Counselling in Bristol

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Photo of Samantha Coleman, Counsellor in Bristol, England
Samantha Coleman
Counsellor, DCounsPsych, MBACP
Verified Verified
Bristol BS9  (Online Only)
Waitlist for new clients
If you're neurodivergent, facing enduring mental health or relationship challenges, and feel overlooked by conventional approaches, I'm here to take a different path with you. I want to hear about the world from your perspective—your challenges, your aspirations, your day-to-day. This isn't about fitting you into a box or fixing what's 'wrong'. I'm keen to hear your story – the real you, with all the quirks and colours that make you, well, you. If you're ready for a fresh ear and a new chapter, I'm here to flip the script with you.
If you're neurodivergent, facing enduring mental health or relationship challenges, and feel overlooked by conventional approaches, I'm here to take a different path with you. I want to hear about the world from your perspective—your challenges, your aspirations, your day-to-day. This isn't about fitting you into a box or fixing what's 'wrong'. I'm keen to hear your story – the real you, with all the quirks and colours that make you, well, you. If you're ready for a fresh ear and a new chapter, I'm here to flip the script with you.
0117 463 5786 View 0117 463 5786
Photo of Horus Wellbeing Contemporary Therapy, Counsellor in Bristol, England
Horus Wellbeing Contemporary Therapy
Counsellor, MBACP
Verified Verified
Bristol BS5
Feeling safety in a complex world is no mean feet. Childhood, historic, or current experiences, interacting/reacting with the complexities brought about by the pandemic, can exhaust any capacity for resilience. maybe you're a parent/carer of children transitioning from the intensity of lockdown to the uncertainty of the easing of restrictions? Is this further complicated by returning to education settings for children with Autism, ADHD, FASD, SPD, trauma and attachment? Maybe you are a foster care or adoptive parent wondering how to rebalance the attachment bond after the intensity of lockdown, recalibrating interfamilial dynamics?
Feeling safety in a complex world is no mean feet. Childhood, historic, or current experiences, interacting/reacting with the complexities brought about by the pandemic, can exhaust any capacity for resilience. maybe you're a parent/carer of children transitioning from the intensity of lockdown to the uncertainty of the easing of restrictions? Is this further complicated by returning to education settings for children with Autism, ADHD, FASD, SPD, trauma and attachment? Maybe you are a foster care or adoptive parent wondering how to rebalance the attachment bond after the intensity of lockdown, recalibrating interfamilial dynamics?
01275 402727 View 01275 402727
Photo of Stafford Wilson, Counsellor in Bristol, England
Stafford Wilson
Counsellor, MBACP
Verified Verified
Bristol BS3
Counselling is a safe space where you can talk about problems and process difficult emotions without shame or judgement. We often feel that we should be able to deal with our problems without others help. But it is often through sharing and opening up to others, that we can find the way to heal ourselves. Trauma, mental or emotional problems, disconnect us from ourselves and others. Sharing our pain and our story (in a relationship where it is held safely) can allow us to value, respect and have compassion for all parts of ourselves. This re-integration unblocks our creative/healing potential and our sense of purpose and meaning.
Counselling is a safe space where you can talk about problems and process difficult emotions without shame or judgement. We often feel that we should be able to deal with our problems without others help. But it is often through sharing and opening up to others, that we can find the way to heal ourselves. Trauma, mental or emotional problems, disconnect us from ourselves and others. Sharing our pain and our story (in a relationship where it is held safely) can allow us to value, respect and have compassion for all parts of ourselves. This re-integration unblocks our creative/healing potential and our sense of purpose and meaning.
01275 402712 View 01275 402712
Photo of Clive Mason, Counsellor in Bristol, England
Clive Mason
Counsellor
Verified Verified
Bristol BS37
Counselling can help you to find a way forward with personal issues such as depression, anxiety and low self-esteem. It can also help to overcome problems that are causing you emotional turmoil such as relationship issues and loss. In truth you can talk about anything that is on your mind. Some of the issues that people can find themselves trying to manage and which I can help with: Anxiety, Depression, Abuse, Childhood pain, Gender issues, Loss, Bereavement, Heart break, Loneliness, Low self-esteem, Relationship struggles, Life transitions.
Counselling can help you to find a way forward with personal issues such as depression, anxiety and low self-esteem. It can also help to overcome problems that are causing you emotional turmoil such as relationship issues and loss. In truth you can talk about anything that is on your mind. Some of the issues that people can find themselves trying to manage and which I can help with: Anxiety, Depression, Abuse, Childhood pain, Gender issues, Loss, Bereavement, Heart break, Loneliness, Low self-esteem, Relationship struggles, Life transitions.
0117 463 0320 View 0117 463 0320
Photo of Trish Bone, Counsellor in Bristol, England
Trish Bone
Counsellor, BACP
Verified Verified
Bristol BS4
What happened in your childhood? How does it affect you now? I work with adults to overcome childhood/teenage adversities to find their confidence and build self-esteem. You might be feeling anxious, depressed or overwhelmed. It could be feeling unworthy of another person's love, feelings of shame or of being punished for some trust or over trusting other people. Each day can become an internal battle as you feel doubt yourself, maybe loath yourself, just can't get organised and decision leave you exhausted. If this resonates with you, email me or check out my website to book a free 15-minute phone call/zoom chat.
What happened in your childhood? How does it affect you now? I work with adults to overcome childhood/teenage adversities to find their confidence and build self-esteem. You might be feeling anxious, depressed or overwhelmed. It could be feeling unworthy of another person's love, feelings of shame or of being punished for some trust or over trusting other people. Each day can become an internal battle as you feel doubt yourself, maybe loath yourself, just can't get organised and decision leave you exhausted. If this resonates with you, email me or check out my website to book a free 15-minute phone call/zoom chat.
01275 408951 View 01275 408951
Photo of Mike Swift, Counsellor in Bristol, England
Mike Swift
Counsellor, MBACP
Verified Verified
1 Endorsed
Bristol BS31
Is your life is feeling hard or painful in some way right now? Something needs to change but it feels like a mountain to climb? Feeling stuck or confused? If you choose to work with me, my promise to you is that I will offer curiosity, respect, care and compassion. Perhaps, together, we can develop new, useful perspectives. I believe that though counselling, it's always possible to find new ways to move forwards in positive directions. I look forward to hearing from you.
Is your life is feeling hard or painful in some way right now? Something needs to change but it feels like a mountain to climb? Feeling stuck or confused? If you choose to work with me, my promise to you is that I will offer curiosity, respect, care and compassion. Perhaps, together, we can develop new, useful perspectives. I believe that though counselling, it's always possible to find new ways to move forwards in positive directions. I look forward to hearing from you.
0117 463 1503 View 0117 463 1503
Photo of brighter pathways, Counsellor in Bristol, England
brighter pathways
Counsellor, MBACP
Verified Verified
Bristol BS32
I am a qualified counsellor and teacher, I have studied Counselling and Substance Misuse at FdSc level and have a Diploma in Social Work, as well as having a wide range of work and life experience. My down to earth nature empowers me to be accessible, approachable and non-judgmental which is an essential part of a successful working therapeutic relationship. Aiding people to work through their own life challenges is my absolute passion and driving force behind Brighter Pathways Counselling.
I am a qualified counsellor and teacher, I have studied Counselling and Substance Misuse at FdSc level and have a Diploma in Social Work, as well as having a wide range of work and life experience. My down to earth nature empowers me to be accessible, approachable and non-judgmental which is an essential part of a successful working therapeutic relationship. Aiding people to work through their own life challenges is my absolute passion and driving force behind Brighter Pathways Counselling.
0117 456 2551 View 0117 456 2551
Photo of Clare Allen, Counsellor in Bristol, England
Clare Allen
Counsellor, MBACP
Verified Verified
Bristol BS7
I offer a safe & confidential place for you to come and talk about anything in your life that may be causing you distress or confusion. I believe that counselling can benefit anyone; it can really help to talk to someone who is objective & professional. Often people come to counselling with no clear idea of what they want or how they feel. There is no expectation from me with regards to the issues you bring; counselling is your space & it is common for people to feel confused or unsure. My aim is to support you through the process & help you to better understand yourself & your struggles, so that you can move forward with your life.
I offer a safe & confidential place for you to come and talk about anything in your life that may be causing you distress or confusion. I believe that counselling can benefit anyone; it can really help to talk to someone who is objective & professional. Often people come to counselling with no clear idea of what they want or how they feel. There is no expectation from me with regards to the issues you bring; counselling is your space & it is common for people to feel confused or unsure. My aim is to support you through the process & help you to better understand yourself & your struggles, so that you can move forward with your life.
0117 456 2144 View 0117 456 2144
Photo of Ivo Marques, Psychotherapist in Bristol, England
Ivo Marques
Psychotherapist, BACP
Verified Verified
Bristol BS8
Are you looking to improve yourself and change your life? Are you seeking to shift the way you perceive yourself and develop healthier relationships with others? Do you want to boost your confidence, believe in yourself, and invest in things that benefit you? Are you often preoccupied with what other people think or say about you? Do you tend to overthink your responses during conversations? Do you exert significant effort to please others or feel compelled to attain perfection? Do you ever experience feelings of not belonging or believing you shouldn't exist? Are you facing challenging relationships with partners and parents?
Are you looking to improve yourself and change your life? Are you seeking to shift the way you perceive yourself and develop healthier relationships with others? Do you want to boost your confidence, believe in yourself, and invest in things that benefit you? Are you often preoccupied with what other people think or say about you? Do you tend to overthink your responses during conversations? Do you exert significant effort to please others or feel compelled to attain perfection? Do you ever experience feelings of not belonging or believing you shouldn't exist? Are you facing challenging relationships with partners and parents?
01235 425736 View 01235 425736
Photo of Michelle Kearney, Psychotherapist in Bristol, England
Michelle Kearney
Psychotherapist, MBABCP
Verified Verified
Bristol BS5  (Online Only)
I am a relational integrative therapist which means that I have been trained in a range of techniques such as Psychodynamic, Person-centred, Gestalt, CBT and Mindfulness. This means that I can work with people in a way that suits them and their current situation. I don't believe that people need fixing but instead that when provided with a non-judgemental environment and someone who can sit with difficult emotions, people can get to where they want to be and work through times of feeling stuck.
I am a relational integrative therapist which means that I have been trained in a range of techniques such as Psychodynamic, Person-centred, Gestalt, CBT and Mindfulness. This means that I can work with people in a way that suits them and their current situation. I don't believe that people need fixing but instead that when provided with a non-judgemental environment and someone who can sit with difficult emotions, people can get to where they want to be and work through times of feeling stuck.
0117 463 4720 View 0117 463 4720
Photo of Deborah Barkham, Psychotherapist in Bristol, England
Deborah Barkham
Psychotherapist, MA, BPC
Verified Verified
Bristol BS7
We all want our children to be happy and to thrive and it can be painful for us if they are experiencing any form of difficulty: withdrawal, anxiety, anger or emotional outbursts. It can be confusing for a child to understand their feelings and to communicate effectively. Children and adolescents may struggle with low mood or anxiety for many reasons, including low self-esteem, insecure attachments, trauma, special educational needs, parental separation or bereavement. This can sometimes have a profound impact on family life, school life, friendships and relationships.
We all want our children to be happy and to thrive and it can be painful for us if they are experiencing any form of difficulty: withdrawal, anxiety, anger or emotional outbursts. It can be confusing for a child to understand their feelings and to communicate effectively. Children and adolescents may struggle with low mood or anxiety for many reasons, including low self-esteem, insecure attachments, trauma, special educational needs, parental separation or bereavement. This can sometimes have a profound impact on family life, school life, friendships and relationships.
0117 463 3634 View 0117 463 3634
Photo of River Jordan Counselling , Counsellor in Bristol, England
River Jordan Counselling
Counsellor, MNCPS Acc.
Verified Verified
Bristol BS2
My ideal client is an adult male from marginalized background 18-75 - Issues be racial identity, racism, microaggression, oppression, anxiety, depression, and relational issues. Work with guided self-help material within a 6 - 10 session time frame exploring their internal frame of reference and ascertaining their needs and wants if any.
My ideal client is an adult male from marginalized background 18-75 - Issues be racial identity, racism, microaggression, oppression, anxiety, depression, and relational issues. Work with guided self-help material within a 6 - 10 session time frame exploring their internal frame of reference and ascertaining their needs and wants if any.
0117 463 7215 View 0117 463 7215
Photo of Dominic Glover, Psychologist in Bristol, England
Dominic Glover
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bristol BS1
Not accepting new clients
I completed my Doctorate in Clinical Psychology in 2004 and have worked in NHS adult psychological therapies services since that time. I have worked as a Consultant Clinical Psychologist and Lead Clinician for an NHS service in West London before re-locating to the South-West and working in private practice.
I completed my Doctorate in Clinical Psychology in 2004 and have worked in NHS adult psychological therapies services since that time. I have worked as a Consultant Clinical Psychologist and Lead Clinician for an NHS service in West London before re-locating to the South-West and working in private practice.
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Photo of Noemia Ventura Purcell, Counsellor in Bristol, England
Noemia Ventura Purcell
Counsellor, MBACP
Verified Verified
Bristol BS8
Counselling provides a confidential and safe space to talk about anything that may be worrying you. It can often help you to understand more about the difficult or troubling thoughts that can be a common experience at any time in our lives. My aim is to listen attentively, in confidence, and to be non-judgemental. I offer personal support to enable my clients to explore their inner-selves and their feelings in order to help them to achieve personal growth.
Counselling provides a confidential and safe space to talk about anything that may be worrying you. It can often help you to understand more about the difficult or troubling thoughts that can be a common experience at any time in our lives. My aim is to listen attentively, in confidence, and to be non-judgemental. I offer personal support to enable my clients to explore their inner-selves and their feelings in order to help them to achieve personal growth.
0117 456 5531 View 0117 456 5531
Photo of Kirsten Malcolm (Freedom Therapy), Counsellor in Bristol, England
Kirsten Malcolm (Freedom Therapy)
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Bristol BS7
I'm Kirsten and I have a passion for empowering individuals to navigate life's inevitable challenges. Whatever you're struggling with, therapy can be a powerful tool for growth and self-discovery. As a warm and compassionate therapist, I offer you a safe and respectful space to talk and explore your concerns freely and authentically. Our work together will help you to gain understanding of everything you think and feel and gain awareness of the hows and whys of your patterns and their effect on your behaviour. Taking the first step towards positive change can be daunting and courageous, but you don't have to go through it alone.
I'm Kirsten and I have a passion for empowering individuals to navigate life's inevitable challenges. Whatever you're struggling with, therapy can be a powerful tool for growth and self-discovery. As a warm and compassionate therapist, I offer you a safe and respectful space to talk and explore your concerns freely and authentically. Our work together will help you to gain understanding of everything you think and feel and gain awareness of the hows and whys of your patterns and their effect on your behaviour. Taking the first step towards positive change can be daunting and courageous, but you don't have to go through it alone.
01454 804741 View 01454 804741
Photo of Jessica Hunter, Psychologist in Bristol, England
Jessica Hunter
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bristol BS32
Waitlist for new clients
I am a clinical psychologist with substantial experience of working with individuals with personality difficulties (with or without a formal diagnosis of personality disorder), PTSD, and complex trauma. Other areas of clinical expertise include anxiety, burnout, low self-esteem, dissociation and low mood. In therapy I aim to bring compassion to the ways people have learned to cope with adversity and emotional pain. I welcome anyone who is looking to understand themselves and their coping styles better, and/or is seeking ways to break cycles and gain new skills to help them move forwards in their lives.
I am a clinical psychologist with substantial experience of working with individuals with personality difficulties (with or without a formal diagnosis of personality disorder), PTSD, and complex trauma. Other areas of clinical expertise include anxiety, burnout, low self-esteem, dissociation and low mood. In therapy I aim to bring compassion to the ways people have learned to cope with adversity and emotional pain. I welcome anyone who is looking to understand themselves and their coping styles better, and/or is seeking ways to break cycles and gain new skills to help them move forwards in their lives.
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Photo of Duncan E. Stafford, Psychotherapist in Bristol, England
Duncan E. Stafford
Psychotherapist, MBACP Accred
Verified Verified
Bristol BS1
Welcome. During the 23 years I've been in therapy practice I've come think of my way of working with individuals or couples as creating a unique space that is facilitating for recovery or growth. I draw on a wide range of techniques and approaches to fulfil this way of working (including the use of CBT tools). Psychotherapy and counselling with me is a confidential and non-judgemental process. I won’t tell you what to do but we will talk about whatever you need to talk about and we will work on ways of developing a useful route through your issues, however difficult. (My practice is neurodiverse informed and kink friendly).
Welcome. During the 23 years I've been in therapy practice I've come think of my way of working with individuals or couples as creating a unique space that is facilitating for recovery or growth. I draw on a wide range of techniques and approaches to fulfil this way of working (including the use of CBT tools). Psychotherapy and counselling with me is a confidential and non-judgemental process. I won’t tell you what to do but we will talk about whatever you need to talk about and we will work on ways of developing a useful route through your issues, however difficult. (My practice is neurodiverse informed and kink friendly).
0117 325 3080 View 0117 325 3080
Photo of Lisa Bird, Counsellor in Bristol, England
Lisa Bird
Counsellor, BACP
Verified Verified
1 Endorsed
Bristol BS13
Navigating life can sometimes be challenging, invoking painful emotions and ways of coping and adapting, which may cause further pain. You may be experiencing difficult emotions, poor mental or physical health and/or been affected by significant life events, which are impacting your day-to-day life and your connection to yourself and others. You may be looking for a safe place to process your past and present experiences and feelings, without fear of judgement.
Navigating life can sometimes be challenging, invoking painful emotions and ways of coping and adapting, which may cause further pain. You may be experiencing difficult emotions, poor mental or physical health and/or been affected by significant life events, which are impacting your day-to-day life and your connection to yourself and others. You may be looking for a safe place to process your past and present experiences and feelings, without fear of judgement.
0117 463 0072 View 0117 463 0072
Photo of Wild Wood Counselling, Counsellor in Bristol, England
Wild Wood Counselling
Counsellor, MBACP
Verified Verified
Bristol BS6
I offer support for the difficult, deeper feelings of children, teenagers, young adults, parents & infants and expectant parents. My aim is to provide a space where you feel safe to bring and explore what is bothering you and where you are heard and understood. When we are listened to from the heart and met with curiosity and compassion it is amazing what can change in our lives. We can begin to understand ourselves better, find self acceptance and our own wisdom This can help us feel more self loving and better able to navigate the ups and downs of life. I offer sessions in Nature and/or Indoors (see more info below).
I offer support for the difficult, deeper feelings of children, teenagers, young adults, parents & infants and expectant parents. My aim is to provide a space where you feel safe to bring and explore what is bothering you and where you are heard and understood. When we are listened to from the heart and met with curiosity and compassion it is amazing what can change in our lives. We can begin to understand ourselves better, find self acceptance and our own wisdom This can help us feel more self loving and better able to navigate the ups and downs of life. I offer sessions in Nature and/or Indoors (see more info below).
0117 463 3328 View 0117 463 3328
Photo of Elizabeth Sorapure, Counsellor in Bristol, England
Elizabeth Sorapure
Counsellor, MNCPS Acc.
Verified Verified
Bristol BS6
We are living in challengesing times and its impact on our mental health is no surprise. You may never have experienced anxiety or depression before, and so now that can feel daunting, or its familar for you. My experience has enabled me to understand the ways we can look after mental wellbeing. I am supportive, encouraging, patient and calm. I take an active part in the counselling work and I want to understand the cause of your struggle. Sometimes it can help to talk about your past experiences and relationships, gathering insight into how they may impact the present time.
We are living in challengesing times and its impact on our mental health is no surprise. You may never have experienced anxiety or depression before, and so now that can feel daunting, or its familar for you. My experience has enabled me to understand the ways we can look after mental wellbeing. I am supportive, encouraging, patient and calm. I take an active part in the counselling work and I want to understand the cause of your struggle. Sometimes it can help to talk about your past experiences and relationships, gathering insight into how they may impact the present time.
0117 456 2841 View 0117 456 2841

See more therapy options for Bristol

How does your Counsellor compare?

Number of Counsellors in Bristol

600+

Average cost per session

£60

Counsellors in Bristol who prioritize treating:

90% Anxiety
85% Depression
85% Self Esteem
78% Relationship Issues
78% Stress
67% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

60% Aviva
60% AXA PPP
44% Bupa

How Counsellors in Bristol see their clients

74% In Person and Online
26% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Bristol?

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.