Counselling in Dublin

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Photo of Simon Forsyth, Psychotherapist, MIACP
Simon Forsyth
Psychotherapist, MIACP
Dublin, County D01
Not accepting new clients
The way I work is guided by the values of curiosity, creativity, and compassion. My aim is to offer you a freeing, non-judgemental environment where you can really be yourself; a safe space where you are encouraged to explore, question and grow in your own time; where every experience, feeling and part of you is welcome, particularly those ones that have been out in cold. At the start, the process can be like a ball of yarn, with many different threads tangled together. We will collaborate to unravel these threads, weaving them into something that makes more sense and is hopefully more manageable.
The way I work is guided by the values of curiosity, creativity, and compassion. My aim is to offer you a freeing, non-judgemental environment where you can really be yourself; a safe space where you are encouraged to explore, question and grow in your own time; where every experience, feeling and part of you is welcome, particularly those ones that have been out in cold. At the start, the process can be like a ball of yarn, with many different threads tangled together. We will collaborate to unravel these threads, weaving them into something that makes more sense and is hopefully more manageable.
(01) 267 6570 x68 View (01) 267 6570 x68
Photo of Róisín Ní Cheallaigh, Psychotherapist, MIACP
Róisín Ní Cheallaigh
Psychotherapist, MIACP
Dublin, County D07
Through many years supporting clients with a myriad of challenges I have discovered that one of their greatest needs is for hope - an expectation and desire that change is possible. It is an absolute privilege to walk some of that journey to hope with my clients and I would be delighted to explore together how I can support you. I have a breadth of experience in counselling in private practice, with community based counselling services, on Employee Assistance Programmes, at a residential drug rehabilitation centre and in supporting those affected by their involvement in the criminal justice system.
Through many years supporting clients with a myriad of challenges I have discovered that one of their greatest needs is for hope - an expectation and desire that change is possible. It is an absolute privilege to walk some of that journey to hope with my clients and I would be delighted to explore together how I can support you. I have a breadth of experience in counselling in private practice, with community based counselling services, on Employee Assistance Programmes, at a residential drug rehabilitation centre and in supporting those affected by their involvement in the criminal justice system.
(01) 592 4196 x44 View (01) 592 4196 x44
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 Paddy Slattery, Counsellor, MIACP
Paddy Slattery
Counsellor, MIACP
Dublin, County D20
ANXIETY, STRESS, PANIC. If you have difficulty with any of these or related issues such as insomnia, fears and phobias such as fear of public speaking, social anxiety, ocd, maybe I can help. Do you have difficulty with emotion regulation, concentrating, staying present, do you sometimes wish you could relax, focus, be fully present, and engaged? Again, if so, maybe I can help. Cognitive Behavioural Therapy is a well evidenced, effective therapy for anxiety. Compassion-Focused approaches also have sound evidence backing them up and in my experience can be invaluable in the process of therapy.
ANXIETY, STRESS, PANIC. If you have difficulty with any of these or related issues such as insomnia, fears and phobias such as fear of public speaking, social anxiety, ocd, maybe I can help. Do you have difficulty with emotion regulation, concentrating, staying present, do you sometimes wish you could relax, focus, be fully present, and engaged? Again, if so, maybe I can help. Cognitive Behavioural Therapy is a well evidenced, effective therapy for anxiety. Compassion-Focused approaches also have sound evidence backing them up and in my experience can be invaluable in the process of therapy.
(01) 267 6527 x83 View (01) 267 6527 x83
Photo of Celine Keogh, Psychotherapist, MA
Celine Keogh
Psychotherapist, MA
1 Endorsed
Dublin, County D09
Through my practice in Core Process Psychotherapy, I believe in the power of presence, listening and finding understanding. My approach is rooted in compassion and respect, aiming to guide you towards emotional well-being. Whether you're facing challenges in your personal life, struggling with relationships, or seeking clarity in your thoughts and feelings, I am here to offer support. My sessions provide a safe and confidential space where you can explore your thoughts and emotions freely. I work collaboratively to find solutions that meets your Fully Accredited member of Irish Assoc Humanistic & Integrative Psychotherapy IAHIP.
Through my practice in Core Process Psychotherapy, I believe in the power of presence, listening and finding understanding. My approach is rooted in compassion and respect, aiming to guide you towards emotional well-being. Whether you're facing challenges in your personal life, struggling with relationships, or seeking clarity in your thoughts and feelings, I am here to offer support. My sessions provide a safe and confidential space where you can explore your thoughts and emotions freely. I work collaboratively to find solutions that meets your Fully Accredited member of Irish Assoc Humanistic & Integrative Psychotherapy IAHIP.
(01) 267 6536 x51 View (01) 267 6536 x51
Photo of John Duffy - Insomnia Therapy (John Duffy), Psychologist, MSc, CPsychol PSI
Insomnia Therapy (John Duffy)
Psychologist, MSc, CPsychol PSI
Online Only
I am a Chartered Counselling Psychologist with the Psychological Society of Ireland (PSI) and founder of Insomnia Therapy. I specialise in the treatment of insomnia and sleep difficulties using Cognitive Behavioural Therapy for Insomnia (CBT-I), the gold standard treatment for chronic insomnia. I also provide general counselling, psychology, and psychotherapy to men and women in Ireland. I have 30 years of experience in the field of counselling psychology and mental health.
I am a Chartered Counselling Psychologist with the Psychological Society of Ireland (PSI) and founder of Insomnia Therapy. I specialise in the treatment of insomnia and sleep difficulties using Cognitive Behavioural Therapy for Insomnia (CBT-I), the gold standard treatment for chronic insomnia. I also provide general counselling, psychology, and psychotherapy to men and women in Ireland. I have 30 years of experience in the field of counselling psychology and mental health.
(01) 230 8537 x20 View (01) 230 8537 x20
Photo of Tony Dunne, Psychotherapist, MIACP
Tony Dunne
Psychotherapist, MIACP
Dublin, County D10
I provide a space which is safe and secure. The Therapeutic place is where you will be listened to and cared for. You will be understood and supported as you go about healing your experiences of trauma and the past. It is my aim to help you cope with the challenges and enable you to respond with new found tools to deal with the difficulties and circumstances of daily life.
I provide a space which is safe and secure. The Therapeutic place is where you will be listened to and cared for. You will be understood and supported as you go about healing your experiences of trauma and the past. It is my aim to help you cope with the challenges and enable you to respond with new found tools to deal with the difficulties and circumstances of daily life.
(01) 267 6570 x54 View (01) 267 6570 x54
Photo of Dr. Gary Lynch, Psychologist, DCounsPsych, CPsychol PSI
Dr. Gary Lynch
Psychologist, DCounsPsych, CPsychol PSI
1 Endorsed
Dublin, County D02
Gary believes that everyone has a unique life experience, and therefore chooses the approach best suited to the individual and issue. The role of a PSI certified Psychologist is to explore each client’s personal world and problems and give them tools to understand and better their lives. Gary’s main approach is cognitive behavioral (acceptance and commitment therapy) which examines the choices, freedoms and limitations of a person’s life, and has trained extensively in Psychodynamic practice. Gary has worked with adults and adolescents dealing with various therapeutic issues from depression, anxiety to identity issues and addiction.
Gary believes that everyone has a unique life experience, and therefore chooses the approach best suited to the individual and issue. The role of a PSI certified Psychologist is to explore each client’s personal world and problems and give them tools to understand and better their lives. Gary’s main approach is cognitive behavioral (acceptance and commitment therapy) which examines the choices, freedoms and limitations of a person’s life, and has trained extensively in Psychodynamic practice. Gary has worked with adults and adolescents dealing with various therapeutic issues from depression, anxiety to identity issues and addiction.
(01) 267 6603 x25 View (01) 267 6603 x25
Photo of Wendy Santillan Ramirez, Psychotherapist, MIACP
Wendy Santillan Ramirez
Psychotherapist, MIACP
Dublin, County D06
Hello, my name is Wendy. I am a deeply empathetic and compassionate Counsellor and Psychotherapist dedicated to providing you with a safe, confidential, and trustworthy environment where you can finally let your guard down. Life can often bring a sense of stuckness, racing thoughts, or relationship tension that leaves you feeling disconnected from yourself. Whether you are navigating a sudden personal crisis or feel tired of repeating old patterns, I am here to accompany you on your unique therapeutic journey to help you rebuild your inner strength and find balance.
Hello, my name is Wendy. I am a deeply empathetic and compassionate Counsellor and Psychotherapist dedicated to providing you with a safe, confidential, and trustworthy environment where you can finally let your guard down. Life can often bring a sense of stuckness, racing thoughts, or relationship tension that leaves you feeling disconnected from yourself. Whether you are navigating a sudden personal crisis or feel tired of repeating old patterns, I am here to accompany you on your unique therapeutic journey to help you rebuild your inner strength and find balance.
083 878 0597 View 083 878 0597
Photo of Ellsy O'Neill - Citadel Therapy, MSc
Citadel Therapy
Verified Verified
Online Only
People often begin therapy when recurring patterns start to interfere with how they want to live or relate to others. You might feel overwhelmed by stress, unsure how to respond to challenges, or aware that something needs to change even if the next step isn’t clear. Therapy offers a structured way of working toward change, whether that involves gaining perspective, developing different responses, or addressing longer-standing difficulties.
People often begin therapy when recurring patterns start to interfere with how they want to live or relate to others. You might feel overwhelmed by stress, unsure how to respond to challenges, or aware that something needs to change even if the next step isn’t clear. Therapy offers a structured way of working toward change, whether that involves gaining perspective, developing different responses, or addressing longer-standing difficulties.
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Photo of Vicky Pascual, Psychotherapist, Pre-Accredited Member IACP
Vicky Pascual
Psychotherapist, Pre-Accredited Member IACP
Dublin, County D04
Not accepting new clients
I work with adults and young adults experiencing difficulties such as anxiety, stress, low mood, relationship difficulties, grief, trauma, identity issues, low self-esteem, and major life changes, among others. Some clients come to therapy with a clear issue they want to work through, while others simply know that something does not feel quite right.
I work with adults and young adults experiencing difficulties such as anxiety, stress, low mood, relationship difficulties, grief, trauma, identity issues, low self-esteem, and major life changes, among others. Some clients come to therapy with a clear issue they want to work through, while others simply know that something does not feel quite right.
(061) 572 524 x64 View (061) 572 524 x64
Photo of Sara Mastini, Psychotherapist, Pre-Accredited Member IACP
Sara Mastini
Psychotherapist, Pre-Accredited Member IACP
1 Endorsed
Dublin, County D02
Waitlist for new clients
Life can feel overwhelming when anxiety, self-doubt, or old patterns keep showing up, even when everything seems “fine” on the outside. You may notice tension in your body, feel restless, or repeat familiar patterns in relationships. I’ve been there myself, struggling with anxiety and self-doubt. Many people want a gentler, steadier experience of themselves — a chance to slow down, feel calmer in their body, and reconnect with their own strength and resilience.
Life can feel overwhelming when anxiety, self-doubt, or old patterns keep showing up, even when everything seems “fine” on the outside. You may notice tension in your body, feel restless, or repeat familiar patterns in relationships. I’ve been there myself, struggling with anxiety and self-doubt. Many people want a gentler, steadier experience of themselves — a chance to slow down, feel calmer in their body, and reconnect with their own strength and resilience.
(01) 267 6552 x75 View (01) 267 6552 x75
Photo of Dr. Joseph Geary, Psychologist, DCounsPsych, CPsychol PSI
Dr. Joseph Geary
Psychologist, DCounsPsych, CPsychol PSI
1 Endorsed
Online Only
Since 2021 I have worked as a Chartered Counselling Psychologist in various settings, with particular experience in psycho-oncology, workplace problems, student counselling and providing family therapy to parents & teenagers. I currently work with a broad range of adults and any issues they bring, with particular focus on: navigating chronic illness and disability, resolving difficult experiences of social classism & colonialism, and I sometimes work with people who have had difficult experiences following the use of psychedelic substances.
Since 2021 I have worked as a Chartered Counselling Psychologist in various settings, with particular experience in psycho-oncology, workplace problems, student counselling and providing family therapy to parents & teenagers. I currently work with a broad range of adults and any issues they bring, with particular focus on: navigating chronic illness and disability, resolving difficult experiences of social classism & colonialism, and I sometimes work with people who have had difficult experiences following the use of psychedelic substances.
(01) 592 4196 x47 View (01) 592 4196 x47
Photo of Andrew fitzpatrick, Psychotherapist, MA, MIACP
Andrew fitzpatrick
Psychotherapist, MA, MIACP
Dublin, County D12
Hi, Andrew here. I am a qualified, experienced and fully accredited Integrative Psychotherapist & Counsellor. I integrate many different approaches depending on each client’s specific requirements and facilitate all clients to develop clarity so that they may develop the skills and resources within themselves to deal with these challenges and overcome obstacles. I work with a range of issues including depression, anxiety, anger, grief, relationships, self-esteem, self-harm, suicidal ideation and have a particular interest in working with individuals who have experienced any form of trauma.
Hi, Andrew here. I am a qualified, experienced and fully accredited Integrative Psychotherapist & Counsellor. I integrate many different approaches depending on each client’s specific requirements and facilitate all clients to develop clarity so that they may develop the skills and resources within themselves to deal with these challenges and overcome obstacles. I work with a range of issues including depression, anxiety, anger, grief, relationships, self-esteem, self-harm, suicidal ideation and have a particular interest in working with individuals who have experienced any form of trauma.
085 136 5321 View 085 136 5321
Photo of Lisa O'Rourke, Psychotherapist, Pre-Accredited Member IACP
Lisa O'Rourke
Psychotherapist, Pre-Accredited Member IACP
Dublin, County D04
If you’ve found your way here, perhaps it’s because something within you is ready for change — or simply to be heard. Whatever brings you, I want you to know that your feelings are valid, and you’re exactly where you need to be. My intention is to offer you a warm, safe, and non-judgmental space where you can gently explore what’s going on for you — at your own pace, in your own words. You don’t need to have everything figured out. If something feels heavy, uncertain, or out of balance, that’s more than enough reason to reach out.
If you’ve found your way here, perhaps it’s because something within you is ready for change — or simply to be heard. Whatever brings you, I want you to know that your feelings are valid, and you’re exactly where you need to be. My intention is to offer you a warm, safe, and non-judgmental space where you can gently explore what’s going on for you — at your own pace, in your own words. You don’t need to have everything figured out. If something feels heavy, uncertain, or out of balance, that’s more than enough reason to reach out.
(01) 568 2872 x84 View (01) 568 2872 x84
Photo of Jelena Vucinic, Psychologist, MSc, MPSI
Jelena Vucinic
Psychologist, MSc, MPSI
Online Only
Your path, your progress, my support
Your path, your progress, my support
(01) 568 2872 x40 View (01) 568 2872 x40
Photo of Brid Mary O Muiri, Psychotherapist, MA, CBPI
Brid Mary O Muiri
Psychotherapist, MA, CBPI
Dublin, County D12
Coming to therapy is the first step to doing something about changing an aspect of your life that is causing you distress, or overwhelming you to such a degree that it is holding you back or keeping you stuck. Do not feel you have to suffer in silence. Your problems could be the way you interpret things or the lens through which you view things. Sometimes our thinking patterns need to be challenged, and we can find alternative and more useful ways of seeing things, leading to a more fulfilling life for ourselves. Therapy is about growth in our thinking , this leading to more positive thinking, leading to a better quality life.
Coming to therapy is the first step to doing something about changing an aspect of your life that is causing you distress, or overwhelming you to such a degree that it is holding you back or keeping you stuck. Do not feel you have to suffer in silence. Your problems could be the way you interpret things or the lens through which you view things. Sometimes our thinking patterns need to be challenged, and we can find alternative and more useful ways of seeing things, leading to a more fulfilling life for ourselves. Therapy is about growth in our thinking , this leading to more positive thinking, leading to a better quality life.
(01) 267 6570 x19 View (01) 267 6570 x19
Photo of Adeline Roche, Psychotherapist, MSc
Adeline Roche
Psychotherapist, MSc
Dublin, County D13
I treat adults (18+) with common mental health problems including Depression, Anxiety, Phobias, Stress, Panic Disorder, Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD). At the moment, therapy sessions are offered by telephone, video or in-person in Dublin. I appreciate that finding the 'right' therapist is hard. If you choose me as your therapist, I'll be supportive, compassionate and non-judgemental. If you're unsure, you may like to read some testimonials on my website or get in touch and we'll arrange an initial phone call to check suitability, free of charge.
I treat adults (18+) with common mental health problems including Depression, Anxiety, Phobias, Stress, Panic Disorder, Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD). At the moment, therapy sessions are offered by telephone, video or in-person in Dublin. I appreciate that finding the 'right' therapist is hard. If you choose me as your therapist, I'll be supportive, compassionate and non-judgemental. If you're unsure, you may like to read some testimonials on my website or get in touch and we'll arrange an initial phone call to check suitability, free of charge.
(01) 267 6595 x89 View (01) 267 6595 x89
Photo of Annette O'Connell, Psychotherapist, MSc
Annette O'Connell
Psychotherapist, MSc
1 Endorsed
Dublin, County D14
Annette works as an Integrative and Humanistic Psychotherapist and is an Accredited Member of the Irish Association of Humanistic and Integrative Psychotherapy. She holds a M.Sc (Hons) in Counselling & Psychotherapy from Northampton University (in conjunction with The Dublin Counselling & Psychotherapy Centre, Gardiner Street, Dublin). She also holds the Degree of Barrister at Law from Kings Inns, Dublin. Prior to training as a Psychotherapist, Annette’s background was in the Public Sector where assisting people during sad and challenging periods of their life was an aspect of her work. Annette works with adult clients.
Annette works as an Integrative and Humanistic Psychotherapist and is an Accredited Member of the Irish Association of Humanistic and Integrative Psychotherapy. She holds a M.Sc (Hons) in Counselling & Psychotherapy from Northampton University (in conjunction with The Dublin Counselling & Psychotherapy Centre, Gardiner Street, Dublin). She also holds the Degree of Barrister at Law from Kings Inns, Dublin. Prior to training as a Psychotherapist, Annette’s background was in the Public Sector where assisting people during sad and challenging periods of their life was an aspect of her work. Annette works with adult clients.
(01) 233 7063 x96 View (01) 233 7063 x96
Photo of Steven Dunn, MSc
Steven Dunn
Verified Verified
Dublin, County D02
I understand navigating life’s challenges—whether related to anxiety, depression, ADHD, stress, relationship or sexual issues—can be overwhelming. I offer a confidential, non-judgmental space where you can explore your thoughts and feelings one-to-one. What sets me apart is my focus on not just your current struggles but also understanding how your past has shaped you. Together, we’ll work through these challenges, helping you build a future that truly excites and motivates you, at a pace that feels right for you. To help you move forward, with clarity, confidence & purpose. For more information visit: www.TheJourneyTherapists. com
I understand navigating life’s challenges—whether related to anxiety, depression, ADHD, stress, relationship or sexual issues—can be overwhelming. I offer a confidential, non-judgmental space where you can explore your thoughts and feelings one-to-one. What sets me apart is my focus on not just your current struggles but also understanding how your past has shaped you. Together, we’ll work through these challenges, helping you build a future that truly excites and motivates you, at a pace that feels right for you. To help you move forward, with clarity, confidence & purpose. For more information visit: www.TheJourneyTherapists. com
(01) 267 6595 x68 View (01) 267 6595 x68

How does your Counsellor compare?

Number of Counsellors in Dublin

700+

Average cost per session

€75

Counsellors in Dublin who prioritize treating:

88% Anxiety
78% Depression
74% Relationship Issues
74% Self Esteem
69% Stress
62% Bereavement
61% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

93% Laya
92% VHI
89% Irish Life

How Counsellors in Dublin see their clients

83% In Person and Online
17% Online Only

Gender breakdown

74% Female
25% 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.