Counselling in Manchester

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Photo of Andrea Sarah Lawton, MSc, MUKCP, Psychotherapist
Andrea Sarah Lawton
Psychotherapist, MSc, MUKCP
Verified Verified
Manchester M20
People access therapy for many different reasons, but generally we are most likely to reach out for help when our usual coping strategies are no longer effective. At these times it is not always helpful or possible to turn to family or friends, and their well-meaning support may not always help. I will provide a calm and confidential space where you will be able to safely share what is troubling you.
People access therapy for many different reasons, but generally we are most likely to reach out for help when our usual coping strategies are no longer effective. At these times it is not always helpful or possible to turn to family or friends, and their well-meaning support may not always help. I will provide a calm and confidential space where you will be able to safely share what is troubling you.
0161 524 1915 View 0161 524 1915
Photo of Sam Greenwood-Thompson - Selfwork Therapy - Sam Greenwood-Thompson, UKCP Trainee, Psychotherapist
Selfwork Therapy - Sam Greenwood-Thompson
Psychotherapist, UKCP Trainee
Verified Verified
Manchester M21
Hello, I'm Sam & I'm looking forward to meeting you! If you are feeling stuck in patterns impacting your relationships, career, or happiness, and feeling like you're on autopilot, I can help you break free from past influences that no longer work for you. Anxiety of all levels could be preventing you from feeling present in the moment but together, we will work to uncover its source and take away its power so you can get on with living a happier, less stressful life. I am particularly interested in helping with overthinking, stress, overwhelm and working with clients who feel they cannot be themself.
Hello, I'm Sam & I'm looking forward to meeting you! If you are feeling stuck in patterns impacting your relationships, career, or happiness, and feeling like you're on autopilot, I can help you break free from past influences that no longer work for you. Anxiety of all levels could be preventing you from feeling present in the moment but together, we will work to uncover its source and take away its power so you can get on with living a happier, less stressful life. I am particularly interested in helping with overthinking, stress, overwhelm and working with clients who feel they cannot be themself.
0161 524 8207 View 0161 524 8207
Photo of James Alastair King, MBACP, Counsellor
James Alastair King
Counsellor, MBACP
Verified Verified
Manchester M3
Although I regularly work with clients of all ages and genders, the majority of my clients tend to be young men, who have unresolved feelings or experiences which are impacting on their daily lives. I work as an integrative counsellor, from a person-centred perspective. This means that you can bring whatever you wish to the session, while we work at your pace and depth. I employ theory and techniques from CBT, psychodynamic and other therapeutic philosophies which I feel may be useful. Where we start is not the important thing as ultimately, you will naturally discover the things that matter the most to you.
Although I regularly work with clients of all ages and genders, the majority of my clients tend to be young men, who have unresolved feelings or experiences which are impacting on their daily lives. I work as an integrative counsellor, from a person-centred perspective. This means that you can bring whatever you wish to the session, while we work at your pace and depth. I employ theory and techniques from CBT, psychodynamic and other therapeutic philosophies which I feel may be useful. Where we start is not the important thing as ultimately, you will naturally discover the things that matter the most to you.
0161 509 6177 View 0161 509 6177
Photo of Molly Brenda Rudd, MBABCP, Psychotherapist
Molly Brenda Rudd
Psychotherapist, MBABCP
Verified Verified
Manchester M46  (Online Only)
With five years of experience as a psychological therapist, I specialise in CBT and EMDR therapy. I have treated individuals from diverse backgrounds, specialising in depression and anxiety disorders like PTSD and OCD. My passion lies in offering personalised and integrative care to empower you to become your own therapist. During our initial sessions, we will delve into your history and present challenges, working together to develop a personalised treatment plan tailored to help you overcome your issues and move towards your goals.
With five years of experience as a psychological therapist, I specialise in CBT and EMDR therapy. I have treated individuals from diverse backgrounds, specialising in depression and anxiety disorders like PTSD and OCD. My passion lies in offering personalised and integrative care to empower you to become your own therapist. During our initial sessions, we will delve into your history and present challenges, working together to develop a personalised treatment plan tailored to help you overcome your issues and move towards your goals.
01942 914846 View 01942 914846
Photo of Amanda Taylor Atwood, PsychD, BACP, Psychotherapist
Amanda Taylor Atwood
Psychotherapist, PsychD, BACP
Verified Verified
Manchester M21
“ It’s good to talk .... “ Do you need to talk to somebody without being judged or having to justify your feelings. Are feelings of anxiety, fear or depression making everyday life hard to bear. Do you want to understand why you feel or behave the way you do. Then I can help, I am a friendly, approachable psychotherapist and provide confidential therapy in a safe, calm and compassionate environment. I can help you explore your experiences and identify what you would like to change for a happier and more fulfilled life.
“ It’s good to talk .... “ Do you need to talk to somebody without being judged or having to justify your feelings. Are feelings of anxiety, fear or depression making everyday life hard to bear. Do you want to understand why you feel or behave the way you do. Then I can help, I am a friendly, approachable psychotherapist and provide confidential therapy in a safe, calm and compassionate environment. I can help you explore your experiences and identify what you would like to change for a happier and more fulfilled life.
0161 850 7569 View 0161 850 7569
Photo of Jasmina Frzina (Altogether Human Cic), DCounsPsych, HCPC - Couns. Psych., Psychologist
Jasmina Frzina (Altogether Human Cic)
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Manchester M21
I like working with individuals and couples – on issues and worries ranging from anxiety, stress, and depression to all types of trauma. Of particular interest is working with people experiencing existential angst or simply feeling "stuck" in one way or another. I like to help people to get "un-stuck" and to take steps towards living their lives in more fulfilling ways, and having healthier, more rewarding relationships.
I like working with individuals and couples – on issues and worries ranging from anxiety, stress, and depression to all types of trauma. Of particular interest is working with people experiencing existential angst or simply feeling "stuck" in one way or another. I like to help people to get "un-stuck" and to take steps towards living their lives in more fulfilling ways, and having healthier, more rewarding relationships.
0161 524 5191 View 0161 524 5191
Photo of Ben Bamber - benbambercounselling, BACP, Counsellor
benbambercounselling
Counsellor, BACP
Verified Verified
Manchester M14
I am a qualified person-centred counsellor, based in south Manchester. I specialise in person-centred counselling and cognitive behavioural therapy and offer both in person (walk and talk therapy and online sessions). I believe everyone should have the opportunity to feel listened too, accepted without fear of judgement and feel welcomed in a safe space. I have six years of experience working in mental clinical settings supporting individuals through addiction, eating disorders, psychosis, bipolar, PTSD and depression. My other passion is voluntary work supporting individuals with HIV/AIDS, fighting stigma.
I am a qualified person-centred counsellor, based in south Manchester. I specialise in person-centred counselling and cognitive behavioural therapy and offer both in person (walk and talk therapy and online sessions). I believe everyone should have the opportunity to feel listened too, accepted without fear of judgement and feel welcomed in a safe space. I have six years of experience working in mental clinical settings supporting individuals through addiction, eating disorders, psychosis, bipolar, PTSD and depression. My other passion is voluntary work supporting individuals with HIV/AIDS, fighting stigma.
0161 524 7327 View 0161 524 7327
Photo of Rebecca Kinnear - The Retreat Clinics Manchester - Adults & Children, Psychotherapist
The Retreat Clinics Manchester - Adults & Children
Psychotherapist
Not Verified Not Verified
Manchester M20
Life can be complex, and so can mental health. This is why we have a range of different treatments and therapy approaches available, which we can tailor to suit your mental health needs. We put you at the heart of what we do. We offer choice and expert, individualised care for a very broad range of difficulties. We understand that seeking therapy can be daunting and that taking the first step can be a challenge. We work with you to design a bespoke approach to your therapy, based on exploring and understanding your concerns, needs, preferences and therapy goals.
Life can be complex, and so can mental health. This is why we have a range of different treatments and therapy approaches available, which we can tailor to suit your mental health needs. We put you at the heart of what we do. We offer choice and expert, individualised care for a very broad range of difficulties. We understand that seeking therapy can be daunting and that taking the first step can be a challenge. We work with you to design a bespoke approach to your therapy, based on exploring and understanding your concerns, needs, preferences and therapy goals.
0161 524 7409 View 0161 524 7409
Photo of Lesley Nance, MNCPS Acc., Counsellor
Lesley Nance
Counsellor, MNCPS Acc.
Verified Verified
Manchester M25
Firstly, let me reassure you, what you are feeling isnt permanent. Things WILL change, and all it takes is one session to start feeling better. I am here to say that whatever you are going through, change IS possible and do-able, with patience,self discovery, understanding, and professional support and expert knowledge. I can help you to see what is going on for you, discover your own internal resources as well as provide you with additional tools that help you to regulate your emotions, enabling you to cope in the here and now, but also going forward.
Firstly, let me reassure you, what you are feeling isnt permanent. Things WILL change, and all it takes is one session to start feeling better. I am here to say that whatever you are going through, change IS possible and do-able, with patience,self discovery, understanding, and professional support and expert knowledge. I can help you to see what is going on for you, discover your own internal resources as well as provide you with additional tools that help you to regulate your emotions, enabling you to cope in the here and now, but also going forward.
0161 524 6358 View 0161 524 6358
Photo of Dr Maria Kaltsi, PsychD, HCPC - Clin. Psych., Psychologist
Dr Maria Kaltsi
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Manchester M21  (Online Only)
Welcome! I am a warm and compassionate Senior Clinical Psychologist with 20 years experience of supporting individuals, groups and families. I also work in secondary care mental health services with people who present with a range of difficulties such as shame, self-criticism, dissociation, interpersonal difficulties etc. I hold a non-pathologising view of psychological distress and use a range of models flexibly and creatively to help people address their individual concerns and achieve greater well-being. I also offer individual and group supervision to qualified therapists, and lead Internal Family Systems practice groups.
Welcome! I am a warm and compassionate Senior Clinical Psychologist with 20 years experience of supporting individuals, groups and families. I also work in secondary care mental health services with people who present with a range of difficulties such as shame, self-criticism, dissociation, interpersonal difficulties etc. I hold a non-pathologising view of psychological distress and use a range of models flexibly and creatively to help people address their individual concerns and achieve greater well-being. I also offer individual and group supervision to qualified therapists, and lead Internal Family Systems practice groups.
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Photo of Rebecca Smith, BACP, Counsellor
Rebecca Smith
Counsellor, BACP
Verified Verified
Manchester M27  (Online Only)
Firstly, I’m so glad you’re taking this step. I know how scary it can feel to reach out when you’re depressed, anxious, traumatised, stressed – or however it is you’re feeling right now. Whether you’re struggling with longstanding circumstances, reeling from a recent event, or you’re confused with your emotions … you’re doing the right thing by seeking help. As a fully qualified counsellor to post-graduate degree level, and a registered member of the BACP, I believe the best therapy is open, honest and human.
Firstly, I’m so glad you’re taking this step. I know how scary it can feel to reach out when you’re depressed, anxious, traumatised, stressed – or however it is you’re feeling right now. Whether you’re struggling with longstanding circumstances, reeling from a recent event, or you’re confused with your emotions … you’re doing the right thing by seeking help. As a fully qualified counsellor to post-graduate degree level, and a registered member of the BACP, I believe the best therapy is open, honest and human.
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Photo of Laura Dixon, MNCPS Acc., Counsellor
Laura Dixon
Counsellor, MNCPS Acc.
Verified Verified
Manchester M16
My area of expertise is loss, and helping clients deal with it in all its forms, which includes bereavement, job loss, relationship breakdowns, loss of sense of self (which includes depression, anxiety, chronic illness, disability or medical / healthcare diagnosis) and all of the many other life changes that may happen outside of your control.
My area of expertise is loss, and helping clients deal with it in all its forms, which includes bereavement, job loss, relationship breakdowns, loss of sense of self (which includes depression, anxiety, chronic illness, disability or medical / healthcare diagnosis) and all of the many other life changes that may happen outside of your control.
0161 524 7467 View 0161 524 7467
Photo of Srab Der - Transformative Healing , MBACP, Counsellor
Transformative Healing
Counsellor, MBACP
Verified Verified
Manchester M20
Hi there, my name is Srab and thank you for visiting my page. Is life frustrating and getting you down? Are you experiencing frequent burn out, stress, worry, anxiety, depression and confusion? Do you feel stuck in your work, relationship or marriage? Do you find yourself repeating self-destructive addictive behaviours to alcohol, drugs, food or gambling? Maybe your relationships have become damaged or broken and now there is a breakdown of trust. Are you finding hard to cope with a divorce, loss of employment, bereavement or illness? If so, you have found the right page. I am here to help you
Hi there, my name is Srab and thank you for visiting my page. Is life frustrating and getting you down? Are you experiencing frequent burn out, stress, worry, anxiety, depression and confusion? Do you feel stuck in your work, relationship or marriage? Do you find yourself repeating self-destructive addictive behaviours to alcohol, drugs, food or gambling? Maybe your relationships have become damaged or broken and now there is a breakdown of trust. Are you finding hard to cope with a divorce, loss of employment, bereavement or illness? If so, you have found the right page. I am here to help you
0161 850 4235 View 0161 850 4235
Photo of Katy Lucy Piggott, MSc, MBACP, Psychotherapist
Katy Lucy Piggott
Psychotherapist, MSc, MBACP
Verified Verified
Manchester M3
I am a qualified, BACP registered counsellor and psychotherapist with a compassionate and down to earth approach. I work with a humanistic, person- centre model and draw different approaches depending on what would be beneficial to the client. Experience of working with a diverse range of clients, both in private practice and charitable sectors, has enabled me to provide bespoke, client-led therapy to suit individual needs. My specialism are working with generalised anxiety, depression, low self esteem, grief/loss, self acceptance, addiction, and perinatal/postnatal anxiety and depression.
I am a qualified, BACP registered counsellor and psychotherapist with a compassionate and down to earth approach. I work with a humanistic, person- centre model and draw different approaches depending on what would be beneficial to the client. Experience of working with a diverse range of clients, both in private practice and charitable sectors, has enabled me to provide bespoke, client-led therapy to suit individual needs. My specialism are working with generalised anxiety, depression, low self esteem, grief/loss, self acceptance, addiction, and perinatal/postnatal anxiety and depression.
01707 247051 View 01707 247051
Photo of Dr Kate Williams-Markey, PhD, HCPC - Clin. Psych., Psychologist
Dr Kate Williams-Markey
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Manchester M2  (Online Only)
Hello! I work as a Clinical Psychologist part-time in the NHS, and part-time from home. Fundamentally, I enjoy meeting people and working alongside people to help process and understand their experiences. Sometimes our life experiences and difficulties we encounter can feel overwhelming, and we may not know where to start. I can help you start to make sense of your experiences through talking about them and applying a range of therapeutic approaches along the way.
Hello! I work as a Clinical Psychologist part-time in the NHS, and part-time from home. Fundamentally, I enjoy meeting people and working alongside people to help process and understand their experiences. Sometimes our life experiences and difficulties we encounter can feel overwhelming, and we may not know where to start. I can help you start to make sense of your experiences through talking about them and applying a range of therapeutic approaches along the way.
01663 790542 View 01663 790542
Photo of Nofie Johnston - Juno Clinic
Juno Clinic
Verified Verified
1 Endorsed
Manchester M22
Waitlist for new clients
Our assessments go beyond the surface, aiming for a profound understanding of individual experiences and challenges. As a mental health nurse with a commitment to compassionate care, I prioritise creating a safe and supportive space. The assessment process involves detailed conversations where we explore your unique journey with ADHD. Your experiences matter, and we want to understand them thoroughly. Our assessments are not just about ticking boxes. We utilise a variety of evidence-based tools to provide a meticulous evaluation.
Our assessments go beyond the surface, aiming for a profound understanding of individual experiences and challenges. As a mental health nurse with a commitment to compassionate care, I prioritise creating a safe and supportive space. The assessment process involves detailed conversations where we explore your unique journey with ADHD. Your experiences matter, and we want to understand them thoroughly. Our assessments are not just about ticking boxes. We utilise a variety of evidence-based tools to provide a meticulous evaluation.
0161 524 9331 View 0161 524 9331
Photo of Kam Laing - True Living Therapies
True Living Therapies
Verified Verified
Manchester M2
If you're tired of battling stress, overwhelm, anxiety or if you're frustrated because you can't seem to be as productive or confident as you want, or need, to be then hypnotherapy can work amazingly well for you. Your subconscious is in the driving seat and while it tries to help you feel safe and survive, it can also hinder you too. Often we aren't entirely aware, at a conscious level, why we're struggling or stuck in self-sabotaging behaviour patterns. Hypnotherapy is able to reach your subconscious and work with it to correct course, allowing you to achieve what you want.
If you're tired of battling stress, overwhelm, anxiety or if you're frustrated because you can't seem to be as productive or confident as you want, or need, to be then hypnotherapy can work amazingly well for you. Your subconscious is in the driving seat and while it tries to help you feel safe and survive, it can also hinder you too. Often we aren't entirely aware, at a conscious level, why we're struggling or stuck in self-sabotaging behaviour patterns. Hypnotherapy is able to reach your subconscious and work with it to correct course, allowing you to achieve what you want.
0161 509 4175 View 0161 509 4175
Photo of Tracey Whalley, MBACP, Counsellor
Tracey Whalley
Counsellor, MBACP
Verified Verified
Manchester M9  (Online Only)
Sometimes life experiences can become overwhelming and feel too much to cope with. This can lead to us to feeling worthless, vulnerable and isolated. Sometimes we need somebody who will listen to us without judgement to help us work through things to lead to a better understanding of ourselves and our experiences and sometimes just hold our hand whilst we sit in that darkness.
Sometimes life experiences can become overwhelming and feel too much to cope with. This can lead to us to feeling worthless, vulnerable and isolated. Sometimes we need somebody who will listen to us without judgement to help us work through things to lead to a better understanding of ourselves and our experiences and sometimes just hold our hand whilst we sit in that darkness.
0161 509 6726 View 0161 509 6726
Photo of Sophie Travis, MA, MBACP Accred, Psychotherapist
Sophie Travis
Psychotherapist, MA, MBACP Accred
Verified Verified
Manchester M20
I'm currently taking on EMDR clients. I work primarily with neurodiverse and LGBTQA+ clients, offering a safe, unconditionally supportive and confidential environment for us to work together to resolve any issues you may feel present in your life and to support with resilience builiding in day to day life. Sometimes, seeking help from a certified expert is the best way to put things into perspective. As a committed, professional Psychotherapist working within Manchester and the wider UK your well-being and mental health are my top priority.
I'm currently taking on EMDR clients. I work primarily with neurodiverse and LGBTQA+ clients, offering a safe, unconditionally supportive and confidential environment for us to work together to resolve any issues you may feel present in your life and to support with resilience builiding in day to day life. Sometimes, seeking help from a certified expert is the best way to put things into perspective. As a committed, professional Psychotherapist working within Manchester and the wider UK your well-being and mental health are my top priority.
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Photo of Sarah Tomlinson, PsychD, HCPC - Clin. Psych., Psychologist
Sarah Tomlinson
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Manchester M21
I am an experienced senior clinical psychologist who is able to work with any adults, but specialises in autism (diagnosis and post-diagnostic support), learning disabilities and trauma. I have 17 years post-doctoral experience and have worked for the NHS for this period. I am HCPC registered, and am accredited by the National Autistic Society. My therapeutic models include EMDR, DBT and Acceptance and Commitment Therapy. I work privately on Mondays, but from August I will work Fridays also (online or central Manchester). I offer reasonable rates for autism assessments. I am NICE guidance compliant and very experienced in this area.
I am an experienced senior clinical psychologist who is able to work with any adults, but specialises in autism (diagnosis and post-diagnostic support), learning disabilities and trauma. I have 17 years post-doctoral experience and have worked for the NHS for this period. I am HCPC registered, and am accredited by the National Autistic Society. My therapeutic models include EMDR, DBT and Acceptance and Commitment Therapy. I work privately on Mondays, but from August I will work Fridays also (online or central Manchester). I offer reasonable rates for autism assessments. I am NICE guidance compliant and very experienced in this area.
0161 524 0238 View 0161 524 0238
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See more therapy options for Manchester

How does your Counsellor compare?

Number of Counsellors in Manchester

800+

Average cost per session

£60

Counsellors in Manchester who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
80% Stress
77% Relationship Issues
66% Trauma and PTSD
62% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

63% Aviva
59% AXA PPP
46% Bupa

How Counsellors in Manchester see their clients

67% In Person and Online
33% Online Only

Gender breakdown

70% Female
28% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Manchester?

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.