Counselling in RM15

Photo of Emma Lambert, Counsellor, MBACP
Emma Lambert
Counsellor, MBACP
Online Only
Hi, my name’s Emma and I am a qualified counsellor and HE lecturer. I work with clients from teens to adults, covering a wide range of issues. These include anxiety, depression and more complex mental health needs. I have a special interest and training in trauma and complex-ptsd, Autism and childhood sexual abuse.
Hi, my name’s Emma and I am a qualified counsellor and HE lecturer. I work with clients from teens to adults, covering a wide range of issues. These include anxiety, depression and more complex mental health needs. I have a special interest and training in trauma and complex-ptsd, Autism and childhood sexual abuse.
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Photo of Bano Hassan, Psychologist, PsychD, HCPC - Clin. Psych.
Bano Hassan
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I completed my Dclinpsy training from University College London (UCL) and have worked in the nhs for 15 years. I work online and provide a safe and containing space for clients to develop a compassionate view of self and promote emotional healing and well-being. My diverse background has enriched my clinical practice by adapting evidence based interventions to take into consideration cultural, religious and individual differences .
I completed my Dclinpsy training from University College London (UCL) and have worked in the nhs for 15 years. I work online and provide a safe and containing space for clients to develop a compassionate view of self and promote emotional healing and well-being. My diverse background has enriched my clinical practice by adapting evidence based interventions to take into consideration cultural, religious and individual differences .
01708 205693 View 01708 205693
Photo of Jade O'Dwyer - UniquePurpose, Counsellor, MNCPS Acc.
UniquePurpose
Counsellor, MNCPS Acc.
Hello! Are you struggling with anxiety, feeling isolated or wanting to make sense of life struggles? Maybe you want to explore your thoughts, feelings and behaviours and how they may be impacting your every day life. Please know that you are not alone and that I have a passion to help clients navigate through these challenges. I want to provide a space for you to bring these out into the open with myself listening attentively, hearing it from your perspective. Do you want to have the skills and healthy copying strategies in order to face the problems head on. Please get in touch, I am here for you!
Hello! Are you struggling with anxiety, feeling isolated or wanting to make sense of life struggles? Maybe you want to explore your thoughts, feelings and behaviours and how they may be impacting your every day life. Please know that you are not alone and that I have a passion to help clients navigate through these challenges. I want to provide a space for you to bring these out into the open with myself listening attentively, hearing it from your perspective. Do you want to have the skills and healthy copying strategies in order to face the problems head on. Please get in touch, I am here for you!
01708 596558 View 01708 596558
Photo of Violet Omatseye, Psychotherapist, MBACP
Violet Omatseye
Psychotherapist, MBACP
Serves Area
Are you feeling overwhelmed by anxiety, panic attacks, trauma, or stress in your relationships, family, or work life? You're not alone and don’t have to navigate it alone. I offer a warm, compassionate, and confidential space where you can feel truly heard and supported. Having a safe space to talk can bring a real sense of relief, especially when life feels heavy or uncertain. I’ll offer you empathy, kindness, and practical support to help you process what’s troubling you. Whether you're feeling stuck, emotionally exhausted, or simply unsure where to turn next, I can help you gain clarity, confidence, and a greater sense of ease.
Are you feeling overwhelmed by anxiety, panic attacks, trauma, or stress in your relationships, family, or work life? You're not alone and don’t have to navigate it alone. I offer a warm, compassionate, and confidential space where you can feel truly heard and supported. Having a safe space to talk can bring a real sense of relief, especially when life feels heavy or uncertain. I’ll offer you empathy, kindness, and practical support to help you process what’s troubling you. Whether you're feeling stuck, emotionally exhausted, or simply unsure where to turn next, I can help you gain clarity, confidence, and a greater sense of ease.
020 3835 4362 View 020 3835 4362
Photo of Sharlotte Perrin, Counsellor, BACP
Sharlotte Perrin
Counsellor, BACP
1 Endorsed
Serves Area
Taking the first step toward seeking counselling can feel both daunting and courageous. It often means acknowledging that something in your life isn't working the way you'd like, and you're ready to make a change. This decision is a powerful one, marking the beginning of a journey toward healing, growth, and greater self-understanding. Reaching out for support is not a sign of weakness but of strength, as it shows you're ready to take control of your mental and emotional well-being.
Taking the first step toward seeking counselling can feel both daunting and courageous. It often means acknowledging that something in your life isn't working the way you'd like, and you're ready to make a change. This decision is a powerful one, marking the beginning of a journey toward healing, growth, and greater self-understanding. Reaching out for support is not a sign of weakness but of strength, as it shows you're ready to take control of your mental and emotional well-being.
01375 802763 View 01375 802763
Photo of Folashade Babalola Mbacp (Accred)., Counsellor, DCounsPsych, MBACP
Folashade Babalola Mbacp (Accred).
Counsellor, DCounsPsych, MBACP
Serves Area
My clients come to see me with a range of issues. Many are associated with relationship problems, some are struggling through divorce, anxiety, anger, rage, cultural issues, commitment issues and bullying at work. Some clients want to work on their self-esteem and confidence related issues. Some clients wish to work through childhood sexual abuse. While others wish to work through bereavement. Most clients have a planned outcome and that is to feel better at the end of their allocated sessions. I am a Person-Centered focused therapist. I am focused on listening to the needs of my clients and focusing on their thoughts and feelings.
My clients come to see me with a range of issues. Many are associated with relationship problems, some are struggling through divorce, anxiety, anger, rage, cultural issues, commitment issues and bullying at work. Some clients want to work on their self-esteem and confidence related issues. Some clients wish to work through childhood sexual abuse. While others wish to work through bereavement. Most clients have a planned outcome and that is to feel better at the end of their allocated sessions. I am a Person-Centered focused therapist. I am focused on listening to the needs of my clients and focusing on their thoughts and feelings.
01322 250134 View 01322 250134
Photo of Carmela Mastroianni - Carm's Counselling & Therapy, Counsellor, MBACP
Carm's Counselling & Therapy
Counsellor, MBACP
Serves Area
I am an experienced, qualified counsellor and member of the British Association of Counselling and Psychotherapy (BACP). I work in an integrative way, which means that I use theories and concepts from different therapeutic models. I believe that psychological problems are seldom caused by just one source or situation, and that therefore a variety of strategies may be useful for achieving the desired outcome. Experience: I have worked in different settings with children, adolescents and adults. In addition to private practice, I have worked as a counsellor within secondary education, Thurrock Mind, St Francis Hospice and KCA (addiction).
I am an experienced, qualified counsellor and member of the British Association of Counselling and Psychotherapy (BACP). I work in an integrative way, which means that I use theories and concepts from different therapeutic models. I believe that psychological problems are seldom caused by just one source or situation, and that therefore a variety of strategies may be useful for achieving the desired outcome. Experience: I have worked in different settings with children, adolescents and adults. In addition to private practice, I have worked as a counsellor within secondary education, Thurrock Mind, St Francis Hospice and KCA (addiction).
01708 596724 View 01708 596724
Photo of Gifty Ogene - Open Hands Counselling Centre, Psychotherapist, DCounsPsych, MNCPS Acc.
Open Hands Counselling Centre
Psychotherapist, DCounsPsych, MNCPS Acc.
01708 596625 View 01708 596625

More Therapists Nearby

Photo of Kate Megase, Psychotherapist, MBACP Accred
Kate Megase
Psychotherapist, MBACP Accred
Croydon CR0
I am an accredited integrative psychotherapist, specialising in relationship and couples therapy, ADHD, low self-esteem, anxiety/depression, and trauma. I can help fulfil overall therapeutic goals within six sessions. I use a powerful combination of CBT, psychodynamic, and inner child work for long-term results and healing. During our sessions, I will provide regular homework, recommend reading materials, and give worksheets to help you achieve your therapeutic goals, whether you are struggling with communication issues in your relationship or need support to reclaim your identity. I am here to help.
I am an accredited integrative psychotherapist, specialising in relationship and couples therapy, ADHD, low self-esteem, anxiety/depression, and trauma. I can help fulfil overall therapeutic goals within six sessions. I use a powerful combination of CBT, psychodynamic, and inner child work for long-term results and healing. During our sessions, I will provide regular homework, recommend reading materials, and give worksheets to help you achieve your therapeutic goals, whether you are struggling with communication issues in your relationship or need support to reclaim your identity. I am here to help.
01798 305047 View 01798 305047
Photo of Dunja Sullivan- Eating Disorders, Psychotherapist, MA
Dunja Sullivan- Eating Disorders
Psychotherapist, MA
Online Only
Hello, welcome! I am a TA psychotherapist (transactional analysis) and a clinical psychologist, combining TA with body psychotherapy and IFS. I work with a variety of psychological challenges, 1:1 and in a group setting. I specialize in working with individuals struggling with eating disorders (bulimia nervosa, anorexia nervosa, binge-eating disorder). People I work with often come to therapy having tried many behavioral interventions that brought little change (being more disciplined with their diet, exercising more/less, creating plans etc.).
Hello, welcome! I am a TA psychotherapist (transactional analysis) and a clinical psychologist, combining TA with body psychotherapy and IFS. I work with a variety of psychological challenges, 1:1 and in a group setting. I specialize in working with individuals struggling with eating disorders (bulimia nervosa, anorexia nervosa, binge-eating disorder). People I work with often come to therapy having tried many behavioral interventions that brought little change (being more disciplined with their diet, exercising more/less, creating plans etc.).
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Photo of Katherine Anne Miller, Psychotherapist, MSc, MUKCP
Katherine Anne Miller
Psychotherapist, MSc, MUKCP
London SE27
I am an emotional focussed couple and family systemic psychotherapist, body dramatherapist, and clinical supervisor. I have 40 years' experience in mental health settings and 30 years in private practice. I am a warm, empathic therapist and highly value my relationship with my clients. I go on exploratory journeys with clients, with them leading and together we make meaning and sense as we navigate through difficulties and worries and at times having fun along the way. At some point the therapy stops at an agreed moment by the client when they feel they have reached a more comfortable place in their life and in their relationships.
I am an emotional focussed couple and family systemic psychotherapist, body dramatherapist, and clinical supervisor. I have 40 years' experience in mental health settings and 30 years in private practice. I am a warm, empathic therapist and highly value my relationship with my clients. I go on exploratory journeys with clients, with them leading and together we make meaning and sense as we navigate through difficulties and worries and at times having fun along the way. At some point the therapy stops at an agreed moment by the client when they feel they have reached a more comfortable place in their life and in their relationships.
020 3823 6187 View 020 3823 6187
Photo of Estelle Harrison, Counsellor, PNCPS Acc.
Estelle Harrison
Counsellor, PNCPS Acc.
Serves Area
If you're feeling low, overwhelmed by anxiety or depression, facing burnout, or struggling with life’s challenges—therapy can help. Whether you're navigating complex relationships, experiencing grief or loss, adjusting to change, or simply seeking greater self-understanding, I offer a supportive space where you can explore what matters most to you.
If you're feeling low, overwhelmed by anxiety or depression, facing burnout, or struggling with life’s challenges—therapy can help. Whether you're navigating complex relationships, experiencing grief or loss, adjusting to change, or simply seeking greater self-understanding, I offer a supportive space where you can explore what matters most to you.
01942 946106 View 01942 946106
Photo of Jane Bishop, Counsellor, MBACP
Jane Bishop
Counsellor, MBACP
Maldon CM9
Your story matters: Welcome. I imagine you are reading this because you or someone you know is experiencing something difficult right now. Finding a therapist can be daunting, with so much choice, but your decision to look for therapy is the first step. I want to help support anyone who’s struggling with life, no matter who you are, where you're from or what you're going through.
Your story matters: Welcome. I imagine you are reading this because you or someone you know is experiencing something difficult right now. Finding a therapist can be daunting, with so much choice, but your decision to look for therapy is the first step. I want to help support anyone who’s struggling with life, no matter who you are, where you're from or what you're going through.
01621 731629 View 01621 731629
Photo of Yvonne Drummond-Williams, Psychotherapist, MBACP
Yvonne Drummond-Williams
Psychotherapist, MBACP
I have been a practising psychotherapist for 23 years. During this time I have undertaken to become a Creative Therapist. A Clinical Supervisor, CBT Therapist. I am also a Therapist for Barnardos. Clinical Supervisor for several Agency's. I Supervise trained and trainee counsellors. When seeing client's, who are experiencing difficult situations I seek up to date courses that will assist me to develop skills in which can enable you to make your changes. I have worked with children, teenagers, ​and adults. Issues do vary. Depression, Anxiety, Self Harm, Low Self Esteem. Suicidal thoughts. Bereavement. are just a few.
I have been a practising psychotherapist for 23 years. During this time I have undertaken to become a Creative Therapist. A Clinical Supervisor, CBT Therapist. I am also a Therapist for Barnardos. Clinical Supervisor for several Agency's. I Supervise trained and trainee counsellors. When seeing client's, who are experiencing difficult situations I seek up to date courses that will assist me to develop skills in which can enable you to make your changes. I have worked with children, teenagers, ​and adults. Issues do vary. Depression, Anxiety, Self Harm, Low Self Esteem. Suicidal thoughts. Bereavement. are just a few.
01277 284482 View 01277 284482
Photo of Cristina Durigon, Psychotherapist, MA, MUKCP
Cristina Durigon
Psychotherapist, MA, MUKCP
Online Only
My name is Cristina Durigon and I am an Integrative Counsellor, Psychotherapist and Clinical Supervisor working online. If you decide to work with me, my aim will be to provide you with a safe, supportive and confidential space where you will be able to express your concerns and explore your difficulties. My approach is embodied and relational. I will be interested in hearing about your current problems as they happen in your life right now and I will be paying attention to the emotions, thinking processes as well as the embodied expression of your experience as they arise in the clinical room.
My name is Cristina Durigon and I am an Integrative Counsellor, Psychotherapist and Clinical Supervisor working online. If you decide to work with me, my aim will be to provide you with a safe, supportive and confidential space where you will be able to express your concerns and explore your difficulties. My approach is embodied and relational. I will be interested in hearing about your current problems as they happen in your life right now and I will be paying attention to the emotions, thinking processes as well as the embodied expression of your experience as they arise in the clinical room.
020 4572 1995 View 020 4572 1995
Photo of Konstantina Panoutsopoulou, Psychotherapist, MSc, MUKCP
Konstantina Panoutsopoulou
Psychotherapist, MSc, MUKCP
London N22
I am a qualified counsellor and psychotherapist, registered with UKCP. I have experience working with clients from different backgrounds and with a variety of presenting issues in a social care setting, in private practice and for counselling charities. I offer short term and long term- open ended therapy. In my practice as a Gestalt Psychotherapist I am aspiring to engage in the therapeutic relationship with sensitivity, authenticity, an embodied approach and with the intention to be fully present and relational with the people I work with. I offer a safe, warm, compassionate and confidential space to help you explore your feelings, thoughts and relationships with your self and others; make sense of any difficulties you may be experiencing e.g. feeling stuck in ways of being and behaving that no longer work for you, painful events in the present, distressing memories from the past or worries about the future. I will accompany you throughout a journey of awareness, growth and change.
I am a qualified counsellor and psychotherapist, registered with UKCP. I have experience working with clients from different backgrounds and with a variety of presenting issues in a social care setting, in private practice and for counselling charities. I offer short term and long term- open ended therapy. In my practice as a Gestalt Psychotherapist I am aspiring to engage in the therapeutic relationship with sensitivity, authenticity, an embodied approach and with the intention to be fully present and relational with the people I work with. I offer a safe, warm, compassionate and confidential space to help you explore your feelings, thoughts and relationships with your self and others; make sense of any difficulties you may be experiencing e.g. feeling stuck in ways of being and behaving that no longer work for you, painful events in the present, distressing memories from the past or worries about the future. I will accompany you throughout a journey of awareness, growth and change.
07449 829963 View 07449 829963
Photo of Josie Burden, Psychotherapist, MBACP
Josie Burden
Psychotherapist, MBACP
Serves Area
Not accepting new clients
Feeling overwhelmed or stuck? You’re not alone. I am an experienced psychotherapist in supporting my clients overcome various interpersonal challenges. I have experience in supporting childhood trauma, bereavement (including baby loss), family issues & estrangement, OCD, ADHD, anxiety and depression. I have a particular interest in hormonal mental health from PMS/PMDD, Postnatal to menopause. I will work with you to understand, manage, & cope with your challenges in a safe, supportive environment. In our sessions, we will explore identifying triggers & patterns within a validating, trustworthy & safe environment.
Feeling overwhelmed or stuck? You’re not alone. I am an experienced psychotherapist in supporting my clients overcome various interpersonal challenges. I have experience in supporting childhood trauma, bereavement (including baby loss), family issues & estrangement, OCD, ADHD, anxiety and depression. I have a particular interest in hormonal mental health from PMS/PMDD, Postnatal to menopause. I will work with you to understand, manage, & cope with your challenges in a safe, supportive environment. In our sessions, we will explore identifying triggers & patterns within a validating, trustworthy & safe environment.
01572 494674 View 01572 494674
Photo of Mou Cameron, Counsellor, MBACP
Mou Cameron
Counsellor, MBACP
London SE27
A registered BACP integrative psychotherapist. Working integratively means I utilise an extensive number of approaches to support you. I work with a wide range of client struggles. My particular areas of experience are with clients who suffer from Anxiety and Stress, Addictions, ADHD, Bereavement, Body Image, Behaviour Change, Childhood Impact, Cancer, Chronic Health Conditions, Crossroads in life, Depression, Family Conflict, Loneliness, Low Mood, Low Self Esteem, Negative Thought Patterns, Suicidal thoughts, Systems Of Oppression, Relationships and Traumatic Events. I have worked in the NHS, University, and Private Practice
A registered BACP integrative psychotherapist. Working integratively means I utilise an extensive number of approaches to support you. I work with a wide range of client struggles. My particular areas of experience are with clients who suffer from Anxiety and Stress, Addictions, ADHD, Bereavement, Body Image, Behaviour Change, Childhood Impact, Cancer, Chronic Health Conditions, Crossroads in life, Depression, Family Conflict, Loneliness, Low Mood, Low Self Esteem, Negative Thought Patterns, Suicidal thoughts, Systems Of Oppression, Relationships and Traumatic Events. I have worked in the NHS, University, and Private Practice
01689 664480 View 01689 664480
Photo of Nicole Gow, Psychologist, MSc, GMBPsS
Nicole Gow
Psychologist, MSc, GMBPsS
Online Only
Are you frustrated because you're not achieving those goals you’ve setting? Do you want to make big changes in your life but it feels overwhelming and you don’t know where to start? Or maybe you just feel that there’s something else out there for you, if only you could work out what is was. I’ve been through all of these and know how it can make you feel like you’re never going to have the life you want and eroding your self-confidence. Part of the reason I became a coaching psychologist was to find out the science behind thriving and how to achieve sustainable change in our lives – both big and small.
Are you frustrated because you're not achieving those goals you’ve setting? Do you want to make big changes in your life but it feels overwhelming and you don’t know where to start? Or maybe you just feel that there’s something else out there for you, if only you could work out what is was. I’ve been through all of these and know how it can make you feel like you’re never going to have the life you want and eroding your self-confidence. Part of the reason I became a coaching psychologist was to find out the science behind thriving and how to achieve sustainable change in our lives – both big and small.
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Photo of Dr Emma Ostrovskaya, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Emma Ostrovskaya
Psychologist, DCounsPsych, HCPC - Couns. Psych.
I believe that every human being, most of all, is striving for freedom. This could be a freedom from dependency on anything we use to compensate or self-regulate (food, drugs, shopping, etc). Freedom from compulsive thoughts, anxiety and depression. Or, this could be the freedom that we are all aware of but lost or unable to assign a deeper meaning to, to navigate to a more authentic direction in life. In my clinical practice, the methods I use are all aimed at assisting in the awareness, comprehension and embodiment of freedom.
I believe that every human being, most of all, is striving for freedom. This could be a freedom from dependency on anything we use to compensate or self-regulate (food, drugs, shopping, etc). Freedom from compulsive thoughts, anxiety and depression. Or, this could be the freedom that we are all aware of but lost or unable to assign a deeper meaning to, to navigate to a more authentic direction in life. In my clinical practice, the methods I use are all aimed at assisting in the awareness, comprehension and embodiment of freedom.
01748 905135 View 01748 905135

How does your Counsellor compare?

Number of Counsellors in RM15

< 10

Counsellors in RM15 who prioritize treating:

100% Anxiety
88% Relationship Issues
88% Depression
88% Self Esteem
75% Bereavement
75% Trauma and PTSD
63% Addiction

Average years in practice

7 Years

Top 3 insurances accepted

100% Aviva
100% AXA PPP
100% Vitality

How Counsellors in RM15 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in RM15?

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.