Counselling in Neston

Photo of Lyndsay MacAulay, Counsellor, MBACP
Lyndsay MacAulay
Counsellor, MBACP
Verified Verified
1 Endorsed
Serves Area
Hi, my name is Lyndsay, I specialise in working with kids, teens, and young adults who are dealing with a variety of problems in their lives -school, EBSA, bullying, self-harm, suicidal thoughts, friendships, family break down, identity issues, social media, anxiety, low mood, depression,or grief and loss to name but a few. I specialise in working with neurodivergent clients and offer a neuroaffirming, strengths based approach. I work with recent and historic sexual, emotional and physical abuse and trauma.
Hi, my name is Lyndsay, I specialise in working with kids, teens, and young adults who are dealing with a variety of problems in their lives -school, EBSA, bullying, self-harm, suicidal thoughts, friendships, family break down, identity issues, social media, anxiety, low mood, depression,or grief and loss to name but a few. I specialise in working with neurodivergent clients and offer a neuroaffirming, strengths based approach. I work with recent and historic sexual, emotional and physical abuse and trauma.
0151 453 1319 View 0151 453 1319
Photo of Nikki Holmes (Mbacp), Counsellor, BACP
Nikki Holmes (Mbacp)
Counsellor, BACP
Verified Verified
Serves Area
Are you having problems within your relationships both personally /professionally? Are you feeling alone, depressed, anxious or suffering from work-related stress? Do you feel your voice is not being heard or valued? Are you struggling to understand what is happening to you? Do not suffer alone I am here for you, to listen and understand you. I am a compassionate counsellor who has worked with children & adults offering a variety of counselling for issues regarding; stress; anxiety; grief; suicidal ideation; depression; confidence / self-esteem & abuse. My therapeutic approach will be individualised to meet your unique needs.
Are you having problems within your relationships both personally /professionally? Are you feeling alone, depressed, anxious or suffering from work-related stress? Do you feel your voice is not being heard or valued? Are you struggling to understand what is happening to you? Do not suffer alone I am here for you, to listen and understand you. I am a compassionate counsellor who has worked with children & adults offering a variety of counselling for issues regarding; stress; anxiety; grief; suicidal ideation; depression; confidence / self-esteem & abuse. My therapeutic approach will be individualised to meet your unique needs.
0151 329 2935 View 0151 329 2935
Photo of Michelle Thomas - Castle Therapy, Counsellor, DCounsPsych, MNCPS Acc.
Castle Therapy
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
Serves Area
#Live your best life. This is my mission and why I founded Castle Therapy, it's my aim to help as many people as possible live their best lives. Through hypnotherapy & counselling I can help with phobias, becoming healthier, anxiety & depression and much more. I was drawn to re-training and qualifying as a hypnotherapist and counsellor following a successful career with VirginMedia. As a Management and Leadership consultant & coach I was always looking for new ways to help my colleagues reach their full potential.
#Live your best life. This is my mission and why I founded Castle Therapy, it's my aim to help as many people as possible live their best lives. Through hypnotherapy & counselling I can help with phobias, becoming healthier, anxiety & depression and much more. I was drawn to re-training and qualifying as a hypnotherapist and counsellor following a successful career with VirginMedia. As a Management and Leadership consultant & coach I was always looking for new ways to help my colleagues reach their full potential.
0151 453 0639 View 0151 453 0639
Photo of Caroline Bridgwater, Counsellor, MBACP
Caroline Bridgwater
Counsellor, MBACP
Verified Verified
Serves Area
Qualified counsellor working with women suffering from anxiety, depression (including post-natal) and/or PTSD. Experienced in working with historical abuse (sexual, physical, neglect). Sessions available in-person or online across Wirral and Chester. I work with women who find themselves struggling in daily life, this can show up in many ways such as low mood, angry outbursts, disturbed sleep, physical and emotional exhaustion, difficulties in relationships - whether with a partner, children, or friends, feeling disconnected or worth-less
Qualified counsellor working with women suffering from anxiety, depression (including post-natal) and/or PTSD. Experienced in working with historical abuse (sexual, physical, neglect). Sessions available in-person or online across Wirral and Chester. I work with women who find themselves struggling in daily life, this can show up in many ways such as low mood, angry outbursts, disturbed sleep, physical and emotional exhaustion, difficulties in relationships - whether with a partner, children, or friends, feeling disconnected or worth-less
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Photo of Emma Bennett, Counsellor, MBACP
Emma Bennett
Counsellor, MBACP
Verified Verified
Serves Area
As a neurodivergent counsellor, with both training in and lived experience of ADHD and autism, I am sensitive to the specific needs of individuals with neurodiversity coming into the counselling room. During our first session we will establish what small changes can be made to ensure the counselling space feels safe and comfortable for you. Counselling is different to coaching, I'm not here to give advice, but to help you to explore who you are, what is happening for you, and what that means for you.
As a neurodivergent counsellor, with both training in and lived experience of ADHD and autism, I am sensitive to the specific needs of individuals with neurodiversity coming into the counselling room. During our first session we will establish what small changes can be made to ensure the counselling space feels safe and comfortable for you. Counselling is different to coaching, I'm not here to give advice, but to help you to explore who you are, what is happening for you, and what that means for you.
0151 453 7405 View 0151 453 7405
Photo of laurence Jarosy, Psychotherapist, MUKCP
laurence Jarosy
Psychotherapist, MUKCP
Verified Verified
Serves Area
I am an experienced UKCP registered psychotherapist and supervisor with over 15 years experience. I offer sessions for individuals and couples on both a long and short term basis depending on what is needed. I have an established private practice in Box, Wiltshire. I am also a member of BACP (The British Association for Counselling and Psychotherapy).
I am an experienced UKCP registered psychotherapist and supervisor with over 15 years experience. I offer sessions for individuals and couples on both a long and short term basis depending on what is needed. I have an established private practice in Box, Wiltshire. I am also a member of BACP (The British Association for Counselling and Psychotherapy).
01225 541127 View 01225 541127

More Therapists Nearby

Photo of Neil Harry Hewson - Sports Performance Mindset Coach
I am a dedicated and passionate sports performance mindset coach with extensive experience in both football and athletics. My journey in the realm of sports psychology has been marked by a profound commitment to helping athletes unlock their full potential by mastering the mental aspects of their performance. Throughout my career, I have had the privilege of working with Premier league footballers and world class athletes. These experiences have helped equip me with a versatile skill set to address the diverse needs of athletes.
I am a dedicated and passionate sports performance mindset coach with extensive experience in both football and athletics. My journey in the realm of sports psychology has been marked by a profound commitment to helping athletes unlock their full potential by mastering the mental aspects of their performance. Throughout my career, I have had the privilege of working with Premier league footballers and world class athletes. These experiences have helped equip me with a versatile skill set to address the diverse needs of athletes.
0161 524 7226 View 0161 524 7226
Photo of Jill Wasley Cbt Therapist, Psychotherapist, MBABCP
Jill Wasley Cbt Therapist
Psychotherapist, MBABCP
Verified Verified
Asking for help is not easy but making that first step can feel really positive. I am an experienced BABCP accredited Cognitive Behavioural Therapist (CBT) and work to help people (including children and young people) who are experiencing a range of issues including generalised anxiety, social anxiety, OCD, and depression, as well as other difficulties. Cognitive Behavioural Therapy focuses on the links between thoughts, feelings and behaviours, especially the way that unhelpful thoughts lead to and maintain distressing feelings and behaviours that can be a problem for some people and their families.
Asking for help is not easy but making that first step can feel really positive. I am an experienced BABCP accredited Cognitive Behavioural Therapist (CBT) and work to help people (including children and young people) who are experiencing a range of issues including generalised anxiety, social anxiety, OCD, and depression, as well as other difficulties. Cognitive Behavioural Therapy focuses on the links between thoughts, feelings and behaviours, especially the way that unhelpful thoughts lead to and maintain distressing feelings and behaviours that can be a problem for some people and their families.
01244 662590 View 01244 662590
Photo of Nigel Cadman, Psychotherapist, MSc, MBACP
Nigel Cadman
Psychotherapist, MSc, MBACP
Verified Verified
I work in a person-centred manner which means that I value building a positive relationship with clients; working to create a safe and comfortable therapeutic environment. This means that I want you to feel able to talk and express yourself about anything that may be troubling you. We talk about whatever you chose, and you can do so without fear of judgement. This enables you to become more comfortable with things as you discuss your thoughts freely, giving you an opportunity to consider things from different perspectives and over time building your confidence to explore different options and possibilities that are open to you.
I work in a person-centred manner which means that I value building a positive relationship with clients; working to create a safe and comfortable therapeutic environment. This means that I want you to feel able to talk and express yourself about anything that may be troubling you. We talk about whatever you chose, and you can do so without fear of judgement. This enables you to become more comfortable with things as you discuss your thoughts freely, giving you an opportunity to consider things from different perspectives and over time building your confidence to explore different options and possibilities that are open to you.
01270 433834 View 01270 433834
Photo of Kerry Edwards - South Manchester Therapy Room, Psychotherapist, MSc, MBABCP
South Manchester Therapy Room
Psychotherapist, MSc, MBABCP
Verified Verified
Thank you for reading my profile. I am a warm, empathetic and compassionate CBT Psychotherapist. I have a strong set of interpersonal skills and have developed a therapeutic alliance with those who work with. I have worked in Mental Health Services for 28 years. I work with a wide range of clients from 16 years and above. I am an optimistic Family Therapist and thoroughly enjoy my work. I am registered with the BABCP, have an up to date indemnity insurance and enhanced DBS. I have qualified in EMDR and I'm a Certified EMDR Coach.
Thank you for reading my profile. I am a warm, empathetic and compassionate CBT Psychotherapist. I have a strong set of interpersonal skills and have developed a therapeutic alliance with those who work with. I have worked in Mental Health Services for 28 years. I work with a wide range of clients from 16 years and above. I am an optimistic Family Therapist and thoroughly enjoy my work. I am registered with the BABCP, have an up to date indemnity insurance and enhanced DBS. I have qualified in EMDR and I'm a Certified EMDR Coach.
0161 524 7149 View 0161 524 7149
Photo of Rose Arnold, Psychotherapist, MBACP Accred
Rose Arnold
Psychotherapist, MBACP Accred
Verified Verified
I understand how important it is to find a therapist you feel comfortable with, especially at a time when you may be feeling stuck or alone, dealing with a particular issue, or feeling more generally overwhelmed? I offer a warm, compassionate, confidential and non-judgemental approach; a place to offload, perhaps find simple coping strategies, fresh insight, and the greater sense of balance or peace of mind you may seek.
I understand how important it is to find a therapist you feel comfortable with, especially at a time when you may be feeling stuck or alone, dealing with a particular issue, or feeling more generally overwhelmed? I offer a warm, compassionate, confidential and non-judgemental approach; a place to offload, perhaps find simple coping strategies, fresh insight, and the greater sense of balance or peace of mind you may seek.
07984 290514 View 07984 290514
Photo of Reem Masri, Counsellor, MNCPS Acc.
Reem Masri
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Online Only
Feeling overwhelmed or unsure? You don’t have to navigate this alone. I’m here to provide a safe, supportive space where you can explore your thoughts and feelings openly. Whether you’re dealing with anxiety, stress, depression, low self esteem, relationship issues or just need someone to talk to, we’ll work together to find clarity and build a path forward. I speak Arabic, which allows me to connect with you in your preferred language and better understand cultural nuances.
Feeling overwhelmed or unsure? You don’t have to navigate this alone. I’m here to provide a safe, supportive space where you can explore your thoughts and feelings openly. Whether you’re dealing with anxiety, stress, depression, low self esteem, relationship issues or just need someone to talk to, we’ll work together to find clarity and build a path forward. I speak Arabic, which allows me to connect with you in your preferred language and better understand cultural nuances.
0161 524 1754 View 0161 524 1754
Photo of Caroline Reed, Psychotherapist, MA, MBACP
Caroline Reed
Psychotherapist, MA, MBACP
Verified Verified
Online Only
When we are struggling and in pain, the need to be heard, understood, to be appreciated and valued and to feel safe is crucial to our healing. I have over 25 years experience working with families, couples, individuals, children & groups with mental health concerns and/or addictions and specialize in trauma. I work collaboratively alongside you, providing guidance on your journey towards healing. You know your strengths, areas for personal growth & your feelings. I know how the mind works, about how to push through barriers that hold you back, about recovery & healing. Together we will embark on a journey that is beneficial to you.
When we are struggling and in pain, the need to be heard, understood, to be appreciated and valued and to feel safe is crucial to our healing. I have over 25 years experience working with families, couples, individuals, children & groups with mental health concerns and/or addictions and specialize in trauma. I work collaboratively alongside you, providing guidance on your journey towards healing. You know your strengths, areas for personal growth & your feelings. I know how the mind works, about how to push through barriers that hold you back, about recovery & healing. Together we will embark on a journey that is beneficial to you.
0161 524 1294 View 0161 524 1294
Photo of Dr Madeline Smyth, Psychologist, PsychD, HCPC - Forensic Psych.
Dr Madeline Smyth
Psychologist, PsychD, HCPC - Forensic Psych.
Verified Verified
Waitlist for new clients
You may be struggling with memories of past or recent trauma, having overwhelming feelings or have patterns in your life that you'd like to change. You may have experienced a one off trauma that continues to bother you, or you may have a complex trauma history. You may be worried about your thoughts or behaviour, either towards yourself or others. Perhaps your relationships have not been very healthy and you want to break the cycle. Therapy can help you to address these issues and bring you back to the self you used to be or move you forward to a stronger healthier place.
You may be struggling with memories of past or recent trauma, having overwhelming feelings or have patterns in your life that you'd like to change. You may have experienced a one off trauma that continues to bother you, or you may have a complex trauma history. You may be worried about your thoughts or behaviour, either towards yourself or others. Perhaps your relationships have not been very healthy and you want to break the cycle. Therapy can help you to address these issues and bring you back to the self you used to be or move you forward to a stronger healthier place.
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Photo of Hannah Lloyd, Psychotherapist, MSc, MBABCP
Hannah Lloyd
Psychotherapist, MSc, MBABCP
Verified Verified
Hi, I’m Hannah. I have worked in mental health services for over 18 years. I enjoy working with clients to help them understand the development and maintenance of their current difficulties, so that it is possible to make meaningful changes using evidence based CBT strategies or EMDR. I incorporate mindfulness and compassionate approaches into my clinical work. I aim to provide a compassionate, non judgmental, therapeutic environment to clients and understand how difficult it can be to reach out for support. I will do my best to help you feel comfortable and at ease whilst helping you to achieve your goals.
Hi, I’m Hannah. I have worked in mental health services for over 18 years. I enjoy working with clients to help them understand the development and maintenance of their current difficulties, so that it is possible to make meaningful changes using evidence based CBT strategies or EMDR. I incorporate mindfulness and compassionate approaches into my clinical work. I aim to provide a compassionate, non judgmental, therapeutic environment to clients and understand how difficult it can be to reach out for support. I will do my best to help you feel comfortable and at ease whilst helping you to achieve your goals.
01925 730123 View 01925 730123
Photo of Emma Pudney, Counsellor, MNCPS Acc.
Emma Pudney
Counsellor, MNCPS Acc.
Verified Verified
Chester CH2
Hi I'm Emma and welcome to my profile, I’m passionate about supporting people through life’s toughest challenges, and I truly believe that life is so much more fulfilling when we nurture positive, healthy relationships. I love working with individuals who want to improve the quality of their relationships—whether that’s with friends, family, colleagues, life partners, or most importantly, themselves. You could think of me as a relationship counsellor, but just for you.
Hi I'm Emma and welcome to my profile, I’m passionate about supporting people through life’s toughest challenges, and I truly believe that life is so much more fulfilling when we nurture positive, healthy relationships. I love working with individuals who want to improve the quality of their relationships—whether that’s with friends, family, colleagues, life partners, or most importantly, themselves. You could think of me as a relationship counsellor, but just for you.
01244 727974 View 01244 727974
Photo of Lorraine Roberts, Counsellor, MBACP Accred
Lorraine Roberts
Counsellor, MBACP Accred
Verified Verified
Serves Area
Are you feeling overwhelmed or powerless about things beyond your control? Have you been signed off work because of stress or maybe workplace bullying is so toxic you don’t know how you can cope for very much longer? If you’re struggling to manage work and life you’re not alone. Many people find it challenging to juggle the demands of their jobs with a personal life, leading to burnout, anxiety, and frustration. A large percentage of our time is spent at work and often you can spend more time with work colleagues and managers than with your family. Work issues or struggles can deeply affect home life and personal relationships
Are you feeling overwhelmed or powerless about things beyond your control? Have you been signed off work because of stress or maybe workplace bullying is so toxic you don’t know how you can cope for very much longer? If you’re struggling to manage work and life you’re not alone. Many people find it challenging to juggle the demands of their jobs with a personal life, leading to burnout, anxiety, and frustration. A large percentage of our time is spent at work and often you can spend more time with work colleagues and managers than with your family. Work issues or struggles can deeply affect home life and personal relationships
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Photo of Patricia Yvonne Taylor, Psychotherapist, MSc, MBACP Accred
Patricia Yvonne Taylor
Psychotherapist, MSc, MBACP Accred
Verified Verified
Serves Area
My counselling model is Person-Centred. Many years experience enables me to offer effective individualised, psychological treatment. I treat most emotional disorders and provide a neutral ground My focus is to individuals heal, energise, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, understanding you and your issues to customise a treatment plan which meets your needs. I will be there for you every step of your journey. My goal is to help you grow from your struggles, heal your pain, and move forward to where you want to be in your life.
My counselling model is Person-Centred. Many years experience enables me to offer effective individualised, psychological treatment. I treat most emotional disorders and provide a neutral ground My focus is to individuals heal, energise, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, understanding you and your issues to customise a treatment plan which meets your needs. I will be there for you every step of your journey. My goal is to help you grow from your struggles, heal your pain, and move forward to where you want to be in your life.
01260 545418 View 01260 545418
Photo of Amanda Wiles, Counsellor, MBACP
Amanda Wiles
Counsellor, MBACP
Verified Verified
Chester CH1
I understand how any time of year can bring up many anxieties, pressures and memories. Whatever is on your mind we can work on your wellbeing together, in a non-judgmental, non-directive way. I believe in a holistic approach to mental health, addressing both the mind and body. As a Person-Centred therapist, I work with many of life's challenges, the core of my practice is the therapeutic relationship, therapy can be difficult, hard, and challenging, I understand that, and my hope is that you feel comfortable in sharing your story with me.
I understand how any time of year can bring up many anxieties, pressures and memories. Whatever is on your mind we can work on your wellbeing together, in a non-judgmental, non-directive way. I believe in a holistic approach to mental health, addressing both the mind and body. As a Person-Centred therapist, I work with many of life's challenges, the core of my practice is the therapeutic relationship, therapy can be difficult, hard, and challenging, I understand that, and my hope is that you feel comfortable in sharing your story with me.
0151 453 4235 View 0151 453 4235
Photo of Dr Siobhan Reilly, Psychotherapist, MBBS, UKCP Trainee
Dr Siobhan Reilly
Psychotherapist, MBBS, UKCP Trainee
Verified Verified
Are you feeling stuck, overwhelmed, or unsure of your next step? Struggling with anxiety? stress? burnout? phobias? low self-esteem? perfectionism? people-pleasing? relationship issues? career dissatisfaction? unwanted habits? IBS? (irritable bowel syndrome), weight-related issues? I can help. (See full list below). £70 per 55 minute session. £180 per 3 session block booking. 20% discounted rate to clients who work in any of the following professions: Health and Care professionals Medical and Allied Health Professionals Frontline Emergency Services Teachers and Education Professionals Public Sector Employees
Are you feeling stuck, overwhelmed, or unsure of your next step? Struggling with anxiety? stress? burnout? phobias? low self-esteem? perfectionism? people-pleasing? relationship issues? career dissatisfaction? unwanted habits? IBS? (irritable bowel syndrome), weight-related issues? I can help. (See full list below). £70 per 55 minute session. £180 per 3 session block booking. 20% discounted rate to clients who work in any of the following professions: Health and Care professionals Medical and Allied Health Professionals Frontline Emergency Services Teachers and Education Professionals Public Sector Employees
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See more therapy options for Neston

How does your Counsellor compare?

Number of Counsellors in Neston

< 10

Counsellors in Neston who prioritize treating:

100% Depression
100% Anxiety
100% Stress
83% Relationship Issues
83% Domestic Abuse
83% Domestic Violence
83% Self Esteem

Average years in practice

5 Years

Gender breakdown

84% Female
16% Male

How Counsellors in Neston see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Neston?

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.