Counselling in W14

Photo of Pashmina Nanwani, Counsellor, DCounsPsych, MBACP
Pashmina Nanwani
Counsellor, DCounsPsych, MBACP
London W14
My name is Pashmina, I am an experienced Relational Counsellor and Psychotherapist. I am Indian by origin, and have lived in Africa, Spain, Middle East and the UK. With my experience and London being so ethnically diverse, cultural and social differences play a huge role in my practice and continues to be an area of focus. I have gained experience of working with anxiety, trauma, depression, relationship issues, and many other issues. I continue to work with clients at a centre affiliated with the NHS and as well as clients in my private practice. I offer both short-term and open ended therapy.
My name is Pashmina, I am an experienced Relational Counsellor and Psychotherapist. I am Indian by origin, and have lived in Africa, Spain, Middle East and the UK. With my experience and London being so ethnically diverse, cultural and social differences play a huge role in my practice and continues to be an area of focus. I have gained experience of working with anxiety, trauma, depression, relationship issues, and many other issues. I continue to work with clients at a centre affiliated with the NHS and as well as clients in my private practice. I offer both short-term and open ended therapy.
020 4538 6596 View 020 4538 6596
Photo of Philip Harvey, Psychotherapist, MSc, MBACP
Philip Harvey
Psychotherapist, MSc, MBACP
London W14
I'm a Psychodynamic Therapist & Counsellor, with a Masters degree and CHE from Birkbeck University of London together with Bachelors degree in Drama. I work with a broad range of clients, but my work at an LGBTQ+ counselling charity gave me a much closer insight into some of the challenges and experiences of people in this group.
I'm a Psychodynamic Therapist & Counsellor, with a Masters degree and CHE from Birkbeck University of London together with Bachelors degree in Drama. I work with a broad range of clients, but my work at an LGBTQ+ counselling charity gave me a much closer insight into some of the challenges and experiences of people in this group.
020 3826 8958 View 020 3826 8958
Photo of Circe Amos - Circe Jackson, CBT Therapist, Psychotherapist, MBABCP
Circe Jackson, CBT Therapist
Psychotherapist, MBABCP
London W14
I am a BABCP accredited Cognitive Behavioural Therapist (CBT) and supervisor. I have worked as a psychological therapist for over 10 years, mostly for an NHS service and more recently in private practice. Alongside this, I have worked as a lecturer in psychology at the University of Surrey, teaching students cognitive behavioural therapy techniques, and training them to become NHS talking therapists. I specialise in CBT which is an evidence-based treatment for anxiety and depression, and its success has been researched and approved over many years. I am extremely passionate about CBT and the life changing impact it can have.
I am a BABCP accredited Cognitive Behavioural Therapist (CBT) and supervisor. I have worked as a psychological therapist for over 10 years, mostly for an NHS service and more recently in private practice. Alongside this, I have worked as a lecturer in psychology at the University of Surrey, teaching students cognitive behavioural therapy techniques, and training them to become NHS talking therapists. I specialise in CBT which is an evidence-based treatment for anxiety and depression, and its success has been researched and approved over many years. I am extremely passionate about CBT and the life changing impact it can have.
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Photo of Naveed Faizi, Psychotherapist, MBACP
Naveed Faizi
Psychotherapist, MBACP
London W14
Hello! I am Naveed, an integrative therapist based in London. In life, we often face challenges and situations which make us feel overwhelmed. I provide a safe, confidential, and non-judgemental space for my clients, where we will explore and understand your thoughts and feelings at a deeper psychological level. The therapeutic alliance will be a collaborative journey based on the values of trust and honesty between us. So together we will draw on both traditional and modern techniques to understand and bring long-lasting improvements to every aspect of your wellbeing- mental, physical, emotional and relational.
Hello! I am Naveed, an integrative therapist based in London. In life, we often face challenges and situations which make us feel overwhelmed. I provide a safe, confidential, and non-judgemental space for my clients, where we will explore and understand your thoughts and feelings at a deeper psychological level. The therapeutic alliance will be a collaborative journey based on the values of trust and honesty between us. So together we will draw on both traditional and modern techniques to understand and bring long-lasting improvements to every aspect of your wellbeing- mental, physical, emotional and relational.
020 4538 7476 View 020 4538 7476
Photo of Marcus Nicholson - MarcusNicholson.Global, Psychologist, GMBPsS
MarcusNicholson.Global
Psychologist, GMBPsS
London W14
Whenever you're not willing to feel an emotion, your choices and behaviours stem from your avoidance of that emotion. Your resistance runs your life & is directly contrary to your overall best interest. Similarly, traumas are incidents unable to be completed. The energies of these traumas are stored in our body until they can be released. I assist you to unlock these traumas by reactivating the emotional responses to these trapped emotions, which unlocks the synapses in the brain, allowing new positive emotional learning to replace the old trauma. Your energy field then becomes less dense, & a new sense of freedom takes hold.
Whenever you're not willing to feel an emotion, your choices and behaviours stem from your avoidance of that emotion. Your resistance runs your life & is directly contrary to your overall best interest. Similarly, traumas are incidents unable to be completed. The energies of these traumas are stored in our body until they can be released. I assist you to unlock these traumas by reactivating the emotional responses to these trapped emotions, which unlocks the synapses in the brain, allowing new positive emotional learning to replace the old trauma. Your energy field then becomes less dense, & a new sense of freedom takes hold.
01748 902591 View 01748 902591
Photo of Nadja Julia Rolli, Psychotherapist, MA
Nadja Julia Rolli
Psychotherapist, MA
London W14
I am a qualified and experienced Integrative Child and Adolescent Psychotherapist. Previous to the MA in Child Psychotherapy, I have been trained in Switzerland as Psychomotor Therapist, with a focus on Play Therapy and Body Work for Children and young adults. I have many years of experience working with my clients through play therapy and talking therapy but integrate EMDR, body awareness and symbolism, art materials, clay and sand into my work to facilitate unconscious emotional processes.
I am a qualified and experienced Integrative Child and Adolescent Psychotherapist. Previous to the MA in Child Psychotherapy, I have been trained in Switzerland as Psychomotor Therapist, with a focus on Play Therapy and Body Work for Children and young adults. I have many years of experience working with my clients through play therapy and talking therapy but integrate EMDR, body awareness and symbolism, art materials, clay and sand into my work to facilitate unconscious emotional processes.
020 8103 6087 View 020 8103 6087
Photo of Kathleen King, Psychotherapist, DCounsPsych, BACP
Kathleen King
Psychotherapist, DCounsPsych, BACP
London W14
I was born in Canada, and was fortunate to live move my family and work in many countries. I have lived experience and an understanding of how belonging and finding a sense of self can be both challenging and exciting. Through our reflections you gain an awareness of your inner world to help make sense out of your particular circumstances that are bringing you concern. Together, help you find ways to work through your problems, and become more able and self-aware to cope in your future life. I will offer you an empathic, warm, and non-judgmental space to listen to you. I respect and am open to diversity and differences.
I was born in Canada, and was fortunate to live move my family and work in many countries. I have lived experience and an understanding of how belonging and finding a sense of self can be both challenging and exciting. Through our reflections you gain an awareness of your inner world to help make sense out of your particular circumstances that are bringing you concern. Together, help you find ways to work through your problems, and become more able and self-aware to cope in your future life. I will offer you an empathic, warm, and non-judgmental space to listen to you. I respect and am open to diversity and differences.
020 3817 6082 View 020 3817 6082
Photo of Aya Hallab, Psychotherapist, MA, HCPC-Drama Therap.
Aya Hallab
Psychotherapist, MA, HCPC-Drama Therap.
London W14
Working from a person-centered approach, I aim at supporting you with the challenges and difficulties you face by reclaiming your own story and narrative. I understand that destructive and painful patterns in behaviours and thoughts serve an adaptive function. With compassion, we can explore what lies behind these protective mechanisms and build curiosity towards oneself.
Working from a person-centered approach, I aim at supporting you with the challenges and difficulties you face by reclaiming your own story and narrative. I understand that destructive and painful patterns in behaviours and thoughts serve an adaptive function. With compassion, we can explore what lies behind these protective mechanisms and build curiosity towards oneself.
020 3857 8010 View 020 3857 8010
Photo of Jay Williams, Counsellor, MBACP
Jay Williams
Counsellor, MBACP
2 Endorsed
London W14
You might find yourself in pain. Perhaps there is a specific loss, trauma, something that hurts you and makes you want to seek out help. Or perhaps you are looking to address concerns, thoughts or emotions that have caused distress for a while. Maybe you just need help understanding something. I offer a non-judgmental, safe and containing space where the relationship is at the core of all of what we do. Together we will talk, find out what you are looking to achieve, and then we explore your inner world and past together seeking insight that often can help people with emotional growth and help provide answers sought out for so long
You might find yourself in pain. Perhaps there is a specific loss, trauma, something that hurts you and makes you want to seek out help. Or perhaps you are looking to address concerns, thoughts or emotions that have caused distress for a while. Maybe you just need help understanding something. I offer a non-judgmental, safe and containing space where the relationship is at the core of all of what we do. Together we will talk, find out what you are looking to achieve, and then we explore your inner world and past together seeking insight that often can help people with emotional growth and help provide answers sought out for so long
020 3835 5469 View 020 3835 5469
Photo of Carys Gabrielle Cole, Counsellor, MSc, MBACP
Carys Gabrielle Cole
Counsellor, MSc, MBACP
London W14
I am an experienced and qualified Therapeutic Counsellor, offering both online and face-to-face sessions. I have worked with individuals of all ages, backgrounds, and cultures, including children, young people, and adults, across various sectors such as counselling organisations, schools, and private practice. My experience also includes Christian counselling, where I am comfortable discussing spiritual beliefs as part of the therapeutic process. In addition to my core training, I am qualified in Video Interactive Guidance (VIG), which allows me to use video to enhance communication and relationships, offering a powerful tool for r
I am an experienced and qualified Therapeutic Counsellor, offering both online and face-to-face sessions. I have worked with individuals of all ages, backgrounds, and cultures, including children, young people, and adults, across various sectors such as counselling organisations, schools, and private practice. My experience also includes Christian counselling, where I am comfortable discussing spiritual beliefs as part of the therapeutic process. In addition to my core training, I am qualified in Video Interactive Guidance (VIG), which allows me to use video to enhance communication and relationships, offering a powerful tool for r
020 8016 2952 View 020 8016 2952
Photo of Jamie Bloch, Psychotherapist, MA, MBACP
Jamie Bloch
Psychotherapist, MA, MBACP
London W14
My name is Jamie (she/her). I moved to London from Toronto to further my education in counselling and psychotherapy. I'm a compassionate integrative counsellor, trained psychodynamically, who consistently provides a safe, supportive, therapeutic environment where my clients feel comfortable sharing their innermost thoughts and feelings. By maintaining an empathic, trauma-informed stance, I create a space where clients can feel held. By bringing unconscious thoughts and feelings into conscious awareness, clients can learn to better understand themselves.
My name is Jamie (she/her). I moved to London from Toronto to further my education in counselling and psychotherapy. I'm a compassionate integrative counsellor, trained psychodynamically, who consistently provides a safe, supportive, therapeutic environment where my clients feel comfortable sharing their innermost thoughts and feelings. By maintaining an empathic, trauma-informed stance, I create a space where clients can feel held. By bringing unconscious thoughts and feelings into conscious awareness, clients can learn to better understand themselves.
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Photo of Margitta Detjen, Psychotherapist, MA, MBACP
Margitta Detjen
Psychotherapist, MA, MBACP
London W14
The therapeutic process helps identify and understand what is happening in your inner world, in your relationships, your behavioural patterns and the difficulties in you experience. I work holistically with an evidence based theoretical framework. I believe that fundamentally we seek to know ourselves, to attune to our relationships, and to make sense of our story. These insights provide a foundation for a stronger sense of self, more fulfilling relationships, and an expanded perspective on life. Whilst therapy can provide symptomatic relief, my hope is that it will also bring you deeper awareness and sustainable progress.
The therapeutic process helps identify and understand what is happening in your inner world, in your relationships, your behavioural patterns and the difficulties in you experience. I work holistically with an evidence based theoretical framework. I believe that fundamentally we seek to know ourselves, to attune to our relationships, and to make sense of our story. These insights provide a foundation for a stronger sense of self, more fulfilling relationships, and an expanded perspective on life. Whilst therapy can provide symptomatic relief, my hope is that it will also bring you deeper awareness and sustainable progress.
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Photo of Angie Gutierrez, Psychotherapist, DCounsPsych, MUKCP
Angie Gutierrez
Psychotherapist, DCounsPsych, MUKCP
London W14
Perhaps all in life is well, but there's an underlining feeling that "something is not right" or "I'm just not happy". This might be the point at which we turn within and ask ourselves some questions... In my experience, it can take some time and space to make sense of our thoughts and feelings and to discover what is truly important to us in our life.
Perhaps all in life is well, but there's an underlining feeling that "something is not right" or "I'm just not happy". This might be the point at which we turn within and ask ourselves some questions... In my experience, it can take some time and space to make sense of our thoughts and feelings and to discover what is truly important to us in our life.
01748 901541 View 01748 901541
Photo of Charlotte Lucas, Psychotherapist, MUKCP
Charlotte Lucas
Psychotherapist, MUKCP
Serves Area
Hi, my name is Charlotte. I am a UKCP registered psychotherapist with an MSc in Transactional Analysis. I know that coming to therapy can often feel difficult and scary. The desire to want to change often comes out of finding yourself stuck in the same place. This can feel confusing and even overwhelming, so finding the right therapist for you is essential. Together, we will work on making sense of the mental blocks you’ve hit to unlock new ways of thinking through the past in order to awaken present. I am a warm, empathic and direct counsellor who can offer you a confidential space to explore yourself deeply and in your own time.
Hi, my name is Charlotte. I am a UKCP registered psychotherapist with an MSc in Transactional Analysis. I know that coming to therapy can often feel difficult and scary. The desire to want to change often comes out of finding yourself stuck in the same place. This can feel confusing and even overwhelming, so finding the right therapist for you is essential. Together, we will work on making sense of the mental blocks you’ve hit to unlock new ways of thinking through the past in order to awaken present. I am a warm, empathic and direct counsellor who can offer you a confidential space to explore yourself deeply and in your own time.
01748 902284 View 01748 902284
Photo of Felicity Hogg, Psychotherapist, MA, MBACP
Felicity Hogg
Psychotherapist, MA, MBACP
1 Endorsed
Serves Area
I am a qualified and accredited psychotherapist with a Master’s in Psychodynamic Counselling and Psychotherapy (Goldsmiths, University of London) and 10 years’ NHS social work experience, including training in South Africa. As a psychotherapist, I have supported individuals facing trauma, addiction, homelessness, and mental health challenges. My work is informed by psychodynamic, attachment, and strengths-based principles, helping clients develop self-awareness, build resilience, and achieve meaningful personal growth.
I am a qualified and accredited psychotherapist with a Master’s in Psychodynamic Counselling and Psychotherapy (Goldsmiths, University of London) and 10 years’ NHS social work experience, including training in South Africa. As a psychotherapist, I have supported individuals facing trauma, addiction, homelessness, and mental health challenges. My work is informed by psychodynamic, attachment, and strengths-based principles, helping clients develop self-awareness, build resilience, and achieve meaningful personal growth.
020 3974 1942 View 020 3974 1942
Photo of Jacqui Bennett, Counsellor, MBACP
Jacqui Bennett
Counsellor, MBACP
2 Endorsed
Serves Area
Does life feel like it is getting on top of you? Could you benefit from someone to talk to? Would you like to explore your thoughts and feelings?. At times life can be stressful and challenging. Counselling could be the first steps which allows you to explore your thoughts, feelings and your behaviour I offer a safe and supportive space to adults, couples, families and young people where you can explore any worries or difficulties in the strictest confidence. I offer Couples and Relationship Counselling to help partners explore their communication styles and discover positive ways to express their thoughts and fe
Does life feel like it is getting on top of you? Could you benefit from someone to talk to? Would you like to explore your thoughts and feelings?. At times life can be stressful and challenging. Counselling could be the first steps which allows you to explore your thoughts, feelings and your behaviour I offer a safe and supportive space to adults, couples, families and young people where you can explore any worries or difficulties in the strictest confidence. I offer Couples and Relationship Counselling to help partners explore their communication styles and discover positive ways to express their thoughts and fe
07540 085999 View 07540 085999
Photo of Irina Aron, Psychotherapist, PhD, MBACP
Irina Aron
Psychotherapist, PhD, MBACP
1 Endorsed
Serves Area
My clients are typically people with intercultural background - individuals, couples or groups. They might be facing challenges related to significant change – moving between different countries/cultures, change in their relationship status or professional roles. They might be going through challenging times in life and facing difficult choices: infidelity, separation, opening their relationship, empty nest syndrome. We work in their first or second language - English, Russian or Bulgarian. And even if I don’t speak your native tongue, as someone who is multilingual, I understand the challenges and gifts that come with bilingualism.
My clients are typically people with intercultural background - individuals, couples or groups. They might be facing challenges related to significant change – moving between different countries/cultures, change in their relationship status or professional roles. They might be going through challenging times in life and facing difficult choices: infidelity, separation, opening their relationship, empty nest syndrome. We work in their first or second language - English, Russian or Bulgarian. And even if I don’t speak your native tongue, as someone who is multilingual, I understand the challenges and gifts that come with bilingualism.
01748 901751 View 01748 901751
Photo of Michela Pucci, Counsellor, MA, MBACP
Michela Pucci
Counsellor, MA, MBACP
1 Endorsed
Serves Area
I am a Counsellor, Sex and Relationship Therapist. Additionally, I provide both in-person and online EMDR (eye movement desensitisation and reprocessing) therapy for both physical and emotional traumas. I assist couples and individuals in multiple partnerships who struggle with communication and sexual issues. I handle a wide range of psychological issues using an integrative method. Insurances accepted: AXA Health, WPA and AVIVA.
I am a Counsellor, Sex and Relationship Therapist. Additionally, I provide both in-person and online EMDR (eye movement desensitisation and reprocessing) therapy for both physical and emotional traumas. I assist couples and individuals in multiple partnerships who struggle with communication and sexual issues. I handle a wide range of psychological issues using an integrative method. Insurances accepted: AXA Health, WPA and AVIVA.
020 3917 4582 View 020 3917 4582
Photo of Dr Christina Gregory, Psychologist, HCPC - Couns. Psych.
Dr Christina Gregory
Psychologist, HCPC - Couns. Psych.
1 Endorsed
Serves Area
Are you struggling with life and work demands? Are you facing difficult life transitions or perhaps have lost pleasure in activities that you once enjoyed? Maybe you cannot identify what is troubling you, but just know that things don't seem quite right. I appreciate that taking the first steps and reaching out to someone can be daunting, so it is important to find a therapist that you feel comfortable working with. Whatever the reason that brings you to therapy, together we can create a treatment plan that suits your needs, so that you can lead a more fulfilling life.
Are you struggling with life and work demands? Are you facing difficult life transitions or perhaps have lost pleasure in activities that you once enjoyed? Maybe you cannot identify what is troubling you, but just know that things don't seem quite right. I appreciate that taking the first steps and reaching out to someone can be daunting, so it is important to find a therapist that you feel comfortable working with. Whatever the reason that brings you to therapy, together we can create a treatment plan that suits your needs, so that you can lead a more fulfilling life.
07480 538089 View 07480 538089
Photo of Brigitte Haston, Psychotherapist, MA, MBACP
Brigitte Haston
Psychotherapist, MA, MBACP
Serves Area
Perhaps you are experiencing anxiety or depression, or you may have gone through a life event that has set you adrift. You may be in pain or you may be curious to look deeper within yourself and work out the jigsaw that is “you”. I believe that loss is central to many of our issues. It can be loss in the most extreme way through bereavement but it may also be loss in a more general way : the loss of our identity or purpose. I help my clients to adjust to change - indeed to see change as inevitable and to embrace the growth opportunities it presents.
Perhaps you are experiencing anxiety or depression, or you may have gone through a life event that has set you adrift. You may be in pain or you may be curious to look deeper within yourself and work out the jigsaw that is “you”. I believe that loss is central to many of our issues. It can be loss in the most extreme way through bereavement but it may also be loss in a more general way : the loss of our identity or purpose. I help my clients to adjust to change - indeed to see change as inevitable and to embrace the growth opportunities it presents.
01748 902502 View 01748 902502

See more therapy options for W14

How does your Counsellor compare?

Number of Counsellors in W14

70+

Average cost per session

£80

Counsellors in W14 who prioritize treating:

92% Anxiety
84% Self Esteem
83% Relationship Issues
83% Depression
82% Stress
67% Bereavement
66% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

76% Aviva
71% AXA PPP
67% Vitality

How Counsellors in W14 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counselling

How can I find a therapist in W14?

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.