Counselling in SW2

Photo of Sam Maiden Smith - Sam Maiden, Psychotherapist, MBACP
Sam Maiden
Psychotherapist, MBACP
London SW2
Hello, I’m Sam, a registered psychotherapist working in South London and online. I believe therapy offers a unique space to pause, reflect and explore your thoughts and feelings in safety and without judgement.
Hello, I’m Sam, a registered psychotherapist working in South London and online. I believe therapy offers a unique space to pause, reflect and explore your thoughts and feelings in safety and without judgement.
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Photo of David Duff, Counsellor, MBACP
David Duff
Counsellor, MBACP
London SW2
I am an integrative therapist, specialising in LGBTQIA+ therapy in South London. I work with clients in ways that work for them. I’ve worked with a wide variety of clients, and use multiple modalities, including Psychodynamic, Gestalt, CBT and Existential Therapy. We might explore your early life, or use more active methods to explore how your feelings are manifesting. I work actively with clients, exploring what’s working for them. At the core of the work is the relationship – and the safe space for you to explore anything you want to bring.
I am an integrative therapist, specialising in LGBTQIA+ therapy in South London. I work with clients in ways that work for them. I’ve worked with a wide variety of clients, and use multiple modalities, including Psychodynamic, Gestalt, CBT and Existential Therapy. We might explore your early life, or use more active methods to explore how your feelings are manifesting. I work actively with clients, exploring what’s working for them. At the core of the work is the relationship – and the safe space for you to explore anything you want to bring.
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Photo of Mónica Ballesta - Mónica Ballesta/ Art Psychotherapist, Psychotherapist, MA, HCPC-Art Therap.
Mónica Ballesta/ Art Psychotherapist
Psychotherapist, MA, HCPC-Art Therap.
1 Endorsed
London SW2
Anyone who is struggling in any way: those who are feeling low, those who are constantly stressed, those who see themselves falling in unhelpful patterns of behavior or unhealthy relationships, those who have a general feeling of dissatisfaction with their lives, anyone who is willing to work towards personal transformation and is willing to embark in a journey of self discovery is welcomed to my inclusive practice. Together we will start a process of transformation that will start with curiosity, will follow your own pace and may unfold in unexpected ways. We will walk towards positive change with care and caution.
Anyone who is struggling in any way: those who are feeling low, those who are constantly stressed, those who see themselves falling in unhelpful patterns of behavior or unhealthy relationships, those who have a general feeling of dissatisfaction with their lives, anyone who is willing to work towards personal transformation and is willing to embark in a journey of self discovery is welcomed to my inclusive practice. Together we will start a process of transformation that will start with curiosity, will follow your own pace and may unfold in unexpected ways. We will walk towards positive change with care and caution.
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Photo of Davinia Eccleston, Counsellor, MBACP
Davinia Eccleston
Counsellor, MBACP
1 Endorsed
London SW2
I am is a qualified integrative counsellor and registered member of the BACP. I have previously work as a NHS clinical team leader and also within GP practice as a counsellor. I provides a comfortable safe space for individuals, whereby my client can be heard, they can voice their concerns or problems which they may feel have hindered them due to a past tense experience or personal difficulties. I have the ability to provide my clients with reassurance making them feel comfortable to disclose their private thought feelings or issues.
I am is a qualified integrative counsellor and registered member of the BACP. I have previously work as a NHS clinical team leader and also within GP practice as a counsellor. I provides a comfortable safe space for individuals, whereby my client can be heard, they can voice their concerns or problems which they may feel have hindered them due to a past tense experience or personal difficulties. I have the ability to provide my clients with reassurance making them feel comfortable to disclose their private thought feelings or issues.
020 3870 4423 View 020 3870 4423
Photo of Gemma Guerrero, Psychotherapist, MBACP
Gemma Guerrero
Psychotherapist, MBACP
London SW2
I am an integrative therapist and supervisor. I offer short and long term creative therapeutic support for children and young adults in a safe explorative space. I can help with range of issues, including anxiety, stress, anger, loss, grief, self-harm and the impact of trauma and conflict. Having worked with children and young people for over twenty years, I am experienced working with neurodivergence and diverse needs. I provide inclusive and accessible interventions that can include art, visual and narrative resources.
I am an integrative therapist and supervisor. I offer short and long term creative therapeutic support for children and young adults in a safe explorative space. I can help with range of issues, including anxiety, stress, anger, loss, grief, self-harm and the impact of trauma and conflict. Having worked with children and young people for over twenty years, I am experienced working with neurodivergence and diverse needs. I provide inclusive and accessible interventions that can include art, visual and narrative resources.
020 4634 5103 View 020 4634 5103
Photo of Marilyn McKenzie - Couple's Counsellor @ Islington & Brixton, Psychotherapist, MBACP
Welcome to my page. If you and your partner arguing or have deafening silence due to unresolved issues, please call! I'm a couple’s psychotherapist who has worked with Relate and now focuses solely on relationships and some sexual difficulties. Whether your partner has had an affair, or you've realised that you no longer have the connection /intimacy, from before, therapy can help. Maybe you're single and have been struggling to meet someone whom you can share your life with. Sometimes it's our families or friends we are struggling with. I am based near Brixton Station and happy to do online sessions, I'm here to help.
Welcome to my page. If you and your partner arguing or have deafening silence due to unresolved issues, please call! I'm a couple’s psychotherapist who has worked with Relate and now focuses solely on relationships and some sexual difficulties. Whether your partner has had an affair, or you've realised that you no longer have the connection /intimacy, from before, therapy can help. Maybe you're single and have been struggling to meet someone whom you can share your life with. Sometimes it's our families or friends we are struggling with. I am based near Brixton Station and happy to do online sessions, I'm here to help.
020 3962 0928 View 020 3962 0928
Photo of Margaret Prince, Counsellor, DCounsPsych, MBACP
Margaret Prince
Counsellor, DCounsPsych, MBACP
1 Endorsed
London SW2
Hello there! I'm Margaret, I want to introduce myself to you. As an accredited counsellor with over twenty years of experience, I’ve had the privilege of helping many people on their unique counselling journeys. I know that everyone faces life's challenges differently, which is why I take an integrative approach. This means I blend various therapeutic techniques to find what works best for you. I want to ensure that we explore the issues that matter to you, at a pace that feels comfortable for you. I've worked extensively with people dealing with anxiety, depression, low self-esteem, relationship challenges, and more, call me.
Hello there! I'm Margaret, I want to introduce myself to you. As an accredited counsellor with over twenty years of experience, I’ve had the privilege of helping many people on their unique counselling journeys. I know that everyone faces life's challenges differently, which is why I take an integrative approach. This means I blend various therapeutic techniques to find what works best for you. I want to ensure that we explore the issues that matter to you, at a pace that feels comfortable for you. I've worked extensively with people dealing with anxiety, depression, low self-esteem, relationship challenges, and more, call me.
020 3984 7942 View 020 3984 7942
Photo of Kerry Davis, Psychotherapist, MBABCP
Kerry Davis
Psychotherapist, MBABCP
London SW2
I am a BABCP accredited Cognitive Behavioural Therapist with extensive experience working in NHS Talking Therapies (formerly IAPT) services. I specialise in supporting individuals with a wide range of common mental health difficulties, including depression, anxiety disorders (such as OCD, social anxiety, health anxiety, body dysmorphia, panic disorder, specific phobias and agoraphobia), trauma and PTSD, eating difficulties, and habit disorders (including trichotillomania and dermatillomania).
I am a BABCP accredited Cognitive Behavioural Therapist with extensive experience working in NHS Talking Therapies (formerly IAPT) services. I specialise in supporting individuals with a wide range of common mental health difficulties, including depression, anxiety disorders (such as OCD, social anxiety, health anxiety, body dysmorphia, panic disorder, specific phobias and agoraphobia), trauma and PTSD, eating difficulties, and habit disorders (including trichotillomania and dermatillomania).
020 4572 7789 View 020 4572 7789
Photo of Max Usher Smith, Counsellor, MSc, MBACP
Max Usher Smith
Counsellor, MSc, MBACP
London SW2
Starting therapy takes courage. It is often a big decision and can feel like a daunting, unknown step. Motivation for seeking therapy varies a lot. You may be looking to come to terms with specific life events or have a general sense that something needs to change. Whatever is on your mind, I offer a safe, confidential and non-judgemental space to explore your thoughts and feelings. I will meet you as a whole person, and you can expect to be listened to with care and respect. We will discuss and reflect on your concerns at your pace, to discover new insights and new ways of addressing problems and challenges.
Starting therapy takes courage. It is often a big decision and can feel like a daunting, unknown step. Motivation for seeking therapy varies a lot. You may be looking to come to terms with specific life events or have a general sense that something needs to change. Whatever is on your mind, I offer a safe, confidential and non-judgemental space to explore your thoughts and feelings. I will meet you as a whole person, and you can expect to be listened to with care and respect. We will discuss and reflect on your concerns at your pace, to discover new insights and new ways of addressing problems and challenges.
020 4634 3328 View 020 4634 3328
Photo of Michaele Nagac, Counsellor, DCounsPsych, MBACP
Michaele Nagac
Counsellor, DCounsPsych, MBACP
1 Endorsed
London SW2
How are you at the moment? Is everything becoming too much ? Do you struggle with everyday life and having difficulty in making sense of what is going on? Stress, anxiety, feeling low, depression, experiencing relationship issues, work burnout or going through life transitions including health concerns can be overwhelming. Through exploring your life challenges together in counselling you can learn a meaningful and different perspective and develop self-awareness. This will enable you to empower yourself and make personal and positive changes in your life.
How are you at the moment? Is everything becoming too much ? Do you struggle with everyday life and having difficulty in making sense of what is going on? Stress, anxiety, feeling low, depression, experiencing relationship issues, work burnout or going through life transitions including health concerns can be overwhelming. Through exploring your life challenges together in counselling you can learn a meaningful and different perspective and develop self-awareness. This will enable you to empower yourself and make personal and positive changes in your life.
020 4538 0463 View 020 4538 0463
Photo of Philippa Decker, Psychotherapist, MHGI
Philippa Decker
Psychotherapist, MHGI
London SW2
You may find it difficult, sometimes impossible, to control feelings of panic, anger, unworthiness or despair. If everyday life sometimes overwhelms you, for whatever reason, whether it's a result of trauma, difficult life changes, or unhelpful ideas about who you are, change is possible and can be quicker than you would think! If you are looking to gain perspective, learn ways of coping, feel more in control and hopeful about your ability to cope, I can help.
You may find it difficult, sometimes impossible, to control feelings of panic, anger, unworthiness or despair. If everyday life sometimes overwhelms you, for whatever reason, whether it's a result of trauma, difficult life changes, or unhelpful ideas about who you are, change is possible and can be quicker than you would think! If you are looking to gain perspective, learn ways of coping, feel more in control and hopeful about your ability to cope, I can help.
020 3872 0667 View 020 3872 0667
Photo of Katy Byrne, Counsellor, MBACP Accred
Katy Byrne
Counsellor, MBACP Accred
London SW2
You may be looking for a counsellor at the moment because there is a particular feeling or issue that is troubling you, or you may want to understand aspects of your personality, or relationships, a little better. You might be feeling stuck, or anxious, overwhelmed perhaps. I will provide a warm, receptive environment where you can talk about what is going on for you, and also explore how it is affecting you. Through this exploration, you will come to a deeper understanding of yourself and how you manage your life. It is through this deeper understanding of ourselves, that we are able to develop and move forward positively.
You may be looking for a counsellor at the moment because there is a particular feeling or issue that is troubling you, or you may want to understand aspects of your personality, or relationships, a little better. You might be feeling stuck, or anxious, overwhelmed perhaps. I will provide a warm, receptive environment where you can talk about what is going on for you, and also explore how it is affecting you. Through this exploration, you will come to a deeper understanding of yourself and how you manage your life. It is through this deeper understanding of ourselves, that we are able to develop and move forward positively.
020 3948 6992 View 020 3948 6992
Photo of Laura Starkie, Psychotherapist, MUKCP
Laura Starkie
Psychotherapist, MUKCP
London SW2
If you are feeling low, anxious or stuck and unable to change things yourself, or repeating difficult or destructive patterns of behaviour, working with and talking with someone not involved in your life can really help. If you are struggling to cope with how life is at the moment or with something from the past, then getting support from me is the first step to feeling supported and heard and looking at how we can work together to help you make changes in behaviour, relationships, communication and ways of thinking and processing what you are facing. Your emotional and mental well-being matters and you don't have to struggle alone.
If you are feeling low, anxious or stuck and unable to change things yourself, or repeating difficult or destructive patterns of behaviour, working with and talking with someone not involved in your life can really help. If you are struggling to cope with how life is at the moment or with something from the past, then getting support from me is the first step to feeling supported and heard and looking at how we can work together to help you make changes in behaviour, relationships, communication and ways of thinking and processing what you are facing. Your emotional and mental well-being matters and you don't have to struggle alone.
020 4524 3022 View 020 4524 3022
Photo of Joyce Ghiraw, Psychotherapist, UKCP Trainee
Joyce Ghiraw
Psychotherapist, UKCP Trainee
1 Endorsed
London SW2
I provide a compassionate, safe and insightful space for you to pause and be. Supporting you to voice your inner struggles and to work through them with effect. I work with a range of issues, including relationships, self-esteem, childhood trauma, existential dread and anxiety. It energises me to see clients become happier and healthier selves. Deeply rooted in their own potential. I am a Gestalt therapist, ACT-CBT certified, and a member of both the UK Council for Psychotherapy and BAATN. I am also working towards an advanced degree in Gestalt Psychotherapy. My work is influenced by my passion for symbolism & Jungian psychology.
I provide a compassionate, safe and insightful space for you to pause and be. Supporting you to voice your inner struggles and to work through them with effect. I work with a range of issues, including relationships, self-esteem, childhood trauma, existential dread and anxiety. It energises me to see clients become happier and healthier selves. Deeply rooted in their own potential. I am a Gestalt therapist, ACT-CBT certified, and a member of both the UK Council for Psychotherapy and BAATN. I am also working towards an advanced degree in Gestalt Psychotherapy. My work is influenced by my passion for symbolism & Jungian psychology.
020 3872 2644 View 020 3872 2644
Photo of Natalia Werkowska, Counsellor, MBACP
Natalia Werkowska
Counsellor, MBACP
2 Endorsed
London SW2
I am a trauma-informed, psychotherapeutic counsellor and support clients with a wide range of difficulties e.g. depression, anxiety, low self-esteem, work issues & stress, problems related to neurodivergence (e.g. ADHD, autism, AuDHD), family and relationships challenges. I meet each individual with care and tailor my approach as appropriate. My aim is to help you understand yourself and your needs better, detangle yourself from unhelpful patterns and navigate your current situation so you can experience more satisfaction, meaning, joy and a sense of autonomy in different areas of your life.
I am a trauma-informed, psychotherapeutic counsellor and support clients with a wide range of difficulties e.g. depression, anxiety, low self-esteem, work issues & stress, problems related to neurodivergence (e.g. ADHD, autism, AuDHD), family and relationships challenges. I meet each individual with care and tailor my approach as appropriate. My aim is to help you understand yourself and your needs better, detangle yourself from unhelpful patterns and navigate your current situation so you can experience more satisfaction, meaning, joy and a sense of autonomy in different areas of your life.
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Photo of Tamara Baggili-Strachan, Counsellor, MSc, MBACP
Tamara Baggili-Strachan
Counsellor, MSc, MBACP
1 Endorsed
London SW2
No matter how dark things feel, I believe passionately in your potential to heal and grow, and would love to work with you. I am a warm, highly effective, trauma informed therapist with over 25yrs clinical experience in the NHS. I will gently yet firmly work alongside you to explore the origins of your emotional difficulties and help you develop valuable coping mechanism's. By processing and making sense of your experiences, we can provide you with relief in the present, and a foundation on which to create a future in which you are thriving not simply surviving.
No matter how dark things feel, I believe passionately in your potential to heal and grow, and would love to work with you. I am a warm, highly effective, trauma informed therapist with over 25yrs clinical experience in the NHS. I will gently yet firmly work alongside you to explore the origins of your emotional difficulties and help you develop valuable coping mechanism's. By processing and making sense of your experiences, we can provide you with relief in the present, and a foundation on which to create a future in which you are thriving not simply surviving.
020 4538 9204 View 020 4538 9204
Photo of Kirit Vadgama, Counsellor, MBACP
Kirit Vadgama
Counsellor, MBACP
London SW2
Feeling anxious? Stuck? Struggling with loss? Having difficulties with a relationship? Wanting to move on but not sure where to turn? Counselling can provide relief, helping you to explore your feelings and make sense of the past and present to help you move forward. I have experience working with adults and teenagers facing a range of issues including stress, anxiety, depression, difficulties with relationships, family issues, sexual abuse, affairs and betrayals. Through a series of sessions we work together to make sense of your problems, and help you find some relief.
Feeling anxious? Stuck? Struggling with loss? Having difficulties with a relationship? Wanting to move on but not sure where to turn? Counselling can provide relief, helping you to explore your feelings and make sense of the past and present to help you move forward. I have experience working with adults and teenagers facing a range of issues including stress, anxiety, depression, difficulties with relationships, family issues, sexual abuse, affairs and betrayals. Through a series of sessions we work together to make sense of your problems, and help you find some relief.
020 3962 0878 View 020 3962 0878
Photo of Monika Anna Dec, Counsellor, MA, PNCPS Acc.
Monika Anna Dec
Counsellor, MA, PNCPS Acc.
London SW2
Do you feel overwhelmed, anxious, maybe depressed, frustrated or under pressure? Is the current pandemic time additionally affecting you? You may not understand why you’ve been feeling the way you feel. You might be lonely, misunderstood and unable to find any solace or solution to your difficulties. You probably know you would benefit from professional help and talking about and explore aspects of your live that may be causing you difficulty will be helpful. Whether you're going through a significant life change or are facing a challenging situation at work or personal life, therapy can help you to overcome those difficulties.
Do you feel overwhelmed, anxious, maybe depressed, frustrated or under pressure? Is the current pandemic time additionally affecting you? You may not understand why you’ve been feeling the way you feel. You might be lonely, misunderstood and unable to find any solace or solution to your difficulties. You probably know you would benefit from professional help and talking about and explore aspects of your live that may be causing you difficulty will be helpful. Whether you're going through a significant life change or are facing a challenging situation at work or personal life, therapy can help you to overcome those difficulties.
020 4538 1944 View 020 4538 1944
Photo of Jennifer Jordan, Counsellor, PsychD, MBACP
Jennifer Jordan
Counsellor, PsychD, MBACP
2 Endorsed
London SW2
I am a Gestalt Therapist who works with all parts of self-linking and connecting each one so you can become your whole self. My work consists of behavioural patterns, childhood trauma, relationships, anxiety Trans-generational patterns, stagnation. psycho-education and the two sides of self that causes conflict. I specialises working with exploration creativity and discovery. Together we work with the relational relationship finding a happy medium.
I am a Gestalt Therapist who works with all parts of self-linking and connecting each one so you can become your whole self. My work consists of behavioural patterns, childhood trauma, relationships, anxiety Trans-generational patterns, stagnation. psycho-education and the two sides of self that causes conflict. I specialises working with exploration creativity and discovery. Together we work with the relational relationship finding a happy medium.
07480 488665 View 07480 488665
Photo of Maria Pinter, Psychotherapist, MA, MUKCP
Maria Pinter
Psychotherapist, MA, MUKCP
London SW2
Anxiety, feeling low and experiencing loss are part of everyday life. However, if you feel your emotional life is out of balance and struggle to bounce back or feeling stuck in old patterns that holds you back, it's a good time to reach out for support. Psychotherapy helps you to re-evaluate and make new sense of your life and relationships not just with others but with yourself too. The process offers opportunities to change your internal life to feeling more comfortable, secure and confident and this to translate to being able to form more fulfilling relationships and live a fuller life.
Anxiety, feeling low and experiencing loss are part of everyday life. However, if you feel your emotional life is out of balance and struggle to bounce back or feeling stuck in old patterns that holds you back, it's a good time to reach out for support. Psychotherapy helps you to re-evaluate and make new sense of your life and relationships not just with others but with yourself too. The process offers opportunities to change your internal life to feeling more comfortable, secure and confident and this to translate to being able to form more fulfilling relationships and live a fuller life.
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See more therapy options for SW2

How does your Counsellor compare?

Number of Counsellors in SW2

100+

Average cost per session

£80

Counsellors in SW2 who prioritize treating:

99% Anxiety
91% Depression
89% Self Esteem
83% Stress
82% Relationship Issues
71% Bereavement
69% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

78% Aviva
72% AXA PPP
66% Vitality

How Counsellors in SW2 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

67% Female
32% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in SW2?

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.