Counselling in R32

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Check out counsellors located nearby or offering Teletherapy in County Kilkenny below.

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Photo of Majella Mary Phelan - Majella Phelan Counselling, Counsellor, MIACP
Majella Phelan Counselling
Counsellor, MIACP
Kilkenny, County R95
A client experiencing issues of anxiety, depression, family trauma, bullying, relationship challenges, parenting, low self esteem and confidence. A need to get to know oneself better. A need to understand a situation, a person, or circumstance more fully. A need for peace of mind and heart. A need for answers to internal questions that are causing unrest. The client wants peace of mind and heart as there is or are some thing(s) causing them distress. The client may not know what the issues are. I offer the client a safe space to discover what they need help with and walk with them on that journey.
A client experiencing issues of anxiety, depression, family trauma, bullying, relationship challenges, parenting, low self esteem and confidence. A need to get to know oneself better. A need to understand a situation, a person, or circumstance more fully. A need for peace of mind and heart. A need for answers to internal questions that are causing unrest. The client wants peace of mind and heart as there is or are some thing(s) causing them distress. The client may not know what the issues are. I offer the client a safe space to discover what they need help with and walk with them on that journey.
(01) 267 6552 x41 View (01) 267 6552 x41
Photo of Keith Grogan, Psychotherapist, MIACP
Keith Grogan
Psychotherapist, MIACP
Kilkenny, County R95
I am an integrative Counsellor and Psychotherapist with a strong creative and enthusiastic style is based out of a person centered approach. I use numerous supportive models and approaches interchangeably in dynamic response to the Client’s needs as they arise within session. I also has an established video counselling service if traveling is limited
I am an integrative Counsellor and Psychotherapist with a strong creative and enthusiastic style is based out of a person centered approach. I use numerous supportive models and approaches interchangeably in dynamic response to the Client’s needs as they arise within session. I also has an established video counselling service if traveling is limited
(01) 267 6622 x26 View (01) 267 6622 x26
Photo of Phil Slattery, Psychotherapist, Pre-Accredited Member IACP
Phil Slattery
Psychotherapist, Pre-Accredited Member IACP
Online Only
I offer a compassionate, client-centered, online space, for healing, self-discovery, and growth. My approach weaves together mind, body, and spirit - I tailor each session to the unique needs of the individual. Whether you are navigating anxiety, depression, trauma, addiction, relationship challenges, or simply feeling stuck, I’m here to walk beside you with empathy and presence. I welcome clients from all backgrounds and identities. If you are ready to begin, or continue your healing journey, I invite you to reach our for an initial conversation.
I offer a compassionate, client-centered, online space, for healing, self-discovery, and growth. My approach weaves together mind, body, and spirit - I tailor each session to the unique needs of the individual. Whether you are navigating anxiety, depression, trauma, addiction, relationship challenges, or simply feeling stuck, I’m here to walk beside you with empathy and presence. I welcome clients from all backgrounds and identities. If you are ready to begin, or continue your healing journey, I invite you to reach our for an initial conversation.
(01) 233 7180 x61 View (01) 233 7180 x61
Photo of Jennifer Holligan - Sparrow Therapy, Psychotherapist, MA, MIACP
Sparrow Therapy
Psychotherapist, MA, MIACP
Serves Area
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 Mary Brennan, Psychologist, MSc, CPsychol PSI
Mary Brennan
Psychologist, MSc, CPsychol PSI
Serves Area
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 James Byrne, Psychotherapist, MIACP
James Byrne
Psychotherapist, MIACP
Kilkenny, County R95
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 Coman Wilkinson, Psychotherapist, MSc, MIAHIP
Coman Wilkinson
Psychotherapist, MSc, MIAHIP
Serves Area
Deciding to come for counselling can often be a difficult and drawn-out process. It is often also a very rewarding and enriching experience leading to changes in one’s life that reduce distress and increase one’s ability to cope with difficulties and challenges. By it's nature the process involves engaging with uncomfortable aspects of oneself and our relationships that are challenging. The goal of the process is to increase self-knowledge, self-acceptance and self-compassion to enhance our capacity to relate to ourselves and others in healthier and more fulfilling ways.
Deciding to come for counselling can often be a difficult and drawn-out process. It is often also a very rewarding and enriching experience leading to changes in one’s life that reduce distress and increase one’s ability to cope with difficulties and challenges. By it's nature the process involves engaging with uncomfortable aspects of oneself and our relationships that are challenging. The goal of the process is to increase self-knowledge, self-acceptance and self-compassion to enhance our capacity to relate to ourselves and others in healthier and more fulfilling ways.
087 814 6624 View 087 814 6624
Photo of Martina Cahill, Psychotherapist, Pre-Accredited Member IACP
Martina Cahill
Psychotherapist, Pre-Accredited Member IACP
1 Endorsed
Serves Area
I use an integrative approach with tools to adapt to individual client needs. My commitment and awareness to my own journey in therapy led me into the area of mental health and helping others. I have over 20 years of experience working in the hospitality sector and have always valued working with people. I have experienced personal challenges, namely grief and my diagnosis of chronic health conditions. I am committed to utilising both my training and life experiences, by applying my knowledge and empathy to help others in their own journey.
I use an integrative approach with tools to adapt to individual client needs. My commitment and awareness to my own journey in therapy led me into the area of mental health and helping others. I have over 20 years of experience working in the hospitality sector and have always valued working with people. I have experienced personal challenges, namely grief and my diagnosis of chronic health conditions. I am committed to utilising both my training and life experiences, by applying my knowledge and empathy to help others in their own journey.
087 690 8176 View 087 690 8176
Photo of Andrei Tcaciuc, Psychotherapist, MSc, APPI
Andrei Tcaciuc
Psychotherapist, MSc, APPI
3 Endorsed
Serves Area
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 Carolyn Duggan, Psychotherapist, MIACP
Carolyn Duggan
Psychotherapist, MIACP
1 Endorsed
Serves Area
Not accepting new clients
I am a Supervisor, Psychotherapist , a Certified DBT and ACT therapist with 15 years experience . I have an excellent understanding of challenges and can help and support you to take action and find meaning , purpose and coping skills in your life. I have a special interest in working with ADHD, Autism, distress, anxiety, depression, emotional regulation, EUPD:BPD, frustration and overwhelming feelings and thoughts. The aim is for you to understand yourself better, to make changes to your life that are more productive and rewarding, and to help you move towards becoming the kind of person you want to be.
I am a Supervisor, Psychotherapist , a Certified DBT and ACT therapist with 15 years experience . I have an excellent understanding of challenges and can help and support you to take action and find meaning , purpose and coping skills in your life. I have a special interest in working with ADHD, Autism, distress, anxiety, depression, emotional regulation, EUPD:BPD, frustration and overwhelming feelings and thoughts. The aim is for you to understand yourself better, to make changes to your life that are more productive and rewarding, and to help you move towards becoming the kind of person you want to be.
(01) 267 6552 x34 View (01) 267 6552 x34
Photo of Cora Fitzpatrick, Counsellor, Pre-Accredited Member IACP
Cora Fitzpatrick
Counsellor, Pre-Accredited Member IACP
Serves Area
I endeavour to be good company with clients who can often feel misunderstood, unseen, and unheard. Many of us may become overwhelmed and struggle with many issues, including addiction, bereavement, suicidal thoughts, depression, anxiety, loneliness, feelings of isolation and more. I believe healing is a process. I facilitate a space for you to explore your needs and life goals more deeply, observing your strengths, qualities and values that can offer you a more harmonious life. Sometimes, we may forget who we are. A Sufi saying "I am a hidden teasure and I long to be known".
I endeavour to be good company with clients who can often feel misunderstood, unseen, and unheard. Many of us may become overwhelmed and struggle with many issues, including addiction, bereavement, suicidal thoughts, depression, anxiety, loneliness, feelings of isolation and more. I believe healing is a process. I facilitate a space for you to explore your needs and life goals more deeply, observing your strengths, qualities and values that can offer you a more harmonious life. Sometimes, we may forget who we are. A Sufi saying "I am a hidden teasure and I long to be known".
(01) 267 6570 x99 View (01) 267 6570 x99
Photo of Samantha Mair, Psychotherapist
Samantha Mair
Psychotherapist
Online Only
I treat a variety of common mental health difficulties and life challenges (e.g. mood and anxiety disorders, OCD, PTSD, complex trauma, relationships issues, stress, low self-esteem, perfectionist traits). Some people aren’t quite sure what’s going on for them, but something just doesn’t feel right. Whatever your struggle is, I want to help you to get your life on track, break out of unhelpful patterns of behaviour, and find meaning and satisfaction in life. I can offer you a safe and non-judgmental space to explore what it is that’s causing you difficulty, and an evidence-based approach to help you to finally move forward.
I treat a variety of common mental health difficulties and life challenges (e.g. mood and anxiety disorders, OCD, PTSD, complex trauma, relationships issues, stress, low self-esteem, perfectionist traits). Some people aren’t quite sure what’s going on for them, but something just doesn’t feel right. Whatever your struggle is, I want to help you to get your life on track, break out of unhelpful patterns of behaviour, and find meaning and satisfaction in life. I can offer you a safe and non-judgmental space to explore what it is that’s causing you difficulty, and an evidence-based approach to help you to finally move forward.
07487 222155 View 07487 222155
Photo of Gayle Doyle, Psychotherapist, MA
Gayle Doyle
Psychotherapist, MA
Serves Area
Are you finding it difficult to cope or having problems in your relationships? Perhaps you feel overwhelmed by your emotions or you find yourself overthinking? Psychotherapy can help you connect with yourself, make sense of your experiences and find solutions. I believe that life is complex and no two people experience it the same way. Therefore therapy is not a 'one size fits all'. I draw on years of experience as a therapist and I integrate approaches so that the therapeutic space is centred on you and your needs.
Are you finding it difficult to cope or having problems in your relationships? Perhaps you feel overwhelmed by your emotions or you find yourself overthinking? Psychotherapy can help you connect with yourself, make sense of your experiences and find solutions. I believe that life is complex and no two people experience it the same way. Therefore therapy is not a 'one size fits all'. I draw on years of experience as a therapist and I integrate approaches so that the therapeutic space is centred on you and your needs.
(01) 263 0393 x19 View (01) 263 0393 x19
Photo of Áine Gallagher, Psychotherapist, MIACP
Áine Gallagher
Psychotherapist, MIACP
1 Endorsed
Serves Area
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 Joan Martin, Psychotherapist, Pre-Accredited Member IACP
Joan Martin
Psychotherapist, Pre-Accredited Member IACP
Kilkenny, County R95
I am a qualified Integrative Psychotherapist working with Adults & Adolescents based in Kilkenny City. Additionally, I am a qualified Guidance Counsellor with over 25 years of experience working with adolescents. I am pre-accredited with the Irish Association for Counselling and Psychotherapy (IACP) and fully accredited with the Association of Adolescent Psychotherapists and Counsellors in Ireland (AAPCI). My therapeutic approach is centered around a person-centered model. I hold a Level 9 Certificate in Cognitive Behavioural Therapy and have completed training in ASSIST and Understanding Self-Harm with the (HSE).
I am a qualified Integrative Psychotherapist working with Adults & Adolescents based in Kilkenny City. Additionally, I am a qualified Guidance Counsellor with over 25 years of experience working with adolescents. I am pre-accredited with the Irish Association for Counselling and Psychotherapy (IACP) and fully accredited with the Association of Adolescent Psychotherapists and Counsellors in Ireland (AAPCI). My therapeutic approach is centered around a person-centered model. I hold a Level 9 Certificate in Cognitive Behavioural Therapy and have completed training in ASSIST and Understanding Self-Harm with the (HSE).
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Photo of Fiona Shortall, Psychotherapist, MA, NAPCP
Fiona Shortall
Psychotherapist, MA, NAPCP
Online Only
Hi, My name is Fiona and I am currently a pre-accredited Psychotherapist. I believe all people are born equal and each of us deserve to live a peaceful and fulfilled life. I have a passion for helping people navigate their circumstances and to become empowered to grow, learn and look after their wellbeing. I aim to offer a space that is welcoming and free of judgment and provides an opportunity to work collaboratively with all clients. If you are looking for guidance on relationship issues, low mood, stress, or self esteem and more I am here to guide you.
Hi, My name is Fiona and I am currently a pre-accredited Psychotherapist. I believe all people are born equal and each of us deserve to live a peaceful and fulfilled life. I have a passion for helping people navigate their circumstances and to become empowered to grow, learn and look after their wellbeing. I aim to offer a space that is welcoming and free of judgment and provides an opportunity to work collaboratively with all clients. If you are looking for guidance on relationship issues, low mood, stress, or self esteem and more I am here to guide you.
(01) 230 8537 x32 View (01) 230 8537 x32
Photo of Peter Scanlon, Psychologist, CPsychol PSI
Peter Scanlon
Psychologist, CPsychol PSI
Kilkenny, County R95
I’m an Associate Fellow and Chartered Counselling Psychologist with the Psychological Society of Ireland (memb. no. 087638). I am also an Associate Fellow and Chartered Psychologist with the British Psychological Society (memb. no M4479C). With both the British Psychological Society and the Irish Psychological Society I am a Senior Practitioner on both their ‘Registers of Psychologists Specialising in Psychotherapy’. For more information see About - www.peterscanlon.com.
I’m an Associate Fellow and Chartered Counselling Psychologist with the Psychological Society of Ireland (memb. no. 087638). I am also an Associate Fellow and Chartered Psychologist with the British Psychological Society (memb. no M4479C). With both the British Psychological Society and the Irish Psychological Society I am a Senior Practitioner on both their ‘Registers of Psychologists Specialising in Psychotherapy’. For more information see About - www.peterscanlon.com.
(01) 267 6675 x97 View (01) 267 6675 x97
Photo of Tanya Coogan - Diamond Counselling, Counsellor, MIACP
Diamond Counselling
Counsellor, MIACP
Serves Area
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 Audrey Curran, Psychotherapist, APPI
Audrey Curran
Psychotherapist, APPI
Paulstown, County Kilkenny R95
As an integrative therapist I draw on many different therapeutic modalities including CBT, Attachment and Psychodynamics. I offer a safe place to talk about difficult things with compassion and understanding. In a supportive and empathetic environment, I will facilitate you on your personal journey of growth at your own pace. Sometimes starting therapy is not easy but you can evoke meaningful change that will enable you to live a more fulfilling and productive way of life. Some people come to therapy with a specific problem, while others benefit from talking to a professional to gain a better understanding about their feelings.
As an integrative therapist I draw on many different therapeutic modalities including CBT, Attachment and Psychodynamics. I offer a safe place to talk about difficult things with compassion and understanding. In a supportive and empathetic environment, I will facilitate you on your personal journey of growth at your own pace. Sometimes starting therapy is not easy but you can evoke meaningful change that will enable you to live a more fulfilling and productive way of life. Some people come to therapy with a specific problem, while others benefit from talking to a professional to gain a better understanding about their feelings.
(01) 267 6527 x75 View (01) 267 6527 x75
Photo of Dr. Michelle Hopkins Chartered Clinical Psychologist, Psychologist, PsychD, CPsychol PSI
Dr. Michelle Hopkins Chartered Clinical Psychologist
Psychologist, PsychD, CPsychol PSI
Online Only
I specialise in Cognitive Behaviour Therapy (CBT) and Compassion-Focused Therapy (CFT), helping you explore your current difficulties (e.g., stress, anxiety, depression) within the context of unexpected significant life changes/events, attachment and relationship issues, trauma, and loss. By sharing psychological understanding, connecting past experiences to present difficulties, I can support you to work through and process your thoughts and feelings, identifying and changing unhelpful patterns of behaviour and coping.
I specialise in Cognitive Behaviour Therapy (CBT) and Compassion-Focused Therapy (CFT), helping you explore your current difficulties (e.g., stress, anxiety, depression) within the context of unexpected significant life changes/events, attachment and relationship issues, trauma, and loss. By sharing psychological understanding, connecting past experiences to present difficulties, I can support you to work through and process your thoughts and feelings, identifying and changing unhelpful patterns of behaviour and coping.
(061) 572 524 x35 View (061) 572 524 x35

How does your Counsellor compare?

Number of Counsellors in R32

< 10

Counsellors in R32 who prioritize treating:

How Counsellors in R32 see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in R32?

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.