Counselling in London

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Photo of Anna Pinto, PsychD, HCPC - Clin. Psych., Psychologist
Anna Pinto
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Online Only
I am a clinical psychologist with many years of work experience in the NHS and in private practice supporting adults from different backgrounds who struggle with a range of mental health difficulties. Examples include anxiety, low mood, difficulties in relationships, stress related to work, and adjustment to major life events. I work in an integrative way drawing on different evidence based therapies whilst ensuring that you are supported to utilise your own strengths and resources.
I am a clinical psychologist with many years of work experience in the NHS and in private practice supporting adults from different backgrounds who struggle with a range of mental health difficulties. Examples include anxiety, low mood, difficulties in relationships, stress related to work, and adjustment to major life events. I work in an integrative way drawing on different evidence based therapies whilst ensuring that you are supported to utilise your own strengths and resources.
020 4530 8290 View 020 4530 8290
Photo of Christina Macadam, MA, BPC, Psychotherapist
Christina Macadam
Psychotherapist, MA, BPC
Verified Verified
London W11
I am an experienced psychodynamic psychotherapist working with adolescents and young people since 2015. I have worked in NHS CAMHS, the third sector and schools, and currently work in private practice and the Nightingale Hospital. I support adolescents and young adults with a range of emotional, behavioural, social and mental health difficulties, such as anxiety, depression, bereavement and loss, self-destructive thoughts and low self-esteem. I work collaboratively to explore and make sense of some of the difficulties that individuals are experiencing and how it might be affecting their behaviour, thoughts or feelings.
I am an experienced psychodynamic psychotherapist working with adolescents and young people since 2015. I have worked in NHS CAMHS, the third sector and schools, and currently work in private practice and the Nightingale Hospital. I support adolescents and young adults with a range of emotional, behavioural, social and mental health difficulties, such as anxiety, depression, bereavement and loss, self-destructive thoughts and low self-esteem. I work collaboratively to explore and make sense of some of the difficulties that individuals are experiencing and how it might be affecting their behaviour, thoughts or feelings.
020 4538 8639 View 020 4538 8639
Photo of Dr Kamisha Guthrie, PsychD, CPsychol, Psychologist
Dr Kamisha Guthrie
Psychologist, PsychD, CPsychol
Verified Verified
London SE20
Offering: An open and experienced mind, and a space to think, link, feel, process and heal. A space where you can bring your whole self (and those skeletons! ;-) ), and feel heard. Facilitating: An opportunity to learn, grow, develop, plan, achieve and succeed. Nurturing: Self-esteem, self-worth, self-awareness, self-love and hope.
Offering: An open and experienced mind, and a space to think, link, feel, process and heal. A space where you can bring your whole self (and those skeletons! ;-) ), and feel heard. Facilitating: An opportunity to learn, grow, develop, plan, achieve and succeed. Nurturing: Self-esteem, self-worth, self-awareness, self-love and hope.
020 4538 0988 View 020 4538 0988
Photo of Kostana Banjac, Counsellor
Kostana Banjac
Counsellor
Verified Verified
1 Endorsed
London NW1
I work pluralistically from a contemporary biopsychosocial framework that incorporates all aspects of self and I believe that you have many of the answers you are seeking within yourself. My objective is to build a safe and holding space for a trusting relationship where you can explore and share your thoughts, feelings, behaviours, and problems/difficulties. Clients often seek therapy because of symptoms affecting their everyday life. However, they are often unaware of the root cause of their self-sabotaging behaviours, relationship issues, and emotional numbness. I also provide a more focused work as a single-session therapy (SST)
I work pluralistically from a contemporary biopsychosocial framework that incorporates all aspects of self and I believe that you have many of the answers you are seeking within yourself. My objective is to build a safe and holding space for a trusting relationship where you can explore and share your thoughts, feelings, behaviours, and problems/difficulties. Clients often seek therapy because of symptoms affecting their everyday life. However, they are often unaware of the root cause of their self-sabotaging behaviours, relationship issues, and emotional numbness. I also provide a more focused work as a single-session therapy (SST)
020 3835 5391 View 020 3835 5391
Photo of Carl Mojta, MSc, MBACP Accred, Psychotherapist
Carl Mojta
Psychotherapist, MSc, MBACP Accred
Verified Verified
London N22
Welcome! I am a U.S. based psychotherapist and a Registered Member (MBACP) of the British Association for Counselling and Psychotherapy (BACP). I offer a person-centered, compassionate, and systemic approach to therapy. I consider working with each client to be a privilege and a collaborative therapeutic experience. One area of sexual health in which I specialise is Out of Control Sexual Behaviour (OCSB). OCSB is defined as “a sexual problem of consensual sexual urges, thoughts, or behaviours that feel out of control for the individual.” If you are interested in improving your sexual health and relations, please contact me.
Welcome! I am a U.S. based psychotherapist and a Registered Member (MBACP) of the British Association for Counselling and Psychotherapy (BACP). I offer a person-centered, compassionate, and systemic approach to therapy. I consider working with each client to be a privilege and a collaborative therapeutic experience. One area of sexual health in which I specialise is Out of Control Sexual Behaviour (OCSB). OCSB is defined as “a sexual problem of consensual sexual urges, thoughts, or behaviours that feel out of control for the individual.” If you are interested in improving your sexual health and relations, please contact me.
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Photo of Donna Mendel - Pavana Therapy, MUKCP, Psychotherapist
Pavana Therapy
Psychotherapist, MUKCP
Verified Verified
London W1G
I practice psychodynamic Psychotherapy it is a form of therapy that focuses on the unconscious processess as they are manifested in a person's present behaviour. This type of therapy aims to explore unresolved conflicts and issues from the past that may be influencing your current thoughts, emotions and behaviours. It often involves exploring early childhood experiences and relationships to gain insight into patterns of behaviour and develop a deeper understanding of yourself.
I practice psychodynamic Psychotherapy it is a form of therapy that focuses on the unconscious processess as they are manifested in a person's present behaviour. This type of therapy aims to explore unresolved conflicts and issues from the past that may be influencing your current thoughts, emotions and behaviours. It often involves exploring early childhood experiences and relationships to gain insight into patterns of behaviour and develop a deeper understanding of yourself.
020 7870 6481 View 020 7870 6481
Photo of Paolo Di Venanzi, MSc, MUKCP, Psychotherapist
Paolo Di Venanzi
Psychotherapist, MSc, MUKCP
Verified Verified
London W5
Therapy is a process of growth and self-discovery. Through the therapeutic relationship I aim to create a safe space to understand your thoughts and feelings, strengthening your ability to make decisions and gain autonomy in life. I work in partnership with my clients and I believe a relationship of mutual respect and trust is of paramount importance. I have experience in working with clients suffering with anxiety, depression, trauma, panic attacks, stress, relationship difficulties, loss and bereavement and issues with self-esteem. I am interested in working with people from diverse cultural backgrounds and gender identities.
Therapy is a process of growth and self-discovery. Through the therapeutic relationship I aim to create a safe space to understand your thoughts and feelings, strengthening your ability to make decisions and gain autonomy in life. I work in partnership with my clients and I believe a relationship of mutual respect and trust is of paramount importance. I have experience in working with clients suffering with anxiety, depression, trauma, panic attacks, stress, relationship difficulties, loss and bereavement and issues with self-esteem. I am interested in working with people from diverse cultural backgrounds and gender identities.
020 4538 0046 View 020 4538 0046
Photo of Marina Prevezer, MSc, MBACP Accred, Psychotherapist
Marina Prevezer
Psychotherapist, MSc, MBACP Accred
Verified Verified
London N12
I work in person and online with adolescents and young adults. I offer a safe and confidential space to explore emotional difficulties and current situations. I listen without judgement, helping you to make your own decisions, to develop self-reliance, resilience, self-awareness and confidence to effect change. I have significant experience in working with clients who are or identify as neurodiverse as well as additional educational needs in general.
I work in person and online with adolescents and young adults. I offer a safe and confidential space to explore emotional difficulties and current situations. I listen without judgement, helping you to make your own decisions, to develop self-reliance, resilience, self-awareness and confidence to effect change. I have significant experience in working with clients who are or identify as neurodiverse as well as additional educational needs in general.
07599 200456 View 07599 200456
Photo of Ben White, MBACP, Counsellor
Ben White
Counsellor, MBACP
Verified Verified
London SE22
I’m an integrative counsellor, which means that I am always led by the people I work with, tailoring my approach to each individual client. I have experience of working with clients who have faced depression, anxiety, panic disorders, identity issues, low self-esteem, anger problems, relationship and familial issues, trauma and addictions of all kinds. My approach is calm, warm and welcoming: ensuring that my clients feel safe, supported and able to get the most out of therapy.
I’m an integrative counsellor, which means that I am always led by the people I work with, tailoring my approach to each individual client. I have experience of working with clients who have faced depression, anxiety, panic disorders, identity issues, low self-esteem, anger problems, relationship and familial issues, trauma and addictions of all kinds. My approach is calm, warm and welcoming: ensuring that my clients feel safe, supported and able to get the most out of therapy.
020 3974 1050 View 020 3974 1050
Photo of Elaine da Silva, MSc, MBACP, Psychotherapist
Elaine da Silva
Psychotherapist, MSc, MBACP
Verified Verified
London SE3
I believe therapy can offer a safe space for self-discovery that provides you with an opportunity to creatively discover how you want to live. I am particularly inclined to listen to how an individual describes their world, as I believe each person experiences life in a unique way that can rarely be communicated to someone else. I have worked extensively with individuals facing challenges such as anxiety (towards a specific situation and generalised), depression, breakdown of a relationship, grieving, work issues, infertility and addiction. I also focus on the metaphysical meaning of physical illness to improve wellbeing.
I believe therapy can offer a safe space for self-discovery that provides you with an opportunity to creatively discover how you want to live. I am particularly inclined to listen to how an individual describes their world, as I believe each person experiences life in a unique way that can rarely be communicated to someone else. I have worked extensively with individuals facing challenges such as anxiety (towards a specific situation and generalised), depression, breakdown of a relationship, grieving, work issues, infertility and addiction. I also focus on the metaphysical meaning of physical illness to improve wellbeing.
020 3984 8413 View 020 3984 8413
Photo of Adetoun Adams, MA, MBACP Accred, Psychotherapist
Adetoun Adams
Psychotherapist, MA, MBACP Accred
Verified Verified
London NW4
You might be hurting due to early childhood trauma that you have tried to keep hidden from yourself and those around you for some time now. It might have been difficult to share these feelings with family, friends or colleagues, maybe due to lack of confidentiality, being judged or not being understood. In this space, you have the opportunity to explore delicate issues rooted in the past that have remained unresolved and affecting the present. I am a fully qualified, registered and experienced Psychodynamic counsellor and Cognitive Behaviour Therapist. l provide a non-judgemental, safe, confidential and respectful space.
You might be hurting due to early childhood trauma that you have tried to keep hidden from yourself and those around you for some time now. It might have been difficult to share these feelings with family, friends or colleagues, maybe due to lack of confidentiality, being judged or not being understood. In this space, you have the opportunity to explore delicate issues rooted in the past that have remained unresolved and affecting the present. I am a fully qualified, registered and experienced Psychodynamic counsellor and Cognitive Behaviour Therapist. l provide a non-judgemental, safe, confidential and respectful space.
020 8138 8529 View 020 8138 8529
Photo of Luke Bannister, DCounsPsych, HCPC - Couns. Psych., Psychologist
Luke Bannister
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Online Only
I'm a Counselling Psychologist with experience working in the NHS, third sector services and private practice. I will work collaboratively with you to explore your current difficulties and help you understand why you might be struggling. We will explore your past & flesh out how they may contribute to what you are currently experiencing. We will also work to understand the many different aspects of your being including what goes on in your thoughts, mind, emotions and physical body. I will work with you to develop deep insight about yourself as well as speak pragmatically on what needs to change and how to go about doing that.
I'm a Counselling Psychologist with experience working in the NHS, third sector services and private practice. I will work collaboratively with you to explore your current difficulties and help you understand why you might be struggling. We will explore your past & flesh out how they may contribute to what you are currently experiencing. We will also work to understand the many different aspects of your being including what goes on in your thoughts, mind, emotions and physical body. I will work with you to develop deep insight about yourself as well as speak pragmatically on what needs to change and how to go about doing that.
020 3835 4805 View 020 3835 4805
Photo of Holly Bemrose, PsychD, HCPC - Clin. Psych., Psychologist
Holly Bemrose
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SE27
I am a Health and Care Professions Council (HCPC) registered practitioner who specialises in working with young adults, children and young people with a wide range of difficulties and challenges. I have experience of working within the NHS in both outpatient and inpatient hospital settings, as well as working within the private sector. I work in a warm, compassionate and person-centred way, to work towards an individual's goals and reasons for therapy. You can visit my website for more information about me and the services I offer: www.drhollybemrose.com
I am a Health and Care Professions Council (HCPC) registered practitioner who specialises in working with young adults, children and young people with a wide range of difficulties and challenges. I have experience of working within the NHS in both outpatient and inpatient hospital settings, as well as working within the private sector. I work in a warm, compassionate and person-centred way, to work towards an individual's goals and reasons for therapy. You can visit my website for more information about me and the services I offer: www.drhollybemrose.com
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Photo of Laura Colquhoun, MBACP, Psychotherapist
Laura Colquhoun
Psychotherapist, MBACP
Verified Verified
London W1G
Life can be difficult at times. We can feel depressed, anxious, stressed, worried or unable to cope. This can impact on all aspects of our lives; personal and professional. Sometimes all a client needs is someone to really listen to them and to accept what they are saying in a non-judgemental way. Therapy comes in all different shapes and sizes and I believe the mode of therapy should fit the client, we are all individuals after all. I put you, the client at the centre of the work and believe that together we can work collaboratively to help you mange your life more happily and successfully.
Life can be difficult at times. We can feel depressed, anxious, stressed, worried or unable to cope. This can impact on all aspects of our lives; personal and professional. Sometimes all a client needs is someone to really listen to them and to accept what they are saying in a non-judgemental way. Therapy comes in all different shapes and sizes and I believe the mode of therapy should fit the client, we are all individuals after all. I put you, the client at the centre of the work and believe that together we can work collaboratively to help you mange your life more happily and successfully.
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Photo of Hanna Foconi, PhD, HCPC - Clin. Psych., Psychologist
Hanna Foconi
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
3 Endorsed
Online Only
I work as a Senior CBT Therapist in the NHS providing evidence based therapy to treat psychological difficulties and disorders including depression, generalised anxiety disorder, panic disorder, social anxiety, phobias, health anxiety, PTSD, OCD, BDD, low self esteem and perfectionism. My clients often report feeling stuck in unhelpful patterns and are looking to make a lasting change to live a life more in line with what matters most to them.
I work as a Senior CBT Therapist in the NHS providing evidence based therapy to treat psychological difficulties and disorders including depression, generalised anxiety disorder, panic disorder, social anxiety, phobias, health anxiety, PTSD, OCD, BDD, low self esteem and perfectionism. My clients often report feeling stuck in unhelpful patterns and are looking to make a lasting change to live a life more in line with what matters most to them.
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Photo of Dr Charley Deacon, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Charley Deacon
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
London SW4
Whatever has brought you here, welcome! I’m Charley, a Psychologist based in South West London. I have over 10 years’ experience supporting young people, adults and families facing difficult times in their lives. I offer a warm and down-to-earth approach and my main focus is on providing a safe and non-judgemental space to talk. My priority is that therapy is as helpful for you as possible so my approach is collaborative and open. I work with people from all walks of life and have a special interest in supporting those facing difficulties relating to pregnancy, birth and the early years of a child's life.
Whatever has brought you here, welcome! I’m Charley, a Psychologist based in South West London. I have over 10 years’ experience supporting young people, adults and families facing difficult times in their lives. I offer a warm and down-to-earth approach and my main focus is on providing a safe and non-judgemental space to talk. My priority is that therapy is as helpful for you as possible so my approach is collaborative and open. I work with people from all walks of life and have a special interest in supporting those facing difficulties relating to pregnancy, birth and the early years of a child's life.
020 3835 6254 View 020 3835 6254
Photo of David John Martin, MBACP, Psychotherapist
David John Martin
Psychotherapist, MBACP
Verified Verified
London N1
Some of the types of issues I work with include anxiety, depression, trauma (PTSD & CPTSD), low self-esteem, family issues and ADHD. 
Some of the types of issues I work with include anxiety, depression, trauma (PTSD & CPTSD), low self-esteem, family issues and ADHD. 
020 4572 0306 View 020 4572 0306
Photo of Elizabeth McLearn Richards, MA, MBACP, Psychotherapist
Elizabeth McLearn Richards
Psychotherapist, MA, MBACP
Verified Verified
Online Only
Waitlist for new clients
Hello. Clients come to me in a state of distress or confusion about their relationships or the direction their life has taken. You may have experienced the loss of a loved one or of identity, you may have been betrayed, or feel regret. You may be a concerned parent, or a worried child. You want to feel safe, to feel understood, and to believe there will be help, that things will be different. Ideally, you come in knowing that there is something within yourself that you would like to change. First you need to tell a story, to vent anger, anxiety, grief or fear. Then you want to be heard, and you will be.
Hello. Clients come to me in a state of distress or confusion about their relationships or the direction their life has taken. You may have experienced the loss of a loved one or of identity, you may have been betrayed, or feel regret. You may be a concerned parent, or a worried child. You want to feel safe, to feel understood, and to believe there will be help, that things will be different. Ideally, you come in knowing that there is something within yourself that you would like to change. First you need to tell a story, to vent anger, anxiety, grief or fear. Then you want to be heard, and you will be.
01748 902579 View 01748 902579
Photo of Marek Sarnecki, MSc, MBACP Accred, Psychotherapist
Marek Sarnecki
Psychotherapist, MSc, MBACP Accred
Verified Verified
1 Endorsed
London EC4N
My name is Marek and I am a Psychotherapist and a Sex and Relationship Therapist who works in a private practice and in a higher education institution in London. I believe therapy helps people to develop a deeper understanding of themselves and their relationships to become free of old patterns, or simply find ways to process pain or memories that have kept them feeling stuck. I strongly believe that we simply repeat what we don't repair. I have a heart and a passion for the work I do in creating effective change. My clinical experience includes working for: NHS, a community counselling services, and a suicidal respite centre.
My name is Marek and I am a Psychotherapist and a Sex and Relationship Therapist who works in a private practice and in a higher education institution in London. I believe therapy helps people to develop a deeper understanding of themselves and their relationships to become free of old patterns, or simply find ways to process pain or memories that have kept them feeling stuck. I strongly believe that we simply repeat what we don't repair. I have a heart and a passion for the work I do in creating effective change. My clinical experience includes working for: NHS, a community counselling services, and a suicidal respite centre.
020 3962 2243 View 020 3962 2243
Photo of Henry Olsen, DCounsPsych, MBACP, Psychotherapist
Henry Olsen
Psychotherapist, DCounsPsych, MBACP
Verified Verified
London NW6
I am an experienced counsellor registered with BACP. I work in Queens Park in London, and also work remotely (online and phone). I offer a non-judgmental space to help you explore your feelings, good and bad, in order to support you to move towards your true self. “I found therapy with you approachable and accessible. "I really enjoyed your straightforwardness and authenticity. I felt held. Thank you”. William, 2022. I charge £75 to £85 for in-person sessions and am able to charge £55 for online sessions. Concessions are available for students and unemployed people.
I am an experienced counsellor registered with BACP. I work in Queens Park in London, and also work remotely (online and phone). I offer a non-judgmental space to help you explore your feelings, good and bad, in order to support you to move towards your true self. “I found therapy with you approachable and accessible. "I really enjoyed your straightforwardness and authenticity. I felt held. Thank you”. William, 2022. I charge £75 to £85 for in-person sessions and am able to charge £55 for online sessions. Concessions are available for students and unemployed people.
020 3835 5976 View 020 3835 5976
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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
64% 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.