Counselling in London

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Photo of Roberta O'Callaghan, Psychotherapist in London, England
Roberta O'Callaghan
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
London SE1  (Online Only)
You may be feeling stuck or overwhelmed by specific experiences or circumstances, or you may be unsure why you don’t feel happy. Perhaps this feeling that something is wrong is recent or you might have been struggling with it for a long time. Our environment, and the ways that we are seen by other people, can leave us feeling pressurised, dismissed or misunderstood. Together, we can work to explore and understand your experience, allowing you to process some of the painful feelings which have left you feeling distressed. Working sensitively at your pace, we can explore how you feel without judgment.
You may be feeling stuck or overwhelmed by specific experiences or circumstances, or you may be unsure why you don’t feel happy. Perhaps this feeling that something is wrong is recent or you might have been struggling with it for a long time. Our environment, and the ways that we are seen by other people, can leave us feeling pressurised, dismissed or misunderstood. Together, we can work to explore and understand your experience, allowing you to process some of the painful feelings which have left you feeling distressed. Working sensitively at your pace, we can explore how you feel without judgment.
020 8154 5258 View 020 8154 5258
Photo of Marilyn Thomas, Psychotherapist in London, England
Marilyn Thomas
Psychotherapist, MBACP
Verified Verified
London E8  (Online Only)
Are you feeling like your mental health is suffering or maybe you are feeling overwhelmed, struggling with anxiety or low mood, by your circumstances and would like to talk to someone outside your circle, if so, I am here to accompany you with that process. I am a qualified, therapeutic psychotherapist and a registered member of the BACP, bound by their code of ethics. I work with a diverse range of clients with an array of differing issues.
Are you feeling like your mental health is suffering or maybe you are feeling overwhelmed, struggling with anxiety or low mood, by your circumstances and would like to talk to someone outside your circle, if so, I am here to accompany you with that process. I am a qualified, therapeutic psychotherapist and a registered member of the BACP, bound by their code of ethics. I work with a diverse range of clients with an array of differing issues.
020 8049 3059 View 020 8049 3059
Photo of Dr Argyro (Iro) Ioannou, Psychologist in London, England
Dr Argyro (Iro) Ioannou
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London E1
I am an experienced Chartered Counselling Psychologist, Psychotherapist and Supervisor. I have experience working as a psychotherapist in the NHS and in private practice with clients facing a variety of psychological concerns, ranging in severity and intensity. Holding a Doctorate in Counselling Psychology, and striving for continuous professional development, I offer therapy with the highest level of knowledge and skills. I value your unique and subjective experience and our therapeutic sessions will be tailored to meet your unique needs, offering you the beginning of a healing process and a more fulfilling life.
I am an experienced Chartered Counselling Psychologist, Psychotherapist and Supervisor. I have experience working as a psychotherapist in the NHS and in private practice with clients facing a variety of psychological concerns, ranging in severity and intensity. Holding a Doctorate in Counselling Psychology, and striving for continuous professional development, I offer therapy with the highest level of knowledge and skills. I value your unique and subjective experience and our therapeutic sessions will be tailored to meet your unique needs, offering you the beginning of a healing process and a more fulfilling life.
020 3962 0779 View 020 3962 0779
Photo of Fernanda Wagland, Psychotherapist in London, England
Fernanda Wagland
Psychotherapist, BPC
Verified Verified
London SW1W
More often than not, the roots of emotional problems go deeper than normal awareness can reach, and my role is to enable you to identify, and focus on, some of the destructive ways of relating to yourself and others that might leave you feeling depressed, anxious or alone. ​ Together, we will create a safe and creative environment, which will help you to explore the different aspects of yourself – some which harmoniously coexist, and others that are at odds with each other.
More often than not, the roots of emotional problems go deeper than normal awareness can reach, and my role is to enable you to identify, and focus on, some of the destructive ways of relating to yourself and others that might leave you feeling depressed, anxious or alone. ​ Together, we will create a safe and creative environment, which will help you to explore the different aspects of yourself – some which harmoniously coexist, and others that are at odds with each other.
020 3095 0465 View 020 3095 0465
Photo of Sabbir Ahmed, Psychotherapist in London, England
Sabbir Ahmed
Psychotherapist, MA, MUKCP
Verified Verified
London W1G
Do you suffer from counterproductive, intrusive thoughts? Are you critical of yourself, ignoring your achievements and strengths? Do you struggle with self-confidence and believing in yourself? Perhaps, you strive to make changes to your life, but no matter how hard you strive, you find that the same thinking patterns and responses occur to you repeatedly. You may find yourself stuck, or returning to lacklustre, even toxic relationships. You may find that you struggle with your self-image, whether physical, financial, interpersonal, spiritual or social.
Do you suffer from counterproductive, intrusive thoughts? Are you critical of yourself, ignoring your achievements and strengths? Do you struggle with self-confidence and believing in yourself? Perhaps, you strive to make changes to your life, but no matter how hard you strive, you find that the same thinking patterns and responses occur to you repeatedly. You may find yourself stuck, or returning to lacklustre, even toxic relationships. You may find that you struggle with your self-image, whether physical, financial, interpersonal, spiritual or social.
020 8138 0855 View 020 8138 0855
Photo of Lydia McCall, Counsellor in London, England
Lydia McCall
Counsellor, MBACP
Verified Verified
London SW6
Does life feel like it’s getting on top of you? No energy or motivation? Constantly anxious? Do you need a safe place to talk? You are in the right place. I am so happy you have found me. Realising you have a problem that you can't solve on your own is a brave first step for any person. Seeking out help and support is one of the toughest decisions to make. As your counsellor, I want you to know that I will be here to support you and work with you to help you become the person you want to be. I work with clients experiencing a wide range of issues, such as; depression, anxiety, self-esteem, relationship difficulties etc.
Does life feel like it’s getting on top of you? No energy or motivation? Constantly anxious? Do you need a safe place to talk? You are in the right place. I am so happy you have found me. Realising you have a problem that you can't solve on your own is a brave first step for any person. Seeking out help and support is one of the toughest decisions to make. As your counsellor, I want you to know that I will be here to support you and work with you to help you become the person you want to be. I work with clients experiencing a wide range of issues, such as; depression, anxiety, self-esteem, relationship difficulties etc.
01748 902446 View 01748 902446
Photo of Beverley Brown, Counsellor in London, England
Beverley Brown
Counsellor, GMBPsS
Verified Verified
London W14
1 in 4 people are diagnosed with a mental illness each year in the UK. Indeed, 1 in 6 report to be living with anxiety and depression. As a mental health counsellor, my areas of expertise include a sound understanding of depression, self-esteem, anxiety and stress. If you feel that you are struggling with life's load or have, low self-esteem, a persistent sadness, burnout or other emotional strain and need someone to talk with, I offer a non-judgemental approach to listening. Integrative counselling describes my overall modality and provides the basis for the format I use in developing a therapeutic relationship with clients.
1 in 4 people are diagnosed with a mental illness each year in the UK. Indeed, 1 in 6 report to be living with anxiety and depression. As a mental health counsellor, my areas of expertise include a sound understanding of depression, self-esteem, anxiety and stress. If you feel that you are struggling with life's load or have, low self-esteem, a persistent sadness, burnout or other emotional strain and need someone to talk with, I offer a non-judgemental approach to listening. Integrative counselling describes my overall modality and provides the basis for the format I use in developing a therapeutic relationship with clients.
020 3763 8434 View 020 3763 8434
Photo of Eoghan Naughton, Psychologist in London, England
Eoghan Naughton
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
London W1W
My approach aims to provide a safe and trusted space, respectful of each individual's capacity for personal growth. Psychotherapy seeks to help each individual live a more fulfilling life. My aim is to help each person find what works in dealing with the particular circumstances and stresses which cause suffering. I have experience and training in working with complex and longstanding mental health problems such as interpersonal difficulties, bipolar affective disorder, severe depression, trauma and anxiety and currently work in the NHS in secondary care. I have worked as a visiting lecturer at City University.
My approach aims to provide a safe and trusted space, respectful of each individual's capacity for personal growth. Psychotherapy seeks to help each individual live a more fulfilling life. My aim is to help each person find what works in dealing with the particular circumstances and stresses which cause suffering. I have experience and training in working with complex and longstanding mental health problems such as interpersonal difficulties, bipolar affective disorder, severe depression, trauma and anxiety and currently work in the NHS in secondary care. I have worked as a visiting lecturer at City University.
020 3974 1455 View 020 3974 1455
Photo of Julia Franks, Psychotherapist in London, England
Julia Franks
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
London N14
I see individual and couple clients with a wide range of issues. They include problems within relationships, parenting issues, bereavement, stress at work, low self-confidence and more. Often a client might feel a loss of hope and meaning in their life; they might have problems regulating their moods or coming to terms with aspects of themselves and decisions they have made. By coming into therapy, they seek to build a trusting relationship in which they open up, explore, let go of difficult emotions and complex thinking and beliefs.
I see individual and couple clients with a wide range of issues. They include problems within relationships, parenting issues, bereavement, stress at work, low self-confidence and more. Often a client might feel a loss of hope and meaning in their life; they might have problems regulating their moods or coming to terms with aspects of themselves and decisions they have made. By coming into therapy, they seek to build a trusting relationship in which they open up, explore, let go of difficult emotions and complex thinking and beliefs.
020 8138 0741 View 020 8138 0741
Photo of Naomi Segal - Couples Counselling Online, Psychotherapist in London, England
Naomi Segal - Couples Counselling Online
Psychotherapist, MA, MBACP
Verified Verified
London W1W
SPECIALIST ONLINE COUPLES COUNSELLING HELPING YOU CREATE THE RELATIONSHIP YOU WANT “How do we communicate better?”, “ How do we stop arguing?”, “We’re not getting on and I don’t know why”, “She/he won’t listen to me”, “I can’t get past her/his affair”, “Things changed after we had kids”, “I think I want to separate”... Sound familiar? Many people wait until their relationship problems seem unbearable before they decide to reach out for help. If tension is starting to develop in your relationship, don’t wait until it’s too late to ask for help.
SPECIALIST ONLINE COUPLES COUNSELLING HELPING YOU CREATE THE RELATIONSHIP YOU WANT “How do we communicate better?”, “ How do we stop arguing?”, “We’re not getting on and I don’t know why”, “She/he won’t listen to me”, “I can’t get past her/his affair”, “Things changed after we had kids”, “I think I want to separate”... Sound familiar? Many people wait until their relationship problems seem unbearable before they decide to reach out for help. If tension is starting to develop in your relationship, don’t wait until it’s too late to ask for help.
020 3984 9676 View 020 3984 9676
Photo of Darcy Ugboaja, Psychotherapist in London, England
Darcy Ugboaja
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
1 Endorsed
London W2
Finding a therapist can often feel daunting and overwhelming. Especially when you are experiencing emotional pain and confusion. I offer a safe, confidential space for you to begin this journey without fear or judgement. Therapy can provide you with an outlet to work through areas of your life where you feel stuck and where emotional blocks have left you feeling stagnated. It can also provide you with a space to explore your current attachments to life, loved ones and any unhealed trauma without judgement.
Finding a therapist can often feel daunting and overwhelming. Especially when you are experiencing emotional pain and confusion. I offer a safe, confidential space for you to begin this journey without fear or judgement. Therapy can provide you with an outlet to work through areas of your life where you feel stuck and where emotional blocks have left you feeling stagnated. It can also provide you with a space to explore your current attachments to life, loved ones and any unhealed trauma without judgement.
020 4538 3473 View 020 4538 3473
Photo of Jo Rosenberg, Psychologist in London, England
Jo Rosenberg
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
London N3
I offer therapy to those who may be experiencing emotional difficulties and who need some time and space to work through these challenges in order to find a way forward. I work with parents, families, adolescents, children and young adults. My experience includes most recently working at Barnet CAMHS, together with adult NHS settings, schools and organisations. My work is informed through the use of CBT, psychodynamic and person-centred therapy. Working collaboratively, I offer a warm, empathic approach in order to develop goals and strategies that may be most beneficial and effective to suit your needs.
I offer therapy to those who may be experiencing emotional difficulties and who need some time and space to work through these challenges in order to find a way forward. I work with parents, families, adolescents, children and young adults. My experience includes most recently working at Barnet CAMHS, together with adult NHS settings, schools and organisations. My work is informed through the use of CBT, psychodynamic and person-centred therapy. Working collaboratively, I offer a warm, empathic approach in order to develop goals and strategies that may be most beneficial and effective to suit your needs.
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Photo of Naveed Faizi, Psychotherapist in London, England
Naveed Faizi
Psychotherapist, MBACP
Verified Verified
London W14
Hello! I am Naveed, an integrative therapist based in London. In life, we often face challenges and situations which make us feel overwhelmed. I provide a safe, confidential, and non-judgemental space for my clients, where we will explore and understand your thoughts and feelings at a deeper psychological level. The therapeutic alliance will be a collaborative journey based on the values of trust and honesty between us. So together we will draw on both traditional and modern techniques to understand and bring long-lasting improvements to every aspect of your wellbeing- mental, physical, emotional and relational.
Hello! I am Naveed, an integrative therapist based in London. In life, we often face challenges and situations which make us feel overwhelmed. I provide a safe, confidential, and non-judgemental space for my clients, where we will explore and understand your thoughts and feelings at a deeper psychological level. The therapeutic alliance will be a collaborative journey based on the values of trust and honesty between us. So together we will draw on both traditional and modern techniques to understand and bring long-lasting improvements to every aspect of your wellbeing- mental, physical, emotional and relational.
020 4538 7476 View 020 4538 7476
Photo of Dr Nick Earley, Psychologist in London, England
Dr Nick Earley
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London N13
Welcome! As an accomplished clinical psychologist, performance coach, and leadership development specialist, I'm here to help you align your values and purpose with your mental health, well-being, and life goals. My approach combines clinical psychology, neuroscience, and coaching to provide bespoke interventions tailored to your unique needs and background.
Welcome! As an accomplished clinical psychologist, performance coach, and leadership development specialist, I'm here to help you align your values and purpose with your mental health, well-being, and life goals. My approach combines clinical psychology, neuroscience, and coaching to provide bespoke interventions tailored to your unique needs and background.
020 3816 1661 View 020 3816 1661
Photo of Sam Wynter, Counsellor in London, England
Sam Wynter
Counsellor, MA, MBACP
Verified Verified
London E17
Everybody goes through difficult periods in their life from time to time. For some this can just mean a small, irritating problem that just doesn't seem to go away, and for others, it can be something much more serious that makes life seem overwhelming and utterly bleak. Whatever your issue, no matter how apparently large or small, it is my role as a therapist to see, hear, and understand, and to work alongside you to help you find a way through. Flexible appointment times and concessions on fees are always available, and I am open to working with people from any location or time zone.
Everybody goes through difficult periods in their life from time to time. For some this can just mean a small, irritating problem that just doesn't seem to go away, and for others, it can be something much more serious that makes life seem overwhelming and utterly bleak. Whatever your issue, no matter how apparently large or small, it is my role as a therapist to see, hear, and understand, and to work alongside you to help you find a way through. Flexible appointment times and concessions on fees are always available, and I am open to working with people from any location or time zone.
020 4538 1564 View 020 4538 1564
Photo of Daniel Dacre, Psychotherapist in London, England
Daniel Dacre
Psychotherapist, MUKCP
Verified Verified
London SE1
I am a psychotherapist and supervisor and have been working with individuals and groups for the last twenty years. For several years I was on the training committee at AGIP including two years as chair. I am currently the course leader for the Guild's diploma in psychoanalytic supervision. I would describe my orientation as psychoanalytic from within a contemplative perspective. By this I mean that I subscribe to the idea of an unconscious and believe events and attitudes from early life can impact on our lives today. I understand that an awareness of these currents helps to increase the choices available to us.
I am a psychotherapist and supervisor and have been working with individuals and groups for the last twenty years. For several years I was on the training committee at AGIP including two years as chair. I am currently the course leader for the Guild's diploma in psychoanalytic supervision. I would describe my orientation as psychoanalytic from within a contemplative perspective. By this I mean that I subscribe to the idea of an unconscious and believe events and attitudes from early life can impact on our lives today. I understand that an awareness of these currents helps to increase the choices available to us.
020 3974 2627 View 020 3974 2627
Photo of Andrew Lockhart, Psychotherapist in London, England
Andrew Lockhart
Psychotherapist, MA, MUKCP
Verified Verified
London W2
I am an experienced psychotherapist registered with the UKCP and BACP. I work in Paddington and Kensal Green in London, and work remotely (online and phone). I offer an empathetic presence as a therapist, and will work with you and your issues according to your specific needs. "Andrew knew just how much, and in what ways to challenge me, and I cannot recommend him highly enough". Sarah, 2017.
I am an experienced psychotherapist registered with the UKCP and BACP. I work in Paddington and Kensal Green in London, and work remotely (online and phone). I offer an empathetic presence as a therapist, and will work with you and your issues according to your specific needs. "Andrew knew just how much, and in what ways to challenge me, and I cannot recommend him highly enough". Sarah, 2017.
020 8106 2172 View 020 8106 2172
Photo of Anna Batcheler, Psychotherapist in London, England
Anna Batcheler
Psychotherapist, MUKCP
Verified Verified
London SE1
Hello, and welcome to my profile, thank you for coming. Clicking here means you have already made the first step towards the changes you want to make in your life, or towards the help you need and deserve. It's not easy and takes courage, so I applaud you. I believe in psychotherapy because, for most people, life is hard! We struggle with how we feel about ourselves, with relationships with others, with managing difficult feelings and experiences in life. Speaking to a well qualified and experienced psychotherapist can make all the difference. I offer an empathic, warm and safe space in which you can explore what is troubling you.
Hello, and welcome to my profile, thank you for coming. Clicking here means you have already made the first step towards the changes you want to make in your life, or towards the help you need and deserve. It's not easy and takes courage, so I applaud you. I believe in psychotherapy because, for most people, life is hard! We struggle with how we feel about ourselves, with relationships with others, with managing difficult feelings and experiences in life. Speaking to a well qualified and experienced psychotherapist can make all the difference. I offer an empathic, warm and safe space in which you can explore what is troubling you.
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Photo of Neil Morris, Psychotherapist in London, England
Neil Morris
Psychotherapist, MUKCP
Verified Verified
London W1T  (Online Only)
If you are feeling anxious and depressed or are engaging in destructive behaviours which are hurting your personal relationships and self-esteem, the I may be able to help you.  Working together with you, we can discover why negative patterns keep repeating for you.  By becoming aware of these patterns you will be able to make significant and long lasting changes in your life and your relationships.
If you are feeling anxious and depressed or are engaging in destructive behaviours which are hurting your personal relationships and self-esteem, the I may be able to help you.  Working together with you, we can discover why negative patterns keep repeating for you.  By becoming aware of these patterns you will be able to make significant and long lasting changes in your life and your relationships.
020 3960 5328 View 020 3960 5328
Photo of Julia Elstrodt, Psychotherapist in London, England
Julia Elstrodt
Psychotherapist, MA, GMBPsS
Verified Verified
London W11
I provide therapeutic services specializing in trauma and PTSD therapy, holistic approaches, spiritually-based therapy, and growth and transformation techniques. These specialties focus on addressing deep emotional wounds, promoting overall well-being, and facilitating personal growth and transformation. In my practice, psychology is approached as a harmonious blend of art and science. Guided by intuition, creativity, and curiosity, I aim to bring a unique and holistic perspective to my work in order to accompany compassionate healing journeys.
I provide therapeutic services specializing in trauma and PTSD therapy, holistic approaches, spiritually-based therapy, and growth and transformation techniques. These specialties focus on addressing deep emotional wounds, promoting overall well-being, and facilitating personal growth and transformation. In my practice, psychology is approached as a harmonious blend of art and science. Guided by intuition, creativity, and curiosity, I aim to bring a unique and holistic perspective to my work in order to accompany compassionate healing journeys.
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See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
58% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.