Counselling in Summertown, Oxford

Photo of Gabriella Papp, Psychotherapist, MA, MUKCP
Gabriella Papp
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Summertown, Oxford OX2
Not accepting new clients
I am an Oxford-based counsellor and psychotherapist (MSc) , EMDR and trauma therapist offering online and face-to-face counselling specialising in anxiety, depression, disordered eating, abuse, self-esteem related and relationship issues. I will help you to build up your strength and resilience so that you can face life’s challenges with greater ease. Through therapy, you will learn how to make empowering choices, and regain control over your feelings, actions and relationships. My aim is to support you in releasing your emotional blocks and in finding resolution to painful past events so that you can live a more fulfilling life.
I am an Oxford-based counsellor and psychotherapist (MSc) , EMDR and trauma therapist offering online and face-to-face counselling specialising in anxiety, depression, disordered eating, abuse, self-esteem related and relationship issues. I will help you to build up your strength and resilience so that you can face life’s challenges with greater ease. Through therapy, you will learn how to make empowering choices, and regain control over your feelings, actions and relationships. My aim is to support you in releasing your emotional blocks and in finding resolution to painful past events so that you can live a more fulfilling life.
01865 951462 View 01865 951462
Photo of Imogen Leslie, Counsellor, MBACP
Imogen Leslie
Counsellor, MBACP
Verified Verified
Online Only
Hi I’m Imy. I’m a degree qualified and BACP registered counsellor/ therapist and I’m also just a person going through life which I hope comes across in the way I work. I work primarily with women and I aim to create a safe, grounded space for you to explore your present, reflect on your past, and consider your next steps. Together, we’ll gain deeper insight into your thoughts, feelings, and patterns, helping you develop a clearer sense of yourself.
Hi I’m Imy. I’m a degree qualified and BACP registered counsellor/ therapist and I’m also just a person going through life which I hope comes across in the way I work. I work primarily with women and I aim to create a safe, grounded space for you to explore your present, reflect on your past, and consider your next steps. Together, we’ll gain deeper insight into your thoughts, feelings, and patterns, helping you develop a clearer sense of yourself.
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Photo of Kina Malmberg-Lovatt, Psychotherapist, PsychD, MUKCP
Kina Malmberg-Lovatt
Psychotherapist, PsychD, MUKCP
Verified Verified
Summertown, Oxford OX2
I am an Integrative Psychotherapist and Counsellor with over 18 years experience, a qualified Couples Counsellor and a Somatic Experiencing Practitioner (SEP). I feel passionate about helping my clients, be it dealing with anxiety, depression, marriage and other relationship difficulties, addressing trauma including Complex-PTSD and childhood trauma, achieving personal growth or wanting to get on better in life or at work.
I am an Integrative Psychotherapist and Counsellor with over 18 years experience, a qualified Couples Counsellor and a Somatic Experiencing Practitioner (SEP). I feel passionate about helping my clients, be it dealing with anxiety, depression, marriage and other relationship difficulties, addressing trauma including Complex-PTSD and childhood trauma, achieving personal growth or wanting to get on better in life or at work.
01865 953324 View 01865 953324
Photo of Alberto Congosto Nunez, Counsellor, PsychD, MNCPS Acc.
Alberto Congosto Nunez
Counsellor, PsychD, MNCPS Acc.
Verified Verified
Summertown, 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 Rebecca Dalton - Rebecca Dalton -Motivating Minds, Psychotherapist, MBACP
Rebecca Dalton -Motivating Minds
Psychotherapist, MBACP
Verified Verified
Summertown, Oxford OX2
Is emotional dysregulation, anxiety or depression causing you to feel lost, helpless or worthless? Is ADHD a factor? Are you or a loved one self-medicating by drinking or using substances? Is disordered eating, gambling, and excessive internet use becoming more frequent as a way of coping? Are motivation and personal and work relationships being affected? Do you feel shame, remorse and loneliness? If you or someone you care for is experiencing any of these feelings, then I can help. My specialist interests are Anxiety, depression, ADHD, Addiction and/or Dependency.
Is emotional dysregulation, anxiety or depression causing you to feel lost, helpless or worthless? Is ADHD a factor? Are you or a loved one self-medicating by drinking or using substances? Is disordered eating, gambling, and excessive internet use becoming more frequent as a way of coping? Are motivation and personal and work relationships being affected? Do you feel shame, remorse and loneliness? If you or someone you care for is experiencing any of these feelings, then I can help. My specialist interests are Anxiety, depression, ADHD, Addiction and/or Dependency.
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Photo of Dr Patrick Kennedy-Williams, Psychologist, HCPC - Clin. Psych.
Dr Patrick Kennedy-Williams
Psychologist, HCPC - Clin. Psych.
Verified Verified
Summertown, Oxford OX2
Hello, I'm Patrick. I am an HCPC-registered Clinical Psychologist and a member of the Association of Clinical Psychologists. 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, Coaching, and neuropsychologists 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 member of the Association of Clinical Psychologists. 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, Coaching, and neuropsychologists 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 638115 View 01865 638115
Photo of Sanya Arapovic, Psychologist, MSc, HCPC - Couns. Psych.
Sanya Arapovic
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
Summertown, Oxford OX2
I am a Chartered Psychologist registered with the Health and Care Professions Council and the British Psychological Society. I have more than 20 years experience in higher education, the private sector and the NHS. I provide warm, respectful and personally tailored therapy for adults, teenagers and their families, covering a wide range of mental health conditions, including anxiety, obsessive compulsive disorder, depression, stress, and PTSD. My training in a diverse range of psychological techniques allows me to offer therapy adapted to an individual’s needs.
I am a Chartered Psychologist registered with the Health and Care Professions Council and the British Psychological Society. I have more than 20 years experience in higher education, the private sector and the NHS. I provide warm, respectful and personally tailored therapy for adults, teenagers and their families, covering a wide range of mental health conditions, including anxiety, obsessive compulsive disorder, depression, stress, and PTSD. My training in a diverse range of psychological techniques allows me to offer therapy adapted to an individual’s needs.
020 4572 1302 View 020 4572 1302
Photo of Dr Louise Dalton, Psychologist, HCPC - Clin. Psych.
Dr Louise Dalton
Psychologist, HCPC - Clin. Psych.
Verified Verified
Summertown, Oxford OX2
I’m Louise, a Clinical Psychologist with over 20 years’ experience working in the NHS with children, young people and parents. At your initial appointment, I will offer a friendly and welcoming space to think about what is troubling you or your family and explore what you hope to achieve through therapy. We will work together in partnership, drawing on your expertise about your family, and my knowledge and practical experience of a range of different evidence-based psychological therapies to reach your goals. Sessions may involve working individually with children, young people or parents, or family work.
I’m Louise, a Clinical Psychologist with over 20 years’ experience working in the NHS with children, young people and parents. At your initial appointment, I will offer a friendly and welcoming space to think about what is troubling you or your family and explore what you hope to achieve through therapy. We will work together in partnership, drawing on your expertise about your family, and my knowledge and practical experience of a range of different evidence-based psychological therapies to reach your goals. Sessions may involve working individually with children, young people or parents, or family work.
01865 411315 View 01865 411315
Photo of Esther Jackson, Psychotherapist, MA, BPC
Esther Jackson
Psychotherapist, MA, BPC
Verified Verified
Summertown, 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 Anne Calleja, Psychotherapist, MSc, MUKCP
Anne Calleja
Psychotherapist, MSc, MUKCP
Verified Verified
Summertown, 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 Julie Jenner, Psychotherapist, MUKCP
Julie Jenner
Psychotherapist, MUKCP
Verified Verified
Summertown, 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 25 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 25 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 Henrietta Ray - Neurodiversity Affirming, Counsellor, MBACP
Henrietta Ray - Neurodiversity Affirming
Counsellor, MBACP
Verified Verified
Summertown, Oxford OX2
Are your thoughts spinning so fast that focusing feels impossible? Do you find yourself cycling through anxiety, stress, and burnout? Overthinking may be taking a toll on your work, relationships, and overall well-being. While the pressure often comes from within, it can negatively impact many areas of your life, leading to procrastination, avoidance, and unhealthy coping mechanisms like overeating, substance use, or addiction. I specialise in supporting adults and adolescents who are struggling with overthinking, anxiety, sleep issues, disordered eating and/or eating disorders.
Are your thoughts spinning so fast that focusing feels impossible? Do you find yourself cycling through anxiety, stress, and burnout? Overthinking may be taking a toll on your work, relationships, and overall well-being. While the pressure often comes from within, it can negatively impact many areas of your life, leading to procrastination, avoidance, and unhealthy coping mechanisms like overeating, substance use, or addiction. I specialise in supporting adults and adolescents who are struggling with overthinking, anxiety, sleep issues, disordered eating and/or eating disorders.
020 3835 2894 View 020 3835 2894
Photo of Pete Low, Counsellor, MA, MBACP
Pete Low
Counsellor, MA, MBACP
Verified Verified
5 Endorsed
Summertown, Oxford OX2
Perhaps you're reading this because life is currently throwing some challenges your way. The difficulties that bring us to therapy are different for everyone, but maybe you're feeling stressed or are unable to stop your thoughts from racing, are struggling with sleep, or are finding that life is sadly lacking much joy. Perhaps you feel somehow not quite like your ‘old self’ and you aren't entirely clear why. Talking through what is happening in your life with someone trained to listen (and who is not directly involved in the events you describe) can help at such times. Very possibly it’s your first step in finding a new way through.
Perhaps you're reading this because life is currently throwing some challenges your way. The difficulties that bring us to therapy are different for everyone, but maybe you're feeling stressed or are unable to stop your thoughts from racing, are struggling with sleep, or are finding that life is sadly lacking much joy. Perhaps you feel somehow not quite like your ‘old self’ and you aren't entirely clear why. Talking through what is happening in your life with someone trained to listen (and who is not directly involved in the events you describe) can help at such times. Very possibly it’s your first step in finding a new way through.
01865 638185 View 01865 638185
Photo of Katherine Cavallo, Psychotherapist, MA, MUKCP
Katherine Cavallo
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Online Only
I am a fully qualified and accredited Systemic Family and Couple Psychotherapist (MA), with 25 years clinical experience working therapeutically with Individuals, Couples and Families across the age-span, both within the NHS and my own Private Practice. As a specialist relationship therapist, I support those navigating challenges, as well as those wishing to improve communication, intimacy and closeness. Keen to embrace gender, sexuality & relationship diversity, I work with couples and families of all kinds. My practice is strengths and resilience orientated, collaborative and underpinned by the latest evidence based principles.
I am a fully qualified and accredited Systemic Family and Couple Psychotherapist (MA), with 25 years clinical experience working therapeutically with Individuals, Couples and Families across the age-span, both within the NHS and my own Private Practice. As a specialist relationship therapist, I support those navigating challenges, as well as those wishing to improve communication, intimacy and closeness. Keen to embrace gender, sexuality & relationship diversity, I work with couples and families of all kinds. My practice is strengths and resilience orientated, collaborative and underpinned by the latest evidence based principles.
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Photo of Emma Bagnall - Emma Bagnall Psychotherapy, Psychotherapist, MBACP
Emma Bagnall Psychotherapy
Psychotherapist, MBACP
Verified Verified
Summertown, Oxford OX2
I provide psychodynamic psychotherapy therapy to adult individuals both in-person and online. I practice in a gentle, collaborative way, at all times working in your best interests
I provide psychodynamic psychotherapy therapy to adult individuals both in-person and online. I practice in a gentle, collaborative way, at all times working in your best interests
01865 537526 View 01865 537526
Photo of Paula O'Connor, Counsellor, MBACP
Paula O'Connor
Counsellor, MBACP
Verified Verified
Summertown, Oxford OX2
I am a qualified relationship therapist. I help couples who have challenges getting along. Maybe you are arguing all the time or perhaps someone has been cheating, had an affair or struggles with an addiction to sex or porn. If your world has been rocked by a discovery about your partner or you are living with secrecy that is weighing you down I can help you work through it.
I am a qualified relationship therapist. I help couples who have challenges getting along. Maybe you are arguing all the time or perhaps someone has been cheating, had an affair or struggles with an addiction to sex or porn. If your world has been rocked by a discovery about your partner or you are living with secrecy that is weighing you down I can help you work through it.
01865 537646 View 01865 537646
Photo of Chanden Patel - Nexus Heart & Mind Therapy, Psychotherapist, MSc, MUKCP
Nexus Heart & Mind Therapy
Psychotherapist, MSc, MUKCP
Verified Verified
Summertown, Oxford OX2
We work with a wide range of issues that include common presentations such as anxiety, depression, childhood difficulties, historical abuse and social unease. We aim to provide you with the emotional freedom to explore the human conditions that challenge our general mental and emotional wellbeing. We do this by offering differing ways of working eg couple or individual counselling, mentoring and small group work.
We work with a wide range of issues that include common presentations such as anxiety, depression, childhood difficulties, historical abuse and social unease. We aim to provide you with the emotional freedom to explore the human conditions that challenge our general mental and emotional wellbeing. We do this by offering differing ways of working eg couple or individual counselling, mentoring and small group work.
01865 954012 View 01865 954012
Photo of Bernadette O'brien, Psychotherapist, MA, MUKCP
Bernadette O'brien
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Summertown, Oxford OX2
Seeking Psychotherapy takes courage. There may be a particular issue or challenge that you are facing, or you may just be feeling that things are not quite right. Perhaps you feel that you are not fulfilling your potential and living the life you had hoped. There may be some long standing patterns of behaviour or recurring blocks that you keep coming up against. Core Process Psychotherapy provides compassionate holding for difficult feelings and offers us the opportunity to look for more space, clarity and balance and in our lives.
Seeking Psychotherapy takes courage. There may be a particular issue or challenge that you are facing, or you may just be feeling that things are not quite right. Perhaps you feel that you are not fulfilling your potential and living the life you had hoped. There may be some long standing patterns of behaviour or recurring blocks that you keep coming up against. Core Process Psychotherapy provides compassionate holding for difficult feelings and offers us the opportunity to look for more space, clarity and balance and in our lives.
01865 509567 View 01865 509567
Photo of Blanka Geszti, Counsellor, MBACP
Blanka Geszti
Counsellor, MBACP
Verified Verified
Summertown, 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 Ruth Day, Psychotherapist, MUKCP
Ruth Day
Psychotherapist, MUKCP
Verified Verified
Summertown, Oxford OX2
People seek psychotherapy and counselling for many reasons. You may be coming with a very clear sense of what is troubling you, or you may be experiencing a more generalised feeling that life has lost its meaning. I work with adults of all ages, cultural backgrounds and sexualities who are facing a broad range of challenges. For me, therapy is not about categorising people using labels or diagnoses. Instead, it allows the opportunity to stay with, and make sense of the unique experience of a person’s suffering.
People seek psychotherapy and counselling for many reasons. You may be coming with a very clear sense of what is troubling you, or you may be experiencing a more generalised feeling that life has lost its meaning. I work with adults of all ages, cultural backgrounds and sexualities who are facing a broad range of challenges. For me, therapy is not about categorising people using labels or diagnoses. Instead, it allows the opportunity to stay with, and make sense of the unique experience of a person’s suffering.
01865 537867 View 01865 537867
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How does your Counsellor compare?

Number of Counsellors in Summertown, Oxford

40+

Average cost per session

£70

Counsellors in Summertown, Oxford who prioritize treating:

88% Anxiety
86% Self Esteem
83% Depression
79% Relationship Issues
76% Stress
71% Bereavement
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

60% Aviva
60% AXA PPP
60% Vitality

How Counsellors in Summertown, Oxford see their clients

91% In Person and Online
9% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Summertown, 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.