Counselling in Shadwell, London

Photo of Lut Al-Pneeli, Psychotherapist, MSc, MBACP
Lut Al-Pneeli
Psychotherapist, MSc, MBACP
Shadwell, London E1
Are you looking for an experienced Muslim therapist? One who understands your unique needs as a Muslim? You are in the right place. With over a decade of dedicated service in the field of psychology and counselling, My role is to support you through your struggles. I aim to help you to develop healthier strategies to better cope, manage and overcome your issues.
Are you looking for an experienced Muslim therapist? One who understands your unique needs as a Muslim? You are in the right place. With over a decade of dedicated service in the field of psychology and counselling, My role is to support you through your struggles. I aim to help you to develop healthier strategies to better cope, manage and overcome your issues.
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Photo of Ahmed Tomal, Counsellor, MBACP
Ahmed Tomal
Counsellor, MBACP
Shadwell, London E1
I am a qualified and BACP accredited Integrative Counsellor. My hope is to give you an experience of yourself in our sessions, that will overtime carry over to other areas of your life and allow you to feel more at peace. I offer a non-judgemental space where together we can explore your experiences, in order to help you understand them better. I hope that by providing a space for you to speak freely and solely about your issues will facilitate a path to relief via gaining a deeper understanding, gaining greater consciousness and making better choices.
I am a qualified and BACP accredited Integrative Counsellor. My hope is to give you an experience of yourself in our sessions, that will overtime carry over to other areas of your life and allow you to feel more at peace. I offer a non-judgemental space where together we can explore your experiences, in order to help you understand them better. I hope that by providing a space for you to speak freely and solely about your issues will facilitate a path to relief via gaining a deeper understanding, gaining greater consciousness and making better choices.
020 3835 3108 View 020 3835 3108
Photo of Ali Bushell, Counsellor, MBACP
Ali Bushell
Counsellor, MBACP
1 Endorsed
Shadwell, London E1
I offer help to people who worry or fear that they won't be understood or that they will be judged by others. Whoever you are, whatever the issue is, I'd like to be able to offer a space for you to be heard and accepted. I can offer a private and safe space simply to be without a mask if that's what you need, or if you have a clear idea of what you want to achieve I'd like to help make that happen. I can work in either a very loose or a structured and outcome-focused way, whichever appeals to you more. But however we decide to work, my focus is always what you want, what you need, what you dream of that you would like to make real.
I offer help to people who worry or fear that they won't be understood or that they will be judged by others. Whoever you are, whatever the issue is, I'd like to be able to offer a space for you to be heard and accepted. I can offer a private and safe space simply to be without a mask if that's what you need, or if you have a clear idea of what you want to achieve I'd like to help make that happen. I can work in either a very loose or a structured and outcome-focused way, whichever appeals to you more. But however we decide to work, my focus is always what you want, what you need, what you dream of that you would like to make real.
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Photo of Sahibzada Rabbani, Counsellor, MA, MBACP
Sahibzada Rabbani
Counsellor, MA, MBACP
Shadwell, London E1
My ideal clients are individuals or couples who feel emotionally or relationally stuck, unsettled, or caught in painful patterns. They may be dealing with anxiety, shame, trauma, loss, intimacy difficulties, trust ruptures, family conflict, or repeated arguments that no longer feel workable. Often they come at a point of rupture or transition, or simply because something doesn’t feel right. They want greater clarity, emotional freedom, stronger boundaries, deeper understanding, and more satisfying ways of relating to themselves and others.
My ideal clients are individuals or couples who feel emotionally or relationally stuck, unsettled, or caught in painful patterns. They may be dealing with anxiety, shame, trauma, loss, intimacy difficulties, trust ruptures, family conflict, or repeated arguments that no longer feel workable. Often they come at a point of rupture or transition, or simply because something doesn’t feel right. They want greater clarity, emotional freedom, stronger boundaries, deeper understanding, and more satisfying ways of relating to themselves and others.
0141 673 5042 View 0141 673 5042
Photo of Matt Le Mare, Psychotherapist, MA, HCPC-Music Therap.
Matt Le Mare
Psychotherapist, MA, HCPC-Music Therap.
Serves Area
Want to live your best life? I will work out, with you, the best way of caring for your mental health, your depression, anxiety, anger, grief and loss, shame and self-criticism. What make you feel better and improves your life? Kindness and compassion is at the heart of therapy by working towards treating your self with compassion, which by the way is not a weakness! Compassion means it's not your fault, that just like anyone else in the world you suffer. In my therapy sessions you can develop on your ability to be kind to yourself when suffering to find your way through to living your best life!
Want to live your best life? I will work out, with you, the best way of caring for your mental health, your depression, anxiety, anger, grief and loss, shame and self-criticism. What make you feel better and improves your life? Kindness and compassion is at the heart of therapy by working towards treating your self with compassion, which by the way is not a weakness! Compassion means it's not your fault, that just like anyone else in the world you suffer. In my therapy sessions you can develop on your ability to be kind to yourself when suffering to find your way through to living your best life!
0115 647 2741 View 0115 647 2741
Photo of LORNA Aher, Counsellor, MBACP
LORNA Aher
Counsellor, MBACP
Serves Area
As a person-centred counsellor based in north London, I believe that talking can help us feel less isolated with our problems and thoughts.    Sometimes it’s difficult to talk to family and friends; you may not wish to cause worry or distress or you may not want their advice and opinion. I provide an understanding ,  non-judgemental and safe space where you will be heard and where you can bring issues and concerns that may be preventing you from being who you want to be and where you want to be in your life. I offer an initial assessment, which will enable us to see if we connect and whether you feel comfortable within the counsel
As a person-centred counsellor based in north London, I believe that talking can help us feel less isolated with our problems and thoughts.    Sometimes it’s difficult to talk to family and friends; you may not wish to cause worry or distress or you may not want their advice and opinion. I provide an understanding ,  non-judgemental and safe space where you will be heard and where you can bring issues and concerns that may be preventing you from being who you want to be and where you want to be in your life. I offer an initial assessment, which will enable us to see if we connect and whether you feel comfortable within the counsel
020 8106 2102 View 020 8106 2102
Photo of Ali Quinn, Psychotherapist, MA, MBACP
Ali Quinn
Psychotherapist, MA, MBACP
Serves Area
Often the hardest part of creating change in our lives is simply making the conscious decision to do so. If you have found your way here, you are at least considering therapy & wanting to know more about how it might help you right now. This is a positive first step! It shows great courage to face life's difficulties & to reach out for support. But how does change actually happen? Where do we start? And as the world works through its troubles, how can we focus when our minds are surrounded by anxiety & uncertainty?
Often the hardest part of creating change in our lives is simply making the conscious decision to do so. If you have found your way here, you are at least considering therapy & wanting to know more about how it might help you right now. This is a positive first step! It shows great courage to face life's difficulties & to reach out for support. But how does change actually happen? Where do we start? And as the world works through its troubles, how can we focus when our minds are surrounded by anxiety & uncertainty?
020 4634 4771 View 020 4634 4771
Photo of Dr Tomas Jelinek, Psychologist, HCPC - Clin. Psych.
Dr Tomas Jelinek
Psychologist, HCPC - Clin. Psych.
Serves Area
Hi, I am Tomas, a HCPC-registered Clinical Psychologist. My work spans hospital-based care, community care, occupational health, public mental health research and private practice. I use evidence-based approaches, including Compassion-Focused Therapy (CFT), Cognitive Analytic Therapy (CAT), and Systemic Therapy, tailoring my approach to each client’s needs. Alongside private practice, I am privileged to work in Staff Health and Wellbeing within the NHS.
Hi, I am Tomas, a HCPC-registered Clinical Psychologist. My work spans hospital-based care, community care, occupational health, public mental health research and private practice. I use evidence-based approaches, including Compassion-Focused Therapy (CFT), Cognitive Analytic Therapy (CAT), and Systemic Therapy, tailoring my approach to each client’s needs. Alongside private practice, I am privileged to work in Staff Health and Wellbeing within the NHS.
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Photo of Dr Paul Garden, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Paul Garden
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Serves Area
I am a registered Health Care Professions Council (HCPC) Practitioner Psychologist, and am on the British Psychological Society Register of Applied Psychology Practice Supervisors (RAPPS). I have been in Private Practice in Central London for nine years. Before spending ten years in full-time study and training in London universities and NHS Trusts to qualify as a psychologist, I spent a decade travelling, mainly around Asia, studying Eastern psychology and philosophy. Thus, I have a rich lens of psychological perspectives through which I understand and work with the mind. Psychoanalytic thinking underpins my approach to therapy.
I am a registered Health Care Professions Council (HCPC) Practitioner Psychologist, and am on the British Psychological Society Register of Applied Psychology Practice Supervisors (RAPPS). I have been in Private Practice in Central London for nine years. Before spending ten years in full-time study and training in London universities and NHS Trusts to qualify as a psychologist, I spent a decade travelling, mainly around Asia, studying Eastern psychology and philosophy. Thus, I have a rich lens of psychological perspectives through which I understand and work with the mind. Psychoanalytic thinking underpins my approach to therapy.
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Photo of Avaly Jones, Psychotherapist, COSRT General
Avaly Jones
Psychotherapist, COSRT General
Serves Area
I am an experienced therapist with specialities that include relationship and psychosexual therapy. I have worked for over 17yrs in private practice as well as in organisations such as Relate. I have a real passion for the work I do and I’m committed towards helping clients to work through their difficulties in a safe and non-judgemental environment. I understand we all have to face challenging moments in life, and so I provide a space for you to work through these challenges and find healthy ways and practical tools to change or manage them.
I am an experienced therapist with specialities that include relationship and psychosexual therapy. I have worked for over 17yrs in private practice as well as in organisations such as Relate. I have a real passion for the work I do and I’m committed towards helping clients to work through their difficulties in a safe and non-judgemental environment. I understand we all have to face challenging moments in life, and so I provide a space for you to work through these challenges and find healthy ways and practical tools to change or manage them.
0121 312 1491 View 0121 312 1491
Photo of Miriam Bashir, Psychotherapist, MBACP
Miriam Bashir
Psychotherapist, MBACP
Serves Area
My role as a therapist is to help you to understand yourself and life better in order to make lasting positive changes in your personal and professional life. I create a confidential and non-judgmental setting in which you can express your current and past difficulties freely. In doing so I will listen carefully to you and try to understand what is troubling you. Providing you with undivided attention, I will aim to understand any ongoing patterns you may be stuck in, and challenge you where needed.
My role as a therapist is to help you to understand yourself and life better in order to make lasting positive changes in your personal and professional life. I create a confidential and non-judgmental setting in which you can express your current and past difficulties freely. In doing so I will listen carefully to you and try to understand what is troubling you. Providing you with undivided attention, I will aim to understand any ongoing patterns you may be stuck in, and challenge you where needed.
07427 518073 View 07427 518073
Photo of Sharon Bergin, Psychotherapist, MUKCP
Sharon Bergin
Psychotherapist, MUKCP
1 Endorsed
Serves Area
My specialist areas are relational difficulties and trauma. From these areas, we experience symptoms such as anxiety, depression, relationship breakdown, and at times other harmful and/or repetitive behaviours. My focus will be on helping you understand the function they have served for you, where they come from, and how to bring about change I have experience of working with individuals who present with diagnoses such as ADHD, autism, with one or more of the many different personality disorder, and with individuals who experience psychotic states of mind. That said, anyone can engage in therapy at any time, and, for any reason.
My specialist areas are relational difficulties and trauma. From these areas, we experience symptoms such as anxiety, depression, relationship breakdown, and at times other harmful and/or repetitive behaviours. My focus will be on helping you understand the function they have served for you, where they come from, and how to bring about change I have experience of working with individuals who present with diagnoses such as ADHD, autism, with one or more of the many different personality disorder, and with individuals who experience psychotic states of mind. That said, anyone can engage in therapy at any time, and, for any reason.
020 3835 3297 View 020 3835 3297
Photo of Ryan Powell, Counsellor, DCounsPsych, MBACP Accred
Ryan Powell
Counsellor, DCounsPsych, MBACP Accred
1 Endorsed
Serves Area
I am trained in both couple’s therapy and individual therapy and also offer Supervision. As an Integrative Counsellor, I am here to walk beside you on your journey. My approach is empathetic and compassionate; however I will challenge my clients to help them achieve their goals. I have worked within the NHS and now within a university conducting short term solution focused therapy. I have created a successful private practice and I want the sessions to focus on my clients needs. I will provide the platform for you to discuss what you need to discuss and the safety of a confidential, caring and warm space.
I am trained in both couple’s therapy and individual therapy and also offer Supervision. As an Integrative Counsellor, I am here to walk beside you on your journey. My approach is empathetic and compassionate; however I will challenge my clients to help them achieve their goals. I have worked within the NHS and now within a university conducting short term solution focused therapy. I have created a successful private practice and I want the sessions to focus on my clients needs. I will provide the platform for you to discuss what you need to discuss and the safety of a confidential, caring and warm space.
020 4538 8657 View 020 4538 8657
Photo of Sara Poss, Counsellor, MA
Sara Poss
Counsellor, MA
Serves Area
You may feel stuck, overwhelmed, or uncertain about how to move forward—longing for change but unsure where to start. Perhaps you’re trapped in unhelpful patterns, dealing with anxiety or emotional strain, or feeling disconnected from yourself or others. Many of my clients come seeking clarity, relief, and a deeper understanding of what’s holding them back. Therapy provides a safe, supportive space to explore these challenges and begin meaningful change.
You may feel stuck, overwhelmed, or uncertain about how to move forward—longing for change but unsure where to start. Perhaps you’re trapped in unhelpful patterns, dealing with anxiety or emotional strain, or feeling disconnected from yourself or others. Many of my clients come seeking clarity, relief, and a deeper understanding of what’s holding them back. Therapy provides a safe, supportive space to explore these challenges and begin meaningful change.
020 3908 5066 View 020 3908 5066
Photo of Al Tyers, Psychotherapist, MSc, MBACP Snr. Accred
Al Tyers
Psychotherapist, MSc, MBACP Snr. Accred
Serves Area
Are you feeling low, lost or anxious? Are you looking for a supportive therapist who will listen to you and help you make sense of what’s going on in your life? I work with people who have anxiety, low self-esteem, relationship issues and depression, among other difficulties. Sometimes these emerged after a loss or setback, or maybe they are feelings that have always been there and now is the time to tackle them. Perhaps it's hard to even say why, or why now. Whichever it is, I’ll support you, listen to you, and help you understand what’s going on right now, how it relates to the past, and how you can make changes for the future.
Are you feeling low, lost or anxious? Are you looking for a supportive therapist who will listen to you and help you make sense of what’s going on in your life? I work with people who have anxiety, low self-esteem, relationship issues and depression, among other difficulties. Sometimes these emerged after a loss or setback, or maybe they are feelings that have always been there and now is the time to tackle them. Perhaps it's hard to even say why, or why now. Whichever it is, I’ll support you, listen to you, and help you understand what’s going on right now, how it relates to the past, and how you can make changes for the future.
020 8138 8599 View 020 8138 8599
Photo of Elizabeth Viney, Psychotherapist, MBACP
Elizabeth Viney
Psychotherapist, MBACP
Serves Area
I offer a calm, open and non-judgemental environment where I aim for you to feel supported, safe, accepted and heard. I am interested in getting to know you, hearing about your experiences, relationships and the views you hold of yourself and the world around you. We will work collaboratively to identify patterns in your life that may be unhelpful or causing you distress, whilst drawing links to your past to identify how it may be showing itself in the present. I see clients from all backgrounds however I have a keen interest in working with those who are kinky or engage in non-conformative sexual practices and relationships.
I offer a calm, open and non-judgemental environment where I aim for you to feel supported, safe, accepted and heard. I am interested in getting to know you, hearing about your experiences, relationships and the views you hold of yourself and the world around you. We will work collaboratively to identify patterns in your life that may be unhelpful or causing you distress, whilst drawing links to your past to identify how it may be showing itself in the present. I see clients from all backgrounds however I have a keen interest in working with those who are kinky or engage in non-conformative sexual practices and relationships.
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Photo of Anne Marie Barlow, Psychotherapist, MA, MUKCP
Anne Marie Barlow
Psychotherapist, MA, MUKCP
1 Endorsed
Serves Area
I am passionate and committed to supporting people develop a better sense of compassionate awareness within relation to themselves. I believe within each of us lies the potential for healing and change, no matter what the circumstances or how deep or dark the depths of trauma and experience may be. Sometimes we need the support of someone who is familiar with the territory, to help us navigate our way through certain stages of life and to process past events that have caused pain and suffering, and that might be leading to difficulties in the present.
I am passionate and committed to supporting people develop a better sense of compassionate awareness within relation to themselves. I believe within each of us lies the potential for healing and change, no matter what the circumstances or how deep or dark the depths of trauma and experience may be. Sometimes we need the support of someone who is familiar with the territory, to help us navigate our way through certain stages of life and to process past events that have caused pain and suffering, and that might be leading to difficulties in the present.
020 3828 7454 View 020 3828 7454
Photo of Helena Tucker, Psychologist, PsychD, HCPC - Clin. Psych.
Helena Tucker
Psychologist, PsychD, HCPC - Clin. Psych.
21 Endorsed
Serves Area
Are you struggling with hormonal health, anxiety, or navigating a significant life transition? Life changes, hormonal challenges like PMDD or perimenopause, and emotional struggles can leave you feeling overwhelmed or stuck. If you’re experiencing anxiety, low mood, ADHD symptoms, or relationship challenges, know that you’re not alone. These feelings happen for a reason, and with the right support, they can change. Together, we’ll explore what’s holding you back and create a therapy plan to help you regain control and feel more like yourself.
Are you struggling with hormonal health, anxiety, or navigating a significant life transition? Life changes, hormonal challenges like PMDD or perimenopause, and emotional struggles can leave you feeling overwhelmed or stuck. If you’re experiencing anxiety, low mood, ADHD symptoms, or relationship challenges, know that you’re not alone. These feelings happen for a reason, and with the right support, they can change. Together, we’ll explore what’s holding you back and create a therapy plan to help you regain control and feel more like yourself.
020 4572 5043 View 020 4572 5043
Photo of Dr Sophie Oakes-Rogers, Psychologist, PhD, CPsychol
Dr Sophie Oakes-Rogers
Psychologist, PhD, CPsychol
1 Endorsed
Serves Area
I am a compassionate, authentic clinical psychologist with a wealth of knowledge about all things mental health. I strive to create a safe space to nurture understanding, generate acceptance, and empower change through evidence based psychological services. I only offer therapy that has a strong evidence base and that which is recommended by NICE Guidelines. This means you have access to the best psychological interventions. I am qualified to assess and diagnose Autism and ADHD as part of a multidisciplinary team, and I can adapt psychological therapy for neurodiversity.
I am a compassionate, authentic clinical psychologist with a wealth of knowledge about all things mental health. I strive to create a safe space to nurture understanding, generate acceptance, and empower change through evidence based psychological services. I only offer therapy that has a strong evidence base and that which is recommended by NICE Guidelines. This means you have access to the best psychological interventions. I am qualified to assess and diagnose Autism and ADHD as part of a multidisciplinary team, and I can adapt psychological therapy for neurodiversity.
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Photo of Poonam Mehta, Psychotherapist
Poonam Mehta
Psychotherapist
1 Endorsed
Serves Area
Life can feel overwhelming when stress, anxiety, or self-doubt take up too much space. You might be coping on the surface but sensing that something deeper needs attention. Perhaps you’re struggling with burnout, relationship difficulties, or the lingering impact of past experiences that still influence your confidence, relationships, or sense of direction. You may feel exhausted from holding everything together or unsure how to create real change. Many of my clients come to therapy wanting to understand themselves more deeply, ease emotional pain, and find a calmer, steadier, and more compassionate way forward.
Life can feel overwhelming when stress, anxiety, or self-doubt take up too much space. You might be coping on the surface but sensing that something deeper needs attention. Perhaps you’re struggling with burnout, relationship difficulties, or the lingering impact of past experiences that still influence your confidence, relationships, or sense of direction. You may feel exhausted from holding everything together or unsure how to create real change. Many of my clients come to therapy wanting to understand themselves more deeply, ease emotional pain, and find a calmer, steadier, and more compassionate way forward.
020 3322 7924 View 020 3322 7924

How does your Counsellor compare?

Number of Counsellors in Shadwell, London

500+

Average cost per session

£77

Counsellors in Shadwell, London who prioritize treating:

93% Anxiety
89% Depression
86% Self Esteem
81% Stress
79% Relationship Issues
70% Trauma and PTSD
62% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

73% Aviva
63% AXA PPP
58% Vitality

How Counsellors in Shadwell, London see their clients

64% In Person and Online
36% Online Only

Gender breakdown

68% Female
30% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Shadwell, 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.