Counselling in N16

Photo of Dr Stephanie Minchin, Psychologist in N16, England
Dr Stephanie Minchin
Psychologist, PhD, HCPC - Clin. Psych.
Verified
Psychological therapy involves exploring one’s life story, the current difficulties and their contexts, making sense of the difficulties together, identifying what you would like help and support with, defining individualised goals, applying specialist therapeutic interventions to help transform, heal and make change, with regular review of progress. Yoga Therapy is the science of applying yoga to overcome health difficulties, integrating mind, body, emotional and spiritual influences through breathing techniques, embodied movement, yoga postures, meditation, mindfulness-based approaches and lifestyle guidance.
Psychological therapy involves exploring one’s life story, the current difficulties and their contexts, making sense of the difficulties together, identifying what you would like help and support with, defining individualised goals, applying specialist therapeutic interventions to help transform, heal and make change, with regular review of progress. Yoga Therapy is the science of applying yoga to overcome health difficulties, integrating mind, body, emotional and spiritual influences through breathing techniques, embodied movement, yoga postures, meditation, mindfulness-based approaches and lifestyle guidance.
020 4538 1579 View 020 4538 1579
Photo of Hannah Frenken, Psychologist in N16, England
Hannah Frenken
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
London N16  (Online Only)
I'm a clinical psychologist offering individual therapy for adults. I appreciate how hard it can be to start working with a new therapist, and prioritise creating a trusting working relationship where difficulties can be discussed without shame or judgement. I continue to work in the NHS as a senior psychologist, and have several years of experience working with people across the lifespan facing a range of difficulties.
I'm a clinical psychologist offering individual therapy for adults. I appreciate how hard it can be to start working with a new therapist, and prioritise creating a trusting working relationship where difficulties can be discussed without shame or judgement. I continue to work in the NHS as a senior psychologist, and have several years of experience working with people across the lifespan facing a range of difficulties.
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Photo of Matthew Leonard Rosen-Marsh, Psychologist in N16, England
Matthew Leonard Rosen-Marsh
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
People can come to therapy for all sorts of reasons: they might be struggling at work or feeling dissatisfied in a relationship or coming to terms with a traumatic childhood. They might need a different approach depending on their goals - so a more structured, goal based intervention might be suitable for someone who wants to be more effective in the workplace. The person affected by a traumatic past might want to develop a stronger abiity to self-soothe - this could be through guided imagery, relaxation, breathing or just through experiencing the therapeutic relationship as safe and accepting.
People can come to therapy for all sorts of reasons: they might be struggling at work or feeling dissatisfied in a relationship or coming to terms with a traumatic childhood. They might need a different approach depending on their goals - so a more structured, goal based intervention might be suitable for someone who wants to be more effective in the workplace. The person affected by a traumatic past might want to develop a stronger abiity to self-soothe - this could be through guided imagery, relaxation, breathing or just through experiencing the therapeutic relationship as safe and accepting.
020 3835 5076 View 020 3835 5076
Photo of Gail Wilkinson Pgdip Mbacp (Accred), Counsellor in N16, England
Gail Wilkinson Pgdip Mbacp (Accred)
Counsellor, MBACP Accred
Verified
London N16  (Online Only)
Perhaps you’ve felt stuck for a while, or have been feeling that something isn’t right but can’t quite identify what that is. You may be anxious, depressed, have low self-esteem. Maybe you are struggling in relationships, or finding it difficult getting your needs met? You may have often felt that you don’t belong, or that you’re not supposed to be doing the work you do. Perhaps you’d like to feel less frustrated, angry or alone? You may be experiencing grief, or struggling with addiction, you might have low libido, or want to explore your sexuality. It might be a family or historic issue you’d like to make sense of. I can help.
Perhaps you’ve felt stuck for a while, or have been feeling that something isn’t right but can’t quite identify what that is. You may be anxious, depressed, have low self-esteem. Maybe you are struggling in relationships, or finding it difficult getting your needs met? You may have often felt that you don’t belong, or that you’re not supposed to be doing the work you do. Perhaps you’d like to feel less frustrated, angry or alone? You may be experiencing grief, or struggling with addiction, you might have low libido, or want to explore your sexuality. It might be a family or historic issue you’d like to make sense of. I can help.
020 3917 4235 View 020 3917 4235
Photo of Liz Malpass, Psychologist in N16, England
Liz Malpass
Psychologist, HCPC - Clin. Psych.
Verified
I specialise in working with children, young people, families, and in supporting parents perinatally and beyond. I work with a wide range of issues that may have you or your child/family feeling unhappy, struggling, worried, or experiencing difficulties in relationships. I have experience of working with parents during pregnancy and perinatally where there may be struggles with mood and anxiety, or the transition to parenthood. I will provide an empathetic and confidential space to help you explore the challenges that have brought you to therapy, and to consider ways of of moving forward.
I specialise in working with children, young people, families, and in supporting parents perinatally and beyond. I work with a wide range of issues that may have you or your child/family feeling unhappy, struggling, worried, or experiencing difficulties in relationships. I have experience of working with parents during pregnancy and perinatally where there may be struggles with mood and anxiety, or the transition to parenthood. I will provide an empathetic and confidential space to help you explore the challenges that have brought you to therapy, and to consider ways of of moving forward.
020 3962 1002 View 020 3962 1002
Photo of Samira Belrhazi, Counsellor in N16, England
Samira Belrhazi
Counsellor, MBACP
Verified
London N16  (Online Only)
Being stuck in a pattern of relating to the self or others that is not serving us any longer is a common human experience. My approach is integrative mainly psychodynamic, meaning I work with a person's defences and resistance in a gentle but challenging way, examining early childhood experiences and relationships. I create a safe non-judgemental space for frank, open and intimate discussions about your issues and struggles.
Being stuck in a pattern of relating to the self or others that is not serving us any longer is a common human experience. My approach is integrative mainly psychodynamic, meaning I work with a person's defences and resistance in a gentle but challenging way, examining early childhood experiences and relationships. I create a safe non-judgemental space for frank, open and intimate discussions about your issues and struggles.
020 3872 2051 View 020 3872 2051
Photo of Ela Smith, Psychotherapist in N16, England
Ela Smith
Psychotherapist, MBACP
Verified
1 Endorsed
I am an accredited Psychotherapeutic Counsellor, committed to providing an accepting and caring space for you to explore what you are struggling with. I have found that when you feel valued and understood by someone, you naturally become better at being able to offer that to yourself. I prioritise working to build trust, so I can be there to support you through painful and vulnerable moments. I believe that therapy can be a place where you get to explore parts of yourself that you might not often get to express. I have extensive experience working with anxiety, depression, low self-esteem, and sexual trauma.
I am an accredited Psychotherapeutic Counsellor, committed to providing an accepting and caring space for you to explore what you are struggling with. I have found that when you feel valued and understood by someone, you naturally become better at being able to offer that to yourself. I prioritise working to build trust, so I can be there to support you through painful and vulnerable moments. I believe that therapy can be a place where you get to explore parts of yourself that you might not often get to express. I have extensive experience working with anxiety, depression, low self-esteem, and sexual trauma.
01305 238963 View 01305 238963
Photo of Polly Rose Seward, Counsellor in N16, England
Polly Rose Seward
Counsellor, MBACP
Verified
Maybe it feels daunting thinking about therapy, maybe there's an overwhelming amount of choice of therapists and really how do you choose? Maybe you're questioning the whole thing. I understand, I've had those questions myself. From my experience what's important is that you find someone you can feel safe and comfortable with. I can't know if that will be me but we can start with a short video call and see how it feels. In a warm, real, relationship I will carefully listen, at times gently challenge and always deeply care, as you start to share the things you feel you need or want to, at your pace.
Maybe it feels daunting thinking about therapy, maybe there's an overwhelming amount of choice of therapists and really how do you choose? Maybe you're questioning the whole thing. I understand, I've had those questions myself. From my experience what's important is that you find someone you can feel safe and comfortable with. I can't know if that will be me but we can start with a short video call and see how it feels. In a warm, real, relationship I will carefully listen, at times gently challenge and always deeply care, as you start to share the things you feel you need or want to, at your pace.
020 4524 5601 View 020 4524 5601
Photo of Bjorn Ventris, Psychotherapist in N16, England
Bjorn Ventris
Psychotherapist, COSRT General
Verified
1 Endorsed
Hello, my name is Bjorn Ventris and I am a relationship and sex therapist based in London. My pronouns are he/him. I work with couples and individuals from all backgrounds and orientations to help them improve their relationships and sex lives. Some issues I help clients with include: mismatched or low desire, improving communication, dealing with conflict, long term commitment, infidelity and rebuilding trust, improving intimacy, working to end relationships on good terms, consensual non-monogamy, step families, erectile dysfunction, rapid or retarded ejaculation, pain during sex, vaginismus & anorgasmia.
Hello, my name is Bjorn Ventris and I am a relationship and sex therapist based in London. My pronouns are he/him. I work with couples and individuals from all backgrounds and orientations to help them improve their relationships and sex lives. Some issues I help clients with include: mismatched or low desire, improving communication, dealing with conflict, long term commitment, infidelity and rebuilding trust, improving intimacy, working to end relationships on good terms, consensual non-monogamy, step families, erectile dysfunction, rapid or retarded ejaculation, pain during sex, vaginismus & anorgasmia.
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Photo of Gerry McCarron, Psychotherapist in N16, England
Gerry McCarron
Psychotherapist, MSc, MBABCP
Verified
London N16  (Online Only)
The people I work with suffer from anxiety and depressive disorders. They often experience their negative thoughts as very adhesive and they engage in styles of repetitive negative thinking like worry and rumination that they find hard to control. Often they have reduced their activities or avoided situations to prevent triggering their difficult experiences. They want to gain a better understanding of the nature of their problems and why they persist and receive clear guidance on how to target these factors with focused, evidence-based therapy.
The people I work with suffer from anxiety and depressive disorders. They often experience their negative thoughts as very adhesive and they engage in styles of repetitive negative thinking like worry and rumination that they find hard to control. Often they have reduced their activities or avoided situations to prevent triggering their difficult experiences. They want to gain a better understanding of the nature of their problems and why they persist and receive clear guidance on how to target these factors with focused, evidence-based therapy.
020 3962 1560 View 020 3962 1560
Photo of Sophie Rae, Psychologist in N16, England
Sophie Rae
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified
London N16  (Online Only)
I offer a safe and confidential space to understand and work collaboratively to address a range of issues such as mood, self-esteem, unhelpful ways of coping and relationships. I tailor my approach to each individual, using the most appropriate, evidence-based models of psychological therapy.
I offer a safe and confidential space to understand and work collaboratively to address a range of issues such as mood, self-esteem, unhelpful ways of coping and relationships. I tailor my approach to each individual, using the most appropriate, evidence-based models of psychological therapy.
020 4538 5865 View 020 4538 5865
Photo of Kate Miriam Loewenthal, Psychologist in N16, England
Kate Miriam Loewenthal
Psychologist, PhD, CPsychol
Verified
My clients are usually troubled by the things that have happened to them/are happening to them. They may have problems sleeping, and can't take their mind away from what happened. They may have bodily tensions, and may feel bitter, angry and/or depressed and/or aimless. They would like to feel content and happy with their life, their family and/or friends, and perhaps spend time on creative things, or helping people, or doing religious activities, or sports, or studying or developing new skills and interests. They would like to discover or rediscover purpose and meaning in life.
My clients are usually troubled by the things that have happened to them/are happening to them. They may have problems sleeping, and can't take their mind away from what happened. They may have bodily tensions, and may feel bitter, angry and/or depressed and/or aimless. They would like to feel content and happy with their life, their family and/or friends, and perhaps spend time on creative things, or helping people, or doing religious activities, or sports, or studying or developing new skills and interests. They would like to discover or rediscover purpose and meaning in life.
020 3984 8656 View 020 3984 8656
Photo of Nadia Somers, Psychologist in N16, England
Nadia Somers
Psychologist, HCPC - Clin. Psych.
Verified
1 Endorsed
London N16  (Online Only)
I am a Clinical Psychologist working with adults in private practice (www.atimeandspace.com) and children and families in NHS practice. I support people to navigate a broad range of problems such as low mood, anxiety, burnout and stress, bereavement, loss, life transitions, fertility issues, parenting challenges, the effects of traumatic experiences, living with health conditions and new diagnoses, difficulty making decisions or feeling without a sense of purpose in life. I support people to feel they are living in a way that fits with their values and to depart from ways of being that no longer suit them.
I am a Clinical Psychologist working with adults in private practice (www.atimeandspace.com) and children and families in NHS practice. I support people to navigate a broad range of problems such as low mood, anxiety, burnout and stress, bereavement, loss, life transitions, fertility issues, parenting challenges, the effects of traumatic experiences, living with health conditions and new diagnoses, difficulty making decisions or feeling without a sense of purpose in life. I support people to feel they are living in a way that fits with their values and to depart from ways of being that no longer suit them.
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Photo of Phillippa Chinery, Counsellor in N16, England
Phillippa Chinery
Counsellor, MBACP
Verified
London N16  (Online Only)
Do you struggle with self-acceptance? Do you hide parts of yourself that you’re scared may be rejected by loved ones? Is it hard to share your vulnerability with those closest to you? We can all feel like this at times and it can be challenging to sort through these feelings alone. Deciding to seek help is a courageous choice to take and is an important first step in improving your relationship with yourself and others.
Do you struggle with self-acceptance? Do you hide parts of yourself that you’re scared may be rejected by loved ones? Is it hard to share your vulnerability with those closest to you? We can all feel like this at times and it can be challenging to sort through these feelings alone. Deciding to seek help is a courageous choice to take and is an important first step in improving your relationship with yourself and others.
020 8106 8244 View 020 8106 8244
Photo of Rosemary Gomes, Psychologist in N16, England
Rosemary Gomes
Psychologist, PhD, HCPC - Clin. Psych.
Verified
I am a compassionate and insightful mental health professional possessing a broad range of clinical experience with people with mental health conditions. I have gained this from over 10 years of working therapeutically. I am passionate about using evidence-based psychological techniques that are grounded in a tailored understanding of a person’s distress. I do this by constructing and continually refining a formulation to make sense of someone’s difficulties, drawing on both theoretical models and information that presents during therapy. I am proactive and enthusiastic about achieving successful therapy outcomes.
I am a compassionate and insightful mental health professional possessing a broad range of clinical experience with people with mental health conditions. I have gained this from over 10 years of working therapeutically. I am passionate about using evidence-based psychological techniques that are grounded in a tailored understanding of a person’s distress. I do this by constructing and continually refining a formulation to make sense of someone’s difficulties, drawing on both theoretical models and information that presents during therapy. I am proactive and enthusiastic about achieving successful therapy outcomes.
020 3962 1928 View 020 3962 1928
Photo of Songul Guler, Psychotherapist in N16, England
Songul Guler
Psychotherapist, MSc, MUKCP
Verified
Hello, and welcome to my side. My main focus areas are anxiety, depression and PTSD in one-to-one therapy. As a family and couple therapist, I also offer systemic therapy in which I provide a reflexive, curious, non-judgmental, and confidential space for you to explore your patterns of relationship that has been an issue over time and the area of concern you like to make a difference in your relationship. I have helped thousands of people who wanted to address their struggles with mental, psychological, emotional state and relationship issues in the last 20 years with positive outcomes.
Hello, and welcome to my side. My main focus areas are anxiety, depression and PTSD in one-to-one therapy. As a family and couple therapist, I also offer systemic therapy in which I provide a reflexive, curious, non-judgmental, and confidential space for you to explore your patterns of relationship that has been an issue over time and the area of concern you like to make a difference in your relationship. I have helped thousands of people who wanted to address their struggles with mental, psychological, emotional state and relationship issues in the last 20 years with positive outcomes.
020 3974 2089 View 020 3974 2089
Photo of Zaneta Masionis, Counsellor in N16, England
Zaneta Masionis
Counsellor, MBACP
Verified
My main aim as a therapist is to provide a safe and non-judgemental environment in which you as a client feel safe to explore and build trust. I offer a welcoming, confidential space for you to talk and explore any problems or challenges in your life that may be causing you to experience psychological and emotional pain in a safe setting at a pace that works for you. It doesn’t matter how problematic your life is or what form, or size the problems or challenges in your life take, if they are causing you to be unhappy then I can help you.
My main aim as a therapist is to provide a safe and non-judgemental environment in which you as a client feel safe to explore and build trust. I offer a welcoming, confidential space for you to talk and explore any problems or challenges in your life that may be causing you to experience psychological and emotional pain in a safe setting at a pace that works for you. It doesn’t matter how problematic your life is or what form, or size the problems or challenges in your life take, if they are causing you to be unhappy then I can help you.
020 3984 9708 View 020 3984 9708
Photo of Gareth Prosser, Psychotherapist in N16, England
Gareth Prosser
Psychotherapist, MSc, MUKCP
Verified
London N16  (Online Only)
I am a Psychoanalytic Psychotherapist holding an accreditation with Pink Therapy as a Gender, Sexuality and Relationship Diversity (GSRD) therapist. I hold a diploma at the Contemporary Institute of Clinical Sexology (CICS) in Compulsive Sexual Behaviours, accredited by the College of Sexual and Relationship Therapists (COSRT). My core training in psychoanalytic psychotherapy was at the The Bowlby Centre in London, with a specialism in Attachment. My clinical approach incorporates different techniques and approaches relevant for the individual needs, mirroring the complexity of human experience and ever expanding self knowledge .
I am a Psychoanalytic Psychotherapist holding an accreditation with Pink Therapy as a Gender, Sexuality and Relationship Diversity (GSRD) therapist. I hold a diploma at the Contemporary Institute of Clinical Sexology (CICS) in Compulsive Sexual Behaviours, accredited by the College of Sexual and Relationship Therapists (COSRT). My core training in psychoanalytic psychotherapy was at the The Bowlby Centre in London, with a specialism in Attachment. My clinical approach incorporates different techniques and approaches relevant for the individual needs, mirroring the complexity of human experience and ever expanding self knowledge .
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Photo of Rosalind Simpson, Psychotherapist in N16, England
Rosalind Simpson
Psychotherapist, COSRT Accred
Verified
2 Endorsed
I work with individuals and couples. Although I specialise in relationship issues including sex and sexuality, I have a vast experience in most other issues including anxiety and depression, stress, trauma and PTSD, phobias and panic, low self esteem and social anxiety, loneliness and loss. I am a sex positive therapist and open to whatever your identification or orientation including kink, polyamory and consensual BDSM. I can help you achieve your goals and reach your full potential. Please contact me for a free 15 minute Zoom or telephone conversation to see if you think you would like working with me or one of my associates.
I work with individuals and couples. Although I specialise in relationship issues including sex and sexuality, I have a vast experience in most other issues including anxiety and depression, stress, trauma and PTSD, phobias and panic, low self esteem and social anxiety, loneliness and loss. I am a sex positive therapist and open to whatever your identification or orientation including kink, polyamory and consensual BDSM. I can help you achieve your goals and reach your full potential. Please contact me for a free 15 minute Zoom or telephone conversation to see if you think you would like working with me or one of my associates.
020 3856 8640 View 020 3856 8640
Photo of Lucia Garcia, Counsellor in N16, England
Lucia Garcia
Counsellor, MBACP
Verified
1 Endorsed
London N16  (Online Only)
I focus on helping clients become empowered through self-awareness. Sometimes we need assistance to discover hidden parts of ourselves. We may want guidance to work out the underlying causes of the issues we are struggling with and to understand the meaning we give to our life events. I will assist you in exploring the motives behind behaviours, unhelpful thought patterns, and overwhelming feelings. Who would you be without the thoughts that upset you? Who would you be if you could feel free from the emotions and situations that weigh you down?
I focus on helping clients become empowered through self-awareness. Sometimes we need assistance to discover hidden parts of ourselves. We may want guidance to work out the underlying causes of the issues we are struggling with and to understand the meaning we give to our life events. I will assist you in exploring the motives behind behaviours, unhelpful thought patterns, and overwhelming feelings. Who would you be without the thoughts that upset you? Who would you be if you could feel free from the emotions and situations that weigh you down?
020 3984 9811 View 020 3984 9811

See more therapy options for N16

Nearby Searches for N16

How does your Counsellor compare?

Number of Counsellors in N16

100+

Average cost per session

£75

Counsellors in N16 who prioritize treating:

98% Anxiety
92% Depression
91% Relationship Issues
88% Self Esteem
83% Stress
73% Bereavement
67% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

75% Aviva
75% AXA PPP
50% Vitality

How Counsellors in N16 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

62% Female
35% Male
3% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in N16?

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.