Counselling in Bermondsey, London

Photo of Janelle Fairweather, MBACP, Counsellor
Janelle Fairweather
Counsellor, MBACP
Verified Verified
1 Endorsed
Bermondsey, London SE16
Taking the first step into therapy can feel overwhelming—it's normal to not know where to start or what to expect. Life's challenges, especially past experiences, may have left you feeling stuck, anxious, or hopeless. Often, our childhoods shape how we feel and respond in the present. At your own pace, we’ll explore how these past experiences might be influencing your current life. Therapy isn’t about “fixing” you; it’s about creating a safe, trusting space where you can begin to untangle what’s holding you back and rediscover the person you’ve always wanted to be.
Taking the first step into therapy can feel overwhelming—it's normal to not know where to start or what to expect. Life's challenges, especially past experiences, may have left you feeling stuck, anxious, or hopeless. Often, our childhoods shape how we feel and respond in the present. At your own pace, we’ll explore how these past experiences might be influencing your current life. Therapy isn’t about “fixing” you; it’s about creating a safe, trusting space where you can begin to untangle what’s holding you back and rediscover the person you’ve always wanted to be.
020 3535 6637 View 020 3535 6637
Photo of Dr Christopher Mates, PsychD, HCPC - Clin. Psych., Psychologist
Dr Christopher Mates
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bermondsey, London SE16
With over 10 years of experience working as a psychologist in the NHS I believe that therapy should be outcome focussed and should not last forever. You may already have a clear sense of what's wrong or what you want to discuss, or maybe you have a sense something isn't right and you want to work out what that is and what can be done. I specialise in working with mood difficulties (low mood, anxiety/worry and anger) as well as relationship issues often linked to mood problems
With over 10 years of experience working as a psychologist in the NHS I believe that therapy should be outcome focussed and should not last forever. You may already have a clear sense of what's wrong or what you want to discuss, or maybe you have a sense something isn't right and you want to work out what that is and what can be done. I specialise in working with mood difficulties (low mood, anxiety/worry and anger) as well as relationship issues often linked to mood problems
020 3871 8367 View 020 3871 8367
Photo of Sonia Barrachina, MA, HCPC-Drama Therap., Counsellor
Sonia Barrachina
Counsellor, MA, HCPC-Drama Therap.
Verified Verified
Online Only
EMDR can offer a brief, focused treatment where you remain in control of your self-healing process and can empower you to make life changes. NICE and WHO recognize EMDR for the treatment of PTSD, but it also helps with various MH conditions. If you are a young person, adult, or elder that have experienced a traumatic event, is dealing with sleep difficulties, anxiety, emotional/self-confidence issues, intrusive memories/thoughts, or suffering from a phobia. You have wanted to act on this but have not found the time or the therapy that suits you. NOW might be the time. EMDR the approach, and I am right here to guide you through.
EMDR can offer a brief, focused treatment where you remain in control of your self-healing process and can empower you to make life changes. NICE and WHO recognize EMDR for the treatment of PTSD, but it also helps with various MH conditions. If you are a young person, adult, or elder that have experienced a traumatic event, is dealing with sleep difficulties, anxiety, emotional/self-confidence issues, intrusive memories/thoughts, or suffering from a phobia. You have wanted to act on this but have not found the time or the therapy that suits you. NOW might be the time. EMDR the approach, and I am right here to guide you through.
020 3834 8188 View 020 3834 8188
Photo of Michael Higgins, MA, MBACP, Counsellor
Michael Higgins
Counsellor, MA, MBACP
Verified Verified
Bermondsey, London SE1
I work with people who are stuck and want to get moving again in some area of their lives. They can be stuck for many reasons, but commonly this is anxiety, depression or life events, including the death of someone close, the loss of a job or illness, to name a few. To address these challenges, I offer a space and time to explore what is bothering you, what the best thing to focus on right now is, and how we can work together to get things moving again.
I work with people who are stuck and want to get moving again in some area of their lives. They can be stuck for many reasons, but commonly this is anxiety, depression or life events, including the death of someone close, the loss of a job or illness, to name a few. To address these challenges, I offer a space and time to explore what is bothering you, what the best thing to focus on right now is, and how we can work together to get things moving again.
020 3823 6819 View 020 3823 6819
Photo of Afeezat Toyosi Akiwumi, MBACP, Psychotherapist
Afeezat Toyosi Akiwumi
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Online Only
My psychodynamic training takes into account the connections between the past and the present and in the frame of how we engage, things can become apparent that you may have not been aware of. The nuances of how this promotes change has been expressed by my clients. I also work as a trauma informed counsellor which has enriched my experience as a therapist. I have experience working with self esteem, anxiety, abuse and much more. There may be things from your past that you feel are stopping you from moving forward. In our sessions we can explore what you bring, what your goals are and what it would look like to achieve them.
My psychodynamic training takes into account the connections between the past and the present and in the frame of how we engage, things can become apparent that you may have not been aware of. The nuances of how this promotes change has been expressed by my clients. I also work as a trauma informed counsellor which has enriched my experience as a therapist. I have experience working with self esteem, anxiety, abuse and much more. There may be things from your past that you feel are stopping you from moving forward. In our sessions we can explore what you bring, what your goals are and what it would look like to achieve them.
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Photo of Jacqueline Abigail Bascombe, MBACP, Counsellor
Jacqueline Abigail Bascombe
Counsellor, MBACP
Verified Verified
Bermondsey, London SE8
Welcome to my profile, I have over 20 years experience in therapy and clinical supervision. I am experienced in project management, building Counselling projects in communities where there is disavantage and limited access to therapeutic services. I offer 1-2-1 person centred therapy, taking the first step is the way forward to make changes in your life. Therapy gives you the space to get a better understanding of who you are without judgement, you don't have to shoulder the load on your own. I also support trainee and experienced therapists with clinical supervision. Where I provide a safe space to further develop your practice.
Welcome to my profile, I have over 20 years experience in therapy and clinical supervision. I am experienced in project management, building Counselling projects in communities where there is disavantage and limited access to therapeutic services. I offer 1-2-1 person centred therapy, taking the first step is the way forward to make changes in your life. Therapy gives you the space to get a better understanding of who you are without judgement, you don't have to shoulder the load on your own. I also support trainee and experienced therapists with clinical supervision. Where I provide a safe space to further develop your practice.
020 8106 6918 View 020 8106 6918
Photo of Zoe Xenakis, UKCP Trainee, Psychotherapist
Zoe Xenakis
Psychotherapist, UKCP Trainee
Verified Verified
Bermondsey, London SE16
Whether you are experiencing serious psychological or emotional difficulties, encountering unique challenges in your life, or just want to deepen your self-exploration, "the talking cure" is a way of easing suffering and engendering personal growth. As a psychoanalytic psychotherapist, I provide a space of deep listening and reflection. An integrative approach means that as a therapist I respond to your unique needs, rather than applying a model of treatment onto you. The frequency and duration of therapy varies depending on your needs and desires. Please see my website to read more about my background and clinical approach.
Whether you are experiencing serious psychological or emotional difficulties, encountering unique challenges in your life, or just want to deepen your self-exploration, "the talking cure" is a way of easing suffering and engendering personal growth. As a psychoanalytic psychotherapist, I provide a space of deep listening and reflection. An integrative approach means that as a therapist I respond to your unique needs, rather than applying a model of treatment onto you. The frequency and duration of therapy varies depending on your needs and desires. Please see my website to read more about my background and clinical approach.
020 3816 0340 View 020 3816 0340
Photo of Suzanne Piddock, MSc, MBACP, Psychotherapist
Suzanne Piddock
Psychotherapist, MSc, MBACP
Verified Verified
Online Only
I'm a BACP registered counsellor/psychotherapist and coach with a Masters in Integrative Counselling and Coaching from UEL. Counselling resolves internal conflicts, while coaching focuses on achieving goals. I combine both to meet client needs. Having studied yoga, I also use somatics in therapy to help clients process unresolved emotions and traumas.
I'm a BACP registered counsellor/psychotherapist and coach with a Masters in Integrative Counselling and Coaching from UEL. Counselling resolves internal conflicts, while coaching focuses on achieving goals. I combine both to meet client needs. Having studied yoga, I also use somatics in therapy to help clients process unresolved emotions and traumas.
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Photo of Kate Knight, MSc, MBACP, Counsellor
Kate Knight
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Online Only
Congratulations on taking the initiative to explore how you might nurture your mental health and well-being, whether you wish to improve personal or professional relationships, reach your full potential, achieve a better work-life balance, manage the challenges of working in stressful environments, cope with loss, stress, anxiety, depression, low self-esteem, prejudice and unconscious bias, or to gain a deeper understanding of your feelings, thoughts and behaviours. I offer a safe and confidential space to work collaboratively with you to help you understand how unconscious, internal processes may be holding you hostage.
Congratulations on taking the initiative to explore how you might nurture your mental health and well-being, whether you wish to improve personal or professional relationships, reach your full potential, achieve a better work-life balance, manage the challenges of working in stressful environments, cope with loss, stress, anxiety, depression, low self-esteem, prejudice and unconscious bias, or to gain a deeper understanding of your feelings, thoughts and behaviours. I offer a safe and confidential space to work collaboratively with you to help you understand how unconscious, internal processes may be holding you hostage.
020 4538 3978 View 020 4538 3978
Photo of Florian-Jack Stewart, MBACP, Counsellor
Florian-Jack Stewart
Counsellor, MBACP
Verified Verified
Bermondsey, London SE16
I am a qualified person-centred therapist. I work with individuals who are straight, gay, queer, bi, asexual, questioning and all genders including cis, trans, intersex, non-binary, genderqueer and gender questioning people. There are no issues I cannot support you with. I have experience of a wide variety of different problems such as; anxiety, low mood, end of life, chronic illness, disability, parenting, break up, trauma, sexual abuse, addictions, low self esteem and relationship issues. The people I have helped have had feelings that range from mild upset or worry, through intense levels of distress and despair. 
I am a qualified person-centred therapist. I work with individuals who are straight, gay, queer, bi, asexual, questioning and all genders including cis, trans, intersex, non-binary, genderqueer and gender questioning people. There are no issues I cannot support you with. I have experience of a wide variety of different problems such as; anxiety, low mood, end of life, chronic illness, disability, parenting, break up, trauma, sexual abuse, addictions, low self esteem and relationship issues. The people I have helped have had feelings that range from mild upset or worry, through intense levels of distress and despair. 
020 8059 2257 View 020 8059 2257
Photo of Ali Nicholson, DCounsPsych, BACP, Counsellor
Ali Nicholson
Counsellor, DCounsPsych, BACP
Verified Verified
Bermondsey, London SE16
A space to talk, process, grow and move forward. I offer weekly therapy sessions for individual adults, 50 minutes per session. You can choose face-to-face or online sessions. I am based in The Biscuit Factory in Bermondsey, Surrey Quays SE16, easy to get to via Bermondsey, Canada Water and Surrey Quays Stations.
A space to talk, process, grow and move forward. I offer weekly therapy sessions for individual adults, 50 minutes per session. You can choose face-to-face or online sessions. I am based in The Biscuit Factory in Bermondsey, Surrey Quays SE16, easy to get to via Bermondsey, Canada Water and Surrey Quays Stations.
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Photo of Claire Mouchot, PhD, MUKCP, Psychotherapist
Claire Mouchot
Psychotherapist, PhD, MUKCP
Verified Verified
Online Only
I like to see any life journey as a metaphor to walking in known and unknown territories. We follow the cairns along the way (beliefs, relationships, professional career...) and sometimes we lose sight of them, we get anxious; stuck; lost; not good enough and compensatory mechanisms no longer work. This is usually when we look for help, including counselling, psychotherapy or psychoanalysis. In the therapeutic setting, I will walk with you at your pace to re-discover or re-build these structures that bring you a sense of direction, safety, strength and meaning in your life and allow you to go on to your individual path.
I like to see any life journey as a metaphor to walking in known and unknown territories. We follow the cairns along the way (beliefs, relationships, professional career...) and sometimes we lose sight of them, we get anxious; stuck; lost; not good enough and compensatory mechanisms no longer work. This is usually when we look for help, including counselling, psychotherapy or psychoanalysis. In the therapeutic setting, I will walk with you at your pace to re-discover or re-build these structures that bring you a sense of direction, safety, strength and meaning in your life and allow you to go on to your individual path.
020 3871 8314 View 020 3871 8314
Photo of Nichola Williams, MBACP, Counsellor
Nichola Williams
Counsellor, MBACP
Verified Verified
Bermondsey, London SE16
​Past challenges and traumatic experiences can create barriers that prevent us from fully engaging with and appreciating the present. If you're an adult seeking a safe and supportive space to work through childhood or adolescent trauma, domestic or sexual abuse, or other personal challenges, I encourage you to reach out. I currently offer weekly face to face and online therapy sessions at my practice located in Bermondsey, South London.
​Past challenges and traumatic experiences can create barriers that prevent us from fully engaging with and appreciating the present. If you're an adult seeking a safe and supportive space to work through childhood or adolescent trauma, domestic or sexual abuse, or other personal challenges, I encourage you to reach out. I currently offer weekly face to face and online therapy sessions at my practice located in Bermondsey, South London.
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Photo of Cristina Zorat, MBACP Accred, Counsellor
Cristina Zorat
Counsellor, MBACP Accred
Verified Verified
Bermondsey, London SE16
Whatever the difficulty you are going through right now, you are not alone. All feelings and thoughts you may be experiencing are valid. We can explore together what may feel very confusing and overwhelming, make sense of it and find the best way to go forward.
Whatever the difficulty you are going through right now, you are not alone. All feelings and thoughts you may be experiencing are valid. We can explore together what may feel very confusing and overwhelming, make sense of it and find the best way to go forward.
020 8103 9002 View 020 8103 9002
Photo of Juliane Thieme - Juliane Thieme Psychodynamic Psychotherapy, MA, BPC, Psychotherapist
Juliane Thieme Psychodynamic Psychotherapy
Psychotherapist, MA, BPC
Verified Verified
Bermondsey, London SE16
I am a qualified and experienced psychodynamic psychotherapist providing a warm, supportive and non-judgmental space for you to bring whatever it is you feel the need to talk about. I am there to listen to you with empathy and to help you think about your feelings, however difficult they may be. I am a registered member of the BPC and BACP and work under their ethical code. I hold a professional qualification in Psychodynamic Psychotherapy as well as a previous training in Psychodynamic Counselling, an MA in Psychoanalytic Studies and a degree in Psychology and Counselling. I am a member of the Tavistock Society of Psychotherapists.
I am a qualified and experienced psychodynamic psychotherapist providing a warm, supportive and non-judgmental space for you to bring whatever it is you feel the need to talk about. I am there to listen to you with empathy and to help you think about your feelings, however difficult they may be. I am a registered member of the BPC and BACP and work under their ethical code. I hold a professional qualification in Psychodynamic Psychotherapy as well as a previous training in Psychodynamic Counselling, an MA in Psychoanalytic Studies and a degree in Psychology and Counselling. I am a member of the Tavistock Society of Psychotherapists.
020 3870 4454 View 020 3870 4454
Photo of Patricia Marcos Martinez, MA, MUKCP, Psychotherapist
Patricia Marcos Martinez
Psychotherapist, MA, MUKCP
Verified Verified
Bermondsey, London SE16
Starting therapy is the first step in getting to know yourself a bit more so the changes you wish in your life can take place. There can be many reasons why you might be seeking therapy: from either a particular event or a long-standing difficulty or because you are interested in your personal growth. In any case, I strive to provide you with a safe and confidential space where your concerns can be explored at your own pace. I aim to help you discover, with compassion, more about yourself and foster your growth of self-awareness and authenticity so positive choices can be made.
Starting therapy is the first step in getting to know yourself a bit more so the changes you wish in your life can take place. There can be many reasons why you might be seeking therapy: from either a particular event or a long-standing difficulty or because you are interested in your personal growth. In any case, I strive to provide you with a safe and confidential space where your concerns can be explored at your own pace. I aim to help you discover, with compassion, more about yourself and foster your growth of self-awareness and authenticity so positive choices can be made.
020 3910 6086 View 020 3910 6086
Photo of Gareth Willett, MBABCP, Psychotherapist
Gareth Willett
Psychotherapist, MBABCP
Verified Verified
Online Only
I'm a Self-Discovery Success Coach (Certified ICF Neuroscience-based Results Coach and Accredited BABCP Cognitive Behavioural Therapist), and I help soul-seeking professionals to stop running away from their demons of 'failure' and 'not good enough', and to re-discover their freedom, fulfillment and potential so that they can start working, and living, with more presence, power and purpose, without the constant self-doubt and self-sabotage getting in the way.
I'm a Self-Discovery Success Coach (Certified ICF Neuroscience-based Results Coach and Accredited BABCP Cognitive Behavioural Therapist), and I help soul-seeking professionals to stop running away from their demons of 'failure' and 'not good enough', and to re-discover their freedom, fulfillment and potential so that they can start working, and living, with more presence, power and purpose, without the constant self-doubt and self-sabotage getting in the way.
020 3962 1622 View 020 3962 1622
Photo of Emma Parfett-Smith, MBACP, Counsellor
Emma Parfett-Smith
Counsellor, MBACP
Verified Verified
Bermondsey, London SE16
We live in a fast paced sometimes confusing world, we all at times need a place to slow down and make sense of it all especially when we find ourselves in moments of crisis or transition. Perhaps you’ve found yourself wanting to make changes or questioning who you are and what you want but you’ve found yourself unable to know where to start.Counselling offers that opportunity, An opportunity to focus on you and hopefully give you some clarity and sense of self.
We live in a fast paced sometimes confusing world, we all at times need a place to slow down and make sense of it all especially when we find ourselves in moments of crisis or transition. Perhaps you’ve found yourself wanting to make changes or questioning who you are and what you want but you’ve found yourself unable to know where to start.Counselling offers that opportunity, An opportunity to focus on you and hopefully give you some clarity and sense of self.
020 3893 2328 View 020 3893 2328
Photo of Elle Heasman, MNCPS Acc., Psychotherapist
Elle Heasman
Psychotherapist, MNCPS Acc.
Verified Verified
1 Endorsed
Bermondsey, London SE16
Couples Therapy: Communication is the foundation of all human relationships, and how we talk can indicate how healthy our relationship is. Both need to take individual and collective accountability and responsibility for communicating and listening to each other if a relationship is to flourish. Do you have a daily or weekly check-in with your partner to check the relationship's temperature? Or, do you only find the time to point out difficulties and problems in the relationship, resulting in no solution-focused understanding of the agreement, and you are irritated and frustrated and need clarity?
Couples Therapy: Communication is the foundation of all human relationships, and how we talk can indicate how healthy our relationship is. Both need to take individual and collective accountability and responsibility for communicating and listening to each other if a relationship is to flourish. Do you have a daily or weekly check-in with your partner to check the relationship's temperature? Or, do you only find the time to point out difficulties and problems in the relationship, resulting in no solution-focused understanding of the agreement, and you are irritated and frustrated and need clarity?
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Philippe Jacquet & Associates
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Bermondsey, London SE16
As our group of experienced psychotherapists, counselorsPsychotherapists and psychotherapists who work in the field of psychotherapy We are able to provide support for our customers with our trained, professional and accredited staff that is simply not found elsewhere in the Central London area. Philippe Jacquet has an extensive resume in the field of psychotherapy, hypnotherapy and working with clients with a range of different issues and concerns. Mr. Backgammon, and all the therapists and counselors Philippe Jacquet & Associates Offices in Central London are fully committed to using the best practice options with every custom
As our group of experienced psychotherapists, counselorsPsychotherapists and psychotherapists who work in the field of psychotherapy We are able to provide support for our customers with our trained, professional and accredited staff that is simply not found elsewhere in the Central London area. Philippe Jacquet has an extensive resume in the field of psychotherapy, hypnotherapy and working with clients with a range of different issues and concerns. Mr. Backgammon, and all the therapists and counselors Philippe Jacquet & Associates Offices in Central London are fully committed to using the best practice options with every custom
020 3962 2191 View 020 3962 2191
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See more therapy options for Bermondsey, London

How does your Counsellor compare?

Number of Counsellors in Bermondsey, London

60+

Average cost per session

£70

Counsellors in Bermondsey, London who prioritize treating:

96% Anxiety
90% Self Esteem
88% Relationship Issues
88% Depression
81% Trauma and PTSD
81% Stress
74% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

94% Aviva
75% AXA PPP
75% Vitality

How Counsellors in Bermondsey, London see their clients

80% In Person and Online
20% Online Only

Gender breakdown

69% Female
30% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Bermondsey, 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.