Photo of Sara Wells, MA, MBACP, Counsellor
Sara Wells
Counsellor, MA, MBACP
Verified Verified
I am a qualified psychotherapeutic counsellor. I offer a warm, open-minded and non-judgemental space for adults to share and explore their issues in confidence. My approach is tailored to the specific needs and circumstances of each person.
I am a qualified psychotherapeutic counsellor. I offer a warm, open-minded and non-judgemental space for adults to share and explore their issues in confidence. My approach is tailored to the specific needs and circumstances of each person.
0161 524 2911 View 0161 524 2911
Photo of Dr Ishba Rehman, PsychD, HCPC - Couns. Psych., Psychologist
Dr Ishba Rehman
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Altrincham WA14  (Online Only)
Are you struggling with low mood and anxiety? Do you have difficulties with your self-esteem, body image your relationship with food? Have you experienced a traumatic life event? Struggling in your relationships at home and at work? Or are you experiencing an overall lack of happiness and fulfilment in your life which makes you less hopeful for the future? Then you are not alone. Many of us experience these difficulties, at various points in our lives. The good thing is, you are here now, wanting to seek help. To get started, you can request an initial appointment with Dr Ishba Rehman (free of cost) to discuss your needs and goals.
Are you struggling with low mood and anxiety? Do you have difficulties with your self-esteem, body image your relationship with food? Have you experienced a traumatic life event? Struggling in your relationships at home and at work? Or are you experiencing an overall lack of happiness and fulfilment in your life which makes you less hopeful for the future? Then you are not alone. Many of us experience these difficulties, at various points in our lives. The good thing is, you are here now, wanting to seek help. To get started, you can request an initial appointment with Dr Ishba Rehman (free of cost) to discuss your needs and goals.
0161 524 0193 View 0161 524 0193
Photo of Zoe Rivers - Beyond Barriers Therapy Services, HCPC - Clin. Psych., Psychologist
Beyond Barriers Therapy Services
Psychologist, HCPC - Clin. Psych.
Verified Verified
If you have been struggling with anxiety, self-criticism, shame, low mood, difficult emotions & relationships, it may be the right time to find a trusted therapist; someone to help you understand & grow from the effects of adversity, stress & trauma. Our wellbeing can be affected by many things - work stress, early adversity, significant trauma or relationships, and we do our best to find helpful coping strategies. When our ways of coping don't work so well, we can feel stuck and isolated - psychological therapy can help us move beyond those barriers. I focus on you as an individual, without using labels or diagnoses.
If you have been struggling with anxiety, self-criticism, shame, low mood, difficult emotions & relationships, it may be the right time to find a trusted therapist; someone to help you understand & grow from the effects of adversity, stress & trauma. Our wellbeing can be affected by many things - work stress, early adversity, significant trauma or relationships, and we do our best to find helpful coping strategies. When our ways of coping don't work so well, we can feel stuck and isolated - psychological therapy can help us move beyond those barriers. I focus on you as an individual, without using labels or diagnoses.
07723 490322 View 07723 490322
Photo of Laura Nash, MBACP, Counsellor
Laura Nash
Counsellor, MBACP
Verified Verified
Altrincham WA14  (Online Only)
Welcome! I hope that my words here help you to feel seen and leave you feeling hopeful of a better tomorrow.​ I am passionate about normalising seeking support when we need to. It is a gift to yourself and your future generations. It's important to know that we all experience times in our life that are overwhelming, challenging and sometimes paralysing. I firmly believe that you do not need to have experienced something catastrophic to justify why you might be finding things difficult. I will help you to discover a new way of moving forward which feels positive, and is aligned with who you are and what you want for your life.​
Welcome! I hope that my words here help you to feel seen and leave you feeling hopeful of a better tomorrow.​ I am passionate about normalising seeking support when we need to. It is a gift to yourself and your future generations. It's important to know that we all experience times in our life that are overwhelming, challenging and sometimes paralysing. I firmly believe that you do not need to have experienced something catastrophic to justify why you might be finding things difficult. I will help you to discover a new way of moving forward which feels positive, and is aligned with who you are and what you want for your life.​
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Photo of Emma Harris, MA, MBACP, Counsellor
Emma Harris
Counsellor, MA, MBACP
Verified Verified
It isn't often, in our everyday lives, that we feel truly heard, understood and accepted without sensing judgement or criticism from others. I deeply acknowledge and understand the loneliness that comes from struggling in silence with life's difficulties. Therapy offers you a calm space to begin to tell your story; permission to pause and reflect on what you have been through, validate your response to trauma and loss and gently navigate the path forward. I will support you on your therapeutic journey, gently empowering you to realise your inner resources and ways of coping and navigating your world so that you feel more in control.
It isn't often, in our everyday lives, that we feel truly heard, understood and accepted without sensing judgement or criticism from others. I deeply acknowledge and understand the loneliness that comes from struggling in silence with life's difficulties. Therapy offers you a calm space to begin to tell your story; permission to pause and reflect on what you have been through, validate your response to trauma and loss and gently navigate the path forward. I will support you on your therapeutic journey, gently empowering you to realise your inner resources and ways of coping and navigating your world so that you feel more in control.
0161 524 0306 View 0161 524 0306
Photo of Jo Barritt, MBACP, Counsellor
Jo Barritt
Counsellor, MBACP
Verified Verified
Altrincham WA14  (Online Only)
Hi, I'm Jo, I'm a qualified counsellor and have many years of experience. I currently work for the NHS as well as in private practice.  I understand that sometimes we all need someone to talk to, life can become overwhelming, confusing, or distressing for anyone, for many different reasons.  This is where counselling, and I, can be useful.  Counselling can be just the place to untangle your thoughts and make sense of what is going on for you, and how you might like it to change. I recognise that everyone is different. We are all individuals, and I therefore believe that therapy should also be unique to you, and your experience.
Hi, I'm Jo, I'm a qualified counsellor and have many years of experience. I currently work for the NHS as well as in private practice.  I understand that sometimes we all need someone to talk to, life can become overwhelming, confusing, or distressing for anyone, for many different reasons.  This is where counselling, and I, can be useful.  Counselling can be just the place to untangle your thoughts and make sense of what is going on for you, and how you might like it to change. I recognise that everyone is different. We are all individuals, and I therefore believe that therapy should also be unique to you, and your experience.
07447 986856 View 07447 986856
Photo of Dr Javier Malda Castillo, PsychD, HCPC - Clin. Psych., Psychologist
Dr Javier Malda Castillo
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I am a Clinical Psychologist, chartered member of the British Psychological Society (BPS) and registered with the Health and Care Professions Council. I have specialist training in psychological treatment for a wide range of difficulties both in the NHS and in private practice. I have completed a full IEDTA accredited training as an ISTDP therapist, teacher and supervisor and I have also been granted accreditation as MBT specialist supervisor by the Anna Freud Centre. I am a direct, studious and persistent clinician. I seek to deliver precise, empathic, supportive and scientific therapy to individuals, couples and groups.
I am a Clinical Psychologist, chartered member of the British Psychological Society (BPS) and registered with the Health and Care Professions Council. I have specialist training in psychological treatment for a wide range of difficulties both in the NHS and in private practice. I have completed a full IEDTA accredited training as an ISTDP therapist, teacher and supervisor and I have also been granted accreditation as MBT specialist supervisor by the Anna Freud Centre. I am a direct, studious and persistent clinician. I seek to deliver precise, empathic, supportive and scientific therapy to individuals, couples and groups.
0161 524 9967 View 0161 524 9967
Photo of Karen Foran Psychotherapist, MSc, MBACP Accred, Psychotherapist
Karen Foran Psychotherapist
Psychotherapist, MSc, MBACP Accred
Verified Verified
1 Endorsed
Altrincham WA14  (Online Only)
Hi everyone, I'm a psychotherapist working online. My approach is integrative, meaning I use different therapy methods, such as EMDR, that will help with your recovery process. My speciality is working with trauma, specifically sexual trauma and childhood trauma. When we are faced with challenges in our life the opportunity to discuss with someone impartial who will not judge you, can be a positive step. My experience enables me to support you to make sense of your thoughts, feelings and behaviours. Together we can identify what might be stopping you from reaching your full potential.
Hi everyone, I'm a psychotherapist working online. My approach is integrative, meaning I use different therapy methods, such as EMDR, that will help with your recovery process. My speciality is working with trauma, specifically sexual trauma and childhood trauma. When we are faced with challenges in our life the opportunity to discuss with someone impartial who will not judge you, can be a positive step. My experience enables me to support you to make sense of your thoughts, feelings and behaviours. Together we can identify what might be stopping you from reaching your full potential.
0161 696 8402 View 0161 696 8402
Photo of Neal Trotman, MBACP, Psychotherapist
Neal Trotman
Psychotherapist, MBACP
Verified Verified
Hi and thank you for visiting my profile. Opening up can be hard, I feel it is better to share a problem than to deal with it yourself. I enjoy helping people make sense of their experiences and finding different ways of living. I value hearing each person's story and helping you to find inner calm, clarity and understanding.
Hi and thank you for visiting my profile. Opening up can be hard, I feel it is better to share a problem than to deal with it yourself. I enjoy helping people make sense of their experiences and finding different ways of living. I value hearing each person's story and helping you to find inner calm, clarity and understanding.
0161 524 0416 View 0161 524 0416
Photo of Angela McDonnell, MBACP, Counsellor
Angela McDonnell
Counsellor, MBACP
Verified Verified
Altrincham WA14  (Online Only)
NEW - Block booking discount for July/August bookings - x6 sessions for £240 / £90 discount! If you're feeling unsatisfied in life, relationships, or work, and you you want to move forward with your patterns, behaviours, thoughts, and feelings, gain new insights, clarity, and motivation, I'm currently accepting new clients.
NEW - Block booking discount for July/August bookings - x6 sessions for £240 / £90 discount! If you're feeling unsatisfied in life, relationships, or work, and you you want to move forward with your patterns, behaviours, thoughts, and feelings, gain new insights, clarity, and motivation, I'm currently accepting new clients.
0161 509 6721 View 0161 509 6721
Photo of Dr Charlotte Russell, PsychD, HCPC - Clin. Psych., Psychologist
Dr Charlotte Russell
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
3 Endorsed
I am an experienced Clinical Psychologist working online and in Sale & Altrincham, Greater Manchester. I have been working in private practice since 2021, and before this I worked for the NHS for 12 years. My specialist interests are in trauma, anxiety, self-esteem, and physical health.
I am an experienced Clinical Psychologist working online and in Sale & Altrincham, Greater Manchester. I have been working in private practice since 2021, and before this I worked for the NHS for 12 years. My specialist interests are in trauma, anxiety, self-esteem, and physical health.
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Photo of Nigel Magowan, MUKCP, Psychotherapist
Nigel Magowan
Psychotherapist, MUKCP
Verified Verified
Waitlist for new clients
I am an experienced psychotherapist and have been in full-time private practice in Manchester since 2002. I use a flexible integrative approach and offer both long-term psychotherapy and counselling, as well as short-term therapies. I integrate psychotherapy with CBT, EMDR, Somatic Therapies, IFS, Focusing, DBT Skills, DBR, NLP and life coaching. I have experience of working with a wide range of issues including anxiety, PTSD, Complex PTSD, bereavement, BPD, depression, stress, abuse, generalised anxiety, OCD, public speaking, low self-esteem, relationship issues, shame, IBS and pain management. I am BACP and UKCP registered.
I am an experienced psychotherapist and have been in full-time private practice in Manchester since 2002. I use a flexible integrative approach and offer both long-term psychotherapy and counselling, as well as short-term therapies. I integrate psychotherapy with CBT, EMDR, Somatic Therapies, IFS, Focusing, DBT Skills, DBR, NLP and life coaching. I have experience of working with a wide range of issues including anxiety, PTSD, Complex PTSD, bereavement, BPD, depression, stress, abuse, generalised anxiety, OCD, public speaking, low self-esteem, relationship issues, shame, IBS and pain management. I am BACP and UKCP registered.
0161 696 3016 View 0161 696 3016
Photo of Emma Turl, HCPC - Clin. Psych., Psychologist
Emma Turl
Psychologist, HCPC - Clin. Psych.
Verified Verified
Does your child or young person struggle with anxiety, emotional regulation or meltdowns? Are you struggling to know how best to support them? Does it feel as if their world is shrinking as they avoid situations that feel difficult? It can be hard as a parent knowing how to support young people and how to respond for the best. Young people often value a therapeutic space to explore their experiences and tricky feelings, and parents can benefit from sessions to support their understanding of their child's needs. When families have a good understanding of their child’s needs, they are better able to support them in a sensitive way.
Does your child or young person struggle with anxiety, emotional regulation or meltdowns? Are you struggling to know how best to support them? Does it feel as if their world is shrinking as they avoid situations that feel difficult? It can be hard as a parent knowing how to support young people and how to respond for the best. Young people often value a therapeutic space to explore their experiences and tricky feelings, and parents can benefit from sessions to support their understanding of their child's needs. When families have a good understanding of their child’s needs, they are better able to support them in a sensitive way.
0161 524 6404 View 0161 524 6404
Photo of Jeannette Blacklaws, MBACP, Counsellor
Jeannette Blacklaws
Counsellor, MBACP
Verified Verified
I am a qualified Person Centred counsellor, EFT therapist and a Reiki Master. Coming from an holistic approach I believe that the mind body and spirit are all linked. I am widely travelled learning about different cultures and healing modalities.I do believe each individual is different and following my intuition I tailor the therapy specifically to each person. I currently work in Mental health and I am trauma informed, experienced in working with individuals having addictions, trauma, abuse mentally and physically, OCD, ADHD, BPD eating disorders, phobias ,depression and anxiety.
I am a qualified Person Centred counsellor, EFT therapist and a Reiki Master. Coming from an holistic approach I believe that the mind body and spirit are all linked. I am widely travelled learning about different cultures and healing modalities.I do believe each individual is different and following my intuition I tailor the therapy specifically to each person. I currently work in Mental health and I am trauma informed, experienced in working with individuals having addictions, trauma, abuse mentally and physically, OCD, ADHD, BPD eating disorders, phobias ,depression and anxiety.
0161 524 5292 View 0161 524 5292
Photo of Matthew Nolan, MSc, BACP, Psychotherapist
Matthew Nolan
Psychotherapist, MSc, BACP
Verified Verified
1 Endorsed
You may have noticed that I'm male - not a common thing amongst therapists but often critical in challenging past negative experiences of masculinity. I've learnt to be a man who is comfortable being kind, nurturing and vulnerable but still strong, especially with feeling my own emotions, because sometimes 'feeling' can be really scary for us all.
You may have noticed that I'm male - not a common thing amongst therapists but often critical in challenging past negative experiences of masculinity. I've learnt to be a man who is comfortable being kind, nurturing and vulnerable but still strong, especially with feeling my own emotions, because sometimes 'feeling' can be really scary for us all.
0161 524 4837 View 0161 524 4837
Photo of Sarah Louise Grindrod, MBACP, Counsellor
Sarah Louise Grindrod
Counsellor, MBACP
Verified Verified
I am a qualified Person-Centred Counsellor with a therapy room based in South Manchester (Sale). Person Centred counselling encourages an exploration of your thoughts, experiences and feelings which in turn can help you to be open to change, personal growth and self-exploration. Working together, at your own pace will allow us to explore what is troubling you allowing deep routed issues to be gently uncovered thus identifying what you need creating space to help reconcile your thoughts and find new ways of coping. The power of being truly heard can often be a profoundly healing process and may initiate positive changes.
I am a qualified Person-Centred Counsellor with a therapy room based in South Manchester (Sale). Person Centred counselling encourages an exploration of your thoughts, experiences and feelings which in turn can help you to be open to change, personal growth and self-exploration. Working together, at your own pace will allow us to explore what is troubling you allowing deep routed issues to be gently uncovered thus identifying what you need creating space to help reconcile your thoughts and find new ways of coping. The power of being truly heard can often be a profoundly healing process and may initiate positive changes.
0161 636 3136 View 0161 636 3136
Photo of Sarah Daly, MBACP, Counsellor
Sarah Daly
Counsellor, MBACP
Verified Verified
1 Endorsed
Hi, I'm Sarah, and I hope to offer you a safe space to support you to work through issues and events that are affecting your life and those around you. Asking for help is a major step, but from personal experience the ability to express my thoughts and feelings to somebody outside my immediate network has helped me process the events in my life and make meaningful changes which have not only helped me but those around me. I have been where you are now and it was through finding a supportive counsellor, that gave me the space to really be heard, that led to my journey into becoming a counsellor myself.
Hi, I'm Sarah, and I hope to offer you a safe space to support you to work through issues and events that are affecting your life and those around you. Asking for help is a major step, but from personal experience the ability to express my thoughts and feelings to somebody outside my immediate network has helped me process the events in my life and make meaningful changes which have not only helped me but those around me. I have been where you are now and it was through finding a supportive counsellor, that gave me the space to really be heard, that led to my journey into becoming a counsellor myself.
01925 984075 View 01925 984075
Photo of Rachel Burgon - Dr Rachel Burgon Therapies , PsychD, HCPC - Clin. Psych., Psychologist
Dr Rachel Burgon Therapies
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I am a Clinical Psychologist based in Manchester (North West) offering remote therapy to anywhere! My NHS work includes delivering therapy to children/young people, and I also offer private therapy for adults (aged 18+) that is tailored to you. Difficulties I've supported include anxiety, depression, phobias, traumas & OCD. Having completed a Masters in Eating Disorders and Nutrition, I also specialise in supporting those with eating difficulties/disorders. Finally, I work privately with athletes to support their mental health. I'll always focus on your goals and what you would like to achieve from attending therapy.
I am a Clinical Psychologist based in Manchester (North West) offering remote therapy to anywhere! My NHS work includes delivering therapy to children/young people, and I also offer private therapy for adults (aged 18+) that is tailored to you. Difficulties I've supported include anxiety, depression, phobias, traumas & OCD. Having completed a Masters in Eating Disorders and Nutrition, I also specialise in supporting those with eating difficulties/disorders. Finally, I work privately with athletes to support their mental health. I'll always focus on your goals and what you would like to achieve from attending therapy.
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Photo of Susan Mercer - Susan Mercer Therapy, MBABCP, Psychotherapist
Susan Mercer Therapy
Psychotherapist, MBABCP
Verified Verified
My specialities are; Generalised Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), trauma (PTSD/adjustment disorder), depression triggered by bereavement, life changes, relationship changes or ongoing/repeated relationship problems/patterns, mixed anxiety and depression, and low self-esteem. I'm knowledgeable in a wide range of psychological/mental and physical health problems.
My specialities are; Generalised Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), trauma (PTSD/adjustment disorder), depression triggered by bereavement, life changes, relationship changes or ongoing/repeated relationship problems/patterns, mixed anxiety and depression, and low self-esteem. I'm knowledgeable in a wide range of psychological/mental and physical health problems.
01925 984177 View 01925 984177
Photo of Wendy Leverett Wilson, Counsellor
Wendy Leverett Wilson
Counsellor
Verified Verified
Hi my name is Wendy and I understand it can be difficult to approach someone for support especially if you are feeling overwhelmed with emotions . We all face challenges in life, some of which we can easily manage while others we find ourselves struggling with and needing greater support. No matter what difficulties you are having or how large or small it feels, I can offer you the time and place for you to explore your feelings and emotions, to find acceptance and understanding in a trusted relationship. At a pace to suit you we can work together in making the changes in your life that can help you feel more in control and at ease
Hi my name is Wendy and I understand it can be difficult to approach someone for support especially if you are feeling overwhelmed with emotions . We all face challenges in life, some of which we can easily manage while others we find ourselves struggling with and needing greater support. No matter what difficulties you are having or how large or small it feels, I can offer you the time and place for you to explore your feelings and emotions, to find acceptance and understanding in a trusted relationship. At a pace to suit you we can work together in making the changes in your life that can help you feel more in control and at ease
07588 731677 View 07588 731677
1

See more therapy options for WA14

How does your Counsellor compare?

Number of Counsellors in WA14

60+

Average cost per session

£65

Counsellors in WA14 who prioritize treating:

88% Anxiety
84% Depression
81% Self Esteem
81% Stress
78% Relationship Issues
72% Trauma and PTSD
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

73% Aviva
68% AXA PPP
45% Vitality

How Counsellors in WA14 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counselling

How can I find a therapist in WA14?

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.