Counselling in London

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Photo of Dr Sonia Borghino, MSc, CPsychol, Psychologist
Dr Sonia Borghino
Psychologist, MSc, CPsychol
Verified Verified
London SW5
I am a licensed Psychologist registered with the BPS and HCPC. I worked in a clinical setting for over 22 years with a variety of client groups including community, outpatients and inpatients hospital. I have worked extensively with clients with mental disorders and neuro-developmental conditions even when these are strongly affected by childhood trauma. I offer talking therapy and also a unique approach to health and wellness including EMDR, neurofeedback an body biofeedback technology to help the body and the brain to better self-regulate and heal naturally without medication or with less reliance on medication.
I am a licensed Psychologist registered with the BPS and HCPC. I worked in a clinical setting for over 22 years with a variety of client groups including community, outpatients and inpatients hospital. I have worked extensively with clients with mental disorders and neuro-developmental conditions even when these are strongly affected by childhood trauma. I offer talking therapy and also a unique approach to health and wellness including EMDR, neurofeedback an body biofeedback technology to help the body and the brain to better self-regulate and heal naturally without medication or with less reliance on medication.
020 3893 2192 View 020 3893 2192
Photo of Sorcha Cable Jones, MNCPS Acc., Counsellor
Sorcha Cable Jones
Counsellor, MNCPS Acc.
Verified Verified
London NW3
Welcome, lovely unique person I’d like to meet! I admire your decision to seek support- it takes courage. I provide compassionate support tailored to spectrum of challenges, including depression, anxiety, stress and relationship difficulties and ADHD- but you don’t have to have it to benefit from my approach. Your individual needs are the key to what you’ll want from sessions. You may want to change some behaviours, so we focus on your feelings and needs that may be driving them. Focussing on them, can help develop understanding, leading to natural evolving change- enhanced if needed, by solution based psychological approaches.
Welcome, lovely unique person I’d like to meet! I admire your decision to seek support- it takes courage. I provide compassionate support tailored to spectrum of challenges, including depression, anxiety, stress and relationship difficulties and ADHD- but you don’t have to have it to benefit from my approach. Your individual needs are the key to what you’ll want from sessions. You may want to change some behaviours, so we focus on your feelings and needs that may be driving them. Focussing on them, can help develop understanding, leading to natural evolving change- enhanced if needed, by solution based psychological approaches.
020 3835 3902 View 020 3835 3902
Photo of Haneyeh Belyani, PsychD, HCPC - Couns. Psych., Psychologist
Haneyeh Belyani
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London EC2M
My integrative training and years of experience enables me to draw on a range of psychological therapies in my work with children, adults, couples and families. I work with a range of difficulties including depressions, anxiety, trauma and relationship difficulties.
My integrative training and years of experience enables me to draw on a range of psychological therapies in my work with children, adults, couples and families. I work with a range of difficulties including depressions, anxiety, trauma and relationship difficulties.
020 3962 1652 View 020 3962 1652
Photo of Justine Wiercimok - Justine Wiercimok, IFS Therapy, MA, JD(LLM), MBACP, MBACP, Psychotherapist
Justine Wiercimok, IFS Therapy, MA, JD(LLM), MBACP
Psychotherapist, MBACP
Verified Verified
London SW3  (Online Only)
As an IFS therapist, I offer a safe space to help you understand challenges and where the emotional pain comes from. I focus therapy on working with core wounds. Core wounds are the reason why you might experience fear & anxiety. They can be a source of feelings of shame & abandonment which often lead to confusion, conflicts, and not feeling safe in meaningful relationships. Those feelings when not embraced can cause destructive behavior toward yourself, others, or your body. In our work together, we will use the pain as a guide, and catalyst for healing. This process will ultimately lead to life that is fulfilling & just easier.
As an IFS therapist, I offer a safe space to help you understand challenges and where the emotional pain comes from. I focus therapy on working with core wounds. Core wounds are the reason why you might experience fear & anxiety. They can be a source of feelings of shame & abandonment which often lead to confusion, conflicts, and not feeling safe in meaningful relationships. Those feelings when not embraced can cause destructive behavior toward yourself, others, or your body. In our work together, we will use the pain as a guide, and catalyst for healing. This process will ultimately lead to life that is fulfilling & just easier.
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Photo of Mitika Goolry Fowler, MUKCP, Psychotherapist
Mitika Goolry Fowler
Psychotherapist, MUKCP
Verified Verified
London NW1
I provide short-term therapy aimed at dealing with an immediate presenting issue and long-term therapy aimed at facilitating change at a deeper psychological level. I use different psychotherapeutic modalities to create a unique therapeutic approach that focuses and addresses each client’s individual needs. My way of working might be helpful for people who wish to understand themselves and what troubles them.
I provide short-term therapy aimed at dealing with an immediate presenting issue and long-term therapy aimed at facilitating change at a deeper psychological level. I use different psychotherapeutic modalities to create a unique therapeutic approach that focuses and addresses each client’s individual needs. My way of working might be helpful for people who wish to understand themselves and what troubles them.
020 3984 9652 View 020 3984 9652
Photo of Bilge (Bea) Ozbudun, MA, MBACP Accred, Counsellor
Bilge (Bea) Ozbudun
Counsellor, MA, MBACP Accred
Verified Verified
London W1G
Waitlist for new clients
I am a Psychodynamic Psychotherapist based mostly at the Priory Hospital North London. I also offer private sessions in Harley Street. My approach emphasises the significance of the unconscious mind, early experiences and the therapeutic relationship. I have experience working with a range of clinical conditions on a weekly long-term and short-term basis and also facilitate group therapy. My practice offers a place to explore challenges together, perhaps finding the words where they may have previously been absent before. Being able to shed light on your hidden parts and deepest feelings can be one of the most healing experiences.
I am a Psychodynamic Psychotherapist based mostly at the Priory Hospital North London. I also offer private sessions in Harley Street. My approach emphasises the significance of the unconscious mind, early experiences and the therapeutic relationship. I have experience working with a range of clinical conditions on a weekly long-term and short-term basis and also facilitate group therapy. My practice offers a place to explore challenges together, perhaps finding the words where they may have previously been absent before. Being able to shed light on your hidden parts and deepest feelings can be one of the most healing experiences.
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Photo of Reema Patel, MBACP Accred, Counsellor
Reema Patel
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
London N1  (Online Only)
I have 20+ years experience working with clients who have complex mental health needs and a forensic past, and those who are highly sensitive and experience their emotions more intensely than the average person. I support clients who present with a wide range of interpersonal and relationship difficulties, emotion regulation disorders such as BPD, childhood abuse, bereavement and loss, eating disorders, depression and anxiety and suicidal and self-harming behaviours. I offer clients a thorough assessment of their life history as well as identifying current needs and goals, and a clear, well-defined treatment package.
I have 20+ years experience working with clients who have complex mental health needs and a forensic past, and those who are highly sensitive and experience their emotions more intensely than the average person. I support clients who present with a wide range of interpersonal and relationship difficulties, emotion regulation disorders such as BPD, childhood abuse, bereavement and loss, eating disorders, depression and anxiety and suicidal and self-harming behaviours. I offer clients a thorough assessment of their life history as well as identifying current needs and goals, and a clear, well-defined treatment package.
020 3826 8325 View 020 3826 8325
Photo of Foram Trivedi, MSc, Counsellor
Foram Trivedi
Counsellor, MSc
Verified Verified
London E14  (Online Only)
Hi! I am Foram. I am primarily influenced by the belief that every human is whole, complete and powerful in every moment. At times External situations or internal noises prevent people from being in touch with their true selves. I work with what is present to assist each person to focus on reconnecting with their best self.
Hi! I am Foram. I am primarily influenced by the belief that every human is whole, complete and powerful in every moment. At times External situations or internal noises prevent people from being in touch with their true selves. I work with what is present to assist each person to focus on reconnecting with their best self.
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Photo of Kelly Royer, MBACP, Psychotherapist
Kelly Royer
Psychotherapist, MBACP
Verified Verified
1 Endorsed
London N15  (Online Only)
Life is full of unexpected changes and challenges that can leave us feeling overwhelmed and emotionally strained. In times like these, talking to the right person can make a world of difference. That's where counselling comes in. It provides a safe and confidential space where you can have your concerns listened to and gain clarity on what you're experiencing. As a qualified and experienced psychotherapist, I understand the importance of having a supportive and empathetic environment for exploration and healing. With over 6 years of clinical practice and 12 years of experience in the mental health field.
Life is full of unexpected changes and challenges that can leave us feeling overwhelmed and emotionally strained. In times like these, talking to the right person can make a world of difference. That's where counselling comes in. It provides a safe and confidential space where you can have your concerns listened to and gain clarity on what you're experiencing. As a qualified and experienced psychotherapist, I understand the importance of having a supportive and empathetic environment for exploration and healing. With over 6 years of clinical practice and 12 years of experience in the mental health field.
01992 940723 View 01992 940723
Photo of Paola Filotico, PsychD, HCPC - Clin. Psych., Psychologist
Paola Filotico
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SE3  (Online Only)
Sometimes life hits hard and we find it hard to cope. Sometimes everything seems to be well, and still, we are unhappy. There are times when we feel haunted by our past, and times when we just don’t understand some parts of ourselves - thoughts, emotions, or even physical pain. And we are going through increasing global uncertainty: Covid, the current political and financial situation, wars and climate change are only a few of the unsettling topic we are exposed to 24/7 - we are facing a previously unimaginable amount of collective stress, anxiety and grief.
Sometimes life hits hard and we find it hard to cope. Sometimes everything seems to be well, and still, we are unhappy. There are times when we feel haunted by our past, and times when we just don’t understand some parts of ourselves - thoughts, emotions, or even physical pain. And we are going through increasing global uncertainty: Covid, the current political and financial situation, wars and climate change are only a few of the unsettling topic we are exposed to 24/7 - we are facing a previously unimaginable amount of collective stress, anxiety and grief.
020 8059 8389 View 020 8059 8389
Photo of Wendy Levy, MSc, MBACP, Psychotherapist
Wendy Levy
Psychotherapist, MSc, MBACP
Verified Verified
London E8
I am a qualified psychodynamic psychotherapist and counsellor offering a one to one counselling service in London. This can be short or long term depending on your needs and wishes. I am a fully insured and supervised member of the BACP (British Association of Counselling and Psychotherapy) and as such work within their Ethical Framework.
I am a qualified psychodynamic psychotherapist and counsellor offering a one to one counselling service in London. This can be short or long term depending on your needs and wishes. I am a fully insured and supervised member of the BACP (British Association of Counselling and Psychotherapy) and as such work within their Ethical Framework.
020 3984 9014 View 020 3984 9014
Photo of Dora Fotopoulou, MA, MBACP, Psychotherapist
Dora Fotopoulou
Psychotherapist, MA, MBACP
Verified Verified
London SW6  (Online Only)
Perhaps you feel lost and upset that things are out of your control, you might be interested in counselling for something specific such as Anxiety, Depression, self-esteem/confidence, bereavement, anger and/ or you may be looking for longer-term psychotherapy. You might find yourself withdraw from people you love and having the impression no one can understand your pain. You might be at this stage of your life that you are seeking a new identity or the previous roles/ priorities you had in your life don’t satisfy you anymore.
Perhaps you feel lost and upset that things are out of your control, you might be interested in counselling for something specific such as Anxiety, Depression, self-esteem/confidence, bereavement, anger and/ or you may be looking for longer-term psychotherapy. You might find yourself withdraw from people you love and having the impression no one can understand your pain. You might be at this stage of your life that you are seeking a new identity or the previous roles/ priorities you had in your life don’t satisfy you anymore.
01748 902539 View 01748 902539
Dr Teresa Schrezenmaier
Psychotherapist, UKCP Trainee
Verified Verified
London W2
A personal crisis can feel overwhelming and isolating but can also be a powerful opportunity for change and transformation. I work with adults who experience: • Relationship and family problems • Childhood and attachment issues • Life crisis, feeling “stuck”, low self-esteem, loneliness and meaninglessness • Stress and overwhelm • Anger • Grief and loss • Depression and Anxiety • And those who are seeking personal growth and a better understanding of themselves and their place in the world.
A personal crisis can feel overwhelming and isolating but can also be a powerful opportunity for change and transformation. I work with adults who experience: • Relationship and family problems • Childhood and attachment issues • Life crisis, feeling “stuck”, low self-esteem, loneliness and meaninglessness • Stress and overwhelm • Anger • Grief and loss • Depression and Anxiety • And those who are seeking personal growth and a better understanding of themselves and their place in the world.
020 4572 1527 View 020 4572 1527
Photo of Nadir Mohamed, MA, MBACP, Counsellor
Nadir Mohamed
Counsellor, MA, MBACP
Verified Verified
London W6
I have over ten years experience of working with children, adults and families, aiming to help people explore challenging situations or relationships, toward understanding how particular difficulties have risen and help you work through this time. I specialise in complex mental health and support individuals and families who have been affected. I have seven years experience working with children and teenagers who have Learning Disabilities and issues relating to school. I also see clients for various other struggles and work collaboratively to explore what is behind their anxiety, depression and to build self-esteem.
I have over ten years experience of working with children, adults and families, aiming to help people explore challenging situations or relationships, toward understanding how particular difficulties have risen and help you work through this time. I specialise in complex mental health and support individuals and families who have been affected. I have seven years experience working with children and teenagers who have Learning Disabilities and issues relating to school. I also see clients for various other struggles and work collaboratively to explore what is behind their anxiety, depression and to build self-esteem.
01748 901824 View 01748 901824
Photo of Carol Wall, MBACP Accred, Counsellor
Carol Wall
Counsellor, MBACP Accred
Verified Verified
London W1W
Hello. At times we all experience difficulties in our lives - stress, depression, anxiety, low confidence and low self esteem are common in today's world, these are issues people face in everyday life. This does not mean we should shoulder these burdens alone. Many of us find it beneficial to share our thoughts and feelings with a supportive professional. I have worked extensively with clients who have experienced relationship issues, childhood sexual abuse, addiction, issues related to fertility & parenthood, bereavement (including pet bereavement) and coping with illness. They may be deep seated or simply a need to reflect.
Hello. At times we all experience difficulties in our lives - stress, depression, anxiety, low confidence and low self esteem are common in today's world, these are issues people face in everyday life. This does not mean we should shoulder these burdens alone. Many of us find it beneficial to share our thoughts and feelings with a supportive professional. I have worked extensively with clients who have experienced relationship issues, childhood sexual abuse, addiction, issues related to fertility & parenthood, bereavement (including pet bereavement) and coping with illness. They may be deep seated or simply a need to reflect.
020 4572 0830 View 020 4572 0830
Photo of Ana Erra, CPsychol, Psychotherapist
Ana Erra
Psychotherapist, CPsychol
Verified Verified
London EC1V
I offer creative, embodied, introspective and self-reflective psychotherapy. In my sessions, I provide a safe and non-judgemental space where you can explore issues through talking or a more imaginative and symbolic approach using creative mediums. Each journey of exploration is unique. I believe that integrating the body, emotions, mind and reflection can foster a sense of connection, wholeness and healing. I consider that the therapeutic relationship is the core of psychotherapeutic work, where we co-create a sense of meaning and transformation can take place. I will work with you to foster insight, change, and growth.
I offer creative, embodied, introspective and self-reflective psychotherapy. In my sessions, I provide a safe and non-judgemental space where you can explore issues through talking or a more imaginative and symbolic approach using creative mediums. Each journey of exploration is unique. I believe that integrating the body, emotions, mind and reflection can foster a sense of connection, wholeness and healing. I consider that the therapeutic relationship is the core of psychotherapeutic work, where we co-create a sense of meaning and transformation can take place. I will work with you to foster insight, change, and growth.
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Photo of Paul Carter, MA, MUKCP, Psychotherapist
Paul Carter
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
London SE1
Would you like to wake up tomorrow feeling different from today? Are you facing a tough time, feeling stuck and struggling with confused and difficult emotions? I work as an Integrative Psychotherapist, drawing on various theories and approaches personally suited to your unique needs. The experience of being listened to non-judgementally, feeling heard and understood can bring deep relief from distress such as depression, loss, bereavement, anxiety, anger and relationship issues. Such greater self-awareness can set you on a new path with yourself and others.
Would you like to wake up tomorrow feeling different from today? Are you facing a tough time, feeling stuck and struggling with confused and difficult emotions? I work as an Integrative Psychotherapist, drawing on various theories and approaches personally suited to your unique needs. The experience of being listened to non-judgementally, feeling heard and understood can bring deep relief from distress such as depression, loss, bereavement, anxiety, anger and relationship issues. Such greater self-awareness can set you on a new path with yourself and others.
01253 835034 View 01253 835034
Photo of Dr Ada Siu, PsychD, HCPC - Health Psych., Psychologist
Dr Ada Siu
Psychologist, PsychD, HCPC - Health Psych.
Verified Verified
1 Endorsed
London W5  (Online Only)
I am an experienced psychologist in providing psychology therapies and behavioural change interventions to promote mental wellbeing and healthy behaviours. I worked in a wide range of psychology contexts including clinical mental health, forensics, health, communities, and universities. My work with the NHS specialises in chronic pain management and other long-term health conditions. Throughout my clinical practice, I specialise in working with people presenting difficulties in mental health and physical health, as well as in major life adjustments/transitions (e.g. bereavement, relationships, settling in a new environment).
I am an experienced psychologist in providing psychology therapies and behavioural change interventions to promote mental wellbeing and healthy behaviours. I worked in a wide range of psychology contexts including clinical mental health, forensics, health, communities, and universities. My work with the NHS specialises in chronic pain management and other long-term health conditions. Throughout my clinical practice, I specialise in working with people presenting difficulties in mental health and physical health, as well as in major life adjustments/transitions (e.g. bereavement, relationships, settling in a new environment).
020 3910 8453 View 020 3910 8453
Photo of Dania Akondo, MBACP, Psychotherapist
Dania Akondo
Psychotherapist, MBACP
Verified Verified
London SE25
My vision is to empower clients and help them achieve inner peace. I am a qualified Croydon psychotherapist and counsellor, who adheres to the BACP ethical framework. I have a particular interest in issues of racism and relational patterns in adults who have experienced trauma. Together, we can explore past life events to gain a better understanding of what might have gone wrong. I can help you implement strategies and techniques in your day- to-day life in order to: enhance your quality of life; rid yourself of maladaptive behaviours and/or negative thinking patterns; ameliorate your communication skills; navigate conflict.
My vision is to empower clients and help them achieve inner peace. I am a qualified Croydon psychotherapist and counsellor, who adheres to the BACP ethical framework. I have a particular interest in issues of racism and relational patterns in adults who have experienced trauma. Together, we can explore past life events to gain a better understanding of what might have gone wrong. I can help you implement strategies and techniques in your day- to-day life in order to: enhance your quality of life; rid yourself of maladaptive behaviours and/or negative thinking patterns; ameliorate your communication skills; navigate conflict.
01260 541343 View 01260 541343
Photo of Emma Taylor, MBACP, Counsellor
Emma Taylor
Counsellor, MBACP
Verified Verified
2 Endorsed
London SE1
Finding a new therapist can be daunting, but you have already taken the first step. Life can sometimes feel overwhelming, leaving you feeling stuck, alone, or unsure of how to move forward. Whether you're grappling with anxiety or low self-esteem, navigating relationship issues, or seeking support through a major life transition, you don't have to face it alone. Together, we'll create a safe and supportive space where you can explore your thoughts, feelings, and experiences without judgement. My goal is to empower you to cultivate resilience, foster meaningful connections, and embark on a journey towards greater wellbeing.
Finding a new therapist can be daunting, but you have already taken the first step. Life can sometimes feel overwhelming, leaving you feeling stuck, alone, or unsure of how to move forward. Whether you're grappling with anxiety or low self-esteem, navigating relationship issues, or seeking support through a major life transition, you don't have to face it alone. Together, we'll create a safe and supportive space where you can explore your thoughts, feelings, and experiences without judgement. My goal is to empower you to cultivate resilience, foster meaningful connections, and embark on a journey towards greater wellbeing.
020 7123 9476 View 020 7123 9476
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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:

90% Anxiety
85% Depression
83% Self Esteem
81% Relationship Issues
78% Stress
66% Trauma and PTSD
62% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

68% Aviva
63% AXA PPP
55% 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.