Counselling in London

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Photo of Elena Kantor - Elena Kantor, Psychotherapy in Central London, MSc, BPC, Psychotherapist
Elena Kantor, Psychotherapy in Central London
Psychotherapist, MSc, BPC
Verified Verified
London SE1
I offer individual one-to-one therapy with adults and work in full-time private practice in Southwark, where I offer a confidential, secure and non-judgemental environment. My approach is collaborative and warm. I also believe, that through the relationship between us, I can help you to explore and develop new approaches to dealing with difficult, problematic and stressful situations.
I offer individual one-to-one therapy with adults and work in full-time private practice in Southwark, where I offer a confidential, secure and non-judgemental environment. My approach is collaborative and warm. I also believe, that through the relationship between us, I can help you to explore and develop new approaches to dealing with difficult, problematic and stressful situations.
020 3701 7946 View 020 3701 7946
Photo of Gabriela Talavera, MBACP, Counsellor
Gabriela Talavera
Counsellor, MBACP
Verified Verified
London EC1A
Welcome and thank you for looking at my profile. Whether you are feeling depressed or anxious, stuck or confused, I can help you to have a better understanding of yourself so you can begin to consider and perhaps make different choices. In my approach we explore your past and present relationships with people to have a better understanding of what is affecting you. I provide a safe and confidential space where you can talk about your problems. I can help you to gain a different perspective on yourself, which in turn can help you to arrive at your own decisions and conclusions with more clarity and confidence.
Welcome and thank you for looking at my profile. Whether you are feeling depressed or anxious, stuck or confused, I can help you to have a better understanding of yourself so you can begin to consider and perhaps make different choices. In my approach we explore your past and present relationships with people to have a better understanding of what is affecting you. I provide a safe and confidential space where you can talk about your problems. I can help you to gain a different perspective on yourself, which in turn can help you to arrive at your own decisions and conclusions with more clarity and confidence.
020 3962 2082 View 020 3962 2082
Photo of Stephen Smith, MA, MBACP, Psychotherapist
Stephen Smith
Psychotherapist, MA, MBACP
Verified Verified
London N19
Everyone has times when things aren't going the way we might like. We can find ourselves anywhere from, a bit grey and unhappy, to, extremely dark and depressed, overwhelmed, stressed and spun out. Talking to someone can help. I work with individuals and couples and have a comfortable, safe and confidential practice in Dartmouth Park, North West London in between Tufnell Park and Archway N19 and work online from home in NW6. I take genuine interest in my clients, like to engage openly and talk in a straightforward way, developing a strong working relationship, showing empathy and building trust. I am also a counsellor at UCL.
Everyone has times when things aren't going the way we might like. We can find ourselves anywhere from, a bit grey and unhappy, to, extremely dark and depressed, overwhelmed, stressed and spun out. Talking to someone can help. I work with individuals and couples and have a comfortable, safe and confidential practice in Dartmouth Park, North West London in between Tufnell Park and Archway N19 and work online from home in NW6. I take genuine interest in my clients, like to engage openly and talk in a straightforward way, developing a strong working relationship, showing empathy and building trust. I am also a counsellor at UCL.
020 4538 2332 View 020 4538 2332
Photo of Maggi Russell, PsychD, MUKCP, Psychotherapist
Maggi Russell
Psychotherapist, PsychD, MUKCP
Verified Verified
London N19
With all the complex challenges of modern life, anxiety and depression are on the increase. Seeing a psychotherapist/counsellor can provide a calm, safe space where you can find the support you need. Whether you are seeking short term counselling, or longer term psychotherapy, together we can explore whatever may be troubling you. Perhaps you are in need of a sympathetic person to talk to, someone who will listen without judgement to any difficulties you are experiencing in your life or relationships. You may be suffering from low self-esteem, or unexplained panic attacks. I will work with you in the way that suits you best.
With all the complex challenges of modern life, anxiety and depression are on the increase. Seeing a psychotherapist/counsellor can provide a calm, safe space where you can find the support you need. Whether you are seeking short term counselling, or longer term psychotherapy, together we can explore whatever may be troubling you. Perhaps you are in need of a sympathetic person to talk to, someone who will listen without judgement to any difficulties you are experiencing in your life or relationships. You may be suffering from low self-esteem, or unexplained panic attacks. I will work with you in the way that suits you best.
020 3958 4412 View 020 3958 4412
Photo of Dr Homen Chow, HCPC - Clin. Psych., Psychologist
Dr Homen Chow
Psychologist, HCPC - Clin. Psych.
Verified Verified
London W4
My name is Dr Homen Chow and I am a Chartered Clinical Psychologist and Accredited EMDR therapist. I have experiencing working with trauma, low, mood, anxiety, stress, relationship difficulties, low self-esteem, and with those who find it difficult to control or regulate their emotions. I use evidenced-based therapies (Psychodynamic, CBT, DBT etc.) to guide treatment in a way that is adapted to each individual, to help make sense of their own difficulties and strengths. I tend to best support those whose difficulties arise in relationships, be that personal, professional or societal.
My name is Dr Homen Chow and I am a Chartered Clinical Psychologist and Accredited EMDR therapist. I have experiencing working with trauma, low, mood, anxiety, stress, relationship difficulties, low self-esteem, and with those who find it difficult to control or regulate their emotions. I use evidenced-based therapies (Psychodynamic, CBT, DBT etc.) to guide treatment in a way that is adapted to each individual, to help make sense of their own difficulties and strengths. I tend to best support those whose difficulties arise in relationships, be that personal, professional or societal.
020 3984 8696 View 020 3984 8696
Photo of Petra Zemankova, MA, MNCPS Acc., Psychotherapist
Petra Zemankova
Psychotherapist, MA, MNCPS Acc.
Verified Verified
London NW2
I am still accepting new clients for a fee £63 per session, couples for £85 per session and I am offering phone and video sessions via Zoom, Google Meet, Skype, Facebook, WhatsApp or any other online platform also for clients who are distancing or quarantined. At the moment I am helping lots of clients with anxiety as well as self-esteem issues as that is something that lots of clients struggle with, however, the spectrum of the problems I work with is much broader.
I am still accepting new clients for a fee £63 per session, couples for £85 per session and I am offering phone and video sessions via Zoom, Google Meet, Skype, Facebook, WhatsApp or any other online platform also for clients who are distancing or quarantined. At the moment I am helping lots of clients with anxiety as well as self-esteem issues as that is something that lots of clients struggle with, however, the spectrum of the problems I work with is much broader.
020 8106 0664 View 020 8106 0664
Photo of Sonia Barrachina, MA, HCPC-Drama Therap., Counsellor
Sonia Barrachina
Counsellor, MA, HCPC-Drama Therap.
Verified Verified
London SE16  (Online Only)
EMDR can offer a brief, focused treatment where you remain in control of your self-healing process and can empower you to make life changes. NICE and WHO recognize EMDR for the treatment of PTSD, but it also helps with various MH conditions. If you are a young person, adult, or elder that have experienced a traumatic event, is dealing with sleep difficulties, anxiety, emotional/self-confidence issues, intrusive memories/thoughts, or suffering from a phobia. You have wanted to act on this but have not found the time or the therapy that suits you. NOW might be the time. EMDR the approach, and I am right here to guide you through.
EMDR can offer a brief, focused treatment where you remain in control of your self-healing process and can empower you to make life changes. NICE and WHO recognize EMDR for the treatment of PTSD, but it also helps with various MH conditions. If you are a young person, adult, or elder that have experienced a traumatic event, is dealing with sleep difficulties, anxiety, emotional/self-confidence issues, intrusive memories/thoughts, or suffering from a phobia. You have wanted to act on this but have not found the time or the therapy that suits you. NOW might be the time. EMDR the approach, and I am right here to guide you through.
020 3834 8188 View 020 3834 8188
Photo of Shamiso Mazaiwana, MSc, MBACP, Counsellor
Shamiso Mazaiwana
Counsellor, MSc, MBACP
Verified Verified
London EC1Y  (Online Only)
***I currently have 4 low cost spaces available from January for students. Please contact me directly for more information.*** I provide counselling and support people who experience mental challenges both face to face and through telephone counselling. I have worked with and supported clients experiencing anxiety, depression, stress, bereavement and loss, relationship issues, pregnancy issues/complications, hoarding disorder, and OCD. I provide CBT, Humanistic, Integrative, Person-centered, Psychodynamic, Relational.
***I currently have 4 low cost spaces available from January for students. Please contact me directly for more information.*** I provide counselling and support people who experience mental challenges both face to face and through telephone counselling. I have worked with and supported clients experiencing anxiety, depression, stress, bereavement and loss, relationship issues, pregnancy issues/complications, hoarding disorder, and OCD. I provide CBT, Humanistic, Integrative, Person-centered, Psychodynamic, Relational.
020 4538 7954 View 020 4538 7954
Photo of Grainne Fleming, PsychD, HCPC - Clin. Psych., Psychologist
Grainne Fleming
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London N1  (Online Only)
I am a Clinical Psychologist working in the NHS and private practice, and I am registered with the HCPC. I understand that reaching out to start therapy can be daunting, and so I aim to create a safe, compassionate space within which you can explore your concerns. I offer short and medium term therapy for a range of issues such as anxiety, panic, health anxiety, low mood, stress/burnout, relationship difficulties, low self-esteem and loss. I have specialised experience working with individuals with physical health difficulties, in terms of their relationships, identity, and adjustment.
I am a Clinical Psychologist working in the NHS and private practice, and I am registered with the HCPC. I understand that reaching out to start therapy can be daunting, and so I aim to create a safe, compassionate space within which you can explore your concerns. I offer short and medium term therapy for a range of issues such as anxiety, panic, health anxiety, low mood, stress/burnout, relationship difficulties, low self-esteem and loss. I have specialised experience working with individuals with physical health difficulties, in terms of their relationships, identity, and adjustment.
020 3006 8915 View 020 3006 8915
Photo of Maria Munir, CPsychol, Psychologist
Maria Munir
Psychologist, CPsychol
Verified Verified
London W10
Feeling lost? Alone? Overwhelmed? Low or anxious? Do you want to explore something from your past or focus on something specific in your here and now? Whatever your reason for coming here today, I can provide you with a safe and secure, non judgmental and caring space to speak freely and benefit from an experienced therapist to help you find your way, a new perspective or simply someone to listen. I am able to offer short term sessions or longer term therapy depending on your needs. I offer a private, safe, clean and comfortable environment for us to work through what you bring to therapy. Phone and Video sessions also available
Feeling lost? Alone? Overwhelmed? Low or anxious? Do you want to explore something from your past or focus on something specific in your here and now? Whatever your reason for coming here today, I can provide you with a safe and secure, non judgmental and caring space to speak freely and benefit from an experienced therapist to help you find your way, a new perspective or simply someone to listen. I am able to offer short term sessions or longer term therapy depending on your needs. I offer a private, safe, clean and comfortable environment for us to work through what you bring to therapy. Phone and Video sessions also available
01748 902520 View 01748 902520
Photo of Dr Belynder Walia - Dr Belynder Walia - Serene Lifestyles, GMBPsS, Psychotherapist
Dr Belynder Walia - Serene Lifestyles
Psychotherapist, GMBPsS
Verified Verified
London E1  (Online Only)
I am the founder of Serene Lifestyles, an online psychotherapy practice. I am accepting new clients and offering virtual appointments. I help people feel less anxiety or stress by transforming their mind to build confidence and self-esteem, so they feel amazing in their professional and personal relationships. I am passionate about helping people with their mental and emotional well-being.
I am the founder of Serene Lifestyles, an online psychotherapy practice. I am accepting new clients and offering virtual appointments. I help people feel less anxiety or stress by transforming their mind to build confidence and self-esteem, so they feel amazing in their professional and personal relationships. I am passionate about helping people with their mental and emotional well-being.
020 3870 2993 View 020 3870 2993
Photo of Adam Mollen, MBACP, Psychotherapist
Adam Mollen
Psychotherapist, MBACP
Verified Verified
London N17
Starting therapy can be one of the most rewarding things we can do. Whether you're seeking help for a specific issue, feeling lost, anxious, or low, therapy can offer valuable support. Many people feel disappointment with their lives, they suffer with anxiety, low self-esteem or have difficulty forming and maintaining meaningful relationships. If these are things that you struggle with, therapy might have something to offer you.
Starting therapy can be one of the most rewarding things we can do. Whether you're seeking help for a specific issue, feeling lost, anxious, or low, therapy can offer valuable support. Many people feel disappointment with their lives, they suffer with anxiety, low self-esteem or have difficulty forming and maintaining meaningful relationships. If these are things that you struggle with, therapy might have something to offer you.
01992 661001 View 01992 661001
Photo of Marc Mason, MSc, MBACP, Counsellor
Marc Mason
Counsellor, MSc, MBACP
Verified Verified
London E8
Together we will work with whatever you bring to therapy. This may be an issue that is clear and well defined. You might want change in your relationship or in your work, or you may want support dealing with anxiety, depression, low self-esteem or shame, for example. But it might also be something much vaguer, it may be a general interest in exploring aspects of your life or way of relating to the world, or it might be a sense of confusion, stuckness, dissatisfaction or unfinished business.
Together we will work with whatever you bring to therapy. This may be an issue that is clear and well defined. You might want change in your relationship or in your work, or you may want support dealing with anxiety, depression, low self-esteem or shame, for example. But it might also be something much vaguer, it may be a general interest in exploring aspects of your life or way of relating to the world, or it might be a sense of confusion, stuckness, dissatisfaction or unfinished business.
020 4538 6090 View 020 4538 6090
Photo of Dr Cristian A Nica, MSc, HCPC - Clin. Psych., Psychologist
Dr Cristian A Nica
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
London W1G
My goal is to enable a strong mental foundation where mindful skills will help you keep your life in reach. Progress means change, rehearsing new ways of thinking or a range of strategies to iterate development safely. The result, a genuine approach for you to always find a better way forward. I am HCPC-registered in clinical, counselling, health and occupational psychology. Supervisor, providing services for individuals, couples and organisations beginning from eclectic CBT interventions (ACT, DBT, ST) - the most effective and intuitive psychological framework.
My goal is to enable a strong mental foundation where mindful skills will help you keep your life in reach. Progress means change, rehearsing new ways of thinking or a range of strategies to iterate development safely. The result, a genuine approach for you to always find a better way forward. I am HCPC-registered in clinical, counselling, health and occupational psychology. Supervisor, providing services for individuals, couples and organisations beginning from eclectic CBT interventions (ACT, DBT, ST) - the most effective and intuitive psychological framework.
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Photo of David Palmstrom, MBACP, Counsellor
David Palmstrom
Counsellor, MBACP
Verified Verified
1 Endorsed
London SE10
I offer a safe, supportive and confidential space to explore any concerns that you wish to bring. As we have all felt lost, alone or unheard at some point in our lives, I think that everyone can benefit from counselling. It is powerful to have a space just for you to talk through the issues that are affecting you and are important to you with someone who is there just for you. Counselling is not always easy and can bring up painful or difficult memories. However, we will go at your own pace and the rewards can be life changing.
I offer a safe, supportive and confidential space to explore any concerns that you wish to bring. As we have all felt lost, alone or unheard at some point in our lives, I think that everyone can benefit from counselling. It is powerful to have a space just for you to talk through the issues that are affecting you and are important to you with someone who is there just for you. Counselling is not always easy and can bring up painful or difficult memories. However, we will go at your own pace and the rewards can be life changing.
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Photo of Mari Mansfield, MSc, BPC, Psychotherapist
Mari Mansfield
Psychotherapist, MSc, BPC
Verified Verified
London E2
I consider all my clients as unique individuals -- my role is not to judge you or label you, rather, my role is to help you reach your full potential in all aspects of your life, working towards you living the life you desire. I provide a confidential, warm and non-judgemental space where together we will explore your difficulties to gain insight and understanding, working towards you developing a fuller sense of who you are and what you need from yourself and your relationships to promote positive change.
I consider all my clients as unique individuals -- my role is not to judge you or label you, rather, my role is to help you reach your full potential in all aspects of your life, working towards you living the life you desire. I provide a confidential, warm and non-judgemental space where together we will explore your difficulties to gain insight and understanding, working towards you developing a fuller sense of who you are and what you need from yourself and your relationships to promote positive change.
020 3960 5186 View 020 3960 5186
Photo of Olesya Ovchinnikova - Somatic Psychotherapy , PhD
Somatic Psychotherapy
PhD
Verified Verified
London W1D  (Online Only)
Have overwhelming events of the past marked your relationships with yourself and the world? Does your present life context trigger difficult emotional reactions, interpersonal or professional challenges? Do you suffer from lingering mental health issues and want to improve your wellbeing? Therapy can provide a safe trasformational opportunity to explore and heal what is difficult in your life. My role is to offer you a confidential and non-judgmental space for understanding, processing and learning how to manage unresolved, often conflicting feelings, thoughts and actions which impact quality of your life and relationships.
Have overwhelming events of the past marked your relationships with yourself and the world? Does your present life context trigger difficult emotional reactions, interpersonal or professional challenges? Do you suffer from lingering mental health issues and want to improve your wellbeing? Therapy can provide a safe trasformational opportunity to explore and heal what is difficult in your life. My role is to offer you a confidential and non-judgmental space for understanding, processing and learning how to manage unresolved, often conflicting feelings, thoughts and actions which impact quality of your life and relationships.
020 8103 0356 View 020 8103 0356
Photo of Meera Moore Danowski, MA, MBACP, Psychotherapist
Meera Moore Danowski
Psychotherapist, MA, MBACP
Verified Verified
London WC2H
I am a BACP registered psychotherapist who has experience of helping people (individuals and couples) at life’s most difficult junctions. I have worked within the charity sector, with the NHS, and Mind. I provide a safe, confidential and inclusive space; a space that is 100% judgement free. Psychotherapy is a personal journey; there is no one size fits all. I believe it is possible heal from the past, improve your relationships with others, learn to be kinder to you and say goodbye to destructive behaviours. I can help you find ways to cope with the ups and downs and feel empowered to live the best life you can.
I am a BACP registered psychotherapist who has experience of helping people (individuals and couples) at life’s most difficult junctions. I have worked within the charity sector, with the NHS, and Mind. I provide a safe, confidential and inclusive space; a space that is 100% judgement free. Psychotherapy is a personal journey; there is no one size fits all. I believe it is possible heal from the past, improve your relationships with others, learn to be kinder to you and say goodbye to destructive behaviours. I can help you find ways to cope with the ups and downs and feel empowered to live the best life you can.
020 4572 0101 View 020 4572 0101
Photo of Simon Riches, PhD, HCPC - Clin. Psych., Psychologist
Simon Riches
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
London SE1  (Online Only)
I provide psychological assessment and therapy with individuals, couples, and families. I am a warm, compassionate psychologist who provides a collaborative therapeutic space attuned to clients' values and goals.
I provide psychological assessment and therapy with individuals, couples, and families. I am a warm, compassionate psychologist who provides a collaborative therapeutic space attuned to clients' values and goals.
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Photo of Madeleine Vieira, PhD, HCPC - Clin. Psych., Psychologist
Madeleine Vieira
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
London SW7
Dr. Madeleine Vieira is a Clinical Child & Adolescent Psychologist specialised in Anxiety Disorders and has also extensively worked with the following: Depression, Anxiety, ADHD, ADD, Autism Spectrum Disorder, Third Culture Kids' Issues, Grief, Family Change, Cultural Adaptation, Transitions, Friendships, Academic Achievement, Learning Difficulties, Behavioural Difficulties, Illness, Social Isolation, Teenager / Adolescent Issues.
Dr. Madeleine Vieira is a Clinical Child & Adolescent Psychologist specialised in Anxiety Disorders and has also extensively worked with the following: Depression, Anxiety, ADHD, ADD, Autism Spectrum Disorder, Third Culture Kids' Issues, Grief, Family Change, Cultural Adaptation, Transitions, Friendships, Academic Achievement, Learning Difficulties, Behavioural Difficulties, Illness, Social Isolation, Teenager / Adolescent Issues.
020 3828 0681 View 020 3828 0681
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See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

70% Aviva
64% AXA PPP
57% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

Search for nearby therapists or counsellors by inputting your city, postcode, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postcode into the search bar.

Learn more about how to find a therapist

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

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the BACP, the UKCP, or BPS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.