Counselling in West End, Edinburgh

Photo of Suzanne Price, Counsellor in West End, Edinburgh, Scotland
Suzanne Price
Counsellor, MNCPS Acc.
Verified
West End, Edinburgh EH12
Life can be very challenging at times leading to anxious feelings, low self esteem and depression. Whether this is down to some recent happening with family, work, friends other relationships or life transitions. Or something else that is worrying you. I offer a judgement-free space with emotional support away from everyday life and this might be just what you need right now. Allowing yourself some time and opportunity to process the situation while considering your thoughts and feelings. If change is what you need, counselling is a great start.
Life can be very challenging at times leading to anxious feelings, low self esteem and depression. Whether this is down to some recent happening with family, work, friends other relationships or life transitions. Or something else that is worrying you. I offer a judgement-free space with emotional support away from everyday life and this might be just what you need right now. Allowing yourself some time and opportunity to process the situation while considering your thoughts and feelings. If change is what you need, counselling is a great start.
0131 381 1293 View 0131 381 1293
Photo of Maggi Scott, Counsellor in West End, Edinburgh, Scotland
Maggi Scott
Counsellor, MBACP
Verified
West End, Edinburgh EH12
From my own life experience & personal development trainings and counselling career, I have a deep compassion and understanding that underpins my work as a therapist supporting people experiencing emotional suffering and difficult circumstances.I have supported clients with many different issues and situations and can offer a wide range of helpful things such as teaching breathwork and visualisations for practising outside sessions. i have extensive experience working with clients experiencing struggles with bereavement, chronic illness, depression, anxiety and trauma.
From my own life experience & personal development trainings and counselling career, I have a deep compassion and understanding that underpins my work as a therapist supporting people experiencing emotional suffering and difficult circumstances.I have supported clients with many different issues and situations and can offer a wide range of helpful things such as teaching breathwork and visualisations for practising outside sessions. i have extensive experience working with clients experiencing struggles with bereavement, chronic illness, depression, anxiety and trauma.
0131 381 0006 View 0131 381 0006
Photo of Sally Campbell, Counsellor in West End, Edinburgh, Scotland
Sally Campbell
Counsellor, MSc, MUKCP
Verified
West End, Edinburgh EH3
I am an experienced Gestalt Psychotherapeutic Counsellor with a background in Psychology. I bring an engaging and collaborative approach to my work. I have an inclusive practice, valuing clients from all walks of life. I offer face to face sessions, outdoors (walk and talk) and online via ZOOM.
I am an experienced Gestalt Psychotherapeutic Counsellor with a background in Psychology. I bring an engaging and collaborative approach to my work. I have an inclusive practice, valuing clients from all walks of life. I offer face to face sessions, outdoors (walk and talk) and online via ZOOM.
0131 381 6385 View 0131 381 6385
Photo of Sibyl Adam, Counsellor in West End, Edinburgh, Scotland
Sibyl Adam
Counsellor, MBACP
Verified
West End, Edinburgh EH3
When working with me, you can expect a warm, empathetic environment to explore any issues you’re facing. I believe each person is the expert about themselves and my role as a therapist is to be a companion on your journey of self-understanding. My hope is that you can leave our sessions feeling listened to and understood.
When working with me, you can expect a warm, empathetic environment to explore any issues you’re facing. I believe each person is the expert about themselves and my role as a therapist is to be a companion on your journey of self-understanding. My hope is that you can leave our sessions feeling listened to and understood.
0131 381 2746 View 0131 381 2746
Photo of Pam Black, Counsellor in West End, Edinburgh, Scotland
Pam Black
Counsellor, MBACP
Verified
West End, Edinburgh EH12
Waitlist for new clients
People come to counselling for many reasons. Sometimes this decision is motivated by a need for change or perhaps having to deal with unexpected change. For others it may be a desire to talk, to understand and be understood. I believe there can be real value in talking with someone who is trained and experienced to listen in a way that allows you to feel heard and understood. I provide a safe and non-judgemental space where we can explore the issues that you want to address.
People come to counselling for many reasons. Sometimes this decision is motivated by a need for change or perhaps having to deal with unexpected change. For others it may be a desire to talk, to understand and be understood. I believe there can be real value in talking with someone who is trained and experienced to listen in a way that allows you to feel heard and understood. I provide a safe and non-judgemental space where we can explore the issues that you want to address.
0131 381 1479 View 0131 381 1479
Photo of Paddy Hare, Counsellor in West End, Edinburgh, Scotland
Paddy Hare
Counsellor, DCounsPsych, MBACP
Verified
West End, Edinburgh EH12
Do you want to talk about the big stuff? Does it feel like it’s too big sometimes, and that it’ll make the people around you treat you differently? Does sharing those parts of yourself feel like they’re a ‘burden’ to others? Do you feel like you’ve been punished just for being yourself? I’m not scared of the big stuff. It deserves time, attention, and respect, just like you. I want to be gentle with whatever process you are going through. I don’t know if you’re like me yet, but I’ve had enough of the world’s unkindness.
Do you want to talk about the big stuff? Does it feel like it’s too big sometimes, and that it’ll make the people around you treat you differently? Does sharing those parts of yourself feel like they’re a ‘burden’ to others? Do you feel like you’ve been punished just for being yourself? I’m not scared of the big stuff. It deserves time, attention, and respect, just like you. I want to be gentle with whatever process you are going through. I don’t know if you’re like me yet, but I’ve had enough of the world’s unkindness.
0131 381 2762 View 0131 381 2762
Photo of Vista Wellbeing - CBT Online, phone & Edinburgh, Counsellor in West End, Edinburgh, Scotland
Vista Wellbeing - CBT Online, phone & Edinburgh
Counsellor, MBACP
Verified
West End, Edinburgh EH3
Hi, I'm Siobhan, a CBT Therapist. I work clients in person in Edinburgh's West End, online or by phone. In our sessions you can expect me to be warm, empathetic, encouraging, non-judgemental and supportive. Clients have described me as friendly, with a calm and easy style. It's a privilege to provide a confidential safe space for people to open up and be heard. Change is always possible. I want to help you discover the tools inside yourself to see things from a new perspective and live a more empowered life. I will be with you every step of the journey to help you reach your goals of growth and change.
Hi, I'm Siobhan, a CBT Therapist. I work clients in person in Edinburgh's West End, online or by phone. In our sessions you can expect me to be warm, empathetic, encouraging, non-judgemental and supportive. Clients have described me as friendly, with a calm and easy style. It's a privilege to provide a confidential safe space for people to open up and be heard. Change is always possible. I want to help you discover the tools inside yourself to see things from a new perspective and live a more empowered life. I will be with you every step of the journey to help you reach your goals of growth and change.
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Photo of Ali Hogan, Counsellor in West End, Edinburgh, Scotland
Ali Hogan
Counsellor, MBACP
Verified
West End, Edinburgh EH12
When we are trying to make sense of our situation or understand ourselves, we may feel we need someone to hear us. It could be something in particular that is causing you difficulties such as anxiety, depression, low self-esteem, low self confidence, bereavement or relationship issues (family, personal or work). Or it can be a feeling of uncertainty, something about how you are feeling isn't quite right. We are all part of an interconnected world influenced by and influencing our relationships and situations. For this reason I give attention to what is happening now, your personal history, life situation and narrative.
When we are trying to make sense of our situation or understand ourselves, we may feel we need someone to hear us. It could be something in particular that is causing you difficulties such as anxiety, depression, low self-esteem, low self confidence, bereavement or relationship issues (family, personal or work). Or it can be a feeling of uncertainty, something about how you are feeling isn't quite right. We are all part of an interconnected world influenced by and influencing our relationships and situations. For this reason I give attention to what is happening now, your personal history, life situation and narrative.
0131 381 3457 View 0131 381 3457
Photo of Dr Robert Dow, Counsellor in West End, Edinburgh, Scotland
Dr Robert Dow
Counsellor, PhD, MBACP
Verified
West End, Edinburgh EH3
Therapy can be genuinely transformative. My aim is to create a safe, accepting, non-judgemental and confidential space for you. Here, we can begin to work co-operatively to explore and create meaning from what we talk about together. Through our dialogue, we can begin to recognise new, emerging possibilities and the potential for genuine change.
Therapy can be genuinely transformative. My aim is to create a safe, accepting, non-judgemental and confidential space for you. Here, we can begin to work co-operatively to explore and create meaning from what we talk about together. Through our dialogue, we can begin to recognise new, emerging possibilities and the potential for genuine change.
0131 381 5405 View 0131 381 5405
Photo of Ela Lourenco, Counsellor in West End, Edinburgh, Scotland
Ela Lourenco
Counsellor, MA, MBACP
Verified
1 Endorsed
West End, Edinburgh EH3
Are you struggling with moments of anxiety or going through a hard time you cannot seem to shake off? Are you feeling overwhelmed, anxious or numb? Life can be challenging at times, as though nothing will feel right again. Sometimes, it can feel as though life 'should feel good' and you cannot understand why you feel so low. It can feel isolating and lonely to not be able to express to your family and friends how you feel - perhaps this has made you feel 'invisible'. Or others' needs have come first for so long that you no longer are in touch with what you need for yourself and find it hard to truly feel connected with others.
Are you struggling with moments of anxiety or going through a hard time you cannot seem to shake off? Are you feeling overwhelmed, anxious or numb? Life can be challenging at times, as though nothing will feel right again. Sometimes, it can feel as though life 'should feel good' and you cannot understand why you feel so low. It can feel isolating and lonely to not be able to express to your family and friends how you feel - perhaps this has made you feel 'invisible'. Or others' needs have come first for so long that you no longer are in touch with what you need for yourself and find it hard to truly feel connected with others.
0131 381 4853 View 0131 381 4853
Photo of Jane Edwards, Psychotherapist in West End, Edinburgh, Scotland
Jane Edwards
Psychotherapist, MSc, MBACP Accred
Verified
West End, Edinburgh EH12
Are you struggling with anxiety or depression? Unhappy, experiencing relationship problems, feeling alone or held back by trauma or bereavement? Are you seeking counselling for a child or young person? Therapy can be short term, 4-6 sessions and we can work together in a highly focused way, including exploring strategies if you wish to. For some, longer term therapy is preferred. In this we can explore issues in greater depth and you can be supported to make lasting changes in your life. For children, therapy happens in the midst of play and craft activities.
Are you struggling with anxiety or depression? Unhappy, experiencing relationship problems, feeling alone or held back by trauma or bereavement? Are you seeking counselling for a child or young person? Therapy can be short term, 4-6 sessions and we can work together in a highly focused way, including exploring strategies if you wish to. For some, longer term therapy is preferred. In this we can explore issues in greater depth and you can be supported to make lasting changes in your life. For children, therapy happens in the midst of play and craft activities.
0131 381 4264 View 0131 381 4264
Photo of Marika Maria Lisowska Gestalt Therapy, Counsellor in West End, Edinburgh, Scotland
Marika Maria Lisowska Gestalt Therapy
Counsellor, MUKCP
Verified
West End, Edinburgh EH12
I get that it’s not easy to ask for support and admit to vulnerability. I view therapy as as a journey of discovery, healing and growth. Through 'experiential learning' and 'dialogue' we will work with your ‘embodied awareness’ of ‘how’ you are in relationships, ‘how’ you make choices and ‘how’ you co-create your world. We will look at where you feel 'stuck' and what seems 'difficult'; we will 'stay with' the feelings and complexity that may unfold. I believe change happens organically when we have enough 'support', fully acknowledge the situation we are in, and commit to work.If that resonates with you, please contact me.
I get that it’s not easy to ask for support and admit to vulnerability. I view therapy as as a journey of discovery, healing and growth. Through 'experiential learning' and 'dialogue' we will work with your ‘embodied awareness’ of ‘how’ you are in relationships, ‘how’ you make choices and ‘how’ you co-create your world. We will look at where you feel 'stuck' and what seems 'difficult'; we will 'stay with' the feelings and complexity that may unfold. I believe change happens organically when we have enough 'support', fully acknowledge the situation we are in, and commit to work.If that resonates with you, please contact me.
0131 381 8048 View 0131 381 8048
Photo of Annie Hay, Counsellor in West End, Edinburgh, Scotland
Annie Hay
Counsellor, MA, MBACP
Verified
West End, Edinburgh EH3
I believe mental health is just as important as physical health, the two are intricately bound together. In a non-judgemental, warm and supportive environment, I will help you to understand where the problems you are experiencing have arisen. We will work out why they have become so problematic and hard to deal with. I will help you to find strategies to cope better and tools to help you unpick patterns and to move on in your life, feel stronger and more content. As with any problem, the sooner it is acknowledged, the sooner you can begin your recovery. This is true of emotional and physical issues, as well as practical.
I believe mental health is just as important as physical health, the two are intricately bound together. In a non-judgemental, warm and supportive environment, I will help you to understand where the problems you are experiencing have arisen. We will work out why they have become so problematic and hard to deal with. I will help you to find strategies to cope better and tools to help you unpick patterns and to move on in your life, feel stronger and more content. As with any problem, the sooner it is acknowledged, the sooner you can begin your recovery. This is true of emotional and physical issues, as well as practical.
0131 357 6452 View 0131 357 6452
Photo of Mengyao Yuan, Psychotherapist in West End, Edinburgh, Scotland
Mengyao Yuan
Psychotherapist, MA, MBACP
Verified
1 Endorsed
West End, Edinburgh EH2
I work with people who find it difficult to know who they are, what they want from life, and to motivate themselves to take actions. I also work with people who find it hard to establish and maintain meaningful relationships with others, who struggle to give and receive love. I am also experienced in working with trauma and loss. My practice is informed by psychodynamic, person-centred and existential theories. I aim to provide warmth, respect and acceptance while helping you to gain a better understanding of your personal history, your experiences, and to find meanings in your existence.
I work with people who find it difficult to know who they are, what they want from life, and to motivate themselves to take actions. I also work with people who find it hard to establish and maintain meaningful relationships with others, who struggle to give and receive love. I am also experienced in working with trauma and loss. My practice is informed by psychodynamic, person-centred and existential theories. I aim to provide warmth, respect and acceptance while helping you to gain a better understanding of your personal history, your experiences, and to find meanings in your existence.
0131 510 3423 View 0131 510 3423
Photo of Tom Lawrence, Psychotherapist in West End, Edinburgh, Scotland
Tom Lawrence
Psychotherapist, MHGI
Verified
1 Endorsed
West End, Edinburgh EH3
If you are suffering from anxiety - depression/low mood - stress - anger problems - panic attacks - phobias - low self-esteem - self-harming - eating disorders - post-traumatic stress disorder (PTSD, including military) - addiction (all kinds) - obsessions (OCD) - sleep problems - relationship problems, I can help. Difficulties can often be resolved within only a few sessions – sometimes just one – and in this way can provide good value for money.
If you are suffering from anxiety - depression/low mood - stress - anger problems - panic attacks - phobias - low self-esteem - self-harming - eating disorders - post-traumatic stress disorder (PTSD, including military) - addiction (all kinds) - obsessions (OCD) - sleep problems - relationship problems, I can help. Difficulties can often be resolved within only a few sessions – sometimes just one – and in this way can provide good value for money.
07887 682291 View 07887 682291
Photo of Ruth Micallef, Counsellor in West End, Edinburgh, Scotland
Ruth Micallef
Counsellor, MBACP
Verified
1 Endorsed
West End, Edinburgh EH3
Waitlist for new clients
Do you often feel a sense of guilt or shame around food? Do thoughts of food become intrusive or overwhelming? Are you often binging or eating until you feel uncomfortable or sick? Perhaps you are fixated on 'healthy' or 'clean' eating? Maybe you 'purge' by excessively exercising, restricting, making yourself sick, using laxatives, or have a history of yo-yo dieting? Perhaps you avoid whole food groups and are often called a 'fussy' or 'picky' eater? Or a combination of any of the above? It sounds like you are struggling with an Eating Disorder!
Do you often feel a sense of guilt or shame around food? Do thoughts of food become intrusive or overwhelming? Are you often binging or eating until you feel uncomfortable or sick? Perhaps you are fixated on 'healthy' or 'clean' eating? Maybe you 'purge' by excessively exercising, restricting, making yourself sick, using laxatives, or have a history of yo-yo dieting? Perhaps you avoid whole food groups and are often called a 'fussy' or 'picky' eater? Or a combination of any of the above? It sounds like you are struggling with an Eating Disorder!
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Photo of Holly Allen, Counsellor in West End, Edinburgh, Scotland
Holly Allen
Counsellor, MBACP
Verified
West End, Edinburgh EH3
Coming to counselling is daunting - I want to eleviate as much of those initial fears as I can - I will never push my clients to speak about anything they are not ready to. My sessions go at my clients pace - I am not the expert in their lives - they are, my clients autonomy is something that I will encourage my clients to explore. Quite often we have the answers and know ourselves what we need to do to change or improve our lives but we need the help to uncover it.  In a world of filters, social media and the insatiable need to always be and want more it is no wonder the children and young people in our lives are suffering.
Coming to counselling is daunting - I want to eleviate as much of those initial fears as I can - I will never push my clients to speak about anything they are not ready to. My sessions go at my clients pace - I am not the expert in their lives - they are, my clients autonomy is something that I will encourage my clients to explore. Quite often we have the answers and know ourselves what we need to do to change or improve our lives but we need the help to uncover it.  In a world of filters, social media and the insatiable need to always be and want more it is no wonder the children and young people in our lives are suffering.
0131 381 4558 View 0131 381 4558
Photo of BeeSan Psychotherapy and Counselling Services, Psychotherapist in West End, Edinburgh, Scotland
BeeSan Psychotherapy and Counselling Services
Psychotherapist, MBACP
Verified
West End, Edinburgh EH12
Starting therapy may seem daunting at first as we try to make sense of our world, thoughts, feelings and emotions. We might be repeating patterns of behaviour in our present lives due to past experiences and patterns. I want to help you shift mental blocks, untangle complex emotions, resolve issues and reveal new perspectives. Whether it’s self-development, addressing emotional and psychological issues, or processing traumatic events, I will work with you to help you become more integrated in yourself. I offer both online and in-person appointments in the centre of Edinburgh where we will work together to help you achieve your goal.
Starting therapy may seem daunting at first as we try to make sense of our world, thoughts, feelings and emotions. We might be repeating patterns of behaviour in our present lives due to past experiences and patterns. I want to help you shift mental blocks, untangle complex emotions, resolve issues and reveal new perspectives. Whether it’s self-development, addressing emotional and psychological issues, or processing traumatic events, I will work with you to help you become more integrated in yourself. I offer both online and in-person appointments in the centre of Edinburgh where we will work together to help you achieve your goal.
0131 381 8083 View 0131 381 8083
Photo of Dr John Addey Malherbe, Psychotherapist in West End, Edinburgh, Scotland
Dr John Addey Malherbe
Psychotherapist, PsychD, MBACP
Verified
West End, Edinburgh EH1
Waitlist for new clients
My Psychotherapy practice experience relates to an insight into the human psyche in how unconscious processes impact and affect client's lived experience. Working through core internal and external relationships, transformative insight guides the therapeutic process to establish a greater sense of Self toward personal growth. My clients respond to a deeper way of working with the unconscious dimensions of their psyche, using dreams, difference and creativity to awaken consciousness and facilitate desired psychological outcomes toward change.
My Psychotherapy practice experience relates to an insight into the human psyche in how unconscious processes impact and affect client's lived experience. Working through core internal and external relationships, transformative insight guides the therapeutic process to establish a greater sense of Self toward personal growth. My clients respond to a deeper way of working with the unconscious dimensions of their psyche, using dreams, difference and creativity to awaken consciousness and facilitate desired psychological outcomes toward change.
0131 381 2500 View 0131 381 2500
Photo of Katie Murray, Psychotherapist in West End, Edinburgh, Scotland
Katie Murray
Psychotherapist, MSc, MBACP
Verified
West End, Edinburgh EH12
Making the decision to start therapy is a courageous one. And if you are thinking about therapy you already recognise the need for someone to talk to about the difficulties you are experiencing. It can be challenging, but therapy can help you make sense of your life, be transformative and help you better understand your relationship with yourself and others.
Making the decision to start therapy is a courageous one. And if you are thinking about therapy you already recognise the need for someone to talk to about the difficulties you are experiencing. It can be challenging, but therapy can help you make sense of your life, be transformative and help you better understand your relationship with yourself and others.
0131 510 4217 View 0131 510 4217

See more therapy options for West End, Edinburgh

How does your Counsellor compare?

Number of Counsellors in West End, Edinburgh

20+

Average cost per session

£60

Counsellors in West End, Edinburgh who prioritize treating:

89% Depression
89% Self Esteem
86% Anxiety
82% Relationship Issues
75% Stress
71% Life Transitions
68% Bereavement

Average years in practice

6 Years

Top 3 insurances accepted

100% Aviva
100% AXA PPP
100% Bupa

How Counsellors in West End, Edinburgh see their clients

93% In Person and Online
7% Online Only

Gender breakdown

84% Female
16% Male

FAQs - About Therapy and Counselling

How can I find a therapist in West End, Edinburgh?

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.