Counselling in Manchester

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Photo of PG Psychotherapy, Psychotherapist in Manchester, England
PG Psychotherapy
Psychotherapist, UKCP Trainee
Verified Verified
1 Endorsed
Manchester M21
Do you feel overwhelmed? Stuck? Overly anxious? Looking for a healthier work/life balance? I work with individuals on a whole range of different issues, such as anxiety, low mood, stress, relationship issues, and unhealthy patterns of behaviour. People turn to therapy, usually, when they find that they are stuck: either not knowing what to do next, or how to get out of unhelpful repetitive situations.
Do you feel overwhelmed? Stuck? Overly anxious? Looking for a healthier work/life balance? I work with individuals on a whole range of different issues, such as anxiety, low mood, stress, relationship issues, and unhealthy patterns of behaviour. People turn to therapy, usually, when they find that they are stuck: either not knowing what to do next, or how to get out of unhelpful repetitive situations.
0161 694 6315 View 0161 694 6315
Photo of Scott Lee @ The Retreat Clinics Manchester in Manchester, England
Scott Lee @ The Retreat Clinics Manchester
MSc
Verified Verified
Manchester M20
I offer my services to a variety of clients. I have experience working in the NHS as a mental health practitioner & social worker. I am able to support individuals, couples, young people, and families with mental health concerns working collaboratively to try improve the current situation, and make meaningful lasting change. I am able to offer face to face sessions at the Retreat Clinic Manchester, call on the number above and ask for myself, and if I'm not available, they can offer alternative therapies or therapists. Get in touch!
I offer my services to a variety of clients. I have experience working in the NHS as a mental health practitioner & social worker. I am able to support individuals, couples, young people, and families with mental health concerns working collaboratively to try improve the current situation, and make meaningful lasting change. I am able to offer face to face sessions at the Retreat Clinic Manchester, call on the number above and ask for myself, and if I'm not available, they can offer alternative therapies or therapists. Get in touch!
0161 524 6588 View 0161 524 6588
Photo of Richard Hall, Psychotherapist in Manchester, England
Richard Hall
Psychotherapist, MBACP
Verified Verified
Manchester M1
I am a Counsellor and Psychotherapist based in Manchester City Centre, working both in person and online. You may be struggling with a specific issue or pattern of behaviour and know already what you would like to talk about. Alternatively, you may simply be feeling down and low and need support with processing your feelings and emotions. Counselling may be able to offer a fresh perspective, or support you to make changes needed to get you to a better place. I work with women and men from all backgrounds, in a range of areas. I have worked closely with male issues and have experience working with gender diversity and LGBT+ issues.
I am a Counsellor and Psychotherapist based in Manchester City Centre, working both in person and online. You may be struggling with a specific issue or pattern of behaviour and know already what you would like to talk about. Alternatively, you may simply be feeling down and low and need support with processing your feelings and emotions. Counselling may be able to offer a fresh perspective, or support you to make changes needed to get you to a better place. I work with women and men from all backgrounds, in a range of areas. I have worked closely with male issues and have experience working with gender diversity and LGBT+ issues.
0161 524 5158 View 0161 524 5158
Photo of Kirsty Lucas-Smyth, Psychotherapist in Manchester, England
Kirsty Lucas-Smyth
Psychotherapist, MSc
Verified Verified
1 Endorsed
Manchester M44  (Online Only)
I am a qualified CBT Psychotherapist, who supports young people and adults who are struggling with mental health difficulties, such as depression and/or anxiety. I can support you to understand your current difficulties, where they may be stemming from, and what may be impacting upon the way you think, feel and behave. We can identify your goals for therapy together, and what 'feeling better' means for you. Whether you prefer to talk things through, or a more active approach, I will tailor therapy to meet your goals.
I am a qualified CBT Psychotherapist, who supports young people and adults who are struggling with mental health difficulties, such as depression and/or anxiety. I can support you to understand your current difficulties, where they may be stemming from, and what may be impacting upon the way you think, feel and behave. We can identify your goals for therapy together, and what 'feeling better' means for you. Whether you prefer to talk things through, or a more active approach, I will tailor therapy to meet your goals.
0161 524 3182 View 0161 524 3182
Photo of Lila Devaney-Khodja, Psychotherapist in Manchester, England
Lila Devaney-Khodja
Psychotherapist, MBACP
Verified Verified
Manchester M21
I offer face-to-face, telephone and online support with a range of issues such as relationship struggles, anxiety, depression and low mood, low self-esteem, big life changes, loss and bereavement, stress, work-life balance, trauma - to name a few. I also offer therapy sessions outside where we can talk whilst walking in nearby natural spaces. My core training is in Transactional Analysis psychotherapy, which provides practical approaches to understanding ourselves in relation to the situations we find ourselves in - so there is some emphasis on self-exploration.
I offer face-to-face, telephone and online support with a range of issues such as relationship struggles, anxiety, depression and low mood, low self-esteem, big life changes, loss and bereavement, stress, work-life balance, trauma - to name a few. I also offer therapy sessions outside where we can talk whilst walking in nearby natural spaces. My core training is in Transactional Analysis psychotherapy, which provides practical approaches to understanding ourselves in relation to the situations we find ourselves in - so there is some emphasis on self-exploration.
01625 468713 View 01625 468713
Photo of Angela Louise Hinde, Counsellor in Manchester, England
Angela Louise Hinde
Counsellor, MBACP
Verified Verified
Manchester M27  (Online Only)
Are you looking for support while dealing with anxiety, depression, or stress? Does life feel difficult too cope with alone? Are you experiencing grief or loss, unsure which way to turn? all the while struggling to make sense of life, whilst trying to navigate your way through each day? As a qualified person-centred therapist I can offer a listening ear without any judgment.
Are you looking for support while dealing with anxiety, depression, or stress? Does life feel difficult too cope with alone? Are you experiencing grief or loss, unsure which way to turn? all the while struggling to make sense of life, whilst trying to navigate your way through each day? As a qualified person-centred therapist I can offer a listening ear without any judgment.
0161 524 2468 View 0161 524 2468
Photo of Dov Benyaacov-Kurtzman, Psychotherapist in Manchester, England
Dov Benyaacov-Kurtzman
Psychotherapist
Not Verified Not Verified
Manchester M25  (Online Only)
“I feel like quite a different person! Dov has taught me to learn from myself what's important in life, who's important in life, and that I'm actually one of the most important people in life. I would say that the work has been tremendous! His time, the way in which he helps you to open up and really evaluate what's going on and also his so many years of his own experience passes over to you. So it oozes confidence for you to then feel that "I can also be like that myself", which has been really, really helpful for me. Amanda Marks, London
“I feel like quite a different person! Dov has taught me to learn from myself what's important in life, who's important in life, and that I'm actually one of the most important people in life. I would say that the work has been tremendous! His time, the way in which he helps you to open up and really evaluate what's going on and also his so many years of his own experience passes over to you. So it oozes confidence for you to then feel that "I can also be like that myself", which has been really, really helpful for me. Amanda Marks, London
0161 509 6772 View 0161 509 6772
Photo of Ben Dawson, Psychologist in Manchester, England
Ben Dawson
Psychologist, HCPC - Clin. Psych.
Verified Verified
Manchester M2
Hi, my name is Ben and I am a Consult Clinical Psychologist at Project Trauma. I set up Project Trauma to provide the kind of personalised, compassionate psychological support that people need following events in their life which they have struggled to cope with. Psychological distress can affect anyone and everyone will have a different reaction to traumatic events in their life. We all have different tolerance and ways of coping, but at some stage in our life we will all need help from somewhere.
Hi, my name is Ben and I am a Consult Clinical Psychologist at Project Trauma. I set up Project Trauma to provide the kind of personalised, compassionate psychological support that people need following events in their life which they have struggled to cope with. Psychological distress can affect anyone and everyone will have a different reaction to traumatic events in their life. We all have different tolerance and ways of coping, but at some stage in our life we will all need help from somewhere.
0161 375 1612 View 0161 375 1612
Photo of Dr Lorna Robinson, Psychologist in Manchester, England
Dr Lorna Robinson
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
Manchester M2  (Online Only)
Hello, my name is Lorna and I'm here to help. Do you have a problem that you are finding hard to resolve or maybe feeling down, but unsure what the problem is. Either way I am here to support you and help you to make sense of your difficulties. I am gentle in nature, have much empathy and completely non- judgemental. I will create a warm, safe space enabling you to feel comfortable, allowing us to explore your difficulties and find solutions together.
Hello, my name is Lorna and I'm here to help. Do you have a problem that you are finding hard to resolve or maybe feeling down, but unsure what the problem is. Either way I am here to support you and help you to make sense of your difficulties. I am gentle in nature, have much empathy and completely non- judgemental. I will create a warm, safe space enabling you to feel comfortable, allowing us to explore your difficulties and find solutions together.
01707 959162 View 01707 959162
Photo of Labelfree counselling, Counsellor in Manchester, England
Labelfree counselling
Counsellor, PNCPS Acc.
Verified Verified
Manchester M15
Hello Nice to meet you; I'm Courtnee, an accredited in, Person centred counselling to individuals: dealing with moderate drug and alcohol abuse, domestic violence, trauma, relationships, illness (specifically those on treatment plans for cancer), bullying, bereavement and grief, gangs, and S.E.N/moderate learning difficulties. I take pride in being nonjudgmental, empathetic, and honest. I aim to help clients establish their self-esteem and enhance their confidence at their own pace. My understanding of the therapy process stems from my experience as both a counsellor and a client.
Hello Nice to meet you; I'm Courtnee, an accredited in, Person centred counselling to individuals: dealing with moderate drug and alcohol abuse, domestic violence, trauma, relationships, illness (specifically those on treatment plans for cancer), bullying, bereavement and grief, gangs, and S.E.N/moderate learning difficulties. I take pride in being nonjudgmental, empathetic, and honest. I aim to help clients establish their self-esteem and enhance their confidence at their own pace. My understanding of the therapy process stems from my experience as both a counsellor and a client.
0161 524 1925 View 0161 524 1925
Photo of Kieran Nolan, Psychotherapist in Manchester, England
Kieran Nolan
Psychotherapist, PhD, MUKCP
Verified Verified
Manchester M21
I have been working full-time as a psychotherapist since 2002 and have over 16,000 clinical hours of experience. Trained in a number of different types of therapy, I offer a huge depth of experience, formerly as a Senior Psychotherapist with a community mental health team (CMHT) within the NHS and now as a psychotherapist in private practice. Additionally, as I have an unusual dual training in Psychoanalytic Psychotherapy and Humanistic & Integrative Psychotherapy, I am uniquely placed to offer a flexible and powerful approach to psychotherapy.
I have been working full-time as a psychotherapist since 2002 and have over 16,000 clinical hours of experience. Trained in a number of different types of therapy, I offer a huge depth of experience, formerly as a Senior Psychotherapist with a community mental health team (CMHT) within the NHS and now as a psychotherapist in private practice. Additionally, as I have an unusual dual training in Psychoanalytic Psychotherapy and Humanistic & Integrative Psychotherapy, I am uniquely placed to offer a flexible and powerful approach to psychotherapy.
0161 524 7962 View 0161 524 7962
Photo of Tracy McCadden, Counsellor in Manchester, England
Tracy McCadden
Counsellor, MBACP
Verified Verified
1 Endorsed
Manchester M27
Life can sometimes feel unmanageable, we can feel low and isolated and unsure of who to turn to. When we feel stuck in certain situations and these begin impacting on our mood and our behaviour, we can often need the support of an outside source to help us look at our situation more clearly and to help us regain control. This is where an experienced counsellor can really help. "My therapist has been a great help, a good listener, and has given me an insight into who I really am....I'm sure I will be better for her sound counselling."
Life can sometimes feel unmanageable, we can feel low and isolated and unsure of who to turn to. When we feel stuck in certain situations and these begin impacting on our mood and our behaviour, we can often need the support of an outside source to help us look at our situation more clearly and to help us regain control. This is where an experienced counsellor can really help. "My therapist has been a great help, a good listener, and has given me an insight into who I really am....I'm sure I will be better for her sound counselling."
07831 202104 View 07831 202104
Photo of Esther Webb, Counsellor in Manchester, England
Esther Webb
Counsellor, DCounsPsych, ACC Reg
Verified Verified
Manchester M14
I have been working as a Counsellor for 9 years and have had experience working with a variety of different issues. I love to engage with people from all walks of life and understand that therapy can be a daunting prospect, so I try to create a warm and welcoming environment where you feel safe to share your story. If you are looking for somebody who can help you understand where your struggles come from, as well as help you to develop tools to manage you current feelings and behaviours, then we would work well together. If you have a Christian faith and wish to bring this into the therapy room, then you can feel safe doing so.
I have been working as a Counsellor for 9 years and have had experience working with a variety of different issues. I love to engage with people from all walks of life and understand that therapy can be a daunting prospect, so I try to create a warm and welcoming environment where you feel safe to share your story. If you are looking for somebody who can help you understand where your struggles come from, as well as help you to develop tools to manage you current feelings and behaviours, then we would work well together. If you have a Christian faith and wish to bring this into the therapy room, then you can feel safe doing so.
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Photo of Caroline Leacock, Psychotherapist in Manchester, England
Caroline Leacock
Psychotherapist, MNCPS Acc.
Verified Verified
Manchester M3
You have courage and determination in the face of life's challenges. I can only imagine you have been grappling with issues like anxiety, depression, or relationship struggles, yet you refuse to let these obstacles define you. Instead, you're hungry for change, yearning for a sense of peace and fulfillment that seems just out of reach. Your needs are raw and real, but you want a change of direction, because you feel stuck. I appreciate you may be scared, but I will be here throughout.
You have courage and determination in the face of life's challenges. I can only imagine you have been grappling with issues like anxiety, depression, or relationship struggles, yet you refuse to let these obstacles define you. Instead, you're hungry for change, yearning for a sense of peace and fulfillment that seems just out of reach. Your needs are raw and real, but you want a change of direction, because you feel stuck. I appreciate you may be scared, but I will be here throughout.
01707 954018 View 01707 954018
Photo of Take Care Counselling, Counsellor in Manchester, England
Take Care Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Manchester M2
Anxiety, depression, emotional distress, life's upheavels, bereavement are just some of the reasons causing emotional pain. As we move through life some of our past experiences can stay alive in our day to day and cause pain and distress. I believe everyone has the ability to find their way through tough times and heal and grow. I have worked with many different presenting issues in a sensitive and compassionate way. I am a person centred counsellor and will explore with you anything you bring.
Anxiety, depression, emotional distress, life's upheavels, bereavement are just some of the reasons causing emotional pain. As we move through life some of our past experiences can stay alive in our day to day and cause pain and distress. I believe everyone has the ability to find their way through tough times and heal and grow. I have worked with many different presenting issues in a sensitive and compassionate way. I am a person centred counsellor and will explore with you anything you bring.
01707 245347 View 01707 245347
Photo of The Meraki Way | Performers & Creatives Wellbeing, Psychotherapist in Manchester, England
The Meraki Way | Performers & Creatives Wellbeing
Psychotherapist, HCPC-Art Therap.
Verified Verified
Manchester M2
As a Creative Arts Psychotherapist & Somatic Breathworker, I offer a safe supportive confidential trauma-informed space to move beyond the limitations of the mind & relying on words. Whether you feel stressed, anxious, overwhelmed, lost, low, stuck or creatively blocked, talking things through may help, but to truly change what is showing up and holding you back from how you want to feel and who you know you can be, we need to work in a creative embodied way beyond words. With our human experience of exposure to stress and trauma living in the body, our subconscious thoughts are fed from a place of fear, activation, and survival.
As a Creative Arts Psychotherapist & Somatic Breathworker, I offer a safe supportive confidential trauma-informed space to move beyond the limitations of the mind & relying on words. Whether you feel stressed, anxious, overwhelmed, lost, low, stuck or creatively blocked, talking things through may help, but to truly change what is showing up and holding you back from how you want to feel and who you know you can be, we need to work in a creative embodied way beyond words. With our human experience of exposure to stress and trauma living in the body, our subconscious thoughts are fed from a place of fear, activation, and survival.
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Photo of Daisy Samantha Dixon, Psychotherapist in Manchester, England
Daisy Samantha Dixon
Psychotherapist, DCounsPsych, MBACP
Verified Verified
Manchester M38
I have over 19 years experience working with people - My clients come to me, when they feel overwhelmed, exhausted and in need of support - they can't manage their thoughts, relationships, behaviours alone any longer and they need someone to talk to in a confidential, non-judgmental way. Together we explore, unpick, understand and make changes, so that life can become more manageable, enjoyable and less exhausting. For me, each of my clients are individuals, and its about getting the right balance - seeing what works and what doesn't work for them, promoting change together.
I have over 19 years experience working with people - My clients come to me, when they feel overwhelmed, exhausted and in need of support - they can't manage their thoughts, relationships, behaviours alone any longer and they need someone to talk to in a confidential, non-judgmental way. Together we explore, unpick, understand and make changes, so that life can become more manageable, enjoyable and less exhausting. For me, each of my clients are individuals, and its about getting the right balance - seeing what works and what doesn't work for them, promoting change together.
01942 925346 View 01942 925346
Photo of Daniel Quinn, Psychotherapist in Manchester, England
Daniel Quinn
Psychotherapist, MBABCP
Verified Verified
Manchester M30
Cognitive Behavioural Therapy (CBT) is a structured, psychological approach recommended by the National Institute for Health and Care Excellence (NICE) for the treatment of a number of common difficulties including: Depression, Panic Disorder, GAD (Worry) Social Anxiety, Obsessive Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), Health Anxiety and specific phobias. Additionally, I can offer support with issues such as low self esteem, anger, stress, poor sleep etc. You do not need a formal diagnosis, together we can collaboratively explore your thoughts and feelings.
Cognitive Behavioural Therapy (CBT) is a structured, psychological approach recommended by the National Institute for Health and Care Excellence (NICE) for the treatment of a number of common difficulties including: Depression, Panic Disorder, GAD (Worry) Social Anxiety, Obsessive Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), Health Anxiety and specific phobias. Additionally, I can offer support with issues such as low self esteem, anger, stress, poor sleep etc. You do not need a formal diagnosis, together we can collaboratively explore your thoughts and feelings.
0161 524 7167 View 0161 524 7167
Photo of Charles Brooks, Counsellor in Manchester, England
Charles Brooks
Counsellor, MSc, UKCP Trainee
Verified Verified
Manchester M20
Taking the step to speak to someone, whether you have done this before or it is your first time, can feel daunting. You’re likely here because there’s something you’re going through at the moment; you’ve given this a lot of thought, looked at your options and are trying to find someone who you can talk to about all this.
Taking the step to speak to someone, whether you have done this before or it is your first time, can feel daunting. You’re likely here because there’s something you’re going through at the moment; you’ve given this a lot of thought, looked at your options and are trying to find someone who you can talk to about all this.
07721 376450 View 07721 376450
Photo of Manchester Centre for EMDR, Psychotherapist in Manchester, England
Manchester Centre for EMDR
Psychotherapist, MSc, MBACP Snr. Accred
Verified Verified
Manchester M20
Eye Movement Desensitization and Reprocessing (EMDR) Therapy is a powerful healing method that has helped adults, young people and children, relieve many troublesome symptoms resulting from TRAUMA. EMDR has also been applied to other problems including depression, anxiety and phobias. The Centre for EMDR is a virtual online centre which provides onward contact with a qualified, experienced EMDR therapist located in Manchester, Liverpool or UK areas (for video based sessions). All therapists are self-employed, manage their own diaries and adhere to appropriate Professional codes.
Eye Movement Desensitization and Reprocessing (EMDR) Therapy is a powerful healing method that has helped adults, young people and children, relieve many troublesome symptoms resulting from TRAUMA. EMDR has also been applied to other problems including depression, anxiety and phobias. The Centre for EMDR is a virtual online centre which provides onward contact with a qualified, experienced EMDR therapist located in Manchester, Liverpool or UK areas (for video based sessions). All therapists are self-employed, manage their own diaries and adhere to appropriate Professional codes.
0161 524 2902 View 0161 524 2902

See more therapy options for Manchester

How does your Counsellor compare?

Number of Counsellors in Manchester

800+

Average cost per session

£60

Counsellors in Manchester who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
80% Stress
78% Relationship Issues
67% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

62% Aviva
59% AXA PPP
47% Vitality

How Counsellors in Manchester see their clients

64% In Person and Online
36% Online Only

Gender breakdown

71% Female
27% Male
2% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Manchester?

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.