Counselling in Stroud

Photo of Kate Brady, Psychotherapist, MUKCP
Kate Brady
Psychotherapist, MUKCP
Online Only
I've over thirty years experience as a therapist and offer friendly, flexible online therapy centred around you as a unique individual. With a wide range of therapeutic tools, including EMDR and IFS as well as traditional 'talk therapy', we can explore the approach that will best suit you, helping you to meet life's challenges. This might involve healing and releasing difficulties from the past, letting go negative beliefs that hold you back or bringing understanding and compassion to all aspects of your personality so you can discover new inner resources.
I've over thirty years experience as a therapist and offer friendly, flexible online therapy centred around you as a unique individual. With a wide range of therapeutic tools, including EMDR and IFS as well as traditional 'talk therapy', we can explore the approach that will best suit you, helping you to meet life's challenges. This might involve healing and releasing difficulties from the past, letting go negative beliefs that hold you back or bringing understanding and compassion to all aspects of your personality so you can discover new inner resources.
01483 967209 View 01483 967209
Photo of Jill Domoney, Psychologist, PhD, HCPC - Clin. Psych.
Jill Domoney
Psychologist, PhD, HCPC - Clin. Psych.
Online Only
Hi, I'm Jill. I'm a clinical psychologist specialising in perinatal mental health, which means mental health during pregnancy and after having a baby. Becoming a parent is a huge life change and can bring up all sorts of challenges. I offer a space for you to make sense of the feelings and thoughts that you’re experiencing, reflect on what’s happening in your life and relationships, and develop new skills to deal with challenges and change.
Hi, I'm Jill. I'm a clinical psychologist specialising in perinatal mental health, which means mental health during pregnancy and after having a baby. Becoming a parent is a huge life change and can bring up all sorts of challenges. I offer a space for you to make sense of the feelings and thoughts that you’re experiencing, reflect on what’s happening in your life and relationships, and develop new skills to deal with challenges and change.
01453 703698 View 01453 703698
Photo of Rebecca Fielder, Counsellor, MBACP
Rebecca Fielder
Counsellor, MBACP
Stroud GL6
I am a qualified Therapeutic Counsellor and I am currently studying towards my MA in Counselling and Psychotherapy Practice. I have undertaken additional CPD training in Equine assisted Therapy and in working with Young People. Working both in person and online, I am dedicated to providing you with confidential support creatively tailored to meet your needs. I am a registered member of the BACP, hold a current DBS and I have L3 training in Child Protection. Secure your personalized counselling session today by emailing me to booking a free appointment call to discuss your individual requirements.
I am a qualified Therapeutic Counsellor and I am currently studying towards my MA in Counselling and Psychotherapy Practice. I have undertaken additional CPD training in Equine assisted Therapy and in working with Young People. Working both in person and online, I am dedicated to providing you with confidential support creatively tailored to meet your needs. I am a registered member of the BACP, hold a current DBS and I have L3 training in Child Protection. Secure your personalized counselling session today by emailing me to booking a free appointment call to discuss your individual requirements.
0117 463 6722 View 0117 463 6722
Photo of Naomi Hopkins, Counsellor, MBACP
Naomi Hopkins
Counsellor, MBACP
Stroud GL5
I can provide you with a warm, supportive, safe space which can allow you to explore any difficult issues you may be experiencing in your life. This could be emotional turmoil due to a life situation, or perhaps a traumatic event that has happened to you, causing feelings of overwhelm. I will always listen and endeavour to understand you, free from any judgement. Allowing you to share your story at your own pace. I have an integrative approach which means I draw upon different modalities of counselling through my experience and training. This will help me meet your needs in the best way I can whilst working with you.
I can provide you with a warm, supportive, safe space which can allow you to explore any difficult issues you may be experiencing in your life. This could be emotional turmoil due to a life situation, or perhaps a traumatic event that has happened to you, causing feelings of overwhelm. I will always listen and endeavour to understand you, free from any judgement. Allowing you to share your story at your own pace. I have an integrative approach which means I draw upon different modalities of counselling through my experience and training. This will help me meet your needs in the best way I can whilst working with you.
01453 703190 View 01453 703190
Photo of Grace Rahman, Psychotherapist, MSc, UKCP Trainee
Grace Rahman
Psychotherapist, MSc, UKCP Trainee
3 Endorsed
Stroud GL5
Sometimes difficulties we experience in our lives and relationships can feel overwhelming or out of our control. We may wonder why we react in certain ways or why problems seem to repeat themselves. Or we may just need some holding when life gets bumpy. I provide a space where you can feel held and deeply understood, where you can bring all parts of yourself without judgement. I can help you to explore where and why patterns of thinking, feeling and behaviour may have formed, and support you to release their grip to bring about the changes you need. As a couple I can help you to work through difficulties and improve connection.
Sometimes difficulties we experience in our lives and relationships can feel overwhelming or out of our control. We may wonder why we react in certain ways or why problems seem to repeat themselves. Or we may just need some holding when life gets bumpy. I provide a space where you can feel held and deeply understood, where you can bring all parts of yourself without judgement. I can help you to explore where and why patterns of thinking, feeling and behaviour may have formed, and support you to release their grip to bring about the changes you need. As a couple I can help you to work through difficulties and improve connection.
01453 702247 View 01453 702247
Photo of Eve Andrea Scott, Psychotherapist, MA, MBABCP
Eve Andrea Scott
Psychotherapist, MA, MBABCP
1 Endorsed
Online Only
At times, we all need a safe guide to carry the light to assist us on the path ahead towards finding balance within, caring for ourselves and healing the past. You don’t have to find your way alone. If you’re feeling detached, stressed out, depressed, a sense of low self-worth, experiencing poor sleep, having difficulties in relationships, or troubled by and avoiding past traumas, I am here to help you. With me, you’ll find a compassionate and holistic approach. I work to help people find their own innate abilities and strengths. Ultimately, I will guide you to heal and live from a place of inner care, respect, and love.
At times, we all need a safe guide to carry the light to assist us on the path ahead towards finding balance within, caring for ourselves and healing the past. You don’t have to find your way alone. If you’re feeling detached, stressed out, depressed, a sense of low self-worth, experiencing poor sleep, having difficulties in relationships, or troubled by and avoiding past traumas, I am here to help you. With me, you’ll find a compassionate and holistic approach. I work to help people find their own innate abilities and strengths. Ultimately, I will guide you to heal and live from a place of inner care, respect, and love.
01452 941751 View 01452 941751
Photo of Matthew Smith, Counsellor, MBACP
Matthew Smith
Counsellor, MBACP
1 Endorsed
Stroud GL6
Life can be difficult — and sometimes deeply painful. Whether you're facing significant loss, relationship struggles, anxiety, depression, addiction, or harsh self-criticism, it’s easy to feel overwhelmed, isolated, or lost. I offer a compassionate space to explore your experience and reconnect with parts of yourself that may feel distant. In today’s challenging world, an authentic relationship to ourselves or others — one grounded in acceptance, compassion and genuine connection — is unfortunately lacking in many of our lives. I believe this connection is key to healing and growth.
Life can be difficult — and sometimes deeply painful. Whether you're facing significant loss, relationship struggles, anxiety, depression, addiction, or harsh self-criticism, it’s easy to feel overwhelmed, isolated, or lost. I offer a compassionate space to explore your experience and reconnect with parts of yourself that may feel distant. In today’s challenging world, an authentic relationship to ourselves or others — one grounded in acceptance, compassion and genuine connection — is unfortunately lacking in many of our lives. I believe this connection is key to healing and growth.
01453 703534 View 01453 703534
Photo of Lucy Godfrey, Psychotherapist, MA, MBACP
Lucy Godfrey
Psychotherapist, MA, MBACP
Stroud GL6
My practice is integrative, drawing on both the humanistic and psychodynamic schools of therapy. This means that I hold the client/therapist relationship at the core of what I do, offering clients empathy, kindness and an environment free of judgement. ​
My practice is integrative, drawing on both the humanistic and psychodynamic schools of therapy. This means that I hold the client/therapist relationship at the core of what I do, offering clients empathy, kindness and an environment free of judgement. ​
01453 701468 View 01453 701468
Photo of Stephanie Bell, Psychotherapist, MA, MBACP
Stephanie Bell
Psychotherapist, MA, MBACP
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 Peter Clarke, Counsellor, MA, MBACP
Peter Clarke
Counsellor, MA, MBACP
Stroud GL5
I'm a psychodynamic counsellor offering open-ended and brief counselling to adults. As well as working online and by phone, I deliver in-person sessions in Stroud. I see people with all sorts of different problems, ranging from mental health conditions like anxiety and depression, challenging physical health issues, neurodivergence, identity crises, life-choices, difficult life events such as trauma, abuse, and neglect, relationship breakdown, bereavement and loss, work-related stress, anger, guilt, low self-esteem, loneliness, and suicidality, to name but a few.
I'm a psychodynamic counsellor offering open-ended and brief counselling to adults. As well as working online and by phone, I deliver in-person sessions in Stroud. I see people with all sorts of different problems, ranging from mental health conditions like anxiety and depression, challenging physical health issues, neurodivergence, identity crises, life-choices, difficult life events such as trauma, abuse, and neglect, relationship breakdown, bereavement and loss, work-related stress, anger, guilt, low self-esteem, loneliness, and suicidality, to name but a few.
01453 703520 View 01453 703520
Photo of Zoe Keeling, Counsellor, MA, MBACP
Zoe Keeling
Counsellor, MA, MBACP
Stroud GL5
Starting therapy can be daunting. Perhaps you are unsure if you ‘need’ therapy, or whether therapy can help with your particular issue. Maybe you are struggling with feelings of shame, or trying to navigate challenging relationship dynamics, or would simply like to understand yourself more deeply. I bring an attitude of curiosity, inclusivity and acceptance to my practice, working from a fundamental belief that we all, no matter who we are or believe ourselves to be, deserve compassion and acceptance. 'Where something becomes extremely difficult and unbearable, there we also stand already quite near its transformation' Rilke
Starting therapy can be daunting. Perhaps you are unsure if you ‘need’ therapy, or whether therapy can help with your particular issue. Maybe you are struggling with feelings of shame, or trying to navigate challenging relationship dynamics, or would simply like to understand yourself more deeply. I bring an attitude of curiosity, inclusivity and acceptance to my practice, working from a fundamental belief that we all, no matter who we are or believe ourselves to be, deserve compassion and acceptance. 'Where something becomes extremely difficult and unbearable, there we also stand already quite near its transformation' Rilke
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Photo of Anna Settle, Psychotherapist, MA, MBACP Accred
Anna Settle
Psychotherapist, MA, MBACP Accred
2 Endorsed
Stroud GL5
Our time together will help release burdens and heal the injuries that have resulted from past experiences. My intention is to enable and support you to be able to live your life in a way that is more true to who you really are. My aim is to offer the tools and compassion into the places of darkness and discomfort in your life. I am an Internal Family Systems therapist at the heart of sessions and greatly value the impact this way of being has for our inner world. Feel free to contact me for further information on IFS or to chat about sessions.
Our time together will help release burdens and heal the injuries that have resulted from past experiences. My intention is to enable and support you to be able to live your life in a way that is more true to who you really are. My aim is to offer the tools and compassion into the places of darkness and discomfort in your life. I am an Internal Family Systems therapist at the heart of sessions and greatly value the impact this way of being has for our inner world. Feel free to contact me for further information on IFS or to chat about sessions.
01924 979866 View 01924 979866
Photo of Kate Devereux - Earth Wisdom Ecotherapy Community Interest Company, Counsellor, PNCPS Acc.
Earth Wisdom Ecotherapy is a Community Interest Company (CIC) that is shaped and driven by its community purpose: to provide accessible, inclusive, nature-based therapeutic services that support mental health. ​ As a CIC, we are committed to ensuring that therapy is accessible to those who need it most. Our Reduced-Cost Counselling service offers one-to-one therapy at a lower fee, helping to remove financial barriers and provide meaningful suppor tto individuals who may otherwise be unable to access help.
Earth Wisdom Ecotherapy is a Community Interest Company (CIC) that is shaped and driven by its community purpose: to provide accessible, inclusive, nature-based therapeutic services that support mental health. ​ As a CIC, we are committed to ensuring that therapy is accessible to those who need it most. Our Reduced-Cost Counselling service offers one-to-one therapy at a lower fee, helping to remove financial barriers and provide meaningful suppor tto individuals who may otherwise be unable to access help.
0117 463 5817 View 0117 463 5817
Photo of Dr Claudia Herbert - Dr Claudia Herbert Ltd, Psychologist, HCPC - Clin. Psych.
Dr Claudia Herbert Ltd
Psychologist, HCPC - Clin. Psych.
Online Only
All of us experience challenges as part of life. When these are traumatic or overwhelming, they deplete our energy, create blockages, hinder healthy functioning, disconnect from our power and take us out of our inner alignment. Despite being outwardly successful, you may feel that something is missing within you and you are not truly yourself. There are many reasons for why this might have happened and for some people this starts very early in their childhood, for others later in life and in both instances, there are ways in which these experiences can be explored and transformed into an inner healing and positive growth process.
All of us experience challenges as part of life. When these are traumatic or overwhelming, they deplete our energy, create blockages, hinder healthy functioning, disconnect from our power and take us out of our inner alignment. Despite being outwardly successful, you may feel that something is missing within you and you are not truly yourself. There are many reasons for why this might have happened and for some people this starts very early in their childhood, for others later in life and in both instances, there are ways in which these experiences can be explored and transformed into an inner healing and positive growth process.
01453 702596 View 01453 702596
Photo of Catherine Macer, Counsellor, MBACP Accred
Catherine Macer
Counsellor, MBACP Accred
Stroud GL5
Life is not always easy. The fact that you are looking at my page suggests that something feels stuck, painful, maybe hopeless or unreachable and that you want something different for yourself – that you want things to change. Perhaps you want to free yourself from repetitive patterns of behaviour, depression, anxiety and self-limiting beliefs or the impact of trauma. Maybe you want to deepen your connection to yourself so that life feels richer and more rewarding and you can find a more authentic sense of yourself. Whatever your reason, I offer you a safe, empathetic and thoughtful space to explore whatever you want to bring.
Life is not always easy. The fact that you are looking at my page suggests that something feels stuck, painful, maybe hopeless or unreachable and that you want something different for yourself – that you want things to change. Perhaps you want to free yourself from repetitive patterns of behaviour, depression, anxiety and self-limiting beliefs or the impact of trauma. Maybe you want to deepen your connection to yourself so that life feels richer and more rewarding and you can find a more authentic sense of yourself. Whatever your reason, I offer you a safe, empathetic and thoughtful space to explore whatever you want to bring.
01257 449409 View 01257 449409
Photo of Phoebe Cole - CWTCH Therapy- Whole Family Wellbeing, Counsellor, MBACP
Do you or your children need support? Being a parent is one of the hardest jobs in the world and still isn't recognised enough for that. Suffering from mum guilt? Struggling with a separation? There is no shame in asking for extra support for any member of your family, so that you can live in a more peaceful home. I specialise in both trauma and neurodiversity. The name 'Cwtch,' inspired by my Welsh heritage, holds a special significance. It encapsulates the essence of a warm embrace that instils a sense of safety in both mind and body—a space I am dedicated to creating for you and your family on your therapeutic journey.
Do you or your children need support? Being a parent is one of the hardest jobs in the world and still isn't recognised enough for that. Suffering from mum guilt? Struggling with a separation? There is no shame in asking for extra support for any member of your family, so that you can live in a more peaceful home. I specialise in both trauma and neurodiversity. The name 'Cwtch,' inspired by my Welsh heritage, holds a special significance. It encapsulates the essence of a warm embrace that instils a sense of safety in both mind and body—a space I am dedicated to creating for you and your family on your therapeutic journey.
01242 503681 View 01242 503681
Photo of John Andrews, Counsellor, MBACP
John Andrews
Counsellor, MBACP
2 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 Kate Varney, Counsellor, MA, MBACP Accred
Kate Varney
Counsellor, MA, MBACP Accred
Stroud GL5
Hello and welcome. I am an experienced psychotherapist and I work with individuals and couples who come to see me with a wide range of challenges and difficulties that they are facing. People often seek therapy when they are at a transitional moment in their lives. Through our work together you will have the opportunity to speak about your experiences and feelings; both now and in your past, and we will work together to develop an understanding of you and your life with the hope that this therapeutic process of reflection and insight might be transformative for you.
Hello and welcome. I am an experienced psychotherapist and I work with individuals and couples who come to see me with a wide range of challenges and difficulties that they are facing. People often seek therapy when they are at a transitional moment in their lives. Through our work together you will have the opportunity to speak about your experiences and feelings; both now and in your past, and we will work together to develop an understanding of you and your life with the hope that this therapeutic process of reflection and insight might be transformative for you.
01453 701591 View 01453 701591
Photo of Fadia Courts, Counsellor, DCounsPsych, MBACP
Fadia Courts
Counsellor, DCounsPsych, MBACP
1 Endorsed
Stroud GL6
Life presents challenges, both expected and unexpected, that can leave us feeling overwhelmed or stuck. Understanding ourselves is key to navigating these difficulties with clarity, resilience, and purpose. Self-awareness provides insight into our reactions and behaviors, allowing us to engage with others more effectively and make meaningful changes. Achieving balance in personal, family, or professional life can be daunting, but with the right support, it is possible.
Life presents challenges, both expected and unexpected, that can leave us feeling overwhelmed or stuck. Understanding ourselves is key to navigating these difficulties with clarity, resilience, and purpose. Self-awareness provides insight into our reactions and behaviors, allowing us to engage with others more effectively and make meaningful changes. Achieving balance in personal, family, or professional life can be daunting, but with the right support, it is possible.
01453 702528 View 01453 702528
Photo of Dr Rachel Graham, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Rachel Graham
Psychologist, DCounsPsych, HCPC - Couns. Psych.
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

See more therapy options for Stroud

How does your Counsellor compare?

Number of Counsellors in Stroud

90+

Average cost per session

£60

Counsellors in Stroud who prioritize treating:

93% Anxiety
89% Self Esteem
88% Depression
87% Relationship Issues
84% Stress
73% Trauma and PTSD
72% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

57% WPA
52% Bupa
48% Aviva

How Counsellors in Stroud see their clients

81% In Person and Online
19% Online Only

Gender breakdown

80% Female
19% 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.