Counselling in South Bank, London

Photo of Andrew Grenfell, MA, MBACP, Psychotherapist
Andrew Grenfell
Psychotherapist, MA, MBACP
Verified Verified
South Bank, London SE1
People often come to me when they aren’t managing to keep things together like they usually do. Maybe you lost someone, or something’s tipped you over an edge. You know things can’t go on like this. You might be experiencing shame, anxiety, or loss. Or perhaps something’s off in your sense of self, your closest relationships, your decision-making at work. You might need some time to find your equilibrium. But you also need time and space to unpack what’s going on with you, and to begin to find out what you want… and perhaps a way to try something new.
People often come to me when they aren’t managing to keep things together like they usually do. Maybe you lost someone, or something’s tipped you over an edge. You know things can’t go on like this. You might be experiencing shame, anxiety, or loss. Or perhaps something’s off in your sense of self, your closest relationships, your decision-making at work. You might need some time to find your equilibrium. But you also need time and space to unpack what’s going on with you, and to begin to find out what you want… and perhaps a way to try something new.
020 4572 1107 View 020 4572 1107
Photo of Rotimi Gabriel Akinsete, MSc, MBACP, Counsellor
Rotimi Gabriel Akinsete
Counsellor, MSc, MBACP
Verified Verified
South Bank, London SE1
You might be feeling stuck or wondering whether you've made the right decision. You might not even know what the right decision is. You might even want to explore who it is that you are, why you do the things that you do, or why you're in the situation that you're in. If that is you, then consider what it is that counselling and psychotherapy might be able to do in helping you to consider all these questions that you might have about yourself and your situation.
You might be feeling stuck or wondering whether you've made the right decision. You might not even know what the right decision is. You might even want to explore who it is that you are, why you do the things that you do, or why you're in the situation that you're in. If that is you, then consider what it is that counselling and psychotherapy might be able to do in helping you to consider all these questions that you might have about yourself and your situation.
020 3319 6478 View 020 3319 6478
Photo of Joe Roberts, MBACP, Counsellor
Joe Roberts
Counsellor, MBACP
Verified Verified
1 Endorsed
South Bank, London SE1
Would you like to feel more confidence, purpose and resilience? Are you stuck or dissatisfied and want to move forward? Is there a sense of anxiety, overwhelm or perfectionism holding you back? Admitting we want things to change can be challenging. The fact you're reading this, however, means somewhere in you is the courage and creativity to imagine a different way. We can explore this together.
Would you like to feel more confidence, purpose and resilience? Are you stuck or dissatisfied and want to move forward? Is there a sense of anxiety, overwhelm or perfectionism holding you back? Admitting we want things to change can be challenging. The fact you're reading this, however, means somewhere in you is the courage and creativity to imagine a different way. We can explore this together.
020 3761 4396 View 020 3761 4396
Photo of Silvia Vittoria Vitello, MSc, GMBPsS, Psychologist
Silvia Vittoria Vitello
Psychologist, MSc, GMBPsS
Verified Verified
Online Only
I am an Italian Constructivist Therapy. According to the abovementioned approach, I will use the therapeutic relationship dynamics to help the person achieve greater emotional and relational self-awareness. My master's degree in Clinical and Health psychology helped me to dive into the psychological treatment of mental, emotional, and behavioral illnesses such as alcoholism, eating disorders, or depression. Thanks to a year-long experience in Canada, I also combine the clinical aspect with the cultural to provide a multifaceted approach where both cognitive, relational, and cultural aspects can be take into account.
I am an Italian Constructivist Therapy. According to the abovementioned approach, I will use the therapeutic relationship dynamics to help the person achieve greater emotional and relational self-awareness. My master's degree in Clinical and Health psychology helped me to dive into the psychological treatment of mental, emotional, and behavioral illnesses such as alcoholism, eating disorders, or depression. Thanks to a year-long experience in Canada, I also combine the clinical aspect with the cultural to provide a multifaceted approach where both cognitive, relational, and cultural aspects can be take into account.
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Photo of Stefania Panzeri - London Bridge Counselling Stefania , MBACP, Psychotherapist
London Bridge Counselling Stefania
Psychotherapist, MBACP
Verified Verified
South Bank, London SE1
Having therapy can be a difficult decision, especially when you feel low, self-critical, lonely, anxious, not worthy of having this type of care for your own self. The power to feel better and release this pain is within you, and I can help you access it. Together we can learn the best way for you to reach and keep a good self-esteem and mental health. I offer a confidential space in which you can feel understood, cared for, free to talk about anything that you require. I also offer walking therapy sessions, in peaceful green areas in London. For some clients this has proven deeply beneficial, if interested please enquire.
Having therapy can be a difficult decision, especially when you feel low, self-critical, lonely, anxious, not worthy of having this type of care for your own self. The power to feel better and release this pain is within you, and I can help you access it. Together we can learn the best way for you to reach and keep a good self-esteem and mental health. I offer a confidential space in which you can feel understood, cared for, free to talk about anything that you require. I also offer walking therapy sessions, in peaceful green areas in London. For some clients this has proven deeply beneficial, if interested please enquire.
020 4538 2214 x0044 View 020 4538 2214 x0044
Photo of Lucy Dows, MBACP, Counsellor
Lucy Dows
Counsellor, MBACP
Verified Verified
South Bank, London SE1
We're currently living in volatile, complex and uncertain times. Our senses are increasingly overloaded with external stimuli and our internal world is often the first to suffer the consequences. In the digital age amidst a culture of comparison you may find yourself feeling stressed, depressed and anxious. Together we’ll tackle the question of how you can live as a 21st century human being in better health, balance and happiness.
We're currently living in volatile, complex and uncertain times. Our senses are increasingly overloaded with external stimuli and our internal world is often the first to suffer the consequences. In the digital age amidst a culture of comparison you may find yourself feeling stressed, depressed and anxious. Together we’ll tackle the question of how you can live as a 21st century human being in better health, balance and happiness.
020 3958 4309 View 020 3958 4309
Photo of Ling Chen - Woodford Salient Psychotherapy, MA, BACP, Psychotherapist
Woodford Salient Psychotherapy
Psychotherapist, MA, BACP
Verified Verified
South Bank, London SE1
We all long for a connection in which we are never reduced or misunderstood. Therapy is a journey of self-discovery, through which we develop a deeper self-awareness, can recognize patterns and make kinder, more positive choices for ourselves and those around us. By bringing awareness and understanding to what is causing us pain or problems, we can learn to move away from self-defeating patterns of survival and towards a new future aligned with our inner integrity. Psychosynthesis works holistically, nurturing synergy between all parts of your personality, enhance introspection, build ego strength and foster resilience.
We all long for a connection in which we are never reduced or misunderstood. Therapy is a journey of self-discovery, through which we develop a deeper self-awareness, can recognize patterns and make kinder, more positive choices for ourselves and those around us. By bringing awareness and understanding to what is causing us pain or problems, we can learn to move away from self-defeating patterns of survival and towards a new future aligned with our inner integrity. Psychosynthesis works holistically, nurturing synergy between all parts of your personality, enhance introspection, build ego strength and foster resilience.
020 3838 0699 View 020 3838 0699
Photo of Sonal Kadchha, MA, MBACP, Counsellor
Sonal Kadchha
Counsellor, MA, MBACP
Verified Verified
South Bank, London SE1
The modern pressures of life can take their toll on us – increasing responsibilities and being connected 24/7 can leave us feeling burnt out, anxious, and overwhelmed. Even when we do manage to disconnect, we find it difficult to disconnect from our racing thoughts. If you’re new to therapy it can be daunting, however taking this brave step can be rewarding. It can give you the space to explore what is really going on, process difficult emotions, develop healthy coping strategies and restore your mental well-being - so that you aren’t just surviving, but thriving in the world.
The modern pressures of life can take their toll on us – increasing responsibilities and being connected 24/7 can leave us feeling burnt out, anxious, and overwhelmed. Even when we do manage to disconnect, we find it difficult to disconnect from our racing thoughts. If you’re new to therapy it can be daunting, however taking this brave step can be rewarding. It can give you the space to explore what is really going on, process difficult emotions, develop healthy coping strategies and restore your mental well-being - so that you aren’t just surviving, but thriving in the world.
020 4538 7240 View 020 4538 7240
Photo of Malik Rezzi, MSc, GMBPsS, Psychotherapist
Malik Rezzi
Psychotherapist, MSc, GMBPsS
Verified Verified
South Bank, London SE1
I was born and raised in multicultural societies all my life. Living in several different countries on 3 different continents (United Arab Emirates, Canada, Pakistan, Wales and England) has given me unique knowledge about culturally adapting therapy. It has also taught me to understand and work with many different kinds of people. I believe in building a strong therapeutic relationship with the client to create a safe and comfortable space to address and potentially alleviate psychological trauma. I have extensive experience adapting contemporary therapy and counselling and tailoring it to unique cultural nuances.
I was born and raised in multicultural societies all my life. Living in several different countries on 3 different continents (United Arab Emirates, Canada, Pakistan, Wales and England) has given me unique knowledge about culturally adapting therapy. It has also taught me to understand and work with many different kinds of people. I believe in building a strong therapeutic relationship with the client to create a safe and comfortable space to address and potentially alleviate psychological trauma. I have extensive experience adapting contemporary therapy and counselling and tailoring it to unique cultural nuances.
020 3872 2437 View 020 3872 2437
Photo of Dr Holly Milling: Sleep Specialist + Adult Adhd Assessments, PsychD, HCPC - Clin. Psych., Psychologist
Dr Holly Milling: Sleep Specialist + Adult Adhd Assessments
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Online Only
Dr Holly Milling B.Sc., M.sc., DClin.Psy, PG.Dip. is a registered Clinical Psychologist, Accredited Cognitive Behavioural therapist, and Mindfulness teacher. She is a trusted and experienced Behavioural Sleep Medicine specialist with years of experience working with neurodiversity. Holly also works for the NHS training and supervising clinicians. Whether you are looking for support with your sleep health or to explore possible ADHD, you will receive compassionate & evidence-based assessment and treatment, all from the comfort of your own home or office (via our online clinic).
Dr Holly Milling B.Sc., M.sc., DClin.Psy, PG.Dip. is a registered Clinical Psychologist, Accredited Cognitive Behavioural therapist, and Mindfulness teacher. She is a trusted and experienced Behavioural Sleep Medicine specialist with years of experience working with neurodiversity. Holly also works for the NHS training and supervising clinicians. Whether you are looking for support with your sleep health or to explore possible ADHD, you will receive compassionate & evidence-based assessment and treatment, all from the comfort of your own home or office (via our online clinic).
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Photo of Melanie Brown, MA, MBACP, Psychotherapist
Melanie Brown
Psychotherapist, MA, MBACP
Verified Verified
South Bank, London SE1
I am committed to supporting individuals and couples through a wide range of psychological and emotional challenges, enabling an opportunity to explore various aspects of life. Setting aside dedicated time for therapy can be a significant pathway that assists reflection upon your wellbeing in a safe and confidential space.
I am committed to supporting individuals and couples through a wide range of psychological and emotional challenges, enabling an opportunity to explore various aspects of life. Setting aside dedicated time for therapy can be a significant pathway that assists reflection upon your wellbeing in a safe and confidential space.
020 8106 2514 View 020 8106 2514
Photo of Sophie Harrison, MBACP, Counsellor
Sophie Harrison
Counsellor, MBACP
Verified Verified
South Bank, London SE1
Perhaps you are reading this because of curiosity... wondering how I can help? ​ I offer a safe, non-judgemental space for you to be heard and understood. Feeling lost, stuck, challenged or unknowing with where you are right now? Feel overwhelmed? Anxious? My clients say therapy has given them "...a chance to breathe". ​ Seeking counselling from a professionally trained therapist has become a more recognised and useful way to support your desire for change. Would you like to feel in the centre of your own life again, or maybe for the first time, feel more able to direct your life?
Perhaps you are reading this because of curiosity... wondering how I can help? ​ I offer a safe, non-judgemental space for you to be heard and understood. Feeling lost, stuck, challenged or unknowing with where you are right now? Feel overwhelmed? Anxious? My clients say therapy has given them "...a chance to breathe". ​ Seeking counselling from a professionally trained therapist has become a more recognised and useful way to support your desire for change. Would you like to feel in the centre of your own life again, or maybe for the first time, feel more able to direct your life?
020 3893 2697 View 020 3893 2697
Photo of Anna Batcheler, MUKCP, Psychotherapist
Anna Batcheler
Psychotherapist, MUKCP
Verified Verified
South Bank, London SE1
Hello, and welcome to my profile, thank you for coming. Clicking here means you have already made the first step towards the changes you want to make in your life, or towards the help you need and deserve. It's not easy and takes courage, so I applaud you. I believe in psychotherapy because, for most people, life is hard! We struggle with how we feel about ourselves, with relationships with others, with managing difficult feelings and experiences in life. Speaking to a well qualified and experienced psychotherapist can make all the difference. I offer an empathic, warm and safe space in which you can explore what is troubling you.
Hello, and welcome to my profile, thank you for coming. Clicking here means you have already made the first step towards the changes you want to make in your life, or towards the help you need and deserve. It's not easy and takes courage, so I applaud you. I believe in psychotherapy because, for most people, life is hard! We struggle with how we feel about ourselves, with relationships with others, with managing difficult feelings and experiences in life. Speaking to a well qualified and experienced psychotherapist can make all the difference. I offer an empathic, warm and safe space in which you can explore what is troubling you.
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Photo of Kalvin Ryder - Sexuality Space, PNCPS Acc., Counsellor
Sexuality Space
Counsellor, PNCPS Acc.
Verified Verified
South Bank, London SE1
Waitlist for new clients
Welcome! I am Kalvin at Sexuality Space, a modern therapy practice that specialises in mental health, sexual identity, relationships, LGBTQIA+, kink, confidence building, sexual health, non-monogamy, sex worker support and so much more. I offer a non-judgmental and supportive space for everyone, where all lifestyles, identities, and orientations are affirmed and embraced. If you are new to therapy, I know how nervous you may feel, and I understand how important it is to find the right therapist; for this very reason, our first consultation is free of charge. Visit SexualitySpace.com to book your free first session.
Welcome! I am Kalvin at Sexuality Space, a modern therapy practice that specialises in mental health, sexual identity, relationships, LGBTQIA+, kink, confidence building, sexual health, non-monogamy, sex worker support and so much more. I offer a non-judgmental and supportive space for everyone, where all lifestyles, identities, and orientations are affirmed and embraced. If you are new to therapy, I know how nervous you may feel, and I understand how important it is to find the right therapist; for this very reason, our first consultation is free of charge. Visit SexualitySpace.com to book your free first session.
020 3856 8839 View 020 3856 8839
Photo of Viki Dimopoulos - Viki Dimopoulos - Anxiety & Overthinking, MSc, MBACP Accred, Counsellor
Viki Dimopoulos - Anxiety & Overthinking
Counsellor, MSc, MBACP Accred
Verified Verified
Online Only
I work with people in their 20’s and 30’s whose anxiety and overthinking impact their relationships, work, and other areas of life. Maybe you appear calm or ‘fine’ to others, but internally you’re feeling stressed and tired. Maybe anxiety gets in the way of what you want or need to do - this may look like procrastinating, struggling to say ‘no’ or what you really mean, or finding it difficult to make decisions because you worry you won’t do things the ‘right’ way. Your usual coping strategies may be to stay busy and just push through without asking for help, but this comes at a cost: you’re likely exhausted.
I work with people in their 20’s and 30’s whose anxiety and overthinking impact their relationships, work, and other areas of life. Maybe you appear calm or ‘fine’ to others, but internally you’re feeling stressed and tired. Maybe anxiety gets in the way of what you want or need to do - this may look like procrastinating, struggling to say ‘no’ or what you really mean, or finding it difficult to make decisions because you worry you won’t do things the ‘right’ way. Your usual coping strategies may be to stay busy and just push through without asking for help, but this comes at a cost: you’re likely exhausted.
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Photo of Ari Sotiriou, MA, MUKCP, Psychotherapist
Ari Sotiriou
Psychotherapist, MA, MUKCP
Verified Verified
Online Only
Hello, my name is Ari I am an online therapy specialist. I know that taking the first step toward therapy can feel daunting, and it takes real courage to reach out for support. It's natural to feel unsure about opening to someone new, but I want you to know that I'm here to support you every step of the way.
Hello, my name is Ari I am an online therapy specialist. I know that taking the first step toward therapy can feel daunting, and it takes real courage to reach out for support. It's natural to feel unsure about opening to someone new, but I want you to know that I'm here to support you every step of the way.
07899 993362 View 07899 993362
Photo of Christine Andreasen, MBACP, Counsellor
Christine Andreasen
Counsellor, MBACP
Verified Verified
South Bank, London SE1
People seek counselling for many reasons. There is no rule for what you should and should not attend counselling for. Whether you are facing a challenging phase in your life, suffer from anxiety or depression, want to improve your emotional health, change recurring patterns of thought or behaviour, have relationship or sexual issues or perhaps need to talk to someone in a non-judgemental and confidential environment - counselling can help.
People seek counselling for many reasons. There is no rule for what you should and should not attend counselling for. Whether you are facing a challenging phase in your life, suffer from anxiety or depression, want to improve your emotional health, change recurring patterns of thought or behaviour, have relationship or sexual issues or perhaps need to talk to someone in a non-judgemental and confidential environment - counselling can help.
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Photo of Nakita Jangra, MBACP, Counsellor
Nakita Jangra
Counsellor, MBACP
Verified Verified
South Bank, London SE1
Whatever may be troubling you, I can help. Our lives are impacted by our history, culture, social circumstances, friendships and a whole host of other factors. These aspects condition us to respond and interact with people and situations in our lives in very particular ways. My work with you would be to understand your life from your unique perspective and help you get in touch with a more resourced part of yourself, which is beyond the psychological and social conditioning, to help you overcome any difficulties or challenges you may be facing.
Whatever may be troubling you, I can help. Our lives are impacted by our history, culture, social circumstances, friendships and a whole host of other factors. These aspects condition us to respond and interact with people and situations in our lives in very particular ways. My work with you would be to understand your life from your unique perspective and help you get in touch with a more resourced part of yourself, which is beyond the psychological and social conditioning, to help you overcome any difficulties or challenges you may be facing.
020 3871 8591 View 020 3871 8591
Photo of Mischa Richards, MA, BPC, Psychotherapist
Mischa Richards
Psychotherapist, MA, BPC
Verified Verified
South Bank, London SE1
Evidence-based psychotherapy and counselling in London Bridge (SE1), Marylebone (W1G) & Mayfair. Specialist support for individual adults with a range of emotional, psychological, interpersonal and behavioural issues. Record of positive outcomes with anxiety, depression, relationship and family issues, trauma, sexuality & gender difficulties.
Evidence-based psychotherapy and counselling in London Bridge (SE1), Marylebone (W1G) & Mayfair. Specialist support for individual adults with a range of emotional, psychological, interpersonal and behavioural issues. Record of positive outcomes with anxiety, depression, relationship and family issues, trauma, sexuality & gender difficulties.
020 7870 6643 View 020 7870 6643
Photo of Lindsay Rowan, MBACP, Counsellor
Lindsay Rowan
Counsellor, MBACP
Verified Verified
South Bank, London SE1
Feeling isolated, stuck, numb or in distress? Struggling with past experiences affecting your current connections? Close relationships lacking depth or intimacy? Or following a similar destructive pattern? Wrestling with worthlessness or asserting yourself? Facing a new crisis or transition? Life feeling empty and meaningless? Counselling can help remedy these issues. I specialise in exploring relationships, addressing communication challenges, conflicts, intimacy issues, family dynamics, and self-improvement. My compassionate, non-judgmental, client-centred approach creates a warm, inclusive, respectful, and confidential space.
Feeling isolated, stuck, numb or in distress? Struggling with past experiences affecting your current connections? Close relationships lacking depth or intimacy? Or following a similar destructive pattern? Wrestling with worthlessness or asserting yourself? Facing a new crisis or transition? Life feeling empty and meaningless? Counselling can help remedy these issues. I specialise in exploring relationships, addressing communication challenges, conflicts, intimacy issues, family dynamics, and self-improvement. My compassionate, non-judgmental, client-centred approach creates a warm, inclusive, respectful, and confidential space.
020 7870 1898 View 020 7870 1898
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See more therapy options for South Bank, London

How does your Counsellor compare?

Number of Counsellors in South Bank, London

100+

Average cost per session

£75

Counsellors in South Bank, London who prioritize treating:

89% Anxiety
89% Self Esteem
83% Relationship Issues
83% Depression
75% Stress
65% Life Transitions
64% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

65% Aviva
62% AXA PPP
62% Vitality

How Counsellors in South Bank, London see their clients

86% In Person and Online
14% Online Only

Gender breakdown

62% Female
38% Male
FAQs - About Therapy and Counselling

How can I find a therapist in South Bank, 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.