsych, MBACP Accred
London SE21
Are you feeling stressed, anxious or uncertain about the direction you are taking in life? Or perhaps you are currently going through a difficult time and feeling you need an extra support? Taking the time to explore your personal issues may facilitate the development of your self-awareness and sense of self, thus positive changes may occur leaving you with an improved feeling of well-being and a more confident and empowered you.
Are you feeling stressed, anxious or uncertain about the direction you are taking in life? Or perhaps you are currently going through a difficult time and feeling you need an extra support? Taking the time to explore your personal issues may facilitate the development of your self-awareness and sense of self, thus positive changes may occur leaving you with an improved feeling of well-being and a more confident and empowered you.
07429 114918 View 07429 114918
Photo of Sophie Barnes, Psychotherapist, MBACP Accred
Sophie Barnes
Psychotherapist, MBACP Accred
Online Only
Working with relationships and individuals, I am a trauma-informed, BACP accredited psychodynamic psychotherapist. Drawing from a decade’s clinical experience, my approach weaves together psychoanalytic, attachment, Jungian, Buddhist mindfulness and somatic approaches. Sessions offer a unique opportunity for deep self-exploration and support around any areas of concern to you; a place in which to be truly seen, heard and responded to. Together, we attend to the underlying roots of present difficulties at a level of depth, towards fuller self-understanding and the discovery of new, more fulfilling ways of living, relating and being.
Working with relationships and individuals, I am a trauma-informed, BACP accredited psychodynamic psychotherapist. Drawing from a decade’s clinical experience, my approach weaves together psychoanalytic, attachment, Jungian, Buddhist mindfulness and somatic approaches. Sessions offer a unique opportunity for deep self-exploration and support around any areas of concern to you; a place in which to be truly seen, heard and responded to. Together, we attend to the underlying roots of present difficulties at a level of depth, towards fuller self-understanding and the discovery of new, more fulfilling ways of living, relating and being.
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Photo of Adele Patterson - ITAP IntoTherapy, Psychotherapist, MBACP
ITAP IntoTherapy
Psychotherapist, MBACP
1 Endorsed
Online Only
BACP Registered and qualified Integrative Counselling Therapist, expert in application of theoretical approaches working with a diverse caseload of clients. My holistic approach to emotional wellbeing is individually tailored. If you have struggled with overcoming life’s challenges and difficulties such as PTSD, childhood sexual abuse and sudden life transitions. Together, we will work to uncover the unconscious impact, by safely exploring and gently challenging the patterns, championing your efforts to building resilience.
BACP Registered and qualified Integrative Counselling Therapist, expert in application of theoretical approaches working with a diverse caseload of clients. My holistic approach to emotional wellbeing is individually tailored. If you have struggled with overcoming life’s challenges and difficulties such as PTSD, childhood sexual abuse and sudden life transitions. Together, we will work to uncover the unconscious impact, by safely exploring and gently challenging the patterns, championing your efforts to building resilience.
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Photo of Dr Hannah Ward, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Hannah Ward
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Online Only
I'm committed to creating a relaxed and trusting environment for you to express yourself freely and explore the issues affecting you. Holding in mind the therapeutic relationship is an important factor when having therapy, I offer a space that is non-judgemental, caring and compassionate. I take an affirmative approach to exploring aspects of identity, including sexuality and gender, and a strengths-based approach to overcoming any obstacles you may be facing. I understand the importance of attending to your social and cultural context and the impact multiple intersecting identities can have on your mental health and wellbeing.
I'm committed to creating a relaxed and trusting environment for you to express yourself freely and explore the issues affecting you. Holding in mind the therapeutic relationship is an important factor when having therapy, I offer a space that is non-judgemental, caring and compassionate. I take an affirmative approach to exploring aspects of identity, including sexuality and gender, and a strengths-based approach to overcoming any obstacles you may be facing. I understand the importance of attending to your social and cultural context and the impact multiple intersecting identities can have on your mental health and wellbeing.
020 4538 4655 View 020 4538 4655
Photo of Amy Ryles, Psychotherapist, MBACP
Amy Ryles
Psychotherapist, MBACP
London SE15
My name is Amy (she/her) and I am a qualified Person-Centred psychotherapist. The Person-Centred Approach is a relational way of working based on the belief that we each have the inner wisdom to find our way forward. This capacity for self-direction can get blocked, buried or diverted, however, as we adapt to the different environments and cultural contexts we find ourselves in. A genuine and accepting therapy relationship can help us reconnect with our inner power by giving space to explore thoughts, feelings and behaviours.
My name is Amy (she/her) and I am a qualified Person-Centred psychotherapist. The Person-Centred Approach is a relational way of working based on the belief that we each have the inner wisdom to find our way forward. This capacity for self-direction can get blocked, buried or diverted, however, as we adapt to the different environments and cultural contexts we find ourselves in. A genuine and accepting therapy relationship can help us reconnect with our inner power by giving space to explore thoughts, feelings and behaviours.
020 4538 2528 View 020 4538 2528
Photo of Iana Trichkova, Psychotherapist, MSc, BACP
Iana Trichkova
Psychotherapist, MSc, BACP
London SW9
My approach is built on creating a safe, confidential, and compassionate space for you to explore the issues that trouble you, without fear of judgment or rejection. I believe that therapy is a collaborative process, one that facilitates greater self-understanding, self-acceptance, and more fulfilling relationships with others and with life itself. My aim is to support you in gaining a deeper understanding of yourself and your challenges, helping you move toward healing and positive change. As an Integrative Psychotherapist, I tailor my approach to suit your unique needs and work with you in a way that feels right for you.
My approach is built on creating a safe, confidential, and compassionate space for you to explore the issues that trouble you, without fear of judgment or rejection. I believe that therapy is a collaborative process, one that facilitates greater self-understanding, self-acceptance, and more fulfilling relationships with others and with life itself. My aim is to support you in gaining a deeper understanding of yourself and your challenges, helping you move toward healing and positive change. As an Integrative Psychotherapist, I tailor my approach to suit your unique needs and work with you in a way that feels right for you.
07492 885917 View 07492 885917
Photo of Zsofia Elek, Psychotherapist, MSc, UKCP Trainee
Zsofia Elek
Psychotherapist, MSc, UKCP Trainee
London SE1
You might feel trapped or grappling with issues that are hard to navigate alone. Finding professional help for figuring out your way can make a difference. Gaining insight into the dynamics of our lives can enable greater freedom, a more authentic existence and inner peace. However, it is important to be aware that this process is a journey not a quick fix. Reaching out for help is the first step even if it is understandably hard to do. I offer a non-judgmental and safe space where you can talk freely about your issues. ​
You might feel trapped or grappling with issues that are hard to navigate alone. Finding professional help for figuring out your way can make a difference. Gaining insight into the dynamics of our lives can enable greater freedom, a more authentic existence and inner peace. However, it is important to be aware that this process is a journey not a quick fix. Reaching out for help is the first step even if it is understandably hard to do. I offer a non-judgmental and safe space where you can talk freely about your issues. ​
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Photo of Nicola Kusi, Counsellor, BACP
Nicola Kusi
Counsellor, BACP
London EC4R
Do you feel unheard, undervalued or stuck in life? Do you find it hard to express yourself or do you feel no one understands you? I am passionate about supporting client to have a voice, to be heard and to feel valued. I am passionate about supporting clients to develop confidence and self esteem which in turn promotes self care. I am also passionate about working with individuals with different attachment styles and overcoming childhood trauma. As adults, despite early life and childhood experiences, i believe individuals can work towards building secure attachments in their adult relationships and healing from childhood trauma.
Do you feel unheard, undervalued or stuck in life? Do you find it hard to express yourself or do you feel no one understands you? I am passionate about supporting client to have a voice, to be heard and to feel valued. I am passionate about supporting clients to develop confidence and self esteem which in turn promotes self care. I am also passionate about working with individuals with different attachment styles and overcoming childhood trauma. As adults, despite early life and childhood experiences, i believe individuals can work towards building secure attachments in their adult relationships and healing from childhood trauma.
07480 779853 View 07480 779853
Photo of Dr Ana Mootoosamy, Psychotherapist, PhD, MUKCP
Dr Ana Mootoosamy
Psychotherapist, PhD, MUKCP
London SW17
Not accepting new clients
My goal is to provide you with a safe, confidential, non-judgemental space in which you can open up and really talk about what's on your mind. With the help of therapy, we can work through the distressing and overwhelming feelings of depression, trauma, anxiety, worry, stress, and any other difficulties you might be experiencing.
My goal is to provide you with a safe, confidential, non-judgemental space in which you can open up and really talk about what's on your mind. With the help of therapy, we can work through the distressing and overwhelming feelings of depression, trauma, anxiety, worry, stress, and any other difficulties you might be experiencing.
020 8103 5663 View 020 8103 5663
Photo of Gloria Boadi - Boadi Therapy Services Community Interest Company, Counsellor, MA, PNCPS Acc.
Contact me if you are seeking help to understand and deal with any form of emotional pain, if you need clarity on the way forward. If you need someone to be there for you and listen with compassion and empathy. I am here to be your professional companion and guide in uncovering the layers and complexities of your psyche. I have gained expertise not only through professional qualifications but over 15 years of clinical practice with a wide variety of clients across the age ranges and ethnicities. I was trained psychodynamically, but now work integratively using numerous methodologies. I also believe in the power of dreams.
Contact me if you are seeking help to understand and deal with any form of emotional pain, if you need clarity on the way forward. If you need someone to be there for you and listen with compassion and empathy. I am here to be your professional companion and guide in uncovering the layers and complexities of your psyche. I have gained expertise not only through professional qualifications but over 15 years of clinical practice with a wide variety of clients across the age ranges and ethnicities. I was trained psychodynamically, but now work integratively using numerous methodologies. I also believe in the power of dreams.
020 4572 4899 View 020 4572 4899

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
85% Depression
83% Self Esteem
80% Relationship Issues
78% Stress
66% Trauma and PTSD
61% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

69% Aviva
63% AXA PPP
56% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

74% Female
25% 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.