Counselling in London

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Photo of Ricky Williamson, Counsellor, MA, MBACP
Ricky Williamson
Counsellor, MA, MBACP
Verified Verified
Online Only
However you're struggling, I will endeavour to help the best I can. I trained at the Psychosynthesis Trust in London, which is a Transpersonal form of psychotherapy; grounded in psychodynamic therapy, but also accepting of the more mystical, metaphysical side of life. I’m an MBACP registered therapist and counsellor. I also have an MA in Philosophy from the University of Amsterdam, and work as a Contributing Editor at The Institute of Art and Ideas and the HowTheLightGetsIn festival – the world’s largest philosophy and music festival.
However you're struggling, I will endeavour to help the best I can. I trained at the Psychosynthesis Trust in London, which is a Transpersonal form of psychotherapy; grounded in psychodynamic therapy, but also accepting of the more mystical, metaphysical side of life. I’m an MBACP registered therapist and counsellor. I also have an MA in Philosophy from the University of Amsterdam, and work as a Contributing Editor at The Institute of Art and Ideas and the HowTheLightGetsIn festival – the world’s largest philosophy and music festival.
020 3949 4861 View 020 3949 4861
Photo of Mary McGee Jolliffe, Psychotherapist, MA, BPC
Mary McGee Jolliffe
Psychotherapist, MA, BPC
Verified Verified
London NW8
Would you like to S T O P... Have time to think about where you are. I offer a comfortable space for shared reflection on 'everything that has happened so far...' You are curious about yourself, maybe with an ongoing mild depression, and which you have had to manage alone. We can explore this together, track these feelings back and find the origins in your early relationships. You will come to see that a better life is possible; you will discover your capacity for greater truth in your relationships as well as compassion for yourself which can help release the blocks which are in your way.
Would you like to S T O P... Have time to think about where you are. I offer a comfortable space for shared reflection on 'everything that has happened so far...' You are curious about yourself, maybe with an ongoing mild depression, and which you have had to manage alone. We can explore this together, track these feelings back and find the origins in your early relationships. You will come to see that a better life is possible; you will discover your capacity for greater truth in your relationships as well as compassion for yourself which can help release the blocks which are in your way.
01923 961252 View 01923 961252
Photo of Dr Simon Raphael Picker, PhD
Dr Simon Raphael Picker
PhD
Verified Verified
London SW6
Every life holds a compelling story and I am deeply committed to helping you navigate its complexities. I offer weekly psychodynamic psychotherapy, a non-judgmental, in-depth talk therapy - in a safe, confidential space. Sessions are available in-person, by phone, online, or as a hybrid. My London practice is just 2 minutes from Parsons Green Underground, in a discreet, professional non-clinical business centre. Clients often describe the warm, quirky room as both inviting and healing. Parsons Green is conveniently located 15-20 minutes from Victoria, Paddington, and West Brompton (Overground).
Every life holds a compelling story and I am deeply committed to helping you navigate its complexities. I offer weekly psychodynamic psychotherapy, a non-judgmental, in-depth talk therapy - in a safe, confidential space. Sessions are available in-person, by phone, online, or as a hybrid. My London practice is just 2 minutes from Parsons Green Underground, in a discreet, professional non-clinical business centre. Clients often describe the warm, quirky room as both inviting and healing. Parsons Green is conveniently located 15-20 minutes from Victoria, Paddington, and West Brompton (Overground).
01748 902118 View 01748 902118
Photo of Dr Zalfa Stevenson, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Zalfa Stevenson
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Online Only
Hello, I am Zalfa, a Counselling Psychologist. At the heart of my work, I strive to create a warm and empathetic space for individuals from all walks of life. I support clients facing a variety of challenges, including self-esteem issues, anxiety, relationship difficulties, and low mood. Additionally, I have substantial experience in the NHS and voluntary sector working with complex mental health difficulties such as complex trauma, substance misuse, and gender-based violence. As a Lebanese-British psychologist I have cultivated a particular interest in holistic therapeutic approaches, which consider all aspects of a person.
Hello, I am Zalfa, a Counselling Psychologist. At the heart of my work, I strive to create a warm and empathetic space for individuals from all walks of life. I support clients facing a variety of challenges, including self-esteem issues, anxiety, relationship difficulties, and low mood. Additionally, I have substantial experience in the NHS and voluntary sector working with complex mental health difficulties such as complex trauma, substance misuse, and gender-based violence. As a Lebanese-British psychologist I have cultivated a particular interest in holistic therapeutic approaches, which consider all aspects of a person.
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Photo of Dr Zoë Wilson, Psychologist, PsychD, HCPC - Couns. Psych.
Dr Zoë Wilson
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
Online Only
I am a qualified Chartered Counselling Psychologist, Schema Therapist, Cognitive Behavioural Therapist & Psychotherapist. My aim is to empower you to work towards overcoming your difficulties within the context of a safe and collaborative space. The support and expertise I offer will help enable you to focus upon enhancing your quality of life. This will occur through the deeper awareness you gain of yourself and your experiences, and through the conscious choices and behavioural changes you make. I work with individuals across the adult lifespan, with a broad range of emotional, relational and behavioural difficulties.
I am a qualified Chartered Counselling Psychologist, Schema Therapist, Cognitive Behavioural Therapist & Psychotherapist. My aim is to empower you to work towards overcoming your difficulties within the context of a safe and collaborative space. The support and expertise I offer will help enable you to focus upon enhancing your quality of life. This will occur through the deeper awareness you gain of yourself and your experiences, and through the conscious choices and behavioural changes you make. I work with individuals across the adult lifespan, with a broad range of emotional, relational and behavioural difficulties.
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Photo of Richard Absalom, Psychotherapist, DCounsPsych, MBACP Accred
Richard Absalom
Psychotherapist, DCounsPsych, MBACP Accred
Verified Verified
Online Only
Update March 25: Some daytime/evening availability on Tuesdays & Wednesdays. Each of us has a unique story, that deserves an equally tailored approach. I have been working with individuals since 2006, and couples since 2009. It means, I have probably helped others, deal with similar issues, to those you're going through. Together we'll explore the difficulties as they are now, and understand where they have come from. Through self discovery, you'll identify how old patterns of thinking and limiting beliefs, maybe holding you back. You'll gain a clearer perspective, identify your priorities, and enjoy a more positive outlook.
Update March 25: Some daytime/evening availability on Tuesdays & Wednesdays. Each of us has a unique story, that deserves an equally tailored approach. I have been working with individuals since 2006, and couples since 2009. It means, I have probably helped others, deal with similar issues, to those you're going through. Together we'll explore the difficulties as they are now, and understand where they have come from. Through self discovery, you'll identify how old patterns of thinking and limiting beliefs, maybe holding you back. You'll gain a clearer perspective, identify your priorities, and enjoy a more positive outlook.
01202 013959 View 01202 013959
Photo of Jo Shaw, Psychotherapist, MA, BACP
Jo Shaw
Psychotherapist, MA, BACP
Verified Verified
London SE1
I work with people who are in some way feeling inner distress. Perhaps they've faced something painful or traumatising in the past and the emotional residue of it remains inside. Perhaps they have experienced loss, or are facing grief - for a loved one, for a time, even for themselves (that feeling of who you really are in your own life). They might be struggling with a situation that feels difficult, even overwhelming, (anything from a relationship or a work problem, to an inner understanding of their own sexual or gender identity). They might wake each day to a feeling of anxiety or dread, drained of energy and facing depression.
I work with people who are in some way feeling inner distress. Perhaps they've faced something painful or traumatising in the past and the emotional residue of it remains inside. Perhaps they have experienced loss, or are facing grief - for a loved one, for a time, even for themselves (that feeling of who you really are in your own life). They might be struggling with a situation that feels difficult, even overwhelming, (anything from a relationship or a work problem, to an inner understanding of their own sexual or gender identity). They might wake each day to a feeling of anxiety or dread, drained of energy and facing depression.
020 3805 6870 View 020 3805 6870
Photo of Ludovica Colella, Psychotherapist, MA, MBABCP
Ludovica Colella
Psychotherapist, MA, MBABCP
Verified Verified
London W1W
You might be someone who constantly finds yourself saying 'yes' when you really want to say 'no'. You put everyone’s needs before your own, and it’s taking a toll on your self-esteem. You're longing to speak up, set boundaries, and pursue your own goals without guilt or hesitation. Your journey has led you to seek a more assertive, self-assured life—one where you make decisions based on your desires, not others' expectations. You want to live authentically, embrace self-compassion, and let go of the worry that has held you back.
You might be someone who constantly finds yourself saying 'yes' when you really want to say 'no'. You put everyone’s needs before your own, and it’s taking a toll on your self-esteem. You're longing to speak up, set boundaries, and pursue your own goals without guilt or hesitation. Your journey has led you to seek a more assertive, self-assured life—one where you make decisions based on your desires, not others' expectations. You want to live authentically, embrace self-compassion, and let go of the worry that has held you back.
020 3974 2408 View 020 3974 2408
Photo of Jonathan Cullen, Psychotherapist, MBACP
Jonathan Cullen
Psychotherapist, MBACP
Verified Verified
London W1U
Welcome to my Counseling Practice, where my commitment to trauma-informed care guides our journey towards healing. I recognize the diverse experiences of individuals seeking support and prioritize creating a safe, nurturing environment for transformative growth. My approach is rooted in the latest research, emphasizing compassion, empowerment, and respect for each person's unique journey. Together, we will cultivate resilience and well-being. With 25 years of experience spanning the professional and academic realms, I offer a deep understanding of life's complexities.
Welcome to my Counseling Practice, where my commitment to trauma-informed care guides our journey towards healing. I recognize the diverse experiences of individuals seeking support and prioritize creating a safe, nurturing environment for transformative growth. My approach is rooted in the latest research, emphasizing compassion, empowerment, and respect for each person's unique journey. Together, we will cultivate resilience and well-being. With 25 years of experience spanning the professional and academic realms, I offer a deep understanding of life's complexities.
020 3872 0015 View 020 3872 0015
Photo of Sarah Parry - The Good Mental Health Company, Psychotherapist, MSc, MUKCP
The Good Mental Health Company
Psychotherapist, MSc, MUKCP
Verified Verified
London SE1
We welcome new clients who are seeking low-fee counselling either face-to-face in Elephant and Castle, or online throughout the UK. Please visit www.thegoodmentalhealthcompany.com to find out more, and to book an assessment.
We welcome new clients who are seeking low-fee counselling either face-to-face in Elephant and Castle, or online throughout the UK. Please visit www.thegoodmentalhealthcompany.com to find out more, and to book an assessment.
020 4538 8846 View 020 4538 8846
Photo of Katy Byrne, Counsellor, MBACP Accred
Katy Byrne
Counsellor, MBACP Accred
Verified Verified
London SW2
You may be looking for a counsellor at the moment because there is a particular feeling or issue that is troubling you, or you may want to understand aspects of your personality, or relationships, a little better. You might be feeling stuck, or anxious, overwhelmed perhaps. I will provide a warm, receptive environment where you can talk about what is going on for you, and also explore how it is affecting you. Through this exploration, you will come to a deeper understanding of yourself and how you manage your life. It is through this deeper understanding of ourselves, that we are able to develop and move forward positively.
You may be looking for a counsellor at the moment because there is a particular feeling or issue that is troubling you, or you may want to understand aspects of your personality, or relationships, a little better. You might be feeling stuck, or anxious, overwhelmed perhaps. I will provide a warm, receptive environment where you can talk about what is going on for you, and also explore how it is affecting you. Through this exploration, you will come to a deeper understanding of yourself and how you manage your life. It is through this deeper understanding of ourselves, that we are able to develop and move forward positively.
020 3948 6992 View 020 3948 6992
Photo of Sonya Waller, Counsellor, MBACP
Sonya Waller
Counsellor, MBACP
Verified Verified
1 Endorsed
London SE1
During our lives we may have experience difficulties from early childhood that continue to impact into our adulthood, having someone to listen your problems with an understanding on life experiences and the expertise will benefit greatly to take you safely through a journey to confront and overcome these challenges towards a positive future. The most important support to give to someone is allowing them to feel safe, secure and a non -judgemental space to explore their problems through listening.
During our lives we may have experience difficulties from early childhood that continue to impact into our adulthood, having someone to listen your problems with an understanding on life experiences and the expertise will benefit greatly to take you safely through a journey to confront and overcome these challenges towards a positive future. The most important support to give to someone is allowing them to feel safe, secure and a non -judgemental space to explore their problems through listening.
020 3870 4089 View 020 3870 4089
Irene Mburu
Psychotherapist, MA, MBACP
Verified Verified
London N12
I am an integratively trained psychotherapist, a BACP member and UKCP accredited. I have worked with a diverse range of clients in private practice, primary and secondary schools in London from 2018 to date. Some of the issues I have worked with include relational challenges, emotional regulation, depression, anxiety, anger, trauma, loss, low self-esteem, gender dysphoria, ADHD, OCD and attachment, amongst others.
I am an integratively trained psychotherapist, a BACP member and UKCP accredited. I have worked with a diverse range of clients in private practice, primary and secondary schools in London from 2018 to date. Some of the issues I have worked with include relational challenges, emotional regulation, depression, anxiety, anger, trauma, loss, low self-esteem, gender dysphoria, ADHD, OCD and attachment, amongst others.
020 4572 5361 View 020 4572 5361
Photo of Diane Rodin, Psychotherapist, MA, MBACP Accred
Diane Rodin
Psychotherapist, MA, MBACP Accred
Verified Verified
4 Endorsed
London SW11
Waitlist for new clients
As an integrative practitioner, I am engaging, insightful, curious, respectful, and able to design an individualised treatment that suits your needs. My extensive clinical experience includes the private mental health, charity and community interest organisation sectors, working both in individual and couples therapy. Previously, I had an executive corporate career at Microsoft UK and an MBA from INSEAD. I specialise in working with a spectrum of psychological issues including trauma, depression, anxiety, stress, OCD, low mood, low self-esteem, addiction, burnout, divorce and relationship issues.
As an integrative practitioner, I am engaging, insightful, curious, respectful, and able to design an individualised treatment that suits your needs. My extensive clinical experience includes the private mental health, charity and community interest organisation sectors, working both in individual and couples therapy. Previously, I had an executive corporate career at Microsoft UK and an MBA from INSEAD. I specialise in working with a spectrum of psychological issues including trauma, depression, anxiety, stress, OCD, low mood, low self-esteem, addiction, burnout, divorce and relationship issues.
020 4538 1936 View 020 4538 1936
Photo of Vee Rizaj, Psychotherapist, MA, MBACP
Vee Rizaj
Psychotherapist, MA, MBACP
Verified Verified
London SW1W
Hello, I'm Vjosa, a dedicated psychotherapist and trauma specialist offering online sessions for individuals and couples. With extensive experience in mental health, I provide compassionate and effective therapy tailored to address a variety of issues. I specialise in helping clients navigate through challenges such as anxiety, depression, trauma, relationship difficulties, and addiction.
Hello, I'm Vjosa, a dedicated psychotherapist and trauma specialist offering online sessions for individuals and couples. With extensive experience in mental health, I provide compassionate and effective therapy tailored to address a variety of issues. I specialise in helping clients navigate through challenges such as anxiety, depression, trauma, relationship difficulties, and addiction.
020 7046 0294 View 020 7046 0294
Photo of Martha Nicholls, Psychotherapist, MA, HCPC-Music Therap.
Martha Nicholls
Psychotherapist, MA, HCPC-Music Therap.
Verified Verified
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 Ian Martin, MSc
Ian Martin
MSc
Verified Verified
London SE11
My name is Ian Martin and I'm an accredited (AREBT) Psychotherapist with practices in Central, South and South-West London. I'm also a Senior Lecturer with The College of Cognitive Behavioural Therapies in Central London (www.ccbttherapies.org.uk). I see clients at the Priory Hospital in Roehampton, and in private practise in Central London. www.selfacceptance.co
My name is Ian Martin and I'm an accredited (AREBT) Psychotherapist with practices in Central, South and South-West London. I'm also a Senior Lecturer with The College of Cognitive Behavioural Therapies in Central London (www.ccbttherapies.org.uk). I see clients at the Priory Hospital in Roehampton, and in private practise in Central London. www.selfacceptance.co
020 8138 9305 View 020 8138 9305
Photo of Sara Bentwood, Psychologist, PsychD, CPsychol
Sara Bentwood
Psychologist, PsychD, CPsychol
Verified Verified
London N20
I am a Clinical Psychologist with over 15 years NHS experience providing highly specialist psychological assessment, formulation and interventions to both children and adolescents, other family members including siblings and parents/carers, as well as adults. I have a great deal of experience working with psychological difficulties such as anxiety including OCD, panic attacks, phobias and social anxiety; depression, low self-esteem and poor body image; behaviour difficulties, anger management, school issues such as bullying and family difficulties as well as difficulties with feeding and sleep.
I am a Clinical Psychologist with over 15 years NHS experience providing highly specialist psychological assessment, formulation and interventions to both children and adolescents, other family members including siblings and parents/carers, as well as adults. I have a great deal of experience working with psychological difficulties such as anxiety including OCD, panic attacks, phobias and social anxiety; depression, low self-esteem and poor body image; behaviour difficulties, anger management, school issues such as bullying and family difficulties as well as difficulties with feeding and sleep.
020 4538 0224 View 020 4538 0224
Photo of Fran Mullins, Counsellor, MBACP Accred
Fran Mullins
Counsellor, MBACP Accred
Verified Verified
London N2
I am an integrative therapist and supervisor who works with adults in East Finchley in North London and online. The kind of issues that I help clients with include; anxiety, panic attacks, low mood, depression, relationship problems, jealousy, stress, repeated unwanted patterns of behaviour, work problems, grief and loss, low self esteem, self-harming or suicidal thoughts, addictions, anger, and body image or eating issues.
I am an integrative therapist and supervisor who works with adults in East Finchley in North London and online. The kind of issues that I help clients with include; anxiety, panic attacks, low mood, depression, relationship problems, jealousy, stress, repeated unwanted patterns of behaviour, work problems, grief and loss, low self esteem, self-harming or suicidal thoughts, addictions, anger, and body image or eating issues.
020 3987 4651 View 020 3987 4651
Photo of Janet Hull, Psychotherapist, MA, MBACP Accred
Janet Hull
Psychotherapist, MA, MBACP Accred
Verified Verified
London SW6
If you are struggling with loneliness, anxiety and depression, or grappling to balance your own needs with those of others, in relationships, work or family, I can support you to regulate your emotions and manage your behaviours. If you are lacking in confidence and self-worth, I can work with you to build self-awareness and respect. If you are suffering the loss of a loved one, a job, a home, a marriage, I can support you through your sadness and confusion. If you are feeling at risk of abuse or self-harm, I can work with your trauma to help you find clarity and direction. I offer therapy to adults and couples of all ages.
If you are struggling with loneliness, anxiety and depression, or grappling to balance your own needs with those of others, in relationships, work or family, I can support you to regulate your emotions and manage your behaviours. If you are lacking in confidence and self-worth, I can work with you to build self-awareness and respect. If you are suffering the loss of a loved one, a job, a home, a marriage, I can support you through your sadness and confusion. If you are feeling at risk of abuse or self-harm, I can work with your trauma to help you find clarity and direction. I offer therapy to adults and couples of all ages.
07767 823602 View 07767 823602
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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
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

75% In Person and Online
25% 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.