Photo of Hasina Alakozay, MBABCP, Psychotherapist
Hasina Alakozay
Psychotherapist, MBABCP
Verified Verified
Online Only
We are all facing with different challenges in modern society. My aim in the sessions is to ensure that you are heard by creating a tailored approach and recommending/implementing appropriate evidence based interventions. My aim is to build a trusting rapport with every client that I work with to make them feel safe.
We are all facing with different challenges in modern society. My aim in the sessions is to ensure that you are heard by creating a tailored approach and recommending/implementing appropriate evidence based interventions. My aim is to build a trusting rapport with every client that I work with to make them feel safe.
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Photo of Mehnaz Mahmood, PNCPS Acc., Counsellor
Mehnaz Mahmood
Counsellor, PNCPS Acc.
Verified Verified
Are you looking for a holistic and humanistic safe space? I am a Counsellor and Psychotherapist who practices full-time. I am also a mindfulness practitioner. I walk along with my clients who want to use their mind and body's self-healing capacity and resources to alleviate trauma and restore natural rhythms. These two modalities allow you to attain presence beyond everyday thoughts and bring awareness to the present moment, alleviating overthinking that causes stress and anxiety. I believe anxiety and stress are caused by fear of the future and thoughts about our past, presence brings you to today.
Are you looking for a holistic and humanistic safe space? I am a Counsellor and Psychotherapist who practices full-time. I am also a mindfulness practitioner. I walk along with my clients who want to use their mind and body's self-healing capacity and resources to alleviate trauma and restore natural rhythms. These two modalities allow you to attain presence beyond everyday thoughts and bring awareness to the present moment, alleviating overthinking that causes stress and anxiety. I believe anxiety and stress are caused by fear of the future and thoughts about our past, presence brings you to today.
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Photo of Nakita Jangra, MBACP, Counsellor
Nakita Jangra
Counsellor, MBACP
Verified Verified
Whatever may be troubling you, I can help. Our lives are impacted by our history, culture, social circumstances, friendships and a whole host of other factors. These aspects condition us to respond and interact with people and situations in our lives in very particular ways. My work with you would be to understand your life from your unique perspective and help you get in touch with a more resourced part of yourself, which is beyond the psychological and social conditioning, to help you overcome any difficulties or challenges you may be facing.
Whatever may be troubling you, I can help. Our lives are impacted by our history, culture, social circumstances, friendships and a whole host of other factors. These aspects condition us to respond and interact with people and situations in our lives in very particular ways. My work with you would be to understand your life from your unique perspective and help you get in touch with a more resourced part of yourself, which is beyond the psychological and social conditioning, to help you overcome any difficulties or challenges you may be facing.
020 3871 8591 View 020 3871 8591
Nimi Shallon
Psychotherapist, PsychD, MBACP
Verified Verified
Serves Area
Psychotherapy offers the opportunity to explore the origins and roots of the difficulties you are experiencing in life today. We will work together to understand and untangle your feelings and behaviours, discovering a better understanding of the lifestyle choices you are making. This process will help you review your way of living, and the choices you are making. You will then have the opportunity to lead a more true and authentic life.
Psychotherapy offers the opportunity to explore the origins and roots of the difficulties you are experiencing in life today. We will work together to understand and untangle your feelings and behaviours, discovering a better understanding of the lifestyle choices you are making. This process will help you review your way of living, and the choices you are making. You will then have the opportunity to lead a more true and authentic life.
020 8016 3495 View 020 8016 3495
Photo of Elliot Nelson, MBACP, Counsellor
Elliot Nelson
Counsellor, MBACP
Verified Verified
1 Endorsed
Serves Area
We all have a story that needs to be told, and I want to give you the gift of therapy that will equip you and move you towards being your most authentic self, whatever that looks like for you. As an Integrative Counsellor, my work considers your whole story in context, the historical value of experiences and the present-day application. The individuals I work with come from various backgrounds, so I work with a culturally sensitive and accommodating trauma-informed approach. They want to work on relational difficulties, sexual addictions, shame, unprocessed loss, transitioning to adulthood, and midlife crisis.
We all have a story that needs to be told, and I want to give you the gift of therapy that will equip you and move you towards being your most authentic self, whatever that looks like for you. As an Integrative Counsellor, my work considers your whole story in context, the historical value of experiences and the present-day application. The individuals I work with come from various backgrounds, so I work with a culturally sensitive and accommodating trauma-informed approach. They want to work on relational difficulties, sexual addictions, shame, unprocessed loss, transitioning to adulthood, and midlife crisis.
020 3376 8282 View 020 3376 8282
Photo of Paolo Di Venanzi, MSc, MUKCP, Psychotherapist
Paolo Di Venanzi
Psychotherapist, MSc, MUKCP
Verified Verified
Serves Area
Therapy is a process of growth and self-discovery. Through the therapeutic relationship I aim to create a safe space to understand your thoughts and feelings, strengthening your ability to make decisions and gain autonomy in life. I work in partnership with my clients and I believe a relationship of mutual respect and trust is of paramount importance. I have experience in working with clients suffering with anxiety, depression, trauma, panic attacks, stress, relationship difficulties, loss and bereavement and issues with self-esteem. I am interested in working with people from diverse cultural backgrounds and gender identities.
Therapy is a process of growth and self-discovery. Through the therapeutic relationship I aim to create a safe space to understand your thoughts and feelings, strengthening your ability to make decisions and gain autonomy in life. I work in partnership with my clients and I believe a relationship of mutual respect and trust is of paramount importance. I have experience in working with clients suffering with anxiety, depression, trauma, panic attacks, stress, relationship difficulties, loss and bereavement and issues with self-esteem. I am interested in working with people from diverse cultural backgrounds and gender identities.
020 4538 0046 View 020 4538 0046
Photo of Angela Doré, MBACP, Counsellor
Angela Doré
Counsellor, MBACP
Verified Verified
Serves Area
Hello, are you concerned with your emotional wellbeing? I welcome you to discuss situations and feelings you may not be able to discuss with friends or family, such as anxiety, depression, low self esteem & relationships. Your story is unique; life’s experiences can leave a big impact resulting in us feeling emotionally or mentally drained. Exploration of your experiences during our sessions can you to make sense of what has happened, helping you to feel better, where you can work through difficult thoughts & emotions in an open & honest way.
Hello, are you concerned with your emotional wellbeing? I welcome you to discuss situations and feelings you may not be able to discuss with friends or family, such as anxiety, depression, low self esteem & relationships. Your story is unique; life’s experiences can leave a big impact resulting in us feeling emotionally or mentally drained. Exploration of your experiences during our sessions can you to make sense of what has happened, helping you to feel better, where you can work through difficult thoughts & emotions in an open & honest way.
01895 917782 View 01895 917782
Photo of Monica Balggan, MBACP, Counsellor
Monica Balggan
Counsellor, MBACP
Verified Verified
1 Endorsed
Serves Area
My aim is to offer you a safe space to explore whatever may be troubling you in confidence. Whether you are facing relationship issues, work problems, low self esteem, stress, anxiety or just feeling unhappy, my role is to neither judge or give advice but to enable you to draw on your inner resources to feel empowered and in control of your lives. In order for therapy to take place, you must feel able to talk openly to the therapist and have a sense of a good enough connection with him or her. That's why, more than my skills and qualification, I trust my ability to reach out to you in distress and begin therapy.
My aim is to offer you a safe space to explore whatever may be troubling you in confidence. Whether you are facing relationship issues, work problems, low self esteem, stress, anxiety or just feeling unhappy, my role is to neither judge or give advice but to enable you to draw on your inner resources to feel empowered and in control of your lives. In order for therapy to take place, you must feel able to talk openly to the therapist and have a sense of a good enough connection with him or her. That's why, more than my skills and qualification, I trust my ability to reach out to you in distress and begin therapy.
020 4538 2888 View 020 4538 2888

More Therapists Nearby

Photo of Pauliina Pohjonen - Pauliina Pohjonen Counselling & Psychotherapy, MA, MBACP, Psychotherapist
Pauliina Pohjonen Counselling & Psychotherapy
Psychotherapist, MA, MBACP
Verified Verified
Therapy is for anyone going through difficult times, whether this is due to problems in relationships, stresses at work, death of someone close to you, or struggles with health or perhaps having feelings of sadness and anxiety and not really knowing why this might be.
Therapy is for anyone going through difficult times, whether this is due to problems in relationships, stresses at work, death of someone close to you, or struggles with health or perhaps having feelings of sadness and anxiety and not really knowing why this might be.
020 3872 0723 View 020 3872 0723
Photo of Dr Monica Charalambides, PsychD, HCPC - Clin. Psych., Psychologist
Dr Monica Charalambides
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Online Only
I am a highly specialist chartered senior clinical psychologist with a background of training at King’s College London. I have over 13 years’ experience providing psychological therapy in a range of National Specialist and local NHS settings, as well as the private healthcare domain. I create a safe and protected space for psychological support for a range of emotional challenges, with expertise in complex presentations, trauma and psychosis.
I am a highly specialist chartered senior clinical psychologist with a background of training at King’s College London. I have over 13 years’ experience providing psychological therapy in a range of National Specialist and local NHS settings, as well as the private healthcare domain. I create a safe and protected space for psychological support for a range of emotional challenges, with expertise in complex presentations, trauma and psychosis.
020 7046 0349 View 020 7046 0349
Photo of Dr Saira Khan, PsychD, HCPC - Couns. Psych., Psychologist
Dr Saira Khan
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
You are worthy of living the life you want to lead. Together, we can move towards balanced mental well-being. I can support you towards understanding, managing and improving mental health challenges you face. You may be trying to make sense of what is happening to you or can't remember a time when you felt okay. Either way, one thing is for sure: you are ready for some relief. My short-term goal for you is to help you understand your struggles and figure out how to move forward. In the long-term, I want to help you build an internal foundation for well-being and emotional healing.
You are worthy of living the life you want to lead. Together, we can move towards balanced mental well-being. I can support you towards understanding, managing and improving mental health challenges you face. You may be trying to make sense of what is happening to you or can't remember a time when you felt okay. Either way, one thing is for sure: you are ready for some relief. My short-term goal for you is to help you understand your struggles and figure out how to move forward. In the long-term, I want to help you build an internal foundation for well-being and emotional healing.
020 3984 9048 View 020 3984 9048
Photo of Lucy Wallace, MNCPS Acc., Counsellor
Lucy Wallace
Counsellor, MNCPS Acc.
Verified Verified
Serves Area
It can be challenging to share our concerns and fears with others. We often worry that our struggles might be too heavy for our friends and family. I provide a private and secure environment where you can safely explore your thoughts and feelings. There is no timeline for grief, and no loss or challenge is too great to discuss in therapy. You are not required to rush through your healing; this is your personal space to release the weight of life's burdens and reflect on your current and past experiences at your own speed. I offer a nurturing platform and my expertise to support your journey of personal growth and acceptance.
It can be challenging to share our concerns and fears with others. We often worry that our struggles might be too heavy for our friends and family. I provide a private and secure environment where you can safely explore your thoughts and feelings. There is no timeline for grief, and no loss or challenge is too great to discuss in therapy. You are not required to rush through your healing; this is your personal space to release the weight of life's burdens and reflect on your current and past experiences at your own speed. I offer a nurturing platform and my expertise to support your journey of personal growth and acceptance.
01803 221434 View 01803 221434
Photo of Dr John Burns, PsychD, HCPC - Clin. Psych., Psychologist
Dr John Burns
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Serves Area
I am a warm and compassionate Consultant Clinical Psychologist registered with the British Psychological Society, Health and Care Professions Council, and the British Association of Behavioural and Cognitive Psychotherapies.
 I have over 15 years experience in the NHS and have worked in various positions and different contexts, working with adults and young people. My most recent post was as a Consultant Clinical Psychologist working across three prisons in Surrey. I have extensive experience of providing psychological therapy, draw on the latest evidence, and tailor the therapy to your current needs and presenting difficulties.
I am a warm and compassionate Consultant Clinical Psychologist registered with the British Psychological Society, Health and Care Professions Council, and the British Association of Behavioural and Cognitive Psychotherapies.
 I have over 15 years experience in the NHS and have worked in various positions and different contexts, working with adults and young people. My most recent post was as a Consultant Clinical Psychologist working across three prisons in Surrey. I have extensive experience of providing psychological therapy, draw on the latest evidence, and tailor the therapy to your current needs and presenting difficulties.
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Photo of Justine Wiercimok - Justine Wiercimok, IFS Therapy, MA, JD(LLM), MBACP, MBACP, Psychotherapist
Justine Wiercimok, IFS Therapy, MA, JD(LLM), MBACP
Psychotherapist, MBACP
Verified Verified
Online Only
As an IFS therapist, I offer a safe space to help you understand challenges and where the emotional pain comes from. I focus therapy on working with core wounds. Core wounds are the reason why you might experience fear & anxiety. They can be a source of feelings of shame & abandonment which often lead to confusion, conflicts, and not feeling safe in meaningful relationships. Those feelings when not embraced can cause destructive behavior toward yourself, others, or your body. In our work together, we will use the pain as a guide, and catalyst for healing. This process will ultimately lead to life that is fulfilling & just easier.
As an IFS therapist, I offer a safe space to help you understand challenges and where the emotional pain comes from. I focus therapy on working with core wounds. Core wounds are the reason why you might experience fear & anxiety. They can be a source of feelings of shame & abandonment which often lead to confusion, conflicts, and not feeling safe in meaningful relationships. Those feelings when not embraced can cause destructive behavior toward yourself, others, or your body. In our work together, we will use the pain as a guide, and catalyst for healing. This process will ultimately lead to life that is fulfilling & just easier.
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Photo of Payal Kumar, MSc, HCPC - Couns. Psych., Psychologist
Payal Kumar
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
I am a Chartered Counselling Psychologist and clinical supervisor based in Clapham/ Balham. I provide psychological therapy to adults experiencing a range emotional and psychological problems such as Depression, Post-Natal depression, OCD, Perfectionism and Anxiety. They can be struggling to cope with life transitions like parenthood, divorce, redundancy, relationship difficulties and cultural transitions. I also provide goal focussed interventions for time management and achieving work-life balance. My clients come from diverse backgrounds like law, medicine, finance, media, journalism, fashion and politics. I have a special interest in parental mental health (e.g. pregnancy, becoming a new parent).
I am a Chartered Counselling Psychologist and clinical supervisor based in Clapham/ Balham. I provide psychological therapy to adults experiencing a range emotional and psychological problems such as Depression, Post-Natal depression, OCD, Perfectionism and Anxiety. They can be struggling to cope with life transitions like parenthood, divorce, redundancy, relationship difficulties and cultural transitions. I also provide goal focussed interventions for time management and achieving work-life balance. My clients come from diverse backgrounds like law, medicine, finance, media, journalism, fashion and politics. I have a special interest in parental mental health (e.g. pregnancy, becoming a new parent).
020 3962 1301 View 020 3962 1301
Photo of Claire Acfield, MBACP, Counsellor
Claire Acfield
Counsellor, MBACP
Verified Verified
Hook RG27
I have a special interest in menopause and the huge effect this can have on a woman's mental health as they navigate this life change. I understand that a woman can struggle with her sense of identity during this time, and may suffer with anxiety, depression and a drop in confidence. Often they feel unheard by others and may believe that they are everything to everybody else - but who are they? They may need to make their voice heard, to speak to someone who can help them to work through the issues they are facing. They may wish to explore patterns of behaviour and to try to identify why they feel and relate the way that they do.
I have a special interest in menopause and the huge effect this can have on a woman's mental health as they navigate this life change. I understand that a woman can struggle with her sense of identity during this time, and may suffer with anxiety, depression and a drop in confidence. Often they feel unheard by others and may believe that they are everything to everybody else - but who are they? They may need to make their voice heard, to speak to someone who can help them to work through the issues they are facing. They may wish to explore patterns of behaviour and to try to identify why they feel and relate the way that they do.
0118 338 5052 View 0118 338 5052
Photo of Dr Joanna Harvey, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Joanna Harvey
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Online Only
Hi, I’m Joanna, Chartered Counselling Psychologist and Cognitive Analytic Therapist. If you have been struggling with intense or overwhelming feelings, anxiety, low mood or relationship issues; therapy with me can support you to gain more clarity and understanding of the difficulties you are facing and guide you to make changes moving forward. Perhaps you have experienced a significant life transition and are struggling to adapt to this or you find yourself stuck in unhelpful patterns in your relationships with yourself and others and wish that you felt differently.
Hi, I’m Joanna, Chartered Counselling Psychologist and Cognitive Analytic Therapist. If you have been struggling with intense or overwhelming feelings, anxiety, low mood or relationship issues; therapy with me can support you to gain more clarity and understanding of the difficulties you are facing and guide you to make changes moving forward. Perhaps you have experienced a significant life transition and are struggling to adapt to this or you find yourself stuck in unhelpful patterns in your relationships with yourself and others and wish that you felt differently.
020 3322 4528 View 020 3322 4528
Photo of Patricia Iona Ramzi - Pearliecare, MSc, MBACP Accred, Psychotherapist
Pearliecare
Psychotherapist, MSc, MBACP Accred
Verified Verified
When you accept yourself for who you are, you are able to greatly enhance your life. Let me support you through this process to be heard. I work with children, adolescents and adults with anxiety, relationship issues, depression, panic disorders, anger issues, bereavement and loss, and many other issues. Let's talk, I provide the space and safety for you to explore anything that might be challenging you. I am emphatic, insightful and non-judgemental. My aim is to build a therapeutic relationship with you to enable you to explore thoughts and emotions which can promote personal growth.
When you accept yourself for who you are, you are able to greatly enhance your life. Let me support you through this process to be heard. I work with children, adolescents and adults with anxiety, relationship issues, depression, panic disorders, anger issues, bereavement and loss, and many other issues. Let's talk, I provide the space and safety for you to explore anything that might be challenging you. I am emphatic, insightful and non-judgemental. My aim is to build a therapeutic relationship with you to enable you to explore thoughts and emotions which can promote personal growth.
07449 494702 View 07449 494702
Photo of Dr James Le Couteur, PsychD, HCPC - Clin. Psych., Psychologist
Dr James Le Couteur
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Many people feel lost, anxious, confused or overwhelmed; therapy is an effective way to find direction and stability. By collaboratively exploring your values, you will be supported and encouraged to live the life you want to be living. You are unique. To be most effective, therapy should be tailored to you — matching your own internal experiences (thoughts and emotions) and external life experiences. Fortunately, there are a variety of psychological therapies and therapeutic practices that together we can choose from, to help you feel the best version of yourself.
Many people feel lost, anxious, confused or overwhelmed; therapy is an effective way to find direction and stability. By collaboratively exploring your values, you will be supported and encouraged to live the life you want to be living. You are unique. To be most effective, therapy should be tailored to you — matching your own internal experiences (thoughts and emotions) and external life experiences. Fortunately, there are a variety of psychological therapies and therapeutic practices that together we can choose from, to help you feel the best version of yourself.
View
Photo of Deborah Coombs, MBACP, Counsellor
Deborah Coombs
Counsellor, MBACP
Verified Verified
I welcome people with a wide range of issues and recognise that most people do not bring issues that can be easily defined as a single category. You may have recently experienced a crisis in your life, such as bereavement, loss of a relationship, trauma or illness. Or perhaps you are less clear about why you are finding it hard to cope, you might be feeling anxious, stressed or experiencing unpredictable emotional swings but not be sure about why this is happening. Or maybe you are finding the process of ageing difficult and unsettling.
I welcome people with a wide range of issues and recognise that most people do not bring issues that can be easily defined as a single category. You may have recently experienced a crisis in your life, such as bereavement, loss of a relationship, trauma or illness. Or perhaps you are less clear about why you are finding it hard to cope, you might be feeling anxious, stressed or experiencing unpredictable emotional swings but not be sure about why this is happening. Or maybe you are finding the process of ageing difficult and unsettling.
020 3910 6029 View 020 3910 6029

See more therapy options for UB3

How does your Counsellor compare?

Number of Counsellors in UB3

< 10

Counsellors in UB3 who prioritize treating:

100% Depression
100% Self Esteem
88% Relationship Issues
88% Trauma and PTSD
88% Family Conflict
88% Coping Skills
88% Stress

Average years in practice

6 Years

Top 3 insurances accepted

67% WPA
33% Cigna and Evernorth
33% Aviva

How Counsellors in UB3 see their clients

88% In Person and Online
12% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counselling

How can I find a therapist in UB3?

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.