Counselling in London

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Photo of Madeleine Morrissey, Psychotherapist, BPC
Madeleine Morrissey
Psychotherapist, BPC
London W4
I am a very experienced and highly qualified counsellor and psychotherapist, having worked for over 20 years in both private practice and the NHS. My private practice counselling and psychotherapy sessions are based in Chiswick, West London. I also worked as a Principal Adult Psychotherapist in the NHS.
I am a very experienced and highly qualified counsellor and psychotherapist, having worked for over 20 years in both private practice and the NHS. My private practice counselling and psychotherapy sessions are based in Chiswick, West London. I also worked as a Principal Adult Psychotherapist in the NHS.
020 3697 0439 View 020 3697 0439
Photo of Miranda Jackson, Psychotherapist, MA, MBACP
Miranda Jackson
Psychotherapist, MA, MBACP
London W1K
The ideal client is of course anyone ready to make real change in their lives, but I work with many seeking to reach that point. Clients see me asking “Why do I feel like this?” Once we have worked through why you do, the next goal is to see how you can change your mindset, rewrite the script so that your attitude to certain situations no longer causes you distress.
The ideal client is of course anyone ready to make real change in their lives, but I work with many seeking to reach that point. Clients see me asking “Why do I feel like this?” Once we have worked through why you do, the next goal is to see how you can change your mindset, rewrite the script so that your attitude to certain situations no longer causes you distress.
020 3962 1735 View 020 3962 1735
Photo of Geeta Gajwani, Psychotherapist, MSc, MBACP
Geeta Gajwani
Psychotherapist, MSc, MBACP
Online Only
Sometimes life presents us with challenges that leave us feeling conflicted, troubled, or emotionally exhausted. At other times, our thoughts and feelings may seem disproportionate to the situation, or arise without any clear cause. I offer a confidential, supportive space where you can speak freely about what’s troubling you—so you no longer have to navigate this alone. My areas of specialism include anxiety, depression, trauma, loss, relationship difficulties, and perinatal and reproductive challenges. I offer individual one-to-one sessions on a short-term or longer-term basis, depending on your needs.
Sometimes life presents us with challenges that leave us feeling conflicted, troubled, or emotionally exhausted. At other times, our thoughts and feelings may seem disproportionate to the situation, or arise without any clear cause. I offer a confidential, supportive space where you can speak freely about what’s troubling you—so you no longer have to navigate this alone. My areas of specialism include anxiety, depression, trauma, loss, relationship difficulties, and perinatal and reproductive challenges. I offer individual one-to-one sessions on a short-term or longer-term basis, depending on your needs.
020 3962 0933 View 020 3962 0933
Photo of Joggs Camfield, Psychotherapist, MBACP
Joggs Camfield
Psychotherapist, MBACP
1 Endorsed
London W4
Every person is unique, experiencing an individual journey that sometimes can become difficult to navigate. We can lose our way and the challenges and obstacles we face are hard to negotiate alone. Working with the right psychotherapist allows a client to understand the origin of how things can affect us and what possibilities lie in the here and now to facilitate positive emotional change. I work with individual adults from welcoming rooms in Chiswick and Richmond as well as online. I provide a secure, empathetic, non-judgemental space to reflect & explore experiences, feelings and behaviours from where personal growth can occur.
Every person is unique, experiencing an individual journey that sometimes can become difficult to navigate. We can lose our way and the challenges and obstacles we face are hard to negotiate alone. Working with the right psychotherapist allows a client to understand the origin of how things can affect us and what possibilities lie in the here and now to facilitate positive emotional change. I work with individual adults from welcoming rooms in Chiswick and Richmond as well as online. I provide a secure, empathetic, non-judgemental space to reflect & explore experiences, feelings and behaviours from where personal growth can occur.
020 3835 5827 View 020 3835 5827
Photo of Mariya Majid, Counsellor, MA, MBACP
Mariya Majid
Counsellor, MA, MBACP
Online Only
You may be feeling anxious, lonely, or stuck in unhelpful patterns, struggling with relationships, family dynamics, or past trauma. Perhaps you're overwhelmed, questioning your sense of self, or seeking clarity and confidence. You want to feel more in control, break free from old cycles, and move toward a life that feels more authentic and fulfilling. Most of all, you need a space where you can be heard, understood, and supported without judgment. A space where your experiences, identity, and emotions are acknowledged and respected—where you can safely explore, process, and heal at your own pace.
You may be feeling anxious, lonely, or stuck in unhelpful patterns, struggling with relationships, family dynamics, or past trauma. Perhaps you're overwhelmed, questioning your sense of self, or seeking clarity and confidence. You want to feel more in control, break free from old cycles, and move toward a life that feels more authentic and fulfilling. Most of all, you need a space where you can be heard, understood, and supported without judgment. A space where your experiences, identity, and emotions are acknowledged and respected—where you can safely explore, process, and heal at your own pace.
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Photo of Jake Freedman, Psychotherapist, MSc, BPC
Jake Freedman
Psychotherapist, MSc, BPC
London W1W
Waitlist for new clients
I am a psychodynamic counsellor and psychotherapist registered with the British Psychoanalytic Council (BPC). I worked for five years providing long-term psychotherapy to individuals with histories of addiction and childhood trauma. This gave me an understanding of the extent to which adverse early experiences can impact on behaviour and psychic functioning in adulthood. I have undertaken post-qualifying training in the treatment of PTSD, C-PTSD and dissociation. I have a particular clinical and theoretical interest in states of depersonalisation, derealisation, trauma-related dissociation, and narcissistic personality structures.
I am a psychodynamic counsellor and psychotherapist registered with the British Psychoanalytic Council (BPC). I worked for five years providing long-term psychotherapy to individuals with histories of addiction and childhood trauma. This gave me an understanding of the extent to which adverse early experiences can impact on behaviour and psychic functioning in adulthood. I have undertaken post-qualifying training in the treatment of PTSD, C-PTSD and dissociation. I have a particular clinical and theoretical interest in states of depersonalisation, derealisation, trauma-related dissociation, and narcissistic personality structures.
020 3597 6659 View 020 3597 6659
Photo of Isil Sansoy, Psychotherapist, MSc, MUKCP
Isil Sansoy
Psychotherapist, MSc, MUKCP
London EC2M
We get a sense of ourselves in the context of our relationships in childhood, and as we find our way in life, we can get trapped in dysfunctional patterns. The aim is to find a compassionate inner connection that would free us from these patterns in therapy. Openness and commitment are important qualities in making the most out of it. The process will get challenging from time to time, as life does as well. The important thing here is to build a safe and trusting therapeutic relationship that would enable us to work through these challenges in a relational way as we transform ourselves and our lives based on our desires.
We get a sense of ourselves in the context of our relationships in childhood, and as we find our way in life, we can get trapped in dysfunctional patterns. The aim is to find a compassionate inner connection that would free us from these patterns in therapy. Openness and commitment are important qualities in making the most out of it. The process will get challenging from time to time, as life does as well. The important thing here is to build a safe and trusting therapeutic relationship that would enable us to work through these challenges in a relational way as we transform ourselves and our lives based on our desires.
020 4538 7606 View 020 4538 7606
Photo of Nicholas Rose - Nicholas Rose & Associates, Psychotherapist, MUKCP
Nicholas Rose & Associates
Psychotherapist, MUKCP
1 Endorsed
London W4
Need to find the right person to talk to? If you have only just started to look for help you maybe feeling confused or even overwhelmed by the choice of therapies and therapists available - we understand and are here to help. We offer you a warm and friendly welcome from a selected team of expert therapists who bring an outstanding breadth and depth of experience and knowledge in both the in-person and online private talking therapies. Our team includes counsellors, psychologists, psychotherapists and EMDR practitioners to ensure you can find the right therapist for what you need right now.
Need to find the right person to talk to? If you have only just started to look for help you maybe feeling confused or even overwhelmed by the choice of therapies and therapists available - we understand and are here to help. We offer you a warm and friendly welcome from a selected team of expert therapists who bring an outstanding breadth and depth of experience and knowledge in both the in-person and online private talking therapies. Our team includes counsellors, psychologists, psychotherapists and EMDR practitioners to ensure you can find the right therapist for what you need right now.
020 7167 2663 View 020 7167 2663
Photo of Christy Reynolds, Psychotherapist, MSc, MUKCP
Christy Reynolds
Psychotherapist, MSc, MUKCP
London SE21
Specialist Sleep Therapist. Upcoming Free Webinar - Supporting a Loved One with Insomnia: Monday 03/03/25 at 8pm. Please email me to register. Insomnia is a 24 hour condition which erodes one’s ability to lead a fulfilling life. Most people live with insomnia for an average of ten years before seeking help. I recognize how bad things must be for you to be here. Despite the complexity of the initial cause of insomnia and its impact on your life, I offer a brief but highly effective treatment. It will demand a lot from you, but if you are determined for things to change I am here to help.
Specialist Sleep Therapist. Upcoming Free Webinar - Supporting a Loved One with Insomnia: Monday 03/03/25 at 8pm. Please email me to register. Insomnia is a 24 hour condition which erodes one’s ability to lead a fulfilling life. Most people live with insomnia for an average of ten years before seeking help. I recognize how bad things must be for you to be here. Despite the complexity of the initial cause of insomnia and its impact on your life, I offer a brief but highly effective treatment. It will demand a lot from you, but if you are determined for things to change I am here to help.
020 3872 2178 View 020 3872 2178
Photo of Lois Butlin, Counsellor, MBACP
Lois Butlin
Counsellor, MBACP
London SE1
We often tell our lives as stories in order to make meaning out of them. Sometimes our own story seems to disrupt due to an immediate crisis or issues to do with our past that cause us distress. Perhaps a combination of both. I offer a confidential, non-judgemental and gentle space for you to tell your story. Together we can look at is causing you pain, where it’s roots may be and what impact it is having on your day-to-day life. Most importantly work toward finding a way through the struggles you may be experiencing.
We often tell our lives as stories in order to make meaning out of them. Sometimes our own story seems to disrupt due to an immediate crisis or issues to do with our past that cause us distress. Perhaps a combination of both. I offer a confidential, non-judgemental and gentle space for you to tell your story. Together we can look at is causing you pain, where it’s roots may be and what impact it is having on your day-to-day life. Most importantly work toward finding a way through the struggles you may be experiencing.
023 8214 7356 View 023 8214 7356
Photo of Dede-Kossi Osakonor, Psychologist, PsychD, HCPC - Couns. Psych.
Dede-Kossi Osakonor
Psychologist, PsychD, HCPC - Couns. Psych.
1 Endorsed
London E17
I run an EMDR clinic on Wednesday evenings. I am a qualified counselling psychologist with more than 14 years experience of working in the NHS and in charities and 9 years of working with EMDR. I work in an integrative way to help you to find your own 'lightbulb' moment. I offer a humanistic psychodynamic and cognitive-behavioural integrated approach which helps me to tailor therapy to ensure that the psychological therapy I offer meets your needs. I can also help you to explore what will be meaningful to you in therapy.
I run an EMDR clinic on Wednesday evenings. I am a qualified counselling psychologist with more than 14 years experience of working in the NHS and in charities and 9 years of working with EMDR. I work in an integrative way to help you to find your own 'lightbulb' moment. I offer a humanistic psychodynamic and cognitive-behavioural integrated approach which helps me to tailor therapy to ensure that the psychological therapy I offer meets your needs. I can also help you to explore what will be meaningful to you in therapy.
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Photo of Simon Rudd, Psychotherapist, MA, MUKCP
Simon Rudd
Psychotherapist, MA, MUKCP
London WC1B
I am an integrative psychotherapist and see individuals for both short term and open-ended therapy. You might be struggling to manage relationships or suffering from symptoms that might have origins or echoes in your past. My training encouraged me to meet new clients with a non judgmental, accepting and open stance towards your issues. I will work with you, initially to map the territory; getting a sense of past and present difficulties. Moving from there the therapy space allows a dialogue to develop between us as we work towards change and improved vitality.
I am an integrative psychotherapist and see individuals for both short term and open-ended therapy. You might be struggling to manage relationships or suffering from symptoms that might have origins or echoes in your past. My training encouraged me to meet new clients with a non judgmental, accepting and open stance towards your issues. I will work with you, initially to map the territory; getting a sense of past and present difficulties. Moving from there the therapy space allows a dialogue to develop between us as we work towards change and improved vitality.
020 3597 6632 View 020 3597 6632
Photo of Kim Loliya - Black Psychotherapy, Psychotherapist, MBACP
Black Psychotherapy
Psychotherapist, MBACP
Online Only
I help women and non-binary people overcome trauma and abuse in order to feel safe again and thrive. If you're struggling with flashbacks, fluctuate between intense emotions and numbness and get triggered easily then therapy will help you to improve your mood, connect to your body and mind, and rediscover pleasure in daily life. Even if you have had therapy before, specialist trauma support will get you from where you are to where you want to be.
I help women and non-binary people overcome trauma and abuse in order to feel safe again and thrive. If you're struggling with flashbacks, fluctuate between intense emotions and numbness and get triggered easily then therapy will help you to improve your mood, connect to your body and mind, and rediscover pleasure in daily life. Even if you have had therapy before, specialist trauma support will get you from where you are to where you want to be.
020 4538 9559 View 020 4538 9559
Photo of Cath Gillet, Psychotherapist, MBACP
Cath Gillet
Psychotherapist, MBACP
London W4
In my private practice and as a college school counsellor my clients often face stress, anxiety, and sometimes anger. This may lead to experiencing sadness, feeling despaired, alone, worthless. Life can bring us hardships, many of which may develop into anxiety and unwanted behaviour or attitudes as a result of difficult circumstances. I work with my clients to help them make sense of their difficulties and foster acceptance within. I provide an empathic and non-judgmental space in which we will work together towards your mental wellbeing and peace of mind. I offer a mindful approach to counselling tailored to each situation.
In my private practice and as a college school counsellor my clients often face stress, anxiety, and sometimes anger. This may lead to experiencing sadness, feeling despaired, alone, worthless. Life can bring us hardships, many of which may develop into anxiety and unwanted behaviour or attitudes as a result of difficult circumstances. I work with my clients to help them make sense of their difficulties and foster acceptance within. I provide an empathic and non-judgmental space in which we will work together towards your mental wellbeing and peace of mind. I offer a mindful approach to counselling tailored to each situation.
01748 901831 View 01748 901831
Photo of Dee Khaira, Psychologist, PsychD, HCPC - Clin. Psych.
Dee Khaira
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I'm Dee and I'm a Clinical Psychologist. I strongly believe in being a down-to-earth, approachable, compassionate psychologist. Life can be tough at times, so we all need to lean on people to support us, and that's exactly what I'm here for. If you're struggling emotionally (or even if you're not), I will work with you to develop a meaningful and fulfilling life, with a focus on strength and wellness. Building resilience for life-long self-care and emotional wellbeing is key in the work that I do. I work in a client-led, holistic, integrative and creative way, using client experiences as a base.
I'm Dee and I'm a Clinical Psychologist. I strongly believe in being a down-to-earth, approachable, compassionate psychologist. Life can be tough at times, so we all need to lean on people to support us, and that's exactly what I'm here for. If you're struggling emotionally (or even if you're not), I will work with you to develop a meaningful and fulfilling life, with a focus on strength and wellness. Building resilience for life-long self-care and emotional wellbeing is key in the work that I do. I work in a client-led, holistic, integrative and creative way, using client experiences as a base.
020 3929 3799 View 020 3929 3799
Photo of Edom Debebe - The Evolving Self, Psychotherapist, MBACP Accred
The Evolving Self
Psychotherapist, MBACP Accred
London NW6
Hello, my name is Edom, and I am a BACP-accredited therapist who has been delivering therapeutic support to individuals for over ten years. I am trained in and apply teachings from different schools of psychotherapy as I believe everything depends on the given individual. At the core, my approach is relational. I value the relationship between client and therapist and meeting each client as an individual. I aim to create a safe space where I can support you in exploring your difficulties, understand who you are and your needs better and feel empowered to make changes that support and enhance the life you want to live.
Hello, my name is Edom, and I am a BACP-accredited therapist who has been delivering therapeutic support to individuals for over ten years. I am trained in and apply teachings from different schools of psychotherapy as I believe everything depends on the given individual. At the core, my approach is relational. I value the relationship between client and therapist and meeting each client as an individual. I aim to create a safe space where I can support you in exploring your difficulties, understand who you are and your needs better and feel empowered to make changes that support and enhance the life you want to live.
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Photo of Dr Ellie Stankovska - Dr Ellie S, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Ellie S
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Online Only
My name is Ellie and I’m a highly qualified integrative therapist. I have many years of experience working with presenting issues such as anxiety, depression, OCD, eating disorders, chronic illness adjustment, and relationship difficulties. Through my Doctorate, I am trained in several approaches, including Cognitive Behavioural, Dialectical, Psychodynamic, and Person-Centred therapy. I start by assessing each client, and then collaboratively tailor sessions to suit their individual needs. My work is underpinned by humanistic core values of empathy and compassion.
My name is Ellie and I’m a highly qualified integrative therapist. I have many years of experience working with presenting issues such as anxiety, depression, OCD, eating disorders, chronic illness adjustment, and relationship difficulties. Through my Doctorate, I am trained in several approaches, including Cognitive Behavioural, Dialectical, Psychodynamic, and Person-Centred therapy. I start by assessing each client, and then collaboratively tailor sessions to suit their individual needs. My work is underpinned by humanistic core values of empathy and compassion.
01642 061036 View 01642 061036
Photo of Chloe Marvin, Counsellor, MBACP
Chloe Marvin
Counsellor, MBACP
London SW6
You may feel like you know what you want to be doing, but you just can’t move forward or bring yourself to “do it”. This can often leave us feeling stuck. Maybe you find it easy to be kind to others, but you struggle to offer yourself the same compassion. You may be coming to therapy because of experiences and emotions that feel really difficult to be with, such as loneliness, anxiety, sadness, anger and grief.
You may feel like you know what you want to be doing, but you just can’t move forward or bring yourself to “do it”. This can often leave us feeling stuck. Maybe you find it easy to be kind to others, but you struggle to offer yourself the same compassion. You may be coming to therapy because of experiences and emotions that feel really difficult to be with, such as loneliness, anxiety, sadness, anger and grief.
01748 905149 View 01748 905149
Photo of Markus Kitzberger, Psychotherapist, MA, MUKCP
Markus Kitzberger
Psychotherapist, MA, MUKCP
London SE7
Does life feel like its getting on top of you? Could you benefit from a place to take some time-out? At certain times we all experience difficulties and doubt, go through life transitions (career change, divorce, new relationship, mid-life crisis) or discover patterns in our lives that are un-supportive. Seeing a counsellor or psychotherapist can help you face these challenges and turn them into an opportunity for personal growth.
Does life feel like its getting on top of you? Could you benefit from a place to take some time-out? At certain times we all experience difficulties and doubt, go through life transitions (career change, divorce, new relationship, mid-life crisis) or discover patterns in our lives that are un-supportive. Seeing a counsellor or psychotherapist can help you face these challenges and turn them into an opportunity for personal growth.
020 3835 5632 View 020 3835 5632
Photo of Mariana Larcher, Psychotherapist, MA, MBACP
Mariana Larcher
Psychotherapist, MA, MBACP
1 Endorsed
London WC1X
I tend to work with people with varied, often mixed, cultures and backgrounds; people who sometimes feel they don't quite belong. We can explore a range of issues, such as: stress, anxiety and overwhelm, lack of meaning and purpose, emptiness and depression, abuse, difficulties with sex, intimacy and relationships, family conflict, shame, loss, questions to do with identity, sexuality and behaviour, among others. We move towards your goals, which can evolve during our work together, and we go at your own pace.
I tend to work with people with varied, often mixed, cultures and backgrounds; people who sometimes feel they don't quite belong. We can explore a range of issues, such as: stress, anxiety and overwhelm, lack of meaning and purpose, emptiness and depression, abuse, difficulties with sex, intimacy and relationships, family conflict, shame, loss, questions to do with identity, sexuality and behaviour, among others. We move towards your goals, which can evolve during our work together, and we go at your own pace.
020 3856 4057 View 020 3856 4057
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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
84% 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

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.