Counselling in County Carlow

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Photo of Louise Byrne, Psychotherapist, MA, MIAHIP
Louise Byrne
Psychotherapist, MA, MIAHIP
Carlow, County R93
Waitlist for new clients
Welcome. I’m a qualified psychotherapist based in Carlow town, where I’ve been running my private practice since 2020. I hold a Master’s degree in Psychotherapy and am fully accredited with IAHIP. My approach is grounded in Humanistic and Integrative psychotherapy, drawing on a range of modalities to support each client’s unique needs. I’m passionate about providing a safe, supportive space where clients can explore their difficulties, gain understanding and clarity, and work toward meaningful and positive change.
Welcome. I’m a qualified psychotherapist based in Carlow town, where I’ve been running my private practice since 2020. I hold a Master’s degree in Psychotherapy and am fully accredited with IAHIP. My approach is grounded in Humanistic and Integrative psychotherapy, drawing on a range of modalities to support each client’s unique needs. I’m passionate about providing a safe, supportive space where clients can explore their difficulties, gain understanding and clarity, and work toward meaningful and positive change.
(01) 267 6681 x14 View (01) 267 6681 x14
Photo of David Gahan - Reflective Recovery , Psychotherapist, MA, MIACP
Reflective Recovery
Psychotherapist, MA, MIACP
2 Endorsed
Carlow, County R93
I’m David Gahan, a licensed psychotherapist Fully Accredited with over a decade of experience helping individuals achieve psychological well-being and personal growth. My therapeutic approach blends empathy with evidence-based techniques, delivering practical solutions that align with each client's unique path.I am dedicated to guiding clients as they regain control, achieve emotional balance, and cultivate lasting resilience, all within a safe and professional environment tailored to their unique needs.
I’m David Gahan, a licensed psychotherapist Fully Accredited with over a decade of experience helping individuals achieve psychological well-being and personal growth. My therapeutic approach blends empathy with evidence-based techniques, delivering practical solutions that align with each client's unique path.I am dedicated to guiding clients as they regain control, achieve emotional balance, and cultivate lasting resilience, all within a safe and professional environment tailored to their unique needs.
(01) 267 6595 x93 View (01) 267 6595 x93
Photo of Áine Gallagher, Psychotherapist, MIACP
Áine Gallagher
Psychotherapist, MIACP
2 Endorsed
Carlow, County R93
Trua, the Irish word for compassion aptly describes my approach to therapy. As an integrative therapist, I use a person-centred technique, providing my clients with a warm, safe, empathic and non-judgemental space. I work collaboratively with my clients facilitating them to explore past and present issues, providing them with an opportunity for discovery, growth, reconciliation and acceptance thus offering the potential for better relationships with themselves and others and a happier way of life. I truly believe each and every one of us has the capacity to change and I endeavour to help my clients realise their true potential.
Trua, the Irish word for compassion aptly describes my approach to therapy. As an integrative therapist, I use a person-centred technique, providing my clients with a warm, safe, empathic and non-judgemental space. I work collaboratively with my clients facilitating them to explore past and present issues, providing them with an opportunity for discovery, growth, reconciliation and acceptance thus offering the potential for better relationships with themselves and others and a happier way of life. I truly believe each and every one of us has the capacity to change and I endeavour to help my clients realise their true potential.
(01) 267 6641 x95 View (01) 267 6641 x95
Photo of Tanya Coogan - Diamond Counselling, Counsellor, MIACP
Diamond Counselling
Counsellor, MIACP
Carlow, County R93
At Diamond Counselling I offer a warm and confidential setting for you to explore personal issues, find clarity and discover ways of making a change in your life. Providing a space where you are accepted and accompanied on your journey towards insight, healing and growth. As an integrative therapist, I respect the unique needs and goals of each client and adapt my approach accordingly. I endeavour to support individuals in their experiences and challenges while also helping them to recognise their resilience and true potential. I work with adults/adolescents online and face-to-face in Carlow.
At Diamond Counselling I offer a warm and confidential setting for you to explore personal issues, find clarity and discover ways of making a change in your life. Providing a space where you are accepted and accompanied on your journey towards insight, healing and growth. As an integrative therapist, I respect the unique needs and goals of each client and adapt my approach accordingly. I endeavour to support individuals in their experiences and challenges while also helping them to recognise their resilience and true potential. I work with adults/adolescents online and face-to-face in Carlow.
(01) 267 6675 x46 View (01) 267 6675 x46
Photo of James Byrne, Psychotherapist, MIACP
James Byrne
Psychotherapist, MIACP
Carlow, County R93
I am a qualified and accredited psychotherapist who has worked with a diverse range of issues, and I have more than 9 years of experience in client support. I recognize how deeply mental health challenges can affect various aspects of our lives and appreciate the significant benefits that counselling can provide. In my practice, I aim to create a supportive and non-judgmental environment that empowers both individuals and couples to take charge of their mental health and flourish.
I am a qualified and accredited psychotherapist who has worked with a diverse range of issues, and I have more than 9 years of experience in client support. I recognize how deeply mental health challenges can affect various aspects of our lives and appreciate the significant benefits that counselling can provide. In my practice, I aim to create a supportive and non-judgmental environment that empowers both individuals and couples to take charge of their mental health and flourish.
(01) 267 6675 x74 View (01) 267 6675 x74
Photo of Aisling MacCarthy, Counsellor, DCounsPsych, MIACP
Aisling MacCarthy
Counsellor, DCounsPsych, MIACP
2 Endorsed
Carlow, County R93
Inspired by Rollo May’s words, “A life is at stake,” I take my role as a counsellor seriously, holding deep ethical responsibility to my clients. Rooted in humanistic values and Carl Rogers' core conditions, I provide a safe, non-judgmental space where clients feel seen, heard, and supported. I adapt to each individual’s needs, valuing authenticity and compassion. As a member of the SERC Committee, I remain committed to reflective practice, ethical integrity, and the transformative power of therapy.
Inspired by Rollo May’s words, “A life is at stake,” I take my role as a counsellor seriously, holding deep ethical responsibility to my clients. Rooted in humanistic values and Carl Rogers' core conditions, I provide a safe, non-judgmental space where clients feel seen, heard, and supported. I adapt to each individual’s needs, valuing authenticity and compassion. As a member of the SERC Committee, I remain committed to reflective practice, ethical integrity, and the transformative power of therapy.
(01) 267 6692 x56 View (01) 267 6692 x56
Photo of Nichola Butler - Time To Heal Counselling and Psychotherapy, Counsellor, Pre-Accredited Member IACP
Time To Heal Counselling and Psychotherapy
Counsellor, Pre-Accredited Member IACP
2 Endorsed
Carlow, County R93
I am an Integrative Psychotherapist and Counsellor dedicated to creating a safe and non-judgmental space where individuals can explore their emotions, experience freely and begin a journey of healing and growth. With a Bachelor’s degree in Counselling & Psychotherapy from PCI College, my expertise spans a broad spectrum of challenges, including addiction, abuse, trauma, PTSD, bereavement, anxiety, depression, unresolved childhood issues, and much more. Throughout the past couple of years, I have worked with diverse clients and institutions, notably the Carlow and South Leinster Rape Crisis Centre.
I am an Integrative Psychotherapist and Counsellor dedicated to creating a safe and non-judgmental space where individuals can explore their emotions, experience freely and begin a journey of healing and growth. With a Bachelor’s degree in Counselling & Psychotherapy from PCI College, my expertise spans a broad spectrum of challenges, including addiction, abuse, trauma, PTSD, bereavement, anxiety, depression, unresolved childhood issues, and much more. Throughout the past couple of years, I have worked with diverse clients and institutions, notably the Carlow and South Leinster Rape Crisis Centre.
(01) 230 8537 x19 View (01) 230 8537 x19
Photo of Shona Benton, Psychotherapist, DCounsPsych, MIACP
Shona Benton
Psychotherapist, DCounsPsych, MIACP
Carlow, County R93
Not accepting new clients
Shona is a fully qualified psychotherapist and fully accredited member of the Irish Association of Counseling and Psychotherapy. She holds a first-class BA Honours degree in Integrative Counselling & Psychotherapy and qualifications in Psychology and Mindfulness. She is an Integrative Psychotherapist who works by drawing from many modalities, such as Humanistic, Person-centred, Existential, ACT, Gestalt, Psychodynamic, CBT, and Reality therapy. Shona also works in the education and training area of counselling and psychotherapy. Works with adults, couples, and teens.
Shona is a fully qualified psychotherapist and fully accredited member of the Irish Association of Counseling and Psychotherapy. She holds a first-class BA Honours degree in Integrative Counselling & Psychotherapy and qualifications in Psychology and Mindfulness. She is an Integrative Psychotherapist who works by drawing from many modalities, such as Humanistic, Person-centred, Existential, ACT, Gestalt, Psychodynamic, CBT, and Reality therapy. Shona also works in the education and training area of counselling and psychotherapy. Works with adults, couples, and teens.
(01) 267 6641 x43 View (01) 267 6641 x43
Photo of Emma Dollard, Counsellor, MSc, Pre-Accredited Member IACP
Emma Dollard
Counsellor, MSc, Pre-Accredited Member IACP
Carlow, County R93
I offer integrative therapy that is grounded in a person-centred approach. I focus on current challenges and lived experience that a person brings to counselling and together we find an approach to work through those challenges and towards their goals. I provide a non-judgemental, empathetic, and confidential space in which clients can feel listened to and valued.
I offer integrative therapy that is grounded in a person-centred approach. I focus on current challenges and lived experience that a person brings to counselling and together we find an approach to work through those challenges and towards their goals. I provide a non-judgemental, empathetic, and confidential space in which clients can feel listened to and valued.
(01) 267 6570 x57 View (01) 267 6570 x57
Photo of Jennifer Holligan - Sparrow Therapy, Psychotherapist, MA, MIACP
Sparrow Therapy
Psychotherapist, MA, MIACP
Carlow, County R93
Sparrow Therapy offer a range of online and in person sessions. Fully qualified and accredited, we offer a safe space for all clients. We are client focused and aim to always work as a team.
Sparrow Therapy offer a range of online and in person sessions. Fully qualified and accredited, we offer a safe space for all clients. We are client focused and aim to always work as a team.
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Photo of Andrei Tcaciuc, Psychotherapist, MSc, APPI
Andrei Tcaciuc
Psychotherapist, MSc, APPI
3 Endorsed
Carlow, County R93
Navigating the complexities of life necessitates a profound understanding of the psychological factors that influence mental health. My role is to assist clients in identifying these underlying sources of their struggles. By fostering a relationship built on trust and mutual respect, I create a confidential environment where clients can freely express themselves without fear of judgment. This open dialogue is essential for recognizing the experiences that have shaped their journey and the challenges they currently face.
Navigating the complexities of life necessitates a profound understanding of the psychological factors that influence mental health. My role is to assist clients in identifying these underlying sources of their struggles. By fostering a relationship built on trust and mutual respect, I create a confidential environment where clients can freely express themselves without fear of judgment. This open dialogue is essential for recognizing the experiences that have shaped their journey and the challenges they currently face.
(01) 568 2872 x59 View (01) 568 2872 x59
Photo of Lesley Dempsey - Lesley Dempsey, Psychotherapist, Pre-Accredited Member IACP
Lesley Dempsey
Psychotherapist, Pre-Accredited Member IACP
2 Endorsed
Carlow, County R93
I am a dedicated Counselling Psychotherapist with extensive experience in Trauma-Informed Therapy, working with survivors of DSGBV, (Domestic, Sexual and Gender Based Violence), sexual violence, and addiction. I create a compassionate, non-judgmental space to support clients in their healing journeys. My approach integrates evidence-based practices with deep empathy; helping individuals reclaim safety, autonomy, and resilience. I am committed to empowering clients through collaborative client-centred care, tailored to each unique experience and need.
I am a dedicated Counselling Psychotherapist with extensive experience in Trauma-Informed Therapy, working with survivors of DSGBV, (Domestic, Sexual and Gender Based Violence), sexual violence, and addiction. I create a compassionate, non-judgmental space to support clients in their healing journeys. My approach integrates evidence-based practices with deep empathy; helping individuals reclaim safety, autonomy, and resilience. I am committed to empowering clients through collaborative client-centred care, tailored to each unique experience and need.
(01) 267 6675 x79 View (01) 267 6675 x79
Photo of Aisling O'Connor, Counsellor, MIACP
Aisling O'Connor
Counsellor, MIACP
Carlow, County R93
I am a qualified counsellor and an accredited member of IACP. I work with clients in a person-centred way, focusing on the lived experience and current challenges that each person brings to the therapy space and integrating a variety of therapeutic approaches.
I am a qualified counsellor and an accredited member of IACP. I work with clients in a person-centred way, focusing on the lived experience and current challenges that each person brings to the therapy space and integrating a variety of therapeutic approaches.
087 791 0560 View 087 791 0560
Photo of Cynthia Cope - Cope Counselling, Psychotherapist, MA, MIACP
Cope Counselling
Psychotherapist, MA, MIACP
Carlow, County R93
Is everything getting you down? Anxiety and panic attacks taking over your life? Relationship issues becoming unbearable? Have you experienced a loss and finding it difficult to cope? Are you having health problems? I have worked with many sensitive issues in the past and can help you through this difficult time with therapy. I can guide you through and assist you to process your challenges. Establishing a better quality of life in a safe environment.
Is everything getting you down? Anxiety and panic attacks taking over your life? Relationship issues becoming unbearable? Have you experienced a loss and finding it difficult to cope? Are you having health problems? I have worked with many sensitive issues in the past and can help you through this difficult time with therapy. I can guide you through and assist you to process your challenges. Establishing a better quality of life in a safe environment.
(01) 267 6641 x51 View (01) 267 6641 x51
Photo of Mary Brennan, Psychologist, MSc, CPsychol PSI
Mary Brennan
Psychologist, MSc, CPsychol PSI
Carlow, County R93
If you find your thoughts, feelings and emotions are limiting your enjoyment to engage fully in life because of past experiences, life's demands, uncertain Covid-19 times; you may need to talk to a trained professional to enable you to get experienced psychological support I work from the viewpoint of seeing each client as unique and autonomous providing a safe, confidential, non judgemental, respectful, supportive space to explore areas of concern at your own pace. This process enables you to explore different perspectives, develop coping skill in order for you to realise your full potential and improve your quality of life.
If you find your thoughts, feelings and emotions are limiting your enjoyment to engage fully in life because of past experiences, life's demands, uncertain Covid-19 times; you may need to talk to a trained professional to enable you to get experienced psychological support I work from the viewpoint of seeing each client as unique and autonomous providing a safe, confidential, non judgemental, respectful, supportive space to explore areas of concern at your own pace. This process enables you to explore different perspectives, develop coping skill in order for you to realise your full potential and improve your quality of life.
(01) 267 6675 x83 View (01) 267 6675 x83
Photo of Valerie Moore, Psychotherapist, MIACP
Valerie Moore
Psychotherapist, MIACP
Tullow, County Carlow R93
Most clients that come for therapy are wanting to be heard and understood, sometimes for the first time in their lives. They usually have issues that stem back to their childhood and they are somehow stuck in this way of being. Trauma can freeze a person so much that they are not able to move forward and day to day life can be very challenging for them. Most clients want to change and be the best version of themselves. They especially want this if they are in relationships or have children. Also if they are not in a relationship, they want to be in one that is nourishing, healthy and that they feel loved and cared for.
Most clients that come for therapy are wanting to be heard and understood, sometimes for the first time in their lives. They usually have issues that stem back to their childhood and they are somehow stuck in this way of being. Trauma can freeze a person so much that they are not able to move forward and day to day life can be very challenging for them. Most clients want to change and be the best version of themselves. They especially want this if they are in relationships or have children. Also if they are not in a relationship, they want to be in one that is nourishing, healthy and that they feel loved and cared for.
(01) 592 4196 x81 View (01) 592 4196 x81
Photo of Úna Le Meur, Psychotherapist, MSc, MIACP
Úna Le Meur
Psychotherapist, MSc, MIACP
Online Only
Waitlist for new clients
Una Le Meur is a member of the Irish Association of Counsellors and Psychotherapists. She is a Master of Science in Psychotherapy and Counselling, a Bachelor of Science qualified in Psychology and Economics and has a Diploma in Cognitive Behavioural Therapy. She works online. Una works with her Clients using client lead Talk Therapy integrated with Cognitive Behaviour Therapy (CBT) and mindfulness practices. She works with Complex Trauma, Depression, Anxiety, Personality Disorders, Bereavement and Loss, Relationship Issues, Addiction, Stress, Behavioural Issues and Addiction.
Una Le Meur is a member of the Irish Association of Counsellors and Psychotherapists. She is a Master of Science in Psychotherapy and Counselling, a Bachelor of Science qualified in Psychology and Economics and has a Diploma in Cognitive Behavioural Therapy. She works online. Una works with her Clients using client lead Talk Therapy integrated with Cognitive Behaviour Therapy (CBT) and mindfulness practices. She works with Complex Trauma, Depression, Anxiety, Personality Disorders, Bereavement and Loss, Relationship Issues, Addiction, Stress, Behavioural Issues and Addiction.
(01) 263 0697 x29 View (01) 263 0697 x29
Photo of Maggie Dagge, Psychotherapist, MSc, ICP
Maggie Dagge
Psychotherapist, MSc, ICP
Tullow, County Carlow R93
Trained in Ireland, the UK and the USA I bring a trauma informed approach to my practice. I adhere to a strong ethos of clinical honesty for my clients to recognise their potential. I am an accredited Creative arts psychotherapists (MA) with the Irish association of Creative arts therapists (IACAT). I am also an accredited child and adolescent psychoanalytic psychotherapist (MSc) with the Irish forum of child and adolescent psychoanalytic psychotherapy (IFCAPP). I am a member of the Irish council of psychotherapy (ICP).
Trained in Ireland, the UK and the USA I bring a trauma informed approach to my practice. I adhere to a strong ethos of clinical honesty for my clients to recognise their potential. I am an accredited Creative arts psychotherapists (MA) with the Irish association of Creative arts therapists (IACAT). I am also an accredited child and adolescent psychoanalytic psychotherapist (MSc) with the Irish forum of child and adolescent psychoanalytic psychotherapy (IFCAPP). I am a member of the Irish council of psychotherapy (ICP).
(01) 263 0393 x98 View (01) 263 0393 x98
Photo of Lisa Kealy, Psychotherapist, MIACP
Lisa Kealy
Psychotherapist, MIACP
1 Endorsed
Hacketstown, County Carlow R93
It is a privilege as a counsellor/psychotherapist to provide a safe environment for clients to work through a wide range of issues that effect their emotional, psychological, & social wellbeing. I'm passionate about this work as I have seen the huge, positive impact this can have on a person's life. I have a particular interest in working with men who often hide their emotions & can be hesitant to reach out for help. Working with families who are caring for loved ones with dementia is also a special interest, this can be a very isolating and lonely experience. A listening ear can be a comfort to clients embarking on this journey.
It is a privilege as a counsellor/psychotherapist to provide a safe environment for clients to work through a wide range of issues that effect their emotional, psychological, & social wellbeing. I'm passionate about this work as I have seen the huge, positive impact this can have on a person's life. I have a particular interest in working with men who often hide their emotions & can be hesitant to reach out for help. Working with families who are caring for loved ones with dementia is also a special interest, this can be a very isolating and lonely experience. A listening ear can be a comfort to clients embarking on this journey.
(01) 267 6675 x31 View (01) 267 6675 x31
Photo of Yvonne Kendellen, Counsellor, NAPCP
Yvonne Kendellen
Counsellor, NAPCP
Carlow, County R93
Hi there. The decision to take time to engage in therapy is huge. Talking to a stranger & not knowing what to expect from them. Not every therapist is going to be a good fit for you. This is your service & you are paying for it. I always say our 1st appointment is about you taking charge, coming in & meeting me & deciding if this is going to be a good fit. If it is that's great, if its not and you feel comfortable to say this I will be delighted to recommend a colleague. I will fully support you in this. I take each person as they come and we work together at their pace. Everyone needs and deserves support.
Hi there. The decision to take time to engage in therapy is huge. Talking to a stranger & not knowing what to expect from them. Not every therapist is going to be a good fit for you. This is your service & you are paying for it. I always say our 1st appointment is about you taking charge, coming in & meeting me & deciding if this is going to be a good fit. If it is that's great, if its not and you feel comfortable to say this I will be delighted to recommend a colleague. I will fully support you in this. I take each person as they come and we work together at their pace. Everyone needs and deserves support.
(01) 267 6595 x39 View (01) 267 6595 x39

How does your Counsellor compare?

Average cost per session

€70

Counsellors in County Carlow who prioritize treating:

93% Anxiety
85% Depression
85% Self Esteem
83% Relationship Issues
80% Bereavement
78% Stress
69% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

100% Laya
100% VHI
87% Irish Life

How Counsellors in County Carlow see their clients

93% In Person and Online
7% Online Only

Gender breakdown

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

How can I find a therapist in County Carlow?

Search for nearby therapists or counsellors by inputting your city, eircode, 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 eircode into the search bar.

Learn more about how to find a therapist

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

Most Counsellors and Psychotherapists listed in the directory are accredited members of the main professional associations, mainly the Irish Association of Counselling and Psychotherapy (IACP) and the Irish Council for Psychotherapy (ICP). Most Psychologists are accredited members of the Psychological Society of Ireland (PSI).

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 in Ireland, 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 supervised, practical experience that enable them to do so in Ireland. Psychologists have earned a doctoral degree in psychology and many are accredited members of the Psychological Society of Ireland (PSI). Counsellors and Psychotherapists are not required to have a doctoral degree, but to belong to a professional organisation such as the IACP or ICP, they must complete a minimum of an NFQ Level 7 programme with 100 hours of clinical experience and a minimum of 450 hours of post-training clinical experience under clinical supervision.

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 Ireland could cost between €50 – €90 when seeing a counsellor and €75 - €120 or more 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 National Counselling Service (NCS) is a government-funded service that provides short to medium term counselling and psychotherapy for free to individuals who have experienced trauma or abuse. The service can be accessed by GP referral or self-referral.

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 eircode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the IACP, the ICP, or PSI 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 is the potential or known harm to the client or others or when a child is in danger, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.