Counselling in London

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Photo of Debbie Wilson, Counsellor in London, England
Debbie Wilson
Counsellor, MA, UKCP Trainee
Verified Verified
London W4
If you are thinking about counselling it is likely that your life is causing you distress or is not fulfilling in the way you would like it to be. You might be facing a life changing event such as redundancy, bereavement or the end of a relationship. You may be struggling with anxiety, low self-esteem or difficult relationships. Or it may be that feel stuck and don’t know where you are going with your life.
If you are thinking about counselling it is likely that your life is causing you distress or is not fulfilling in the way you would like it to be. You might be facing a life changing event such as redundancy, bereavement or the end of a relationship. You may be struggling with anxiety, low self-esteem or difficult relationships. Or it may be that feel stuck and don’t know where you are going with your life.
020 4538 5103 View 020 4538 5103
Photo of Dr Rachel Zara Master, Psychologist in London, England
Dr Rachel Zara Master
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London E5
I am an experienced Clinical Psychologist who is trained in a number of evidence based therapeutic approaches including EMDR and Compassion Focused Therapy. I'm passionate about working with individuals rather than diagnoses. I want to explore how you got to where you are now; why you are struggling and feeling stuck; and then together we can help pave the way forward towards a more fulfilling and purposeful life. I have particular expertise in working with attachment and developmental traumas; grief and perinatal mental health.
I am an experienced Clinical Psychologist who is trained in a number of evidence based therapeutic approaches including EMDR and Compassion Focused Therapy. I'm passionate about working with individuals rather than diagnoses. I want to explore how you got to where you are now; why you are struggling and feeling stuck; and then together we can help pave the way forward towards a more fulfilling and purposeful life. I have particular expertise in working with attachment and developmental traumas; grief and perinatal mental health.
020 3835 5787 View 020 3835 5787
Photo of Daniel Glazer, Psychologist in London, England
Daniel Glazer
Psychologist, HCPC - Clin. Psych.
Verified Verified
London N3
I am a Consultant Clinical Psychologist and for the last 10+ years I have worked at University College London Hospital specialising in working with young people, parents and families affected by a range of psychological difficulties within the context of medical conditions such as cancer, diabetes & functional difficulties. I am trained in EMDR and have worked extensively with people impacted by trauma and PTSD. Find out more on springpsychology.co.uk
I am a Consultant Clinical Psychologist and for the last 10+ years I have worked at University College London Hospital specialising in working with young people, parents and families affected by a range of psychological difficulties within the context of medical conditions such as cancer, diabetes & functional difficulties. I am trained in EMDR and have worked extensively with people impacted by trauma and PTSD. Find out more on springpsychology.co.uk
020 3835 3194 View 020 3835 3194
Photo of Helen Barnes, Counsellor in London, England
Helen Barnes
Counsellor, MSc, UKCP Trainee
Verified Verified
London EC1A
Do the thoughts and feelings begin the moment you wake? Those thoughts and feelings that in turn make your world. This is natural right? So, what's not working? Often we use the same patterns of thinking, seeing, hearing, and feeling resulting in the same responses. If only we could broaden our perspective and tap into other intuitive sources of information; including our body and emotions..... how might your world be then? This is difficult work to do alone, but sitting with another creates time and space for exploration and can increase awareness about self.
Do the thoughts and feelings begin the moment you wake? Those thoughts and feelings that in turn make your world. This is natural right? So, what's not working? Often we use the same patterns of thinking, seeing, hearing, and feeling resulting in the same responses. If only we could broaden our perspective and tap into other intuitive sources of information; including our body and emotions..... how might your world be then? This is difficult work to do alone, but sitting with another creates time and space for exploration and can increase awareness about self.
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Photo of Raj Pagarani Therapy, Psychotherapist in London, England
Raj Pagarani Therapy
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
London NW8
I am an in Integrative Transpersonal psychotherapist. With over 8 years experience in the field of psychotherapy. I bring a unique blend of expertise in both conventional psychology and spiritual exploration. My journey into psychotherapy began with a deep knowing for the human spirit and its capacity for transformation. Over the years, I have developed my skills to create a supportive, nurturing space where individuals can explore the depths of their being and tap into their inner wisdom. My approach leans on the spiritual dimension of transformation through presence,kindness,empathy and love. Its important that you are open this.
I am an in Integrative Transpersonal psychotherapist. With over 8 years experience in the field of psychotherapy. I bring a unique blend of expertise in both conventional psychology and spiritual exploration. My journey into psychotherapy began with a deep knowing for the human spirit and its capacity for transformation. Over the years, I have developed my skills to create a supportive, nurturing space where individuals can explore the depths of their being and tap into their inner wisdom. My approach leans on the spiritual dimension of transformation through presence,kindness,empathy and love. Its important that you are open this.
07780 986427 View 07780 986427
Photo of Ben Harris, Psychotherapist in London, England
Ben Harris
Psychotherapist, MA, MBACP
Verified Verified
London NW5
If you are in pain and willing to work hard, then I might be the person you need. I'm experienced at helping people with a wide range of issues and have a proven track-record of collaborative working to reduce suffering and enhance awareness. Whatever the nature of your pain the core of this work is self-expression and self-exploration to find a freer, healthier way to be in the world. This involves a balance of self-acceptance and change. I will be deeply present along side you in this exploration.
If you are in pain and willing to work hard, then I might be the person you need. I'm experienced at helping people with a wide range of issues and have a proven track-record of collaborative working to reduce suffering and enhance awareness. Whatever the nature of your pain the core of this work is self-expression and self-exploration to find a freer, healthier way to be in the world. This involves a balance of self-acceptance and change. I will be deeply present along side you in this exploration.
020 3962 1099 View 020 3962 1099
Photo of David Clifford, Psychotherapist in London, England
David Clifford
Psychotherapist, DCounsPsych, COSRT Accred
Verified Verified
1 Endorsed
London SW4
Hello, I am David and I specialise in sex and relationship therapy. I work with individuals and couples on a wide range of psychosexual themes including sexual anxiety, erectile difficulties, premature and delayed ejaculation, painful sex, low desire, kink, sex addiction and LGBTQ issues including coming out. I also offer support for concerns related to sexualised drug use (Chemsex), survivors of sexual trauma, and living with sexually transmitted infections (STIs) such as HIV. I also offer couples therapy on a broad spectrum of themes including infidelity, a decline in intimacy and navigating alternative relationship structures.
Hello, I am David and I specialise in sex and relationship therapy. I work with individuals and couples on a wide range of psychosexual themes including sexual anxiety, erectile difficulties, premature and delayed ejaculation, painful sex, low desire, kink, sex addiction and LGBTQ issues including coming out. I also offer support for concerns related to sexualised drug use (Chemsex), survivors of sexual trauma, and living with sexually transmitted infections (STIs) such as HIV. I also offer couples therapy on a broad spectrum of themes including infidelity, a decline in intimacy and navigating alternative relationship structures.
020 3879 3502 View 020 3879 3502
Photo of Rebecca Bogue, Counsellor in London, England
Rebecca Bogue
Counsellor, MBACP
Verified Verified
London N17
I believe therapy is transformative. I provide a holding and supportive space where all feelings, thoughts and experiences are welcome. I am an integrative counsellor: I draw on a variety of therapeutic approaches depending on your needs. Exploring integration can also mean where our socio-political-cultural context shapes or meets our inner narratives. I adopt an intersectional perspective that invites GSRD and cross-cultural experiences. I maintain a creative, somatic practice and this can feature in therapy when the talking cure feels limited: where the non-verbal feels prevalent or when a ‘rehearsal for life’ feels useful.
I believe therapy is transformative. I provide a holding and supportive space where all feelings, thoughts and experiences are welcome. I am an integrative counsellor: I draw on a variety of therapeutic approaches depending on your needs. Exploring integration can also mean where our socio-political-cultural context shapes or meets our inner narratives. I adopt an intersectional perspective that invites GSRD and cross-cultural experiences. I maintain a creative, somatic practice and this can feature in therapy when the talking cure feels limited: where the non-verbal feels prevalent or when a ‘rehearsal for life’ feels useful.
01992 662430 View 01992 662430
Photo of Josephine Shaw, Psychotherapist in London, England
Josephine Shaw
Psychotherapist, BACP
Verified Verified
London SE1
I work with people who are in some way feeling inner distress. Perhaps they've faced something painful or traumatising in the past and the emotional residue of it remains inside. Perhaps they have experienced loss, or are facing grief - for a loved one, for a time, even for themselves (that feeling of who you really are in your own life). They might be struggling with a situation that feels difficult, even overwhelming, (anything from a relationship or a work problem, to an inner understanding of their own sexual or gender identity). They might wake each day to a feeling of anxiety or dread, drained of energy and facing depression.
I work with people who are in some way feeling inner distress. Perhaps they've faced something painful or traumatising in the past and the emotional residue of it remains inside. Perhaps they have experienced loss, or are facing grief - for a loved one, for a time, even for themselves (that feeling of who you really are in your own life). They might be struggling with a situation that feels difficult, even overwhelming, (anything from a relationship or a work problem, to an inner understanding of their own sexual or gender identity). They might wake each day to a feeling of anxiety or dread, drained of energy and facing depression.
020 4538 9158 View 020 4538 9158
Photo of Silvia Checa Casals, Counsellor in London, England
Silvia Checa Casals
Counsellor, DCounsPsych, MBACP
Verified Verified
London SW1V
Waitlist for new clients
Have you been feeling lost? Perhaps you are feeling low, or edgy, finding it difficult to make connections, to find some meaning? Perhaps you have tried therapy in the past and it just felt too clinical for you. You may have lost someone or something and it is difficult to keep going. Are you questioning who you are? your gender, your sexuality, your relationship? . Whatever it is that you may be feeling or thinking, I can support you in making sense of your experiences.
Have you been feeling lost? Perhaps you are feeling low, or edgy, finding it difficult to make connections, to find some meaning? Perhaps you have tried therapy in the past and it just felt too clinical for you. You may have lost someone or something and it is difficult to keep going. Are you questioning who you are? your gender, your sexuality, your relationship? . Whatever it is that you may be feeling or thinking, I can support you in making sense of your experiences.
020 3917 4181 View 020 3917 4181
Photo of Feel Supported, Psychotherapist in London, England
Feel Supported
Psychotherapist, PsychD, MUKCP
Verified Verified
London W2
As an accredited psychotherapist with a post-graduate diploma in psychotherapy I am dedicated to helping individuals overcome challenges and improve their overall well-being. I have a strong passion for mental health care and have gained valuable experience working with diverse client populations in a variety of settings, including private practice, community mental health clinics, and hospitals. I believe in the power of empathy, self-exploration, and therapeutic relationships to facilitate change and growth, and I am committed to creating a safe and supportive environment for my clients to achieve their therapeutic goals.
As an accredited psychotherapist with a post-graduate diploma in psychotherapy I am dedicated to helping individuals overcome challenges and improve their overall well-being. I have a strong passion for mental health care and have gained valuable experience working with diverse client populations in a variety of settings, including private practice, community mental health clinics, and hospitals. I believe in the power of empathy, self-exploration, and therapeutic relationships to facilitate change and growth, and I am committed to creating a safe and supportive environment for my clients to achieve their therapeutic goals.
020 3915 5902 View 020 3915 5902
Photo of Virginie Boury-Prin, Psychotherapist in London, England
Virginie Boury-Prin
Psychotherapist, MA, MUKCP
Verified Verified
London W1W
You may want to seek therapy for a variety of reasons: you may experience emotional distress, feel stuck or in the grip of your anxiety, depressed or struggling with addictive behaviours, you may want to be more of an initiator in your life. I have experience of working with a range of mental health concerns with 15 years of practice in the field. As a professionally qualified integrative psychotherapist and dramatherapist, when appropriate, I use embodied and expressive methods. I work at The Practice in Central London close to Oxford Circus where I offer sessions in English or French, both to individuals and groups.
You may want to seek therapy for a variety of reasons: you may experience emotional distress, feel stuck or in the grip of your anxiety, depressed or struggling with addictive behaviours, you may want to be more of an initiator in your life. I have experience of working with a range of mental health concerns with 15 years of practice in the field. As a professionally qualified integrative psychotherapist and dramatherapist, when appropriate, I use embodied and expressive methods. I work at The Practice in Central London close to Oxford Circus where I offer sessions in English or French, both to individuals and groups.
020 3835 4160 View 020 3835 4160
Photo of Ann Bracken, Psychotherapist in London, England
Ann Bracken
Psychotherapist, MA, MBACP Accred
Verified Verified
London SW18  (Online Only)
1-2-1 Online Therapy - Providing evidence based and relational Counselling and Psychotherapy in a space and at a time that suits you. As a CBT Therapist, Mindfulness and Yoga Trainer, I focus on your emotional, psychological and relational (including towards yourself) restorative Mind-Body approaches. Online Therapy includes support sheets and between session practice. I believe that therapy should be empowering and offer practical skills for long lasting positive change. You can watch my short video on my website www.annbrackentherapy.com to learn more how our Online Therapy would be. Booking options also via my web home page.
1-2-1 Online Therapy - Providing evidence based and relational Counselling and Psychotherapy in a space and at a time that suits you. As a CBT Therapist, Mindfulness and Yoga Trainer, I focus on your emotional, psychological and relational (including towards yourself) restorative Mind-Body approaches. Online Therapy includes support sheets and between session practice. I believe that therapy should be empowering and offer practical skills for long lasting positive change. You can watch my short video on my website www.annbrackentherapy.com to learn more how our Online Therapy would be. Booking options also via my web home page.
020 3835 6193 View 020 3835 6193
Photo of Anna Barrett, Psychologist in London, England
Anna Barrett
Psychologist, HCPC - Ed. Psych.
Verified Verified
London SW1W  (Online Only)
Hello. My name is Anna, and I am a BPS Chartered Educational Child and Adolescent Psychologist based in Berkshire. I have always had a particular passion in supporting young people who are struggling with mental health difficulties and have extensive experience in supporting young people within Children Looked After teams as well as the local Mental Health Support Team (CAMHS in schools) and Early Help (early intervention support within Social Care).
Hello. My name is Anna, and I am a BPS Chartered Educational Child and Adolescent Psychologist based in Berkshire. I have always had a particular passion in supporting young people who are struggling with mental health difficulties and have extensive experience in supporting young people within Children Looked After teams as well as the local Mental Health Support Team (CAMHS in schools) and Early Help (early intervention support within Social Care).
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Photo of Nishah Dennison, Psychotherapist in London, England
Nishah Dennison
Psychotherapist, MUKCP
Verified Verified
London SW19  (Online Only)
Using therapeutic methods that have a proven track record of effectiveness, my clients often experience change and movement from the first session or two. Therapy is based on Best Practice and Clinical Evidence, utilising 25yrs of clinical experience. I previously worked as NHS Adult Psychotherapist, Adult Psychotherapist with Psychiatric Out-Patients, Professional Debriefing and Training of Addiction Counsellors, NHS Public Health Advisor and Director of Psychotherapy at Regents University. Feel free to email me your main concerns to get started with a treatment plan of action. Sessions start from 8am/available during lunch hours.
Using therapeutic methods that have a proven track record of effectiveness, my clients often experience change and movement from the first session or two. Therapy is based on Best Practice and Clinical Evidence, utilising 25yrs of clinical experience. I previously worked as NHS Adult Psychotherapist, Adult Psychotherapist with Psychiatric Out-Patients, Professional Debriefing and Training of Addiction Counsellors, NHS Public Health Advisor and Director of Psychotherapy at Regents University. Feel free to email me your main concerns to get started with a treatment plan of action. Sessions start from 8am/available during lunch hours.
01929 500563 View 01929 500563
Photo of Vanessa Neuling, Psychotherapist in London, England
Vanessa Neuling
Psychotherapist, MBACP
Verified Verified
London N11
Welcome. I'm an open, approachable counsellor offering online and face-to-face therapy in a peaceful garden room. Are you feeling overwhelmed, lost, worried, or less like yourself than you'd like to be? I work primarily with women at various life stages and during periods of transition such as identity shifts. These could include relationships and separation, pregnancy and parenting, sexuality, or navigating grief and loss. I can offer support with anxiety, depression and low self-esteem. Life is noisy, and therapy can offer a space for you to hear your own voice more clearly.
Welcome. I'm an open, approachable counsellor offering online and face-to-face therapy in a peaceful garden room. Are you feeling overwhelmed, lost, worried, or less like yourself than you'd like to be? I work primarily with women at various life stages and during periods of transition such as identity shifts. These could include relationships and separation, pregnancy and parenting, sexuality, or navigating grief and loss. I can offer support with anxiety, depression and low self-esteem. Life is noisy, and therapy can offer a space for you to hear your own voice more clearly.
020 3959 7391 View 020 3959 7391
Photo of Stephanie Cole, Counsellor in London, England
Stephanie Cole
Counsellor, MBACP
Verified Verified
1 Endorsed
London SE25  (Online Only)
Navigating life can be challenging. Events or circumstances can become overwhelming, leaving us feeling anxious, stuck, or finding it hard to cope. We may long for change but find ourselves uncertain about how to move forward. This is where therapy can help. In my role, I offer a warm and compassionate space allowing you to explore your experiences, uncovering underlying emotions and meanings. The body can play a significant role in processing emotional pain, so I’m here to help you listen deeply to yourself, facilitating a connection not only to your thoughts and feelings but also to your physical experience.
Navigating life can be challenging. Events or circumstances can become overwhelming, leaving us feeling anxious, stuck, or finding it hard to cope. We may long for change but find ourselves uncertain about how to move forward. This is where therapy can help. In my role, I offer a warm and compassionate space allowing you to explore your experiences, uncovering underlying emotions and meanings. The body can play a significant role in processing emotional pain, so I’m here to help you listen deeply to yourself, facilitating a connection not only to your thoughts and feelings but also to your physical experience.
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Photo of Counselling in Clapham, Psychotherapist in London, England
Counselling in Clapham
Psychotherapist, MBACP Accred
Verified Verified
London SW9
Hello, I am a BACP Accred and Registered psychotherapist/clinical supervisor who has 15+ years experience of working with individuals within different voluntary settings and private practice, working with young people as well as the older adult population suffering from both short and long-term multi-dimensional problems and psychological difficulties.
Hello, I am a BACP Accred and Registered psychotherapist/clinical supervisor who has 15+ years experience of working with individuals within different voluntary settings and private practice, working with young people as well as the older adult population suffering from both short and long-term multi-dimensional problems and psychological difficulties.
020 3479 4163 View 020 3479 4163
Photo of Sandra Nathan, Counsellor in London, England
Sandra Nathan
Counsellor, MBACP
Verified Verified
London W1G
Hi, are you feeling overwhelmed with the effects of stress and anxiety? Are there things about yourself that you would like to change? If you are looking for a Counsellor that can help you achieve quick relief from emotional issues/problems that are getting in the way of you enjoying life, I can certainly help you with that. Many of my Clients find that in as little as six sessions of working with me their anxiety and stress levels have reduced to such an extent that their originating issues are no longer a problem to them, and they are able to move on with their lives.
Hi, are you feeling overwhelmed with the effects of stress and anxiety? Are there things about yourself that you would like to change? If you are looking for a Counsellor that can help you achieve quick relief from emotional issues/problems that are getting in the way of you enjoying life, I can certainly help you with that. Many of my Clients find that in as little as six sessions of working with me their anxiety and stress levels have reduced to such an extent that their originating issues are no longer a problem to them, and they are able to move on with their lives.
020 3835 3629 View 020 3835 3629
Photo of Effy Westenra, Psychotherapist in London, England
Effy Westenra
Psychotherapist, MA, MNCPS Acc.
Verified Verified
London E8  (Online Only)
Waitlist for new clients
I offer a mixture of exploration, insight and gentle challenge to help those I work with understand their lives and interpersonal worlds in greater depth. I draw from a range of perspectives, including contemporary relational psychoanalysis and practical here-and-now interventions, to help couples and individuals identify and grapple with longstanding struggles and patterns they don’t want to keep repeating.
I offer a mixture of exploration, insight and gentle challenge to help those I work with understand their lives and interpersonal worlds in greater depth. I draw from a range of perspectives, including contemporary relational psychoanalysis and practical here-and-now interventions, to help couples and individuals identify and grapple with longstanding struggles and patterns they don’t want to keep repeating.
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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.