Counselling in Worthing

Photo of April Turpin, Counsellor, MBACP
April Turpin
Counsellor, MBACP
1 Endorsed
Worthing BN12
Hi, I’m April. I know that asking for support can be scary and takes incredible courage. Are you feeling unhappy, stressed or overwhelmed but are not sure why? If so, I offer a warm, accepting, & non-judgmental space where you can talk freely & begin to make sense of what you’re feeling. I work with a range of issues, including anxiety, depression, low self-esteem, identity, stress, & relationship or sexual difficulties. In a supportive & trusting environment, we’ll explore your experiences together, helping you to deepen your self-understanding, strengthen emotional well-being, & move toward the changes you hope to make.
Hi, I’m April. I know that asking for support can be scary and takes incredible courage. Are you feeling unhappy, stressed or overwhelmed but are not sure why? If so, I offer a warm, accepting, & non-judgmental space where you can talk freely & begin to make sense of what you’re feeling. I work with a range of issues, including anxiety, depression, low self-esteem, identity, stress, & relationship or sexual difficulties. In a supportive & trusting environment, we’ll explore your experiences together, helping you to deepen your self-understanding, strengthen emotional well-being, & move toward the changes you hope to make.
01903 251430 View 01903 251430
Photo of Dr Sally Turner, Psychologist, MSc, HCPC - Couns. Psych.
Dr Sally Turner
Psychologist, MSc, HCPC - Couns. Psych.
Worthing BN11
Are you feeling overwhelmed, tense or as though your life lacks meaning and purpose? Or perhaps you’re hoping to attain a better work-life balance or feel happier and more resilient? As a counselling psychologist, I have helped people to move their lives forward, who had struggled with trauma, loss or bereavement, identity crises, relationship difficulties, body-image issues, low self-esteem, anxiety, depression, sexual and emotional abuse, narcissism, mood swings and addiction, and more. I also specialise in work-related mental health, e.g. imposter syndrome, redundancy, bullying and job dissatisfaction.
Are you feeling overwhelmed, tense or as though your life lacks meaning and purpose? Or perhaps you’re hoping to attain a better work-life balance or feel happier and more resilient? As a counselling psychologist, I have helped people to move their lives forward, who had struggled with trauma, loss or bereavement, identity crises, relationship difficulties, body-image issues, low self-esteem, anxiety, depression, sexual and emotional abuse, narcissism, mood swings and addiction, and more. I also specialise in work-related mental health, e.g. imposter syndrome, redundancy, bullying and job dissatisfaction.
01903 257149 View 01903 257149
Photo of Rae Yates, Counsellor, PNCPS Acc.
Rae Yates
Counsellor, PNCPS Acc.
2 Endorsed
Worthing BN12
I am a Queer Non-Binary / LGBTQIA+ Person-Centred Counsellor and Clinical Supervisor. I work with people with all kinds of issues, concerns and distress. I work with individual adults (18+) who are gay, bi, queer, trans, non-binary, cis, agender, intersex & sexuality/gender questioning. I also work with people who are neurodivergent, hear voices or have unusual beliefs /experiences, people in non-monogamous or poly relationships, people labelled with PTSD, schizophrenia or a personality disorder.
I am a Queer Non-Binary / LGBTQIA+ Person-Centred Counsellor and Clinical Supervisor. I work with people with all kinds of issues, concerns and distress. I work with individual adults (18+) who are gay, bi, queer, trans, non-binary, cis, agender, intersex & sexuality/gender questioning. I also work with people who are neurodivergent, hear voices or have unusual beliefs /experiences, people in non-monogamous or poly relationships, people labelled with PTSD, schizophrenia or a personality disorder.
020 3879 4147 View 020 3879 4147
Photo of Jules Haley, Psychotherapist, PNCPS Acc.
Jules Haley
Psychotherapist, PNCPS Acc.
Worthing BN12
I’m an experienced psychotherapist/counsellor and psychosexual and relationship therapist working in person in Worthing and online. I work with adults (18+) individually or couples/relationships who have a range of life experiences including trauma/abuse, chronic illness, alcohol issues, sexual health, sexuality and gender. I work with people from a range of cultural backgrounds including queer, poly and and kink communities, neurodiversity, asexuality, and people who identify or questioning across the gender spectrum. I am committed to providing an inclusive, safe and confidential space.
I’m an experienced psychotherapist/counsellor and psychosexual and relationship therapist working in person in Worthing and online. I work with adults (18+) individually or couples/relationships who have a range of life experiences including trauma/abuse, chronic illness, alcohol issues, sexual health, sexuality and gender. I work with people from a range of cultural backgrounds including queer, poly and and kink communities, neurodiversity, asexuality, and people who identify or questioning across the gender spectrum. I am committed to providing an inclusive, safe and confidential space.
020 3960 5056 View 020 3960 5056
Photo of Kelly Crew, Counsellor, MBACP
Kelly Crew
Counsellor, MBACP
Worthing BN14
I am a registered experienced counsellor based in Worthing, I offer Integrative Humanistic Counselling. I work collaboratively with you drawing upon different approach's to tailor the session to your individual needs. Life has many challenges and our reasons for coming to counselling can be for a number reasons, you may feel stuck, it may now be the time to work through a past trauma or present difficulties that are causing life to feel overwhelming.
I am a registered experienced counsellor based in Worthing, I offer Integrative Humanistic Counselling. I work collaboratively with you drawing upon different approach's to tailor the session to your individual needs. Life has many challenges and our reasons for coming to counselling can be for a number reasons, you may feel stuck, it may now be the time to work through a past trauma or present difficulties that are causing life to feel overwhelming.
01903 947069 View 01903 947069
Photo of Leslie Laine
Leslie Laine
Verified Verified
Worthing BN11
I work to enable a person to be their natural self, to discover more and more how life wants them to be, even though life may have been full of difficult circumstances which have left their mark, and sometimes even destroying a person’s ability to live effectively and in harmony with themselves.
I work to enable a person to be their natural self, to discover more and more how life wants them to be, even though life may have been full of difficult circumstances which have left their mark, and sometimes even destroying a person’s ability to live effectively and in harmony with themselves.
01903 959591 View 01903 959591
Photo of Dr Egle Meistaite, Psychologist, PsychD, HCPC - Couns. Psych.
Dr Egle Meistaite
Psychologist, PsychD, HCPC - Couns. Psych.
Worthing BN11
I am a Senior Counselling Psychologist, EMDR and MBT Therapist with a background in the NHS. I work individually, with adults. Everyone is different, and everyone has a unique life full of challenges and strengths. The aim of my work is to collaboratively focus on what you may want help with. It's important to me that you feel safe and accepted, enabling you to explore your difficult experiences, understand what troubles you, accept what cannot be changed, and change what can be changed. This therapeutic process can help you learn how to break the cycle of hopelessness and find helpful ways out of your experiences of stuckness.
I am a Senior Counselling Psychologist, EMDR and MBT Therapist with a background in the NHS. I work individually, with adults. Everyone is different, and everyone has a unique life full of challenges and strengths. The aim of my work is to collaboratively focus on what you may want help with. It's important to me that you feel safe and accepted, enabling you to explore your difficult experiences, understand what troubles you, accept what cannot be changed, and change what can be changed. This therapeutic process can help you learn how to break the cycle of hopelessness and find helpful ways out of your experiences of stuckness.
020 3870 3889 View 020 3870 3889
Photo of Peter Hutt, Counsellor, MBACP
Peter Hutt
Counsellor, MBACP
Worthing BN11
BACP Registered Person Centred Counsellor. Initial 50 min. session only £20. My broad range of experience - both personal and professional - means that I genuinely understand. I can help you with Anxiety, Alcohol/Drug problems, Addictions Trauma, Loss, Bereavement or Depression. Maybe you just feel off and don’t know why... Whatever is troubling you, together we can help you find a way forward. We will explore your difficult feelings and discover issues behind them and from there, we’d explore ways for you to see a more positive way ahead.
BACP Registered Person Centred Counsellor. Initial 50 min. session only £20. My broad range of experience - both personal and professional - means that I genuinely understand. I can help you with Anxiety, Alcohol/Drug problems, Addictions Trauma, Loss, Bereavement or Depression. Maybe you just feel off and don’t know why... Whatever is troubling you, together we can help you find a way forward. We will explore your difficult feelings and discover issues behind them and from there, we’d explore ways for you to see a more positive way ahead.
07541 553614 View 07541 553614
Photo of James Mulholland, Psychotherapist, MBABCP
James Mulholland
Psychotherapist, MBABCP
1 Endorsed
Online Only
Hi, I'm James! I have 10+ years experience helping a wide range of people with a wide range of difficulties. There's very little I haven't heard before and my focus is always on working together to make sense of even the most confusing and complicated of problems.
Hi, I'm James! I have 10+ years experience helping a wide range of people with a wide range of difficulties. There's very little I haven't heard before and my focus is always on working together to make sense of even the most confusing and complicated of problems.
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Photo of Claire Manchester, Psychotherapist, MSc, MBABCP
Claire Manchester
Psychotherapist, MSc, MBABCP
Worthing BN14
Waitlist for new clients
Welcome, I’m really glad you’re here. I’m a fully accredited Senior Cognitive Behavioural and EMDR Psychotherapist, as well as a qualified Social Worker. I offer a warm, supportive space where you can feel safe to talk, reflect, and begin to make meaningful changes at your own pace. Over the years, I’ve worked in both the NHS and third sector services, supporting people through a wide range of experiences including trauma, anxiety, PTSD, and the everyday struggles that can wear us down.
Welcome, I’m really glad you’re here. I’m a fully accredited Senior Cognitive Behavioural and EMDR Psychotherapist, as well as a qualified Social Worker. I offer a warm, supportive space where you can feel safe to talk, reflect, and begin to make meaningful changes at your own pace. Over the years, I’ve worked in both the NHS and third sector services, supporting people through a wide range of experiences including trauma, anxiety, PTSD, and the everyday struggles that can wear us down.
01903 968284 View 01903 968284
Photo of Annette Deirdre Montgomery Quinn - Annette Quinn, Psychotherapist, MA, MBACP Snr. Accred
Annette Quinn
Psychotherapist, MA, MBACP Snr. Accred
Worthing BN13
I am an Integrative Psychotherapist, Counsellor, Tutor and Supervisor. I work with a wide range of issues and client groups i.e. Individuals, couples, young people and families. I am dedicated to advancing equality and welcome client’s across the gender sexuality and relationship diversity spectrum. As a white therapist I acknowledge my unearned white privilege and I do not shy away from addressing my responsibility to educate myself about racism and its ongoing impact. I work with clients on the patterns that restrict them, with the aim of helping clients evolve beyond, where they have been before, to a healthier place.
I am an Integrative Psychotherapist, Counsellor, Tutor and Supervisor. I work with a wide range of issues and client groups i.e. Individuals, couples, young people and families. I am dedicated to advancing equality and welcome client’s across the gender sexuality and relationship diversity spectrum. As a white therapist I acknowledge my unearned white privilege and I do not shy away from addressing my responsibility to educate myself about racism and its ongoing impact. I work with clients on the patterns that restrict them, with the aim of helping clients evolve beyond, where they have been before, to a healthier place.
01903 959561 View 01903 959561
Photo of Susanne Barthelmes, Counsellor, MA, MBACP
Susanne Barthelmes
Counsellor, MA, MBACP
Worthing BN11
I offer in-person, online and phone counselling in a warm, non-judgemental, and accepting atmosphere, where you can explore what’s going on, and find your way forward. At some stage in our lives we may hit a low point or crisis. Depression, anxiety, traumatic experiences, separation, bereavement, illness, self-esteem, relationship, identity, and work-related issues, or other profound life challenges can leave us feeling sad, distraught, helpless, or hopeless. Counselling offers you confidential and safe space to talk. Meet me for a free initial 30min chat before deciding. Note: I don't work with couples or children.
I offer in-person, online and phone counselling in a warm, non-judgemental, and accepting atmosphere, where you can explore what’s going on, and find your way forward. At some stage in our lives we may hit a low point or crisis. Depression, anxiety, traumatic experiences, separation, bereavement, illness, self-esteem, relationship, identity, and work-related issues, or other profound life challenges can leave us feeling sad, distraught, helpless, or hopeless. Counselling offers you confidential and safe space to talk. Meet me for a free initial 30min chat before deciding. Note: I don't work with couples or children.
01903 924267 View 01903 924267
Photo of Michael C Wearing, Counsellor, MNCPS Acc.
Michael C Wearing
Counsellor, MNCPS Acc.
3 Endorsed
Worthing BN13
Hello, my name is Michael and I am a Therapist, Life Coach and a Mental Health and Inclusion Speaker. My own lived experience informed my passion for supporting others to navigate life's challenges and improve their overall wellbeing. I have worked with a range of different clients, businesses and charities with extensive experience working with with bereavement, addiction, anxiety, depression and relationships as well as with the LGBTQIA+ community. My work saw me nominated for a National Diversity Award in 2023 under the category of LGBT Role Model.
Hello, my name is Michael and I am a Therapist, Life Coach and a Mental Health and Inclusion Speaker. My own lived experience informed my passion for supporting others to navigate life's challenges and improve their overall wellbeing. I have worked with a range of different clients, businesses and charities with extensive experience working with with bereavement, addiction, anxiety, depression and relationships as well as with the LGBTQIA+ community. My work saw me nominated for a National Diversity Award in 2023 under the category of LGBT Role Model.
01903 254719 View 01903 254719
Photo of Sarah Williams, Counsellor, MNCPS Acc.
Sarah Williams
Counsellor, MNCPS Acc.
Worthing BN11
I’m Sarah and I work in a person centred way, this means that I listen with empathy, and I will always regard you and your experiences with compassion and understanding. In this environment, which is warm and supportive, I am committed to helping clients confront and challenge any blocks they may have in their emotional life. This may be around difficult life events. Perhaps you are lacking confidence in the ability to achieve desired goals. Counselling is a confidential space to explore complex emotions and can help to find a way out of depression, low motivation or low self esteem. You just need to make the initial step.
I’m Sarah and I work in a person centred way, this means that I listen with empathy, and I will always regard you and your experiences with compassion and understanding. In this environment, which is warm and supportive, I am committed to helping clients confront and challenge any blocks they may have in their emotional life. This may be around difficult life events. Perhaps you are lacking confidence in the ability to achieve desired goals. Counselling is a confidential space to explore complex emotions and can help to find a way out of depression, low motivation or low self esteem. You just need to make the initial step.
01903 924249 View 01903 924249
Photo of Derellanne Knowles - Regulate Collective, Counsellor, MBACP
Regulate Collective
Counsellor, MBACP
Online Only
Hello, I am Derellanne (she/her) Whether you're a young person trying to make sense of the world, a parent navigating family challenges, or an adult looking to reconnect with your sense of self, I welcome you to get in touch. I’m BACP-registered with over a decade of experience across a wide range of settings including schools, residential homes, and mental health services. I offer a warm, inclusive space for young people, families, and adults to explore whatever feels heavy, complicated, or unclear. Based in Sussex and online across the UK, I provide relational therapy that sees the human first, rooted in safety and connection.
Hello, I am Derellanne (she/her) Whether you're a young person trying to make sense of the world, a parent navigating family challenges, or an adult looking to reconnect with your sense of self, I welcome you to get in touch. I’m BACP-registered with over a decade of experience across a wide range of settings including schools, residential homes, and mental health services. I offer a warm, inclusive space for young people, families, and adults to explore whatever feels heavy, complicated, or unclear. Based in Sussex and online across the UK, I provide relational therapy that sees the human first, rooted in safety and connection.
01903 497420 x1 View 01903 497420 x1
Photo of Emma Casson - Coastal Child & Adolescent Therapeutic Services , Psychotherapist, MSc, MBABCP
Coastal Child & Adolescent Therapeutic Services
Psychotherapist, MSc, MBABCP
Worthing BN11
Waitlist for new clients
I am an experienced BABCP accredited cognitive behavioural therapist, who specialises in working with children and young people up to the age of 18. I work within the NHS and hold a small number of clients through my private practice. Difficulties I work with and which NICE (National Institute for Health and Care Excellence), recommend CBT as a treatment for include: depression/low mood, anxiety, phobias, OCD, Post Traumatic Stress Disorder and low self-esteem.
I am an experienced BABCP accredited cognitive behavioural therapist, who specialises in working with children and young people up to the age of 18. I work within the NHS and hold a small number of clients through my private practice. Difficulties I work with and which NICE (National Institute for Health and Care Excellence), recommend CBT as a treatment for include: depression/low mood, anxiety, phobias, OCD, Post Traumatic Stress Disorder and low self-esteem.
01903 968274 View 01903 968274
Photo of Dr Emma Peskett, Psychologist, HCPC - Clin. Psych.
Dr Emma Peskett
Psychologist, HCPC - Clin. Psych.
Worthing BN11
Hi I’m Emma, a HCPC registered clinical psychologist with experience of working with teenagers and adults. I have training in a variety of therapeutic approaches, including cognitive-behavioral therapy (CBT), compassion-focused therapy (CFT) and acceptance and commitment therapy (ACT). I work in an integrative way and tailor my approach to your unique needs and preferences, working collaboratively with you to help you move towards the life that you want. I am passionate about helping my clients overcome their mental health challenges and build self-esteem and self-compassion, along with health coping strategies.
Hi I’m Emma, a HCPC registered clinical psychologist with experience of working with teenagers and adults. I have training in a variety of therapeutic approaches, including cognitive-behavioral therapy (CBT), compassion-focused therapy (CFT) and acceptance and commitment therapy (ACT). I work in an integrative way and tailor my approach to your unique needs and preferences, working collaboratively with you to help you move towards the life that you want. I am passionate about helping my clients overcome their mental health challenges and build self-esteem and self-compassion, along with health coping strategies.
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Photo of Mandy Randall-Gavin, Counsellor, BACP
Mandy Randall-Gavin
Counsellor, BACP
Worthing BN12
Are you feeling low, anxious or rejected? Do you need support emotionally? Maybe you're bereaved? Maybe you're struggling with relationships, at work or at home? I can help you. I believe everyone can choose to live their lives and relationships in a positive and fulfilled way. I am a qualified Counsellor in TA Practice, with many years of client experience. I'm here, I'm listening. Please contact me to arrange an initial meeting session to find out if we can work together.
Are you feeling low, anxious or rejected? Do you need support emotionally? Maybe you're bereaved? Maybe you're struggling with relationships, at work or at home? I can help you. I believe everyone can choose to live their lives and relationships in a positive and fulfilled way. I am a qualified Counsellor in TA Practice, with many years of client experience. I'm here, I'm listening. Please contact me to arrange an initial meeting session to find out if we can work together.
01903 924224 View 01903 924224
Photo of lanka Templeman - templemancounselling, Counsellor, MNCPS Acc.
templemancounselling
Counsellor, MNCPS Acc.
Worthing BN11
Is Anxiety getting in the way of your life? Does any of the following sound familiar? You are very self-critical, You usually imagine the worst case scenario, You overthink decisions, You find negative feedback very hard to handle, You replay your interactions repeatedly. If your answer is yes, you are probably are experiencing anxiety to some degree.
Is Anxiety getting in the way of your life? Does any of the following sound familiar? You are very self-critical, You usually imagine the worst case scenario, You overthink decisions, You find negative feedback very hard to handle, You replay your interactions repeatedly. If your answer is yes, you are probably are experiencing anxiety to some degree.
01903 952226 View 01903 952226
Photo of Andrea Hughes, Counsellor, MBACP
Andrea Hughes
Counsellor, MBACP
Worthing BN12
Whatever you are struggling with, my approach is professional, confidential, safe and non-judgemental, offering you an impartial space to freely discuss your presenting issues. I have gained invaluable experience working with clients with ADHD, ASD, depression, anxiety, grief, trauma and other major life events. Counselling can be a valuable tool in helping individuals manage their symptoms and improve their quality of life. I use a combination of strategies to help build self-esteem and set realistic goals. My approach is tailored to each individual to meet their specific needs
Whatever you are struggling with, my approach is professional, confidential, safe and non-judgemental, offering you an impartial space to freely discuss your presenting issues. I have gained invaluable experience working with clients with ADHD, ASD, depression, anxiety, grief, trauma and other major life events. Counselling can be a valuable tool in helping individuals manage their symptoms and improve their quality of life. I use a combination of strategies to help build self-esteem and set realistic goals. My approach is tailored to each individual to meet their specific needs
01903 952218 View 01903 952218

How does your Counsellor compare?

Number of Counsellors in Worthing

100+

Average cost per session

£60

Counsellors in Worthing who prioritize treating:

89% Anxiety
85% Depression
83% Self Esteem
80% Relationship Issues
77% Stress
65% Bereavement
64% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

68% Aviva
65% AXA PPP
58% Bupa

How Counsellors in Worthing see their clients

87% In Person and Online
13% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Worthing?

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.