Counselling in GL5

Photo of Hannya Melrose, Psychotherapist, MA, MUKCP
Hannya Melrose
Psychotherapist, MA, MUKCP
Stroud GL5
I have worked for over 15 years as a body-oriented psychotherapist, specialising in prenatal & birth/ attachment issues, sexual trauma, life transitions & crisis. I am also a TRE (Tension Releasing Exercises) provider, to support the release of stress from the body/ mind. More recently I have trained to work with women of all ages & life stages around menstrual cycle awareness, the menopause passage & after & I am currently training as a women's transformational coach & facilitator. I feel passionately about supporting women to step into greater self-love, empowerment & fulfillment in all areas of their life.
I have worked for over 15 years as a body-oriented psychotherapist, specialising in prenatal & birth/ attachment issues, sexual trauma, life transitions & crisis. I am also a TRE (Tension Releasing Exercises) provider, to support the release of stress from the body/ mind. More recently I have trained to work with women of all ages & life stages around menstrual cycle awareness, the menopause passage & after & I am currently training as a women's transformational coach & facilitator. I feel passionately about supporting women to step into greater self-love, empowerment & fulfillment in all areas of their life.
01453 708236 View 01453 708236
Photo of Reuben Michael Turkie - RT Counselling / Next Chapter Therapies, Counsellor, PsychD, MNCPS Acc.
RT Counselling / Next Chapter Therapies
Counsellor, PsychD, MNCPS Acc.
Stroud GL5
Therapy offers an important step in discovering the world around us and finding our place in it. For some people, coming to therapy is a big step. It can take courage to identify a need to heal, recover or progress. My approach aims to ensure that you feel safe in the knowledge that you can trust the therapeutic process. Maintaining the core values of empathy, unconditional positive regard for you as well as congruence (being authentic), I also use other modes of therapy.
Therapy offers an important step in discovering the world around us and finding our place in it. For some people, coming to therapy is a big step. It can take courage to identify a need to heal, recover or progress. My approach aims to ensure that you feel safe in the knowledge that you can trust the therapeutic process. Maintaining the core values of empathy, unconditional positive regard for you as well as congruence (being authentic), I also use other modes of therapy.
01453 707401 x44 View 01453 707401 x44
Photo of Lucia Simon, Counsellor, MA, MUKCP
Lucia Simon
Counsellor, MA, MUKCP
1 Endorsed
Stroud GL5
I work from a yurt in my garden in Stroud. It’s a place set apart from the rest of life, where you can explore whatever brings you to therapy. I’m interested in the here and now – what’s actually happening in the room between us, what your experience is in the present moment, and how this links to both the past and your current life outside. This approach aims to help you get back in touch with your life, with your own sense of aliveness in all its broad richness and vibrancy.
I work from a yurt in my garden in Stroud. It’s a place set apart from the rest of life, where you can explore whatever brings you to therapy. I’m interested in the here and now – what’s actually happening in the room between us, what your experience is in the present moment, and how this links to both the past and your current life outside. This approach aims to help you get back in touch with your life, with your own sense of aliveness in all its broad richness and vibrancy.
01453 700792 View 01453 700792
Photo of Zoe Keeling, Counsellor, MA, MBACP
Zoe Keeling
Counsellor, MA, MBACP
Stroud GL5
Starting therapy can be daunting. Perhaps you are unsure if you ‘need’ therapy, or whether therapy can help with your particular issue. Maybe you are struggling with feelings of shame, or trying to navigate challenging relationship dynamics, or would simply like to understand yourself more deeply. I bring an attitude of curiosity, inclusivity and acceptance to my practice, working from a fundamental belief that we all, no matter who we are or believe ourselves to be, deserve compassion and acceptance. 'Where something becomes extremely difficult and unbearable, there we also stand already quite near its transformation' Rilke
Starting therapy can be daunting. Perhaps you are unsure if you ‘need’ therapy, or whether therapy can help with your particular issue. Maybe you are struggling with feelings of shame, or trying to navigate challenging relationship dynamics, or would simply like to understand yourself more deeply. I bring an attitude of curiosity, inclusivity and acceptance to my practice, working from a fundamental belief that we all, no matter who we are or believe ourselves to be, deserve compassion and acceptance. 'Where something becomes extremely difficult and unbearable, there we also stand already quite near its transformation' Rilke
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Photo of Dr Rachel Graham, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Rachel Graham
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Stroud GL5
Experienced and chartered Counselling Psychologist, who has over 15 years of experience working therapeutically with children, teenagers, and adults. I offer a range of approaches including EMDR, CBT and psychodynamic therapy. I’ve been fortunate to have varied experiences within my career, working with a range of clients and settings, including NHS Camhs, educational and residential settings. Despite my varied experiences, one thing remains the same: my passion to support people to overcome and heal from their emotional wounds or barriers so that they can live a more fulfilled and whole life.
Experienced and chartered Counselling Psychologist, who has over 15 years of experience working therapeutically with children, teenagers, and adults. I offer a range of approaches including EMDR, CBT and psychodynamic therapy. I’ve been fortunate to have varied experiences within my career, working with a range of clients and settings, including NHS Camhs, educational and residential settings. Despite my varied experiences, one thing remains the same: my passion to support people to overcome and heal from their emotional wounds or barriers so that they can live a more fulfilled and whole life.
01453 708245 View 01453 708245
Photo of Dr Beth Winter, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Beth Winter
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Online Only
You may be completely new to therapy or re-engaging with it following a change in circumstance. I work with a range of clients from different backgrounds with all sorts of reasons for coming to therapy, whether working through a traumatic experience or needing time in their week to check in with themselves. Being human means we all face times of distress, which may manifest as anxiety, sadness, resignation, anger, confusion or pain. You may feel you need a reflective, confidential and non-judgmental space in your life to help process what is going on for you. You are most welcome, whatever it is that brings you here.
You may be completely new to therapy or re-engaging with it following a change in circumstance. I work with a range of clients from different backgrounds with all sorts of reasons for coming to therapy, whether working through a traumatic experience or needing time in their week to check in with themselves. Being human means we all face times of distress, which may manifest as anxiety, sadness, resignation, anger, confusion or pain. You may feel you need a reflective, confidential and non-judgmental space in your life to help process what is going on for you. You are most welcome, whatever it is that brings you here.
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Photo of Charlotte Seebohm, Psychotherapist, MHGI
Charlotte Seebohm
Psychotherapist, MHGI
Stroud GL5
I am a 'Human Givens' Psychotherapist (www.hgi.org.uk). Whilst my HG journey started in 2009 my work in the field began 20 years prior. I have since taught on a counselling diploma, worked as a therapist with adults, couples, staff within organisations, teachers, parents, young people and children overseas as well as in the UK (particularly Sri Lanka). In private practice my strengths lie in flexibility and creativity - tailor-making my approach to each client. I use an eclectic approach within the Human Givens framework, knowing exactly why each varied & different technique is effective in accordance with current neuroscience.
I am a 'Human Givens' Psychotherapist (www.hgi.org.uk). Whilst my HG journey started in 2009 my work in the field began 20 years prior. I have since taught on a counselling diploma, worked as a therapist with adults, couples, staff within organisations, teachers, parents, young people and children overseas as well as in the UK (particularly Sri Lanka). In private practice my strengths lie in flexibility and creativity - tailor-making my approach to each client. I use an eclectic approach within the Human Givens framework, knowing exactly why each varied & different technique is effective in accordance with current neuroscience.
01453 701870 View 01453 701870
Photo of Peter Clarke, Counsellor, MA, MBACP
Peter Clarke
Counsellor, MA, MBACP
Stroud GL5
I'm a psychodynamic counsellor, and I split my time between my practice rooms in Stroud (Gloucestershire) and St Albans (Hertfordshire). I offer open-ended and brief counselling to adults, both in person and remotely. People come to me with all sorts of different problems. These include mental health conditions like anxiety and depression; challenging physical health issues; difficult life events, such as trauma, abuse, neglect, relationship breakdown and bereavement; intense feelings, including work-related stress, anger, guilt, low self-esteem and loneliness.
I'm a psychodynamic counsellor, and I split my time between my practice rooms in Stroud (Gloucestershire) and St Albans (Hertfordshire). I offer open-ended and brief counselling to adults, both in person and remotely. People come to me with all sorts of different problems. These include mental health conditions like anxiety and depression; challenging physical health issues; difficult life events, such as trauma, abuse, neglect, relationship breakdown and bereavement; intense feelings, including work-related stress, anger, guilt, low self-esteem and loneliness.
01453 703520 View 01453 703520
Photo of Jennifer Hiorns - Beehive Counselling, Psychotherapist, MBACP
Beehive Counselling
Psychotherapist, MBACP
Stroud GL5
Waitlist for new clients
If you are experiencing inner turmoil, challenges with relationships or dealing with loss, I can offer you a safe and supportive environment to help you understand the roots of your difficulties. We can try and make sense of the past and how it affects your life today. Gaining insights into the reasons for your issues will develop your capacity to cope with current and future difficulties; to gain the self care tools you need for lasting change.
If you are experiencing inner turmoil, challenges with relationships or dealing with loss, I can offer you a safe and supportive environment to help you understand the roots of your difficulties. We can try and make sense of the past and how it affects your life today. Gaining insights into the reasons for your issues will develop your capacity to cope with current and future difficulties; to gain the self care tools you need for lasting change.
01594 808761 View 01594 808761
Photo of Michaela Grecu, Counsellor, DCounsPsych, MNCPS Acc.
Michaela Grecu
Counsellor, DCounsPsych, MNCPS Acc.
1 Endorsed
Stroud GL5
If you’re going through a difficult time and seeking friendly, professional support, I’m here to help. Together, we can explore what’s going on for you, work through challenges, and move toward your goals using a range of evidence-based psychotherapy approaches. Whether you're feeling stuck, overwhelmed, anxious, or simply want space to reflect, therapy can help you gain insight into your thoughts, behaviours, and emotions. Through this process, many people find they become more resilient, feel more fulfilled, and are better able to make satisfying life choices—in relationships, at work, and at home.
If you’re going through a difficult time and seeking friendly, professional support, I’m here to help. Together, we can explore what’s going on for you, work through challenges, and move toward your goals using a range of evidence-based psychotherapy approaches. Whether you're feeling stuck, overwhelmed, anxious, or simply want space to reflect, therapy can help you gain insight into your thoughts, behaviours, and emotions. Through this process, many people find they become more resilient, feel more fulfilled, and are better able to make satisfying life choices—in relationships, at work, and at home.
020 4538 9352 View 020 4538 9352
Photo of Phil Turner Psychosynthesis Guide, Counsellor, PNCPS Acc.
Phil Turner Psychosynthesis Guide
Counsellor, PNCPS Acc.
Stroud GL5
Not as sure of yourself as you used to be, not feeling good about how your life or relationships have turned out, yearning for something but not sure what that is or just recognising that you no longer want to put up with the feelings, thoughts or that way your body feels. These kinds of experiences are a part what it is to be human and when we're ready to change, it's good to have help. With me its a collaborative effort in which I learn about you and you find out more about yourself; what you want, what's blocking that and how you might resolve those blocks, make changes and realise more of your potential.
Not as sure of yourself as you used to be, not feeling good about how your life or relationships have turned out, yearning for something but not sure what that is or just recognising that you no longer want to put up with the feelings, thoughts or that way your body feels. These kinds of experiences are a part what it is to be human and when we're ready to change, it's good to have help. With me its a collaborative effort in which I learn about you and you find out more about yourself; what you want, what's blocking that and how you might resolve those blocks, make changes and realise more of your potential.
01453 707198 View 01453 707198
Photo of Abigail Paige, Counsellor, MBACP
Abigail Paige
Counsellor, MBACP
Stroud GL5
Hi, I’m Abi, I’m a qualified and trauma-informed, Psychotherapeutic Integrative Counsellor and Supervisor, which means I'm trained in several different types of therapy. My core approach is Person-Centred because it is my absolute belief that you are the expert on you. There is no level of sadness or worry that means therapy is right for you, our experiences and our responses are unique so the route through those feelings is also very personal. We can’t change the past but we can change how much control it has over us, our relationships and our decisions in the present.
Hi, I’m Abi, I’m a qualified and trauma-informed, Psychotherapeutic Integrative Counsellor and Supervisor, which means I'm trained in several different types of therapy. My core approach is Person-Centred because it is my absolute belief that you are the expert on you. There is no level of sadness or worry that means therapy is right for you, our experiences and our responses are unique so the route through those feelings is also very personal. We can’t change the past but we can change how much control it has over us, our relationships and our decisions in the present.
01453 708152 View 01453 708152
Photo of Tom Dalrymple, Psychotherapist, UKCP Trainee
Tom Dalrymple
Psychotherapist, UKCP Trainee
Stroud GL5
Hi, I am a trainee Psychotherapist in my fourth year of training towards an MA in Humanistic and Integrative Psychotherapy at BCPC in Bath. I started seeing clients in the summer 2022. My approach is to try to meet you with whatever you bring. It's important to have someone genuine, really listen without judging or advising. Sometimes it helps to have your feelings and experiences witnessed in a sensitive way. Therapy can give you the room to make sense of your past and the relationships you have today. Good therapy can create the safe space for you to experience being in a different way.
Hi, I am a trainee Psychotherapist in my fourth year of training towards an MA in Humanistic and Integrative Psychotherapy at BCPC in Bath. I started seeing clients in the summer 2022. My approach is to try to meet you with whatever you bring. It's important to have someone genuine, really listen without judging or advising. Sometimes it helps to have your feelings and experiences witnessed in a sensitive way. Therapy can give you the room to make sense of your past and the relationships you have today. Good therapy can create the safe space for you to experience being in a different way.
01452 923080 View 01452 923080
Photo of Kate Varney, Counsellor, MA, MBACP Accred
Kate Varney
Counsellor, MA, MBACP Accred
Stroud GL5
Hello and welcome. I am an experienced psychotherapist and I work with individuals and couples who come to see me with a wide range of challenges and difficulties that they are facing. People often seek therapy when they are at a transitional moment in their lives. Through our work together you will have the opportunity to speak about your experiences and feelings; both now and in your past, and we will work together to develop an understanding of you and your life with the hope that this therapeutic process of reflection and insight might be transformative for you.
Hello and welcome. I am an experienced psychotherapist and I work with individuals and couples who come to see me with a wide range of challenges and difficulties that they are facing. People often seek therapy when they are at a transitional moment in their lives. Through our work together you will have the opportunity to speak about your experiences and feelings; both now and in your past, and we will work together to develop an understanding of you and your life with the hope that this therapeutic process of reflection and insight might be transformative for you.
01453 701591 View 01453 701591
Photo of Dr Sophie Thomas, Psychologist, HCPC - Clin. Psych.
Dr Sophie Thomas
Psychologist, HCPC - Clin. Psych.
Stroud GL5
I work with children, young people and their families, often when things are feeling difficult or overwhelming. Some of the reasons families have worked with me include: support to understand and manage feelings of anxiety, depression or frustration; difficulties with emotion-regulation; and difficulties within family relationships, including parent-infant and parent-child relationships.
I work with children, young people and their families, often when things are feeling difficult or overwhelming. Some of the reasons families have worked with me include: support to understand and manage feelings of anxiety, depression or frustration; difficulties with emotion-regulation; and difficulties within family relationships, including parent-infant and parent-child relationships.
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Photo of Caroline Wood, Counsellor, MNCPS Acc.
Caroline Wood
Counsellor, MNCPS Acc.
Stroud GL5
I offer you a safe space to reflect and explore your thoughts, feelings and behaviours with complete confidentiality and empathy. Areas of expertise are working with stress management and anxiety, communication issues and anger management, low mood, grief and historic trauma caused by sexual abuse.
I offer you a safe space to reflect and explore your thoughts, feelings and behaviours with complete confidentiality and empathy. Areas of expertise are working with stress management and anxiety, communication issues and anger management, low mood, grief and historic trauma caused by sexual abuse.
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Photo of Grace Rahman, Psychotherapist, MSc, UKCP Trainee
Grace Rahman
Psychotherapist, MSc, UKCP Trainee
3 Endorsed
Stroud GL5
Sometimes difficulties we experience in our lives and relationships can feel overwhelming or out of our control. We may wonder why we react in certain ways or why problems seem to repeat themselves. Or we may just need some holding when life gets bumpy. I provide a space where you can feel held and deeply understood, where you can bring all parts of yourself without judgement. I can help you to explore where and why patterns of thinking, feeling and behaviour may have formed, and support you to release their grip to bring about the changes you need. As a couple I can help you to work through difficulties and improve connection.
Sometimes difficulties we experience in our lives and relationships can feel overwhelming or out of our control. We may wonder why we react in certain ways or why problems seem to repeat themselves. Or we may just need some holding when life gets bumpy. I provide a space where you can feel held and deeply understood, where you can bring all parts of yourself without judgement. I can help you to explore where and why patterns of thinking, feeling and behaviour may have formed, and support you to release their grip to bring about the changes you need. As a couple I can help you to work through difficulties and improve connection.
01453 702247 View 01453 702247
Photo of Fiona Ryan, Counsellor, MA, MBACP
Fiona Ryan
Counsellor, MA, MBACP
Stroud GL5
If you are struggling with feelings of low self-esteem, stress, anxiety, depression or bereavement or if you are having problems in your relationships at home or at work, counselling might be able to help you to make important changes in your life. Counselling provides a special therapeutic relationship where you will not be judged and where you will be given the respect and empathy that is needed for you to truly express yourself. Without providing advice, instructions or directions I aim to empower my clients so that they can work towards a happier future.
If you are struggling with feelings of low self-esteem, stress, anxiety, depression or bereavement or if you are having problems in your relationships at home or at work, counselling might be able to help you to make important changes in your life. Counselling provides a special therapeutic relationship where you will not be judged and where you will be given the respect and empathy that is needed for you to truly express yourself. Without providing advice, instructions or directions I aim to empower my clients so that they can work towards a happier future.
01453 700788 View 01453 700788
Photo of Kate Brady, Psychotherapist, MUKCP
Kate Brady
Psychotherapist, MUKCP
Online Only
I've over thirty years experience as a therapist and offer friendly, flexible online therapy centred around you as a unique individual. With a wide range of therapeutic tools, including EMDR and IFS as well as traditional 'talk therapy', we can explore the approach that will best suit you, helping you to meet life's challenges. This might involve healing and releasing difficulties from the past, letting go negative beliefs that hold you back or bringing understanding and compassion to all aspects of your personality so you can discover new inner resources.
I've over thirty years experience as a therapist and offer friendly, flexible online therapy centred around you as a unique individual. With a wide range of therapeutic tools, including EMDR and IFS as well as traditional 'talk therapy', we can explore the approach that will best suit you, helping you to meet life's challenges. This might involve healing and releasing difficulties from the past, letting go negative beliefs that hold you back or bringing understanding and compassion to all aspects of your personality so you can discover new inner resources.
01483 967209 View 01483 967209
Photo of Chheayudh Chhon, Counsellor, MBACP
Chheayudh Chhon
Counsellor, MBACP
Stroud GL5
Hello, I am Yut. Whether you’re enduring an especially troubling time, navigating big life changes, working through difficult memories, or just feeling a little lost, I am here to offer support. Whatever is happening with you, I’m sure we can find a way through it together. I am a fully Person-Centred qualified counsellor and Registered Member of the British Association for Counselling and Psychotherapy, working in close accordance with the BACP Code of Ethics. I work with adults of all ages and from all walks of life, who bring a diverse array of issues to the therapy room.
Hello, I am Yut. Whether you’re enduring an especially troubling time, navigating big life changes, working through difficult memories, or just feeling a little lost, I am here to offer support. Whatever is happening with you, I’m sure we can find a way through it together. I am a fully Person-Centred qualified counsellor and Registered Member of the British Association for Counselling and Psychotherapy, working in close accordance with the BACP Code of Ethics. I work with adults of all ages and from all walks of life, who bring a diverse array of issues to the therapy room.
01453 706627 View 01453 706627

See more therapy options for GL5

How does your Counsellor compare?

Number of Counsellors in GL5

70+

Average cost per session

£55

Counsellors in GL5 who prioritize treating:

90% Anxiety
88% Self Esteem
86% Relationship Issues
86% Depression
81% Stress
74% Trauma and PTSD
68% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

62% WPA
46% Aviva
46% Bupa

How Counsellors in GL5 see their clients

85% In Person and Online
15% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in GL5?

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.