Photo of Shelley Bennett - Mind Body Recovery, HCPC - Clin. Psych., Psychologist
Mind Body Recovery
Psychologist, HCPC - Clin. Psych.
Verified Verified
If you are looking for someone with a caring warm and down to earth approach then this is what I offer. I have many years of experience supporting and guiding individuals to overcome struggles in their lives, whether it be coping with bereavement to living with chronic illness, insomnia, low self esteem, burnout, relationship issues, anxieties, depression and so forth. There aren’t many issues that I haven’t worked with over the years. I believe I am a particularly good listener and very committed to using all my knowledge and training to help you in your journey as best as I can.
If you are looking for someone with a caring warm and down to earth approach then this is what I offer. I have many years of experience supporting and guiding individuals to overcome struggles in their lives, whether it be coping with bereavement to living with chronic illness, insomnia, low self esteem, burnout, relationship issues, anxieties, depression and so forth. There aren’t many issues that I haven’t worked with over the years. I believe I am a particularly good listener and very committed to using all my knowledge and training to help you in your journey as best as I can.
01392 321730 View 01392 321730
Photo of Rachel Coles, MUKCP, Psychotherapist
Rachel Coles
Psychotherapist, MUKCP
Verified Verified
I have a particular interest & experience in working with Eating Disorders & Disordered Eating difficulties. As a Family Therapist, I have worked with a wide range of mental health difficulties, including using Attachment Narrative Therapy; working with attachment difficulties; depression; anxiety; self harm; emotional regulation; communication difficulties & trauma. I’m trained to work with individuals, couples & families across the age range. It’s a privilege to support & empower families & individuals in understanding their lives experiences, improving their relationships, mental health & well-being.
I have a particular interest & experience in working with Eating Disorders & Disordered Eating difficulties. As a Family Therapist, I have worked with a wide range of mental health difficulties, including using Attachment Narrative Therapy; working with attachment difficulties; depression; anxiety; self harm; emotional regulation; communication difficulties & trauma. I’m trained to work with individuals, couples & families across the age range. It’s a privilege to support & empower families & individuals in understanding their lives experiences, improving their relationships, mental health & well-being.
01392 321753 View 01392 321753
Photo of Renee Norris - Renee Norris Counselling, 1-2-1, Couples & 13+, MBACP, Counsellor
Renee Norris Counselling, 1-2-1, Couples & 13+
Counsellor, MBACP
Verified Verified
Clients generally come to me when they are struggling with some aspect of their emotions, thoughts or behaviour. My aim is to help my client with accepting or changing some aspect of these three areas. Every client comes with unique issues and from my seat I view the issues as one, "a block in the road to wellness". I am keenly aware that all clients come with individual goals and I am here to help. Many of my clients use the phrase “I just want to feel better". This is my hope for everyone who engages with me in therapy. “TO FEEL BETTER” I offer confidentiality, openness and transparency at all times.
Clients generally come to me when they are struggling with some aspect of their emotions, thoughts or behaviour. My aim is to help my client with accepting or changing some aspect of these three areas. Every client comes with unique issues and from my seat I view the issues as one, "a block in the road to wellness". I am keenly aware that all clients come with individual goals and I am here to help. Many of my clients use the phrase “I just want to feel better". This is my hope for everyone who engages with me in therapy. “TO FEEL BETTER” I offer confidentiality, openness and transparency at all times.
01392 531578 View 01392 531578
Photo of Parie Reed, MBACP, Counsellor
Parie Reed
Counsellor, MBACP
Verified Verified
Online Only
I’m Parie an integrative therapist helping clients on their journey. As an integrative therapist I believe there isn’t just one therapeutic approach that can help a client in all situations. Instead, I take into account you as an individual and your circumstances, and use elements of different approaches to help you explore and cope with your problems. So if you feel stuck repeating behaviour patterns that are working against you, or maybe you are in a bad place which is overwhelming and you can't see a way out it then please contact me to book a session where we can work together to explore what is happening for you.
I’m Parie an integrative therapist helping clients on their journey. As an integrative therapist I believe there isn’t just one therapeutic approach that can help a client in all situations. Instead, I take into account you as an individual and your circumstances, and use elements of different approaches to help you explore and cope with your problems. So if you feel stuck repeating behaviour patterns that are working against you, or maybe you are in a bad place which is overwhelming and you can't see a way out it then please contact me to book a session where we can work together to explore what is happening for you.
01392 321828 View 01392 321828
Photo of Annie Ford, DCounsPsych, MBACP Accred, Counsellor
Annie Ford
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
It takes courage to contact a Counsellor for the first time, are you feeling stuck or overwhelmed, need to make sense or gain clarity of your personal issues. As an experienced Professional Counsellor, I provide a safe, non-judgemental and confidential space. A place to explore the changes "you want". Building resilience and strategies to cope with relationships or home or work issues, such as stress, anxiety, depression, bereavement, low self-esteem, bullying, or stressful health challenges. Short & long-term therapy 9am -7pm + Sat mornings. A calm comfortable garden studio for face to face, online or outdoor work.
It takes courage to contact a Counsellor for the first time, are you feeling stuck or overwhelmed, need to make sense or gain clarity of your personal issues. As an experienced Professional Counsellor, I provide a safe, non-judgemental and confidential space. A place to explore the changes "you want". Building resilience and strategies to cope with relationships or home or work issues, such as stress, anxiety, depression, bereavement, low self-esteem, bullying, or stressful health challenges. Short & long-term therapy 9am -7pm + Sat mornings. A calm comfortable garden studio for face to face, online or outdoor work.
07584 336873 View 07584 336873
Photo of Paula Barnby, MA, MUKCP, Psychotherapist
Paula Barnby
Psychotherapist, MA, MUKCP
Verified Verified
Welcome! I have been working as a counsellor and psychotherapist since 1998 and work as a supervisor too, with practices in Exeter and London and online. I believe that many of our difficulties develop due to our early life and past experiences, including trauma. We repeat patterns in our lives hoping that things will get resolved. Sometimes these patterns are unhelpful to us. Therapy offers, in a confidential and safe space, the possible facilitation of being able to recognise these patterns and approach them from a new perspective. (more detailed information can be found on www.psycho-dynamic.co.uk)
Welcome! I have been working as a counsellor and psychotherapist since 1998 and work as a supervisor too, with practices in Exeter and London and online. I believe that many of our difficulties develop due to our early life and past experiences, including trauma. We repeat patterns in our lives hoping that things will get resolved. Sometimes these patterns are unhelpful to us. Therapy offers, in a confidential and safe space, the possible facilitation of being able to recognise these patterns and approach them from a new perspective. (more detailed information can be found on www.psycho-dynamic.co.uk)
01392 531546 View 01392 531546
Photo of Naomi Gray, MBABCP, Psychotherapist
Naomi Gray
Psychotherapist, MBABCP
Verified Verified
I am an accredited High Intensity Cognitive Behavioural Psychotherapist. I have worked in both private practice and within core NHS services. I have particular experience working with additional needs, neurodivergence and OCD. As part of your therapy, I provide written session feedback and help you set and work towards your goals. During our sessions, I will encourage you to think about taking our therapy learning into action. We will think about work you can do not only in our hour together but throughout the week.
I am an accredited High Intensity Cognitive Behavioural Psychotherapist. I have worked in both private practice and within core NHS services. I have particular experience working with additional needs, neurodivergence and OCD. As part of your therapy, I provide written session feedback and help you set and work towards your goals. During our sessions, I will encourage you to think about taking our therapy learning into action. We will think about work you can do not only in our hour together but throughout the week.
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Photo of Jonathan Wilkes, MA, MUKCP, Psychotherapist
Jonathan Wilkes
Psychotherapist, MA, MUKCP
Verified Verified
Often people find that painful experiences and relationships in their past mean that things in the present can be complicated and sometimes hard to bear. They affect how we feel about ourselves, how we feel about the world and how we relate to other people we encounter.  If we work together we’ll explore what brought you to therapy now and think together about where the difficulties in your present might have come from. I will listen very carefully to you in order to appreciate what you are feeling so that we can begin to see how you might find a greater freedom in your life.
Often people find that painful experiences and relationships in their past mean that things in the present can be complicated and sometimes hard to bear. They affect how we feel about ourselves, how we feel about the world and how we relate to other people we encounter.  If we work together we’ll explore what brought you to therapy now and think together about where the difficulties in your present might have come from. I will listen very carefully to you in order to appreciate what you are feeling so that we can begin to see how you might find a greater freedom in your life.
01372 236067 View 01372 236067
Photo of Dr Craig Newman, PsychD, HCPC - Clin. Psych., Psychologist
Dr Craig Newman
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Online Only
Life’s challenges can leave deep marks, especially when they stem from abusive relationships, chronic pain, or the relentless pressures of anxiety and burnout. With 25 years of experience as a Psychologist and a published author, I’m here to offer a compassionate and supportive space where we can work together to navigate these difficulties. My approach focuses on creating real, meaningful change, rather than solely revisiting the past. We’ll work together to move forward, addressing your current struggles while finding practical solutions that empower you to live a healthier, more fulfilling life.
Life’s challenges can leave deep marks, especially when they stem from abusive relationships, chronic pain, or the relentless pressures of anxiety and burnout. With 25 years of experience as a Psychologist and a published author, I’m here to offer a compassionate and supportive space where we can work together to navigate these difficulties. My approach focuses on creating real, meaningful change, rather than solely revisiting the past. We’ll work together to move forward, addressing your current struggles while finding practical solutions that empower you to live a healthier, more fulfilling life.
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Photo of Dr Claire Treleaven, PsychD, HCPC - Clin. Psych., Psychologist
Dr Claire Treleaven
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Online Only
I am a Clinical Psychologist with over 12 years experience in the NHS, supporting individuals at some of the most difficult times in their lives. I specialise in supporting women, birthing people and couples, for whom difficult or traumatic experiences of pregnancy, birth, fertility, becoming a parent, and baby loss are common. This is an extremely vulnerable period in a woman’s life, with so much uncertainty and change to navigate. For many, having a safe space to be able to explore and make sense of their experiences, and often their own experience of being parented, enables them to make changes and move toward their goals.
I am a Clinical Psychologist with over 12 years experience in the NHS, supporting individuals at some of the most difficult times in their lives. I specialise in supporting women, birthing people and couples, for whom difficult or traumatic experiences of pregnancy, birth, fertility, becoming a parent, and baby loss are common. This is an extremely vulnerable period in a woman’s life, with so much uncertainty and change to navigate. For many, having a safe space to be able to explore and make sense of their experiences, and often their own experience of being parented, enables them to make changes and move toward their goals.
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Photo of Pauline Earle - Between You and Me Integrative Therapy, MBACP Snr. Accred, Psychotherapist
Between You and Me Integrative Therapy
Psychotherapist, MBACP Snr. Accred
Verified Verified
1 Endorsed
Reaching out can be hard. Are you feeling overwhelmed? struggling to cope with your situation? your emotions? your experiences? If your trust has been damaged, talking to someone who will take time to understand you can be a huge relief. Perhaps you need support through a crisis or you are at the end of your tether with multiple stresses. Even if you have longterm issues that seem stuck, talking to someone can make a difference. You may gain insight into the roots of your difficulties and find qualities in yourself that have never had a chance to develop. The aim is to help you live a more rewarding life.
Reaching out can be hard. Are you feeling overwhelmed? struggling to cope with your situation? your emotions? your experiences? If your trust has been damaged, talking to someone who will take time to understand you can be a huge relief. Perhaps you need support through a crisis or you are at the end of your tether with multiple stresses. Even if you have longterm issues that seem stuck, talking to someone can make a difference. You may gain insight into the roots of your difficulties and find qualities in yourself that have never had a chance to develop. The aim is to help you live a more rewarding life.
01392 549093 View 01392 549093
Photo of Paula Dishman, MSc, MUKCP, Psychotherapist
Paula Dishman
Psychotherapist, MSc, MUKCP
Verified Verified
I am a very experienced and fully qualified psychotherapist, counsellor and supervisor based in both central Exeter and Broadclyst. I am accredited by the UKCP and hold an Msc in TA psychotherapy. With many years experience, I provide a confidential, and impartial space where you can talk about difficult thoughts or emotional issues. I specialise in working with my clients to improve their quality of life and relationships. My role in offering both counselling and psychotherapy is to help you make sense of what you are experiencing, develop the skills to know and accept yourself and to make changes that are right for you.
I am a very experienced and fully qualified psychotherapist, counsellor and supervisor based in both central Exeter and Broadclyst. I am accredited by the UKCP and hold an Msc in TA psychotherapy. With many years experience, I provide a confidential, and impartial space where you can talk about difficult thoughts or emotional issues. I specialise in working with my clients to improve their quality of life and relationships. My role in offering both counselling and psychotherapy is to help you make sense of what you are experiencing, develop the skills to know and accept yourself and to make changes that are right for you.
01392 531566 View 01392 531566
Photo of Nadia Cooper, MBACP, Counsellor
Nadia Cooper
Counsellor, MBACP
Verified Verified
Whatever you are going through, you don't have to be alone. Bring all of who you are and together we can sit and explore at your own pace, what is troubling you. We can begin to work out and make sense of how your past experiences of life could have created ways of thinking and beliefs about yourself and patterns of behaviour which are unhelpful for you now, causing you to seek counselling. Making sense of what is troubling can enable you to begin to make changes and to move forward in your life.
Whatever you are going through, you don't have to be alone. Bring all of who you are and together we can sit and explore at your own pace, what is troubling you. We can begin to work out and make sense of how your past experiences of life could have created ways of thinking and beliefs about yourself and patterns of behaviour which are unhelpful for you now, causing you to seek counselling. Making sense of what is troubling can enable you to begin to make changes and to move forward in your life.
01794 331105 View 01794 331105
Photo of Devon McGahey, MA, Psychotherapist
Devon McGahey
Psychotherapist, MA
Verified Verified
Are you looking for therapy that works? A therapist that genuinely ‘gets it’ and is engaging, practical, and solution-focused? Welcome! I’m so glad you found me. We’ll work together to understand why you do the things that you do, and come up with practical ways to get you feeling like the best version of yourself again. I'm an American-trained therapist who wants to help you implement changes that are most important to you and live the life that leaves you excited to wake up every morning. With a focus on modern techniques, I am dedicated to helping you find a balance and overcome anxiety, stress, depression, and relational issues.
Are you looking for therapy that works? A therapist that genuinely ‘gets it’ and is engaging, practical, and solution-focused? Welcome! I’m so glad you found me. We’ll work together to understand why you do the things that you do, and come up with practical ways to get you feeling like the best version of yourself again. I'm an American-trained therapist who wants to help you implement changes that are most important to you and live the life that leaves you excited to wake up every morning. With a focus on modern techniques, I am dedicated to helping you find a balance and overcome anxiety, stress, depression, and relational issues.
01392 321515 View 01392 321515
Photo of Paul Reisbach, MA, UKCP Trainee, Psychotherapist
Paul Reisbach
Psychotherapist, MA, UKCP Trainee
Verified Verified
3 Endorsed
Outdoor 'walk and talk' sessions now available as well as online and face to face. I like to approach our sessions as a 'co-pilot in your plane'. You are at the controls and we learn together how your plane works. The ultimate goal is that you know your plane well enough to take full control and fly through the weather, good or bad, unaided. Please do reach out.
Outdoor 'walk and talk' sessions now available as well as online and face to face. I like to approach our sessions as a 'co-pilot in your plane'. You are at the controls and we learn together how your plane works. The ultimate goal is that you know your plane well enough to take full control and fly through the weather, good or bad, unaided. Please do reach out.
01392 531587 View 01392 531587
Photo of Jane Blackburn, MNCPS Acc., Counsellor
Jane Blackburn
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Hi, my name is Jane Blackburn. If you're reading this, you’ve probably found that life isn’t always as straight-forward as we’d like and that it can really take a toll on each of us. I have experience supporting people facing all sorts of challenges in their lives including: anxiety, stress, depression, panic attacks, difficulties expressing themselves, low self-esteem, and relationship difficulties, to name but a few. I can even support you if you just feel a little bit ‘off’, as though things are ‘not quite right’. The first step towards making a positive change is to ask for help, even if that feels daunting to do.
Hi, my name is Jane Blackburn. If you're reading this, you’ve probably found that life isn’t always as straight-forward as we’d like and that it can really take a toll on each of us. I have experience supporting people facing all sorts of challenges in their lives including: anxiety, stress, depression, panic attacks, difficulties expressing themselves, low self-esteem, and relationship difficulties, to name but a few. I can even support you if you just feel a little bit ‘off’, as though things are ‘not quite right’. The first step towards making a positive change is to ask for help, even if that feels daunting to do.
01392 321023 View 01392 321023
Photo of Dr Hannah Marie Galvin, PhD, ACP, Psychotherapist
Dr Hannah Marie Galvin
Psychotherapist, PhD, ACP
Verified Verified
I'm a psychoanalytic psychotherapist trained to MA and Doctoral level respectively with adults and children and adolescents. I'm also a visiting lecturer at The Tavistock and Portman NHS Foundation Trust. I have experience of working across the age range with a wide variety of mild to moderate, sometimes more severe presenting problems. Some people see me because they're very unhappy, distressed or worried, others come because they want to understand themselves better and they're curious about why they encounter the same patterns.
I'm a psychoanalytic psychotherapist trained to MA and Doctoral level respectively with adults and children and adolescents. I'm also a visiting lecturer at The Tavistock and Portman NHS Foundation Trust. I have experience of working across the age range with a wide variety of mild to moderate, sometimes more severe presenting problems. Some people see me because they're very unhappy, distressed or worried, others come because they want to understand themselves better and they're curious about why they encounter the same patterns.
01392 321462 View 01392 321462
Photo of Charlotte Mizen, MSc, BPC, Psychotherapist
Charlotte Mizen
Psychotherapist, MSc, BPC
Verified Verified
We all experience difficult and painful times in life which sometimes feel too hard or overwhelming to manage alone. I have trained and worked as a counsellor and latterly as a psychotherapist with over ten years of clinical experience in private practice, a local therapeutic institution, and as an honorary psychotherapist in the NHS. Depression, anxiety, stress, loss and separation are some of the more difficult issues we come up against in life which can seriously impact the way we live our lives. My approach is psychoanalytically oriented with a focus on increasing self understanding and deepening insight into emotional issues
We all experience difficult and painful times in life which sometimes feel too hard or overwhelming to manage alone. I have trained and worked as a counsellor and latterly as a psychotherapist with over ten years of clinical experience in private practice, a local therapeutic institution, and as an honorary psychotherapist in the NHS. Depression, anxiety, stress, loss and separation are some of the more difficult issues we come up against in life which can seriously impact the way we live our lives. My approach is psychoanalytically oriented with a focus on increasing self understanding and deepening insight into emotional issues
01392 573820 View 01392 573820
Photo of Hayley Sycamore, MBACP, Counsellor
Hayley Sycamore
Counsellor, MBACP
Verified Verified
1 Endorsed
There will be transitions in your life where you may feel anxious, stressed or overwhelmed. This can make everyday life challenging and difficult to find a way forward. Counselling can support you to gain awareness of your needs and how to find balance in your life to support your overall well being.
There will be transitions in your life where you may feel anxious, stressed or overwhelmed. This can make everyday life challenging and difficult to find a way forward. Counselling can support you to gain awareness of your needs and how to find balance in your life to support your overall well being.
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Photo of Saskia Layburn, MBACP, Psychotherapist
Saskia Layburn
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Hello, my name is Saskia and I specialise in relationship therapy, life transitions and exploration of the self. I work with clients from the ages of sixteen + and I have an in-depth experience of working with individuals and couples/partnerships at my practice. This includes, the LGBTQIA+ community, neurodivergent folks, teenagers, family members, friendships and couples/partnerships.
Hello, my name is Saskia and I specialise in relationship therapy, life transitions and exploration of the self. I work with clients from the ages of sixteen + and I have an in-depth experience of working with individuals and couples/partnerships at my practice. This includes, the LGBTQIA+ community, neurodivergent folks, teenagers, family members, friendships and couples/partnerships.
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See more therapy options for EX5

How does your Counsellor compare?

Number of Counsellors in EX5

40+

Average cost per session

£55

Counsellors in EX5 who prioritize treating:

94% Anxiety
90% Depression
88% Self Esteem
81% Relationship Issues
81% Stress
71% Trauma and PTSD
67% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

50% Aviva
50% AXA PPP
42% Any/Out-of-network Insurance

How Counsellors in EX5 see their clients

88% In Person and Online
12% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counselling

How can I find a therapist in EX5?

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.