Counselling in London

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Photo of ASD Centre, Counsellor in London, England
ASD Centre
Counsellor, MA, HCPC-Clin. Psych.
Verified Verified
London W1G  (Online Only)
Do I have Autism? How do I know I am Autistic? What does Autism Spectrum Disorder look like? How do I find help, if I am Autistic? Our Autism Specialist Team are ready to answer your questions. Don’t delay, an Autism Treatment can offer major benefits and relief.
Do I have Autism? How do I know I am Autistic? What does Autism Spectrum Disorder look like? How do I find help, if I am Autistic? Our Autism Specialist Team are ready to answer your questions. Don’t delay, an Autism Treatment can offer major benefits and relief.
01952 984172 View 01952 984172
Photo of Dr Paul Nicholas Davies, Psychologist in London, England
Dr Paul Nicholas Davies
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
London SW18
I specialise in men's mental health and wellbeing. As a clinical psychologist and hypnotherapist trained from within a formal neuroscience background, I seek to get the very best from people who are currently stuck in unhelpful patterns of behaviour. I work from a cognitive behavioral perspective in a goal-oriented manner that seeks to motivate and support the person to resolve and achieve what has remained unfulfilled and unrealised within the individual's life.
I specialise in men's mental health and wellbeing. As a clinical psychologist and hypnotherapist trained from within a formal neuroscience background, I seek to get the very best from people who are currently stuck in unhelpful patterns of behaviour. I work from a cognitive behavioral perspective in a goal-oriented manner that seeks to motivate and support the person to resolve and achieve what has remained unfulfilled and unrealised within the individual's life.
020 3376 8381 View 020 3376 8381
Photo of Dr Emma Read, EMDR for PTSD and Trauma Recovery, Psychologist in London, England
Dr Emma Read, EMDR for PTSD and Trauma Recovery
Psychologist, PsychD, CPsychol
Verified Verified
London WC2H  (Online Only)
Not accepting new clients
Trauma leaves us feeling broken, in pain and disconnected from our true selves. You may be exhausted by feeling triggered in everyday situations, isolated from friends and family who can’t understand, or struggling to make sense of what happened to you. You may not even remember a time you didn’t feel like this. It is fantastic that you're here now because you’ve decided you deserve more and are ready to feel different. Most of all you’re ready to leave the past in the past, change old patterns that no longer serve you and step into a hopeful future on your own terms.
Trauma leaves us feeling broken, in pain and disconnected from our true selves. You may be exhausted by feeling triggered in everyday situations, isolated from friends and family who can’t understand, or struggling to make sense of what happened to you. You may not even remember a time you didn’t feel like this. It is fantastic that you're here now because you’ve decided you deserve more and are ready to feel different. Most of all you’re ready to leave the past in the past, change old patterns that no longer serve you and step into a hopeful future on your own terms.
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Photo of Raj Pagarani Therapy, Psychotherapist in London, England
Raj Pagarani Therapy
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
London NW8
I am an in Integrative Transpersonal psychotherapist. With over 8 years experience in the field of psychotherapy. I bring a unique blend of expertise in both conventional psychology and spiritual exploration. My journey into psychotherapy began with a deep knowing for the human spirit and its capacity for transformation. Over the years, I have developed my skills to create a supportive, nurturing space where individuals can explore the depths of their being and tap into their inner wisdom. My approach leans on the spiritual dimension of transformation through presence,kindness,empathy and love. Its important that you are open this.
I am an in Integrative Transpersonal psychotherapist. With over 8 years experience in the field of psychotherapy. I bring a unique blend of expertise in both conventional psychology and spiritual exploration. My journey into psychotherapy began with a deep knowing for the human spirit and its capacity for transformation. Over the years, I have developed my skills to create a supportive, nurturing space where individuals can explore the depths of their being and tap into their inner wisdom. My approach leans on the spiritual dimension of transformation through presence,kindness,empathy and love. Its important that you are open this.
07780 986427 View 07780 986427
Photo of Erika Mancini, Psychotherapist in London, England
Erika Mancini
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
London W5
Life can take unpredictable turns, leaving us in pain and disbelief. At times we get over it. At other times we dwell in there for a long time as if there was no way out. It may feel lonely and unexplainable and yet time passes by. My name is Erika Mancini. I am a Relational Transactional Analysis Psychotherapist and EMDR Therapist. I specialise in trauma, childhood trauma, PTSD, Complex PTSD, anxiety, depression and relationships. I believe we are all shaped by the relationships we experienced while growing up and that this can sometimes result in adaptations or coping mechanisms that may prevent us from becoming who we really are.
Life can take unpredictable turns, leaving us in pain and disbelief. At times we get over it. At other times we dwell in there for a long time as if there was no way out. It may feel lonely and unexplainable and yet time passes by. My name is Erika Mancini. I am a Relational Transactional Analysis Psychotherapist and EMDR Therapist. I specialise in trauma, childhood trauma, PTSD, Complex PTSD, anxiety, depression and relationships. I believe we are all shaped by the relationships we experienced while growing up and that this can sometimes result in adaptations or coping mechanisms that may prevent us from becoming who we really are.
01748 901813 View 01748 901813
Photo of Dr Eirini Melegkovits, Psychologist in London, England
Dr Eirini Melegkovits
Psychologist, HCPC - Clin. Psych.
Verified Verified
London E8
I view therapy as a journey of healing, growth and discovery. Alongside my private practice, I work as a Clinical Psychologist and researcher in the NHS and academia, where I study the influence of trauma in childhood on adult mental health. I have training in different therapy models, and offer integrative therapy to adults, adolescents and children/parents of younger children. I am influenced by psychodynamic models of thinking, but also draw from systemic family therapy and CBT (in particular “third wave”, which connects how we think to how we feel and our relationship to our inner experiences).
I view therapy as a journey of healing, growth and discovery. Alongside my private practice, I work as a Clinical Psychologist and researcher in the NHS and academia, where I study the influence of trauma in childhood on adult mental health. I have training in different therapy models, and offer integrative therapy to adults, adolescents and children/parents of younger children. I am influenced by psychodynamic models of thinking, but also draw from systemic family therapy and CBT (in particular “third wave”, which connects how we think to how we feel and our relationship to our inner experiences).
020 3667 9567 View 020 3667 9567
Photo of Alice Jane Leslie, Psychotherapist in London, England
Alice Jane Leslie
Psychotherapist, MBABCP
Verified Verified
London SE23
I am Alice, a Cognitive Behaviour Psychotherapist and Mindfulness Based Therapy Teacher. I have over nine years’ experience working in NHS mental health services and privately. I enjoy working with a wide variety of individuals, helping adults who are struggling with depression, anxiety, stress, panic, phobias and numerous other adjustment difficulties. I have a particular passion for supporting women during pregnancy and the perinatal period and am a perinatal specialist for the NHS in Southwark as well as in my private practice.
I am Alice, a Cognitive Behaviour Psychotherapist and Mindfulness Based Therapy Teacher. I have over nine years’ experience working in NHS mental health services and privately. I enjoy working with a wide variety of individuals, helping adults who are struggling with depression, anxiety, stress, panic, phobias and numerous other adjustment difficulties. I have a particular passion for supporting women during pregnancy and the perinatal period and am a perinatal specialist for the NHS in Southwark as well as in my private practice.
020 3958 4161 View 020 3958 4161
Photo of Emma Battiston, Psychotherapist in London, England
Emma Battiston
Psychotherapist, MBACP
Verified Verified
London W1G
Hello, I'm Emma Battiston - a compassionate and experienced therapist offering a safe and non-judgemental space to help you work though any issues you are experiencing. I work with people to provide support with anything that is negatively impacting their lives. Sometimes life can feel overwhelming, my aim is to help people find strength and resilience in overcoming life’s challenges.
Hello, I'm Emma Battiston - a compassionate and experienced therapist offering a safe and non-judgemental space to help you work though any issues you are experiencing. I work with people to provide support with anything that is negatively impacting their lives. Sometimes life can feel overwhelming, my aim is to help people find strength and resilience in overcoming life’s challenges.
020 3728 6109 View 020 3728 6109
Photo of The Integrated Psychology Clinic, Psychologist in London, England
The Integrated Psychology Clinic
Psychologist, PsychD, CPsychol
Verified Verified
London W1G
We are a small group of professional, experienced and compassionate Clinical Psychologists. The practice opened its doors in 2006 and whilst we have grown and changed over the years we remain committed to providing the very best bespoke care to each and every one of our clients. We see people from across the age span for psychological assessments and interventions. We specialise in both emotional and physical health, often working with the interactions between the two.
We are a small group of professional, experienced and compassionate Clinical Psychologists. The practice opened its doors in 2006 and whilst we have grown and changed over the years we remain committed to providing the very best bespoke care to each and every one of our clients. We see people from across the age span for psychological assessments and interventions. We specialise in both emotional and physical health, often working with the interactions between the two.
020 3835 5730 View 020 3835 5730
Photo of Elizabeth Bergman, Psychotherapist in London, England
Elizabeth Bergman
Psychotherapist, MA, BACP
Verified Verified
London NW4  (Online Only)
Elizabeth specialises in treating women's issues including eating disorders/body image concerns, anxiety and depression, and perinatal issues. Elizabeth also sees adolescent clients with anxiety, depression, and eating disorders/disordered eating. She uses many approaches in treatment including cognitive and dialectical behavior therapy, mindfulness and she integrates a holistic and strengths-based approach as well when treating clients in any area.
Elizabeth specialises in treating women's issues including eating disorders/body image concerns, anxiety and depression, and perinatal issues. Elizabeth also sees adolescent clients with anxiety, depression, and eating disorders/disordered eating. She uses many approaches in treatment including cognitive and dialectical behavior therapy, mindfulness and she integrates a holistic and strengths-based approach as well when treating clients in any area.
020 8103 5927 View 020 8103 5927
Photo of Talk in Therapy, Counsellor in London, England
Talk in Therapy
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
London SE1
talkintherapy.com - As a UK qualified CBT therapist, my passion lies in helping individuals achieve their best selves by prioritising their wellbeing and mental health. I am highly skilled in working with anxiety, depression, and many other mental health issues, and I approach each case with a tailored perspective, understanding that every individual's story and healing journey is unique. If you're looking for a therapist who is caring, compassionate, and committed to helping you achieve your goals, then look no further. I would be honoured to work with you on your journey towards healing and growth.
talkintherapy.com - As a UK qualified CBT therapist, my passion lies in helping individuals achieve their best selves by prioritising their wellbeing and mental health. I am highly skilled in working with anxiety, depression, and many other mental health issues, and I approach each case with a tailored perspective, understanding that every individual's story and healing journey is unique. If you're looking for a therapist who is caring, compassionate, and committed to helping you achieve your goals, then look no further. I would be honoured to work with you on your journey towards healing and growth.
020 4538 3031 View 020 4538 3031
Photo of Sophie Dilley, Psychologist in London, England
Sophie Dilley
Psychologist, DCounsPsych, CPsychol
Verified Verified
London EC1A  (Online Only)
I am a qualified and experienced Chartered Counselling Psychologist. I work with individuals (18 and older) and relationships across the lifespan. I offer both short and longer term therapy. I use an integrative approach that focuses on developing a strong therapeutic relationship and working relationally with the issues you may bring. I hope to offer a space to explore any dimension of human distress you may be holding. For example, you may be struggling with sexual difficulties, experiencing challenges with communication, feeling alone, dealing with shame or a critical inner voice.
I am a qualified and experienced Chartered Counselling Psychologist. I work with individuals (18 and older) and relationships across the lifespan. I offer both short and longer term therapy. I use an integrative approach that focuses on developing a strong therapeutic relationship and working relationally with the issues you may bring. I hope to offer a space to explore any dimension of human distress you may be holding. For example, you may be struggling with sexual difficulties, experiencing challenges with communication, feeling alone, dealing with shame or a critical inner voice.
020 4538 2037 View 020 4538 2037
Photo of Marc Whittaker, Psychotherapist in London, England
Marc Whittaker
Psychotherapist, MBACP
Verified Verified
London SE1
My role as therapist is to work alongside you, creating a supported, non-judgemental space, where we can explore together what you are experiencing, at a pace that feels safe. Together we can tackle themes like anxiety, hypervigilance, depression, dissociation, intrusive thoughts, or a combination of all. I will work with you to create a greater sense of internal balance, help you manage stress, resolve the impact of trauma, heal from, and navigate life transitions, relationships and through a new awareness, build a greater resilience,feeling better able to regulate emotions and less overwhelmed with the complexities of modern life.
My role as therapist is to work alongside you, creating a supported, non-judgemental space, where we can explore together what you are experiencing, at a pace that feels safe. Together we can tackle themes like anxiety, hypervigilance, depression, dissociation, intrusive thoughts, or a combination of all. I will work with you to create a greater sense of internal balance, help you manage stress, resolve the impact of trauma, heal from, and navigate life transitions, relationships and through a new awareness, build a greater resilience,feeling better able to regulate emotions and less overwhelmed with the complexities of modern life.
020 8090 5170 View 020 8090 5170
Photo of Helen Bright-Gerrie, Psychotherapist in London, England
Helen Bright-Gerrie
Psychotherapist, COSRT General
Verified Verified
London N11
I am a qualified Psychosexual and Relationship Therapist and Pelvic Floor Health Fitness Instructor. I have been working with human sexuality since 2012. I work with men, women and couples who have sexual function and relationship problems. I help my clients to restore their sexual health and wellbeing and get back to normal life without medical invasion. I specialise in erectile function problems, painful sex, low libido issues, absence of orgasm, sexual traumas and many more.
I am a qualified Psychosexual and Relationship Therapist and Pelvic Floor Health Fitness Instructor. I have been working with human sexuality since 2012. I work with men, women and couples who have sexual function and relationship problems. I help my clients to restore their sexual health and wellbeing and get back to normal life without medical invasion. I specialise in erectile function problems, painful sex, low libido issues, absence of orgasm, sexual traumas and many more.
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Photo of Victoria Richards, Counsellor in London, England
Victoria Richards
Counsellor, MBACP
Verified Verified
London N7  (Online Only)
Do you ever feel that life has become too overwhelming or that everyday tasks are a struggle? Is something from your past unresolved and affecting your life today? I believe we are all experts in our own lives and my role is to facilitate the exploration of those feelings with you together. I will support you in working towards any realistic goals that you would like to achieve. I understand that you may not know what support you need, what changes you want to happen or why you are feeling the way you do, but I am experienced to help you answer some of these questions so your life can begin to feel the way you would like it to.
Do you ever feel that life has become too overwhelming or that everyday tasks are a struggle? Is something from your past unresolved and affecting your life today? I believe we are all experts in our own lives and my role is to facilitate the exploration of those feelings with you together. I will support you in working towards any realistic goals that you would like to achieve. I understand that you may not know what support you need, what changes you want to happen or why you are feeling the way you do, but I am experienced to help you answer some of these questions so your life can begin to feel the way you would like it to.
020 3893 2883 View 020 3893 2883
Photo of Katy Byrne, Counsellor in London, England
Katy Byrne
Counsellor, MBACP
Verified Verified
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 Petra Zemankova, Psychotherapist in London, England
Petra Zemankova
Psychotherapist, MA, MNCPS Acc.
Verified Verified
London NW2
I am still accepting new clients for a reduced fee £63 per session, couples for £80 per session and I am offering phone and video sessions via Zoom, Google Meet, Skype, Facebook, WhatsApp or any other online platform also for clients who are distancing or quarantined. At the moment I am helping lots of clients with anxiety as well as self-esteem issues as that is something that lots of clients struggle with, however, the spectrum of the problems I work with is much broader.
I am still accepting new clients for a reduced fee £63 per session, couples for £80 per session and I am offering phone and video sessions via Zoom, Google Meet, Skype, Facebook, WhatsApp or any other online platform also for clients who are distancing or quarantined. At the moment I am helping lots of clients with anxiety as well as self-esteem issues as that is something that lots of clients struggle with, however, the spectrum of the problems I work with is much broader.
020 8106 0664 View 020 8106 0664
Photo of Naomi Segal - Couples Counselling Online, Psychotherapist in London, England
Naomi Segal - Couples Counselling Online
Psychotherapist, MA, MBACP
Verified Verified
London W1W
SPECIALIST ONLINE COUPLES COUNSELLING HELPING YOU CREATE THE RELATIONSHIP YOU WANT “How do we communicate better?”, “ How do we stop arguing?”, “We’re not getting on and I don’t know why”, “She/he won’t listen to me”, “I can’t get past her/his affair”, “Things changed after we had kids”, “I think I want to separate”... Sound familiar? Many people wait until their relationship problems seem unbearable before they decide to reach out for help. If tension is starting to develop in your relationship, don’t wait until it’s too late to ask for help.
SPECIALIST ONLINE COUPLES COUNSELLING HELPING YOU CREATE THE RELATIONSHIP YOU WANT “How do we communicate better?”, “ How do we stop arguing?”, “We’re not getting on and I don’t know why”, “She/he won’t listen to me”, “I can’t get past her/his affair”, “Things changed after we had kids”, “I think I want to separate”... Sound familiar? Many people wait until their relationship problems seem unbearable before they decide to reach out for help. If tension is starting to develop in your relationship, don’t wait until it’s too late to ask for help.
020 3984 9676 View 020 3984 9676
Photo of Berlin Leiman, Psychotherapist in London, England
Berlin Leiman
Psychotherapist, MSc, MUKCP
Verified Verified
London SW14
Maybe you find life overwhelming? Do you feel down and is it affecting your quality of life, your relationships with family and friends? Maybe you are trying really hard to accept life as is, or no matter how hard you try to make changes, time and again you meet similar situations, recognisable patterns that seem to be repeating themselves
Maybe you find life overwhelming? Do you feel down and is it affecting your quality of life, your relationships with family and friends? Maybe you are trying really hard to accept life as is, or no matter how hard you try to make changes, time and again you meet similar situations, recognisable patterns that seem to be repeating themselves
01748 901296 View 01748 901296
Photo of Dr Sophie Raymont, Psychologist in London, England
Dr Sophie Raymont
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London N10
I offer CBT (short term) and psychodynamic therapy (short or long term) for children, adolescents and adults. I treat anxiety, panic, low mood, anger, relationship difficulties, attachment difficulties and trauma. I specialise in attachment and identity work with adolescents and adults (i.e. self esteem, confidence, interpersonal difficulties). This often involves making links between past relationships, and current symptoms/self-identity (although it doesn't have to focus on the past). I also offer therapeutic space for individuals querying neurodiversity in themselves or their children (pre-diagnostic screening, psycho-education).
I offer CBT (short term) and psychodynamic therapy (short or long term) for children, adolescents and adults. I treat anxiety, panic, low mood, anger, relationship difficulties, attachment difficulties and trauma. I specialise in attachment and identity work with adolescents and adults (i.e. self esteem, confidence, interpersonal difficulties). This often involves making links between past relationships, and current symptoms/self-identity (although it doesn't have to focus on the past). I also offer therapeutic space for individuals querying neurodiversity in themselves or their children (pre-diagnostic screening, psycho-education).
020 4538 3767 View 020 4538 3767

See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
58% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.