Counselling in Liverpool

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Photo of Ayhan Alman, Psychotherapist in Liverpool, England
Ayhan Alman
Psychotherapist, MSc, MUKCP
Verified Verified
Liverpool L2
Feeling overwhelmed or unsure how to move forward? You are not alone. Whether you are dealing with too much pressure, struggling to connect, or facing life's challenges, taking the first step to reach out is significant. I welcome everyone in my practice, especially those who see the world in different ways. As someone who is autistic and understands the ups and downs of neurodivergent conditions, including receiving a diagnosis, I deeply resonate with what you might be experiencing. If you want to understand yourself and others better, my role is to support you therapeutically throughout this process.
Feeling overwhelmed or unsure how to move forward? You are not alone. Whether you are dealing with too much pressure, struggling to connect, or facing life's challenges, taking the first step to reach out is significant. I welcome everyone in my practice, especially those who see the world in different ways. As someone who is autistic and understands the ups and downs of neurodivergent conditions, including receiving a diagnosis, I deeply resonate with what you might be experiencing. If you want to understand yourself and others better, my role is to support you therapeutically throughout this process.
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Photo of Eva Nogales - EN - sex and relationship therapy, Counsellor in Liverpool, England
Eva Nogales - EN - sex and relationship therapy
Counsellor, MSc, COSRT General
Verified Verified
Liverpool L3
Hi! I'm Eva, I am a psychologist specializing in Sex and Relationship therapy. Over the years, I've been helping people resolve conflicts related to their sexuality and their relationships. Whether you are single or in a relationship, we can work together. In our sessions, you'll find a safe space to express and explore your inner self. I'd love to accompany you in the process of growing, learning-unlearning, and healing.
Hi! I'm Eva, I am a psychologist specializing in Sex and Relationship therapy. Over the years, I've been helping people resolve conflicts related to their sexuality and their relationships. Whether you are single or in a relationship, we can work together. In our sessions, you'll find a safe space to express and explore your inner self. I'd love to accompany you in the process of growing, learning-unlearning, and healing.
01767 669826 View 01767 669826
Photo of Katie Evans, Counsellor in Liverpool, England
Katie Evans
Counsellor, MBACP Accred
Verified Verified
Liverpool L31  (Online Only)
I am an accredited GSRD therapist specialising in gender and sexuality alongside abusive relationship dynamics and addiction. I am sex positive, and kink, sex worker and poly aware. Since 2015 I have been helping people build up self worth, understand themselves better, and build the types of relationships that they wanted. Being trauma informed means that together we can explore how your past experiences affect your present, and work towards the changes that you want along with embracing your authentic self.
I am an accredited GSRD therapist specialising in gender and sexuality alongside abusive relationship dynamics and addiction. I am sex positive, and kink, sex worker and poly aware. Since 2015 I have been helping people build up self worth, understand themselves better, and build the types of relationships that they wanted. Being trauma informed means that together we can explore how your past experiences affect your present, and work towards the changes that you want along with embracing your authentic self.
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Photo of Jacqueline Anne Stokes, Counsellor in Liverpool, England
Jacqueline Anne Stokes
Counsellor, MNCPS Acc.
Verified Verified
Liverpool L31
As an integrative practitioner. I work from a person centred base, although additional training allows for me to draw on different tools and models depending on your needs. This allows for clients to reflect on what is happening to them and by making their own choices, consider alternative ways of doing things. I use psychological theory and research in therapeutic work to help clients with a variety of problems. These problems can include difficult life issues and mental health conditions. I have worked with clients across all ages, from 7yrs upward and beyond retirement, offering a service which is welcoming to all backgrounds.
As an integrative practitioner. I work from a person centred base, although additional training allows for me to draw on different tools and models depending on your needs. This allows for clients to reflect on what is happening to them and by making their own choices, consider alternative ways of doing things. I use psychological theory and research in therapeutic work to help clients with a variety of problems. These problems can include difficult life issues and mental health conditions. I have worked with clients across all ages, from 7yrs upward and beyond retirement, offering a service which is welcoming to all backgrounds.
0151 318 0747 View 0151 318 0747
Photo of Beautiful Minds Talking Therapy Services, Psychotherapist in Liverpool, England
Beautiful Minds Talking Therapy Services
Psychotherapist, MBACP
Verified Verified
Liverpool L1
Beautiful Minds Talking Therapy Service has been providing counselling for many years. I understand that taking the first step can be scary and overwhelming. But if you can find the courage to take that first step, it can be life changing. Let me help you explore, understand, and unpick the things that are causing your difficulties in your life. I will help you to take back control of your life and take action to find solutions and resolutions that will empower you. I will help you gain a better understanding of your difficulties and develop your knowledge and awareness of your internal constructs. let me help you.
Beautiful Minds Talking Therapy Service has been providing counselling for many years. I understand that taking the first step can be scary and overwhelming. But if you can find the courage to take that first step, it can be life changing. Let me help you explore, understand, and unpick the things that are causing your difficulties in your life. I will help you to take back control of your life and take action to find solutions and resolutions that will empower you. I will help you gain a better understanding of your difficulties and develop your knowledge and awareness of your internal constructs. let me help you.
07403 250051 View 07403 250051
Photo of Klara Sharples, Counsellor in Liverpool, England
Klara Sharples
Counsellor, BACP
Verified Verified
Liverpool L18
We will work together In collaboration to address your struggles and to allow you process any issues you may be experiencing. You will gain clarity and understanding of yourself. I offer both long and short term therapy, dependence on your preferences and needs.
We will work together In collaboration to address your struggles and to allow you process any issues you may be experiencing. You will gain clarity and understanding of yourself. I offer both long and short term therapy, dependence on your preferences and needs.
01923 961899 View 01923 961899
Photo of Helen Newman, Counsellor in Liverpool, England
Helen Newman
Counsellor, MNCPS Acc.
Verified Verified
Liverpool L17
We all experience difficulties and challenges at some point in our lives which can leave us feeling anxious, stressed and worried. We all have past experiences that can still affect us in the here and now. Trying to make sense of these issues and experiences and trying to find our place in the world can often feel overwhelming and frightening, especially if we believe that we are the only ones feeling this way. Effective counselling can give you the time and space you need to help you to explore and begin to make sense of the issues affecting your life and allow you to focus on the changes you may want to make.
We all experience difficulties and challenges at some point in our lives which can leave us feeling anxious, stressed and worried. We all have past experiences that can still affect us in the here and now. Trying to make sense of these issues and experiences and trying to find our place in the world can often feel overwhelming and frightening, especially if we believe that we are the only ones feeling this way. Effective counselling can give you the time and space you need to help you to explore and begin to make sense of the issues affecting your life and allow you to focus on the changes you may want to make.
01923 961195 View 01923 961195
Photo of Dr Miguel Montenegro, Psychologist in Liverpool, England
Dr Miguel Montenegro
Psychologist, HCPC - Clin. Psych.
Verified Verified
Liverpool L1
Waitlist for new clients
I am a Chartered and Registered Clinical Psychologist, Neuropsychologist and Psychotherapist based in Liverpool City Centre and online for video calls. Going to clients is possible but only when appointments are funded by NHS, local authorities, and accident claims cases. I work with people who need specific assessments and therapy for anxiety, depression, bipolar, PTSD, ADHD, Autism, psychosis, low self-esteem, work-related stress, brain injuries, dementia, learning disabilities, personality disorders, relationship issues and many more. Appointments in English and Portuguese languages.
I am a Chartered and Registered Clinical Psychologist, Neuropsychologist and Psychotherapist based in Liverpool City Centre and online for video calls. Going to clients is possible but only when appointments are funded by NHS, local authorities, and accident claims cases. I work with people who need specific assessments and therapy for anxiety, depression, bipolar, PTSD, ADHD, Autism, psychosis, low self-esteem, work-related stress, brain injuries, dementia, learning disabilities, personality disorders, relationship issues and many more. Appointments in English and Portuguese languages.
0151 318 0559 View 0151 318 0559
Photo of Dr Samuel Hughes, Psychologist in Liverpool, England
Dr Samuel Hughes
Psychologist, HCPC - Clin. Psych.
Verified Verified
Liverpool L23
Only Friday day time slots remaining. Are you struggling with anxiety, depression, or other mental health challenges? Are you experiencing relationship challenges? You don't have to face these challenges alone. As a clinical psychologist, I am here to help you navigate through these difficult times and support you in living the life you want to live. I offer a warm, empathetic, and non-judgmental approach to therapy. My goal is to create a safe and confidential space where you can feel comfortable sharing your thoughts.
Only Friday day time slots remaining. Are you struggling with anxiety, depression, or other mental health challenges? Are you experiencing relationship challenges? You don't have to face these challenges alone. As a clinical psychologist, I am here to help you navigate through these difficult times and support you in living the life you want to live. I offer a warm, empathetic, and non-judgmental approach to therapy. My goal is to create a safe and confidential space where you can feel comfortable sharing your thoughts.
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Photo of Joanne Ramsdale, Counsellor in Liverpool, England
Joanne Ramsdale
Counsellor, DCounsPsych, MBACP
Verified Verified
Liverpool L22
Unheard, misunderstood, confused, unsure, lost, desperate, feeling stuck, wanting to feel 'normal'. Any of these reasons and more can lead us to seek Counselling. I have been a therapist for 12 years, and practice in a Person-Centred way. What this means is, I truly believe when someone comes to see me they want to be listened to, not told it will be OK, or try this and do that. You have probably tried those things and still feel the same. What's needed is someone with the skill to help you navigate your feelings on a deeper level, to give you greater understanding of how you have come to feel the way you do.
Unheard, misunderstood, confused, unsure, lost, desperate, feeling stuck, wanting to feel 'normal'. Any of these reasons and more can lead us to seek Counselling. I have been a therapist for 12 years, and practice in a Person-Centred way. What this means is, I truly believe when someone comes to see me they want to be listened to, not told it will be OK, or try this and do that. You have probably tried those things and still feel the same. What's needed is someone with the skill to help you navigate your feelings on a deeper level, to give you greater understanding of how you have come to feel the way you do.
0151 453 6267 View 0151 453 6267
Photo of In the Now Psychology, Psychologist in Liverpool, England
In the Now Psychology
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Liverpool L33  (Online Only)
Not accepting new clients
Are you struggling with issues related to low mood, worry, eating, relationships, or major life changes? I’m a Chartered Clinical Psychologist trained and registered with the HCPC and BPS, and I'm here to help. I can help you understand unhelpful coping patterns, manage difficult thoughts and learn different ways to cope with change. I implement evidence-based therapy methods tailored to you. My main therapy approaches are CBT (Cognitive Behavioural Therapy), Mindfulness and Compassion Focused Therapy. I offer online and telephone therapy from the comfort of your own home or anywhere that's convenient for you.
Are you struggling with issues related to low mood, worry, eating, relationships, or major life changes? I’m a Chartered Clinical Psychologist trained and registered with the HCPC and BPS, and I'm here to help. I can help you understand unhelpful coping patterns, manage difficult thoughts and learn different ways to cope with change. I implement evidence-based therapy methods tailored to you. My main therapy approaches are CBT (Cognitive Behavioural Therapy), Mindfulness and Compassion Focused Therapy. I offer online and telephone therapy from the comfort of your own home or anywhere that's convenient for you.
020 8138 8467 View 020 8138 8467
Photo of Emmie Brunskill, Counsellor in Liverpool, England
Emmie Brunskill
Counsellor, MBACP
Verified Verified
Liverpool L12
Are you feeling "stuck" and not sure why? You may feel anxious, angry, upset and you don't like how it makes you feel. You may have a child and you are worried about their well-being or are you in a relationship that needs a little help? Whatever it is, you can share it with me and I will help you understand why. If you are ready to take that next step to peace of mind then get in touch.
Are you feeling "stuck" and not sure why? You may feel anxious, angry, upset and you don't like how it makes you feel. You may have a child and you are worried about their well-being or are you in a relationship that needs a little help? Whatever it is, you can share it with me and I will help you understand why. If you are ready to take that next step to peace of mind then get in touch.
01767 660959 View 01767 660959
Photo of Luke Stevenson, Psychotherapist in Liverpool, England
Luke Stevenson
Psychotherapist, MA, MBACP
Verified Verified
Liverpool L2
I am a somatic-focused, psychotherapist who has been working in the mental health sector since 2016. I hold a strong belief in working with bodily held emotions and memories, making use of authentic movement exploration and the use of creative tasks; such as drawing, object relational projection to support the therapeutic process of the client. I am experienced in a wide range of client needs, which spans from Low level anxiety to high intensity PTSD. My main focus is to support my clients to engage in the present to reach their full potential.
I am a somatic-focused, psychotherapist who has been working in the mental health sector since 2016. I hold a strong belief in working with bodily held emotions and memories, making use of authentic movement exploration and the use of creative tasks; such as drawing, object relational projection to support the therapeutic process of the client. I am experienced in a wide range of client needs, which spans from Low level anxiety to high intensity PTSD. My main focus is to support my clients to engage in the present to reach their full potential.
01767 669817 View 01767 669817
Photo of Gemma Sands, Psychotherapist in Liverpool, England
Gemma Sands
Psychotherapist, BACP
Verified Verified
1 Endorsed
Liverpool L17
Waitlist for new clients
Maybe you're here because you're feeling anxious or depressed, you've been through a breakup or recently lost someone you love, you're not yourself right now and need a little help. Hi, I'm Gemma. As a person-centred therapist, I offer a warm and caring environment and a place to be yourself, helping you navigate life's challenges and find your own path toward healing and growth. Whether you are struggling with anxiety, depression, stress, relationship issues, or simply looking to gain a deeper understanding of yourself, I am here to listen and support you on your journey toward greater self-discovery and emotional well-being
Maybe you're here because you're feeling anxious or depressed, you've been through a breakup or recently lost someone you love, you're not yourself right now and need a little help. Hi, I'm Gemma. As a person-centred therapist, I offer a warm and caring environment and a place to be yourself, helping you navigate life's challenges and find your own path toward healing and growth. Whether you are struggling with anxiety, depression, stress, relationship issues, or simply looking to gain a deeper understanding of yourself, I am here to listen and support you on your journey toward greater self-discovery and emotional well-being
01923 961572 View 01923 961572
Photo of Tracy Dickens, Counsellor in Liverpool, England
Tracy Dickens
Counsellor, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Liverpool L17  (Online Only)
Seeking help for various events or challenges in your life is a courageous step, and it's normal to feel overwhelmed. It's important to find an approach that suits you and helps you gain insight and address your unique challenges. Your agency, autonomy, and safety are crucial in this process.
Seeking help for various events or challenges in your life is a courageous step, and it's normal to feel overwhelmed. It's important to find an approach that suits you and helps you gain insight and address your unique challenges. Your agency, autonomy, and safety are crucial in this process.
01923 961345 View 01923 961345
Photo of Tracey Graham, Counsellor in Liverpool, England
Tracey Graham
Counsellor, MBACP
Verified Verified
Liverpool L31
My name is Tracey Graham and I am a qualified and BACP registered Integrated Therapist. I offer Person Centred Counselling, CBT and Psychodynamics which all bring a wide range of key skills - therefore I am able to tailor therapy to suit your own individual needs. I am caring, friendly with a calming nature and I value the relationship that we will build together as this is the foundation that will encourage a deeper understanding of your needs. From this safe space you can start to deeply explore and learn who you are as you undergo your personal journey of healing and transformation.
My name is Tracey Graham and I am a qualified and BACP registered Integrated Therapist. I offer Person Centred Counselling, CBT and Psychodynamics which all bring a wide range of key skills - therefore I am able to tailor therapy to suit your own individual needs. I am caring, friendly with a calming nature and I value the relationship that we will build together as this is the foundation that will encourage a deeper understanding of your needs. From this safe space you can start to deeply explore and learn who you are as you undergo your personal journey of healing and transformation.
0151 453 3719 View 0151 453 3719
Photo of Stephen McLaughlin, Counsellor in Liverpool, England
Stephen McLaughlin
Counsellor, MBACP
Verified Verified
Liverpool L15
I support clients struggling with anxiety, anger, trauma, overwhelm, and difficulty feeling and expressing emotions. I have experience working with suicidal ideation. You may feel stuck or alone, struggling to make sense of your own thoughts or feelings, to recover from past experiences, or how to feel okay in the here and now. I am interested in the stories that we tell ourselves, and how those stories help or hinder us as we navigate through life. I will work with you to better understand your story so that you can make real changes in your life, in your relationships with others, and in your relationship with yourself.
I support clients struggling with anxiety, anger, trauma, overwhelm, and difficulty feeling and expressing emotions. I have experience working with suicidal ideation. You may feel stuck or alone, struggling to make sense of your own thoughts or feelings, to recover from past experiences, or how to feel okay in the here and now. I am interested in the stories that we tell ourselves, and how those stories help or hinder us as we navigate through life. I will work with you to better understand your story so that you can make real changes in your life, in your relationships with others, and in your relationship with yourself.
01923 961664 View 01923 961664
Photo of Moira O'Hara, Psychotherapist in Liverpool, England
Moira O'Hara
Psychotherapist, MBACP Accred
Verified Verified
1 Endorsed
Liverpool L1
Not accepting new clients
Having practised as a therapist for twenty years I have had the privilege to work with many creative, resilient, courageous and resourceful people. However, very few felt that way when they first came for therapy. Life can be challenging and we all struggle at times to cope with problems and stressful situations. Different people obviously find different things difficult but what everyone shares are the natural responses of feeling distressed, confused, anxious and lost. Counselling can help you to express your feelings, work through anxiety and confusion and develop positive responses to the challenges you are facing.
Having practised as a therapist for twenty years I have had the privilege to work with many creative, resilient, courageous and resourceful people. However, very few felt that way when they first came for therapy. Life can be challenging and we all struggle at times to cope with problems and stressful situations. Different people obviously find different things difficult but what everyone shares are the natural responses of feeling distressed, confused, anxious and lost. Counselling can help you to express your feelings, work through anxiety and confusion and develop positive responses to the challenges you are facing.
0151 317 2608 View 0151 317 2608
Photo of Angela Byrne, Psychologist in Liverpool, England
Angela Byrne
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Liverpool L17
I am a Clinical psychologist with over 25 years experience, working with patients in Clinical Research at the University of Liverpool. Research shows that whilst we all face challenges, the thoughts we are believing causes the anxiety depression etc. Simply put, if we believe our thoughts, we suffer. This enquiry method also called The Work by Byron Katie Inc. allows you to question those painful thoughts in this therapy, to see if they are even trued for you This therapy is available on a global scale with outstanding reviews. My aim is to make is accessible in the Merseyside.
I am a Clinical psychologist with over 25 years experience, working with patients in Clinical Research at the University of Liverpool. Research shows that whilst we all face challenges, the thoughts we are believing causes the anxiety depression etc. Simply put, if we believe our thoughts, we suffer. This enquiry method also called The Work by Byron Katie Inc. allows you to question those painful thoughts in this therapy, to see if they are even trued for you This therapy is available on a global scale with outstanding reviews. My aim is to make is accessible in the Merseyside.
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Photo of George Maxwell, Psychotherapist in Liverpool, England
George Maxwell
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
Liverpool L1
I offer evidence-based CBT, EMDR and Positive Psychology to support clients across the full range of the wellbeing spectrum. As an accredited CBT Therapist, I will help you to overcome your anxiety and depression problems using active, effective treatments that will change your life. I specialise in OCD (and its many subtypes), PTSD and Social Anxiety. As a Positive Psychologist, I can teach you how to flourish, feel happier and live a life full of meaning and value. I work with clients internationally via Zoom and offer in-person therapy at my office in Rodney Street in Liverpool.
I offer evidence-based CBT, EMDR and Positive Psychology to support clients across the full range of the wellbeing spectrum. As an accredited CBT Therapist, I will help you to overcome your anxiety and depression problems using active, effective treatments that will change your life. I specialise in OCD (and its many subtypes), PTSD and Social Anxiety. As a Positive Psychologist, I can teach you how to flourish, feel happier and live a life full of meaning and value. I work with clients internationally via Zoom and offer in-person therapy at my office in Rodney Street in Liverpool.
0151 318 0866 View 0151 318 0866

See more therapy options for Liverpool

How does your Counsellor compare?

Number of Counsellors in Liverpool

200+

Average cost per session

£55

Counsellors in Liverpool who prioritize treating:

92% Anxiety
86% Depression
86% Self Esteem
81% Stress
79% Relationship Issues
69% Trauma and PTSD
67% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

60% Aviva
57% AXA PPP
47% Vitality

How Counsellors in Liverpool see their clients

72% In Person and Online
28% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Liverpool?

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.