Counselling in Oxford

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Photo of Natasha Lobanova, Counsellor in Oxford, England
Natasha Lobanova
Counsellor, MBACP
Verified
Oxford OX2
Waitlist for new clients
My ideal client is honest enough to acknowledge their issues and brave enough to voice them in the counselling room. The ability to ask for help when needed is an important component of a successful counselling relationships
My ideal client is honest enough to acknowledge their issues and brave enough to voice them in the counselling room. The ability to ask for help when needed is an important component of a successful counselling relationships
020 3514 1480 View 020 3514 1480
Photo of Helaina Clinical Sexology, Counsellor in Oxford, England
Helaina Clinical Sexology
Counsellor, COSRT Accred
Verified
Oxford OX4  (Online Only)
My service is provided as a specialist sex and relationship therapist. I aim to provide a safe environment in which clients can share their intimate thoughts and problems with no fear of judgement. I honour all sexual orientations, gender identities and sexual preferences. I am kink aware and knowledgable and take a sex positive approach. Specific issues covered include: erection problems, inability to orgasm, low sexual desire, painful intercourse, premature/early ejaculation, problematic porn use, relationship problems–couples/poly, (sex, gender, erotic, relationship) identity, BDSM, kinks and fetishes, vaginismus
My service is provided as a specialist sex and relationship therapist. I aim to provide a safe environment in which clients can share their intimate thoughts and problems with no fear of judgement. I honour all sexual orientations, gender identities and sexual preferences. I am kink aware and knowledgable and take a sex positive approach. Specific issues covered include: erection problems, inability to orgasm, low sexual desire, painful intercourse, premature/early ejaculation, problematic porn use, relationship problems–couples/poly, (sex, gender, erotic, relationship) identity, BDSM, kinks and fetishes, vaginismus
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Photo of Beenish Chaudhry, Psychotherapist in Oxford, England
Beenish Chaudhry
Psychotherapist, MBABCP
Verified
1 Endorsed
Oxford OX3  (Online Only)
Hi - I currently have space to work with a couple and an individual. I work with couples who are struggling to be a team and want to work through key issues to find a way back to each other. I am to help improve communication and develop a greater understanding of yourself and your partner. With 15 years experience of working in mental health I aim to support you to unlock your potential through becoming more self-aware. I provide a safe, respectful and supportive space for you to identify your specific needs, explore issues and work through your difficulties.
Hi - I currently have space to work with a couple and an individual. I work with couples who are struggling to be a team and want to work through key issues to find a way back to each other. I am to help improve communication and develop a greater understanding of yourself and your partner. With 15 years experience of working in mental health I aim to support you to unlock your potential through becoming more self-aware. I provide a safe, respectful and supportive space for you to identify your specific needs, explore issues and work through your difficulties.
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Photo of Julie Jenner, Psychotherapist in Oxford, England
Julie Jenner
Psychotherapist, MUKCP
Verified
Oxford OX2
We are in some challenging times and there is opportunity for both support with 'here and now issues' and deeper exploration of being you. I am an experienced and highly trained Integrative Body Psychotherapist, Couples Psychotherapist and Trauma Recovery Specialist having been in the field for over 24 years. I help you experientially with life and relationship challenges in a mind, body and spirit process. I include the neurobiology of relationship, attachment, internal parts systems, transgenerational trauma recovery, birth psychology and transpersonal realms. Professional Supervision, Training and Consultancy available.
We are in some challenging times and there is opportunity for both support with 'here and now issues' and deeper exploration of being you. I am an experienced and highly trained Integrative Body Psychotherapist, Couples Psychotherapist and Trauma Recovery Specialist having been in the field for over 24 years. I help you experientially with life and relationship challenges in a mind, body and spirit process. I include the neurobiology of relationship, attachment, internal parts systems, transgenerational trauma recovery, birth psychology and transpersonal realms. Professional Supervision, Training and Consultancy available.
020 8138 0462 View 020 8138 0462
Photo of Leah Spasova, Psychologist in Oxford, England
Leah Spasova
Psychologist, GMBPsS
Verified
Oxford OX3
Tired of finding yourself frustrated, lonely, unfulfilled and lost in your intimate life and relationships? Yes, spending life stuck and unhappy, feeling like a lab rat – trying to figure out a maze without a map can be soul destroying. I've been talking, teaching and helping people with their relationships and sexuality since 2007, and no story can faze me. You can feel safe - I'll get you. I will understand and not judge one bit. This is your journey. Are you struggling with intimacy and sexuality? Are you curious about kinky sex or swinging? Or maybe you want to open your relationship? Or to begin with - actually find a partner?
Tired of finding yourself frustrated, lonely, unfulfilled and lost in your intimate life and relationships? Yes, spending life stuck and unhappy, feeling like a lab rat – trying to figure out a maze without a map can be soul destroying. I've been talking, teaching and helping people with their relationships and sexuality since 2007, and no story can faze me. You can feel safe - I'll get you. I will understand and not judge one bit. This is your journey. Are you struggling with intimacy and sexuality? Are you curious about kinky sex or swinging? Or maybe you want to open your relationship? Or to begin with - actually find a partner?
01865 638066 View 01865 638066
Photo of Dr Saba Hassan, Psychologist in Oxford, England
Dr Saba Hassan
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
Oxford OX1  (Online Only)
I completed my Doctorate in Clinical Psychology from the University of Oxford and am registered with the HCPC. I have worked with a range of complex emotional needs with diagnoses such as PTSD, complex PTSD, complex trauma, anxiety disorders i.e OCD, phobias, GAD, depression, eating disorders, and mental health difficulties associated with neuro-developmental disorders (ASC & ADHD). I have (and still actively) worked in the NHS since 2017 across several settings including psychiatric inpatient wards, health psychology settings, adult ADHD and autism services, adult mental health teams and eating disorder services.
I completed my Doctorate in Clinical Psychology from the University of Oxford and am registered with the HCPC. I have worked with a range of complex emotional needs with diagnoses such as PTSD, complex PTSD, complex trauma, anxiety disorders i.e OCD, phobias, GAD, depression, eating disorders, and mental health difficulties associated with neuro-developmental disorders (ASC & ADHD). I have (and still actively) worked in the NHS since 2017 across several settings including psychiatric inpatient wards, health psychology settings, adult ADHD and autism services, adult mental health teams and eating disorder services.
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Photo of Joanne Carney-Osborne, Psychotherapist in Oxford, England
Joanne Carney-Osborne
Psychotherapist, MSc, MUKCP
Verified
Oxford OX2
Hello, I am Joanne. I have been a family therapist in the NHS for over 20yrs. I have recently retired from working with young people and their families in Camhs and now I am offering family therapy privately. I have also worked as a family therapist in Adult Psychological Services. I work with families facing difficulties with mental health issues which are then impacting on communication/relationships within the family.
Hello, I am Joanne. I have been a family therapist in the NHS for over 20yrs. I have recently retired from working with young people and their families in Camhs and now I am offering family therapy privately. I have also worked as a family therapist in Adult Psychological Services. I work with families facing difficulties with mental health issues which are then impacting on communication/relationships within the family.
020 4538 0929 View 020 4538 0929
Photo of Anne Calleja, Psychotherapist in Oxford, England
Anne Calleja
Psychotherapist, MSc, MUKCP
Verified
Oxford OX2
I utilise a blend of positive psychotherapeutic enquiry and solution focussed approaches, to identify and reframe the cause of limiting beliefs and behaviours. I tailor my approach and work with individuals and couples. Whether you need to overcome a traumatic experience, difficulties in relationships, self esteem, anxiety or coaching to provide skills to transition through life, manage a situation or perform at your best. Building an independent, safe and trusting environment for you to explore issues and challenges in life: both work and/or personal is important for me.
I utilise a blend of positive psychotherapeutic enquiry and solution focussed approaches, to identify and reframe the cause of limiting beliefs and behaviours. I tailor my approach and work with individuals and couples. Whether you need to overcome a traumatic experience, difficulties in relationships, self esteem, anxiety or coaching to provide skills to transition through life, manage a situation or perform at your best. Building an independent, safe and trusting environment for you to explore issues and challenges in life: both work and/or personal is important for me.
01865 951780 View 01865 951780
Photo of Rabhya Dewshi, Psychologist in Oxford, England
Rabhya Dewshi
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
Oxford OX4
I offer therapy for depression, anxiety, relationship issues, workplace difficulties, loss and childhood trauma, as well as for difficulties which don't fall neatly into a category. My work focuses on making sense of unhappiness, understanding causes and developing solutions. I also work with children and parents on a wide range of issues including: emotional distress (e.g. anxiety, anger, depression) behavioural problems (e.g.temper tantrums, defiance, impulsivity) attachment difficulties learning disabilities fears and phobias sleep, eating, & toiletting
I offer therapy for depression, anxiety, relationship issues, workplace difficulties, loss and childhood trauma, as well as for difficulties which don't fall neatly into a category. My work focuses on making sense of unhappiness, understanding causes and developing solutions. I also work with children and parents on a wide range of issues including: emotional distress (e.g. anxiety, anger, depression) behavioural problems (e.g.temper tantrums, defiance, impulsivity) attachment difficulties learning disabilities fears and phobias sleep, eating, & toiletting
01865 951442 View 01865 951442
Photo of Alberto Congosto Nunez, Counsellor in Oxford, England
Alberto Congosto Nunez
Counsellor, PsychD, MNCPS Acc.
Verified
Oxford OX2
There are times in life when some people may experience overwhelming feelings and behaviours that can persist even with the support of friends and loved ones. I'm a qualified accredited practitioner based in Oxford, UK. I have a solid track record of positive changes affirmed by my clients. I offer a consistent, competent and affordable service to all my clients regardless of their world views, cultural diversity and other factors. I help my clients resolve the challenges they may be dealing with or issues which are troubling them using a combined approach to therapy that best matches their characteristics and preferences.
There are times in life when some people may experience overwhelming feelings and behaviours that can persist even with the support of friends and loved ones. I'm a qualified accredited practitioner based in Oxford, UK. I have a solid track record of positive changes affirmed by my clients. I offer a consistent, competent and affordable service to all my clients regardless of their world views, cultural diversity and other factors. I help my clients resolve the challenges they may be dealing with or issues which are troubling them using a combined approach to therapy that best matches their characteristics and preferences.
01865 953384 View 01865 953384
Photo of Julia Belton, Psychotherapist in Oxford, England
Julia Belton
Psychotherapist, MUKCP
Verified
Oxford OX2
I am a Child and Adolescent Psychotherapist working in Oxford. I specialise in supporting young people, adults and families. As a former teacher I have a unique insight into how schools can support young people and if necessary I can facilitate communication between schools and families. For many years I have supported parents who face challenging situations, either individually, as a couple or in parent groups. I have over 20 years experience working with young people and adults both in schools and in private practice. Please get in touch for an informal chat or have a look at my website: juliabeltonpsychotherapy.co.uk.
I am a Child and Adolescent Psychotherapist working in Oxford. I specialise in supporting young people, adults and families. As a former teacher I have a unique insight into how schools can support young people and if necessary I can facilitate communication between schools and families. For many years I have supported parents who face challenging situations, either individually, as a couple or in parent groups. I have over 20 years experience working with young people and adults both in schools and in private practice. Please get in touch for an informal chat or have a look at my website: juliabeltonpsychotherapy.co.uk.
020 4538 2383 View 020 4538 2383
Photo of Nicola Psaila, Psychotherapist in Oxford, England
Nicola Psaila
Psychotherapist, MA, MBABCP
Verified
Oxford OX2
I work with people with a wide range of issues including trauma and abuse, PTSD, depression, anxiety, phobias, panic attacks, and low self-esteem. I also support people with self-exploratory work, managing life transitions, stress, burnout, relationship issues, bereavement, and much more. We can focus on immediate issues as well as long-standing patterns, for example in schema therapy. Whether you know what you would like help with, or you are unsure, do get in touch to see if I can help.
I work with people with a wide range of issues including trauma and abuse, PTSD, depression, anxiety, phobias, panic attacks, and low self-esteem. I also support people with self-exploratory work, managing life transitions, stress, burnout, relationship issues, bereavement, and much more. We can focus on immediate issues as well as long-standing patterns, for example in schema therapy. Whether you know what you would like help with, or you are unsure, do get in touch to see if I can help.
01865 638564 View 01865 638564
Photo of Rebecca Dalton -Motivating Minds, Counsellor in Oxford, England
Rebecca Dalton -Motivating Minds
Counsellor, MBACP
Verified
Oxford OX2
Do you or a loved one have unhealthy habits that are becoming regular routines? Is anxiety, low mood or depression causing you to feel lost, helpless or worthless? Is drinking or using drugs becoming more frequent as a way of coping? Are personal and work relationships being affected? Is your mental or physical health affecting your motivation? Do you feel shame, remorse and loneliness? If you or someone you are supporting is experiencing any of these feelings then I can help.
Do you or a loved one have unhealthy habits that are becoming regular routines? Is anxiety, low mood or depression causing you to feel lost, helpless or worthless? Is drinking or using drugs becoming more frequent as a way of coping? Are personal and work relationships being affected? Is your mental or physical health affecting your motivation? Do you feel shame, remorse and loneliness? If you or someone you are supporting is experiencing any of these feelings then I can help.
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Photo of Ahmed Kandeel, Counsellor in Oxford, England
Ahmed Kandeel
Counsellor, BPC
Verified
Oxford OX2
I worked with clients who had depression, anxiety, low self-esteem, and some who suffered from childhood trauma, childhood sexual abuse, and relationship problems. Some clients just needed to talk about a specific issue for the short term, and some preferred to have longer-term counselling to address underlying aspects of their personality. It's a journey to understand the self, and perhaps this understanding can make things move forward and incite a change
I worked with clients who had depression, anxiety, low self-esteem, and some who suffered from childhood trauma, childhood sexual abuse, and relationship problems. Some clients just needed to talk about a specific issue for the short term, and some preferred to have longer-term counselling to address underlying aspects of their personality. It's a journey to understand the self, and perhaps this understanding can make things move forward and incite a change
01865 638905 View 01865 638905
Photo of Jessica May Taylor, Psychotherapist in Oxford, England
Jessica May Taylor
Psychotherapist, MA, HCPC-Art Therap.
Verified
1 Endorsed
Oxford OX4
I am an Art Psychotherapist and Systemic Family Practitioner with over 10 years' experience working with individuals, couples and families across the age range. I draw on frameworks ranging from systemic to existential and psychodynamic. I work with warmth and curiosity to help people in distress navigate a path of finding meaning, richness, aliveness and connection within and from difficult and challenging experiences. I am also trained in EFT (emotionally focussed couples therapy) and currently have a waiting list for couples looking for therapy.
I am an Art Psychotherapist and Systemic Family Practitioner with over 10 years' experience working with individuals, couples and families across the age range. I draw on frameworks ranging from systemic to existential and psychodynamic. I work with warmth and curiosity to help people in distress navigate a path of finding meaning, richness, aliveness and connection within and from difficult and challenging experiences. I am also trained in EFT (emotionally focussed couples therapy) and currently have a waiting list for couples looking for therapy.
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Photo of Caroline Harrison, Psychotherapist in Oxford, England
Caroline Harrison
Psychotherapist, MA, MBACP
Verified
Oxford OX3
Talking therapy is my vocation and professional passion. I am of dual heritage and have a background in languages: Communicating and listening are at the heart of my practice. My training was in Integrative Counselling and Psychotherapy at the Minster Centre. This approach draws from the major therapeutic schools of thought. I think about what you feel on many levels and help you to find your own understanding. Whatever you wish to share, I give you time to reflect. I also work relationally. This means that the trusting partnership we develop will allow you to notice how you relate to yourself and others.
Talking therapy is my vocation and professional passion. I am of dual heritage and have a background in languages: Communicating and listening are at the heart of my practice. My training was in Integrative Counselling and Psychotherapy at the Minster Centre. This approach draws from the major therapeutic schools of thought. I think about what you feel on many levels and help you to find your own understanding. Whatever you wish to share, I give you time to reflect. I also work relationally. This means that the trusting partnership we develop will allow you to notice how you relate to yourself and others.
01865 950944 View 01865 950944
Photo of Lynne Trenery, Counsellor in Oxford, England
Lynne Trenery
Counsellor
Verified
1 Endorsed
Oxford OX2  (Online Only)
Individuals or couples who want to explore relationship issues and work out what they want, whether in the relationship or out of it. I help clients identify patterns of destructive communication and rebuild connection. I work with individuals who need support with decision making about their relationship (or lack of one), who may be experiencing anxiety or low self -esteem as a result. Having worked extensively in the corporate sector for many years I also offer single session therapy for clients who feel they are at a career crossroads and would benefit from objective and constructive listening.
Individuals or couples who want to explore relationship issues and work out what they want, whether in the relationship or out of it. I help clients identify patterns of destructive communication and rebuild connection. I work with individuals who need support with decision making about their relationship (or lack of one), who may be experiencing anxiety or low self -esteem as a result. Having worked extensively in the corporate sector for many years I also offer single session therapy for clients who feel they are at a career crossroads and would benefit from objective and constructive listening.
01865 509554 View 01865 509554
Photo of Guy Turton, Counsellor in Oxford, England
Guy Turton
Counsellor, DCounsPsych, MBACP
Verified
Oxford OX3
Reviewers and seekers like yourself might be uncertain about what therapy is. You might imagine it's like going to see the doctor to get a plan to be fixed or you may imagine Therapy to be more like a craft/art/magic. Or something else. I don't have fixed ideas about what you bring, how you bring it and what sort of person you might be. I'm not sure what you want, but i'm interested to start exploring it together with you. You may not know what you want and thats ok too. It is ok to reach out from a position of not knowing and uncertainty. Sitting a room together will give you a lot of information.
Reviewers and seekers like yourself might be uncertain about what therapy is. You might imagine it's like going to see the doctor to get a plan to be fixed or you may imagine Therapy to be more like a craft/art/magic. Or something else. I don't have fixed ideas about what you bring, how you bring it and what sort of person you might be. I'm not sure what you want, but i'm interested to start exploring it together with you. You may not know what you want and thats ok too. It is ok to reach out from a position of not knowing and uncertainty. Sitting a room together will give you a lot of information.
01865 638770 View 01865 638770
Photo of Dr Susannah Jenner, Psychologist in Oxford, England
Dr Susannah Jenner
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
Oxford OX2  (Online Only)
I aim to help and support people to overcome the difficult struggles that life can throw at us: when our anxieties and worries can grip us so tightly we feel paralysed by them. Or when life can feel so dark and overwhelming, we want to stay in bed all day and wish the world away, but then are filled with guilt and self-loathing that we have not done any of the things on our to do list. Or when all the shine has gone from our life, and no matter how much we try and get a ‘work-life balance’, we still feel exhausted, hollow, and our thinking is still foggy. I work with depression, anxiety, trauma (PTSD), and stress/burnout.
I aim to help and support people to overcome the difficult struggles that life can throw at us: when our anxieties and worries can grip us so tightly we feel paralysed by them. Or when life can feel so dark and overwhelming, we want to stay in bed all day and wish the world away, but then are filled with guilt and self-loathing that we have not done any of the things on our to do list. Or when all the shine has gone from our life, and no matter how much we try and get a ‘work-life balance’, we still feel exhausted, hollow, and our thinking is still foggy. I work with depression, anxiety, trauma (PTSD), and stress/burnout.
020 3823 6576 View 020 3823 6576
Photo of Dr Melissa Barkan, Psychologist in Oxford, England
Dr Melissa Barkan
Psychologist, DCounsPsych, CPsychol
Verified
1 Endorsed
Oxford OX1  (Online Only)
Often, individual difficulties are accompanied by the challenges of daily life, which make each person’s experience different and their therapeutic needs unique. Through short or long term therapy, I aim to support meaningful change in areas you would like to work on, with an understanding of the wider picture of how these issues may feature in daily life.
Often, individual difficulties are accompanied by the challenges of daily life, which make each person’s experience different and their therapeutic needs unique. Through short or long term therapy, I aim to support meaningful change in areas you would like to work on, with an understanding of the wider picture of how these issues may feature in daily life.
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See more therapy options for Oxford

How does your Counsellor compare?

Number of Counsellors in Oxford

200+

Average cost per session

£70

Counsellors in Oxford who prioritize treating:

87% Anxiety
81% Depression
81% Self Esteem
75% Stress
74% Relationship Issues
64% Trauma and PTSD
61% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

66% Aviva
63% AXA PPP
46% Vitality

How Counsellors in Oxford see their clients

71% In Person and Online
29% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Oxford?

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.