Counselling in Wilmslow

Photo of Louise Ralph, Psychotherapist, MBACP
Louise Ralph
Psychotherapist, MBACP
Hello, I’m Louise and I’m a professionally qualified MBACP Counsellor and Therapist. I have a passion for helping people navigate life’s challenges on their journey towards achieving a greater sense of wellbeing and personal growth. I recognise how daunting it can be to take the first step towards seeking out support. I aim to help you feel at ease from the outset, offering a warm, safe space for us to explore issues that may be affecting your life and ensure you feel understood and supported throughout your journey.
Hello, I’m Louise and I’m a professionally qualified MBACP Counsellor and Therapist. I have a passion for helping people navigate life’s challenges on their journey towards achieving a greater sense of wellbeing and personal growth. I recognise how daunting it can be to take the first step towards seeking out support. I aim to help you feel at ease from the outset, offering a warm, safe space for us to explore issues that may be affecting your life and ensure you feel understood and supported throughout your journey.
01625 926645 View 01625 926645
Photo of Ardaal Gibson, Counsellor, MNCPS Acc.
Ardaal Gibson
Counsellor, MNCPS Acc.
Online Only
Hi there I am Ardaal, a warm, friendly, compassionate, empathetic counsellor. I offer a safe , non-judgmental space for you to explore the issues that are not allowing you to have a positive outlook on life.
Hi there I am Ardaal, a warm, friendly, compassionate, empathetic counsellor. I offer a safe , non-judgmental space for you to explore the issues that are not allowing you to have a positive outlook on life.
0161 524 7661 View 0161 524 7661
Photo of Dr Lee Martin, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Lee Martin
Psychologist, PsychD, HCPC - Clin. Psych.
I am a Clinical Psychologist with over 15 years of experience working with individuals and couples experiencing a wide-range of emotional difficulties. I understand that reaching out for help may feel difficult and I offer a free initial consultation where we can introduce ourselves, understand the problem and discuss options for moving forward. I have extensive experience specialising in areas such as relationships, trauma/PTSD, addictions, loss, and adjustment.
I am a Clinical Psychologist with over 15 years of experience working with individuals and couples experiencing a wide-range of emotional difficulties. I understand that reaching out for help may feel difficult and I offer a free initial consultation where we can introduce ourselves, understand the problem and discuss options for moving forward. I have extensive experience specialising in areas such as relationships, trauma/PTSD, addictions, loss, and adjustment.
01625 708951 View 01625 708951
Photo of Geraldine Claire Osowska - Geraldine Claire Therapy, Psychotherapist, MBABCP
Geraldine Claire Therapy
Psychotherapist, MBABCP
1 Endorsed
Clients reach out to me when they have recognised that their past experiences are adversely effecting them and preventing them from leading a life which is balanced. My clients tend to have reached a point in their life where they are feeling anxious, low in mood and emotionally unregulated. They may have been diagnosed with an anxiety or mood difficulty or with PTSD, complex PTSD or BPD. The goals of my clients are to create a life where they feel they have been able to heal from their past experiences and developed a sense of mastery and effectiveness which enables them to feel they can safely move forwards and thrive.
Clients reach out to me when they have recognised that their past experiences are adversely effecting them and preventing them from leading a life which is balanced. My clients tend to have reached a point in their life where they are feeling anxious, low in mood and emotionally unregulated. They may have been diagnosed with an anxiety or mood difficulty or with PTSD, complex PTSD or BPD. The goals of my clients are to create a life where they feel they have been able to heal from their past experiences and developed a sense of mastery and effectiveness which enables them to feel they can safely move forwards and thrive.
0161 870 5354 View 0161 870 5354
Photo of Claire Geddes, Counsellor, MBACP
Claire Geddes
Counsellor, MBACP
2 Endorsed
My clients may be facing a big life transition. Some are living with, or healing from toxic relationships and need a safe space to feel heard, understood and to rebuild their confidence. Others are coping with grief and loss — through bereavement, children leaving home, divorce or the end of a relationship—and want to process their pain while gently exploring what comes next. I also support expatriates adjusting to life in a new country, or returning home and feeling out of place - both culture shock and reverse culture shock.
My clients may be facing a big life transition. Some are living with, or healing from toxic relationships and need a safe space to feel heard, understood and to rebuild their confidence. Others are coping with grief and loss — through bereavement, children leaving home, divorce or the end of a relationship—and want to process their pain while gently exploring what comes next. I also support expatriates adjusting to life in a new country, or returning home and feeling out of place - both culture shock and reverse culture shock.
0161 524 6921 View 0161 524 6921
Photo of Elaine Wearing, Psychotherapist, MBACP
Elaine Wearing
Psychotherapist, MBACP
I’m a mature and experienced therapist and qualified counselling supervisor. I have knowledge and experience of various types of therapy and work in an integrative way, which means I can tailor your therapy to suit you. At the heart of all my work is a person-centred ethos and my priority is to build a trusting, open and honest relationship which will enable you to feel truly heard and understood. This in itself can bring enormous comfort and relief and help you develop a better understanding of yourself; find choices; build belief in yourself and ultimately to enrich your relationships and enhance your life.
I’m a mature and experienced therapist and qualified counselling supervisor. I have knowledge and experience of various types of therapy and work in an integrative way, which means I can tailor your therapy to suit you. At the heart of all my work is a person-centred ethos and my priority is to build a trusting, open and honest relationship which will enable you to feel truly heard and understood. This in itself can bring enormous comfort and relief and help you develop a better understanding of yourself; find choices; build belief in yourself and ultimately to enrich your relationships and enhance your life.
07427 597084 View 07427 597084
Photo of Sarah Savage, Counsellor, MBACP
Sarah Savage
Counsellor, MBACP
I am passionate in helping clients to take the right steps for them. I support you, to make a difference or find an acceptance in everyday life. I work with my clients in exploring the difficulties fears re experiencing and we work to gain an understanding of thoughts and feelings. Their emotional disturbance can be discussed and put in to perspective to help make changes to the unhealthy thought or behavioural patterns. Sometimes, addressing where the negative beliefs have originated from, helps to find the positive changes and overcomes the difficulties. Giving clients a new awareness, growth and belief.
I am passionate in helping clients to take the right steps for them. I support you, to make a difference or find an acceptance in everyday life. I work with my clients in exploring the difficulties fears re experiencing and we work to gain an understanding of thoughts and feelings. Their emotional disturbance can be discussed and put in to perspective to help make changes to the unhealthy thought or behavioural patterns. Sometimes, addressing where the negative beliefs have originated from, helps to find the positive changes and overcomes the difficulties. Giving clients a new awareness, growth and belief.
01625 380490 View 01625 380490
Photo of Rachel Vora, Counsellor, MBACP Accred
Rachel Vora
Counsellor, MBACP Accred
Do you look successful on paper but find it difficult to switch off from 'work mode'? You may be in the midst of a transition such as a separation or have recently become a parent. You may be feeling anxious, stuck, or questioning what success really means. I'm a BACP Accredited Psychotherapist with a passion for working with ambitious individuals who are feeling stuck despite their achievements.
Do you look successful on paper but find it difficult to switch off from 'work mode'? You may be in the midst of a transition such as a separation or have recently become a parent. You may be feeling anxious, stuck, or questioning what success really means. I'm a BACP Accredited Psychotherapist with a passion for working with ambitious individuals who are feeling stuck despite their achievements.
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Photo of Lisa Sproson, Psychotherapist, MBACP
Lisa Sproson
Psychotherapist, MBACP
I am an Integrative Psychotherapist, Certified Complex Trauma Professional, Certified Sex Therapy Informed Professional (CSTIP), Certified Clinical Anxiety Treatment Professional (CCATP). I help people who are looking to overcome a range of distressing emotions and difficult life experiences such as anxiety, sexual issues, stress, depression, feelings of low self-worth, trauma and relationship issues.
I am an Integrative Psychotherapist, Certified Complex Trauma Professional, Certified Sex Therapy Informed Professional (CSTIP), Certified Clinical Anxiety Treatment Professional (CCATP). I help people who are looking to overcome a range of distressing emotions and difficult life experiences such as anxiety, sexual issues, stress, depression, feelings of low self-worth, trauma and relationship issues.
0161 524 1402 View 0161 524 1402
Photo of Julia Ashley Summers - Julia Summers Psychotherapist & Supervisor, Psychotherapist, MBACP
Julia Summers Psychotherapist & Supervisor
Psychotherapist, MBACP
1 Endorsed
Are you having problems with your relationship, family or friends? Maybe you are feeling dissatisfied, overwhelmed, guilty, upset or angry? Whatever feelings you have, it usually means pain for you in some way. Counselling isn’t just something people do when they are in crisis or at rock bottom, attending before problems snowball or get too overwhelming can help and save more pain in the long run.
Are you having problems with your relationship, family or friends? Maybe you are feeling dissatisfied, overwhelmed, guilty, upset or angry? Whatever feelings you have, it usually means pain for you in some way. Counselling isn’t just something people do when they are in crisis or at rock bottom, attending before problems snowball or get too overwhelming can help and save more pain in the long run.
0161 524 4816 View 0161 524 4816
Photo of Dr Aoiffe Kilcommons - Dr Aoiffe Kilcommons, Happiness in Mind., Psychologist, PsychD, HCPC - Clin. Psych.
Dr Aoiffe Kilcommons, Happiness in Mind.
Psychologist, PsychD, HCPC - Clin. Psych.
Are you looking for lasting happiness & well-being? Dr Kilcommons is a Consultant Clinical Psychologist, Cognitive Analytic Therapist, accredited Cognitive Behaviour Therapist & Brainspotting Therapist; with over 25 years clinical experience across community & inpatient, substance misuse, physical health, forensic & performance settings. She is also EFT Level II, Voice Dialogue & Reiki trained. She specialises in general mental health issues, trauma & working with high performers, largely in elite sports & business. Sessions are held in the strictest of confidence, with compassionate care & tailored to your needs.
Are you looking for lasting happiness & well-being? Dr Kilcommons is a Consultant Clinical Psychologist, Cognitive Analytic Therapist, accredited Cognitive Behaviour Therapist & Brainspotting Therapist; with over 25 years clinical experience across community & inpatient, substance misuse, physical health, forensic & performance settings. She is also EFT Level II, Voice Dialogue & Reiki trained. She specialises in general mental health issues, trauma & working with high performers, largely in elite sports & business. Sessions are held in the strictest of confidence, with compassionate care & tailored to your needs.
0161 524 2228 View 0161 524 2228
Photo of Dr Melissa Leigh, Psychologist, HCPC - Clin. Psych.
Dr Melissa Leigh
Psychologist, HCPC - Clin. Psych.
Is anxiety, low mood or a lack of confidence getting in the way of you living the life you wish for? Feeling overwhelmed, stuck, and dissatisfied day-to-day? Perhaps you have experienced some challenging life events and need some time, space and non-judgemental support to reflect and process what you have been through. I am here to help. As a clinical psychologist, trained to work with people experiencing a range of mental health issues, I integrate various evidence-based therapeutic models to provide a bespoke psychological therapy plan tailored to your individual needs.
Is anxiety, low mood or a lack of confidence getting in the way of you living the life you wish for? Feeling overwhelmed, stuck, and dissatisfied day-to-day? Perhaps you have experienced some challenging life events and need some time, space and non-judgemental support to reflect and process what you have been through. I am here to help. As a clinical psychologist, trained to work with people experiencing a range of mental health issues, I integrate various evidence-based therapeutic models to provide a bespoke psychological therapy plan tailored to your individual needs.
0161 524 5898 View 0161 524 5898
Photo of Nuala Carey, Psychotherapist, MSc, MUKCP
Nuala Carey
Psychotherapist, MSc, MUKCP
Hello, I’m Nuala (Nu-la) — a UKCP Accredited Psychotherapist, Clinical Supervisor and Level 5 Counselling Tutor. I offer short, medium and long-term therapy for adults, students, and trainee therapists, both online and in person. My work is Person-Centred Experiential (PCE), relational and trauma-informed, creating a compassionate space where all parts of you are welcome. I bring warmth, curiosity and respect to each session, supporting clients to deepen self-understanding, improve relationships and move towards meaningful change.
Hello, I’m Nuala (Nu-la) — a UKCP Accredited Psychotherapist, Clinical Supervisor and Level 5 Counselling Tutor. I offer short, medium and long-term therapy for adults, students, and trainee therapists, both online and in person. My work is Person-Centred Experiential (PCE), relational and trauma-informed, creating a compassionate space where all parts of you are welcome. I bring warmth, curiosity and respect to each session, supporting clients to deepen self-understanding, improve relationships and move towards meaningful change.
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Photo of Lisa Ann Poole, Counsellor, DCounsPsych, MBACP
Lisa Ann Poole
Counsellor, DCounsPsych, MBACP
Welcome I'm proud your here. I'm an Integrative Counselling and MBACP enabling me to offer my clients across all cultures and backgrounds a comprehensive, empathic therapeutic experience. Infusing Person Centred, CBT and Transactional Analysis Modalities creating a unique therapeutic relationship with my clients ages 16 years plus. I have ran my own business and juggled four children for the past thirty years understanding life's challenges so offer authentic progressive therapy for depression anxiety bereavement burnout self -esteem. Specialisms Addiction/Recovery, Teenage Issues- individuals and families. Your safe space is here.
Welcome I'm proud your here. I'm an Integrative Counselling and MBACP enabling me to offer my clients across all cultures and backgrounds a comprehensive, empathic therapeutic experience. Infusing Person Centred, CBT and Transactional Analysis Modalities creating a unique therapeutic relationship with my clients ages 16 years plus. I have ran my own business and juggled four children for the past thirty years understanding life's challenges so offer authentic progressive therapy for depression anxiety bereavement burnout self -esteem. Specialisms Addiction/Recovery, Teenage Issues- individuals and families. Your safe space is here.
01625 461555 View 01625 461555
Photo of Natalie Carr, Psychologist, MSc, GMBPsS
Natalie Carr
Psychologist, MSc, GMBPsS
1 Endorsed
Online Only
Waitlist for new clients
Work, home life, caring responsibilities, finances, health issues are but a few of life's stressors that can lead to unhealthy behaviours. I specialise in supporting individuals to live a more fulfilled life driven by what matters to them. Additionally, I work with healthcare professionals and medical students to develop their communication skills so that patients feel heard and understood. I provide a safe space for individuals to discuss freely what they would like help with, at their own pace, free from judgement.
Work, home life, caring responsibilities, finances, health issues are but a few of life's stressors that can lead to unhealthy behaviours. I specialise in supporting individuals to live a more fulfilled life driven by what matters to them. Additionally, I work with healthcare professionals and medical students to develop their communication skills so that patients feel heard and understood. I provide a safe space for individuals to discuss freely what they would like help with, at their own pace, free from judgement.
0161 524 6519 View 0161 524 6519
Photo of Gareth King, Psychotherapist, MSc, MBACP
Gareth King
Psychotherapist, MSc, MBACP
Whether you’re looking for help with depression, anxiety, loss, or bereavement; or whether you’re struggling to change things that are causing problems in your life, such as setting boundaries, communicating yourself, addictions, or disordered eating patterns, I offer a range of counselling and psychotherapy services that can help you work through this distress. We would achieve this by first exploring what's going on for you and helping you express how you feel inside. And then we would work on the deeper underlying causes of your feelings so that you can achieve both relief and long-lasting change.
Whether you’re looking for help with depression, anxiety, loss, or bereavement; or whether you’re struggling to change things that are causing problems in your life, such as setting boundaries, communicating yourself, addictions, or disordered eating patterns, I offer a range of counselling and psychotherapy services that can help you work through this distress. We would achieve this by first exploring what's going on for you and helping you express how you feel inside. And then we would work on the deeper underlying causes of your feelings so that you can achieve both relief and long-lasting change.
0161 524 0278 View 0161 524 0278
Photo of Bianca Yeramian, Psychotherapist, MSc, MBACP
Bianca Yeramian
Psychotherapist, MSc, MBACP
Are you feeling anxious, low, overwhelmed, or stuck often juggling self-doubt, identity questions, or the impact of trauma, ADHD, or autism. You want to make sense of you, ease the struggles, and feel more grounded. Are you navigating a life change, a diagnosis, or simply feeling lost. I support people understand themselves, find strategies that work, and create more balance in their life and relationships. Above all, I help you get to the place we all want to be, seen, accepted, and supported.
Are you feeling anxious, low, overwhelmed, or stuck often juggling self-doubt, identity questions, or the impact of trauma, ADHD, or autism. You want to make sense of you, ease the struggles, and feel more grounded. Are you navigating a life change, a diagnosis, or simply feeling lost. I support people understand themselves, find strategies that work, and create more balance in their life and relationships. Above all, I help you get to the place we all want to be, seen, accepted, and supported.
0161 524 5288 View 0161 524 5288
Photo of Megan Baldry - Megan Baldry, Mother Nurture Therapy, Counsellor, MSc, MBACP
Megan Baldry, Mother Nurture Therapy
Counsellor, MSc, MBACP
Online Only
Hi, I'm Megan. I'm a counsellor and psychotherapist supporting mums. Are you finding yourself... Feeling low or depressed. Having difficulty managing emotions such as anger and sadness. Having intrusive and distressing thoughts. Experiencing relationship challenges. Feeling overwhelmed with stress, anxiety or feeling the need to be perfect. Grieving after a miscarriage or baby loss. Finding previous life challenges, including childhood experiences, resurfacing. Finding that a difficult or traumatic birth experience is still impacting you. Struggling to adjust to your new identity, life, or body.
Hi, I'm Megan. I'm a counsellor and psychotherapist supporting mums. Are you finding yourself... Feeling low or depressed. Having difficulty managing emotions such as anger and sadness. Having intrusive and distressing thoughts. Experiencing relationship challenges. Feeling overwhelmed with stress, anxiety or feeling the need to be perfect. Grieving after a miscarriage or baby loss. Finding previous life challenges, including childhood experiences, resurfacing. Finding that a difficult or traumatic birth experience is still impacting you. Struggling to adjust to your new identity, life, or body.
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Photo of Dr Hannah E. Taylor, Psychologist, PhD, HCPC - Clin. Psych.
Dr Hannah E. Taylor
Psychologist, PhD, HCPC - Clin. Psych.
1 Endorsed
I am committed to working with clients who are struggling with their emotional wellbeing. These difficulties can cause difficulties in relationships, at work and on a person's experiences of connecting with themselves and the world around them. I work sensitively and supportively with clients who have experienced a number of difficult life experiences including grief, trauma, relationship difficulties to name but a few. I can help you to feel like you develop a better more compassionate understanding of yourself and help you to feel like you are moving forward in life rather than feeling stuck and directionless.
I am committed to working with clients who are struggling with their emotional wellbeing. These difficulties can cause difficulties in relationships, at work and on a person's experiences of connecting with themselves and the world around them. I work sensitively and supportively with clients who have experienced a number of difficult life experiences including grief, trauma, relationship difficulties to name but a few. I can help you to feel like you develop a better more compassionate understanding of yourself and help you to feel like you are moving forward in life rather than feeling stuck and directionless.
01625 380522 View 01625 380522
Photo of Dr Didier Danillon, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Didier Danillon
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Online Only
I am a psychologist and certified couple therapist (Imago). I am driven by my empathy and desire to help others. I welcome same-sex couples, all members of the LGBTQIA+ community, and people from all ethnic/cultural backgrounds. Born in France, I trained in the UK at the highest academic level and in multiple settings (incl. the NHS). I can help adults with many mental health difficulties (anxiety, depression, low self-esteem, trauma, OCD) and couples experiencing difficulties (communication, crisis, affairs). I am also highly experienced in supporting cancer patients and their families. Please see my website for more information.
I am a psychologist and certified couple therapist (Imago). I am driven by my empathy and desire to help others. I welcome same-sex couples, all members of the LGBTQIA+ community, and people from all ethnic/cultural backgrounds. Born in France, I trained in the UK at the highest academic level and in multiple settings (incl. the NHS). I can help adults with many mental health difficulties (anxiety, depression, low self-esteem, trauma, OCD) and couples experiencing difficulties (communication, crisis, affairs). I am also highly experienced in supporting cancer patients and their families. Please see my website for more information.
01625 468725 View 01625 468725

How does your Counsellor compare?

Number of Counsellors in Wilmslow

90+

Average cost per session

£65

Counsellors in Wilmslow who prioritize treating:

91% Anxiety
88% Depression
84% Self Esteem
79% Relationship Issues
78% Stress
64% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

70% Aviva
61% AXA PPP
57% Bupa

How Counsellors in Wilmslow see their clients

84% In Person and Online
16% Online Only

Gender breakdown

88% Female
11% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Wilmslow?

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.