Photo of Valentina de Rogatis, HCPC - Clin. Psych., Psychologist
Valentina de Rogatis
Psychologist, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
London EC2N  (Online Only)
Are you feeling down, anxious, stressed or simply overwhelmed by life events? Are you struggling with your health? I am here to help! I have worked for over 10 years in the NHS providing psychological support and I am passionate about wellbeing and the mind-body connection. I will help you by: -Providing a safe space to reflect and get in touch with your emotions. -Bringing out your strengths. -Developing new coping skills. -Supporting you setting new goals and planning for the future. -Finding long-term solutions and avoiding short- term fixes. -Developing resilience (to bounce back from adversity and lead a fulfilling life).
Are you feeling down, anxious, stressed or simply overwhelmed by life events? Are you struggling with your health? I am here to help! I have worked for over 10 years in the NHS providing psychological support and I am passionate about wellbeing and the mind-body connection. I will help you by: -Providing a safe space to reflect and get in touch with your emotions. -Bringing out your strengths. -Developing new coping skills. -Supporting you setting new goals and planning for the future. -Finding long-term solutions and avoiding short- term fixes. -Developing resilience (to bounce back from adversity and lead a fulfilling life).
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Photo of Nicole Worrica, MA, MUKCP, Psychotherapist
Nicole Worrica
Psychotherapist, MA, MUKCP
Verified Verified
London EC2N
Hello, my name is Nicole. I’m a psychotherapist and clinical supervisor working with individuals and groups within the NHS and privately. I recognise the importance of our need for connection and how we relate or what interrupts us relating with each other. I place importance on the client and therapist relationship which can work as a model for you to experiment with new ideas about relationships, explore the dynamics of your relationships and sustain mutually satisfying relationships with others, as essential to your health and well-being.
Hello, my name is Nicole. I’m a psychotherapist and clinical supervisor working with individuals and groups within the NHS and privately. I recognise the importance of our need for connection and how we relate or what interrupts us relating with each other. I place importance on the client and therapist relationship which can work as a model for you to experiment with new ideas about relationships, explore the dynamics of your relationships and sustain mutually satisfying relationships with others, as essential to your health and well-being.
020 8103 9756 View 020 8103 9756
Photo of Erica Eassom, PsychD, HCPC - Clin. Psych., Psychologist
Erica Eassom
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London EC2N
I can help if you're struggling in your relationship to yourself or those around you. This might include feeling repeatedly let down, rejected, abandoned; feeling depressed, anxious, ashamed as well as self-critical; lacking in intimacy and trust or even fearing others. I can also help if you have been affected by past trauma. You might struggle with food and eating, self-harming or experience unstable emotions as well as substance abuse. You might have difficulty asserting yourself or consistently finding yourself in vulnerable situations and problematic relationships and have difficulty establishing long-term relationships.
I can help if you're struggling in your relationship to yourself or those around you. This might include feeling repeatedly let down, rejected, abandoned; feeling depressed, anxious, ashamed as well as self-critical; lacking in intimacy and trust or even fearing others. I can also help if you have been affected by past trauma. You might struggle with food and eating, self-harming or experience unstable emotions as well as substance abuse. You might have difficulty asserting yourself or consistently finding yourself in vulnerable situations and problematic relationships and have difficulty establishing long-term relationships.
020 8051 7910 View 020 8051 7910
Photo of Leann Lavery, DCounsPsych, MUKCP, Psychotherapist
Leann Lavery
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
1 Endorsed
London EC2N  (Online Only)
Hello and thank you for visiting my page. You are likely here because you are going through things that you need support with, and you might be considering if counselling can help, or if I am the right therapist for you. I have a warm and down to earth approach and as an integrative practitioner, I support people with various issues including depression, anxiety, relationship issues, trauma, bereavement, and those searching for meaning, to name a few. I will work collaboratively with you to understand your unique needs, and how you can be supported with your goals for therapy.
Hello and thank you for visiting my page. You are likely here because you are going through things that you need support with, and you might be considering if counselling can help, or if I am the right therapist for you. I have a warm and down to earth approach and as an integrative practitioner, I support people with various issues including depression, anxiety, relationship issues, trauma, bereavement, and those searching for meaning, to name a few. I will work collaboratively with you to understand your unique needs, and how you can be supported with your goals for therapy.
020 3974 1538 View 020 3974 1538
Photo of Dan Skili - Dan Skili - Creative Psychotherapy, MA
I’m a registered Creative Psychotherapist who works extensively with talking therapy. I have 23 years experience working with individuals, groups and young people. Some of the issues I help people with are Anxiety, Depression, Abuse, Addiction and Breavement. I offer my therapy service online and face to face at my practice in London Bridge, as well as walk & talk. My aim is to always offer you a confidential environment where you will feel respected, safe and not judged. I work with you as an individual working towards a more settled and fulfilling life. I see each person as a unique being and I work with people, not with problems.
I’m a registered Creative Psychotherapist who works extensively with talking therapy. I have 23 years experience working with individuals, groups and young people. Some of the issues I help people with are Anxiety, Depression, Abuse, Addiction and Breavement. I offer my therapy service online and face to face at my practice in London Bridge, as well as walk & talk. My aim is to always offer you a confidential environment where you will feel respected, safe and not judged. I work with you as an individual working towards a more settled and fulfilling life. I see each person as a unique being and I work with people, not with problems.
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Photo of Chiara Apicella, MSc, MUKCP, Psychotherapist
Chiara Apicella
Psychotherapist, MSc, MUKCP
Verified Verified
London EC2N
I am a UKCP accredited Relational Transactional Analysis Psychotherapist. My approach is relational, which is an efficacious and powerful model of working with individuals who struggle with psychological, emotional and relational distress. Relationships are at the very heart of what it is to be human and a specific pattern of relating might be the roots of psychological distress. In the first sessions, we can explore what are your difficulties and together according to your needs we can create a specific treatment plan.
I am a UKCP accredited Relational Transactional Analysis Psychotherapist. My approach is relational, which is an efficacious and powerful model of working with individuals who struggle with psychological, emotional and relational distress. Relationships are at the very heart of what it is to be human and a specific pattern of relating might be the roots of psychological distress. In the first sessions, we can explore what are your difficulties and together according to your needs we can create a specific treatment plan.
020 3984 7861 View 020 3984 7861
Photo of Michelle O'Sullivan, PsychD, HCPC - Clin. Psych., Psychologist
Michelle O'Sullivan
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London EC2N
I am a trauma specialist Chartered Clinical Psychologist, helping people with their recovery for over ten years. I have a particular interest in supporting people who are experiencing distress due to problems with their work, and those who have developed addictive behaviours to cope with traumatic events. I frequently work with people are experiencing low mood, worry, and sleep difficulties. Sometimes life pulls rug out from you. In therapy we can work together to help you through those times and reclaim your life. We will use the therapeutic space to focus on what is important to you. Read more here: www.osullivanpsychology.org
I am a trauma specialist Chartered Clinical Psychologist, helping people with their recovery for over ten years. I have a particular interest in supporting people who are experiencing distress due to problems with their work, and those who have developed addictive behaviours to cope with traumatic events. I frequently work with people are experiencing low mood, worry, and sleep difficulties. Sometimes life pulls rug out from you. In therapy we can work together to help you through those times and reclaim your life. We will use the therapeutic space to focus on what is important to you. Read more here: www.osullivanpsychology.org
020 3962 0919 View 020 3962 0919
Photo of Dr Roberta Babb, PsychD, HCPC - Clin. Psych., Psychologist
Dr Roberta Babb
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
London EC2N  (Online Only)
Not accepting new clients
I am aware that the decision to enter therapy can be an emotional one, and I offer an initial consultation where you can begin to explore your issues with me and see if you would like to work with me. I facilitate a safe, confidential, non-judgemental and thoughtful space where you can explore a range of problematic issues, your sense of self, values, relationships, and patterns of behaviour to name a few. My work is influenced by psychodynamic psychotherapy, cultural psychology and others.
I am aware that the decision to enter therapy can be an emotional one, and I offer an initial consultation where you can begin to explore your issues with me and see if you would like to work with me. I facilitate a safe, confidential, non-judgemental and thoughtful space where you can explore a range of problematic issues, your sense of self, values, relationships, and patterns of behaviour to name a few. My work is influenced by psychodynamic psychotherapy, cultural psychology and others.
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Photo of Steven McFarlane, MBABCP, Psychotherapist
Steven McFarlane
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
London EC2N
Sometimes things in life can start to seem overwhelming; the useful strategies of the past may not be as helpful as they used to; we can find ourselves lost and unsure. This can often lead to added, despair, anxiety, and self-criticism. It can often seem hard to see a way out or to ask for help. You may need someone to listen without judgement and provide insights into understanding patterns in your life. You may also desire strategies to change your actions and the way that you think about things. The way to a fulfilling and valued life is available without a life-long commitment to therapy.
Sometimes things in life can start to seem overwhelming; the useful strategies of the past may not be as helpful as they used to; we can find ourselves lost and unsure. This can often lead to added, despair, anxiety, and self-criticism. It can often seem hard to see a way out or to ask for help. You may need someone to listen without judgement and provide insights into understanding patterns in your life. You may also desire strategies to change your actions and the way that you think about things. The way to a fulfilling and valued life is available without a life-long commitment to therapy.
020 3917 4985 View 020 3917 4985
Photo of Urmila Grant, MA, MUKCP, Psychotherapist
Urmila Grant
Psychotherapist, MA, MUKCP
Verified Verified
London EC2N
Are you feeling stressed, anxious, stuck, looking for meaning, or wondering why life is passing you by? Whatever your anxieties, therapy is for you if you want to feel happier about yourself or are looking for deeper meaning and purpose in your life. I offer EMDR as well as short and long-term psychotherapy to adults. You can expect to gain a deeper understanding of yourself and your abilities. You may learn how to have more loving relationships with yourself and with others.
Are you feeling stressed, anxious, stuck, looking for meaning, or wondering why life is passing you by? Whatever your anxieties, therapy is for you if you want to feel happier about yourself or are looking for deeper meaning and purpose in your life. I offer EMDR as well as short and long-term psychotherapy to adults. You can expect to gain a deeper understanding of yourself and your abilities. You may learn how to have more loving relationships with yourself and with others.
01748 901557 View 01748 901557
Photo of Diane Griffiths, MA, MBACP, Counsellor
Diane Griffiths
Counsellor, MA, MBACP
Verified Verified
London EC2N
You might be experiencing difficulty in relationships in general or in one relationship in particular, or finding work a challenge, or maybe you are unhappy about the quality or direction of your life. Perhaps you are feeling flat or low, stressed or anxious, or even quite desperate. Exploring and expressing your thoughts and feelings with a professional can help make sense of these difficult experiences, and allow space for solutions and opportunities to arise. I aim to offer you the best support I can for this process, with a respectful, sensitive, honest and empathic approach.
You might be experiencing difficulty in relationships in general or in one relationship in particular, or finding work a challenge, or maybe you are unhappy about the quality or direction of your life. Perhaps you are feeling flat or low, stressed or anxious, or even quite desperate. Exploring and expressing your thoughts and feelings with a professional can help make sense of these difficult experiences, and allow space for solutions and opportunities to arise. I aim to offer you the best support I can for this process, with a respectful, sensitive, honest and empathic approach.
020 3667 0982 View 020 3667 0982
Photo of Dr Juli Jolly, PsychD, HCPC - Couns. Psych., Psychologist
Dr Juli Jolly
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London EC2N
Trauma-, neurodiversity-, and attachment-informed practitioner. Whether you are struggling with complex mental or emotional difficulties or want to gain a better understanding of yourself and your existence, I aim to provide an inviting, encouraging, and confidential space for us to make sense of your present situation. Sessions are focused on on gaining a holistic understanding of your past and present experiences, with the initial aim of identifying relational patterns that may have served you well in the past but may be holding you back now.
Trauma-, neurodiversity-, and attachment-informed practitioner. Whether you are struggling with complex mental or emotional difficulties or want to gain a better understanding of yourself and your existence, I aim to provide an inviting, encouraging, and confidential space for us to make sense of your present situation. Sessions are focused on on gaining a holistic understanding of your past and present experiences, with the initial aim of identifying relational patterns that may have served you well in the past but may be holding you back now.
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Photo of Sandra Barbeito Pan, HCPC - Clin. Psych., Psychologist
Sandra Barbeito Pan
Psychologist, HCPC - Clin. Psych.
Verified Verified
London EC2N
I am a trained clinical psychologist and I have also received training in Systemic Psychotherapy (a branch of Humanistic Psychology), Child and Adolescent Psychotherapy and Criminology. I have over for 14 years’ experience in therapeutic provision for women and their families. My great passion is a Gender Theory, on which I have also trained. I adhere to the systemic psychotherapeutic model: I use active listening to develop an environment of mutual trust, a safe and serene space for client and practitioner that allows for both to progress in the therapeutic process.
I am a trained clinical psychologist and I have also received training in Systemic Psychotherapy (a branch of Humanistic Psychology), Child and Adolescent Psychotherapy and Criminology. I have over for 14 years’ experience in therapeutic provision for women and their families. My great passion is a Gender Theory, on which I have also trained. I adhere to the systemic psychotherapeutic model: I use active listening to develop an environment of mutual trust, a safe and serene space for client and practitioner that allows for both to progress in the therapeutic process.
020 3962 1894 View 020 3962 1894
Rosie Chester
Psychotherapist, MUKCP
Verified Verified
London EC2N
I am an educational psychotherapist working with children and young people aged three to eighteen. Educational psychotherapy helps people who may be finding learning difficult for a variety of reasons such as anxiety, depression, anger, bereavement, family break up, or the experience of being fostered or adopted. The therapy works psychodynamically, that is it involves working with unconscious as well as conscious processes in order to foster self understanding and to work through deep seated fears, anxieties and trauma. The aim is to help the child or young person to live more happily and to learn.
I am an educational psychotherapist working with children and young people aged three to eighteen. Educational psychotherapy helps people who may be finding learning difficult for a variety of reasons such as anxiety, depression, anger, bereavement, family break up, or the experience of being fostered or adopted. The therapy works psychodynamically, that is it involves working with unconscious as well as conscious processes in order to foster self understanding and to work through deep seated fears, anxieties and trauma. The aim is to help the child or young person to live more happily and to learn.
020 3962 1102 View 020 3962 1102
Photo of Paul Arnold, MSc, BACP, Psychotherapist
Paul Arnold
Psychotherapist, MSc, BACP
Verified Verified
London EC2N
I am a central London-based BACP accredited Integrative Psychotherapeutic Counsellor. I am also a trained coach so weave these two skills into my practice. I specialise in relationships – the most critical being the relationship we have with ourselves, but also our partner, siblings, parents, our children, friends and work colleagues. I also specialise in helping people in highly demanding jobs. I used to work in corporate consultancy and so know first-hand the stresses of such an unforgiving career. Thus, I am more likely to ‘get’ the struggles of what it is like in your role..
I am a central London-based BACP accredited Integrative Psychotherapeutic Counsellor. I am also a trained coach so weave these two skills into my practice. I specialise in relationships – the most critical being the relationship we have with ourselves, but also our partner, siblings, parents, our children, friends and work colleagues. I also specialise in helping people in highly demanding jobs. I used to work in corporate consultancy and so know first-hand the stresses of such an unforgiving career. Thus, I am more likely to ‘get’ the struggles of what it is like in your role..
020 4572 1184 View 020 4572 1184
Photo of Amy Jo Spitalier, MA, BPC, Psychotherapist
Amy Jo Spitalier
Psychotherapist, MA, BPC
Verified Verified
1 Endorsed
London EC2N
Certain life events, transitions, or longstanding struggles can cause our usual ways of coping to break down, leaving us feeling overwhelmed and extremely distressed. To continue to function, drugs, alcohol, food, self harm, sex, social media, a depressive state or abusive behaviour can be used to numb the distress or stand in for what feels missing. But this often leads to feelings of guilt, shame, anger or blame – whether of oneself or others. It can feel like being trapped in a loop of unsatisfactory or harmful relationships, or like reaching a dead-end, with confusion about finding a meaningful path ahead.
Certain life events, transitions, or longstanding struggles can cause our usual ways of coping to break down, leaving us feeling overwhelmed and extremely distressed. To continue to function, drugs, alcohol, food, self harm, sex, social media, a depressive state or abusive behaviour can be used to numb the distress or stand in for what feels missing. But this often leads to feelings of guilt, shame, anger or blame – whether of oneself or others. It can feel like being trapped in a loop of unsatisfactory or harmful relationships, or like reaching a dead-end, with confusion about finding a meaningful path ahead.
020 3984 8433 View 020 3984 8433
Photo of Janie Cartledge, MBACP, Counsellor
Janie Cartledge
Counsellor, MBACP
Verified Verified
London EC2N
We have all had a unique and perhaps upsetting experience of a global phenomenon. As you step out into your new normal, you may need some help to process your experiences and how to shape your future within this new landscape. I offer professional support through a variety of theories and techniques to deal with immediate feelings of stress as well as deeper exploration of how historical experiences may have affected your current responses and reactions. It is important that you feel in control of your own therapeutic journey and I therefore offer support at your individual pace and to support your hopes and aspirations.
We have all had a unique and perhaps upsetting experience of a global phenomenon. As you step out into your new normal, you may need some help to process your experiences and how to shape your future within this new landscape. I offer professional support through a variety of theories and techniques to deal with immediate feelings of stress as well as deeper exploration of how historical experiences may have affected your current responses and reactions. It is important that you feel in control of your own therapeutic journey and I therefore offer support at your individual pace and to support your hopes and aspirations.
07723 463359 View 07723 463359
Photo of Ella Tekdag, MBACP, Counsellor
Ella Tekdag
Counsellor, MBACP
Verified Verified
1 Endorsed
London EC2N
My name is Ella and I am a therapist based in the UK. You may be struggling with anxiety, social anxiety, stress, depression, overwhelm, feelings of loneliness, significant loss and grief. Maybe you are struggling with important relationships in your life. Perhaps your struggle is not that clear and you have a feeling that something isn't quite right. I can help. I have helped clients find confidence, clarity, understanding, self-esteem, a way to express themselves and find meaning in an increasingly demanding world. I also work with couples helping them to find ways to better communicate, to feel seen and heard by each other.
My name is Ella and I am a therapist based in the UK. You may be struggling with anxiety, social anxiety, stress, depression, overwhelm, feelings of loneliness, significant loss and grief. Maybe you are struggling with important relationships in your life. Perhaps your struggle is not that clear and you have a feeling that something isn't quite right. I can help. I have helped clients find confidence, clarity, understanding, self-esteem, a way to express themselves and find meaning in an increasingly demanding world. I also work with couples helping them to find ways to better communicate, to feel seen and heard by each other.
020 4538 2160 View 020 4538 2160
Photo of Dr Jayde Dix, Psychologist
Dr Jayde Dix
Psychologist
Verified Verified
London EC2N
Hi, I’m Dr Jayde Dix! How are you? I am a clinical psychologist and I offer therapy to adults who are going through a difficult time or need some space to figure things out and move forward. It may be that you've been struggling with your mental health for a while now and have a clear problem you want some help with. Or, you might just want a hand with fine-tuning your wellbeing so it is the best it can be. Either way, I know it can feel complicated and difficult to reach out for help so I will share some information here to help you decide if we would be a good match.
Hi, I’m Dr Jayde Dix! How are you? I am a clinical psychologist and I offer therapy to adults who are going through a difficult time or need some space to figure things out and move forward. It may be that you've been struggling with your mental health for a while now and have a clear problem you want some help with. Or, you might just want a hand with fine-tuning your wellbeing so it is the best it can be. Either way, I know it can feel complicated and difficult to reach out for help so I will share some information here to help you decide if we would be a good match.
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See more therapy options for EC2N

How does your Counsellor compare?

Number of Counsellors in EC2N

10+

Average cost per session

£90

Counsellors in EC2N who prioritize treating:

89% Relationship Issues
84% Depression
84% Anxiety
84% Self Esteem
79% Stress
68% Bereavement
68% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

88% AXA PPP
63% Cigna and Evernorth
63% Aviva

How Counsellors in EC2N see their clients

85% In Person and Online
15% Online Only

Gender breakdown

77% Female
18% Male
5% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in EC2N?

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.