Photo of Jacqueline Abigail Bascombe, Counsellor, MBACP
Jacqueline Abigail Bascombe
Counsellor, MBACP
Verified Verified
Online Only
Not accepting new clients
Welcome to my profile, I have over 20 years experience in therapy and clinical supervision. I am experienced in project management, building Counselling projects in communities where there is disavantage and limited access to therapeutic services. I offer 1-2-1 person centred therapy, taking the first step is the way forward to make changes in your life. Therapy gives you the space to get a better understanding of who you are without judgement, you don't have to shoulder the load on your own. I also support trainee and experienced therapists with clinical supervision. Where I provide a safe space to further develop your practice.
Welcome to my profile, I have over 20 years experience in therapy and clinical supervision. I am experienced in project management, building Counselling projects in communities where there is disavantage and limited access to therapeutic services. I offer 1-2-1 person centred therapy, taking the first step is the way forward to make changes in your life. Therapy gives you the space to get a better understanding of who you are without judgement, you don't have to shoulder the load on your own. I also support trainee and experienced therapists with clinical supervision. Where I provide a safe space to further develop your practice.
020 8106 6918 View 020 8106 6918
Photo of Dr Georgina Lehmann, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Georgina Lehmann
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
London SE8
Hi, I’m Georgina, a Clinical Psychologist, registered with the Health and Care Professions Council (HCPC). The therapies I use are evidence based. This means research has shown them to be effective treatments for a range of emotional and psychological difficulties. I use techniques, from the different types of therapy I am trained in, to provide treatment which is tailored to my clients' individual circumstances and which leads to the lasting changes that my clients want to make.
Hi, I’m Georgina, a Clinical Psychologist, registered with the Health and Care Professions Council (HCPC). The therapies I use are evidence based. This means research has shown them to be effective treatments for a range of emotional and psychological difficulties. I use techniques, from the different types of therapy I am trained in, to provide treatment which is tailored to my clients' individual circumstances and which leads to the lasting changes that my clients want to make.
07544 861297 View 07544 861297
Photo of Neeru Rishi, Counsellor, MBACP
Neeru Rishi
Counsellor, MBACP
Verified Verified
1 Endorsed
London SE8
I am an experienced integrative psychotherapist. I support people through all of life’s challenges,as well as those who wish to maintain a healthy mind or learn to live better, more fulfilling lives. I can help if you are struggling with loss, anxiety or low mood, or experiencing difficulties in your relationships or in the way you attach to others. We will work together to help alleviate any difficult thoughts or experiences you may going through. If you want to delve a little deeper, I’ll be along side you, gently challenging and helping you check-in along the way. We will go at your pace.
I am an experienced integrative psychotherapist. I support people through all of life’s challenges,as well as those who wish to maintain a healthy mind or learn to live better, more fulfilling lives. I can help if you are struggling with loss, anxiety or low mood, or experiencing difficulties in your relationships or in the way you attach to others. We will work together to help alleviate any difficult thoughts or experiences you may going through. If you want to delve a little deeper, I’ll be along side you, gently challenging and helping you check-in along the way. We will go at your pace.
020 3835 6117 View 020 3835 6117
Photo of Tony Patterson, Counsellor, MBACP
Tony Patterson
Counsellor, MBACP
Verified Verified
2 Endorsed
London SE8
I have experience working with clients in areas such as stress, anxiety, low self esteem, relationship issues (self or others), sexual identity, sexuality, masculine embodiment, depression. I feel coming to therapy can be daunting as clients often do not know what to expect. I like to talk this through with clients and make sure that they feel safe and secure, and we can build a therapeutic relationship together. I provide a safe, confidential, and non-judgemental space in which the you can explore your thoughts and feelings, allowing you to understand more about yourself and your relationships with others at your own pace.
I have experience working with clients in areas such as stress, anxiety, low self esteem, relationship issues (self or others), sexual identity, sexuality, masculine embodiment, depression. I feel coming to therapy can be daunting as clients often do not know what to expect. I like to talk this through with clients and make sure that they feel safe and secure, and we can build a therapeutic relationship together. I provide a safe, confidential, and non-judgemental space in which the you can explore your thoughts and feelings, allowing you to understand more about yourself and your relationships with others at your own pace.
020 4538 4310 View 020 4538 4310
Photo of Anna Krawiec, Counsellor, MBACP Accred
Anna Krawiec
Counsellor, MBACP Accred
Verified Verified
2 Endorsed
London SE8
I am a dedicated Integrative Counsellor and Trainee Counselling Psychologist with experience in the NHS, IAPT, secondary care, charity, and educational settings. I tailor my approach to each client’s unique needs, integrating person-centered, psychodynamic, and cognitive-behavioral therapy (CBT) techniques to provide effective support.
I am a dedicated Integrative Counsellor and Trainee Counselling Psychologist with experience in the NHS, IAPT, secondary care, charity, and educational settings. I tailor my approach to each client’s unique needs, integrating person-centered, psychodynamic, and cognitive-behavioral therapy (CBT) techniques to provide effective support.
020 4572 3941 View 020 4572 3941
Photo of Benny Mok, Psychotherapist, MA, HCPC-Art Therap.
Benny Mok
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Online Only
Let’s keep it short and focused! Time and money are limited, and while some therapists might spend many sessions exploring your family history, I take a more goal-oriented approach. Together, we’ll tackle your challenges step by step, working toward empowering you to manage your current struggles. Once you feel ready and capable, we can delve into deeper issues if that’s what you want. These sessions are entirely led by you—your goals, your pace. I’m not here to dictate or judge but to support and guide you in a way that works best for you.
Let’s keep it short and focused! Time and money are limited, and while some therapists might spend many sessions exploring your family history, I take a more goal-oriented approach. Together, we’ll tackle your challenges step by step, working toward empowering you to manage your current struggles. Once you feel ready and capable, we can delve into deeper issues if that’s what you want. These sessions are entirely led by you—your goals, your pace. I’m not here to dictate or judge but to support and guide you in a way that works best for you.
020 3866 8824 View 020 3866 8824
Photo of Ammar Terence Al-Ghabban, Counsellor, MBACP
Ammar Terence Al-Ghabban
Counsellor, MBACP
Verified Verified
London SE8
There comes a point in our lives when things feel like they're getting on top of us. Strategies we relied on no longer work. Or, we feel that something is holding us back from leading a vibrant and fulfilling life. I offer a safe, confidential and non-judgmental space to make sense of your life and connect with yourself in a way that will help you to heal. Different things work for different people. Some of us are used to talking about our feelings; some of us are not. Others need images, music, objects and creative ways to help us capture an experience and connect with deeper feelings. I tailor my approach to the person I am with.
There comes a point in our lives when things feel like they're getting on top of us. Strategies we relied on no longer work. Or, we feel that something is holding us back from leading a vibrant and fulfilling life. I offer a safe, confidential and non-judgmental space to make sense of your life and connect with yourself in a way that will help you to heal. Different things work for different people. Some of us are used to talking about our feelings; some of us are not. Others need images, music, objects and creative ways to help us capture an experience and connect with deeper feelings. I tailor my approach to the person I am with.
020 3816 3666 View 020 3816 3666
Photo of Emily Louise Perry - More Than Therapy, Counsellor, MBACP
More Than Therapy
Counsellor, MBACP
Verified Verified
1 Endorsed
London SE8
I know how hard it is to find the right therapist and I hope I can help you. You may be seeking therapy to deal with your relationships, anxiety, depression, living abroad, burn-out, crisis of meaning and life purpose, or your life in general, to name but a few. Naturally, our work will be tailored to your needs and desires. We can work on thought patterns or behaviours that don’t serve you anymore. Or we might want to explore earlier experiences or relationships that are keeping you stuck. I am a British therapist working online and in-person in Amsterdam, Netherlands.
I know how hard it is to find the right therapist and I hope I can help you. You may be seeking therapy to deal with your relationships, anxiety, depression, living abroad, burn-out, crisis of meaning and life purpose, or your life in general, to name but a few. Naturally, our work will be tailored to your needs and desires. We can work on thought patterns or behaviours that don’t serve you anymore. Or we might want to explore earlier experiences or relationships that are keeping you stuck. I am a British therapist working online and in-person in Amsterdam, Netherlands.
020 3817 9627 View 020 3817 9627
Photo of Rachel Tam Nguyen, Counsellor, MNCPS Acc.
Rachel Tam Nguyen
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Online Only
Thank you for being here and taking the first steps to seek help. You deserve to feel at home within yourself and to feel like you belong in the spaces you occupy. You don't have to continue to suffer and struggle. It's okay to listen to the pull to dedicate a time and safe space to focus on your needs now... Safety in our bodies and trust in our selves and others can be fostered and restored.
Thank you for being here and taking the first steps to seek help. You deserve to feel at home within yourself and to feel like you belong in the spaces you occupy. You don't have to continue to suffer and struggle. It's okay to listen to the pull to dedicate a time and safe space to focus on your needs now... Safety in our bodies and trust in our selves and others can be fostered and restored.
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Photo of Phillip Mapoma, Counsellor, MBACP
Phillip Mapoma
Counsellor, MBACP
Verified Verified
Online Only
I know that life has become really challenging and difficult to cope with. The stress and pressure we face has affected our health, work, relationships and mental well-being. Despite all our best efforts to manage, nothing seems to work. It’s during these times that having someone qualified and experienced to talk with and support us becomes a much-needed relief – especially as some of the difficulties we are going through are deep rooted and stem from painful childhood experiences like changing schools 6 different times, abuse, a bike accident and not having many friends. This is something I can personally identify with.
I know that life has become really challenging and difficult to cope with. The stress and pressure we face has affected our health, work, relationships and mental well-being. Despite all our best efforts to manage, nothing seems to work. It’s during these times that having someone qualified and experienced to talk with and support us becomes a much-needed relief – especially as some of the difficulties we are going through are deep rooted and stem from painful childhood experiences like changing schools 6 different times, abuse, a bike accident and not having many friends. This is something I can personally identify with.
020 3835 2866 View 020 3835 2866
Photo of Laura Turner, Counsellor, MBACP
Laura Turner
Counsellor, MBACP
Verified Verified
Online Only
I’m Laura, an integrative counsellor working online with adults across the UK, and beyond. I’m a registered member of the British Association for Counselling and Psychotherapy (BACP). My counselling sessions are based around making you feel heard and accepted. I want you to experience a safe space within which to explore your thoughts, feelings and fears.
I’m Laura, an integrative counsellor working online with adults across the UK, and beyond. I’m a registered member of the British Association for Counselling and Psychotherapy (BACP). My counselling sessions are based around making you feel heard and accepted. I want you to experience a safe space within which to explore your thoughts, feelings and fears.
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Photo of Azeezat Adeola Aboderin, Counsellor, MBACP
Azeezat Adeola Aboderin
Counsellor, MBACP
Verified Verified
Online Only
Are you feeling overwhelmed by trauma, depression, or anxiety? Do you often put others’ needs ahead of your own, leading to feelings of resentment and disconnection? In our sessions, you'll find a supportive space to explore these challenges. Together, we’ll focus on reconnecting with your autonomy and nurturing self-compassion. By uncovering your core values and learning to advocate for yourself, you’ll gain the power to make choices that reflect who you truly are. This journey will help you navigate past struggles and embrace kindness towards yourself, allowing you to move forward with renewed confidence and hope.
Are you feeling overwhelmed by trauma, depression, or anxiety? Do you often put others’ needs ahead of your own, leading to feelings of resentment and disconnection? In our sessions, you'll find a supportive space to explore these challenges. Together, we’ll focus on reconnecting with your autonomy and nurturing self-compassion. By uncovering your core values and learning to advocate for yourself, you’ll gain the power to make choices that reflect who you truly are. This journey will help you navigate past struggles and embrace kindness towards yourself, allowing you to move forward with renewed confidence and hope.
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Photo of Dr Natalie Lim, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Natalie Lim
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Online Only
As a HCPC-registered Clinical Psychologist, I provide compassionate and individualised psychological therapy for a range of difficulties, specialising in trauma and related difficulties, such as PTSD, attachment/relational difficulties, anxiety and low mood. My practice is largely informed by Cognitive Behavioural Therapy (CBT), and I also incorporate other modalities including Compassion-Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT). In addition, I specialize in trauma-focused interventions, including EMDR, trauma-focused CBT, and Narrative Exposure Therapy (NET).
As a HCPC-registered Clinical Psychologist, I provide compassionate and individualised psychological therapy for a range of difficulties, specialising in trauma and related difficulties, such as PTSD, attachment/relational difficulties, anxiety and low mood. My practice is largely informed by Cognitive Behavioural Therapy (CBT), and I also incorporate other modalities including Compassion-Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT). In addition, I specialize in trauma-focused interventions, including EMDR, trauma-focused CBT, and Narrative Exposure Therapy (NET).
020 4572 5180 View 020 4572 5180
Photo of Sarah Rees - https://umattercounselling.org, Counsellor, MA, MBACP
https://umattercounselling.org
Counsellor, MA, MBACP
Verified Verified
London SE8
My ideal client is someone navigating the long-term effects of trauma, particularly complex PTSD (CPTSD), childhood abuse, domestic violence, neglect, or coercion, such as victims of modern-day slavery or human trafficking. You may feel stuck, overwhelmed, anxious, or disconnected from yourself and others. Your story matters – and together, we can begin to make sense of what you've been through, exploring ways to move forward at a pace that feels right for you. If you're ready to take the first step, I invite you to reach out – I'd be honoured to walk alongside you on your journey.
My ideal client is someone navigating the long-term effects of trauma, particularly complex PTSD (CPTSD), childhood abuse, domestic violence, neglect, or coercion, such as victims of modern-day slavery or human trafficking. You may feel stuck, overwhelmed, anxious, or disconnected from yourself and others. Your story matters – and together, we can begin to make sense of what you've been through, exploring ways to move forward at a pace that feels right for you. If you're ready to take the first step, I invite you to reach out – I'd be honoured to walk alongside you on your journey.
020 3984 7584 View 020 3984 7584
Photo of Sile Stuttard, Psychotherapist, MA, MBACP
Sile Stuttard
Psychotherapist, MA, MBACP
Verified Verified
1 Endorsed
London SE8
Sometimes our problems feel too huge or too painful, sometimes they feel too small to believe they will be taken seriously. Sometimes they just feel too weird, or embarrassing. I welcome you wherever you find yourself, without judgment or expectation. As we work together to unpick the issues you feel are in question, my hope for you is that you will make new discoveries about your sense of yourself. We will explore your present experience, bring your patterns of relating into your awareness, tracing how your past impacts your present, so that you can find your own unique way through the maze and noise, rebuilding your self-love.
Sometimes our problems feel too huge or too painful, sometimes they feel too small to believe they will be taken seriously. Sometimes they just feel too weird, or embarrassing. I welcome you wherever you find yourself, without judgment or expectation. As we work together to unpick the issues you feel are in question, my hope for you is that you will make new discoveries about your sense of yourself. We will explore your present experience, bring your patterns of relating into your awareness, tracing how your past impacts your present, so that you can find your own unique way through the maze and noise, rebuilding your self-love.
020 3870 4839 View 020 3870 4839
Photo of Paul Brennan, Counsellor, MBACP
Paul Brennan
Counsellor, MBACP
Verified Verified
London SE8
Feeling anxious or overwhelmed? I support people experiencing grief, loss or simply struggling with change. This can be bereavement, loss of a job, end of a relationship or just feeling lost in life itself. I also work with men's issues as well as supporting clients with LGBT concerns. I offer a safe, confidential and non-judgemental space to unpack and explore your feelings and better understand what is going on for you. You may be feeling lost, anxious, uncertain or scared. That's understandable. That's okay. Considering counselling is a brave step. Let's work together to try and find a way forward for you.
Feeling anxious or overwhelmed? I support people experiencing grief, loss or simply struggling with change. This can be bereavement, loss of a job, end of a relationship or just feeling lost in life itself. I also work with men's issues as well as supporting clients with LGBT concerns. I offer a safe, confidential and non-judgemental space to unpack and explore your feelings and better understand what is going on for you. You may be feeling lost, anxious, uncertain or scared. That's understandable. That's okay. Considering counselling is a brave step. Let's work together to try and find a way forward for you.
07710 299651 View 07710 299651
Photo of Julia Gliebova - Be Well Therapy, Psychotherapist, MSc, MBACP
Be Well Therapy
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
London SE8
Hello, I'm Julia. I am your guide on your journey towards healing and better mental health and wellbeing. And if you are reading this, you are in the right place! As a psychotherapist and counsellor, I hold a world-class Master's degree in Therapeutic Counselling from the University of Greenwich, London, and a certificate in coaching from the University of Cambridge.
Hello, I'm Julia. I am your guide on your journey towards healing and better mental health and wellbeing. And if you are reading this, you are in the right place! As a psychotherapist and counsellor, I hold a world-class Master's degree in Therapeutic Counselling from the University of Greenwich, London, and a certificate in coaching from the University of Cambridge.
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Photo of Suzy Smith, Counsellor, MBACP
Suzy Smith
Counsellor, MBACP
Verified Verified
Online Only
I work with clients from all backgrounds, offering a safe space to explore your needs and life's challenges. I can offer both long and short term therapy and work with my clients in a flexible way so that I can support you best. I am able to and have experience of working with a range of issues such as anxiety, depression, trauma, Neuro-diversity, Family problems, grief, Personality Disorders, addiction and much more.
I work with clients from all backgrounds, offering a safe space to explore your needs and life's challenges. I can offer both long and short term therapy and work with my clients in a flexible way so that I can support you best. I am able to and have experience of working with a range of issues such as anxiety, depression, trauma, Neuro-diversity, Family problems, grief, Personality Disorders, addiction and much more.
01634 980978 View 01634 980978
Photo of James Price, Psychotherapist, MA, MUKCP
James Price
Psychotherapist, MA, MUKCP
Verified Verified
Serves Area
I work with a number of different approaches, but mainly I draw on existential ways of exploring experiences in order to help make sense of them, whilst also looking at how events impact us physically. It can also be useful to explore family histories, as issues that may concern you today may have some basis in previous generations. In all cases our work together will look at the past, but also the present, as well as the future you would like to be living. Fees are: £70 online only, £75 (Greenwich face to face), £85 (central London face to face).
I work with a number of different approaches, but mainly I draw on existential ways of exploring experiences in order to help make sense of them, whilst also looking at how events impact us physically. It can also be useful to explore family histories, as issues that may concern you today may have some basis in previous generations. In all cases our work together will look at the past, but also the present, as well as the future you would like to be living. Fees are: £70 online only, £75 (Greenwich face to face), £85 (central London face to face).
020 4524 3157 View 020 4524 3157
Photo of Dr Adela Apetroaia, Psychologist, PhD, AFBPSsS
Dr Adela Apetroaia
Psychologist, PhD, AFBPSsS
Verified Verified
Serves Area
Relationships are at the heart of a fulfilling life, whether in dating, with a partner, or within oneself. Yet, too often, disconnection, unspoken desires, unhelpful patterns of behaviour and emotional barriers stand in the way of deep and meaningful connections. I help people move past these blocks, guiding them toward greater vitality, authenticity, and joy in their relationships by providing radical approval for the entirety of their desires and by supporting them to take inspired action towards the kind of person and the kind of partner they wish to be.
Relationships are at the heart of a fulfilling life, whether in dating, with a partner, or within oneself. Yet, too often, disconnection, unspoken desires, unhelpful patterns of behaviour and emotional barriers stand in the way of deep and meaningful connections. I help people move past these blocks, guiding them toward greater vitality, authenticity, and joy in their relationships by providing radical approval for the entirety of their desires and by supporting them to take inspired action towards the kind of person and the kind of partner they wish to be.
020 7123 9341 View 020 7123 9341
1

See more therapy options for SE8

How does your Counsellor compare?

Number of Counsellors in SE8

30+

Average cost per session

£70

Counsellors in SE8 who prioritize treating:

95% Depression
92% Anxiety
85% Self Esteem
79% Relationship Issues
77% Stress
69% Bereavement
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

78% Vitality
56% Aviva
56% AXA PPP

How Counsellors in SE8 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counselling

How can I find a therapist in SE8?

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.