Counselling in West End, London

Photo of Luke Bannister, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Luke Bannister
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Online Only
I'm a Counselling Psychologist with experience working in the NHS, third sector services and private practice. I will work collaboratively with you to explore your current difficulties and help you understand why you might be struggling. We will explore your past & flesh out how they may contribute to what you are currently experiencing. We will also work to understand the many different aspects of your being including what goes on in your thoughts, mind, emotions and physical body. I will work with you to develop deep insight about yourself as well as speak pragmatically on what needs to change and how to go about doing that.
I'm a Counselling Psychologist with experience working in the NHS, third sector services and private practice. I will work collaboratively with you to explore your current difficulties and help you understand why you might be struggling. We will explore your past & flesh out how they may contribute to what you are currently experiencing. We will also work to understand the many different aspects of your being including what goes on in your thoughts, mind, emotions and physical body. I will work with you to develop deep insight about yourself as well as speak pragmatically on what needs to change and how to go about doing that.
020 3835 4805 View 020 3835 4805
Photo of Amanda Sandeman, Counsellor, MBACP Accred
Amanda Sandeman
Counsellor, MBACP Accred
1 Endorsed
West End, London WC1H
In an ideal world, we would feel unconditionally loved and accepted, free to be openly ourselves, able to develop and maintain meaningful relationships and eager to explore the world around us. The reality is that many of us have had challenging experiences in our lives and we carry inner hurts and wounds. My aim is to help you explore these, recognise their impact and manage the associated difficult feelings and thoughts. I offer a confidential space and a calm presence in which you can explore any personal issues free of judgment and we will work together to help you implement the changes you seek.
In an ideal world, we would feel unconditionally loved and accepted, free to be openly ourselves, able to develop and maintain meaningful relationships and eager to explore the world around us. The reality is that many of us have had challenging experiences in our lives and we carry inner hurts and wounds. My aim is to help you explore these, recognise their impact and manage the associated difficult feelings and thoughts. I offer a confidential space and a calm presence in which you can explore any personal issues free of judgment and we will work together to help you implement the changes you seek.
020 3994 2205 View 020 3994 2205
Photo of Dr Rozina Anwar, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Rozina Anwar
Psychologist, DCounsPsych, HCPC - Couns. Psych.
West End, London WC2H
Hello, I'm Rozina. I'm a HCPC registered Counselling Psychologist and Lecturer. I've worked in the NHS, educational and charitable sectors, and in academia. My doctorate training has equipped me with the academic and clinical expertise which guide me during practice. My role as a university lecturer also roots me in the theory and philosophy behind practice which aids me in understanding the lived experience of my clients.
Hello, I'm Rozina. I'm a HCPC registered Counselling Psychologist and Lecturer. I've worked in the NHS, educational and charitable sectors, and in academia. My doctorate training has equipped me with the academic and clinical expertise which guide me during practice. My role as a university lecturer also roots me in the theory and philosophy behind practice which aids me in understanding the lived experience of my clients.
020 3835 6050 View 020 3835 6050
Valeh Amooi
Psychotherapist, PhD, BPC
West End, London WC1H
I am an adult psychodynamic psychotherapist with a PhD in Psychology. I am also involved in teaching and supervision within training organisations. I offer both in-person and online psychotherapy in English and Farsi. I work with patients from diverse backgrounds, nationalities, ethnicities, religions, genders, and sexual orientations, with a wide range of emotional, relational, and psychological challenges, including but not limited to anxiety, traumas, loss and grief, conflicts related to sexual orientation and gender identity, difficult life transitions and separations, and work-related difficulties, such as burnout.
I am an adult psychodynamic psychotherapist with a PhD in Psychology. I am also involved in teaching and supervision within training organisations. I offer both in-person and online psychotherapy in English and Farsi. I work with patients from diverse backgrounds, nationalities, ethnicities, religions, genders, and sexual orientations, with a wide range of emotional, relational, and psychological challenges, including but not limited to anxiety, traumas, loss and grief, conflicts related to sexual orientation and gender identity, difficult life transitions and separations, and work-related difficulties, such as burnout.
020 3835 2166 View 020 3835 2166
Photo of Dr Anette Magnus, Psychologist, PsychD, CPsychol
Dr Anette Magnus
Psychologist, PsychD, CPsychol
1 Endorsed
West End, London WC1H
While I work with a wide range of presenting issues, my areas of specialty include anxiety, relationship difficulties, family issues, feeling "stuck", and recovery from difficult relationship endings. Therapy can help by providing you with the tools to manage your difficulties as well as providing insight into their underlying causes, heal from difficult experiences and move on with your life. I see clients both Online and in person and am recognised by multiple private health insurers. To book a free initial consultation (15 minutes, video call), please use the booking portal through my website or get in touch directly.
While I work with a wide range of presenting issues, my areas of specialty include anxiety, relationship difficulties, family issues, feeling "stuck", and recovery from difficult relationship endings. Therapy can help by providing you with the tools to manage your difficulties as well as providing insight into their underlying causes, heal from difficult experiences and move on with your life. I see clients both Online and in person and am recognised by multiple private health insurers. To book a free initial consultation (15 minutes, video call), please use the booking portal through my website or get in touch directly.
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Photo of David Weale, Psychotherapist, MUKCP
David Weale
Psychotherapist, MUKCP
West End, London WC1H
I am a transactional analysis psychotherapist and counsellor. I always appreciate that it takes courage to seek support and the first step can seem daunting. Therapy can help to organise your thoughts and feelings and free you from repeated patterns of behaviour that prevent you from leading a happier and more fulfilling life. You can learn to understand why those patterns are there and how to change them, so that they no longer control what you are trying to achieve for yourself. I work online and face to face (depending on availability of space). The virtual setting is calm, confidential and safe.
I am a transactional analysis psychotherapist and counsellor. I always appreciate that it takes courage to seek support and the first step can seem daunting. Therapy can help to organise your thoughts and feelings and free you from repeated patterns of behaviour that prevent you from leading a happier and more fulfilling life. You can learn to understand why those patterns are there and how to change them, so that they no longer control what you are trying to achieve for yourself. I work online and face to face (depending on availability of space). The virtual setting is calm, confidential and safe.
020 3917 4167 View 020 3917 4167
Photo of Dr Alisa Priemysheva, Psychologist, MSc, HCPC - Clin. Psych.
Dr Alisa Priemysheva
Psychologist, MSc, HCPC - Clin. Psych.
West End, London WC1H
Over the years, I’ve witnessed, again and again, the powerful impact of therapy on our lives. Sometimes life feels heavier than we expect it to. Whether you’re feeling overwhelmed, uncertain, or simply in need of a quiet space to talk things through, therapy can help with a variety of questions. It can help to adapt to life changes, cope with stress and anxiety, low mood and address difficult experiences from the past.
Over the years, I’ve witnessed, again and again, the powerful impact of therapy on our lives. Sometimes life feels heavier than we expect it to. Whether you’re feeling overwhelmed, uncertain, or simply in need of a quiet space to talk things through, therapy can help with a variety of questions. It can help to adapt to life changes, cope with stress and anxiety, low mood and address difficult experiences from the past.
020 3984 8193 View 020 3984 8193
Photo of Daniel Goldie, Psychotherapist, MUKCP
Daniel Goldie
Psychotherapist, MUKCP
Online Only
Therapy is an opportunity to break free of unhelpful patterns, to explore, to challenge and to develop new ways of being with yourself and others. I engage with my clients in a real, authentic way and invite them to do the same with me. I'm an experienced UKCP & BACP registered Psychotherapist with 17 years experience working in a range of mental health services. I've supported many people in leading richer and more rewarding lives. ​I work in a way that is open, honest, supportive and allows for lightness and challenge. Take a look at my website for more information about how I work.
Therapy is an opportunity to break free of unhelpful patterns, to explore, to challenge and to develop new ways of being with yourself and others. I engage with my clients in a real, authentic way and invite them to do the same with me. I'm an experienced UKCP & BACP registered Psychotherapist with 17 years experience working in a range of mental health services. I've supported many people in leading richer and more rewarding lives. ​I work in a way that is open, honest, supportive and allows for lightness and challenge. Take a look at my website for more information about how I work.
020 3958 4013 View 020 3958 4013
Photo of Venise Adams-Sarfo - Chrystal Therapy (Anxiety /ADHD) , Psychotherapist, MBACP
Chrystal Therapy (Anxiety /ADHD)
Psychotherapist, MBACP
West End, London WC2H
Struggling with anxiety, ADHD or Autism? Is your child overwhelmed at school, masking all day and melting down at home? Or are you an adult feeling burnt out, distracted or recently diagnosed with ADHD and unsure what comes next? At Chrystal Therapy, we provide specialist, neurodiversity‑affirming counselling for children, young people and adults. I support anxiety, emotional regulation difficulties, executive functioning challenges and identity adjustment following late diagnosis. As a BACP‑registered therapist, we offer structured, trauma‑informed and goal‑focused therapy.
Struggling with anxiety, ADHD or Autism? Is your child overwhelmed at school, masking all day and melting down at home? Or are you an adult feeling burnt out, distracted or recently diagnosed with ADHD and unsure what comes next? At Chrystal Therapy, we provide specialist, neurodiversity‑affirming counselling for children, young people and adults. I support anxiety, emotional regulation difficulties, executive functioning challenges and identity adjustment following late diagnosis. As a BACP‑registered therapist, we offer structured, trauma‑informed and goal‑focused therapy.
01905 975299 View 01905 975299
Photo of Heather Forrest, Counsellor, MA, MBACP
Heather Forrest
Counsellor, MA, MBACP
2 Endorsed
West End, London WC1H
It’s a challenging thing to face lives difficulties alone. Get support to explore the pain and upset from your past and discover how you can live your life free from former difficulties.
It’s a challenging thing to face lives difficulties alone. Get support to explore the pain and upset from your past and discover how you can live your life free from former difficulties.
020 4538 2965 View 020 4538 2965
Photo of Simone Taylor-Lewis, Counsellor, MBACP Accred
Simone Taylor-Lewis
Counsellor, MBACP Accred
Online Only
If you're processing past experiences, navigating current challenges, or seeking to build a brighter future, my approach offers specialist expertise in mindfulness, coaching techniques, tools for self-awareness, acceptance, and positive change. I am an accredited therapist specialised in offering a holistic and compassionate space that is affirming and inclusive for People of Colour and the LBGT+ community. I am committed to understanding your unique experiences and tailoring a therapeutic approach that aligns with your values and goals.
If you're processing past experiences, navigating current challenges, or seeking to build a brighter future, my approach offers specialist expertise in mindfulness, coaching techniques, tools for self-awareness, acceptance, and positive change. I am an accredited therapist specialised in offering a holistic and compassionate space that is affirming and inclusive for People of Colour and the LBGT+ community. I am committed to understanding your unique experiences and tailoring a therapeutic approach that aligns with your values and goals.
020 3772 6818 View 020 3772 6818
Photo of Kelly Dickson - Dr Kelly Dickson, Psychotherapist, PhD
Dr Kelly Dickson
Psychotherapist, PhD
Online Only
The evidence suggests that finding a therapist you feel able to talk to and understood by is key to a successful therapeutic experience. I am a down-to-earth, intelligent and non-judgmental integrative psychotherapist working with a range of issues. Ideally, therapy is a collaborative partnership and my style is active and empowering. I see you as the 'expert' in your life and myself as the 'expert' on therapeutic interventions. Together we focus on utilising your strengths and fostering insight and awareness in a safe and confidential environment. I love my work and look forward to helping you improve your mental health and wellbeing
The evidence suggests that finding a therapist you feel able to talk to and understood by is key to a successful therapeutic experience. I am a down-to-earth, intelligent and non-judgmental integrative psychotherapist working with a range of issues. Ideally, therapy is a collaborative partnership and my style is active and empowering. I see you as the 'expert' in your life and myself as the 'expert' on therapeutic interventions. Together we focus on utilising your strengths and fostering insight and awareness in a safe and confidential environment. I love my work and look forward to helping you improve your mental health and wellbeing
020 3962 0347 View 020 3962 0347
Photo of Kevin Feighery - Kevin Feighery Counselling and Consultancy, Counsellor, MBACP
Kevin Feighery Counselling and Consultancy
Counsellor, MBACP
West End, London WC2H
Counsellor-Psychotherapist offering Internal Family Systems, (IFS) support to people with emotional, behavioural or mental health and addiction issues leading to problems with intimacy, relationships and sex, particular skills in working with emotional difficulties around co-dependency and intimacy, depression, anger/anxiety/stress and fear. Through my own journey of recovery and working with Mandy Saligari, I have gained knowledge around low self-esteem and confidence issues. I also work closely with relational childhood trauma-wounds stemming from inconsistent parenting or abuse-sexual, physical and emotional. ACOA, PTSD, TRAUMA
Counsellor-Psychotherapist offering Internal Family Systems, (IFS) support to people with emotional, behavioural or mental health and addiction issues leading to problems with intimacy, relationships and sex, particular skills in working with emotional difficulties around co-dependency and intimacy, depression, anger/anxiety/stress and fear. Through my own journey of recovery and working with Mandy Saligari, I have gained knowledge around low self-esteem and confidence issues. I also work closely with relational childhood trauma-wounds stemming from inconsistent parenting or abuse-sexual, physical and emotional. ACOA, PTSD, TRAUMA
020 3872 2914 View 020 3872 2914
Photo of Dr Polina Lukanova, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Polina Lukanova
Psychologist, DCounsPsych, HCPC - Couns. Psych.
West End, London WC1A
As a Counselling Psychologist, I draw from a range of therapeutic approaches to support you on your healing journey. Every therapeutic encounter is unique, which is why I tailor our work to your individual needs and preferences. I work from a trauma-informed perspective, with a deep awareness of the specific challenges that can arise from past or ongoing trauma. Through both clinical and personal experience, I understand how trauma can affect your sense of self, your safety in the world, and the ways you’ve learned to cope.
As a Counselling Psychologist, I draw from a range of therapeutic approaches to support you on your healing journey. Every therapeutic encounter is unique, which is why I tailor our work to your individual needs and preferences. I work from a trauma-informed perspective, with a deep awareness of the specific challenges that can arise from past or ongoing trauma. Through both clinical and personal experience, I understand how trauma can affect your sense of self, your safety in the world, and the ways you’ve learned to cope.
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Photo of Jon Sedarati, Psychotherapist, MSc, MBACP
Jon Sedarati
Psychotherapist, MSc, MBACP
Online Only
You’re here because you want something to change. You might not know exactly what that is but something feels wrong. Perhaps you feel anxious or depressed. Or maybe you’ve been getting into fights with your spouse, family, or colleagues. Whatever your problems, they are unique to you.
You’re here because you want something to change. You might not know exactly what that is but something feels wrong. Perhaps you feel anxious or depressed. Or maybe you’ve been getting into fights with your spouse, family, or colleagues. Whatever your problems, they are unique to you.
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Photo of Rosie Burton - Dr Rosie Burton Psychology Ltd, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Rosie Burton Psychology Ltd
Psychologist, PsychD, HCPC - Clin. Psych.
West End, London WC2A
I am an experienced Chartered Clinical Psychologist trained in a variety of therapeutic models and approaches, including Cognitive Behavioural Therapy (CBT), Mindfulness-based Therapy, Acceptance and Commitment Therapy (ACT), Compassion Focussed Therapy (CFT) and Eye Movement Desensitisation Reprogramming (EMDR). My therapeutic style is integrative which means I use a range of therapeutic approaches depending on client needs and preferences, so I tend not to stick rigidly to a one size fits all way of working. This allows me to be flexible and client-centred no matter who I am working with.
I am an experienced Chartered Clinical Psychologist trained in a variety of therapeutic models and approaches, including Cognitive Behavioural Therapy (CBT), Mindfulness-based Therapy, Acceptance and Commitment Therapy (ACT), Compassion Focussed Therapy (CFT) and Eye Movement Desensitisation Reprogramming (EMDR). My therapeutic style is integrative which means I use a range of therapeutic approaches depending on client needs and preferences, so I tend not to stick rigidly to a one size fits all way of working. This allows me to be flexible and client-centred no matter who I am working with.
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Photo of Margaret Cawley - Your Life Gym, Counsellor, BACP
Your Life Gym
Counsellor, BACP
West End, London WC2H
I work with adults who want to understand themselves better and create meaningful change in their lives. Many of my clients come to therapy because they are navigating grief, struggling with anxiety, feeling stuck in patterns of behaviour often addictions, or facing a life transition that has shaken their confidence or sense of identity.
I work with adults who want to understand themselves better and create meaningful change in their lives. Many of my clients come to therapy because they are navigating grief, struggling with anxiety, feeling stuck in patterns of behaviour often addictions, or facing a life transition that has shaken their confidence or sense of identity.
020 4634 7737 View 020 4634 7737
Photo of Barbara Bates, Counsellor, MA, MBACP
Barbara Bates
Counsellor, MA, MBACP
1 Endorsed
West End, London WC1H
Are you feeling stuck in patterns that no longer serve you? Do you find yourself navigating personal or professional challenges that leave you overwhelmed, uncertain, or disconnected from your true self? As a qualified TA therapeutic counsellor in advanced clinical training, I offer a structured yet deeply compassionate space for self-exploration, healing, and transformation. Whether you come from a creative background or the corporate world, I understand the pressures of high-performance environments and the emotional complexities they bring.
Are you feeling stuck in patterns that no longer serve you? Do you find yourself navigating personal or professional challenges that leave you overwhelmed, uncertain, or disconnected from your true self? As a qualified TA therapeutic counsellor in advanced clinical training, I offer a structured yet deeply compassionate space for self-exploration, healing, and transformation. Whether you come from a creative background or the corporate world, I understand the pressures of high-performance environments and the emotional complexities they bring.
020 4572 7514 View 020 4572 7514
Photo of Dr Elise Riley, Psychotherapist, PsychD, ACP
Dr Elise Riley
Psychotherapist, PsychD, ACP
West End, London WC1A
I am a Child and Adolescent Psychotherapist with years of NHS / CAMHS experience. I work with young people (0-25yo) experiencing emotional difficulties such as anxiety, low mood, depression, attention/concentration issues, and low self-esteem. Young children may express their distress through separation anxiety, feeding/sleep issues, or outbursts. I work with parents who often feel overwhelmed and seek support to understand what is happening and how to best respond. I also see couples as part of an advanced training at the Tavistock Relationships, a charity providing a range of fees to make therapy accessible to all.
I am a Child and Adolescent Psychotherapist with years of NHS / CAMHS experience. I work with young people (0-25yo) experiencing emotional difficulties such as anxiety, low mood, depression, attention/concentration issues, and low self-esteem. Young children may express their distress through separation anxiety, feeding/sleep issues, or outbursts. I work with parents who often feel overwhelmed and seek support to understand what is happening and how to best respond. I also see couples as part of an advanced training at the Tavistock Relationships, a charity providing a range of fees to make therapy accessible to all.
020 4572 9524 View 020 4572 9524
Photo of Dr Jasmine T Chin, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Jasmine T Chin
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
West End, London WC1H
Waitlist for new clients
Thank you for your interest! I am an experienced Consultant Clinical Psychologist and I have worked in mental health services in the NHS for over 25 years. I have a particular skill in working collaboratively with people whilst keeping them connected to the important contexts of their lives, whether that is their partner, children, family, work or the values and beliefs which guide them. I think it is important to acknowledge the impact of intergenerational strengths & trauma as well as attending to community resources & adversities given the powerful effect these can have in shaping our lives.
Thank you for your interest! I am an experienced Consultant Clinical Psychologist and I have worked in mental health services in the NHS for over 25 years. I have a particular skill in working collaboratively with people whilst keeping them connected to the important contexts of their lives, whether that is their partner, children, family, work or the values and beliefs which guide them. I think it is important to acknowledge the impact of intergenerational strengths & trauma as well as attending to community resources & adversities given the powerful effect these can have in shaping our lives.
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See more therapy options for West End, London

How does your Counsellor compare?

Number of Counsellors in West End, London

400+

Average cost per session

£89

Counsellors in West End, London who prioritize treating:

90% Anxiety
85% Depression
84% Relationship Issues
83% Self Esteem
81% Stress
69% Trauma and PTSD
59% Bereavement

Average years in practice

11 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
60% Vitality

How Counsellors in West End, London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

68% Female
31% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in West End, 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.