Counselling in Stroud

Photo of John Andrews, Counsellor in Stroud, England
John Andrews
Counsellor, MBACP
Verified Verified
4 Endorsed
Stroud GL5
Do you need help with a difficult time in your life? Are you feeling low or anxious, consumed with worry? Perhaps what helped in the past is no longer working. You may be feeling numb or withdrawn. Are traumatic events from your past resurfacing? These challenging experiences are part of us, and when we feel ready it is good to have help. I work closely along side you and together we find out more about yourself, what you want, what is blocking you and how you might overcome this. By addressing these issues can help remove shackles allowing you to grow and realize your full potential.
Do you need help with a difficult time in your life? Are you feeling low or anxious, consumed with worry? Perhaps what helped in the past is no longer working. You may be feeling numb or withdrawn. Are traumatic events from your past resurfacing? These challenging experiences are part of us, and when we feel ready it is good to have help. I work closely along side you and together we find out more about yourself, what you want, what is blocking you and how you might overcome this. By addressing these issues can help remove shackles allowing you to grow and realize your full potential.
01453 702862 View 01453 702862
Photo of Fiona Ryan, Counsellor in Stroud, England
Fiona Ryan
Counsellor, MA, MBACP
Verified Verified
Stroud GL5
If you are struggling with feelings of low self-esteem, stress, anxiety, depression or bereavement or if you are having problems in your relationships at home or at work, counselling might be able to help you to make important changes in your life. Counselling provides a special therapeutic relationship where you will not be judged and where you will be given the respect and empathy that is needed for you to truly express yourself. Without providing advice, instructions or directions I aim to empower my clients so that they can work towards a happier future.
If you are struggling with feelings of low self-esteem, stress, anxiety, depression or bereavement or if you are having problems in your relationships at home or at work, counselling might be able to help you to make important changes in your life. Counselling provides a special therapeutic relationship where you will not be judged and where you will be given the respect and empathy that is needed for you to truly express yourself. Without providing advice, instructions or directions I aim to empower my clients so that they can work towards a happier future.
01453 700788 View 01453 700788
Photo of David Lewis Evans, Counsellor in Stroud, England
David Lewis Evans
Counsellor, MA, BACP
Verified Verified
4 Endorsed
Stroud GL5
My clients have a variety of issues. I encourage my clients to have a sense of curiosity about themselves and their process in our work together. Throughout therapy, I seek to meet such needs as genuine understanding and acceptance as well as the provision of a space of safety when clients may be experiencing a life situation or condition that feels unsafe. If you are seeking a therapist with shared lives experience, I can offer personal insights to clients who are seeking counselling for immune illnesses / bowel disease-related depression and anxiety.
My clients have a variety of issues. I encourage my clients to have a sense of curiosity about themselves and their process in our work together. Throughout therapy, I seek to meet such needs as genuine understanding and acceptance as well as the provision of a space of safety when clients may be experiencing a life situation or condition that feels unsafe. If you are seeking a therapist with shared lives experience, I can offer personal insights to clients who are seeking counselling for immune illnesses / bowel disease-related depression and anxiety.
01453 700943 View 01453 700943
Photo of Louise Hunt, Counsellor in Stroud, England
Louise Hunt
Counsellor, MBACP
Verified Verified
Stroud GL6
I champion a person's ability to empower themselves and develop a stronger self connection and connection to others. It is a privilege to share in the personal challenges and ventures of each unique individual & couple I work with in therapy. If you need to find a space to really be listened to, make sense of past, present or future events, discuss personal issues and learn how to move into a deeper understanding of yourself & your relationship to those around you, I would be honoured to be there alongside you.
I champion a person's ability to empower themselves and develop a stronger self connection and connection to others. It is a privilege to share in the personal challenges and ventures of each unique individual & couple I work with in therapy. If you need to find a space to really be listened to, make sense of past, present or future events, discuss personal issues and learn how to move into a deeper understanding of yourself & your relationship to those around you, I would be honoured to be there alongside you.
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Photo of Helen Pearce, Counsellor in Stroud, England
Helen Pearce
Counsellor, MBACP
Verified Verified
Stroud GL5
I am an integrative counsellor and psychotherapist working with both individuals and couples. I believe deeply in our resilience as human beings, and our ability to heal in the right environment with the right support. I focus on collaborating with my clients, empowering them, ensuring they always feel safe. I hold in mind and draw upon different theories depending on what I feel would benefit each individual client. The main theories I integrate in my practice are: psychodynamic theories, specifically Object Relations and Attachment Theory, Gestalt and Transactional Analysis. Please see my website for more info.
I am an integrative counsellor and psychotherapist working with both individuals and couples. I believe deeply in our resilience as human beings, and our ability to heal in the right environment with the right support. I focus on collaborating with my clients, empowering them, ensuring they always feel safe. I hold in mind and draw upon different theories depending on what I feel would benefit each individual client. The main theories I integrate in my practice are: psychodynamic theories, specifically Object Relations and Attachment Theory, Gestalt and Transactional Analysis. Please see my website for more info.
01453 703523 View 01453 703523
Photo of Bonnie Grotjahn, Counsellor in Stroud, England
Bonnie Grotjahn
Counsellor
Verified Verified
Stroud GL5
You might be in crisis: a relationship breakdown, sudden news of the death of a loved one or an illness, a work loss, or at an emotional or spiritual crossroads. Or you may generally have the feeling that your life isn't all you'd like it to be - you feel stuck, aren't living up to your potential or feeling as fulfilled or happy as you would like. Either way, you can be supported to navigate successfully through the very choppy waters of crisis - or the fog of confusion or uncertainty. You don't have to go it alone! You may well emerge from the other side a stronger and happier person than you ever thought possible.
You might be in crisis: a relationship breakdown, sudden news of the death of a loved one or an illness, a work loss, or at an emotional or spiritual crossroads. Or you may generally have the feeling that your life isn't all you'd like it to be - you feel stuck, aren't living up to your potential or feeling as fulfilled or happy as you would like. Either way, you can be supported to navigate successfully through the very choppy waters of crisis - or the fog of confusion or uncertainty. You don't have to go it alone! You may well emerge from the other side a stronger and happier person than you ever thought possible.
01453 708286 View 01453 708286
Photo of Hayley Carmichael, Psychotherapist in Stroud, England
Hayley Carmichael
Psychotherapist, MA, MNCPS Acc.
Verified Verified
1 Endorsed
Stroud GL6  (Online Only)
Anyone can feel the need to talk through what is troubling them; the past two years have proven tough for a lot of people. From worries about getting angry to feeling like you aren't heard - therapy can help. Perhaps you want to move forwards but feel stuck, or maybe a change is proving tough to navigate. If your past won't let you go, therapy allows you to explore this and loosen the grip of the past on your present. Sometime you just need a calm, safe space to think about what really matters for you and therapy offers this opportunity to sit with someone with no agenda other than to help you.
Anyone can feel the need to talk through what is troubling them; the past two years have proven tough for a lot of people. From worries about getting angry to feeling like you aren't heard - therapy can help. Perhaps you want to move forwards but feel stuck, or maybe a change is proving tough to navigate. If your past won't let you go, therapy allows you to explore this and loosen the grip of the past on your present. Sometime you just need a calm, safe space to think about what really matters for you and therapy offers this opportunity to sit with someone with no agenda other than to help you.
01453 703128 View 01453 703128
Photo of Beehive Counselling, Psychotherapist in Stroud, England
Beehive Counselling
Psychotherapist, MBACP
Verified Verified
Stroud GL5
Waitlist for new clients
If you are experiencing inner turmoil, challenges with relationships or dealing with loss, I can offer you a safe and supportive environment to help you understand the roots of your difficulties. We can try and make sense of the past and how it affects your life today. Gaining insights into the reasons for your issues will develop your capacity to cope with current and future difficulties; to gain the self care tools you need for lasting change.
If you are experiencing inner turmoil, challenges with relationships or dealing with loss, I can offer you a safe and supportive environment to help you understand the roots of your difficulties. We can try and make sense of the past and how it affects your life today. Gaining insights into the reasons for your issues will develop your capacity to cope with current and future difficulties; to gain the self care tools you need for lasting change.
01594 808761 View 01594 808761
Photo of A2B Counselling Services, Counsellor in Stroud, England
A2B Counselling Services
Counsellor, MBACP Accred
Verified Verified
Stroud GL5
Hello, and welcome to A2B Counselling. I am a fully BACP accredited psychodynamic counsellor, with decades of experience in senior management, supporting and developing individuals and teams. I offer counselling with a personal development and coaching slant which can help you to identify and understand unconscious behaviors' which may be negatively impacting your confidence; self-belief; or personal and workplace relationships.
Hello, and welcome to A2B Counselling. I am a fully BACP accredited psychodynamic counsellor, with decades of experience in senior management, supporting and developing individuals and teams. I offer counselling with a personal development and coaching slant which can help you to identify and understand unconscious behaviors' which may be negatively impacting your confidence; self-belief; or personal and workplace relationships.
01453 700941 View 01453 700941
Photo of Helen Fenton: Face-to-Face & Online Counselling, Counsellor in Stroud, England
Helen Fenton: Face-to-Face & Online Counselling
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Stroud GL5
You may be finding it difficult to cope, and feel alone? You may be struggling after a trauma or bereavement, separation, or with ill-health? Or maybe feel that your life is stuck, or lacking purpose? At times like these, counselling offers a space for you to explore your thoughts and feelings, with someone who will strive to understand without judgement, & help you make sense of your feelings, find clarity, or make decisions. I offer all my clients Empathy, Congruence, and Unconditional Positive Regard. I also offer play, sand-tray, art and creative therapies to my younger clients. Home visits are available.
You may be finding it difficult to cope, and feel alone? You may be struggling after a trauma or bereavement, separation, or with ill-health? Or maybe feel that your life is stuck, or lacking purpose? At times like these, counselling offers a space for you to explore your thoughts and feelings, with someone who will strive to understand without judgement, & help you make sense of your feelings, find clarity, or make decisions. I offer all my clients Empathy, Congruence, and Unconditional Positive Regard. I also offer play, sand-tray, art and creative therapies to my younger clients. Home visits are available.
01666 336813 View 01666 336813
Photo of Lara Piper, Counsellor in Stroud, England
Lara Piper
Counsellor, MBACP Accred
Verified Verified
Stroud GL5
People take the step to seek therapy for many reasons. Perhaps you are experiencing feelings of anxiety, overwhelm or depression. You may be facing a dilemma, feeling stuck or lacking a sense of purpose or direction in life. Often people will come because they are struggling with relationship or family issues that feel hard to resolve. A traumatic event, loss or life-stage crisis might lead you to look for professional support. Maybe fears and unhelpful behaviours are limiting your life.
People take the step to seek therapy for many reasons. Perhaps you are experiencing feelings of anxiety, overwhelm or depression. You may be facing a dilemma, feeling stuck or lacking a sense of purpose or direction in life. Often people will come because they are struggling with relationship or family issues that feel hard to resolve. A traumatic event, loss or life-stage crisis might lead you to look for professional support. Maybe fears and unhelpful behaviours are limiting your life.
01453 703526 View 01453 703526
Photo of Josephine Burke, Psychotherapist in Stroud, England
Josephine Burke
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Stroud GL5
Waitlist for new clients
I am a fully qualified and highly experienced art psychotherapist, parenting consultant clinical supervisor. I provide evidence-based therapeutic services to children, families and adults through art psychotherapy, VIPP-SD (Video feedback Interaction to promote Positive Parenting and Sensitive Discipline) and the Incredible Years Parenting Programme. I have over 12 years of clinical experience working for CAMHS/NHS, charities and within educational institutions with parents, children and adults with varied abilities including neurodiversity. I am passionate about helping others discover inspiration and a fulfilling life.
I am a fully qualified and highly experienced art psychotherapist, parenting consultant clinical supervisor. I provide evidence-based therapeutic services to children, families and adults through art psychotherapy, VIPP-SD (Video feedback Interaction to promote Positive Parenting and Sensitive Discipline) and the Incredible Years Parenting Programme. I have over 12 years of clinical experience working for CAMHS/NHS, charities and within educational institutions with parents, children and adults with varied abilities including neurodiversity. I am passionate about helping others discover inspiration and a fulfilling life.
01453 706627 View 01453 706627
Photo of Caroline Vacara, Psychologist in Stroud, England
Caroline Vacara
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
Stroud GL5
Do you find yourself going around painful and frustrating circles in your life and relationships? Do you feel stuck, overwhelmed and uncertain how to move forward? Sometimes, despite our best efforts, we just need another person to help us find a new path. Therapy can help us make sense of our feelings, thoughts and actions. It can support us to work through difficult emotions and memories and enable us to find the courage and compassion needed to forge a better life for ourselves. Choosing a therapist can be daunting, but having an initial chat on the phone can help you decide if someone feels like a good fit for you.
Do you find yourself going around painful and frustrating circles in your life and relationships? Do you feel stuck, overwhelmed and uncertain how to move forward? Sometimes, despite our best efforts, we just need another person to help us find a new path. Therapy can help us make sense of our feelings, thoughts and actions. It can support us to work through difficult emotions and memories and enable us to find the courage and compassion needed to forge a better life for ourselves. Choosing a therapist can be daunting, but having an initial chat on the phone can help you decide if someone feels like a good fit for you.
01453 701902 View 01453 701902
Photo of Rodger Cuddington, Counsellor in Stroud, England
Rodger Cuddington
Counsellor, BACP
Verified Verified
Stroud GL5
I offer a reliable, confidential and non-judgmental space to help you explore your inner thoughts and feelings and support you in times of transition, distress and emotional need. We all have the right to be heard and seen, sometimes we can get stuck along the journey of life and encounter challenging thoughts and emotions. Counselling is a hard journey but there is freedom in living authentically and being your true self. I offer counselling sessions face-to-face, online and via telephone and there is no minimum or maximum limit on sessions, full autonomy is given.
I offer a reliable, confidential and non-judgmental space to help you explore your inner thoughts and feelings and support you in times of transition, distress and emotional need. We all have the right to be heard and seen, sometimes we can get stuck along the journey of life and encounter challenging thoughts and emotions. Counselling is a hard journey but there is freedom in living authentically and being your true self. I offer counselling sessions face-to-face, online and via telephone and there is no minimum or maximum limit on sessions, full autonomy is given.
01453 708209 View 01453 708209
Photo of RT Counselling / Next Chapter Therapies, Counsellor in Stroud, England
RT Counselling / Next Chapter Therapies
Counsellor, PsychD, MNCPS Acc.
Verified Verified
1 Endorsed
Stroud GL5
Therapy offers an important step in discovering the world around us and finding our place in it. For some people, coming to therapy is a big step. It can take courage to identify a need to heal, recover or progress. My approach aims to ensure that you feel safe in the knowledge that you can trust the therapeutic process. Maintaining the core values of empathy, unconditional positive regard for you as well as congruence (being authentic), I also use other modes of therapy.
Therapy offers an important step in discovering the world around us and finding our place in it. For some people, coming to therapy is a big step. It can take courage to identify a need to heal, recover or progress. My approach aims to ensure that you feel safe in the knowledge that you can trust the therapeutic process. Maintaining the core values of empathy, unconditional positive regard for you as well as congruence (being authentic), I also use other modes of therapy.
01453 707401 x44 View 01453 707401 x44
Photo of Stephanie Bell, Psychotherapist in Stroud, England
Stephanie Bell
Psychotherapist, MA, MBACP
Verified Verified
Stroud GL6  (Online Only)
My aim is to help you achieve insight into what makes you tick, and for us to work collaboratively to develop strategies that assist you in living a complete, fulfilling life. While you will have some immediate pressing issues that bring you to therapy, we can also explore any longer-term, underlying issues concerning you. It is important to me that you feel comfortable to talk about your problems, experiences and personal thoughts.
My aim is to help you achieve insight into what makes you tick, and for us to work collaboratively to develop strategies that assist you in living a complete, fulfilling life. While you will have some immediate pressing issues that bring you to therapy, we can also explore any longer-term, underlying issues concerning you. It is important to me that you feel comfortable to talk about your problems, experiences and personal thoughts.
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Photo of Helen James - Clear Skies Psychotherapy, Psychotherapist in Stroud, England
Helen James - Clear Skies Psychotherapy
Psychotherapist, MA, BPC
Verified Verified
Stroud GL5
For most of us, life is a complex mix of highs and lows. Sometimes we need professional help, separate to our family and friends, to support mental health and wellbeing, and help us find our way. I work with children and young people (0-25), parents and carers, at times of stress, challenge and change. My specialist NHS training allows me to support young people and their families through the many issues and challenges of childhood and adolescence, enabling them to return to a healthier developmental path. I offer time-limited or longer term psychotherapy and also have training in Mindfulness and CBT techniques.
For most of us, life is a complex mix of highs and lows. Sometimes we need professional help, separate to our family and friends, to support mental health and wellbeing, and help us find our way. I work with children and young people (0-25), parents and carers, at times of stress, challenge and change. My specialist NHS training allows me to support young people and their families through the many issues and challenges of childhood and adolescence, enabling them to return to a healthier developmental path. I offer time-limited or longer term psychotherapy and also have training in Mindfulness and CBT techniques.
01453 701072 View 01453 701072
Photo of Louise Ritson, Psychotherapist in Stroud, England
Louise Ritson
Psychotherapist, MBABCP
Verified Verified
Stroud GL6  (Online Only)
Waitlist for new clients
I specialize in adult mental health, including older adults. I am experienced in complex cases in particular, including patients whose previous counselling or psychotherapy has not been successful. I also see patients whose problems are relatively simple and who have not had psychotherapy before, and I provide supervision and consultancy to other therapists. I previously worked for the NHS in Worcestershire and Gloucestershire, and continue to collaborate closely with NHS GPs and psychiatrists whenever it is appropriate.
I specialize in adult mental health, including older adults. I am experienced in complex cases in particular, including patients whose previous counselling or psychotherapy has not been successful. I also see patients whose problems are relatively simple and who have not had psychotherapy before, and I provide supervision and consultancy to other therapists. I previously worked for the NHS in Worcestershire and Gloucestershire, and continue to collaborate closely with NHS GPs and psychiatrists whenever it is appropriate.
0330 001 1055 View 0330 001 1055
Photo of Dr Rachel Graham, Psychologist in Stroud, England
Dr Rachel Graham
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Stroud GL5
Experienced and chartered Counselling Psychologist, who has over 15 years of experience working therapeutically with children, teenagers, and adults. I offer a range of approaches including EMDR, CBT and psychodynamic therapy. I’ve been fortunate to have varied experiences within my career, working with a range of clients and settings, including NHS Camhs, educational and residential settings. Despite my varied experiences, one thing remains the same: my passion to support people to overcome and heal from their emotional wounds or barriers so that they can live a more fulfilled and whole life.
Experienced and chartered Counselling Psychologist, who has over 15 years of experience working therapeutically with children, teenagers, and adults. I offer a range of approaches including EMDR, CBT and psychodynamic therapy. I’ve been fortunate to have varied experiences within my career, working with a range of clients and settings, including NHS Camhs, educational and residential settings. Despite my varied experiences, one thing remains the same: my passion to support people to overcome and heal from their emotional wounds or barriers so that they can live a more fulfilled and whole life.
01453 708245 View 01453 708245
Photo of Dave Fussell, Counsellor in Stroud, England
Dave Fussell
Counsellor, MBACP
Verified Verified
Stroud GL5
I aim to create a warm environment and a genuine therapeutic relationship for you to feel safe, supported and free to explore whatever difficulties you may be facing. I listen empathically so that I can understand you and what you are experiencing, without imposing my views on you or telling you what to do. I will encourage you to reconnect with yourself and your own resources. My role is to be with you as you make sense of your feelings, thoughts and behaviours and to support you in moving forward so that you can realise your full potential.
I aim to create a warm environment and a genuine therapeutic relationship for you to feel safe, supported and free to explore whatever difficulties you may be facing. I listen empathically so that I can understand you and what you are experiencing, without imposing my views on you or telling you what to do. I will encourage you to reconnect with yourself and your own resources. My role is to be with you as you make sense of your feelings, thoughts and behaviours and to support you in moving forward so that you can realise your full potential.
01453 708186 View 01453 708186

See more therapy options for Stroud

How does your Counsellor compare?

Number of Counsellors in Stroud

70+

Average cost per session

£55

Counsellors in Stroud who prioritize treating:

94% Anxiety
90% Depression
87% Self Esteem
83% Relationship Issues
79% Stress
76% Bereavement
76% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

67% Aviva
67% WPA
60% Bupa

How Counsellors in Stroud see their clients

82% In Person and Online
18% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Stroud?

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.