Counselling in Harley Street, London

Photo of Sabbir Ahmed, Psychotherapist, MA, MUKCP
Sabbir Ahmed
Psychotherapist, MA, MUKCP
Verified Verified
Harley Street, London W1G
Do you struggle with thoughts that hold you back and get in the way? Are you too hard on yourself, ignoring your achievements and strengths? Do you struggle with self-confidence and believing in yourself? Have you ever felt that sometimes you genuinely strive and try to make changes in your life, but no matter how hard you push, you find yourself stuck in the same patterns of thought and behaviour? You may feel yourself to be trapped, or returning to dull, even toxic relationships. You may also find it hard to come to terms with your self-image, whether financial, emotional, physical, spiritual, social or in relationships.
Do you struggle with thoughts that hold you back and get in the way? Are you too hard on yourself, ignoring your achievements and strengths? Do you struggle with self-confidence and believing in yourself? Have you ever felt that sometimes you genuinely strive and try to make changes in your life, but no matter how hard you push, you find yourself stuck in the same patterns of thought and behaviour? You may feel yourself to be trapped, or returning to dull, even toxic relationships. You may also find it hard to come to terms with your self-image, whether financial, emotional, physical, spiritual, social or in relationships.
020 8138 0855 View 020 8138 0855
Photo of Neil J Dickens, Psychologist, PsychD, HCPC - Couns. Psych.
Neil J Dickens
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
Harley Street, London W1G
Not accepting new clients
Dr Neil Dickens trained as a Counselling Psychologist recognising not only a personal lack of support, but stigma surrounding accessing talking therapy growing up. He has since come to appreciate the efficacies of talking therapy and of having another present to both professionally hearing and validating experience. Taking an integrative approach in his work and drawing on a tailored Cognitive Behavioural, Systemic, Psychodynamic or Person-Centred perspective, he best supports clients, drawing on equally eclectic life experience whilst taking a quietly passionate interest in supporting individuals find their authentic sense of self
Dr Neil Dickens trained as a Counselling Psychologist recognising not only a personal lack of support, but stigma surrounding accessing talking therapy growing up. He has since come to appreciate the efficacies of talking therapy and of having another present to both professionally hearing and validating experience. Taking an integrative approach in his work and drawing on a tailored Cognitive Behavioural, Systemic, Psychodynamic or Person-Centred perspective, he best supports clients, drawing on equally eclectic life experience whilst taking a quietly passionate interest in supporting individuals find their authentic sense of self
020 4538 5913 View 020 4538 5913
Photo of Lindsey Lucking, Psychotherapist, MBACP Accred
Lindsey Lucking
Psychotherapist, MBACP Accred
Verified Verified
Harley Street, London W1G
Is there something preventing you from doing what you want or from behaving in the way that you want? Taking the next step to speak about experiences, thoughts, feelings, and deeply held beliefs is a game changing, reviving experience. Emotional stress can get in the way of your life, job, relationships and your future. Whether its anger, sadness, grief or anxiety, feeling disconnected can also lead to physical stress on your body. It’s often a solitary existence. Please feel free to contact me for an initial no-obligation online chat.
Is there something preventing you from doing what you want or from behaving in the way that you want? Taking the next step to speak about experiences, thoughts, feelings, and deeply held beliefs is a game changing, reviving experience. Emotional stress can get in the way of your life, job, relationships and your future. Whether its anger, sadness, grief or anxiety, feeling disconnected can also lead to physical stress on your body. It’s often a solitary existence. Please feel free to contact me for an initial no-obligation online chat.
020 4538 3791 View 020 4538 3791
Photo of Dr Rebecca Amissah, Psychiatrist, MBBS
Dr Rebecca Amissah
Psychiatrist, MBBS
Verified Verified
Harley Street, London W1G
Maybe you feel lost in life, or unable to achieve certain desires. It can be hard to sort through difficult feelings or thoughts. We can often feel a sense of shame in our experiences, but I am here to express that you are not alone.
Maybe you feel lost in life, or unable to achieve certain desires. It can be hard to sort through difficult feelings or thoughts. We can often feel a sense of shame in our experiences, but I am here to express that you are not alone.
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Photo of Anna Carver, Psychotherapist, BPC
Anna Carver
Psychotherapist, BPC
Verified Verified
Harley Street, London W1G
I am certified in both psychodynamic psychotherapy and psychosexual therapy. I work with individuals and couples seeking help with relationship difficulties, anxiety, low mood and depression, low self-esteem, work performance, creativity and psychosexual problems. I provide a safe, confidential and non-judgemental space for you to talk about your thoughts, feelings and emotions, both online or in a lovely room in Queen Anne Street, London W1.
I am certified in both psychodynamic psychotherapy and psychosexual therapy. I work with individuals and couples seeking help with relationship difficulties, anxiety, low mood and depression, low self-esteem, work performance, creativity and psychosexual problems. I provide a safe, confidential and non-judgemental space for you to talk about your thoughts, feelings and emotions, both online or in a lovely room in Queen Anne Street, London W1.
020 3974 2898 View 020 3974 2898
Photo of Paolo Assandri, Psychologist, MA, HCPC - Couns. Psych.
Paolo Assandri
Psychologist, MA, HCPC - Couns. Psych.
Verified Verified
Online Only
Not accepting new clients
I have 18 years of experience in the field of psychotherapy (both online and in person). I have sound expertise in the treatment of anxiety disorders and eating disorders. As an Italian-born expat, I especially enjoy working with Italians looking for a psychotherapist with whom they can speak in their native language and share a common cultural background.
I have 18 years of experience in the field of psychotherapy (both online and in person). I have sound expertise in the treatment of anxiety disorders and eating disorders. As an Italian-born expat, I especially enjoy working with Italians looking for a psychotherapist with whom they can speak in their native language and share a common cultural background.
020 8103 0641 View 020 8103 0641
Photo of Ilias Bloomfield, Psychotherapist, MSc, MBACP
Ilias Bloomfield
Psychotherapist, MSc, MBACP
Verified Verified
Harley Street, London W1G
Are you feeling stuck, overwhelmed, or perhaps burdened by patterns in your life that seem impossible to change? Perhaps you’re struggling with anxiety, relationship difficulties, low self-esteem, or unresolved experiences from your past. You might feel disconnected from yourself or others, seeking for deeper meaning and emotional clarity.
Are you feeling stuck, overwhelmed, or perhaps burdened by patterns in your life that seem impossible to change? Perhaps you’re struggling with anxiety, relationship difficulties, low self-esteem, or unresolved experiences from your past. You might feel disconnected from yourself or others, seeking for deeper meaning and emotional clarity.
020 4572 5514 View 020 4572 5514
Photo of Kanchana Gunaratna - Dr. Kanchi Gunaratna, Psychologist, PhD, CPsychol
Dr. Kanchi Gunaratna
Psychologist, PhD, CPsychol
Verified Verified
Online Only
I am a HCPC Registered Chartered Psychologist and an Associate Fellow of the British Psychological Society (BPS). I have a breadth and depth of experience in the principles of Psychology spanning 30 plus years. I treat a wide range of psychological difficulties including long term conditions. I aim to make the therapeutic arena a safe and comfortable space so that you feel able to share difficult and challenging issues. My goal is to empower you with skills and techniques enabling you to move forward in life, and to maintain progress after therapy is completed.
I am a HCPC Registered Chartered Psychologist and an Associate Fellow of the British Psychological Society (BPS). I have a breadth and depth of experience in the principles of Psychology spanning 30 plus years. I treat a wide range of psychological difficulties including long term conditions. I aim to make the therapeutic arena a safe and comfortable space so that you feel able to share difficult and challenging issues. My goal is to empower you with skills and techniques enabling you to move forward in life, and to maintain progress after therapy is completed.
020 8106 2173 View 020 8106 2173
Photo of Dr Amber Yan Yang, Psychotherapist, PhD, MBACP
Dr Amber Yan Yang
Psychotherapist, PhD, MBACP
Verified Verified
Harley Street, London W1G
I am a Chartered Psychologist with the British Psychological Society (BPS) and a BACP registered Psychotherapist trained with Regent’s University London and Tavistock and Portman. I hold a PhD in Occupational Health Psychology at University of Nottingham, and a MSc. in Counselling at University of Edinburgh.
I am a Chartered Psychologist with the British Psychological Society (BPS) and a BACP registered Psychotherapist trained with Regent’s University London and Tavistock and Portman. I hold a PhD in Occupational Health Psychology at University of Nottingham, and a MSc. in Counselling at University of Edinburgh.
020 3816 1615 View 020 3816 1615
Photo of Laura Colquhoun, Psychotherapist, MBACP
Laura Colquhoun
Psychotherapist, MBACP
Verified Verified
Harley Street, 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 Marcelline Menyié - Intra Therapy, Psychotherapist, MA, MBACP
Intra Therapy
Psychotherapist, MA, MBACP
Verified Verified
Harley Street, London W1G
Experienced psychotherapist and consultant. We are the experts of our lives and sometimes, we go through difficult times, where we may need support from someone else, to guide us on our journey. How I offer this support is by providing a safe space, allowing you to have the autonomy to be that expert in your life. I strongly focus on safety, trust and a person centred foundation, as it is important for you to feel that the therapeutic space, is your safe space. Know that working with me, you will feel seen. You will feel heard. You will feel understood. I welcome you to a safe space where we can make sense of things together.
Experienced psychotherapist and consultant. We are the experts of our lives and sometimes, we go through difficult times, where we may need support from someone else, to guide us on our journey. How I offer this support is by providing a safe space, allowing you to have the autonomy to be that expert in your life. I strongly focus on safety, trust and a person centred foundation, as it is important for you to feel that the therapeutic space, is your safe space. Know that working with me, you will feel seen. You will feel heard. You will feel understood. I welcome you to a safe space where we can make sense of things together.
01708 989874 View 01708 989874
Photo of Shyama Thanabalasingam, Psychotherapist, MSc, MUKCP
Shyama Thanabalasingam
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Harley Street, London W1G
Hello and welcome. My name is Shyama and I am dedicated to providing a safe space that is respectful and warm, where you feel truly valued and heard. If you would like to talk about what is happening in your life, give words to your feelings and express those silent unspoken thoughts, I am here to offer support and provide a safe space for you to be yourself. I have experience working with individuals facing challenges such as loneliness, depression, anxiety, chronic illness, shame, relationship difficulties, abuse, trauma, grief and loss, racial/cultural complexities, struggles with identity and living with neurodivergence.
Hello and welcome. My name is Shyama and I am dedicated to providing a safe space that is respectful and warm, where you feel truly valued and heard. If you would like to talk about what is happening in your life, give words to your feelings and express those silent unspoken thoughts, I am here to offer support and provide a safe space for you to be yourself. I have experience working with individuals facing challenges such as loneliness, depression, anxiety, chronic illness, shame, relationship difficulties, abuse, trauma, grief and loss, racial/cultural complexities, struggles with identity and living with neurodivergence.
020 4572 2794 View 020 4572 2794
Photo of Allison Rigg - The Fitzrovia Psychology Clinic, Psychologist, PsychD, HCPC - Clin. Psych.
The Fitzrovia Psychology Clinic
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Harley Street, London W1G
The Fitzrovia Psychology Clinic is an award-winning, independent private practice providing psychological help and services across London and Surrey. Our clinicians are hand-selected, highly skilled clinical and counselling psychologists, who have established academic backgrounds and NHS careers, in addition to their private work. We provide interventions for a wide variety of mental health conditions and difficulties including stress, anxiety, depression, personality disorders and eating disorders, all of which can have a hugely debilitating effect on our lives and the lives of people around us.
The Fitzrovia Psychology Clinic is an award-winning, independent private practice providing psychological help and services across London and Surrey. Our clinicians are hand-selected, highly skilled clinical and counselling psychologists, who have established academic backgrounds and NHS careers, in addition to their private work. We provide interventions for a wide variety of mental health conditions and difficulties including stress, anxiety, depression, personality disorders and eating disorders, all of which can have a hugely debilitating effect on our lives and the lives of people around us.
020 4538 4770 View 020 4538 4770
Photo of Danny Zane, Psychotherapist, MBACP
Danny Zane
Psychotherapist, MBACP
Verified Verified
6 Endorsed
Harley Street, London W1G
During your therapy sessions, we will work collaboratively to identify your goals and develop a plan tailored to your specific needs. I use a range of therapeutic techniques and approaches, depending on my client's presenting issues and preferences. Within my Person-Centred practice, I offer a combination of different modalities including psychodynamic therapy and mindfulness-based therapy. We will work through what has brought you to therapy and any goals, changes or meaning you are wanting. Together we shall walk on your therapeutic journey.
During your therapy sessions, we will work collaboratively to identify your goals and develop a plan tailored to your specific needs. I use a range of therapeutic techniques and approaches, depending on my client's presenting issues and preferences. Within my Person-Centred practice, I offer a combination of different modalities including psychodynamic therapy and mindfulness-based therapy. We will work through what has brought you to therapy and any goals, changes or meaning you are wanting. Together we shall walk on your therapeutic journey.
020 3835 3891 View 020 3835 3891
Photo of Michelle O'Sullivan, Psychologist, PsychD, HCPC - Clin. Psych.
Michelle O'Sullivan
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Harley Street, London W1G
Not accepting new clients
I am a trauma specialist Chartered Clinical Psychologist, helping people with their recovery for over ten years. I have a particular interest in supporting people who are experiencing distress due to problems with their work, and those who have developed addictive behaviours to cope with traumatic events. I frequently work with people are experiencing low mood, worry, and sleep difficulties. Sometimes life pulls rug out from you. In therapy we can work together to help you through those times and reclaim your life. We will use the therapeutic space to focus on what is important to you. Read more here: www.osullivanpsychology.org
I am a trauma specialist Chartered Clinical Psychologist, helping people with their recovery for over ten years. I have a particular interest in supporting people who are experiencing distress due to problems with their work, and those who have developed addictive behaviours to cope with traumatic events. I frequently work with people are experiencing low mood, worry, and sleep difficulties. Sometimes life pulls rug out from you. In therapy we can work together to help you through those times and reclaim your life. We will use the therapeutic space to focus on what is important to you. Read more here: www.osullivanpsychology.org
020 3962 0919 View 020 3962 0919
Photo of Jarah Koomson, Psychotherapist, MSc, BACP
Jarah Koomson
Psychotherapist, MSc, BACP
Verified Verified
Harley Street, London W1G
Hi, welcome. I believe one of the bravest things you can do is begin to understand your story. Perhaps you are intrigued in deprogramming previous patterns that you feel do not serve you? Creating a new foundation that starts internally and has a positive ripple effect on those close to you and around you. There are times when everyone experiences challenging and distressing feelings which can interfere with everyday life and relationships. That is when it can be helpful to talk things through with a completely neutral person who you know will be supportive and respond non-judgmentally.
Hi, welcome. I believe one of the bravest things you can do is begin to understand your story. Perhaps you are intrigued in deprogramming previous patterns that you feel do not serve you? Creating a new foundation that starts internally and has a positive ripple effect on those close to you and around you. There are times when everyone experiences challenging and distressing feelings which can interfere with everyday life and relationships. That is when it can be helpful to talk things through with a completely neutral person who you know will be supportive and respond non-judgmentally.
01260 541575 View 01260 541575
Photo of Vanessa Aggrey, Counsellor
Vanessa Aggrey
Counsellor
Verified Verified
Harley Street, London SE4
Fully qualified, BACP-registered counsellor and psychotherapist with over 18 years experience of working with individuals, couples and groups. Some people simply feel there is "something wrong" and want a space to explore their thoughts and feelings. I offer a non-judgemental, supportive and confidential space that will allow you to explore and gain an understanding of the feelings or situation that is causing you unhappiness.
Fully qualified, BACP-registered counsellor and psychotherapist with over 18 years experience of working with individuals, couples and groups. Some people simply feel there is "something wrong" and want a space to explore their thoughts and feelings. I offer a non-judgemental, supportive and confidential space that will allow you to explore and gain an understanding of the feelings or situation that is causing you unhappiness.
07481 346101 View 07481 346101
Photo of Bonnie Sue Wims, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Bonnie Sue Wims
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Online Only
Are you still trying to outrun your fear and prove your worth? If so, I see you. I know you because this was me before I made friends with my demons and put them to work for me. In fact, I moved across the ocean to try and outrun them. But you see, no matter where you are in the world; no matter where you are in your life; no matter where you are in your head; your demons remain right there with you.
Are you still trying to outrun your fear and prove your worth? If so, I see you. I know you because this was me before I made friends with my demons and put them to work for me. In fact, I moved across the ocean to try and outrun them. But you see, no matter where you are in the world; no matter where you are in your life; no matter where you are in your head; your demons remain right there with you.
020 3835 6282 View 020 3835 6282
Photo of Ruth Manasseh, Psychotherapist, BPC
Ruth Manasseh
Psychotherapist, BPC
Verified Verified
Harley Street, London W1G
Dr Ruth is a Psychoanalytic Psychotherapist working between Singapore and London (UK). She holds a Clinical Doctorate in psychoanalytic psychotherapy from the University of Essex (Psychoanalysis Department) and trained at top London clinical mental health institutions including the Lincoln Centre, UCL, Tavistock Centre and the NHS. Dr Ruth has been practicing for more than 22 years and is fluent in Hebrew and English. Her on-going post doctoral clinical research is focussed on treating complex trauma using Applied Cinematherapy, a therapeutic method she pioneered, and regularly uses. She is also an experienced professional coach.
Dr Ruth is a Psychoanalytic Psychotherapist working between Singapore and London (UK). She holds a Clinical Doctorate in psychoanalytic psychotherapy from the University of Essex (Psychoanalysis Department) and trained at top London clinical mental health institutions including the Lincoln Centre, UCL, Tavistock Centre and the NHS. Dr Ruth has been practicing for more than 22 years and is fluent in Hebrew and English. Her on-going post doctoral clinical research is focussed on treating complex trauma using Applied Cinematherapy, a therapeutic method she pioneered, and regularly uses. She is also an experienced professional coach.
020 3984 9177 View 020 3984 9177
Photo of Sophia Spencer - Sophia - Social Anxiety & Confidence Specialist, MSc
Sophia - Social Anxiety & Confidence Specialist
MSc
Verified Verified
2 Endorsed
Online Only
I’m a specialist low self confidence and social anxiety psychotherapist. But before this, I was a child who suffered with extreme eczema, too afraid to be seen and laughed at by others. I get what it feels like when negative perception by others can be your worst fear. If you find yourself overthinking social interactions and fearing judgment from others, and you're tired of not being your authentic self, when you have so much to offer, together we can help you become someone who builds meaningful relationships and embraces life with authentic confidence.
I’m a specialist low self confidence and social anxiety psychotherapist. But before this, I was a child who suffered with extreme eczema, too afraid to be seen and laughed at by others. I get what it feels like when negative perception by others can be your worst fear. If you find yourself overthinking social interactions and fearing judgment from others, and you're tired of not being your authentic self, when you have so much to offer, together we can help you become someone who builds meaningful relationships and embraces life with authentic confidence.
020 4572 4921 View 020 4572 4921
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See more therapy options for Harley Street, London

How does your Counsellor compare?

Number of Counsellors in Harley Street, London

300+

Average cost per session

£100

Counsellors in Harley Street, London who prioritize treating:

91% Anxiety
85% Depression
82% Relationship Issues
82% Self Esteem
82% Stress
74% Trauma and PTSD
62% Bereavement

Average years in practice

13 Years

Top 3 insurances accepted

68% Aviva
61% AXA PPP
61% Vitality

How Counsellors in Harley Street, London see their clients

77% In Person and Online
23% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Harley Street, 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.