Counselling in Cardiff

Photo of David Carvalho, MBABCP, Psychotherapist
David Carvalho
Psychotherapist, MBABCP
Verified Verified
2 Endorsed
Cardiff CF10
At times of feeling low or anxious we often think, “what’s the point of trying it won’t make any difference”, leading to feelings of depression, sadness, fear and tearfulness. This then leads to changes in our behaviour such as withdrawing from others or staying in bed as we mull things over in our heads which makes us feel worse. Additionally, past trauma issues can often leave us feeling overwhelmed or with experiences of flashbacks and nightmares. Relationship issues left unresolved often leave us with a sense of helplessness and relationship breakdown leave us feel confused. Does this sound familiar to you?
At times of feeling low or anxious we often think, “what’s the point of trying it won’t make any difference”, leading to feelings of depression, sadness, fear and tearfulness. This then leads to changes in our behaviour such as withdrawing from others or staying in bed as we mull things over in our heads which makes us feel worse. Additionally, past trauma issues can often leave us feeling overwhelmed or with experiences of flashbacks and nightmares. Relationship issues left unresolved often leave us with a sense of helplessness and relationship breakdown leave us feel confused. Does this sound familiar to you?
0117 325 6741 View 0117 325 6741
Photo of El Davis, MA, MUKCP, Psychotherapist
El Davis
Psychotherapist, MA, MUKCP
Verified Verified
Cardiff CF14
Hello! I’m El, a UKCP accredited psychotherapist. I offer a welcoming and confidential space for you to explore whatever is happening in your life and support you to face difficult circumstances, challenges and transitions. Our sessions are tailor made to suit your personal circumstances. Together we will use a mixture of techniques that can include talking and paying attention to the body. You will have the chance to gain new understanding and awareness by working with your dreams, body and world experiences, relationships and the impact of your social context.
Hello! I’m El, a UKCP accredited psychotherapist. I offer a welcoming and confidential space for you to explore whatever is happening in your life and support you to face difficult circumstances, challenges and transitions. Our sessions are tailor made to suit your personal circumstances. Together we will use a mixture of techniques that can include talking and paying attention to the body. You will have the chance to gain new understanding and awareness by working with your dreams, body and world experiences, relationships and the impact of your social context.
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Photo of Cliona Edel Vaughan - Cliona Vaughan Therapy, MBACP, Counsellor
Cliona Vaughan Therapy
Counsellor, MBACP
Verified Verified
Cardiff CF14
Waitlist for new clients
I am passionate about helping people who are experiencing difficulties in life. I offer a non-judgemental, caring and confidential space for you to share situations and challenges that are causing pain or distress as long as you feel safe and comfortable. I draw upon a combination of therapeutic techniques to guide and support you. I am a qualified Integrative Counsellor (Level 7) and SF Hypnotherapist. My approach is to help you explore and overcome obstacles that are holding you back, empowering you to move forward in your life. I believe that you are the expert on yourself and I will support you on your journey to wellness.
I am passionate about helping people who are experiencing difficulties in life. I offer a non-judgemental, caring and confidential space for you to share situations and challenges that are causing pain or distress as long as you feel safe and comfortable. I draw upon a combination of therapeutic techniques to guide and support you. I am a qualified Integrative Counsellor (Level 7) and SF Hypnotherapist. My approach is to help you explore and overcome obstacles that are holding you back, empowering you to move forward in your life. I believe that you are the expert on yourself and I will support you on your journey to wellness.
01446 501359 View 01446 501359
Photo of Ameda Blades, MBACP, Psychotherapist
Ameda Blades
Psychotherapist, MBACP
Verified Verified
Online Only
The modality that I use is person-centred and experiential however I draw from a broad range of theoretical perspectives to work in an integrative way. I work in a sex and body positive way, this includes working with those who work in the sex industry. The majority of my working life has been working with individuals who have experienced personal and vicarious trauma or those who live or work in a chaotic and traumatic environment. When working with dissociative identity disorder as a presentation double length sessions (100 minutes) are available. SCID-D assessments, diagnosis and treatments plans offered.
The modality that I use is person-centred and experiential however I draw from a broad range of theoretical perspectives to work in an integrative way. I work in a sex and body positive way, this includes working with those who work in the sex industry. The majority of my working life has been working with individuals who have experienced personal and vicarious trauma or those who live or work in a chaotic and traumatic environment. When working with dissociative identity disorder as a presentation double length sessions (100 minutes) are available. SCID-D assessments, diagnosis and treatments plans offered.
01825 705362 View 01825 705362
Photo of Joanne Walker, MNCPS Acc., Counsellor
Joanne Walker
Counsellor, MNCPS Acc.
Verified Verified
Cardiff CF24
Whatever you're going through in life counselling gives you non-judgmental and empathic support. Being seen and heard goes a long way towards starting to feel better. Honest and open communication tends to provide insight and clarity. This promotes growth, which ultimately results in change and acceptance. Reflection can help to make long lasting positive changes to you, your relationships and your future. The space to unburden and review your coping strategies can improve confidence and self-worth. A confidential space also means there's no need to worry about the impact of opening up to those around you.
Whatever you're going through in life counselling gives you non-judgmental and empathic support. Being seen and heard goes a long way towards starting to feel better. Honest and open communication tends to provide insight and clarity. This promotes growth, which ultimately results in change and acceptance. Reflection can help to make long lasting positive changes to you, your relationships and your future. The space to unburden and review your coping strategies can improve confidence and self-worth. A confidential space also means there's no need to worry about the impact of opening up to those around you.
01273 110684 View 01273 110684
Photo of Dr Lynne Jones, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Lynne Jones
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Cardiff CF23
Welcome to my page. You may be struggling with a specific type of psychological distress, looking for support to understand and reduce more general overwhelm or coming to terms with past experiences. I offer therapy for people who are experiencing all of these problems including anxiety, low mood, trauma symptoms eg; nightmares, intrusive memories/images, needing to avoid thoughts/people/places, you are easily startled, difficulty managing managing emotions, low self-esteem and difficulty with relationships. I also work with clients coping with challenging chronic health conditions, pain and medically-related trauma.
Welcome to my page. You may be struggling with a specific type of psychological distress, looking for support to understand and reduce more general overwhelm or coming to terms with past experiences. I offer therapy for people who are experiencing all of these problems including anxiety, low mood, trauma symptoms eg; nightmares, intrusive memories/images, needing to avoid thoughts/people/places, you are easily startled, difficulty managing managing emotions, low self-esteem and difficulty with relationships. I also work with clients coping with challenging chronic health conditions, pain and medically-related trauma.
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Photo of Nic Milone, UKCP Trainee, Counsellor
Nic Milone
Counsellor, UKCP Trainee
Verified Verified
1 Endorsed
Online Only
Are you struggling with symptoms like anxiety, depression, low self-esteem? Maybe you are trying to recover from a traumatic event or relationship but find yourself overwhelmed, overthinking and self-analysing. Or perhaps you are in a difficult situation, seeking to understand what's happening and find the strength to move forward. Maybe you identify as LGBTQ+ and want to explore what that means for you or talk through trauma-related experiences.
Are you struggling with symptoms like anxiety, depression, low self-esteem? Maybe you are trying to recover from a traumatic event or relationship but find yourself overwhelmed, overthinking and self-analysing. Or perhaps you are in a difficult situation, seeking to understand what's happening and find the strength to move forward. Maybe you identify as LGBTQ+ and want to explore what that means for you or talk through trauma-related experiences.
01239 803018 View 01239 803018
Photo of Dr Angharad Diggins, PsychD, HCPC - Clin. Psych., Psychologist
Dr Angharad Diggins
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Online Only
Hi! I'm Angharad, a Senior Clinical Psychologist with over 12 years of experience working for the NHS. I support people with a range of difficulties within a safe and non-judgmental therapeutic environment. These difficulties include - but are not limited to - anxiety, depression and loss. I have a particular interest in relationship and attachment issues, life and / or role transitions, as well as chronic health management and health adjustment. I draw upon a range of evidence-based models and would work collaboratively with you to make sense of your situation and support you as you work towards your therapeutic goals.
Hi! I'm Angharad, a Senior Clinical Psychologist with over 12 years of experience working for the NHS. I support people with a range of difficulties within a safe and non-judgmental therapeutic environment. These difficulties include - but are not limited to - anxiety, depression and loss. I have a particular interest in relationship and attachment issues, life and / or role transitions, as well as chronic health management and health adjustment. I draw upon a range of evidence-based models and would work collaboratively with you to make sense of your situation and support you as you work towards your therapeutic goals.
029 2167 9539 View 029 2167 9539
Photo of Mark Hawkins, MNCPS Acc., Psychotherapist
Mark Hawkins
Psychotherapist, MNCPS Acc.
Verified Verified
Online Only
Everyone needs time to consider what they want from therapy. Perhaps you simply want a confidential space to breathe, and say things you feel unable to say in other areas of your life. Maybe you want specific coping mechanisms for day-to-day issues. You might want to refocus historic family issues, trauma, or abuse. This can all help to gain greater clarity and understanding. There are no issues I won't consider working with, but I have a special interest in trauma and what it does do people.
Everyone needs time to consider what they want from therapy. Perhaps you simply want a confidential space to breathe, and say things you feel unable to say in other areas of your life. Maybe you want specific coping mechanisms for day-to-day issues. You might want to refocus historic family issues, trauma, or abuse. This can all help to gain greater clarity and understanding. There are no issues I won't consider working with, but I have a special interest in trauma and what it does do people.
01446 501384 View 01446 501384
Photo of Amo Sumithraarachchi - CBT with Amo, MA, MBABCP, Psychotherapist
CBT with Amo
Psychotherapist, MA, MBABCP
Verified Verified
1 Endorsed
Online Only
Life’s challenges—whether anxiety, depression, menopause, ADHD, or chronic illness—can leave you feeling stuck and overwhelmed. If you’re navigating emotional distress, self-doubt, or cultural pressures you might be seeking clarity, tools for change, and someone who truly understands your experience. As a fully accredited CBT therapist, I specialize in providing compassionate, evidence-based therapy tailored to your needs.
Life’s challenges—whether anxiety, depression, menopause, ADHD, or chronic illness—can leave you feeling stuck and overwhelmed. If you’re navigating emotional distress, self-doubt, or cultural pressures you might be seeking clarity, tools for change, and someone who truly understands your experience. As a fully accredited CBT therapist, I specialize in providing compassionate, evidence-based therapy tailored to your needs.
01446 501505 View 01446 501505
Photo of Lowri Smith, MBACP, Psychotherapist
Lowri Smith
Psychotherapist, MBACP
Verified Verified
Cardiff CF24
Waitlist for new clients
Hello, my name is Lowri. My areas of speciality focus on anxiety and depression, relationship issues, low - confidence, identity, and work-related stress. Taking the first steps in counselling can sometimes feel like a daunting experience. I offer a warm, empathic space to safely explore any challenges you might be facing in your life right now. I look forward to hearing from you soon.
Hello, my name is Lowri. My areas of speciality focus on anxiety and depression, relationship issues, low - confidence, identity, and work-related stress. Taking the first steps in counselling can sometimes feel like a daunting experience. I offer a warm, empathic space to safely explore any challenges you might be facing in your life right now. I look forward to hearing from you soon.
029 2271 1842 View 029 2271 1842
Photo of Garthine Walker, MUKCP, Psychotherapist
Garthine Walker
Psychotherapist, MUKCP
Verified Verified
Online Only
Do you fear the worst things you say to yourself are true? Holding it together on the outside might feel like hanging on by your fingernails inside. You may be crushed by external circumstances or overwhelmed by internal turmoil. Perhaps you’re driven to overachieve at great personal cost, yet never seem to reach your potential in relationships, creativity or career. Familiar ways of coping no longer work, whether that’s immersive daydreaming, masking undiagnosed ADHD, or endless people-pleasing. It's hard to express what you want or need to live an authentic, fulfilled life. You simply can't - you choose not to - go on like this.
Do you fear the worst things you say to yourself are true? Holding it together on the outside might feel like hanging on by your fingernails inside. You may be crushed by external circumstances or overwhelmed by internal turmoil. Perhaps you’re driven to overachieve at great personal cost, yet never seem to reach your potential in relationships, creativity or career. Familiar ways of coping no longer work, whether that’s immersive daydreaming, masking undiagnosed ADHD, or endless people-pleasing. It's hard to express what you want or need to live an authentic, fulfilled life. You simply can't - you choose not to - go on like this.
01446 500784 View 01446 500784
Photo of Sarah Gauci - Umeus Talk , MBACP, Counsellor
Umeus Talk
Counsellor, MBACP
Verified Verified
Cardiff CF24
Hi I'm Sarah, a Counsellor and Relationship Therapist. I am based in discreet location in Roath, Cardiff and I would like to help you move towards a happier future. With many years experience, you will find that I am a warm, friendly and effective Counsellor, that will help you feel at ease as you embark on what could be a life changing experience.
Hi I'm Sarah, a Counsellor and Relationship Therapist. I am based in discreet location in Roath, Cardiff and I would like to help you move towards a happier future. With many years experience, you will find that I am a warm, friendly and effective Counsellor, that will help you feel at ease as you embark on what could be a life changing experience.
029 2271 0185 View 029 2271 0185
Photo of Dominique Fester, MBACP, Counsellor
Dominique Fester
Counsellor, MBACP
Verified Verified
Cardiff CF10
Warm, empathic, counselling in the heart of Cardiff. I am a qualified, (BACP) registered, humanistic and integrative counsellor from Bath Centre for Psychotherapy and Counselling (BCPC) with several years of on-the-ground experience. I have often worked with clients going through a range of difficulties including anxiety/depression, periods where they are struggling to cope or times where they are going through unexpected/significant life changes. My role is to support clients with any issues which they feel are impacting on their mental wellbeing and ability to find value, and meaning, in their lives.
Warm, empathic, counselling in the heart of Cardiff. I am a qualified, (BACP) registered, humanistic and integrative counsellor from Bath Centre for Psychotherapy and Counselling (BCPC) with several years of on-the-ground experience. I have often worked with clients going through a range of difficulties including anxiety/depression, periods where they are struggling to cope or times where they are going through unexpected/significant life changes. My role is to support clients with any issues which they feel are impacting on their mental wellbeing and ability to find value, and meaning, in their lives.
01446 501385 View 01446 501385
Photo of Julie Elizabeth Dykes, MA, MBACP, Psychotherapist
Julie Elizabeth Dykes
Psychotherapist, MA, MBACP
Verified Verified
Online Only
Waitlist for new clients
Sessions available online only. Specialising in anxiety and trauma and related issues, and with over 20 years experience as a Senior psychotherapist, using CBT, integrative therapy, EMDR and Clinical Supervision I work with TRAUMA, anxiety disorders and a wide range of related and other issues. I have worked within University, workplace, NHS and and other settings as well as in private practice. I offer a warm and safe, confidential welcome, working with you online via Zoom.
Sessions available online only. Specialising in anxiety and trauma and related issues, and with over 20 years experience as a Senior psychotherapist, using CBT, integrative therapy, EMDR and Clinical Supervision I work with TRAUMA, anxiety disorders and a wide range of related and other issues. I have worked within University, workplace, NHS and and other settings as well as in private practice. I offer a warm and safe, confidential welcome, working with you online via Zoom.
029 2167 9418 View 029 2167 9418
Photo of Gemma Greenland, MSc, MNCPS Acc., Counsellor
Gemma Greenland
Counsellor, MSc, MNCPS Acc.
Verified Verified
Cardiff CF23
I can only imagine how hard it feels to reach out for help for yourself or your child; to want things to feel better and not know how to make it happen. This is what I can help you with. Maybe you or your child feel anxious all the time and just want to feel safe? Or perhaps you can't seem to get rid of that little voice inside that tells you you'll never be good enough? Maybe your child is struggling with understanding themselves and the world around them and you just want them to feel happy and safe? I understand that situations like these can feel overwhelming and I am passionate about helping people overcome them and feel better
I can only imagine how hard it feels to reach out for help for yourself or your child; to want things to feel better and not know how to make it happen. This is what I can help you with. Maybe you or your child feel anxious all the time and just want to feel safe? Or perhaps you can't seem to get rid of that little voice inside that tells you you'll never be good enough? Maybe your child is struggling with understanding themselves and the world around them and you just want them to feel happy and safe? I understand that situations like these can feel overwhelming and I am passionate about helping people overcome them and feel better
029 2010 3039 View 029 2010 3039
Photo of Siwan Stephens, MBACP, Psychotherapist
Siwan Stephens
Psychotherapist, MBACP
Verified Verified
Cardiff CF10
Have you reached a point where you're questioning your direction in life? I believe it is important to pay attention to these feelings, needs and desires and that change is possible. I provide an empathic and understanding counselling space to collaboratively explore the issues that have brought you to therapy. I believe that if you feel safe, accepted and heard it can help you unpick the difficulties you may be facing in your relationships, work or how you see yourself. My role as a therapist is to really see and accept you where you are now. In time, I hope you will discover a sense of clarity, and realise your own strengths.
Have you reached a point where you're questioning your direction in life? I believe it is important to pay attention to these feelings, needs and desires and that change is possible. I provide an empathic and understanding counselling space to collaboratively explore the issues that have brought you to therapy. I believe that if you feel safe, accepted and heard it can help you unpick the difficulties you may be facing in your relationships, work or how you see yourself. My role as a therapist is to really see and accept you where you are now. In time, I hope you will discover a sense of clarity, and realise your own strengths.
01446 508113 View 01446 508113
Photo of Liz Brotherton, MBACP, Counsellor
Liz Brotherton
Counsellor, MBACP
Verified Verified
Cardiff CF14
I can offer couples a safe space to explore whatever it is that's troubling you. The way I work is to look at your difficulties as an issue in the relationship between two people. I hold hope that a couple can gain new perspectives about each other and enhance the understanding of each others hidden unmet needs- often stemming from childhood. Whether that be to find a new understanding of being together, or to end the relationship well.
I can offer couples a safe space to explore whatever it is that's troubling you. The way I work is to look at your difficulties as an issue in the relationship between two people. I hold hope that a couple can gain new perspectives about each other and enhance the understanding of each others hidden unmet needs- often stemming from childhood. Whether that be to find a new understanding of being together, or to end the relationship well.
029 2271 0168 View 029 2271 0168
Photo of Jennifer Campbell Kirk - Child & Adolescent Mental Health Therapist online, Psychotherapist
Child & Adolescent Mental Health Therapist online
Psychotherapist
Verified Verified
Online Only
Hello, welcome. I can imagine how difficult it must be searching through the profiles trying to find the right therapist. Making the decision to seek help for your child/grandchild is a brave one and sometimes it can be difficult. I have been told by clients that I am calm, warm, welcoming, and approachable; and can put them at ease. I am a Child and Adolescent Therapist who specialises in 7-18 years olds who until recently worked in CAMHS for the NHS for over six years. I decided to work in private practice after seeing so many children whom I could help turned away by CAMHS or who were waiting a long time to get help.
Hello, welcome. I can imagine how difficult it must be searching through the profiles trying to find the right therapist. Making the decision to seek help for your child/grandchild is a brave one and sometimes it can be difficult. I have been told by clients that I am calm, warm, welcoming, and approachable; and can put them at ease. I am a Child and Adolescent Therapist who specialises in 7-18 years olds who until recently worked in CAMHS for the NHS for over six years. I decided to work in private practice after seeing so many children whom I could help turned away by CAMHS or who were waiting a long time to get help.
029 2010 4835 View 029 2010 4835
Photo of Travis Kerns, MA, MBACP, Psychotherapist
Travis Kerns
Psychotherapist, MA, MBACP
Verified Verified
Cardiff CF11
Even the strongest people can struggle from time to time. Are you feeling like your relationships aren't as good as they could be? Would you like to feel better about yourself? Are there any behaviours or substances that feel like they're getting out of hand for you? I can help.
Even the strongest people can struggle from time to time. Are you feeling like your relationships aren't as good as they could be? Would you like to feel better about yourself? Are there any behaviours or substances that feel like they're getting out of hand for you? I can help.
029 2267 0601 View 029 2267 0601
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See more therapy options for Cardiff

How does your Counsellor compare?

Number of Counsellors in Cardiff

200+

Average cost per session

£60

Counsellors in Cardiff who prioritize treating:

92% Anxiety
87% Depression
82% Stress
80% Self Esteem
73% Relationship Issues
71% Trauma and PTSD
65% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

61% Aviva
57% AXA PPP
46% Vitality

How Counsellors in Cardiff see their clients

68% In Person and Online
32% Online Only

Gender breakdown

73% Female
25% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Cardiff?

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.