Counselling in Oxford

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Photo of Susan Harris, Psychotherapist in Oxford, England
Susan Harris
Psychotherapist, MSc, MBACP Snr. Accred
Verified Verified
Oxford OX1  (Online Only)
Do you feel stuck in your work or your life? Are you in conflict with others, verbal or silent, can't get promoted or change roles, don't feel seen or understood? Is there a gap between who you are and who you want to be? A gap between you on the outside and on the inside? Into that gap can come anxiety and depression, confusion, low self esteem, self loathing and fear. As an executive coach and psychotherapist we can change this. I am the only psychodynamic psychotherapist to open sessions with an optional 3 minute guided mindfulness breathing space to deepen your experience and use the session most effectively.
Do you feel stuck in your work or your life? Are you in conflict with others, verbal or silent, can't get promoted or change roles, don't feel seen or understood? Is there a gap between who you are and who you want to be? A gap between you on the outside and on the inside? Into that gap can come anxiety and depression, confusion, low self esteem, self loathing and fear. As an executive coach and psychotherapist we can change this. I am the only psychodynamic psychotherapist to open sessions with an optional 3 minute guided mindfulness breathing space to deepen your experience and use the session most effectively.
01865 950961 View 01865 950961
Photo of Dr Annie Jones, Psychologist in Oxford, England
Dr Annie Jones
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Oxford OX1  (Online Only)
As an experienced Chartered Counselling Psychologist and Clinical Supervisor, I work with adults and young people in the areas of anxiety and depression, trauma, relationship breakdown, lifestyle change, bullying and low self-esteem, those coming out of abusive situations, especially involving narcissism, post-natal depression, birth trauma, grief and end-of-life care, gender and sexuality. I also work with people looking for a safe space to work through career challenges
As an experienced Chartered Counselling Psychologist and Clinical Supervisor, I work with adults and young people in the areas of anxiety and depression, trauma, relationship breakdown, lifestyle change, bullying and low self-esteem, those coming out of abusive situations, especially involving narcissism, post-natal depression, birth trauma, grief and end-of-life care, gender and sexuality. I also work with people looking for a safe space to work through career challenges
0118 230 8595 View 0118 230 8595
Photo of Sarah Wardley, Psychotherapist in Oxford, England
Sarah Wardley
Psychotherapist, MSc, MBABCP
Verified Verified
Oxford OX4
Are you pregnant and struggling with anxiety or low mood? Maybe you are already a parent and questioning how you feel, or finding that being a parent doesnt make you feel how you expected? I am a Registered Midwife and a Perinatal CBT Therapist and I specialise in helping people with mental health concerns relating to childbirth, from conception to the early years of parenthood. My first hand experience of working in maternity services means I can provide a safe space from which to support you, and can help with antenatal and post natal anxiety and depression, birth trauma and PTSD, fear of birth, OCD and phobias.
Are you pregnant and struggling with anxiety or low mood? Maybe you are already a parent and questioning how you feel, or finding that being a parent doesnt make you feel how you expected? I am a Registered Midwife and a Perinatal CBT Therapist and I specialise in helping people with mental health concerns relating to childbirth, from conception to the early years of parenthood. My first hand experience of working in maternity services means I can provide a safe space from which to support you, and can help with antenatal and post natal anxiety and depression, birth trauma and PTSD, fear of birth, OCD and phobias.
01865 953394 View 01865 953394
Photo of Guy Turton, Counsellor in Oxford, England
Guy Turton
Counsellor, DCounsPsych, MBACP
Verified Verified
Oxford OX3
Reviewers and seekers like yourself might be uncertain about what therapy is. You might imagine it's like going to see the doctor to get a plan to be fixed or you may imagine Therapy to be more like a craft/art/magic. Or something else. I don't have fixed ideas about what you bring, how you bring it and what sort of person you might be. I'm not sure what you want, but i'm interested to start exploring it together with you. You may not know what you want and thats ok too. It is ok to reach out from a position of not knowing and uncertainty. Sitting a room together will give you a lot of information.
Reviewers and seekers like yourself might be uncertain about what therapy is. You might imagine it's like going to see the doctor to get a plan to be fixed or you may imagine Therapy to be more like a craft/art/magic. Or something else. I don't have fixed ideas about what you bring, how you bring it and what sort of person you might be. I'm not sure what you want, but i'm interested to start exploring it together with you. You may not know what you want and thats ok too. It is ok to reach out from a position of not knowing and uncertainty. Sitting a room together will give you a lot of information.
01865 638770 View 01865 638770
Photo of Esther Jackson, Psychotherapist in Oxford, England
Esther Jackson
Psychotherapist, MA, BPC
Verified Verified
1 Endorsed
Oxford OX2
Sometimes we can feel unhappy but not know why, or maybe we know why but feel unable to change. We may have physical symptoms but suspect that psychological factors underlie them. We might recognise behaviours in ourselves that may obstruct our capacity to work, or make and maintain relationships. Or we may have doubts about ourselves, an underlying feeling that we are not getting the most from life. Whatever the issue, talking can help make your problems clearer, enabling you to understand and resolve them better.
Sometimes we can feel unhappy but not know why, or maybe we know why but feel unable to change. We may have physical symptoms but suspect that psychological factors underlie them. We might recognise behaviours in ourselves that may obstruct our capacity to work, or make and maintain relationships. Or we may have doubts about ourselves, an underlying feeling that we are not getting the most from life. Whatever the issue, talking can help make your problems clearer, enabling you to understand and resolve them better.
020 3835 5499 View 020 3835 5499
Photo of Caroline Harrison, Psychotherapist in Oxford, England
Caroline Harrison
Psychotherapist, MA, MBACP
Verified Verified
Oxford OX3
Talking therapy is my vocation and professional passion. I am of dual heritage and have a background in languages: Communicating and listening are at the heart of my practice. My training was in Integrative Counselling and Psychotherapy at the Minster Centre. This approach draws from the major therapeutic schools of thought. I think about what you feel on many levels and help you to find your own understanding. Whatever you wish to share, I give you time to reflect. I also work relationally. This means that the trusting partnership we develop will allow you to notice how you relate to yourself and others.
Talking therapy is my vocation and professional passion. I am of dual heritage and have a background in languages: Communicating and listening are at the heart of my practice. My training was in Integrative Counselling and Psychotherapy at the Minster Centre. This approach draws from the major therapeutic schools of thought. I think about what you feel on many levels and help you to find your own understanding. Whatever you wish to share, I give you time to reflect. I also work relationally. This means that the trusting partnership we develop will allow you to notice how you relate to yourself and others.
01865 950944 View 01865 950944
Photo of Anicca Moxley-Wyles (Online Practice), Psychotherapist in Oxford, England
Anicca Moxley-Wyles (Online Practice)
Psychotherapist, MBACP
Verified Verified
Oxford OX4  (Online Only)
I offer a non-judgemental, safe environment to help you understand yourself and your life. Counselling can support you to find your own insights, new ways of being with yourself and others, and work towards healing and freedom. It can be a space to get things off your chest, rest or reset, find perspective and understanding in life and relationships, as well as having someone to really hear and be with you as you share and explore what is difficult. My practice is informed by Buddhist philosophy and meditation, which I have been exploring and supporting others with for over 15 years, emphasising embodied awareness and compassion.
I offer a non-judgemental, safe environment to help you understand yourself and your life. Counselling can support you to find your own insights, new ways of being with yourself and others, and work towards healing and freedom. It can be a space to get things off your chest, rest or reset, find perspective and understanding in life and relationships, as well as having someone to really hear and be with you as you share and explore what is difficult. My practice is informed by Buddhist philosophy and meditation, which I have been exploring and supporting others with for over 15 years, emphasising embodied awareness and compassion.
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Photo of Helaina Clinical Sexology, Counsellor in Oxford, England
Helaina Clinical Sexology
Counsellor, COSRT Accred
Verified Verified
Oxford OX4  (Online Only)
My service is provided as a specialist sex and relationship therapist. I aim to provide a safe environment in which clients can share their intimate thoughts and problems with no fear of judgement. I honour all sexual orientations, gender identities and sexual preferences. I am kink aware and knowledgable and take a sex positive approach. Specific issues covered include: erection problems, inability to orgasm, low sexual desire, painful intercourse, premature/early ejaculation, problematic porn use, relationship problems–couples/poly, (sex, gender, erotic, relationship) identity, BDSM, kinks and fetishes, vaginismus
My service is provided as a specialist sex and relationship therapist. I aim to provide a safe environment in which clients can share their intimate thoughts and problems with no fear of judgement. I honour all sexual orientations, gender identities and sexual preferences. I am kink aware and knowledgable and take a sex positive approach. Specific issues covered include: erection problems, inability to orgasm, low sexual desire, painful intercourse, premature/early ejaculation, problematic porn use, relationship problems–couples/poly, (sex, gender, erotic, relationship) identity, BDSM, kinks and fetishes, vaginismus
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Photo of Bea Zanichelli-Sonego, Counsellor in Oxford, England
Bea Zanichelli-Sonego
Counsellor, MBACP
Verified Verified
Oxford OX1  (Online Only)
Here you are, considering whether you should talk to someone. Right now you may be feeling confused, tired, just wanting to make sense of your situation - I get it, and hope you will find the information provided here helpful. I am an experienced licensed and fully-insured Clinical Psychologist and Registered Counsellor, with 13 years of practice, and I have worked in a variety of settings - higher education, community, healthcare and independently, both in the UK and in South America. My approach is based on a number of well-regarded theoretical models, including psychodynamic psychotherapy (my primary influence) and CBT
Here you are, considering whether you should talk to someone. Right now you may be feeling confused, tired, just wanting to make sense of your situation - I get it, and hope you will find the information provided here helpful. I am an experienced licensed and fully-insured Clinical Psychologist and Registered Counsellor, with 13 years of practice, and I have worked in a variety of settings - higher education, community, healthcare and independently, both in the UK and in South America. My approach is based on a number of well-regarded theoretical models, including psychodynamic psychotherapy (my primary influence) and CBT
01865 638291 View 01865 638291
Photo of Emma Jane Woo, Psychotherapist in Oxford, England
Emma Jane Woo
Psychotherapist, MNCPS Acc.
Verified Verified
Oxford OX4
I am dedicated to making therapy feel more accessible and less scary. I know it can be difficult to make that first step and to move forward and learn to trust a therapist. I try to work in a way that is sensitive to individual need and preference, as well as being open to constructive criticism from clients so that I can better serve them. I want therapy with me to be a positive experience for you.
I am dedicated to making therapy feel more accessible and less scary. I know it can be difficult to make that first step and to move forward and learn to trust a therapist. I try to work in a way that is sensitive to individual need and preference, as well as being open to constructive criticism from clients so that I can better serve them. I want therapy with me to be a positive experience for you.
01865 638421 View 01865 638421
Photo of Penelope Toff in Oxford, England
Penelope Toff
MBBS
Verified Verified
Oxford OX1
I am a Hypnotherapist and Rapid Transformational Therapist (RTT), trained by Marisa Peer, as well as an experienced medical doctor and life and careers coach. I have worked in the NHS and private sector for many years. I would be delighted to help you overcome whatever is causing you pain and holding you back from being your being your best self. I offer RTT alone, or in combination with coaching for further great results, putting your new understanding from RTT into practice in your relationships, work and home life.
I am a Hypnotherapist and Rapid Transformational Therapist (RTT), trained by Marisa Peer, as well as an experienced medical doctor and life and careers coach. I have worked in the NHS and private sector for many years. I would be delighted to help you overcome whatever is causing you pain and holding you back from being your being your best self. I offer RTT alone, or in combination with coaching for further great results, putting your new understanding from RTT into practice in your relationships, work and home life.
01865 951416 View 01865 951416
Photo of David Soward, Psychotherapist in Oxford, England
David Soward
Psychotherapist, MNCPS Acc.
Verified Verified
Oxford OX3
We can all find our lives get difficult as events and emotions come and go: these are often left unprocessed until we give ourselves time to think and talk about them. You may be very unhappy or may just be feeling some discontent, or at a crossroads, lacking motivation or direction. My aim is to help you explore all or any area of your life and work out what the future might hold. W H Auden, in his poem in memory of Sigmund Freud, referred to 'a world he changed / simply by looking back with no false regrets'; like him, having explored both the past and the present, I hope you will feel 'able to approach the Future as a friend'.
We can all find our lives get difficult as events and emotions come and go: these are often left unprocessed until we give ourselves time to think and talk about them. You may be very unhappy or may just be feeling some discontent, or at a crossroads, lacking motivation or direction. My aim is to help you explore all or any area of your life and work out what the future might hold. W H Auden, in his poem in memory of Sigmund Freud, referred to 'a world he changed / simply by looking back with no false regrets'; like him, having explored both the past and the present, I hope you will feel 'able to approach the Future as a friend'.
01865 671635 View 01865 671635
Photo of Bernadette O'brien, Psychotherapist in Oxford, England
Bernadette O'brien
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Oxford OX2
Seeking Psychotherapy takes courage. There may be a particular issue or challenge that you are facing, or you may just be feeling that things are not quite right. Perhaps you feel that you are not fulfilling your potential and living the life you had hoped. There may be some long standing patterns of behaviour or recurring blocks that you keep coming up against. Core Process Psychotherapy provides compassionate holding for difficult feelings and offers us the opportunity to look for more space, clarity and balance and in our lives.
Seeking Psychotherapy takes courage. There may be a particular issue or challenge that you are facing, or you may just be feeling that things are not quite right. Perhaps you feel that you are not fulfilling your potential and living the life you had hoped. There may be some long standing patterns of behaviour or recurring blocks that you keep coming up against. Core Process Psychotherapy provides compassionate holding for difficult feelings and offers us the opportunity to look for more space, clarity and balance and in our lives.
01865 509567 View 01865 509567
Photo of Sharmila Kaduskar, Psychotherapist in Oxford, England
Sharmila Kaduskar
Psychotherapist, MA, MUKCP
Verified Verified
Oxford OX3
You may seem to the world to be successful, sure of yourself, and in control whilst feeling increasingly isolated as you battle, perhaps in secret, with your fear, anxiety, loneliness or past. You may sense that part of you is hidden, maybe even from yourself, tripping you up when it matters most, that your life is not quite what you hoped or your choices are unfulfilling. You may wish to know your own heart, to be on your own side, and to be able engage authentically and meaningfully with your life. Working together we can listen out for your quiet inner voice, the one that already knows you and already knows how to be.
You may seem to the world to be successful, sure of yourself, and in control whilst feeling increasingly isolated as you battle, perhaps in secret, with your fear, anxiety, loneliness or past. You may sense that part of you is hidden, maybe even from yourself, tripping you up when it matters most, that your life is not quite what you hoped or your choices are unfulfilling. You may wish to know your own heart, to be on your own side, and to be able engage authentically and meaningfully with your life. Working together we can listen out for your quiet inner voice, the one that already knows you and already knows how to be.
01865 900536 View 01865 900536
Photo of Lidia Veas, Counsellor in Oxford, England
Lidia Veas
Counsellor, MBACP
Verified Verified
Oxford OX4
I work with people seeking positive change in their lives, whether they are struggling with emotional distress or want to understand themselves better. My clients face challenges such as anxiety, depression, life changes, low self-esteem, loss, indecisiveness, and identity or relationship issues.
I work with people seeking positive change in their lives, whether they are struggling with emotional distress or want to understand themselves better. My clients face challenges such as anxiety, depression, life changes, low self-esteem, loss, indecisiveness, and identity or relationship issues.
01865 638281 View 01865 638281
Photo of Selen Atasoy, Counsellor in Oxford, England
Selen Atasoy
Counsellor, PhD, MBACP
Verified Verified
Oxford OX2
I believe that difficult experiences have the power to transform us if we can allow the feelings they bring up. Yet, we all may need support in this process. In my private counselling practice, I aim to support my clients in their individual journey to their unique authentic self. For further details on me and my approach please visit www.selenatasoy.com.
I believe that difficult experiences have the power to transform us if we can allow the feelings they bring up. Yet, we all may need support in this process. In my private counselling practice, I aim to support my clients in their individual journey to their unique authentic self. For further details on me and my approach please visit www.selenatasoy.com.
01865 951420 View 01865 951420
Photo of Eleanor Minney Resource, Psychotherapist in Oxford, England
Eleanor Minney Resource
Psychotherapist, UKCP Trainee
Verified Verified
Oxford OX2
I’m a warm and respectful practitioner who will welcome you as you are. Through weekly meetings, this form of psychotherapy aims to allow your true experience to be heard, and navigated with awareness (mindfulness). With the support of someone there with us, it can feel more possible to meet our suffering compassionately and patiently, allowing space for why it is here. Please visit my website: www.eleanorminneyresource.co.uk for more information.
I’m a warm and respectful practitioner who will welcome you as you are. Through weekly meetings, this form of psychotherapy aims to allow your true experience to be heard, and navigated with awareness (mindfulness). With the support of someone there with us, it can feel more possible to meet our suffering compassionately and patiently, allowing space for why it is here. Please visit my website: www.eleanorminneyresource.co.uk for more information.
07579 027574 View 07579 027574
Photo of Dr Gislene Wolfart, Psychologist in Oxford, England
Dr Gislene Wolfart
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Oxford OX1
Hello, I am the Lead Psychologist at Oxford Mind & Body, where I work alongside a great group of professionals offering therapy to those aged 16 years and older. We are trained in a variety of psychotherapy approaches and together we treat many different conditions (including anxiety, depression, low self-esteem, OCD, relationship difficulties and bereavement, amongst others). We also specialise in the treatment of eating disorders and their co-morbidities. We appreciate the uniqueness of our clients and we aim to tailor our skills to suit our clients' needs.
Hello, I am the Lead Psychologist at Oxford Mind & Body, where I work alongside a great group of professionals offering therapy to those aged 16 years and older. We are trained in a variety of psychotherapy approaches and together we treat many different conditions (including anxiety, depression, low self-esteem, OCD, relationship difficulties and bereavement, amongst others). We also specialise in the treatment of eating disorders and their co-morbidities. We appreciate the uniqueness of our clients and we aim to tailor our skills to suit our clients' needs.
01865 638974 View 01865 638974
Photo of Beenish Chaudhry, Psychotherapist in Oxford, England
Beenish Chaudhry
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Oxford OX3  (Online Only)
Hi - I currently have space to work with a couple and an individual. I work with couples who are struggling to be a team and want to work through key issues to find a way back to each other. I am to help improve communication and develop a greater understanding of yourself and your partner. With 15 years experience of working in mental health I aim to support you to unlock your potential through becoming more self-aware. I provide a safe, respectful and supportive space for you to identify your specific needs, explore issues and work through your difficulties.
Hi - I currently have space to work with a couple and an individual. I work with couples who are struggling to be a team and want to work through key issues to find a way back to each other. I am to help improve communication and develop a greater understanding of yourself and your partner. With 15 years experience of working in mental health I aim to support you to unlock your potential through becoming more self-aware. I provide a safe, respectful and supportive space for you to identify your specific needs, explore issues and work through your difficulties.
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Photo of Chloé Donohue, Psychotherapist in Oxford, England
Chloé Donohue
Psychotherapist, MSc, MBACP
Verified Verified
Oxford OX2  (Online Only)
I believe that each person is unique. Therefore, therapy needs to be tailored to the individual. Some people may prefer an open space for them to talk, taking the time to reflect on their experiences, whereas others may need something more structured, with the hope of learning effective coping strategies. Some may want a bit of both. There is not a one size fits all. I draw from evidence-based modalities of therapy, such as CBT, DBT, Psychodynamic, and Person-Centered to create a therapeutic plan tailored to the client and their goals.
I believe that each person is unique. Therefore, therapy needs to be tailored to the individual. Some people may prefer an open space for them to talk, taking the time to reflect on their experiences, whereas others may need something more structured, with the hope of learning effective coping strategies. Some may want a bit of both. There is not a one size fits all. I draw from evidence-based modalities of therapy, such as CBT, DBT, Psychodynamic, and Person-Centered to create a therapeutic plan tailored to the client and their goals.
01993 221193 View 01993 221193

See more therapy options for Oxford

How does your Counsellor compare?

Number of Counsellors in Oxford

200+

Average cost per session

£70

Counsellors in Oxford who prioritize treating:

87% Anxiety
81% Depression
81% Self Esteem
76% Stress
74% Relationship Issues
64% Trauma and PTSD
60% Bereavement

Average years in practice

12 Years

Top 3 insurances accepted

65% Aviva
63% AXA PPP
46% Vitality

How Counsellors in Oxford see their clients

73% In Person and Online
27% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Oxford?

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.