Counselling in Dublin

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Photo of Debby Kluczenko, Psychotherapist, MSc, FTAI
Debby Kluczenko
Psychotherapist, MSc, FTAI
Dublin, County D01
You may be carrying more than you realise: the weight of expectations, the pressure to hold everything together, the impact of past experiences that still echo today, or the strain of relationships that feel stuck or overwhelming. You might feel a loss of clarity, identity, or purpose, or simply notice that coping alone no longer feels possible. If any of this resonates, you’re in the right place. I am a systemic psychotherapist supporting individuals, couples, and families to make sense of their experiences within the wider contexts of culture, identity, relationships, trauma, and life transitions.
You may be carrying more than you realise: the weight of expectations, the pressure to hold everything together, the impact of past experiences that still echo today, or the strain of relationships that feel stuck or overwhelming. You might feel a loss of clarity, identity, or purpose, or simply notice that coping alone no longer feels possible. If any of this resonates, you’re in the right place. I am a systemic psychotherapist supporting individuals, couples, and families to make sense of their experiences within the wider contexts of culture, identity, relationships, trauma, and life transitions.
(01) 267 6681 x35 View (01) 267 6681 x35
Photo of Jennifer Webb, Psychotherapist, MIACP
Jennifer Webb
Psychotherapist, MIACP
3 Endorsed
Dublin, County D12
Life is not always smooth and can present us with situations, some more difficult than others. Some of these situations can be sorted with the help of friends and family and others may need the help of a professional. As a therapist it is my belief that all clients are individual and so my service will be tailored to the individual needs of each client. My work is to help the clients better understand what their needs are and assist in the changes the client wants to make in order to meet these needs. Counselling is a collaborative process where I will assist each client to set goals and work with them in order to achieve these.
Life is not always smooth and can present us with situations, some more difficult than others. Some of these situations can be sorted with the help of friends and family and others may need the help of a professional. As a therapist it is my belief that all clients are individual and so my service will be tailored to the individual needs of each client. My work is to help the clients better understand what their needs are and assist in the changes the client wants to make in order to meet these needs. Counselling is a collaborative process where I will assist each client to set goals and work with them in order to achieve these.
(01) 267 6641 x63 View (01) 267 6641 x63
Photo of Vasilija Plavc, Counsellor, APCP
Vasilija Plavc
Counsellor, APCP
1 Endorsed
Dublin, County D06
Whatever has brought you here, I want you to know that your experience is valid, and you do not have to carry it alone. Perhaps you are finding that the voice in your head has become your harshest critic, anxiety is spiralling, maybe you are having a hard time coping with a recent loss, or you have experienced a relationship where you felt small, abused or controlled. Therapy is a confidential, safe space to talk about your experiences. We will work at your pace and focus on what matters most to you in a way that feels comfortable and manageable.
Whatever has brought you here, I want you to know that your experience is valid, and you do not have to carry it alone. Perhaps you are finding that the voice in your head has become your harshest critic, anxiety is spiralling, maybe you are having a hard time coping with a recent loss, or you have experienced a relationship where you felt small, abused or controlled. Therapy is a confidential, safe space to talk about your experiences. We will work at your pace and focus on what matters most to you in a way that feels comfortable and manageable.
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Photo of Alan Anthony Byrne - Macánta Psychotherapy, Psychotherapist, Pre-Accredited Member IACP
Macánta Psychotherapy
Psychotherapist, Pre-Accredited Member IACP
Dublin, County D12
Many clients I work with feel stuck, overwhelmed, or caught in certain patterns that feels difficult to break, such as addiction. This can show up as anxiety that won’t switch off, low mood, negative thought patterns or habits that you can't seem to change. You might recognise that changes need to be made, but for whatever reason, feel stuck, as if you're spinning your wheels in the same place. My approach is calm, explorative and practical, and informed by my professional training as a psychotherapist, but also my own lived experience of addiction and panic attack recovery.
Many clients I work with feel stuck, overwhelmed, or caught in certain patterns that feels difficult to break, such as addiction. This can show up as anxiety that won’t switch off, low mood, negative thought patterns or habits that you can't seem to change. You might recognise that changes need to be made, but for whatever reason, feel stuck, as if you're spinning your wheels in the same place. My approach is calm, explorative and practical, and informed by my professional training as a psychotherapist, but also my own lived experience of addiction and panic attack recovery.
(01) 263 0697 x63 View (01) 263 0697 x63
Photo of Sophie Laura Cullen, Psychotherapist, DCounsPsych, Pre-Accredited Member IACP
Sophie Laura Cullen
Psychotherapist, DCounsPsych, Pre-Accredited Member IACP
6 Endorsed
Dublin, County D05
I offer a safe, compassionate, and non-judgmental space for people who may be feeling overwhelmed, disconnected, or at a crossroads in their lives. Often, those who come to therapy are seeking a deeper understanding of themselves, greater emotional awareness, or support in navigating difficult or uncertain circumstances. My approach is integrative and relational, supporting exploration of thoughts, emotions, and patterns that may no longer feel helpful. Therapy can be a place to slow down, make sense of what’s happening beneath the surface, and reconnect with a more authentic sense of self.
I offer a safe, compassionate, and non-judgmental space for people who may be feeling overwhelmed, disconnected, or at a crossroads in their lives. Often, those who come to therapy are seeking a deeper understanding of themselves, greater emotional awareness, or support in navigating difficult or uncertain circumstances. My approach is integrative and relational, supporting exploration of thoughts, emotions, and patterns that may no longer feel helpful. Therapy can be a place to slow down, make sense of what’s happening beneath the surface, and reconnect with a more authentic sense of self.
(01) 267 6641 x97 View (01) 267 6641 x97
Photo of Shona Young - Shona Young | Self Portrait Art Therapy, Psychotherapist, Pre-Accredited Member IACP
Shona Young | Self Portrait Art Therapy
Psychotherapist, Pre-Accredited Member IACP
1 Endorsed
Dublin, County D06
I work with adults navigating the lasting impact of trauma and anxiety. Life can feel overwhelming, exhausting, and confusing when your nervous system stays on alert or emotions feel trapped inside. Through art therapy, we give these experiences a safe space outside of you, so they can be explored, understood, and processed at your pace. Together, we create a contained, supportive space where healing is possible, even when words alone aren’t enough.
I work with adults navigating the lasting impact of trauma and anxiety. Life can feel overwhelming, exhausting, and confusing when your nervous system stays on alert or emotions feel trapped inside. Through art therapy, we give these experiences a safe space outside of you, so they can be explored, understood, and processed at your pace. Together, we create a contained, supportive space where healing is possible, even when words alone aren’t enough.
(01) 267 6681 x29 View (01) 267 6681 x29
Photo of Linda Sutton, Psychotherapist, MIACP
Linda Sutton
Psychotherapist, MIACP
Dublin, County D09
Linda provides an open, respectful and professional environment attuning to your needs and emotional struggles. A safe and confidential space is assured, in order to address what may be troubling you at various stages of life and living. Linda facilitates therapy that is tailored specifically to the individual, who may feel emotionally distressed. A compassionate place to begin to explore, in a collaborative way, what is happening externally in their life and to raise awareness of and to express internal thoughts and feelings.
Linda provides an open, respectful and professional environment attuning to your needs and emotional struggles. A safe and confidential space is assured, in order to address what may be troubling you at various stages of life and living. Linda facilitates therapy that is tailored specifically to the individual, who may feel emotionally distressed. A compassionate place to begin to explore, in a collaborative way, what is happening externally in their life and to raise awareness of and to express internal thoughts and feelings.
(01) 267 6622 x60 View (01) 267 6622 x60
Photo of Lynsey O'Kelly, Psychotherapist, MIACP
Lynsey O'Kelly
Psychotherapist, MIACP
Dublin, County D04
I work from an integrative perspective grounded in person centered therapy. I adapt the therapy to the needs of the individual while respecting their views and values. I believe that most individuals can heal, grow and find resources within in a supportive and non-judgemental environment. I will work with you in exploring issues from the past and how they are affecting you in the present. I will also help you with tools and resources to help you in the day to day. I have a special interest in working with all members of the adoption triad specifically around, loss rejection and a sense of identity.
I work from an integrative perspective grounded in person centered therapy. I adapt the therapy to the needs of the individual while respecting their views and values. I believe that most individuals can heal, grow and find resources within in a supportive and non-judgemental environment. I will work with you in exploring issues from the past and how they are affecting you in the present. I will also help you with tools and resources to help you in the day to day. I have a special interest in working with all members of the adoption triad specifically around, loss rejection and a sense of identity.
(01) 267 6552 x92 View (01) 267 6552 x92
Photo of Laura Cahill, Counsellor, MSc, MIACP
Laura Cahill
Counsellor, MSc, MIACP
Dublin, County D09
Waitlist for new clients
I have extensive experience helping people who live with chronic illness incl. persistent pain (eg. fibromyalgia, arthritis, irritable bowel, back pain). As a relationship therapist I work with heterosexual and same sex couples and individuals. I am open to work with anybody who is in emotional distress, whether it is caused by life changes, relationship/family issues or illness; and help you to overcome stress, emotional and relationship problems or troubling behavioural habits.
I have extensive experience helping people who live with chronic illness incl. persistent pain (eg. fibromyalgia, arthritis, irritable bowel, back pain). As a relationship therapist I work with heterosexual and same sex couples and individuals. I am open to work with anybody who is in emotional distress, whether it is caused by life changes, relationship/family issues or illness; and help you to overcome stress, emotional and relationship problems or troubling behavioural habits.
(01) 267 6692 x54 View (01) 267 6692 x54
Photo of Jenny Corrigan, Psychotherapist, DCounsPsych, MIACP
Jenny Corrigan
Psychotherapist, DCounsPsych, MIACP
Dublin, County D12
I am a member of and adhere to the ethical guidelines of the Irish Association of Counsellors and Psychotherapists (MIACP) I support my practice by attending regular supervision and ongoing continuous professional development (CPD). I support individuals and couples with all issues which prevent them reaching their full potential. With over 20years experience in the field of Counselling and Psychotherapy I work within a person-centered framework, aiming to explore my client’s experience in a non-directive and supportive environment. In addition to my work as a therapist I am also an accredited Clinical Supervisor (IACPS)
I am a member of and adhere to the ethical guidelines of the Irish Association of Counsellors and Psychotherapists (MIACP) I support my practice by attending regular supervision and ongoing continuous professional development (CPD). I support individuals and couples with all issues which prevent them reaching their full potential. With over 20years experience in the field of Counselling and Psychotherapy I work within a person-centered framework, aiming to explore my client’s experience in a non-directive and supportive environment. In addition to my work as a therapist I am also an accredited Clinical Supervisor (IACPS)
(01) 267 6603 x69 View (01) 267 6603 x69
Photo of Kate Burke, Psychotherapist, MIACP
Kate Burke
Psychotherapist, MIACP
Online Only
I am passionate about creating a safe space for the voice of the individual to be heard without fear of judgement. I have a particular interest in helping people find their own answers to the challenges in their lives, such as anxiety, burnout, or a general dissatisfaction with life without any obvious reason why, to find a way of being that better meets their needs.
I am passionate about creating a safe space for the voice of the individual to be heard without fear of judgement. I have a particular interest in helping people find their own answers to the challenges in their lives, such as anxiety, burnout, or a general dissatisfaction with life without any obvious reason why, to find a way of being that better meets their needs.
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Photo of John Lalor, Psychologist, CPsychol PSI
John Lalor
Psychologist, CPsychol PSI
Dublin, County A94
As a chartered psychologist and fully accredited psychotherapist, l work with clients with a range of issues therapeutically, and I do adult assessments for ADHD, Autism, and Personality. I work in a number of locations in South Dublin.
As a chartered psychologist and fully accredited psychotherapist, l work with clients with a range of issues therapeutically, and I do adult assessments for ADHD, Autism, and Personality. I work in a number of locations in South Dublin.
(01) 263 0393 x22 View (01) 263 0393 x22
Photo of Valerie Mary Kilkenny - Bath Avenue Counselling Centre (Supervisor), Psychotherapist, MIACP
Bath Avenue Counselling Centre (Supervisor)
Psychotherapist, MIACP
Dublin, County D04
My Counselling & Psychotherapeutic Approach: I am an established Humanistic Counsellor/ Psychotherapist/ Supervisor with 20 years’ experience. I believe the therapeutic relationship is fundamental to the therapeutic process. I acknowledge and validate the uniqueness of every individual in my work and my work is grounded in a Person-Centred Approach that include attributes of unconditional positive regard, accurate empathy and genuineness. I feel that effective therapy means not only insight and awareness but also the development of skills and strategies to integrate new learning.
My Counselling & Psychotherapeutic Approach: I am an established Humanistic Counsellor/ Psychotherapist/ Supervisor with 20 years’ experience. I believe the therapeutic relationship is fundamental to the therapeutic process. I acknowledge and validate the uniqueness of every individual in my work and my work is grounded in a Person-Centred Approach that include attributes of unconditional positive regard, accurate empathy and genuineness. I feel that effective therapy means not only insight and awareness but also the development of skills and strategies to integrate new learning.
086 803 0677 View 086 803 0677
Photo of Farrah Tayob, Psychotherapist, MA, MIACP
Farrah Tayob
Psychotherapist, MA, MIACP
Dublin, County D6W
Farrah helps Adults, Parents, Children & Adolescents who are experiencing difficulties with their emotions, behaviour and relationships. I offer In-person and online appointments.. My approach to treatment is guided by the person who walks through the door. I do not believe there is a one-size-fits-all form of therapy and the treatment will be tailored to each client's needs. I use an integrative approach that involves humanistic, art therapy, psychodynamic, sabd tray, cbt, gestalt and inner child work to name a few.
Farrah helps Adults, Parents, Children & Adolescents who are experiencing difficulties with their emotions, behaviour and relationships. I offer In-person and online appointments.. My approach to treatment is guided by the person who walks through the door. I do not believe there is a one-size-fits-all form of therapy and the treatment will be tailored to each client's needs. I use an integrative approach that involves humanistic, art therapy, psychodynamic, sabd tray, cbt, gestalt and inner child work to name a few.
(01) 267 6692 x68 View (01) 267 6692 x68
Photo of Enda Cloke, Psychotherapist, MSc, ICP
Enda Cloke
Psychotherapist, MSc, ICP
Dublin, County D02
I am a Child & Adolescent Psychoanalytic Psychotherapist, trained specifically to work with young children, adolescents, young adults and family dynamics. I have experience in working with a range of issues and with the various ways those issues specifically present in young people.
I am a Child & Adolescent Psychoanalytic Psychotherapist, trained specifically to work with young children, adolescents, young adults and family dynamics. I have experience in working with a range of issues and with the various ways those issues specifically present in young people.
086 373 5860 View 086 373 5860
Photo of Micheal Mac Árdail - Institute for Counselling & Psychotherapy Studies , Psychotherapist, MSc, MIACP
Institute for Counselling & Psychotherapy Studies
Psychotherapist, MSc, MIACP
Dublin, County D02
The Institute for Counselling & Psychotherapy Studies (ICPS) delivers accredited Continuing Professional Development (CPD) and Professional Diploma programmes for counsellors and psychotherapists. Courses include specialist diplomas (e.g., psychodynamic counselling, applied neuroscience, clinical psychology) and modular CPD workshops, all live online with professional accreditation, designed to enhance skills, competence and clinical confidence. We also provide Professional Counselling & Psychotherapy services
The Institute for Counselling & Psychotherapy Studies (ICPS) delivers accredited Continuing Professional Development (CPD) and Professional Diploma programmes for counsellors and psychotherapists. Courses include specialist diplomas (e.g., psychodynamic counselling, applied neuroscience, clinical psychology) and modular CPD workshops, all live online with professional accreditation, designed to enhance skills, competence and clinical confidence. We also provide Professional Counselling & Psychotherapy services
(01) 230 8537 x72 View (01) 230 8537 x72
Photo of Alan Kavanagh, Psychotherapist, MIACP
Alan Kavanagh
Psychotherapist, MIACP
Dublin, County D02
Alan’s approach is integrative, drawing on many useful techniques and approaches; however, places greater value on the therapeutic relationship for healing as he does not believe in the notion of fixing. As no one comes to ‘be’ in isolation, Alan also appreciates the systemic lens of familial relations and respects how that influences all relationships. We all have stories we tell ourselves and therapy can be a safe place to explore if these are helping or harming you in relation to your self or others. A tenet in Narrative Therapy:‘the person is not the problem; the problem is the problem’ (White & Epston).
Alan’s approach is integrative, drawing on many useful techniques and approaches; however, places greater value on the therapeutic relationship for healing as he does not believe in the notion of fixing. As no one comes to ‘be’ in isolation, Alan also appreciates the systemic lens of familial relations and respects how that influences all relationships. We all have stories we tell ourselves and therapy can be a safe place to explore if these are helping or harming you in relation to your self or others. A tenet in Narrative Therapy:‘the person is not the problem; the problem is the problem’ (White & Epston).
(01) 230 8537 x55 View (01) 230 8537 x55
Photo of Ruth Dixon, Psychotherapist, MIACP
Ruth Dixon
Psychotherapist, MIACP
Dublin, County D02
Whether you are struggling with a specific trauma, feeling overwhelmed by anxiety, or just know that something is not right, taking the first step towards therapy can be daunting. My mission is to offer a safe contained space to explore this trauma with an integrative approach. Using Somatic Experiencing and EMDR along with talk therapy, together we will walk together on the journey of healing. Somatic Experiencing is not about "reliving" your trauma rather we "renegotiate" your trauma in order to empower you to move from a state of helplessness to one of thriving.
Whether you are struggling with a specific trauma, feeling overwhelmed by anxiety, or just know that something is not right, taking the first step towards therapy can be daunting. My mission is to offer a safe contained space to explore this trauma with an integrative approach. Using Somatic Experiencing and EMDR along with talk therapy, together we will walk together on the journey of healing. Somatic Experiencing is not about "reliving" your trauma rather we "renegotiate" your trauma in order to empower you to move from a state of helplessness to one of thriving.
(01) 592 4196 x67 View (01) 592 4196 x67
Photo of Dermot McCarthy - Inner Voice Inner Journey Rathfarnham, Psychotherapist, MSc, MIACP
Inner Voice Inner Journey Rathfarnham
Psychotherapist, MSc, MIACP
Dublin, County D16
Hi, Welcome to the Inner Voice Inner Journey Rathfarnham Therapy Centre's Psychology Page. I’m Dermot McCarthy, Psychotherapist and Clinical Director at Inner Voice Inner Journey. Our Therapy Centre, offers a safe and supportive space for everyone. We provide both Full Fee and Low-Cost Therapy Services, especially during these uncertain times. We welcome individuals of all gender identities, sexual orientations, races, and neurodiversities. Offering both online and in-person appointments, we’re here to empower you to be your true self. Mention "Rathfarnham" in your email or call when contacting us.
Hi, Welcome to the Inner Voice Inner Journey Rathfarnham Therapy Centre's Psychology Page. I’m Dermot McCarthy, Psychotherapist and Clinical Director at Inner Voice Inner Journey. Our Therapy Centre, offers a safe and supportive space for everyone. We provide both Full Fee and Low-Cost Therapy Services, especially during these uncertain times. We welcome individuals of all gender identities, sexual orientations, races, and neurodiversities. Offering both online and in-person appointments, we’re here to empower you to be your true self. Mention "Rathfarnham" in your email or call when contacting us.
(01) 233 7180 x43 View (01) 233 7180 x43
Photo of Kim Elliott - Kim Elliott Therapy, Psychotherapist, MSc
Kim Elliott Therapy
Psychotherapist, MSc
Dublin, County D12
I aim to provide clients with a safe and confidential space to explore personal issues. Working from a humanistic and person centred ethos means I believe that all individuals hold the tools within to heal and grow. When we experience early adversity or difficult life events we can find ourselves at a loss, grappling with deep feelings of unhappiness. Sometimes we can become at war with ourselves . Issues such as low self esteem, anxiety and depression can arise. I work in a collaborative and empowering yet gentle way to accompany you on your journey of healing.
I aim to provide clients with a safe and confidential space to explore personal issues. Working from a humanistic and person centred ethos means I believe that all individuals hold the tools within to heal and grow. When we experience early adversity or difficult life events we can find ourselves at a loss, grappling with deep feelings of unhappiness. Sometimes we can become at war with ourselves . Issues such as low self esteem, anxiety and depression can arise. I work in a collaborative and empowering yet gentle way to accompany you on your journey of healing.
083 089 7377 View 083 089 7377

How does your Counsellor compare?

Number of Counsellors in Dublin

600+

Average cost per session

€74

Counsellors in Dublin who prioritize treating:

88% Anxiety
79% Depression
74% Relationship Issues
74% Self Esteem
70% Stress
62% Bereavement
60% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

93% Laya
93% VHI
89% Irish Life

How Counsellors in Dublin see their clients

83% In Person and Online
17% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Dublin?

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.