Counselling in South Bank, London

Photo of Sally-Anne Soameson, Psychotherapist, MBACP Accred
Sally-Anne Soameson
Psychotherapist, MBACP Accred
South Bank, London SE1
As a psychodynamic therapist I offer once weekly face-to-face therapy in a supportive, understanding environment. My approach encourages self-reflection and self-examination, allowing you to understand the influence of the past on present behaviour and feelings. This enables you to examine unresolved conflicts and their consequences, giving you back more control in daily life. Working within the ethical framework of the British Association of Counsellors and Psychotherapists, I provide confidential and non-judgemental counselling to individuals looking for short term and open ended therapy on a variety of issues, offering you space to take a positive step towards insight and awareness.
As a psychodynamic therapist I offer once weekly face-to-face therapy in a supportive, understanding environment. My approach encourages self-reflection and self-examination, allowing you to understand the influence of the past on present behaviour and feelings. This enables you to examine unresolved conflicts and their consequences, giving you back more control in daily life. Working within the ethical framework of the British Association of Counsellors and Psychotherapists, I provide confidential and non-judgemental counselling to individuals looking for short term and open ended therapy on a variety of issues, offering you space to take a positive step towards insight and awareness.
020 3974 1023 View 020 3974 1023
Photo of Dr Christiana Sampson, Psychologist, PsychD, HCPC - Couns. Psych.
Dr Christiana Sampson
Psychologist, PsychD, HCPC - Couns. Psych.
South Bank, London SE1
For over twenty years, I have guided individuals through the complex landscape of psychological distress. I believe that emotional struggles often emerge from relational dynamics whether in our relationships with others or our connection to the world around us. This understanding shapes my commitment to supporting individuals as they navigate life’s challenges. My goal is to help you address these challenges, empowering you to restore balance and move forward with renewed confidence.
For over twenty years, I have guided individuals through the complex landscape of psychological distress. I believe that emotional struggles often emerge from relational dynamics whether in our relationships with others or our connection to the world around us. This understanding shapes my commitment to supporting individuals as they navigate life’s challenges. My goal is to help you address these challenges, empowering you to restore balance and move forward with renewed confidence.
020 3862 2251 View 020 3862 2251
Photo of Dr George Samoilis, Psychologist, PsychD, HCPC - Couns. Psych.
Dr George Samoilis
Psychologist, PsychD, HCPC - Couns. Psych.
South Bank, London SE1
I have extensive experience working across a range of presentations, including depression, anxiety, gender identity, attachment issues, neurodiversity, trauma and relationship difficulties. Together we will find ways to understand your mental health challenges by looking at the bigger picture of your life. It involves exploring your thoughts, feelings, and behaviours, as well as your personal history and current situation. We will identify patterns and triggers that contribute to your struggles. By understanding these connections, we can develop a plan for how to address your issues and work towards positive change.
I have extensive experience working across a range of presentations, including depression, anxiety, gender identity, attachment issues, neurodiversity, trauma and relationship difficulties. Together we will find ways to understand your mental health challenges by looking at the bigger picture of your life. It involves exploring your thoughts, feelings, and behaviours, as well as your personal history and current situation. We will identify patterns and triggers that contribute to your struggles. By understanding these connections, we can develop a plan for how to address your issues and work towards positive change.
020 3835 4439 View 020 3835 4439
Photo of Dr Cristian A Nica, Psychologist, MSc, HCPC - Couns. Psych.
Dr Cristian A Nica
Psychologist, MSc, HCPC - Couns. Psych.
South Bank, London SE1
Progress means change, rehearsing new ways of thinking or a range of strategies to iterate development safely. The result: a genuine approach for you to always find a better way forward. My goal is to provide you with a strong mental platform and the skills to help you keep your life within reach. Registered in clinical, counselling, health, and occupational psychology. Providing services using eclectic CBT interventions (ACT, DBT, ST) — the most effective and intuitive psychological framework. I address all psychopathologies (supervisor).
Progress means change, rehearsing new ways of thinking or a range of strategies to iterate development safely. The result: a genuine approach for you to always find a better way forward. My goal is to provide you with a strong mental platform and the skills to help you keep your life within reach. Registered in clinical, counselling, health, and occupational psychology. Providing services using eclectic CBT interventions (ACT, DBT, ST) — the most effective and intuitive psychological framework. I address all psychopathologies (supervisor).
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Photo of Dayashini Pomphrey, Counsellor, MBACP
Dayashini Pomphrey
Counsellor, MBACP
South Bank, London SE1
Feeling lost? What if you could journey back to the parts of yourself that have been forgotten? Together, we can explore the lost aspects of your identity that can contribute to who you are today. Embarking on a journey of self-discovery involves peeling away layers of hidden rules, ancestral patterns, and past traumas. In this process, we uncover the "buried gold" within—those precious sparks of your true self that may have been hidden away to fit in or avoid rejection.
Feeling lost? What if you could journey back to the parts of yourself that have been forgotten? Together, we can explore the lost aspects of your identity that can contribute to who you are today. Embarking on a journey of self-discovery involves peeling away layers of hidden rules, ancestral patterns, and past traumas. In this process, we uncover the "buried gold" within—those precious sparks of your true self that may have been hidden away to fit in or avoid rejection.
020 3984 9057 View 020 3984 9057
Photo of Swani Yip, Counsellor, MA, MBACP
Swani Yip
Counsellor, MA, MBACP
3 Endorsed
South Bank, London SE1
Welcome! I'm Swani and I support people with anxiety, low mood, burnout, confidence building, self image, identity, family and relationships issues. Let's work together to support you to make sense of life and achieve conscious and choiceful living.
Welcome! I'm Swani and I support people with anxiety, low mood, burnout, confidence building, self image, identity, family and relationships issues. Let's work together to support you to make sense of life and achieve conscious and choiceful living.
020 3960 5347 View 020 3960 5347
Photo of Melanie Brown, Psychotherapist, MA, MBACP
Melanie Brown
Psychotherapist, MA, MBACP
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 Simone Huber, Counsellor, MBACP Accred
Simone Huber
Counsellor, MBACP Accred
South Bank, London SE1
People come to me usually when the circumstances of their life have moved them beyond their usual coping strategies and they are no longer able to orient themselves in their world. Together we make meaning so they can find their true North again and understand what is happening in their life. Usually, such crisis take us deeper into who we are and force us to get to know ourselves at a more profound level, and during this process self-compassion and self-love grow, as we get to know ourselves better and honour the process of maturation and growth we are on. So the pain tells us what we need to hear and integrate.
People come to me usually when the circumstances of their life have moved them beyond their usual coping strategies and they are no longer able to orient themselves in their world. Together we make meaning so they can find their true North again and understand what is happening in their life. Usually, such crisis take us deeper into who we are and force us to get to know ourselves at a more profound level, and during this process self-compassion and self-love grow, as we get to know ourselves better and honour the process of maturation and growth we are on. So the pain tells us what we need to hear and integrate.
020 4572 9885 View 020 4572 9885
Photo of Emily Austen, Psychotherapist, MSc, UKCP Trainee
Emily Austen
Psychotherapist, MSc, UKCP Trainee
2 Endorsed
South Bank, London SE1
I work with people facing a wide range of issues, and I tailor my approach to suit your individual needs. Together, we’ll find a way of working that feels right for you. Alongside my private practice at Number 42, I also work in primary and secondary NHS services, and with South East London Mind. This broad experience allows me to meet a wide variety of emotional and psychological needs with sensitivity and care. My style is relational, reflective, and trauma-informed. I believe we all have the capacity to grow and create change in our lives — sometimes we just need the right conditions to support that process.
I work with people facing a wide range of issues, and I tailor my approach to suit your individual needs. Together, we’ll find a way of working that feels right for you. Alongside my private practice at Number 42, I also work in primary and secondary NHS services, and with South East London Mind. This broad experience allows me to meet a wide variety of emotional and psychological needs with sensitivity and care. My style is relational, reflective, and trauma-informed. I believe we all have the capacity to grow and create change in our lives — sometimes we just need the right conditions to support that process.
020 8154 5503 View 020 8154 5503
Photo of Mischa Richards, Psychotherapist, MA, BPC
Mischa Richards
Psychotherapist, MA, BPC
South Bank, London SE1
Evidence-based psychotherapy in London Bridge (SE1), Marylebone (W1G) & Mayfair. I offer specialist support for individual adults with a proven record of positive outcomes. I am a psychodynamic psychotherapist with extensive experience of mood related issues including anxiety, depression and low self-esteem to more complex, life-long and personality related issues. My specialist interests are in trauma, abuse, relationships and sexuality. Alongside my private practice, I am an honorary psychotherapist working in both the Trauma Unit at the Tavistock (NHS) and in the Specialist Psychotherapy Service within City & Hackney (NHS).
Evidence-based psychotherapy in London Bridge (SE1), Marylebone (W1G) & Mayfair. I offer specialist support for individual adults with a proven record of positive outcomes. I am a psychodynamic psychotherapist with extensive experience of mood related issues including anxiety, depression and low self-esteem to more complex, life-long and personality related issues. My specialist interests are in trauma, abuse, relationships and sexuality. Alongside my private practice, I am an honorary psychotherapist working in both the Trauma Unit at the Tavistock (NHS) and in the Specialist Psychotherapy Service within City & Hackney (NHS).
020 7870 6643 View 020 7870 6643
Photo of Silvi Neykova, Counsellor, MSc, MBACP
Silvi Neykova
Counsellor, MSc, MBACP
2 Endorsed
South Bank, London SE1
Changing old patterns of behavior and core beliefs is often challenging and not immediately apparent. As the saying goes, "you can’t read the label from inside the jar," meaning it can be difficult to identify or solve your own problems when you are too close to them. I am here to help, support, and encourage you on your journey to self-healing and self-discovery, whether you are experiencing depression or anxiety, grieving a loss, wondering if a relationship will work out, or just do not feel like you are living the life you were meant to live.
Changing old patterns of behavior and core beliefs is often challenging and not immediately apparent. As the saying goes, "you can’t read the label from inside the jar," meaning it can be difficult to identify or solve your own problems when you are too close to them. I am here to help, support, and encourage you on your journey to self-healing and self-discovery, whether you are experiencing depression or anxiety, grieving a loss, wondering if a relationship will work out, or just do not feel like you are living the life you were meant to live.
020 3973 5104 View 020 3973 5104
Photo of Max Branagan - Max James, Psychotherapist, MNCPS Acc.
Max James
Psychotherapist, MNCPS Acc.
2 Endorsed
South Bank, London SE1
I often work with people who are coming to terms with past trauma, or who are unsatisfied with their lives. Perhaps you find yourself repeating the same patterns over and over, or perhaps you struggle to identify and express your feelings. I offer an open minded space to think together and understand what is happening for you, and how you might go about changing things. I am interested in the ways in which our environment affects us, and pay attention to the impact of class, racialisation, disability, migration status, gender, etc. I work with all kinds of people, including lgbtq+ people, and I am trans affirmative.
I often work with people who are coming to terms with past trauma, or who are unsatisfied with their lives. Perhaps you find yourself repeating the same patterns over and over, or perhaps you struggle to identify and express your feelings. I offer an open minded space to think together and understand what is happening for you, and how you might go about changing things. I am interested in the ways in which our environment affects us, and pay attention to the impact of class, racialisation, disability, migration status, gender, etc. I work with all kinds of people, including lgbtq+ people, and I am trans affirmative.
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Photo of Patrick Gibson, Psychotherapist, MA, MUKCP
Patrick Gibson
Psychotherapist, MA, MUKCP
South Bank, London SE1
Some people come to therapy with specific issues they want to address; others arrive with a more general feeling that life isn’t quite as it should be. Everyone is welcome. Our first focus will be developing a shared understanding of how therapy can support you and what you hope to gain from the process. We’ll aim to uncover what in your current life might be getting in the way: patterns of relating to others, and to yourself.
Some people come to therapy with specific issues they want to address; others arrive with a more general feeling that life isn’t quite as it should be. Everyone is welcome. Our first focus will be developing a shared understanding of how therapy can support you and what you hope to gain from the process. We’ll aim to uncover what in your current life might be getting in the way: patterns of relating to others, and to yourself.
020 4572 4154 View 020 4572 4154
Photo of Ntale Eastmond, Psychotherapist, MSc, MNCPS Acc.
Ntale Eastmond
Psychotherapist, MSc, MNCPS Acc.
South Bank, London SE1
Are you struggling with intense emotions that you find difficult to manage? Perhaps you've noticed patterns of behaviour that don't serve you or your relationships? Maybe you're finding yourself confused by what you feel and unclear on how to do things differently? My clients approach me for a variety of reasons - there's no "right" reason to seek therapy. Whatever difference you want to feel in your life, whether it's exploration and growth, or finding strategies for change, my role will be to meet you authentically, and be beside you in your journey through whatever you choose to bring to therapy, making it safe to step forward.
Are you struggling with intense emotions that you find difficult to manage? Perhaps you've noticed patterns of behaviour that don't serve you or your relationships? Maybe you're finding yourself confused by what you feel and unclear on how to do things differently? My clients approach me for a variety of reasons - there's no "right" reason to seek therapy. Whatever difference you want to feel in your life, whether it's exploration and growth, or finding strategies for change, my role will be to meet you authentically, and be beside you in your journey through whatever you choose to bring to therapy, making it safe to step forward.
020 3535 6975 View 020 3535 6975
Photo of Claudia Canova, Counsellor, PsychD, MBACP
Claudia Canova
Counsellor, PsychD, MBACP
South Bank, London SE1
UPDATES: I offer 1:1/group low-cost Supervision sessions while I am completing my qualification. My practice: I truly believe in creating a relationship that works for you and that can support you safely in becoming more who you want to be, with more authenticity and psychological freedom. Therapy is a meaningful exploration of what deeply matters and particularly what has been neglected. My Psychosynthesis practice blends the exploration of issues in the here-and-now with a focus on what is trying to emerge, how you have been in the world, and what has impacted the expression of your full potential.
UPDATES: I offer 1:1/group low-cost Supervision sessions while I am completing my qualification. My practice: I truly believe in creating a relationship that works for you and that can support you safely in becoming more who you want to be, with more authenticity and psychological freedom. Therapy is a meaningful exploration of what deeply matters and particularly what has been neglected. My Psychosynthesis practice blends the exploration of issues in the here-and-now with a focus on what is trying to emerge, how you have been in the world, and what has impacted the expression of your full potential.
020 4538 1477 View 020 4538 1477
Photo of Leila Katalnykova, Counsellor, MBACP
Leila Katalnykova
Counsellor, MBACP
South Bank, London SE1
I believe that your symptoms are not errors. They are calling for your attention, calling you home. When we truly pay attention, things start to shift. Together, we will listen deeply to what is true for you. We will follow the thread of your symptoms & difficulties back to their origins — & further to what they lead towards. Because the question is not only 'why?', but 'what for?'. The therapeutic container is what allows us to safely go deep into the muck & the light within. To explore, illuminate, & let things shift & transform. It is where I hold you & the process with deep attunement, fierce compassion, honesty, & humour.
I believe that your symptoms are not errors. They are calling for your attention, calling you home. When we truly pay attention, things start to shift. Together, we will listen deeply to what is true for you. We will follow the thread of your symptoms & difficulties back to their origins — & further to what they lead towards. Because the question is not only 'why?', but 'what for?'. The therapeutic container is what allows us to safely go deep into the muck & the light within. To explore, illuminate, & let things shift & transform. It is where I hold you & the process with deep attunement, fierce compassion, honesty, & humour.
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Photo of Helen Rice, Psychotherapist, MA, MBACP
Helen Rice
Psychotherapist, MA, MBACP
South Bank, London SE1
Whether your concern is with communication, sex, power dynamics, money, emotional connection, anxiety, depression, dating, an affair or something unresolved and long past, I offer a safe and supportive environment where couples & individuals can openly discuss their issues and find ways to overcome the difficulties. Couples are enabled to consciously take charge of their relationship - to create it as you want it to be. This may be towards a happier and healthier relationship, or indeed to positively manage separation & the practicalities of divorce.
Whether your concern is with communication, sex, power dynamics, money, emotional connection, anxiety, depression, dating, an affair or something unresolved and long past, I offer a safe and supportive environment where couples & individuals can openly discuss their issues and find ways to overcome the difficulties. Couples are enabled to consciously take charge of their relationship - to create it as you want it to be. This may be towards a happier and healthier relationship, or indeed to positively manage separation & the practicalities of divorce.
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Photo of David Ewins, Counsellor, MBACP
David Ewins
Counsellor, MBACP
South Bank, London SE1
Are you feeling anxious or depressed, overwhelmed or unable to cope? Perhaps you are questioning why you keep repeating the same old patterns? You may feel unable to move forward, or want to find greater purpose. Whatever brought you here today, I imagine you are struggling with something important that is impacting your life. I offer a safe and welcoming space where you can feel heard, respected and valued. Fundamental to our wellbeing and happiness, our sense of purpose may also be touched into, or even be the focus of the work.
Are you feeling anxious or depressed, overwhelmed or unable to cope? Perhaps you are questioning why you keep repeating the same old patterns? You may feel unable to move forward, or want to find greater purpose. Whatever brought you here today, I imagine you are struggling with something important that is impacting your life. I offer a safe and welcoming space where you can feel heard, respected and valued. Fundamental to our wellbeing and happiness, our sense of purpose may also be touched into, or even be the focus of the work.
020 3835 2965 View 020 3835 2965
Photo of Yann Phesans - Yann | LGBTQ+, KINK, ENM | Trauma & EMDR, Counsellor, MBACP
Yann | LGBTQ+, KINK, ENM | Trauma & EMDR
Counsellor, MBACP
1 Endorsed
South Bank, London SE1
Queer, neurodivergent, kinky, polyamorous, immigrant, disabled, too loud, too much, or never enough, whoever you are, you belong in this space. Perhaps you carry grief that did not start with you, shame that was never yours, or a lifelong sense of not quite fitting in. Perhaps you have learned to shrink yourself, to take up less space, to make others more comfortable. In therapy with me, you do not need to explain or defend who you are. This is a space where every part of you, even the ones you have hidden, silenced, or been told to erase, is invited to breathe again. Together, we will make room for what hurts and for what heals.
Queer, neurodivergent, kinky, polyamorous, immigrant, disabled, too loud, too much, or never enough, whoever you are, you belong in this space. Perhaps you carry grief that did not start with you, shame that was never yours, or a lifelong sense of not quite fitting in. Perhaps you have learned to shrink yourself, to take up less space, to make others more comfortable. In therapy with me, you do not need to explain or defend who you are. This is a space where every part of you, even the ones you have hidden, silenced, or been told to erase, is invited to breathe again. Together, we will make room for what hurts and for what heals.
020 3869 5368 View 020 3869 5368
Photo of Noel Bell, Psychotherapist, MA, MUKCP
Noel Bell
Psychotherapist, MA, MUKCP
1 Endorsed
South Bank, London SE1
I am an integrative psychotherapist who can help with addictions, anxiety, depression, relationship issues and life changes. I will help you to make sense of life choices and to develop clearer thinking about your future decisions. I attune my way of working to the needs of my clients and adopt the most effective tools and techniques. You will benefit from clearer thinking and greater insight from working with me. I encourage my clients to bring about behavioural change in their lives by helping them to manifest positive qualities and stepping out of comfort zones.
I am an integrative psychotherapist who can help with addictions, anxiety, depression, relationship issues and life changes. I will help you to make sense of life choices and to develop clearer thinking about your future decisions. I attune my way of working to the needs of my clients and adopt the most effective tools and techniques. You will benefit from clearer thinking and greater insight from working with me. I encourage my clients to bring about behavioural change in their lives by helping them to manifest positive qualities and stepping out of comfort zones.
020 3962 1029 View 020 3962 1029

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:

92% Anxiety
88% Depression
88% Self Esteem
85% Relationship Issues
77% Stress
68% Bereavement
65% Family Conflict

Average years in practice

8 Years

Top 3 insurances accepted

66% Aviva
66% Vitality
63% AXA PPP

How Counsellors in South Bank, London see their clients

85% In Person and Online
15% Online Only

Gender breakdown

59% Female
40% Male
1% Non-Binary
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.