Counselling in Oxford

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Photo of Blanka Geszti, Counsellor in Oxford, England
Blanka Geszti
Counsellor, MBACP
Verified Verified
Oxford OX2
I work with children and adolescents from the ages 3 to 18, typically presenting with anxiety, depression, difficulties managing anger or stress, low self esteem, compulsive behaviours or negative body image.
I work with children and adolescents from the ages 3 to 18, typically presenting with anxiety, depression, difficulties managing anger or stress, low self esteem, compulsive behaviours or negative body image.
020 3960 5163 View 020 3960 5163
Photo of Dmitry Shyla, Counsellor in Oxford, England
Dmitry Shyla
Counsellor, MBACP
Verified Verified
Oxford OX1
Our minds can be confusing places at times. Especially when it comes to issues of mental health. It may feel hard to talk about certain things with friends and loved ones for many reasons, and it can feel like there’s no way to escape these problems. I can offer you a safe, confidential space to help you make more sense of your situation, help you throw your problems into a new light and perhaps give you a new perspective on what’s going on for you. I work in a holistic way, which takes into account you as a whole person and not just a problem that needs to be treated.
Our minds can be confusing places at times. Especially when it comes to issues of mental health. It may feel hard to talk about certain things with friends and loved ones for many reasons, and it can feel like there’s no way to escape these problems. I can offer you a safe, confidential space to help you make more sense of your situation, help you throw your problems into a new light and perhaps give you a new perspective on what’s going on for you. I work in a holistic way, which takes into account you as a whole person and not just a problem that needs to be treated.
01689 664667 View 01689 664667
Photo of Jessica May Taylor, Psychotherapist in Oxford, England
Jessica May Taylor
Psychotherapist, MA, HCPC-Art Therap.
Verified 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 Penelope Barnes Psychotherapist & Clinical Supv, Psychotherapist in Oxford, England
Penelope Barnes Psychotherapist & Clinical Supv
Psychotherapist, DCounsPsych, MBACP Accred
Verified Verified
Oxford OX2
You may have been considering therapy for a while but are hesitating or perhaps you've had previous experience and need something more. You feel something is not right but it is hard to think about or put into words? Living with high levels of anxiety, shame or fear for a prolonged period, can negatively affect the way we perceive ourselves and others. So with a compassionate approach, I work with most psychological difficulties, and have a special interest in anxiety and low mood, problematic family relationships, parenting and bereavement. I also work extensively with adolescents and welcome working with those of 16+years.
You may have been considering therapy for a while but are hesitating or perhaps you've had previous experience and need something more. You feel something is not right but it is hard to think about or put into words? Living with high levels of anxiety, shame or fear for a prolonged period, can negatively affect the way we perceive ourselves and others. So with a compassionate approach, I work with most psychological difficulties, and have a special interest in anxiety and low mood, problematic family relationships, parenting and bereavement. I also work extensively with adolescents and welcome working with those of 16+years.
01865 950960 View 01865 950960
Photo of Jayne Chadwick, Counsellor in Oxford, England
Jayne Chadwick
Counsellor, BACP
Verified Verified
Oxford OX4
Based in both Cowley, Oxford, and also close to Newbury, I provide a non judgemental and compassionate space away from the complexities of your world to explore what is important to you. Maybe you are having difficulties in your relationships with others, or are having trouble feeling heard. Maybe you are feeling stuck and need a different framework to make sense of it all. Maybe you are dealing with loss of people or dreams, that are new or old that needs to be acknowledged and processed. It can be daunting to take the first step towards exploring what we need ourselves. I hope to take that journey with you at your pace.
Based in both Cowley, Oxford, and also close to Newbury, I provide a non judgemental and compassionate space away from the complexities of your world to explore what is important to you. Maybe you are having difficulties in your relationships with others, or are having trouble feeling heard. Maybe you are feeling stuck and need a different framework to make sense of it all. Maybe you are dealing with loss of people or dreams, that are new or old that needs to be acknowledged and processed. It can be daunting to take the first step towards exploring what we need ourselves. I hope to take that journey with you at your pace.
01865 638824 View 01865 638824
Photo of Dr Caroline Caddy, Psychologist in Oxford, England
Dr Caroline Caddy
Psychologist, HCPC - Clin. Psych.
Verified Verified
Oxford OX3  (Online Only)
Hello, I am Caroline. I am a HCPC-registered Clinical Psychologist with experience of working in a range of NHS settings with adults and children since 2013. I have experience of working with a wide range of mental health difficulties, including Eating Disorders, PTSD, Depression and Anxiety. I currently work as a Clinical Psychologist with adults in a NHS secondary care service. I specialise in working with those who struggle with complex trauma and complex emotional needs.
Hello, I am Caroline. I am a HCPC-registered Clinical Psychologist with experience of working in a range of NHS settings with adults and children since 2013. I have experience of working with a wide range of mental health difficulties, including Eating Disorders, PTSD, Depression and Anxiety. I currently work as a Clinical Psychologist with adults in a NHS secondary care service. I specialise in working with those who struggle with complex trauma and complex emotional needs.
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Photo of Helaina Clinical Sexology, Counsellor in Oxford, England
Helaina Clinical Sexology
Counsellor, COSRT Accred
Verified 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 Alison Hamley Psychological Services, Psychologist in Oxford, England
Alison Hamley Psychological Services
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
Oxford OX2
I am an HCPC registered Clinical Psychologist, and a British Psychological Society Chartered Psychologist. I have over 25 years experience of working in mental health settings. In my practice, I provide a safe, confidential and collaborative space for clients to explore their difficulties and find solutions to their problems.
I am an HCPC registered Clinical Psychologist, and a British Psychological Society Chartered Psychologist. I have over 25 years experience of working in mental health settings. In my practice, I provide a safe, confidential and collaborative space for clients to explore their difficulties and find solutions to their problems.
01865 951206 View 01865 951206
Photo of Esther Jackson, Psychotherapist in Oxford, England
Esther Jackson
Psychotherapist, MA, BPC
Verified Verified
1 Endorsed
Oxford OX2
Sometimes we can feel unhappy but not know why, or maybe we know why but feel unable to change. We may have physical symptoms but suspect that psychological factors underlie them. We might recognise behaviours in ourselves that may obstruct our capacity to work, or make and maintain relationships. Or we may have doubts about ourselves, an underlying feeling that we are not getting the most from life. Whatever the issue, talking can help make your problems clearer, enabling you to understand and resolve them better.
Sometimes we can feel unhappy but not know why, or maybe we know why but feel unable to change. We may have physical symptoms but suspect that psychological factors underlie them. We might recognise behaviours in ourselves that may obstruct our capacity to work, or make and maintain relationships. Or we may have doubts about ourselves, an underlying feeling that we are not getting the most from life. Whatever the issue, talking can help make your problems clearer, enabling you to understand and resolve them better.
020 3835 5499 View 020 3835 5499
Photo of Southcott Psychotherapy, Counsellor in Oxford, England
Southcott Psychotherapy
Counsellor, MA, MNCPS Acc.
Verified Verified
Oxford OX4  (Online Only)
I work using a Person Centred Approach and a blend of therapeutic approaches and skills. I offer consultations for individuals who want to explore, and improve their ability to manage emotion effectively, wish to enhance their relationship skills, and develop healthy and effective coping mechanisms whilst letting go of thinking/behaviour patterns that are having a detrimental effect in their lives.
I work using a Person Centred Approach and a blend of therapeutic approaches and skills. I offer consultations for individuals who want to explore, and improve their ability to manage emotion effectively, wish to enhance their relationship skills, and develop healthy and effective coping mechanisms whilst letting go of thinking/behaviour patterns that are having a detrimental effect in their lives.
01865 664949 View 01865 664949
Photo of Sharmila Kaduskar, Psychotherapist in Oxford, England
Sharmila Kaduskar
Psychotherapist, MA, MUKCP
Verified Verified
Oxford OX3
You may seem to the world to be successful, sure of yourself, and in control whilst feeling increasingly isolated as you battle, perhaps in secret, with your fear, anxiety, loneliness or past. You may sense that part of you is hidden, maybe even from yourself, tripping you up when it matters most, that your life is not quite what you hoped or your choices are unfulfilling. You may wish to know your own heart, to be on your own side, and to be able engage authentically and meaningfully with your life. Working together we can listen out for your quiet inner voice, the one that already knows you and already knows how to be.
You may seem to the world to be successful, sure of yourself, and in control whilst feeling increasingly isolated as you battle, perhaps in secret, with your fear, anxiety, loneliness or past. You may sense that part of you is hidden, maybe even from yourself, tripping you up when it matters most, that your life is not quite what you hoped or your choices are unfulfilling. You may wish to know your own heart, to be on your own side, and to be able engage authentically and meaningfully with your life. Working together we can listen out for your quiet inner voice, the one that already knows you and already knows how to be.
01865 900536 View 01865 900536
Photo of Annabelle Joy, Psychotherapist in Oxford, England
Annabelle Joy
Psychotherapist, MSc, MBABCP
Verified Verified
Oxford OX33
Cognitive Behavioral Therapy is an evidenced based therapy that helps us to understand how we think, affects how we behave, and how we feel. It is a collaborative therapy. I believe the relationship built between the therapist and client helps deliver a positive therapeutic outcome. I work with my clients to build a formulation of their difficulties using CBT skills and techniques. We work together to understand what is maintaining the problem and how we can change our thoughts, thinking styles and behaviours. We gently learn to face our fears and to stop using controlling or avoidant behaviours.
Cognitive Behavioral Therapy is an evidenced based therapy that helps us to understand how we think, affects how we behave, and how we feel. It is a collaborative therapy. I believe the relationship built between the therapist and client helps deliver a positive therapeutic outcome. I work with my clients to build a formulation of their difficulties using CBT skills and techniques. We work together to understand what is maintaining the problem and how we can change our thoughts, thinking styles and behaviours. We gently learn to face our fears and to stop using controlling or avoidant behaviours.
01865 638059 View 01865 638059
Photo of Dr Patrick Kennedy-Williams, Psychologist in Oxford, England
Dr Patrick Kennedy-Williams
Psychologist, HCPC - Clin. Psych.
Verified Verified
Oxford OX2
Hello, I'm Patrick. I am an HCPC-registered Clinical Psychologist and a Chartered member of the British Psychological Society. I hold a doctorate in Clinical Psychology from the University of Oxford. I am Co-director of Psychology Oxford. We offer psychological support for children, young people and adults from our practice in North Oxford. Our Clinical, Counselling and Coaching psychologists work using a a range of psychological modalities, including CBT, Mindfulness, and other talking therapies. We are person-centred with a focus on alleviating a range of psychological difficulties that keep us from living our best life.
Hello, I'm Patrick. I am an HCPC-registered Clinical Psychologist and a Chartered member of the British Psychological Society. I hold a doctorate in Clinical Psychology from the University of Oxford. I am Co-director of Psychology Oxford. We offer psychological support for children, young people and adults from our practice in North Oxford. Our Clinical, Counselling and Coaching psychologists work using a a range of psychological modalities, including CBT, Mindfulness, and other talking therapies. We are person-centred with a focus on alleviating a range of psychological difficulties that keep us from living our best life.
01865 953345 View 01865 953345
Photo of Rabhya Dewshi, Psychologist in Oxford, England
Rabhya Dewshi
Psychologist, PsychD, HCPC - Clin. Psych.
Verified 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 Dr Tanya Lecchi, Psychologist in Oxford, England
Dr Tanya Lecchi
Psychologist, PhD, CPsychol
Verified Verified
Oxford OX2
I am a BPS Chartered Psychologist, Registered Counselling and Clinical Psychologist (HCPC), Integrative Psychotherapist, and Mindfulness Teacher. I offer a safe and confidential space, supporting clients who would like to develop more awareness of their inner world and its impact on their current challenges and ways of relating.
I am a BPS Chartered Psychologist, Registered Counselling and Clinical Psychologist (HCPC), Integrative Psychotherapist, and Mindfulness Teacher. I offer a safe and confidential space, supporting clients who would like to develop more awareness of their inner world and its impact on their current challenges and ways of relating.
01780 438659 View 01780 438659
Photo of Judith Zur, Psychologist in Oxford, England
Judith Zur
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Oxford OX2
Dr Judith Zur is a highly specialist clinical psychologist and Marital/Family therapist and Social Anthropologist with over thirty years’ experience of providing psychological and counselling interventions, consultation and supervision in the NHS and non-statutory settings in the UK and abroad. She is a caring and professional person experienced working successfully with individuals of all ages, couples and families on a wide range of issues both in her private consultation room and online. Judith´s therapeutic approach is non-judgemental, collaborative, empathic and person/couple-centred.
Dr Judith Zur is a highly specialist clinical psychologist and Marital/Family therapist and Social Anthropologist with over thirty years’ experience of providing psychological and counselling interventions, consultation and supervision in the NHS and non-statutory settings in the UK and abroad. She is a caring and professional person experienced working successfully with individuals of all ages, couples and families on a wide range of issues both in her private consultation room and online. Judith´s therapeutic approach is non-judgemental, collaborative, empathic and person/couple-centred.
01865 951408 View 01865 951408
Photo of Lea Trauma depression Anxiety Sexual Addiction Getu, Psychotherapist in Oxford, England
Lea Trauma depression Anxiety Sexual Addiction Getu
Psychotherapist, PhD
Verified Verified
Oxford OX3
I have had deep passion for more than 20 years to work as a psychotherapist. I have worked 18 years in private practice and 6 years for NHS. I have facilitated groups for survivors of Child Sexual Abuse and taught psychotherapy more than 10 years at Regents University, London where I am currently a lead lecturer on the Foundation course. I have specialized working with issues related to trauma. My PhD is related to Female-to-Female Child Sexual Abuse. However, I work with wide range of issues including e.g. depression. My approach is integrative and having a personal approach depending on your needs.
I have had deep passion for more than 20 years to work as a psychotherapist. I have worked 18 years in private practice and 6 years for NHS. I have facilitated groups for survivors of Child Sexual Abuse and taught psychotherapy more than 10 years at Regents University, London where I am currently a lead lecturer on the Foundation course. I have specialized working with issues related to trauma. My PhD is related to Female-to-Female Child Sexual Abuse. However, I work with wide range of issues including e.g. depression. My approach is integrative and having a personal approach depending on your needs.
01865 951200 x077379 View 01865 951200 x077379
Photo of Marianne Dorothee Broeker, Psychologist in Oxford, England
Marianne Dorothee Broeker
Psychologist, MSc, GMBPsS
Verified Verified
Oxford OX2
I provide focused therapy that will help you to see your patterns and emotions as well as moral and ethical challenges arising from interpersonal and social contexts better, to then allow you to change them. Obstacles to change are very subtle, often almost invisible. Self-awareness can redirect your energies to creating more positive states of mind. We will work on how ethical and moral dilemmas arise between people, how this interacts with different life experiences that impact your personality and how that then affects your psychological well being.
I provide focused therapy that will help you to see your patterns and emotions as well as moral and ethical challenges arising from interpersonal and social contexts better, to then allow you to change them. Obstacles to change are very subtle, often almost invisible. Self-awareness can redirect your energies to creating more positive states of mind. We will work on how ethical and moral dilemmas arise between people, how this interacts with different life experiences that impact your personality and how that then affects your psychological well being.
01865 638266 View 01865 638266
Photo of Tamara Jane Herrmann, Psychotherapist in Oxford, England
Tamara Jane Herrmann
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Oxford OX1
Hello! Thank you for checking my profile. I know that It’s really difficult to find the right therapist. We can have a brief chat on the phone or else arrange an initial assessment appointment and see how we get on together. I am an integrative Psychotherapist. I can see you for psychotherapy for any issues and problems in your life which are stopping you from living it to the full . I am also a dietician and can advise on healthy eating and nutrition. We can agree on nutritional targets based on tailor-made meal plan for you, if this is what you require .
Hello! Thank you for checking my profile. I know that It’s really difficult to find the right therapist. We can have a brief chat on the phone or else arrange an initial assessment appointment and see how we get on together. I am an integrative Psychotherapist. I can see you for psychotherapy for any issues and problems in your life which are stopping you from living it to the full . I am also a dietician and can advise on healthy eating and nutrition. We can agree on nutritional targets based on tailor-made meal plan for you, if this is what you require .
01865 411134 View 01865 411134
Photo of Anne Calleja, Psychotherapist in Oxford, England
Anne Calleja
Psychotherapist, MSc, MUKCP
Verified 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

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
77% Stress
74% Relationship Issues
66% Trauma and PTSD
59% Bereavement

Average years in practice

11 Years

Top 3 insurances accepted

64% Aviva
63% AXA PPP
44% Vitality

How Counsellors in Oxford see their clients

73% In Person and Online
27% 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.