Counselling in Tooting, London

Georgina Lansbury
Psychotherapist, MA, MBACP
Verified Verified
Tooting, London SW17
I work with any and all difficulties and challenges and struggles that might be faced by children, adolescents, young adults and their carers. I work with neurodivergent young people, having experience of children and teens with diagnoses of ADHD, ASD and OCD, carving out a space where they can feel understood.
I work with any and all difficulties and challenges and struggles that might be faced by children, adolescents, young adults and their carers. I work with neurodivergent young people, having experience of children and teens with diagnoses of ADHD, ASD and OCD, carving out a space where they can feel understood.
020 3974 1395 View 020 3974 1395
Photo of Lucy Kralj, MA, MUKCP, Psychotherapist
Lucy Kralj
Psychotherapist, MA, MUKCP
Verified Verified
Tooting, London SW17
I am a UKCP accredited integrative psychotherapist. I have a particular interest in trauma and the mind-body relationship, including the psychological impact of health problems and the physical manifestations of emotional distress. Many of us have times in our lives when things feel broken and painful. In those times we may seek support. I have over fifteen years of experience working with victims of abuse and trauma and also in palliative care. I am a clinical associate at Domestic Violence Training Ltd and a member of Cancer Counselling London. I am also a certified Iyengar yoga teacher and a registered nurse.
I am a UKCP accredited integrative psychotherapist. I have a particular interest in trauma and the mind-body relationship, including the psychological impact of health problems and the physical manifestations of emotional distress. Many of us have times in our lives when things feel broken and painful. In those times we may seek support. I have over fifteen years of experience working with victims of abuse and trauma and also in palliative care. I am a clinical associate at Domestic Violence Training Ltd and a member of Cancer Counselling London. I am also a certified Iyengar yoga teacher and a registered nurse.
020 3962 1314 View 020 3962 1314
Photo of Steve Gilbert, MUKCP, Psychotherapist
Steve Gilbert
Psychotherapist, MUKCP
Verified Verified
Tooting, London SW17
I believe that it takes courage to reach out and seek the support of a counsellor - I appreciate how difficult getting to this place can be. We are all impacted differently by the world in which we live which can lead to a sense of isolation or 'homelessness' within ourselves. Counselling and Psychotherapy can be seen as an investment in you, an investment that has the potential to bring you from a place of crisis or confusion to one of relief.
I believe that it takes courage to reach out and seek the support of a counsellor - I appreciate how difficult getting to this place can be. We are all impacted differently by the world in which we live which can lead to a sense of isolation or 'homelessness' within ourselves. Counselling and Psychotherapy can be seen as an investment in you, an investment that has the potential to bring you from a place of crisis or confusion to one of relief.
020 3893 3463 View 020 3893 3463
Photo of Jacqueline Murungi Accred, MSc, MUKCP, Psychotherapist
Jacqueline Murungi Accred
Psychotherapist, MSc, MUKCP
Verified Verified
Tooting, London SW17
Hello, I'm psychotherapist with over 10 years of extensive training, invaluable skills, knowledge, & experience which has enabled me to work effectively with different ages, races & genders on different concerns. This includes helping you to get to the deep root of what is causing your anxiety, depression, identity issues, guilt, fear, shame, stress, trauma, PTSD, complex PTSD, inter-generational trauma, abuse, low self esteem & understand unhealthy negative beliefs about yourself, others, life and find a way to move beyond the thoughts & feelings of powerlessness and hopelessness to finding meaning, purpose & appropriate solutions.
Hello, I'm psychotherapist with over 10 years of extensive training, invaluable skills, knowledge, & experience which has enabled me to work effectively with different ages, races & genders on different concerns. This includes helping you to get to the deep root of what is causing your anxiety, depression, identity issues, guilt, fear, shame, stress, trauma, PTSD, complex PTSD, inter-generational trauma, abuse, low self esteem & understand unhealthy negative beliefs about yourself, others, life and find a way to move beyond the thoughts & feelings of powerlessness and hopelessness to finding meaning, purpose & appropriate solutions.
020 3002 7268 View 020 3002 7268
Photo of Robert Ashby, MBACP, Counsellor
Robert Ashby
Counsellor, MBACP
Verified Verified
4 Endorsed
Tooting, London SW17  (Online Only)
Reaching out for counselling can be daunting, and I understand this challenge firsthand. I offer a unique perspective that resonates with young adults navigating today's complex issues, while also providing fresh insights for clients of all ages. My aim is to make your experience as supportive and comfortable as possible. I provide a professional, warm, and non-judgmental service tailored to your needs. While confiding in friends or family can help, an objective, trained professional can offer valuable guidance through your personal challenges.
Reaching out for counselling can be daunting, and I understand this challenge firsthand. I offer a unique perspective that resonates with young adults navigating today's complex issues, while also providing fresh insights for clients of all ages. My aim is to make your experience as supportive and comfortable as possible. I provide a professional, warm, and non-judgmental service tailored to your needs. While confiding in friends or family can help, an objective, trained professional can offer valuable guidance through your personal challenges.
020 4572 0462 View 020 4572 0462
Photo of Velma Dennis, MBACP, Counsellor
Velma Dennis
Counsellor, MBACP
Verified Verified
1 Endorsed
Tooting, London SW16
I am a qualified Integrative Counsellor and Coach & placement Supervisor working towards Certification www.counsellingsupervisors.co.uk - Counselling Supervisor, I offer a safe non-judgemental and confidential space for you to freely explore your situation and understand it better. We can work together to understand your past ,see were you want to be in your life and explore the best way of getting there.My passion is to help people fulfil their potential and to help them through the difficult times.
I am a qualified Integrative Counsellor and Coach & placement Supervisor working towards Certification www.counsellingsupervisors.co.uk - Counselling Supervisor, I offer a safe non-judgemental and confidential space for you to freely explore your situation and understand it better. We can work together to understand your past ,see were you want to be in your life and explore the best way of getting there.My passion is to help people fulfil their potential and to help them through the difficult times.
01798 305068 View 01798 305068
Photo of Dr Sheila Redfern, PhD, HCPC - Clin. Psych., Psychologist
Dr Sheila Redfern
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Tooting, London SW16
I am Dr Sheila Redfern, Consultant Clinical Psychologist and I've been working with children & young people for 30 years. In my private practice, Redfern Psychology, I help children and young people to develop an understanding and awareness of their inner world and their important relationships. I specialise in helping parents and carers develop a deeper connection with their child; I developed the Mentalizing model of Reflective Parenting and authored two parenting books. My specialisms include attachment and trauma issues, ASD assessment, parenting and fostering and adoptions support. I'm warm, empathic and curious.
I am Dr Sheila Redfern, Consultant Clinical Psychologist and I've been working with children & young people for 30 years. In my private practice, Redfern Psychology, I help children and young people to develop an understanding and awareness of their inner world and their important relationships. I specialise in helping parents and carers develop a deeper connection with their child; I developed the Mentalizing model of Reflective Parenting and authored two parenting books. My specialisms include attachment and trauma issues, ASD assessment, parenting and fostering and adoptions support. I'm warm, empathic and curious.
020 3667 9315 View 020 3667 9315
Photo of Amy Braidotti - Moments for your Mind, MBACP, Counsellor
Moments for your Mind
Counsellor, MBACP
Verified Verified
Tooting, London SW16
Therapeutic Counselling with a holistic approach & coaching structure, to facilitate real change & personal growth, and get you back to yourself.
Therapeutic Counselling with a holistic approach & coaching structure, to facilitate real change & personal growth, and get you back to yourself.
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Photo of Cecilia Lopez, MBACP, Counsellor
Cecilia Lopez
Counsellor, MBACP
Verified Verified
Tooting, London SW17  (Online Only)
My aim is to help you to strengthen emotional management skills in order to improve personal well-being, as well as health. My line of work is the change of perception about the conflicts that bring stress in your life. Under the approach of Transgenerational trauma and Family System you will understand the influence of family history on current problems and on interpersonal relationships. A deeply self sense of self will help you to transcend traumas, barriers and limitations as well as experience a new vision of emotional and physical health
My aim is to help you to strengthen emotional management skills in order to improve personal well-being, as well as health. My line of work is the change of perception about the conflicts that bring stress in your life. Under the approach of Transgenerational trauma and Family System you will understand the influence of family history on current problems and on interpersonal relationships. A deeply self sense of self will help you to transcend traumas, barriers and limitations as well as experience a new vision of emotional and physical health
07464 803099 View 07464 803099
Photo of Emma Malone, MUKCP, Psychotherapist
Emma Malone
Psychotherapist, MUKCP
Verified Verified
Tooting, London SW17
I am a fully qualified Psychodynamic Psychotherapist, registered with the UK Council for Psychotherapy (UKCP) & the Foundation for Psychotherapy & Counselling (FPC). I see adults for once weekly 50 minute psychotherapy sessions, either in-person or online, where I provide a safe and supportive space to explore thoughts, feelings, and experiences in a non-judgmental and confidential setting. As a dedicated therapist, I am committed to helping individuals navigate life's challenges with empathy, compassion and evidence-based practices to help nurture understanding and awareness.
I am a fully qualified Psychodynamic Psychotherapist, registered with the UK Council for Psychotherapy (UKCP) & the Foundation for Psychotherapy & Counselling (FPC). I see adults for once weekly 50 minute psychotherapy sessions, either in-person or online, where I provide a safe and supportive space to explore thoughts, feelings, and experiences in a non-judgmental and confidential setting. As a dedicated therapist, I am committed to helping individuals navigate life's challenges with empathy, compassion and evidence-based practices to help nurture understanding and awareness.
020 4572 0420 View 020 4572 0420
Photo of Michelle Guthrie, MSc, Counsellor
Michelle Guthrie
Counsellor, MSc
Verified Verified
1 Endorsed
Tooting, London SW17  (Online Only)
Hi, I'm Michelle Guthrie and I am happy to have the opportunity to help support you on your journey to health and well-being. It could be that you are feeling stuck in life and don't know where to turn or that you are not feeling heard in an environment that feels safe and secure without judgement. This is where counselling with me can be of enormous benefit.
Hi, I'm Michelle Guthrie and I am happy to have the opportunity to help support you on your journey to health and well-being. It could be that you are feeling stuck in life and don't know where to turn or that you are not feeling heard in an environment that feels safe and secure without judgement. This is where counselling with me can be of enormous benefit.
020 4572 0944 View 020 4572 0944
Photo of Dr Jordan Farr- Clinical Psychologist, PsychD, HCPC - Clin. Psych., Psychologist
Dr Jordan Farr- Clinical Psychologist
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Tooting, London SW17
Life itself is complex and through no fault of our own brings up many challenges that can lead to worry, anxiety, self-criticism, stress and low-esteem to name a few. As a clinical psychologist, I am flexible in my approach and work with a range of difficulties. I strongly believe therapy can be such a rewarding experience and the importance of creating a safe space in offering a non-judgemental and compassionate place for a person to feel heard and understood as we work together towards what is important to you. As such, issues relating to past or present, it is a space to create self-awareness and further move towards your values.
Life itself is complex and through no fault of our own brings up many challenges that can lead to worry, anxiety, self-criticism, stress and low-esteem to name a few. As a clinical psychologist, I am flexible in my approach and work with a range of difficulties. I strongly believe therapy can be such a rewarding experience and the importance of creating a safe space in offering a non-judgemental and compassionate place for a person to feel heard and understood as we work together towards what is important to you. As such, issues relating to past or present, it is a space to create self-awareness and further move towards your values.
020 4538 3375 View 020 4538 3375
Photo of Berenice Mumbru, MA, GMBPsS, Psychotherapist
Berenice Mumbru
Psychotherapist, MA, GMBPsS
Verified Verified
Tooting, London SW17
Berenice Mumbru is an experienced Psychotherapist and works in private practice at The Awareness Centre in Tooting. She offers both in person and online weekly sessions for 50 minutes, in English or Spanish. She is a member of the British Psychological Society. She adopts a multi-model integrated approach to therapy, using evidence-based techniques from Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT) and Compassion-Focused Therapy (CFT). She has experience working with a range of psychological and emotional challenges and works collaboratively with clients tailoring interventions to suit each individual.
Berenice Mumbru is an experienced Psychotherapist and works in private practice at The Awareness Centre in Tooting. She offers both in person and online weekly sessions for 50 minutes, in English or Spanish. She is a member of the British Psychological Society. She adopts a multi-model integrated approach to therapy, using evidence-based techniques from Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT) and Compassion-Focused Therapy (CFT). She has experience working with a range of psychological and emotional challenges and works collaboratively with clients tailoring interventions to suit each individual.
020 4572 1659 View 020 4572 1659
Photo of Crystal Luk-Worrall, MA, HCPC-Music Therap., Psychotherapist
Crystal Luk-Worrall
Psychotherapist, MA, HCPC-Music Therap.
Verified Verified
Tooting, London SW19
Did you know 1 out 5 children in the UK experiences mental health challenges that affects their ways of relating with loved ones at some point during their childhood? Getting appropriate support at an early stage is important for children who have experienced physical or emotional trauma. Children struggling with their emotions often act out or become withdrawn. These responses are put down as behaviour issues while in fact they are children's way of communicating to adults that they need support. Music Therapy is the perfect tool for children who are not ready to 'talk it through' to express themselves in ways that motivates them.
Did you know 1 out 5 children in the UK experiences mental health challenges that affects their ways of relating with loved ones at some point during their childhood? Getting appropriate support at an early stage is important for children who have experienced physical or emotional trauma. Children struggling with their emotions often act out or become withdrawn. These responses are put down as behaviour issues while in fact they are children's way of communicating to adults that they need support. Music Therapy is the perfect tool for children who are not ready to 'talk it through' to express themselves in ways that motivates them.
020 3856 3684 View 020 3856 3684
Photo of Iram Siddiqui, MBABCP, Psychotherapist
Iram Siddiqui
Psychotherapist, MBABCP
Verified Verified
Tooting, London SW17  (Online Only)
As a therapist, my primary goal is to create a safe and supportive space where you can explore your thoughts, feelings, and behaviour without fear of judgment or shame. I believe that therapy is a collaborative process, and my role is to help you identify and overcome the obstacles that are preventing you from living your best life. I approach therapy from a holistic perspective, recognizing that mental health is closely connected to physical, emotional, and spiritual well-being.
As a therapist, my primary goal is to create a safe and supportive space where you can explore your thoughts, feelings, and behaviour without fear of judgment or shame. I believe that therapy is a collaborative process, and my role is to help you identify and overcome the obstacles that are preventing you from living your best life. I approach therapy from a holistic perspective, recognizing that mental health is closely connected to physical, emotional, and spiritual well-being.
020 4538 0586 View 020 4538 0586
Photo of Dwayne Rowe Bsc Psych (Hons) Dip In Couns Mbacp, MBACP, Counsellor
Dwayne Rowe Bsc Psych (Hons) Dip In Couns Mbacp
Counsellor, MBACP
Verified Verified
Tooting, London SW17
Hello. I am Dwayne. Are you requiring support with any of the following: anger management, bereavement, anxiety, depression, low self-esteem, relationships, panic attacks, stress, faith and spirituality? If your answer is "YES", I can help you to explore these difficult thoughts and feelings, and help you move from a place of confusion and feeling lost to a place of clarity and understanding. I can help you make sense of traumatic past experiences and help you to understand its impact on your present . It will be like putting together a jigsaw from all the jumbled up pieces.
Hello. I am Dwayne. Are you requiring support with any of the following: anger management, bereavement, anxiety, depression, low self-esteem, relationships, panic attacks, stress, faith and spirituality? If your answer is "YES", I can help you to explore these difficult thoughts and feelings, and help you move from a place of confusion and feeling lost to a place of clarity and understanding. I can help you make sense of traumatic past experiences and help you to understand its impact on your present . It will be like putting together a jigsaw from all the jumbled up pieces.
07944 584110 View 07944 584110
Photo of Jessie laura Cahn, MA, MBACP Accred, Counsellor
Jessie laura Cahn
Counsellor, MA, MBACP Accred
Verified Verified
Tooting, London SW17
Therapy is a simple conversation with someone who is trained to listen to you. I currently work in both the charitable and private sector. This means I have experience of supporting people from all walks of life coping with a broad range of difficulties such as, depression, anxiety, addiction, childhood trauma and many more. I am fully qualified and have an MA/PGDip in Integrative Counselling and Psychotherapy. As an integrative therapist I draw from different approaches in order to listen effectively to your individual experience. I offer long term and short term counselling and psychotherapy in South London.
Therapy is a simple conversation with someone who is trained to listen to you. I currently work in both the charitable and private sector. This means I have experience of supporting people from all walks of life coping with a broad range of difficulties such as, depression, anxiety, addiction, childhood trauma and many more. I am fully qualified and have an MA/PGDip in Integrative Counselling and Psychotherapy. As an integrative therapist I draw from different approaches in order to listen effectively to your individual experience. I offer long term and short term counselling and psychotherapy in South London.
020 3958 4090 View 020 3958 4090
Photo of Daniel Roberts, MSc, MBACP, Psychotherapist
Daniel Roberts
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Tooting, London SW17
For more than a decade, I've witnessed the transformative power of therapy in my work within mental health services. I believe creating an explorative and supportive space is key to unlocking your inner strength and improving your mental well-being. Are you ready to: Gain deeper self-awareness? Break free from unhealthy patterns? Build stronger, more fulfilling relationships? If you're experiencing distress, repeating unwanted behaviours, or simply seeking personal growth, you're not alone. There's a part of you reaching out for help and another part that knows things can be better.
For more than a decade, I've witnessed the transformative power of therapy in my work within mental health services. I believe creating an explorative and supportive space is key to unlocking your inner strength and improving your mental well-being. Are you ready to: Gain deeper self-awareness? Break free from unhealthy patterns? Build stronger, more fulfilling relationships? If you're experiencing distress, repeating unwanted behaviours, or simply seeking personal growth, you're not alone. There's a part of you reaching out for help and another part that knows things can be better.
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Photo of Emily Halton, DCounsPsych, MBACP, Counsellor
Emily Halton
Counsellor, DCounsPsych, MBACP
Verified Verified
Tooting, London SW17
Adults and Couples Therapy. I’m practicing from a private room in between Balham and Tooting and also online! I also practice from Harley st please get in touch for times and days. It’s never too late to look at those patterns that have been there for a lifetime. Maybe they are affecting your relationship? Creating barriers? Maybe you’d like to break free and learn how to cope better with them? I draw on lots of different theories and experts to influence my couples work. I am a certified psychosexual couples therapist and believe fully in coaching couples about conscious communication. The power of this method is phenomenal.
Adults and Couples Therapy. I’m practicing from a private room in between Balham and Tooting and also online! I also practice from Harley st please get in touch for times and days. It’s never too late to look at those patterns that have been there for a lifetime. Maybe they are affecting your relationship? Creating barriers? Maybe you’d like to break free and learn how to cope better with them? I draw on lots of different theories and experts to influence my couples work. I am a certified psychosexual couples therapist and believe fully in coaching couples about conscious communication. The power of this method is phenomenal.
020 3838 0612 View 020 3838 0612
Photo of Mirna Saad, MBABCP, Psychotherapist
Mirna Saad
Psychotherapist, MBABCP
Verified Verified
Tooting, London SW17  (Online Only)
I’m Mirna, a non-judgmental CBT therapist dedicated to helping you overcome life’s challenges. Whether you’re dealing with OCD, panic disorder, phobias, PTSD, managing long-term health conditions, or navigating through grief and loss, I’m here to support you. I am here to help you understand the issue and aid you to have a more peaceful relationship with yourself, reducing the impact that your mental health has on your everyday life.
I’m Mirna, a non-judgmental CBT therapist dedicated to helping you overcome life’s challenges. Whether you’re dealing with OCD, panic disorder, phobias, PTSD, managing long-term health conditions, or navigating through grief and loss, I’m here to support you. I am here to help you understand the issue and aid you to have a more peaceful relationship with yourself, reducing the impact that your mental health has on your everyday life.
020 3872 2647 View 020 3872 2647
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See more therapy options for Tooting, London

How does your Counsellor compare?

Number of Counsellors in Tooting, London

100+

Average cost per session

£70

Counsellors in Tooting, London who prioritize treating:

86% Anxiety
86% Self Esteem
83% Depression
78% Relationship Issues
71% Stress
66% Trauma and PTSD
64% Bereavement

Average years in practice

8 Years

Top 3 insurances accepted

76% AXA PPP
69% Aviva
62% Vitality

How Counsellors in Tooting, London see their clients

81% In Person and Online
19% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Tooting, 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.