Counselling in Harley Street, London

Photo of James Whittaker, MUKCP, Psychotherapist
James Whittaker
Psychotherapist, MUKCP
Verified Verified
Harley Street, London W1G
Are you feeling weighed down by overwhelming emotions or a sense of stagnation in life? It might be the perfect time to reach out for support. As a compassionate psychotherapist, I specialise in creating a safe and nurturing space where you can explore even the most challenging and potentially shameful issues.
Are you feeling weighed down by overwhelming emotions or a sense of stagnation in life? It might be the perfect time to reach out for support. As a compassionate psychotherapist, I specialise in creating a safe and nurturing space where you can explore even the most challenging and potentially shameful issues.
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Photo of undefined - B Well Ness, MSc, MBACP, Psychotherapist
B Well Ness
Psychotherapist, MSc, MBACP
Verified Verified
Harley Street, London W1G  (Online Only)
Welcome to my page, I am Belly Elisabeth and I would be happy to assist you. My clinical experience includes working with a diverse population and range of issues, such as domestic violence, trauma issues, couple relationship , anxiety, depression, and divorce, self-esteem, anxiety, panic attacks bereavement... As a French citizen, I am also able to offer therapy in French.
Welcome to my page, I am Belly Elisabeth and I would be happy to assist you. My clinical experience includes working with a diverse population and range of issues, such as domestic violence, trauma issues, couple relationship , anxiety, depression, and divorce, self-esteem, anxiety, panic attacks bereavement... As a French citizen, I am also able to offer therapy in French.
020 3835 5943 View 020 3835 5943
Photo of Rosanna Cooper, MA, HCPC-Art Therap., Psychotherapist
Rosanna Cooper
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
Harley Street, London W1G
Do you feel stuck? Wish for more creativity and to use your full potential instead of feeling held back by your fears? I can support you to tap into your own creative flow and work through fears, negative thought patterns and feelings that might be keeping you stuck. We can learn and harvest the messages your patterns are ready to teach you together. Your difficulties do not have to be your way of life and they do not have to define you. You are worth so much more than your worries and I would love to join you in the journey towards resilience, looking after you and discovering who you really are and what you are capable of!
Do you feel stuck? Wish for more creativity and to use your full potential instead of feeling held back by your fears? I can support you to tap into your own creative flow and work through fears, negative thought patterns and feelings that might be keeping you stuck. We can learn and harvest the messages your patterns are ready to teach you together. Your difficulties do not have to be your way of life and they do not have to define you. You are worth so much more than your worries and I would love to join you in the journey towards resilience, looking after you and discovering who you really are and what you are capable of!
020 3870 4348 View 020 3870 4348
Photo of Billi Silverstein, MBACP Accred, Psychotherapist
Billi Silverstein
Psychotherapist, MBACP Accred
Verified Verified
Harley Street, London W1G
I am accredited as an experienced integrative Psychotherapist and Clinical Supervisor. I use my experience to help my clients expand and improve their emotional skills. I have spent several years working with addiction, especially food addiction, OCD (Obsessive Compulsive Disorder) and eating disorders. I have worked with dual diagnosis clients in both addiction and other mental health organisations. I am committed to providing counselling with the most up-to-date techniques to build a healing and therapeutic relationship with clients. More recently my client group has covered stress, anxiety, trauma and loss.
I am accredited as an experienced integrative Psychotherapist and Clinical Supervisor. I use my experience to help my clients expand and improve their emotional skills. I have spent several years working with addiction, especially food addiction, OCD (Obsessive Compulsive Disorder) and eating disorders. I have worked with dual diagnosis clients in both addiction and other mental health organisations. I am committed to providing counselling with the most up-to-date techniques to build a healing and therapeutic relationship with clients. More recently my client group has covered stress, anxiety, trauma and loss.
020 3962 0220 View 020 3962 0220
Photo of Dr Anna Galloway, PsychD, HCPC - Clin. Psych., Psychologist
Dr Anna Galloway
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Harley Street, London W1G
I am an experienced clinical psychologist who has worked across a number of leading London hospitals including UCLH and Great Ormond Street. I always tailor my approach to the individual drawing on a number of therapeutic models including, EMDR, systemic, psychodynamic and CBT. People seek support from me for issues relating to trauma, anxiety, low mood, physical health diagnoses and other challenges.
I am an experienced clinical psychologist who has worked across a number of leading London hospitals including UCLH and Great Ormond Street. I always tailor my approach to the individual drawing on a number of therapeutic models including, EMDR, systemic, psychodynamic and CBT. People seek support from me for issues relating to trauma, anxiety, low mood, physical health diagnoses and other challenges.
020 3835 2734 View 020 3835 2734
Photo of Dr Emma Jartell, HCPC - Couns. Psych., Psychologist
Dr Emma Jartell
Psychologist, HCPC - Couns. Psych.
Verified Verified
Harley Street, London W1G  (Online Only)
I have experience of a wide variety of therapeutic settings, working with loss and bereavement, work-related stress, migration, anxiety, depression and relationship issues. In therapy I will provide a safe, confidential and non-judgemental space where we can explore the challenges in your life and how you can make the choices that are right for you at this point in your life. I provide therapy in English and in Swedish.
I have experience of a wide variety of therapeutic settings, working with loss and bereavement, work-related stress, migration, anxiety, depression and relationship issues. In therapy I will provide a safe, confidential and non-judgemental space where we can explore the challenges in your life and how you can make the choices that are right for you at this point in your life. I provide therapy in English and in Swedish.
01707 938063 View 01707 938063
Photo of Gaylin Tudhope, MSc, MUKCP, Psychotherapist
Gaylin Tudhope
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Harley Street, London W1G
I have spent many years working with people with PTSD, anxiety and stress.I uusally have a broad range of clients who come from all walks of life , who need help regaining balance in their lives and being able to perform and function as optimally as they can.THis includes working in a systemic way and helping you get the most out of your life be it work, family, relationship wise or personally..Our lives are a constant set of transitions and moving situations. How do we manage this? How do we respond? How do we thrive? How do we win? My life development sessions are designed specifically for you
I have spent many years working with people with PTSD, anxiety and stress.I uusally have a broad range of clients who come from all walks of life , who need help regaining balance in their lives and being able to perform and function as optimally as they can.THis includes working in a systemic way and helping you get the most out of your life be it work, family, relationship wise or personally..Our lives are a constant set of transitions and moving situations. How do we manage this? How do we respond? How do we thrive? How do we win? My life development sessions are designed specifically for you
020 3974 2013 View 020 3974 2013
Photo of Alia Butt, MUKCP, Psychotherapist
Alia Butt
Psychotherapist, MUKCP
Verified Verified
Harley Street, London W1G
Through the experiences we share in therapy, we will learn more about you. I aim to develop a relationship with you that is based on openness and acknowledgment, in hope of delving deeper into your lived experience within the world. Through our experiences together we aim to reach a richer understanding of who you are and who you wish to become. Often, change will come from these revelations. The essence of this change will be expressed through our ongoing work together. I work with all people.
Through the experiences we share in therapy, we will learn more about you. I aim to develop a relationship with you that is based on openness and acknowledgment, in hope of delving deeper into your lived experience within the world. Through our experiences together we aim to reach a richer understanding of who you are and who you wish to become. Often, change will come from these revelations. The essence of this change will be expressed through our ongoing work together. I work with all people.
020 8138 0282 View 020 8138 0282
Photo of Dr Yllka Morina, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Yllka Morina
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Harley Street, London W1G
Are you feeling overwhelmed, struggling with stress or low mood, or perhaps long standing issues such as problematic relationships, traumatic events or difficult childhood experiences ? Do you feel stuck in negative life patterns or thinking? Perhaps you want to make changes but unsure how to start? I can support you to make the changes you want to see in your life and within yourself. I am a Chartered Counselling Psychologist, registered with the HCPC with 12 years of experience in working with individuals experiencing a range of difficulties relating to their emotional and relational wellbeing, both in the NHS and Private sector.
Are you feeling overwhelmed, struggling with stress or low mood, or perhaps long standing issues such as problematic relationships, traumatic events or difficult childhood experiences ? Do you feel stuck in negative life patterns or thinking? Perhaps you want to make changes but unsure how to start? I can support you to make the changes you want to see in your life and within yourself. I am a Chartered Counselling Psychologist, registered with the HCPC with 12 years of experience in working with individuals experiencing a range of difficulties relating to their emotional and relational wellbeing, both in the NHS and Private sector.
020 4538 0945 View 020 4538 0945
Photo of Janine Hayward - Composurepsychology, PsychD, HCPC - Clin. Psych., Psychologist
Janine Hayward - Composurepsychology
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Harley Street, London W1G
Hello. Do you struggle with stress from; work, relationships, or parenting? Are you overwhelmed, worried, depressed, stuck, or low in self-esteem? You are not alone. Does your need to be perfect upset you or take up too much time? Is a trauma, threat to your health, an illness, a major loss or death hurting you? It doesn't have to be that way. We help people like you understand your distress, learn new skills for managing uncomfortable emotions and thoughts, improve relationships, and find meaning and focus. We're Clinical Psychologists (HCPC), with >10 years of experience delivering effective therapy to kids, teens and adults.
Hello. Do you struggle with stress from; work, relationships, or parenting? Are you overwhelmed, worried, depressed, stuck, or low in self-esteem? You are not alone. Does your need to be perfect upset you or take up too much time? Is a trauma, threat to your health, an illness, a major loss or death hurting you? It doesn't have to be that way. We help people like you understand your distress, learn new skills for managing uncomfortable emotions and thoughts, improve relationships, and find meaning and focus. We're Clinical Psychologists (HCPC), with >10 years of experience delivering effective therapy to kids, teens and adults.
0333 344 2063 View 0333 344 2063
Photo of undefined - Psychotherapy Clinic London, MSc, GMBPsS, Psychologist
Psychotherapy Clinic London
Psychologist, MSc, GMBPsS
Verified Verified
Harley Street, London W1G
I will be glad to help with overcoming common everyday issues or more serious psychological problems.At that point of my practice there is no more rewarding feeling than seeing my clients getting their life back, or achieving their dreams.
I will be glad to help with overcoming common everyday issues or more serious psychological problems.At that point of my practice there is no more rewarding feeling than seeing my clients getting their life back, or achieving their dreams.
020 8129 6160 View 020 8129 6160
The Body Image Treatment Clinic, London.
Psychotherapist, MBABCP
Verified Verified
Harley Street, London W1G
Our team of Psychologists and additional clinicians are all HCPC registered, representing the gold standard in evidence-based interventions. Our highly experienced team are proficient in treating most psychological conditions but we have a special interest in presentations which impact both mind and body. Such as: Eating disorders, body dysmorphic disorder, low body confidence, intimacy issues & sexual dysfunction, self-criticism, low self-esteem, anxiety, depression, adult and childhood trauma (physical, emotional and sexual), addictions, neurodiversity, gender dysphoria, LGBTQ+, skin/sweat conditions as well as physical injury.
Our team of Psychologists and additional clinicians are all HCPC registered, representing the gold standard in evidence-based interventions. Our highly experienced team are proficient in treating most psychological conditions but we have a special interest in presentations which impact both mind and body. Such as: Eating disorders, body dysmorphic disorder, low body confidence, intimacy issues & sexual dysfunction, self-criticism, low self-esteem, anxiety, depression, adult and childhood trauma (physical, emotional and sexual), addictions, neurodiversity, gender dysphoria, LGBTQ+, skin/sweat conditions as well as physical injury.
020 3835 2757 View 020 3835 2757
Photo of Ondine Smulders, MUKCP, Psychotherapist
Ondine Smulders
Psychotherapist, MUKCP
Verified Verified
Harley Street, London W1G  (Online Only)
Perhaps you find life overwhelming or maybe you are struggling with a sudden crisis? Do you feel down and is it affecting your quality of life, your relationships with family and friends? Maybe you are trying really hard to accept life as is, or no matter how hard you try to make changes, time and again you meet similar situations, recognisable patterns that seem to be repeating themselves?
Perhaps you find life overwhelming or maybe you are struggling with a sudden crisis? Do you feel down and is it affecting your quality of life, your relationships with family and friends? Maybe you are trying really hard to accept life as is, or no matter how hard you try to make changes, time and again you meet similar situations, recognisable patterns that seem to be repeating themselves?
020 3823 6931 View 020 3823 6931
Photo of Dr Meherangiz Press, PsychD, HCPC - Couns. Psych., Psychologist
Dr Meherangiz Press
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
Harley Street, London W1G
I have been a practising psychotherapist for 13 years and have worked internationally in the area of psychology and mental health. I have have been serving as a counselling psychologist in the NHS for the last 5 years. I have also worked in a therapeutic capacity with corporations such as Johnson & Johnson, JPMC and Accenture. My training and experience spans working with people suffering from different degrees of distress, including anxiety, depression, bereavement and work stress. The labels are incidental - I believe in working with the PERSON, who is currently struggling in his/her unique social and psychological context.
I have been a practising psychotherapist for 13 years and have worked internationally in the area of psychology and mental health. I have have been serving as a counselling psychologist in the NHS for the last 5 years. I have also worked in a therapeutic capacity with corporations such as Johnson & Johnson, JPMC and Accenture. My training and experience spans working with people suffering from different degrees of distress, including anxiety, depression, bereavement and work stress. The labels are incidental - I believe in working with the PERSON, who is currently struggling in his/her unique social and psychological context.
020 3667 2637 View 020 3667 2637
Photo of The Journey Psychotherapists Mbacp Msc, MSc, MBACP, Psychotherapist
The Journey Psychotherapists Mbacp Msc
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Harley Street, London W1G
‘The Journey’ is a small group of male Psychotherapists specialising in three areas: mental health challenges, relationship difficulties and career related issues. Working on a one-to-one basis, you will be able to talk privately within a safe, confidential space. Together, we will work through your current situation and what’s brought you to reaching out. We will work through your past, reflecting on the significant events and how they have impacted you. When you feel ready, you can begin to build a future that you really want, one that motivates you and excites you. A future that you really want.
‘The Journey’ is a small group of male Psychotherapists specialising in three areas: mental health challenges, relationship difficulties and career related issues. Working on a one-to-one basis, you will be able to talk privately within a safe, confidential space. Together, we will work through your current situation and what’s brought you to reaching out. We will work through your past, reflecting on the significant events and how they have impacted you. When you feel ready, you can begin to build a future that you really want, one that motivates you and excites you. A future that you really want.
020 8016 2431 View 020 8016 2431
Photo of Liz White, HCPC - Clin. Psych., Psychologist
Liz White
Psychologist, HCPC - Clin. Psych.
Verified Verified
Harley Street, London W1G
I am a highly qualified and experienced Chartered Consultant Clinical Psychologist. I have spent 16 years working in NHS mental health services, and now focus on my private practice full time. With a high level of expertise, I am able to create a bespoke therapeutic experience that helps clients move towards their goals. I focus on providing high quality, evidence based therapy that enables clients to feel empowered and understood, enabling them to learn the skills needed to make positive and long lasting changes in their lives.
I am a highly qualified and experienced Chartered Consultant Clinical Psychologist. I have spent 16 years working in NHS mental health services, and now focus on my private practice full time. With a high level of expertise, I am able to create a bespoke therapeutic experience that helps clients move towards their goals. I focus on providing high quality, evidence based therapy that enables clients to feel empowered and understood, enabling them to learn the skills needed to make positive and long lasting changes in their lives.
01992 351093 View 01992 351093
Photo of Neil Hammond, PsychD, HCPC - Clin. Psych., Psychologist
Neil Hammond
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Harley Street, London W1G
I run therapy clinic delivering adapted evidence based therapies for mental health difficulties associated with Autism. I have vast experience of working with adults with neurodevelopmental difficulties. I work using National Institute of Clinical Excellence (NICE) guidelines adapted interventions which I’ve been developing as the lead Consultant Clinical Psychologist at the Maudsley Hospital for the last 10 years. I am internationally known for these interventions and is regularly invited to teach and train others.
I run therapy clinic delivering adapted evidence based therapies for mental health difficulties associated with Autism. I have vast experience of working with adults with neurodevelopmental difficulties. I work using National Institute of Clinical Excellence (NICE) guidelines adapted interventions which I’ve been developing as the lead Consultant Clinical Psychologist at the Maudsley Hospital for the last 10 years. I am internationally known for these interventions and is regularly invited to teach and train others.
020 3962 1645 View 020 3962 1645
Photo of undefined - Transitions Therapy International, MA, MBACP, Psychotherapist
Transitions Therapy International
Psychotherapist, MA, MBACP
Verified Verified
Harley Street, London W1G
Ericksonian Hypnotherapy, Psychotherapy, Coaching & Consulting for Expats, Repats and Third Culture Kids (TCK's). Transitions is a specialist service for people who live and work abroad. Expatriates have unique experiences and benefit from support services provided by Expat therapists who understand their needs. At Transitions we understand the difficulties and obstacles Expats experience and provide a confidential space for you to feel able to openly reflect on your strengths and difficulties in a compassionate, and emotionally supportive environment. www.transitionstherapyinternational.com
Ericksonian Hypnotherapy, Psychotherapy, Coaching & Consulting for Expats, Repats and Third Culture Kids (TCK's). Transitions is a specialist service for people who live and work abroad. Expatriates have unique experiences and benefit from support services provided by Expat therapists who understand their needs. At Transitions we understand the difficulties and obstacles Expats experience and provide a confidential space for you to feel able to openly reflect on your strengths and difficulties in a compassionate, and emotionally supportive environment. www.transitionstherapyinternational.com
020 4538 0539 View 020 4538 0539
Photo of Dr Benedict Hoff, PhD, MBACP, Psychotherapist
Dr Benedict Hoff
Psychotherapist, PhD, MBACP
Verified Verified
Harley Street, London W1G
I’m interested in what works. For you. So I take a pluralistic, integrative approach and don’t limit myself to one particular way of working. Whether you’re seeing me for counselling, schema-based therapy or psychosexual therapy, I'll tailor my approach to suit your needs. And it’s the relationship between you and I which will be central to the work. Because I’m not a friend, colleague or family member, you can think the unthinkable and speak the unspeakable in a judgement-free space. You can rely on me to be honest with you, and bring into your awareness your blind spots, and things on the edge of your awareness you might missing.
I’m interested in what works. For you. So I take a pluralistic, integrative approach and don’t limit myself to one particular way of working. Whether you’re seeing me for counselling, schema-based therapy or psychosexual therapy, I'll tailor my approach to suit your needs. And it’s the relationship between you and I which will be central to the work. Because I’m not a friend, colleague or family member, you can think the unthinkable and speak the unspeakable in a judgement-free space. You can rely on me to be honest with you, and bring into your awareness your blind spots, and things on the edge of your awareness you might missing.
01748 902515 View 01748 902515
Photo of Danny Zane, MBACP, Psychotherapist
Danny Zane
Psychotherapist, MBACP
Verified Verified
1 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

See more therapy options for Harley Street, London

How does your Counsellor compare?

Number of Counsellors in Harley Street, London

200+

Average cost per session

£100

Counsellors in Harley Street, London who prioritize treating:

92% Anxiety
90% Depression
85% Relationship Issues
85% Stress
83% Self Esteem
74% Trauma and PTSD
66% Bereavement

Average years in practice

12 Years

Top 3 insurances accepted

72% Aviva
63% Vitality
61% AXA PPP

How Counsellors in Harley Street, London see their clients

78% In Person and Online
22% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
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.