Counselling in W9

Photo of Dr Safoora Sepehri, Psychotherapist, PhD, CPsychol
Dr Safoora Sepehri
Psychotherapist, PhD, CPsychol
London W9
With a PhD in Psychology from Shahid Beheshti University (National University of Iran) and an MA in Psychoanalytic Studies from Birkbeck University, London, I bring over a decade of experience as a psychodynamic psychotherapist. I specialize in helping individuals and couples explore the unconscious patterns that shape their emotional lives, uncovering the deeper roots of pain, discomfort, and relational challenges. Through a reflective and insight-oriented approach, I provide a safe and supportive space for meaningful self-discovery and transformation.
With a PhD in Psychology from Shahid Beheshti University (National University of Iran) and an MA in Psychoanalytic Studies from Birkbeck University, London, I bring over a decade of experience as a psychodynamic psychotherapist. I specialize in helping individuals and couples explore the unconscious patterns that shape their emotional lives, uncovering the deeper roots of pain, discomfort, and relational challenges. Through a reflective and insight-oriented approach, I provide a safe and supportive space for meaningful self-discovery and transformation.
020 3535 6762 View 020 3535 6762
Giles Godwin
Psychotherapist, BPC
London W9
Through a dedication to the psychoanalytic process, I am able to help my patients to process painful feelings. gain insight and to begin to build a richer, more integrated sense of self. By exploring past experience, and current thoughts and feelings my aim is to bring into consciousness, old patterns of relating, behaving, and perceiving, that lead to a psychological conflict. Psychological conflict can manifest as depression, anxiety or fears about oneself, or in some cases more extreme forms of psychological disturbance,
Through a dedication to the psychoanalytic process, I am able to help my patients to process painful feelings. gain insight and to begin to build a richer, more integrated sense of self. By exploring past experience, and current thoughts and feelings my aim is to bring into consciousness, old patterns of relating, behaving, and perceiving, that lead to a psychological conflict. Psychological conflict can manifest as depression, anxiety or fears about oneself, or in some cases more extreme forms of psychological disturbance,
020 4634 1795 View 020 4634 1795
Photo of Andreas Lind, Psychotherapist, MA, MUKCP
Andreas Lind
Psychotherapist, MA, MUKCP
London W9
I am a psychotherapist accredited UKCP experienced at treating emotional and psychological issues. Until 2021 I divided my time between private practice and the NHS, where I was Principal Psychotherapist for a large NHS Trust. Now in full time private practice I have extensive experience of assessing and treating people from a variety of backgrounds whose problems range from severe and complex to more easily treatable problems including: Self-esteem, personal development, depression, anxiety, addictions, self-harm, personality problems and family and relationship concerns.
I am a psychotherapist accredited UKCP experienced at treating emotional and psychological issues. Until 2021 I divided my time between private practice and the NHS, where I was Principal Psychotherapist for a large NHS Trust. Now in full time private practice I have extensive experience of assessing and treating people from a variety of backgrounds whose problems range from severe and complex to more easily treatable problems including: Self-esteem, personal development, depression, anxiety, addictions, self-harm, personality problems and family and relationship concerns.
020 3053 9827 View 020 3053 9827
Photo of Tony Babarik, Psychotherapist, MA, MUKCP
Tony Babarik
Psychotherapist, MA, MUKCP
London W9
Finding Clarity and Healing Through Connection. We all seek to feel heard, understood, and validated. Yet, many of us struggle to make sense of recurring patterns or behaviors that feel harmful or unfulfilling. Psychotherapy offers a supportive space for exploring these challenges, fostering greater self-awareness, and empowering you to recognize and articulate your emotional needs. Together, we can work towards a deeper understanding of yourself and begin the journey toward healing and growth.
Finding Clarity and Healing Through Connection. We all seek to feel heard, understood, and validated. Yet, many of us struggle to make sense of recurring patterns or behaviors that feel harmful or unfulfilling. Psychotherapy offers a supportive space for exploring these challenges, fostering greater self-awareness, and empowering you to recognize and articulate your emotional needs. Together, we can work towards a deeper understanding of yourself and begin the journey toward healing and growth.
020 3835 4622 View 020 3835 4622
Photo of Sam Mansi, Counsellor, MBACP
Sam Mansi
Counsellor, MBACP
London W9
Are you seeking a holistic approach to your mental well-being? As an integrative counsellor and Life Coach, I blend various therapeutic techniques to tailor each session to your unique needs. With a compassionate and empathetic approach, I draw from diverse modalities such as Person Centered, Gestalt, CBT, mindfulness, and psychodynamic principles to help you navigate life's challenges. My goal is to create a safe and supportive space where you can explore your thoughts and feelings, gain deeper self-awareness, and foster lasting personal growth. I look forward to being part of your journey. Please click on my website for more info.
Are you seeking a holistic approach to your mental well-being? As an integrative counsellor and Life Coach, I blend various therapeutic techniques to tailor each session to your unique needs. With a compassionate and empathetic approach, I draw from diverse modalities such as Person Centered, Gestalt, CBT, mindfulness, and psychodynamic principles to help you navigate life's challenges. My goal is to create a safe and supportive space where you can explore your thoughts and feelings, gain deeper self-awareness, and foster lasting personal growth. I look forward to being part of your journey. Please click on my website for more info.
020 7870 1823 View 020 7870 1823
Photo of Devika Tyagi, Psychotherapist, MSc, MBACP
Devika Tyagi
Psychotherapist, MSc, MBACP
1 Endorsed
London W9
Change can be both unsettling and transformative. My clients often come to therapy during transitions: in careers, identities, relationships, health or life stages, seeking clarity, grounding and direction. They want to understand what's shifting, find meaning in it and reconnect with a life that feels more aligned and intentional. You may be standing at a turning point, feeling uncertain, stuck or simply ready for change. My clients reach out seeking not just relief but understanding, and a way forward that feels authentic, confident and aligned with who they are becoming.
Change can be both unsettling and transformative. My clients often come to therapy during transitions: in careers, identities, relationships, health or life stages, seeking clarity, grounding and direction. They want to understand what's shifting, find meaning in it and reconnect with a life that feels more aligned and intentional. You may be standing at a turning point, feeling uncertain, stuck or simply ready for change. My clients reach out seeking not just relief but understanding, and a way forward that feels authentic, confident and aligned with who they are becoming.
020 4634 0082 View 020 4634 0082
Photo of Samantha Jayne Byron, Psychotherapist, BACP
Samantha Jayne Byron
Psychotherapist, BACP
1 Endorsed
London W9
As a clinical psychotherapist,​ I have over 10 year’s experience of working with patients and clients with many different struggles and difficulties. Trained as an integrative therapist, I work in a unique way that is based on your own individual needs. I believe that everyone is different and not every modality suits everyone. I know only too well how difficult life can be, yet uniquely different, we all suffer pain and loss in many similar ways. I feel truly humbled to work in this field and would be honoured to support you. You are not alone.
As a clinical psychotherapist,​ I have over 10 year’s experience of working with patients and clients with many different struggles and difficulties. Trained as an integrative therapist, I work in a unique way that is based on your own individual needs. I believe that everyone is different and not every modality suits everyone. I know only too well how difficult life can be, yet uniquely different, we all suffer pain and loss in many similar ways. I feel truly humbled to work in this field and would be honoured to support you. You are not alone.
020 3984 8715 View 020 3984 8715
Photo of Tamsin Hunter-Braga - Tamsin Braga Therapy, Counsellor, BACP
Tamsin Braga Therapy
Counsellor, BACP
London W9
Hello, I'm Tamsin - an integrative therapist and coach. I've lived with chronic illness and persistent pain, navigated major breakups, and weathered overwhelming change. That first-hand experience helps me understand how disorienting and isolating big shifts can feel. I specialize in chronic pain, anxiety, low self esteem and relationship difficulties, including separations and couples work. A lot of my clients come along feeling stuck, disconnected, or overstretched. My goal is to hold a safe, non-judgmental space where we can explore what’s hard and begin to untangle it together.
Hello, I'm Tamsin - an integrative therapist and coach. I've lived with chronic illness and persistent pain, navigated major breakups, and weathered overwhelming change. That first-hand experience helps me understand how disorienting and isolating big shifts can feel. I specialize in chronic pain, anxiety, low self esteem and relationship difficulties, including separations and couples work. A lot of my clients come along feeling stuck, disconnected, or overstretched. My goal is to hold a safe, non-judgmental space where we can explore what’s hard and begin to untangle it together.
020 4572 7049 View 020 4572 7049
Photo of David Polak, Psychotherapist, MA, MBACP Accred
David Polak
Psychotherapist, MA, MBACP Accred
London W9
For the past eighteen years I’ve worked as a psychotherapist in both the public and private sector. This means not only am I experienced in working with colleagues and clients from a wide variety of social and cultural backgrounds, I have also helped clients through a range of issues including anxiety, depression, relationship/family issues, trauma, abuse, bereavement, stress and low self-esteem.
For the past eighteen years I’ve worked as a psychotherapist in both the public and private sector. This means not only am I experienced in working with colleagues and clients from a wide variety of social and cultural backgrounds, I have also helped clients through a range of issues including anxiety, depression, relationship/family issues, trauma, abuse, bereavement, stress and low self-esteem.
020 3872 2843 View 020 3872 2843
Photo of Petya Milcheva, Psychotherapist, BPC
Petya Milcheva
Psychotherapist, BPC
London W9
I offer psychodynamic psychotherapy to adults. Whether you harbour interest in the unconscious because you noticed repetitive patterns in your life and have no clue how you always get there, or psychodynamic work is your last resort in a series of interventions - dedicating time and effort to a deeper process might be a sign that you decided to put more value on yourself. To all that you are – the successful professional, or the caring parent and a partner, but also to those parts of your being that are usually excluded and feel unrecognized or unappreciated, who often suffer in silence the burden of “carry on”.
I offer psychodynamic psychotherapy to adults. Whether you harbour interest in the unconscious because you noticed repetitive patterns in your life and have no clue how you always get there, or psychodynamic work is your last resort in a series of interventions - dedicating time and effort to a deeper process might be a sign that you decided to put more value on yourself. To all that you are – the successful professional, or the caring parent and a partner, but also to those parts of your being that are usually excluded and feel unrecognized or unappreciated, who often suffer in silence the burden of “carry on”.
020 4634 3154 View 020 4634 3154
Photo of Isabelle von Oppen, Psychotherapist, PsychD, ACP
Isabelle von Oppen
Psychotherapist, PsychD, ACP
London W9
I am a psychoanalytic child and adolescent psychotherapist working with children, teenagers, young adults (0 -25 years) and parents. I am invested in providing an emotionally supportive thinking space, using an integrative and adaptable way of working that is tailored to each individual’s or family’s needs and emotional pace. I aim to facilitate the capacity to deepen an understanding of oneself within the context of a safe therapeutic relationship, enhancing emotional resilience. I am currently working part time in an NHS clinic that specialises in trauma as well as an adolescent (12-25yrs) psychotherapy clinic.
I am a psychoanalytic child and adolescent psychotherapist working with children, teenagers, young adults (0 -25 years) and parents. I am invested in providing an emotionally supportive thinking space, using an integrative and adaptable way of working that is tailored to each individual’s or family’s needs and emotional pace. I aim to facilitate the capacity to deepen an understanding of oneself within the context of a safe therapeutic relationship, enhancing emotional resilience. I am currently working part time in an NHS clinic that specialises in trauma as well as an adolescent (12-25yrs) psychotherapy clinic.
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Photo of Rhiana Nelson, Psychotherapist, MA, MBACP
Rhiana Nelson
Psychotherapist, MA, MBACP
London W9
Hello, I'm Rhiana. I'm an integrative psychotherapist and counsellor. We all have times when we need someone impartial, caring and present to listen to us. During therapy, I endeavour to aid my client's creation of clear, therapeutic goals that will elicit change. I work with a variety of clients, who are looking for someone to help them understand their concerns, from a place of non-judgment. I specialise in working with depression, relationship issues, social isolation and identity confusion.
Hello, I'm Rhiana. I'm an integrative psychotherapist and counsellor. We all have times when we need someone impartial, caring and present to listen to us. During therapy, I endeavour to aid my client's creation of clear, therapeutic goals that will elicit change. I work with a variety of clients, who are looking for someone to help them understand their concerns, from a place of non-judgment. I specialise in working with depression, relationship issues, social isolation and identity confusion.
020 3835 3645 View 020 3835 3645
Photo of Giuseppina Nicoletta Arbia, Psychotherapist, PsychD, MUKCP
Giuseppina Nicoletta Arbia
Psychotherapist, PsychD, MUKCP
London W9
There is so much in life that keeps us caged. All you need to know is that I rewild caged people. if this resonates maybe I'm the therapist for you!
There is so much in life that keeps us caged. All you need to know is that I rewild caged people. if this resonates maybe I'm the therapist for you!
020 4634 5629 View 020 4634 5629
Photo of Javaneh Pirzadamoli, Psychotherapist, MA, MUKCP
Javaneh Pirzadamoli
Psychotherapist, MA, MUKCP
London W9
Hi, I’m Javaneh — a child, adolescent, and young adult psychotherapist. I support clients with a range of difficulties, including various forms of anxiety (health anxiety, social anxiety, panic) self harm, low self-esteem, and trauma. My approach is warm and relational. I believe in creating a safe, containing space where my clients can make sense of their difficult feelings and begin to feel more connected to themselves. With over 10 years of experience working across schools, therapy organisations, and private practice, I bring both depth of training and an understanding of the real-life challenges young people face.
Hi, I’m Javaneh — a child, adolescent, and young adult psychotherapist. I support clients with a range of difficulties, including various forms of anxiety (health anxiety, social anxiety, panic) self harm, low self-esteem, and trauma. My approach is warm and relational. I believe in creating a safe, containing space where my clients can make sense of their difficult feelings and begin to feel more connected to themselves. With over 10 years of experience working across schools, therapy organisations, and private practice, I bring both depth of training and an understanding of the real-life challenges young people face.
020 3988 4300 View 020 3988 4300
Photo of Saima Rehman - Saima: Depression, Anxiety, Trauma, ADHD, Autism, Counsellor, MSc, MBACP
Saima: Depression, Anxiety, Trauma, ADHD, Autism
Counsellor, MSc, MBACP
1 Endorsed
London W9
Emotional connection, along with psychological and physical wellbeing, relies on being understood, listened to, heard, loved, valued, and respected. However, there are instances when you may find yourself caught in unhelpful work or personal relationships with no idea how to break free. It may feel like that your life is crumbling around you.You may be feeling overwhelmed and unsure of how to move forward, leaving you feeling confused, scared, anxious, or low. By working together in a safe and supportive space, you can delve into self-discovery, gain confidence and resilience, and strive for a positive change in your life.
Emotional connection, along with psychological and physical wellbeing, relies on being understood, listened to, heard, loved, valued, and respected. However, there are instances when you may find yourself caught in unhelpful work or personal relationships with no idea how to break free. It may feel like that your life is crumbling around you.You may be feeling overwhelmed and unsure of how to move forward, leaving you feeling confused, scared, anxious, or low. By working together in a safe and supportive space, you can delve into self-discovery, gain confidence and resilience, and strive for a positive change in your life.
020 3835 4525 View 020 3835 4525
Photo of Ameen Kamlana, Psychotherapist, MBBS, MBACP
Ameen Kamlana
Psychotherapist, MBBS, MBACP
London W9
You may be feeling overwhelmed, stuck, disconnected, or worn down by what you’ve been carrying. Perhaps you’re struggling with difficult emotions, the impact of past experiences, ongoing stress, or problems with sleep. You might want space to talk openly, understand yourself better, feel more at ease, or move beyond patterns that no longer serve you. You may be looking not just for symptom relief, but for deeper change, clarity, and a greater sense of wellbeing.
You may be feeling overwhelmed, stuck, disconnected, or worn down by what you’ve been carrying. Perhaps you’re struggling with difficult emotions, the impact of past experiences, ongoing stress, or problems with sleep. You might want space to talk openly, understand yourself better, feel more at ease, or move beyond patterns that no longer serve you. You may be looking not just for symptom relief, but for deeper change, clarity, and a greater sense of wellbeing.
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Photo of Scarlet Ma, Psychotherapist, MA, MUKCP
Scarlet Ma
Psychotherapist, MA, MUKCP
London W9
Life can be challenging and difficult at times. Psychotherapy offers a space you can gift yourself — a space to be held, supported, and invited into new possibilities. I provide a safe, open, and thoughtful therapeutic environment where you can slow down, reconnect with yourself, and explore what feels important. Healing and growth often come through relationships in which we feel seen and understood. Difficulties and struggles can point us toward parts of our lives that are calling for attention, though this is not always easy to recognise when we are in the midst of them.
Life can be challenging and difficult at times. Psychotherapy offers a space you can gift yourself — a space to be held, supported, and invited into new possibilities. I provide a safe, open, and thoughtful therapeutic environment where you can slow down, reconnect with yourself, and explore what feels important. Healing and growth often come through relationships in which we feel seen and understood. Difficulties and struggles can point us toward parts of our lives that are calling for attention, though this is not always easy to recognise when we are in the midst of them.
07599 820099 View 07599 820099
Photo of Esthella Cortes, Psychotherapist, UKCP Trainee
Esthella Cortes
Psychotherapist, UKCP Trainee
London W9
I am a registered and insured psychoanalyst with extensive clinical experience in mental health. As well as being a clinician, I have spent years researching autism during my PhD in Psychiatry at the University of Cambridge. I am also an MD (Medical Doctor) with extensive experience in psychiatry placements, which has deeply informed my approach to psychoanalytic practice. I offer personalized psychoanalytic services in comfortable settings in Cambridge and London, or online via secure video sessions for anyone based in the UK. My services are available in both English and Spanish to ensure you can express yourself in the language
I am a registered and insured psychoanalyst with extensive clinical experience in mental health. As well as being a clinician, I have spent years researching autism during my PhD in Psychiatry at the University of Cambridge. I am also an MD (Medical Doctor) with extensive experience in psychiatry placements, which has deeply informed my approach to psychoanalytic practice. I offer personalized psychoanalytic services in comfortable settings in Cambridge and London, or online via secure video sessions for anyone based in the UK. My services are available in both English and Spanish to ensure you can express yourself in the language
01223 679836 View 01223 679836
Photo of Aisha Rachel Paez-Benguigui, Psychotherapist, MA, MUKCP
Aisha Rachel Paez-Benguigui
Psychotherapist, MA, MUKCP
London W9
Looking to learn more about yourself? Would you like to address a particular mood or thoughts that are consuming your mind? Our unconscious mind can influence us more than we think... "what you resist persists" If you are tired of feeling stuck, going around in circles trying to figure out how to make the “right” choices for yourself, feel more balanced and mindful, then is time to take actions. In our sessions we would work together exploring meaning beyond current and past situations to support awareness and inner freedom so you can achieve your goals and choose to become who you want to be .
Looking to learn more about yourself? Would you like to address a particular mood or thoughts that are consuming your mind? Our unconscious mind can influence us more than we think... "what you resist persists" If you are tired of feeling stuck, going around in circles trying to figure out how to make the “right” choices for yourself, feel more balanced and mindful, then is time to take actions. In our sessions we would work together exploring meaning beyond current and past situations to support awareness and inner freedom so you can achieve your goals and choose to become who you want to be .
07480 784327 View 07480 784327
Photo of Julia Ouzia, Counsellor, PhD, MBACP
Julia Ouzia
Counsellor, PhD, MBACP
1 Endorsed
London W9
The world is not made for me - does this notion sound at all familiar? It does to me and I know it to be a common experience, especially for those who hold marginalised identities. Hi, my name is Julia, it's good to have you on my profile. I am a London-based fully qualified Gestalt psychotherapeutic counsellor working in person, outdoors, and online. I have been trained to work with a wide variety of issues and have a particular interest in working with those who have experienced systemic oppression. Being a physically disabled person myself, I have lived experience of what it is like to live in a world not designed for you.
The world is not made for me - does this notion sound at all familiar? It does to me and I know it to be a common experience, especially for those who hold marginalised identities. Hi, my name is Julia, it's good to have you on my profile. I am a London-based fully qualified Gestalt psychotherapeutic counsellor working in person, outdoors, and online. I have been trained to work with a wide variety of issues and have a particular interest in working with those who have experienced systemic oppression. Being a physically disabled person myself, I have lived experience of what it is like to live in a world not designed for you.
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How does your Counsellor compare?

Number of Counsellors in W9

90+

Average cost per session

£80

Counsellors in W9 who prioritize treating:

95% Anxiety
91% Depression
87% Self Esteem
84% Stress
83% Relationship Issues
68% Trauma and PTSD
67% Bereavement

Average years in practice

12 Years

Top 3 insurances accepted

73% Aviva
69% AXA PPP
58% WPA

How Counsellors in W9 see their clients

85% In Person and Online
15% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Therapy and Counselling

How can I find a therapist in W9?

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.