Counselling in London

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Photo of Liz Mattson, Psychotherapist, MSc, MUKCP
Liz Mattson
Psychotherapist, MSc, MUKCP
1 Endorsed
London W5
As a Humanist, I believe in your Actualising Tendency - your inborn capacity to heal and grow. How do you experience this innate resourcefulness in yourself? Has it become confused by social expectations, stifled by inner critics, or bypassed by survival-mode thinking? However remote it might seem to you now, your Actualising Tendency is always there, ready to resume its central guiding role in your life. If this rings true and you're looking for therapy that will restore and support your own authentic curiosity, awareness, insight and creativity, we might be a good match. Please visit my website to find out more.
As a Humanist, I believe in your Actualising Tendency - your inborn capacity to heal and grow. How do you experience this innate resourcefulness in yourself? Has it become confused by social expectations, stifled by inner critics, or bypassed by survival-mode thinking? However remote it might seem to you now, your Actualising Tendency is always there, ready to resume its central guiding role in your life. If this rings true and you're looking for therapy that will restore and support your own authentic curiosity, awareness, insight and creativity, we might be a good match. Please visit my website to find out more.
020 4538 8765 View 020 4538 8765
Photo of Sara Williams, Counsellor, MBACP
Sara Williams
Counsellor, MBACP
London SW1W
I am a Relational Therapist, working with you to raise awareness of the ‘why’ behind the challenges you face, in order to gain release from suffering. As an experienced therapist, informed by professional and lived experience, I am able to hold the space for deep and sometimes difficult exploration, in which I am active with unimposing intervention and challenge, to support re-connection to your authentic self. A private practice professional in the therapeutic space since the mid-1990s, I’ve lived and practised in Australia, Asia, Africa, Europe and the UK, with extensive experience working cross-culturally, with great sensitivity.
I am a Relational Therapist, working with you to raise awareness of the ‘why’ behind the challenges you face, in order to gain release from suffering. As an experienced therapist, informed by professional and lived experience, I am able to hold the space for deep and sometimes difficult exploration, in which I am active with unimposing intervention and challenge, to support re-connection to your authentic self. A private practice professional in the therapeutic space since the mid-1990s, I’ve lived and practised in Australia, Asia, Africa, Europe and the UK, with extensive experience working cross-culturally, with great sensitivity.
020 4538 5667 View 020 4538 5667
Photo of Simon Burgess, Psychotherapist, MBACP
Simon Burgess
Psychotherapist, MBACP
London W6
Hi, my name is Simon and I work as a Psychotherapist in Private Practice in London. Clients who come to me for help usually have high levels of anxiety or depression and find themselves in repeating patterns within their relationships or at work that make them unhappy. I would offer you a safe, containing space where you could talk about and explore anything that’s difficult or overwhelming. We all have emotional needs and problems often arise when those needs are unmet. I would carefully explore which of your emotional needs were unmet during your childhood and possibly in your present life.
Hi, my name is Simon and I work as a Psychotherapist in Private Practice in London. Clients who come to me for help usually have high levels of anxiety or depression and find themselves in repeating patterns within their relationships or at work that make them unhappy. I would offer you a safe, containing space where you could talk about and explore anything that’s difficult or overwhelming. We all have emotional needs and problems often arise when those needs are unmet. I would carefully explore which of your emotional needs were unmet during your childhood and possibly in your present life.
01748 900754 View 01748 900754
Photo of Verele Anne Vorstman, Psychotherapist, MSc, MBABCP
Verele Anne Vorstman
Psychotherapist, MSc, MBABCP
London W12
I offer a balanced set of approaches that I can apply to suit your needs. Some people are better helped with insights into their patterns; others may need more skills and again others may feel they do everything right yet they are still unhappy. I strongly believe in trying out new behaviour, as this creates the biggest shifts and minimizes relapse. I integrate lifestyle factors such as nutrition when necessary. When the chemicals aren't right, talking isn't going to lift your mood. We will always explore the source of your issues, relating it to your system, so as to radically release and uproot it and make change more effortless.
I offer a balanced set of approaches that I can apply to suit your needs. Some people are better helped with insights into their patterns; others may need more skills and again others may feel they do everything right yet they are still unhappy. I strongly believe in trying out new behaviour, as this creates the biggest shifts and minimizes relapse. I integrate lifestyle factors such as nutrition when necessary. When the chemicals aren't right, talking isn't going to lift your mood. We will always explore the source of your issues, relating it to your system, so as to radically release and uproot it and make change more effortless.
07533 061114 View 07533 061114
Photo of Aimee Ogden, Psychotherapist, MNCPS Acc.
Aimee Ogden
Psychotherapist, MNCPS Acc.
Online Only
Hi, I'm Aimee, a Cognitive Behavioural Therapist. As a fellow human being, I know how challenging life can be sometimes but it’s important to know that you are not alone. You may be feeling anxious, depressed, overwhelmed or stressed at work. You may going through a significant life change or you may be feeling stuck, generally unhappy and don't know how to move forward. Whatever the reason, and whether this is a recent problem or something you have been struggling with for a while, I can work with you to make sense of what you are experiencing and help you get clarity on what needs to change.
Hi, I'm Aimee, a Cognitive Behavioural Therapist. As a fellow human being, I know how challenging life can be sometimes but it’s important to know that you are not alone. You may be feeling anxious, depressed, overwhelmed or stressed at work. You may going through a significant life change or you may be feeling stuck, generally unhappy and don't know how to move forward. Whatever the reason, and whether this is a recent problem or something you have been struggling with for a while, I can work with you to make sense of what you are experiencing and help you get clarity on what needs to change.
020 3004 1644 View 020 3004 1644
Photo of Leela Chaitoo
Leela Chaitoo
Verified Verified
1 Endorsed
London SE1
I have had abundant exposure working with clients who experience shame and self criticism and who typically come from harsh backgrounds which have resulted in them struggling to understand and regulate their painful emotions which can lead to depression, anxiety an d self destructive coping strategies. I support my clints in challenging their perception of their external world as being solely critical and their internal world as being inherently disliked. I recognise that in order for clients to feel reassured and have a sense of "safeness", they must be able to soothe themselves.
I have had abundant exposure working with clients who experience shame and self criticism and who typically come from harsh backgrounds which have resulted in them struggling to understand and regulate their painful emotions which can lead to depression, anxiety an d self destructive coping strategies. I support my clints in challenging their perception of their external world as being solely critical and their internal world as being inherently disliked. I recognise that in order for clients to feel reassured and have a sense of "safeness", they must be able to soothe themselves.
020 4572 1857 View 020 4572 1857
Photo of Jordan Makmihe, Psychotherapist, MSc, MUKCP
Jordan Makmihe
Psychotherapist, MSc, MUKCP
London E8
I am an experienced systemic psychotherapist who is passionate about helping individuals, couples and families to make positive and long-term changes in their lives and relationships. Some key issues I specialise in include: improving the safety/quality of relationships (ie. trust, communication, intimacy); improving mental wellbeing (ie. stress, anxiety, depression); recovery from trauma/abuse; parenting/family issues; grief/loss; impact of oppression related to racism, sexism, or gender identity). Whatever your dilemmas, you will be treated with respect, warmth, compassion, and curiosity, as we co-create the changes you desire.
I am an experienced systemic psychotherapist who is passionate about helping individuals, couples and families to make positive and long-term changes in their lives and relationships. Some key issues I specialise in include: improving the safety/quality of relationships (ie. trust, communication, intimacy); improving mental wellbeing (ie. stress, anxiety, depression); recovery from trauma/abuse; parenting/family issues; grief/loss; impact of oppression related to racism, sexism, or gender identity). Whatever your dilemmas, you will be treated with respect, warmth, compassion, and curiosity, as we co-create the changes you desire.
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Photo of Rebecca Threlfall, Counsellor, MBACP
Rebecca Threlfall
Counsellor, MBACP
London N22
I work with people of all ages and backgrounds, at different stages of their lives and with different things that they would like to address. Sometimes people come with something specific such as anxiety or a bereavement, following a relationship breakdown or with obsessive compulsive symptoms. Sometimes people come because they are dissatisfied with work, or relationships; friendships, family or intimate relationships. And sometimes people come because they feel stuck or out of sorts, like they want things to be different and they're not sure how, but they want change somehow. Individuals and couples.
I work with people of all ages and backgrounds, at different stages of their lives and with different things that they would like to address. Sometimes people come with something specific such as anxiety or a bereavement, following a relationship breakdown or with obsessive compulsive symptoms. Sometimes people come because they are dissatisfied with work, or relationships; friendships, family or intimate relationships. And sometimes people come because they feel stuck or out of sorts, like they want things to be different and they're not sure how, but they want change somehow. Individuals and couples.
020 3973 9163 View 020 3973 9163
Photo of Yoko Crohill, Psychotherapist, MA, HCPC-Art Therap.
Yoko Crohill
Psychotherapist, MA, HCPC-Art Therap.
London E8
Hi, I provide individual therapy in North London and East London, working with Adult clients. I offer a safe, non-judgmental and confidential space to explore your concerns, difficulties, or feelings that might be hard to express or think about. I will stay alongside you through the process of discovery, exploration and change. I provide a sense of trust and safety, where you will feel listened to and understood. As an Integrative Psychotherapist, I use different theories and approaches to best suit your needs. I also offer the arts and creativity in sessions, although no art experience or 'skills' are needed to get the benefit.
Hi, I provide individual therapy in North London and East London, working with Adult clients. I offer a safe, non-judgmental and confidential space to explore your concerns, difficulties, or feelings that might be hard to express or think about. I will stay alongside you through the process of discovery, exploration and change. I provide a sense of trust and safety, where you will feel listened to and understood. As an Integrative Psychotherapist, I use different theories and approaches to best suit your needs. I also offer the arts and creativity in sessions, although no art experience or 'skills' are needed to get the benefit.
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Photo of Didem Erdenir, Psychotherapist, MUKCP
Didem Erdenir
Psychotherapist, MUKCP
Online Only
Through crisis, we have the opportunity to grow and develop towards our full potential as human beings. My aim as a psychotherapist is to help you face life's difficulties and to explore ways of dealing with them. While I have many years of experience and training in therapy and counselling, I believe that you hold the power to heal yourself and have the answers to your problems within you. Our work together will largely be based on finding these answers, whilst giving you the tools to deal with your inner and outer struggles.
Through crisis, we have the opportunity to grow and develop towards our full potential as human beings. My aim as a psychotherapist is to help you face life's difficulties and to explore ways of dealing with them. While I have many years of experience and training in therapy and counselling, I believe that you hold the power to heal yourself and have the answers to your problems within you. Our work together will largely be based on finding these answers, whilst giving you the tools to deal with your inner and outer struggles.
020 8176 6812 View 020 8176 6812
Photo of Deborrah Baksh, Psychotherapist, MSc, MUKCP
Deborrah Baksh
Psychotherapist, MSc, MUKCP
London E1
Whether you are finding it difficult to cope, would like support for a specific issue or are feeling stuck, therapy can offer you a safe space to explore any difficulties with the support of a professional trained to listen and respond in an insightful, non-judgmental and caring way. You do not need to be in crisis to benefit from therapy, although it is fine if you are. It provides an opportunity to gain greater self-awareness and self-acceptance so you can make meaningful and lasting changes in your life.
Whether you are finding it difficult to cope, would like support for a specific issue or are feeling stuck, therapy can offer you a safe space to explore any difficulties with the support of a professional trained to listen and respond in an insightful, non-judgmental and caring way. You do not need to be in crisis to benefit from therapy, although it is fine if you are. It provides an opportunity to gain greater self-awareness and self-acceptance so you can make meaningful and lasting changes in your life.
023 8214 9895 View 023 8214 9895
Photo of Alice Bearn, Counsellor, MA, BACP
Alice Bearn
Counsellor, MA, BACP
London E2
Sometimes life can feel overwhelming and hard to handle. I provide a space to talk through the things that are making you feel anxious, sad, stressed or perhaps a bit lost. Setting aside time to focus on yourself and talk about the things that are causing you distress can really help to bring new perspectives and ease some of the anxieties that can hold you back from living in a happy and fulfilled way. I aim to work with you through some of these things to help bring clarity and insight, which in turn can help improve how you feel day to day and allow you to take charge of who you are and how you navigate the world.
Sometimes life can feel overwhelming and hard to handle. I provide a space to talk through the things that are making you feel anxious, sad, stressed or perhaps a bit lost. Setting aside time to focus on yourself and talk about the things that are causing you distress can really help to bring new perspectives and ease some of the anxieties that can hold you back from living in a happy and fulfilled way. I aim to work with you through some of these things to help bring clarity and insight, which in turn can help improve how you feel day to day and allow you to take charge of who you are and how you navigate the world.
020 8103 9086 View 020 8103 9086
Photo of Alastair Sadler Mbacp (Accred), Psychotherapist, MBACP Accred
Alastair Sadler Mbacp (Accred)
Psychotherapist, MBACP Accred
London N22
Distress is not inevitable or permanent. To move away from distress, something needs to change. Together we can explore that something. Distress can be: anxiety, anger, depression and loss. But you are not a piece of paper to be filed, a case to be studied or a collection of symptoms to be diagnosed. You are a unique. An individual to be fully heard and supported in a safe confidential space or exploration. I counsel change in: response through choice, vulnerability through resilience, resolve through strategy. I work: with compassion and skill, without labels or judgement, but always with a passion for change.
Distress is not inevitable or permanent. To move away from distress, something needs to change. Together we can explore that something. Distress can be: anxiety, anger, depression and loss. But you are not a piece of paper to be filed, a case to be studied or a collection of symptoms to be diagnosed. You are a unique. An individual to be fully heard and supported in a safe confidential space or exploration. I counsel change in: response through choice, vulnerability through resilience, resolve through strategy. I work: with compassion and skill, without labels or judgement, but always with a passion for change.
020 4538 3214 View 020 4538 3214
Photo of Sila Ozdemirler
Sila Ozdemirler
Verified Verified
London EC1R
I am specialized in working with anxiety, work-related stress and relationship problems and attachment style issues. I also offer support for depression, low self-esteem, eating disorders, time management and organisational skills, adaptation problems, identity and life transitions, bereavement, and trauma. I am an integrative therapist working with CBT and incorporate it with acceptance and commitment therapy (ACT), solution-focused therapy (SFT), compassion focused therapy (CFT) and mindfulness with a holistic approach.
I am specialized in working with anxiety, work-related stress and relationship problems and attachment style issues. I also offer support for depression, low self-esteem, eating disorders, time management and organisational skills, adaptation problems, identity and life transitions, bereavement, and trauma. I am an integrative therapist working with CBT and incorporate it with acceptance and commitment therapy (ACT), solution-focused therapy (SFT), compassion focused therapy (CFT) and mindfulness with a holistic approach.
020 3974 2052 View 020 3974 2052
Photo of Edoardo Zollo - CoupleTherapistLondon, Psychotherapist, MNCPS Acc.
CoupleTherapistLondon
Psychotherapist, MNCPS Acc.
London WC1A
I can help you with: 1) communication and differences, 2) sex and ageing, 3) conflicts, 4) dealing with affairs.
I can help you with: 1) communication and differences, 2) sex and ageing, 3) conflicts, 4) dealing with affairs.
020 4572 2488 View 020 4572 2488
Photo of Eleanor Bigden - Uplifting practical therapy for your life path, Psychotherapist, MBABCP
With friendly realness and 27 years expertise in combining evidence based therapy and coaching, I’m here to help you get back on your feet, on the right track and positively moving forward. Imagine being clearer, stronger, more in control and self aligned - to actually enjoy your life! I’m passionate about helping people reach that by addressing internal and external blocks effectively and constructively. We can work on the phone or online from wherever gives you a helpful boost before, during or after your busy work day. You can double up on positive use of your time with outdoor walk and talk sessions to help your body mind brain.
With friendly realness and 27 years expertise in combining evidence based therapy and coaching, I’m here to help you get back on your feet, on the right track and positively moving forward. Imagine being clearer, stronger, more in control and self aligned - to actually enjoy your life! I’m passionate about helping people reach that by addressing internal and external blocks effectively and constructively. We can work on the phone or online from wherever gives you a helpful boost before, during or after your busy work day. You can double up on positive use of your time with outdoor walk and talk sessions to help your body mind brain.
020 3823 6384 View 020 3823 6384
Photo of William Berisch-Secretan, Psychotherapist, MA, MUKCP
William Berisch-Secretan
Psychotherapist, MA, MUKCP
4 Endorsed
London NW1
With over twenty years experience in the field, I offer highly skilled psychotherapy to individuals and groups in my private practice. I am also Psychology Lead and Group Psychotherapy Lead for North London NHS Foundation Trust in Haringey where I manage and supervise other psychologists and psychotherapists as well as providing specialist consultation and treatment to adults with severe and complex mental health problems. In my private practice, I work with a wider range of people experiencing everything from mental and emotional distress to major life changes as well as those who are seeking to make more meaning in their lives.
With over twenty years experience in the field, I offer highly skilled psychotherapy to individuals and groups in my private practice. I am also Psychology Lead and Group Psychotherapy Lead for North London NHS Foundation Trust in Haringey where I manage and supervise other psychologists and psychotherapists as well as providing specialist consultation and treatment to adults with severe and complex mental health problems. In my private practice, I work with a wider range of people experiencing everything from mental and emotional distress to major life changes as well as those who are seeking to make more meaning in their lives.
01803 222187 View 01803 222187
Photo of Angela Felecity Bryant, Counsellor, MBACP
Angela Felecity Bryant
Counsellor, MBACP
1 Endorsed
London W13
Welcome to my profile. You have made the courageous decision taking the first steps towards positive change and healing old wounds by reaching out for support. Many people come to counselling for different reasons, you are not alone. Counselling gives you a safe confidential space ,where you can explore thoughts and feelings, gaining awareness on unhelpful behaviour and perspectives by exploring healthier ways of coping and helps you make positive changes and move forward in life.
Welcome to my profile. You have made the courageous decision taking the first steps towards positive change and healing old wounds by reaching out for support. Many people come to counselling for different reasons, you are not alone. Counselling gives you a safe confidential space ,where you can explore thoughts and feelings, gaining awareness on unhelpful behaviour and perspectives by exploring healthier ways of coping and helps you make positive changes and move forward in life.
01748 901506 View 01748 901506
Photo of Dr James Le Couteur, Psychologist, PsychD, HCPC - Clin. Psych.
Dr James Le Couteur
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
Not accepting new clients
Many people feel lost, anxious, confused or overwhelmed; therapy is an effective way to find direction and stability. By collaboratively exploring your values, you will be supported and encouraged to live the life you want to be living. You are unique. To be most effective, therapy should be tailored to you — matching your own internal experiences (thoughts and emotions) and external life experiences. Fortunately, there are a variety of psychological therapies and therapeutic practices that together we can choose from, to help you feel the best version of yourself.
Many people feel lost, anxious, confused or overwhelmed; therapy is an effective way to find direction and stability. By collaboratively exploring your values, you will be supported and encouraged to live the life you want to be living. You are unique. To be most effective, therapy should be tailored to you — matching your own internal experiences (thoughts and emotions) and external life experiences. Fortunately, there are a variety of psychological therapies and therapeutic practices that together we can choose from, to help you feel the best version of yourself.
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Photo of Charlotte Lucas, Psychotherapist, MUKCP
Charlotte Lucas
Psychotherapist, MUKCP
London W4
Hi, my name is Charlotte. I am a UKCP registered psychotherapist with an MSc in Transactional Analysis. I know that coming to therapy can often feel difficult and scary. The desire to want to change often comes out of finding yourself stuck in the same place. This can feel confusing and even overwhelming, so finding the right therapist for you is essential. Together, we will work on making sense of the mental blocks you’ve hit to unlock new ways of thinking through the past in order to awaken present. I am a warm, empathic and direct counsellor who can offer you a confidential space to explore yourself deeply and in your own time.
Hi, my name is Charlotte. I am a UKCP registered psychotherapist with an MSc in Transactional Analysis. I know that coming to therapy can often feel difficult and scary. The desire to want to change often comes out of finding yourself stuck in the same place. This can feel confusing and even overwhelming, so finding the right therapist for you is essential. Together, we will work on making sense of the mental blocks you’ve hit to unlock new ways of thinking through the past in order to awaken present. I am a warm, empathic and direct counsellor who can offer you a confidential space to explore yourself deeply and in your own time.
01748 902284 View 01748 902284

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
57% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

Search for nearby therapists or counsellors by inputting your city, postcode, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postcode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the BACP, the UKCP, or BPS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.