Counselling in London

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Photo of Caitlin Griffiths, Counsellor in London, England
Caitlin Griffiths
Counsellor, MBACP
Verified Verified
1 Endorsed
London NW5
We all go through times in our life where we may struggle. Whether your difficulties stem from things happening now, or from past experiences, I hope we can work together to help you understand yourself better and cope better with emotional demands. This could be through exploring patterns of behaviour, responses to emotional situations or ways of being in relationships. Perhaps you’re feeling anxious, upset, low or overwhelmed by negative or frightening feelings? Maybe struggling in your relationships or just feeling stuck. Talking openly about how you are feeling can be very powerful, helping to ease and reduce troubling thoughts
We all go through times in our life where we may struggle. Whether your difficulties stem from things happening now, or from past experiences, I hope we can work together to help you understand yourself better and cope better with emotional demands. This could be through exploring patterns of behaviour, responses to emotional situations or ways of being in relationships. Perhaps you’re feeling anxious, upset, low or overwhelmed by negative or frightening feelings? Maybe struggling in your relationships or just feeling stuck. Talking openly about how you are feeling can be very powerful, helping to ease and reduce troubling thoughts
020 3912 7462 View 020 3912 7462
Photo of Dr Marilyn Allen, Counsellor in London, England
Dr Marilyn Allen
Counsellor, PhD, MBACP
Verified Verified
London W1G
Therapeutic Counselling using the Arts, encompasses therapy and developmental psychology which enables me to work with and support clients to develop skills, to understand their personal circumstances better. Such skills are then internalised over time which helps their situation to be more manageable. l offer a safe, non-judgemental and confidential environment to support our work, which brings skills of heightened empathy, observational skills and counter-transference into the clinical work, & broadens the experience for the client. I strongly believe in the importance of the therapeutic relationship and its impact on our work.
Therapeutic Counselling using the Arts, encompasses therapy and developmental psychology which enables me to work with and support clients to develop skills, to understand their personal circumstances better. Such skills are then internalised over time which helps their situation to be more manageable. l offer a safe, non-judgemental and confidential environment to support our work, which brings skills of heightened empathy, observational skills and counter-transference into the clinical work, & broadens the experience for the client. I strongly believe in the importance of the therapeutic relationship and its impact on our work.
020 3962 2187 View 020 3962 2187
Photo of Sarah Jayne Buchanan, Psychotherapist in London, England
Sarah Jayne Buchanan
Psychotherapist, MA, MBACP
Verified Verified
London SW19
Perhaps you feel stuck, overwhelmed, or isolated. Maybe you struggle with a sense of hopelessness, feeling that your circumstances or your past mistakes define your future. You may be searching for therapy because you long for change, for a life where burdens are lighter and joy returns. I offer understanding without judgment, practical guidance, and its my sole purpose to help you find a renewed belief in yourself. My practice is compassionate, solution-focused and based in relationship.
Perhaps you feel stuck, overwhelmed, or isolated. Maybe you struggle with a sense of hopelessness, feeling that your circumstances or your past mistakes define your future. You may be searching for therapy because you long for change, for a life where burdens are lighter and joy returns. I offer understanding without judgment, practical guidance, and its my sole purpose to help you find a renewed belief in yourself. My practice is compassionate, solution-focused and based in relationship.
020 3036 1004 View 020 3036 1004
Photo of London DBT Therapists Ltd, Counsellor in London, England
London DBT Therapists Ltd
Counsellor, MA, AFBPSsS
Verified Verified
London EC1V
I believe that with a positive, strong, meaningful and compassionate alliance, therapy is best able to meet the needs of clients with EUPD/BPD and PTSD. My specific focus is on supporting clients as they embark on the journey of healing, self awareness and improved emotionalwell-being. Dialectic Behavioural Therapy is the only prescribed treatment for EUPD/ BPD and with it's highly regarded treatment protocol, you will be able to see real, lasting results. My program offers weekly private sessions and group therapy, with the option of emergency phone coaching when you need that extra help to regain control in a crisis.
I believe that with a positive, strong, meaningful and compassionate alliance, therapy is best able to meet the needs of clients with EUPD/BPD and PTSD. My specific focus is on supporting clients as they embark on the journey of healing, self awareness and improved emotionalwell-being. Dialectic Behavioural Therapy is the only prescribed treatment for EUPD/ BPD and with it's highly regarded treatment protocol, you will be able to see real, lasting results. My program offers weekly private sessions and group therapy, with the option of emergency phone coaching when you need that extra help to regain control in a crisis.
07585 874326 View 07585 874326
Photo of Michael Relevitch, Counsellor in London, England
Michael Relevitch
Counsellor, MBACP
Verified Verified
London SW2
We can all feel stuck or overwhelmed by situations we find ourselves in and feel a need to talk. I provide a safe and confidential space where we can explore different perspectives on the challenges you are facing. I have experience working with clients of all ages in the areas of bereavement and loss, anxiety, depression, sexuality, self-esteem and many other issues.
We can all feel stuck or overwhelmed by situations we find ourselves in and feel a need to talk. I provide a safe and confidential space where we can explore different perspectives on the challenges you are facing. I have experience working with clients of all ages in the areas of bereavement and loss, anxiety, depression, sexuality, self-esteem and many other issues.
020 4538 3025 View 020 4538 3025
Photo of Debbie September - Individual And Couple Therapy, Counsellor in London, England
Debbie September - Individual And Couple Therapy
Counsellor, MBACP
Verified Verified
London SW6
Are you fed up with trying to work things out by yourself and finding that you are going round in circles?  Or feeling confused or stuck with a situation you are facing?   I invite you to contact me for a free 20 minute consultation, where you can share what is happening and we can find out how we might work together. I will provide you with a non-judgemental, safe and confidential space where you can share what feels difficult for you and the impact this may be having on your own sense of wellbeing or your relationships.
Are you fed up with trying to work things out by yourself and finding that you are going round in circles?  Or feeling confused or stuck with a situation you are facing?   I invite you to contact me for a free 20 minute consultation, where you can share what is happening and we can find out how we might work together. I will provide you with a non-judgemental, safe and confidential space where you can share what feels difficult for you and the impact this may be having on your own sense of wellbeing or your relationships.
01748 902039 View 01748 902039
Photo of Dr Esther Cole, Psychologist in London, England
Dr Esther Cole
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
London SW19
Are you feeling exhausted, stressed and overwhelmed? Are you in physical or emotional pain, working relentlessly in different areas of your life: at work, home or study, in relationships, caring or parental roles? Do you need to make sense of, and overcome trauma, feelings of sadness, low-self esteem or burnout? As a third generation British Jamaican Psychologist, managing long-term conditions whilst being a mother of three, I warmly welcome clients of all ages and walks of life, and have a passion for supporting people living alongside mental, physical or neurological difficulties and trauma.
Are you feeling exhausted, stressed and overwhelmed? Are you in physical or emotional pain, working relentlessly in different areas of your life: at work, home or study, in relationships, caring or parental roles? Do you need to make sense of, and overcome trauma, feelings of sadness, low-self esteem or burnout? As a third generation British Jamaican Psychologist, managing long-term conditions whilst being a mother of three, I warmly welcome clients of all ages and walks of life, and have a passion for supporting people living alongside mental, physical or neurological difficulties and trauma.
01798 305040 View 01798 305040
Photo of Marie Green, Counsellor in London, England
Marie Green
Counsellor, MBACP Accred
Verified Verified
London N21
Sometimes you want to be heard, truly heard. To have someone to talk to about whatever is on your mind, to be listened to without being judged or told what to do. If you are feeling unheard, anxious, upset or overwhelmed, I am here to listen and help you to explore your feelings, to better understand them and feel more in control. I offer a safe and confidential space where we can explore whatever is troubling you. By exploring your thoughts and feelings, both past and present, I can help you to better understand yourself and to accept and let go of what has been weighing you down, to allow you to move forward.
Sometimes you want to be heard, truly heard. To have someone to talk to about whatever is on your mind, to be listened to without being judged or told what to do. If you are feeling unheard, anxious, upset or overwhelmed, I am here to listen and help you to explore your feelings, to better understand them and feel more in control. I offer a safe and confidential space where we can explore whatever is troubling you. By exploring your thoughts and feelings, both past and present, I can help you to better understand yourself and to accept and let go of what has been weighing you down, to allow you to move forward.
07480 486496 View 07480 486496
Photo of Annmarie Jean Moseley, Counsellor in London, England
Annmarie Jean Moseley
Counsellor, MBACP
Verified Verified
London E4
You may be feeling uncertain about relationships with others or about how to cope with life events or a bereavement. You may be fearful about the future in today's uncertain world. Stress, depression and anxiety are commonly experienced when facing family conflict, work/life balance issues, loss of a job, illness or disability. It may feel impossible to manage these new or difficult issues and to find a way forward. I will always listen and support you with whatever you are going through. I am a registered and accredited counsellor. Please visit my website: www.annmariemoseleycounselling.com
You may be feeling uncertain about relationships with others or about how to cope with life events or a bereavement. You may be fearful about the future in today's uncertain world. Stress, depression and anxiety are commonly experienced when facing family conflict, work/life balance issues, loss of a job, illness or disability. It may feel impossible to manage these new or difficult issues and to find a way forward. I will always listen and support you with whatever you are going through. I am a registered and accredited counsellor. Please visit my website: www.annmariemoseleycounselling.com
020 4538 8028 View 020 4538 8028
Photo of Milo Brandon - Accredited EMDR Therapist., Psychotherapist in London, England
Milo Brandon - Accredited EMDR Therapist.
Psychotherapist, MSc, MBACP
Verified Verified
London WC1H
I use EMDR to help people process trauma (PTSD and C-PTSD). My clients are typically living with a range of issues - flashbacks, intrusive thoughts, night terrors, palpitations, catastrophising, insomnia, feelings of isolation, irritability and guilt. They also very often experience 'triggering' - making everyday life, work and relationships difficult. Additionally, they may not remember aspects of what has happened to them and others ('dissociation'.) My clients come to me for EMDR to enable them to reduce the disturbance levels in their nervous systems and hence, get on with their lives.
I use EMDR to help people process trauma (PTSD and C-PTSD). My clients are typically living with a range of issues - flashbacks, intrusive thoughts, night terrors, palpitations, catastrophising, insomnia, feelings of isolation, irritability and guilt. They also very often experience 'triggering' - making everyday life, work and relationships difficult. Additionally, they may not remember aspects of what has happened to them and others ('dissociation'.) My clients come to me for EMDR to enable them to reduce the disturbance levels in their nervous systems and hence, get on with their lives.
01727 638162 View 01727 638162
Photo of London Accessible Psychotherapy Independent Svc, Psychologist in London, England
London Accessible Psychotherapy Independent Svc
Psychologist, PsychD, CPsychol
Verified Verified
London N10
LAPIS serves people with disabilities, carers and NHS workers/ healthworkers. LAPIS addresses the disadvantage in accessing therapy so people with physical disabilities, learning disabilities and life-changing physical health issues as well as those with learning disorders such as ASD and ADHD can address mental health issues. We do this by making available an accessible service that offers specialist Counselling and Psychotherapy as a low cost service that we strive to make available to all.
LAPIS serves people with disabilities, carers and NHS workers/ healthworkers. LAPIS addresses the disadvantage in accessing therapy so people with physical disabilities, learning disabilities and life-changing physical health issues as well as those with learning disorders such as ASD and ADHD can address mental health issues. We do this by making available an accessible service that offers specialist Counselling and Psychotherapy as a low cost service that we strive to make available to all.
07480 783279 View 07480 783279
Photo of Leanna Ong, Psychologist in London, England
Leanna Ong
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London W1W
Taking the step to start therapy can feeling overwhelming. I offer a non-judgemental and warm space where people can make sense of their current difficulties and create meaningful change. My approach focuses on a person's strengths and values, whilst using an integrative approach. I am currently working across the NHS specialising in Maternal Mental Health and Community Psychology, alongside working on the Clinical Psychology Doctorate training programme at University College London and providing an independent clinical psychology service.
Taking the step to start therapy can feeling overwhelming. I offer a non-judgemental and warm space where people can make sense of their current difficulties and create meaningful change. My approach focuses on a person's strengths and values, whilst using an integrative approach. I am currently working across the NHS specialising in Maternal Mental Health and Community Psychology, alongside working on the Clinical Psychology Doctorate training programme at University College London and providing an independent clinical psychology service.
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Photo of Andrea Lavers, Counsellor in London, England
Andrea Lavers
Counsellor, MSc, MBACP
Verified Verified
London E5  (Online Only)
Waitlist for new clients
Hi, I’m an LGBTQ+ friendly registered counsellor with over ten years clinical experience. You may struggle with addiction, anxiety, relationship issues or shame. You may have a traumatic history. I am here to offer space to explore this with you. Maybe you don’t know what you want from therapy yet, but you know something isn’t sitting right and you want things to change. Are you needing somewhere it’s safe to connect to your feelings? I believe that connecting with our bodies and emotions is a key to lasting change.
Hi, I’m an LGBTQ+ friendly registered counsellor with over ten years clinical experience. You may struggle with addiction, anxiety, relationship issues or shame. You may have a traumatic history. I am here to offer space to explore this with you. Maybe you don’t know what you want from therapy yet, but you know something isn’t sitting right and you want things to change. Are you needing somewhere it’s safe to connect to your feelings? I believe that connecting with our bodies and emotions is a key to lasting change.
020 3962 0619 View 020 3962 0619
Photo of Leigh Newton, Psychotherapist in London, England
Leigh Newton
Psychotherapist, MA, MBACP
Verified Verified
London SE19
Psychotherapy is a specialist talking treatment with the aim to help people to explore their lives in order to understand and work through emotional and psychological problems. I aim to provide a form of psychotherapy which focuses on the difficulties, imbalances, stresses or questions an individual might be struggling with within their outer and/or inner life
Psychotherapy is a specialist talking treatment with the aim to help people to explore their lives in order to understand and work through emotional and psychological problems. I aim to provide a form of psychotherapy which focuses on the difficulties, imbalances, stresses or questions an individual might be struggling with within their outer and/or inner life
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Photo of Lucia Rossi, Counsellor in London, England
Lucia Rossi
Counsellor, MSc, MBACP
Verified Verified
London SW7  (Online Only)
I am an Adult, Child and Adolescent Therapeutic Counsellor with over a decade of training in mental health, working with an integrative approach. I hold a BSc (Hons) in Psychology and a MSc in Applied Cognitive Neuroscience (Psychology). I have trained integratively in the Diploma in Therapeutic Counselling and Level 4 Certificate in Counselling Children. I also hold relevant training in CBT. I am currently completing the UKCP approved MSc in Integrative Psychotherapy at Metanoia Insitute and Middlesex University. I am a member of the BPS, a Registered Member of the BACP and hold a DBS check certificate on the Update Service.
I am an Adult, Child and Adolescent Therapeutic Counsellor with over a decade of training in mental health, working with an integrative approach. I hold a BSc (Hons) in Psychology and a MSc in Applied Cognitive Neuroscience (Psychology). I have trained integratively in the Diploma in Therapeutic Counselling and Level 4 Certificate in Counselling Children. I also hold relevant training in CBT. I am currently completing the UKCP approved MSc in Integrative Psychotherapy at Metanoia Insitute and Middlesex University. I am a member of the BPS, a Registered Member of the BACP and hold a DBS check certificate on the Update Service.
020 3974 2437 View 020 3974 2437
Photo of markdempstercounsellingltd, Psychotherapist in London, England
markdempstercounsellingltd
Psychotherapist, MSc, MBACP
Verified Verified
London W1G
I am a highly experienced Senior Accredited Addiction Counsellor, Traumatologist and Author with sixteen years personal experience of drug, alcohol and gambling addiction and over twenty years professional experience working with addictions. As seen on breakfast TV and radio I can help you break addictive patterns of behaviour. I have been there myself and know the exit route. I have helped many people recover and lead happy, successful lives. I am aware through personal and professional experience that the routes of addiction, are often found in trauma. As a traumatologist i can provide effective trauma processing therapy alongside
I am a highly experienced Senior Accredited Addiction Counsellor, Traumatologist and Author with sixteen years personal experience of drug, alcohol and gambling addiction and over twenty years professional experience working with addictions. As seen on breakfast TV and radio I can help you break addictive patterns of behaviour. I have been there myself and know the exit route. I have helped many people recover and lead happy, successful lives. I am aware through personal and professional experience that the routes of addiction, are often found in trauma. As a traumatologist i can provide effective trauma processing therapy alongside
020 3893 3018 View 020 3893 3018
Photo of Sara Hagerman, Psychologist in London, England
Sara Hagerman
Psychologist, HCPC - Couns. Psych.
Verified Verified
London E5
I believe that therapy allows you to take a more active role in understanding and experiencing your emotions. When we are not aware of our emotions or ideas, it can mean we act out certain behaviours – or experience certain feelings - without knowing why. And while we might be able to tolerate this for some time – perhaps even for a long time - I believe there is a difference between surviving and living. Developing a closer – or less mysterious - relationship with ourselves can allow us to go beyond living life passively and begin to really experience it.
I believe that therapy allows you to take a more active role in understanding and experiencing your emotions. When we are not aware of our emotions or ideas, it can mean we act out certain behaviours – or experience certain feelings - without knowing why. And while we might be able to tolerate this for some time – perhaps even for a long time - I believe there is a difference between surviving and living. Developing a closer – or less mysterious - relationship with ourselves can allow us to go beyond living life passively and begin to really experience it.
020 3984 7728 View 020 3984 7728
Photo of Alda Simoni, Psychotherapist in London, England
Alda Simoni
Psychotherapist, MSc, BPC
Verified Verified
1 Endorsed
London NW1
I'm an experienced psychodynamic psychotherapist, working in the NHS at the Maudsley hospital and I also offer individual psychodynamic therapy in my private practice in Primrose Hill, North London. I specialise in adult psychotherapy for issues such as anxiety, depression, relationship problems, low self esteem, PTSD and loneliness. I generally offer open ended long term therapeutic work, designed to facilitate deep - seated characterological changes.
I'm an experienced psychodynamic psychotherapist, working in the NHS at the Maudsley hospital and I also offer individual psychodynamic therapy in my private practice in Primrose Hill, North London. I specialise in adult psychotherapy for issues such as anxiety, depression, relationship problems, low self esteem, PTSD and loneliness. I generally offer open ended long term therapeutic work, designed to facilitate deep - seated characterological changes.
020 3840 3685 View 020 3840 3685
Photo of Silja Turville, Counsellor in London, England
Silja Turville
Counsellor, BACP
Verified Verified
1 Endorsed
London SW6  (Online Only)
Each of us approaches counselling with our own reasons and history. You may be struggling with your feelings, finding it hard to cope or wanting to make sense of your feelings, your life, or address a specific challenge such as due to trauma, a long term illness, addiction, anxiety, depression or a difficult situation at home or at work. Sometimes my clients are seeking to develop emotional regulation skills given the difficulties they are facing or to find ways to move forward.
Each of us approaches counselling with our own reasons and history. You may be struggling with your feelings, finding it hard to cope or wanting to make sense of your feelings, your life, or address a specific challenge such as due to trauma, a long term illness, addiction, anxiety, depression or a difficult situation at home or at work. Sometimes my clients are seeking to develop emotional regulation skills given the difficulties they are facing or to find ways to move forward.
020 3974 2449 View 020 3974 2449
Photo of Mina De Pasquale, Counsellor in London, England
Mina De Pasquale
Counsellor, DCounsPsych, MBACP
Verified Verified
London EC2R
Counselling is a confidential space where you can explore your thoughts, feelings, beliefs or experiences over a period of time with the support of a trained listener. It is a non-judgmental, safe space, which helps to be able to reflect what is happening in your life and find alternative ways of handling them. Talking it through with a trusted counsellor helps to develop self-awareness and insight into how a person relates both to themselves and to those around them, along with finding new methods of dealing with everyday life experiences.
Counselling is a confidential space where you can explore your thoughts, feelings, beliefs or experiences over a period of time with the support of a trained listener. It is a non-judgmental, safe space, which helps to be able to reflect what is happening in your life and find alternative ways of handling them. Talking it through with a trusted counsellor helps to develop self-awareness and insight into how a person relates both to themselves and to those around them, along with finding new methods of dealing with everyday life experiences.
07401 248158 View 07401 248158

See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

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

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
58% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

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

How can I find a therapist in London?

Search for nearby therapists or counsellors by inputting your city, postcode, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postcode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the BACP, the UKCP, or BPS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.