Counselling in New York

Photo of Jacqueline Burns - The Echelon Scene Ltd, MSc
The Echelon Scene Ltd
MSc
Verified Verified
New York LN4
Our Clients at The Echelon Scene are gay men who are seeking a long-term relationship. They come to us because they simply do not have the time to online date or sit in a crowded bar in Soho. They would rather outsource and have us do the filtering so they are only going out on dates they are excited about. Our Clients are typically busy individuals who are passionate about what they do and excel at work, they range in ages from 30-mid 60s and are based all over the world. The common factors are they are all genuinely seeking a monogamous long-term relationship and are in a positive state of mind for dating.
Our Clients at The Echelon Scene are gay men who are seeking a long-term relationship. They come to us because they simply do not have the time to online date or sit in a crowded bar in Soho. They would rather outsource and have us do the filtering so they are only going out on dates they are excited about. Our Clients are typically busy individuals who are passionate about what they do and excel at work, they range in ages from 30-mid 60s and are based all over the world. The common factors are they are all genuinely seeking a monogamous long-term relationship and are in a positive state of mind for dating.
01748 901494 View 01748 901494
Photo of Michaela Dunbar - My Easy Therapy, PsychD, HCPC - Clin. Psych., Psychologist
My Easy Therapy
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
New York LN4  (Online Only)
Waitlist for new clients
I'm Dr Michaela Dunbar, Clinical Psychologist and Founder of My Easy Therapy, and what do I know about you? You’re used to accepting your negative thoughts as facts, now they are creating persistent anxiety and low mood, taking you completely away from your values and goals, and affecting your relationships. You probably find it really difficult to sit with uncomfortable emotions like sadness, anxiety or anger and have gotten into a habit of doing things to try to avoid them which ends up making matters worse. Something in you wants to make a change and you know you need support to do it. It's super hard but that's where I come in.
I'm Dr Michaela Dunbar, Clinical Psychologist and Founder of My Easy Therapy, and what do I know about you? You’re used to accepting your negative thoughts as facts, now they are creating persistent anxiety and low mood, taking you completely away from your values and goals, and affecting your relationships. You probably find it really difficult to sit with uncomfortable emotions like sadness, anxiety or anger and have gotten into a habit of doing things to try to avoid them which ends up making matters worse. Something in you wants to make a change and you know you need support to do it. It's super hard but that's where I come in.
020 3974 2373 View 020 3974 2373
Photo of Joshua Erlick, MA, Psychologist
Joshua Erlick
Psychologist, MA
Verified Verified
New York LN4  (Online Only)
My practice is for those who want to deepen their relationship with themselves and honour their soul's wisdom. Many struggle with anxiety, depression, low self-esteem, and intrusive thoughts, feeling trapped and unable to move forward with a life of meaning and purpose. I understand these struggles, having faced them myself. With no guidance available, I embarked on a personal journey of self-discovery to change this. Over 10 years of study, retreats, and consistent effort, I learned that healing isn’t just about moving from 'A' - 'B.' It’s about becoming aware of and accepting your reality, then using it as a catalyst for change.
My practice is for those who want to deepen their relationship with themselves and honour their soul's wisdom. Many struggle with anxiety, depression, low self-esteem, and intrusive thoughts, feeling trapped and unable to move forward with a life of meaning and purpose. I understand these struggles, having faced them myself. With no guidance available, I embarked on a personal journey of self-discovery to change this. Over 10 years of study, retreats, and consistent effort, I learned that healing isn’t just about moving from 'A' - 'B.' It’s about becoming aware of and accepting your reality, then using it as a catalyst for change.
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Photo of Eleanor Wolfe, MA, MBACP, Psychotherapist
Eleanor Wolfe
Psychotherapist, MA, MBACP
Verified Verified
New York LN4
I am an Integrative Psychotherapist (MBACP) offering sessions online and in person. I specialise in ADHD. My approach combines various therapeutic techniques, drawing from different theories to tailor treatment to the individual's needs. My BACP accredited training consisted of three main therapy schools: Psychodynamic, Humanistic (person-centered) and Cognitive Behavioural Therapy (CBT).
I am an Integrative Psychotherapist (MBACP) offering sessions online and in person. I specialise in ADHD. My approach combines various therapeutic techniques, drawing from different theories to tailor treatment to the individual's needs. My BACP accredited training consisted of three main therapy schools: Psychodynamic, Humanistic (person-centered) and Cognitive Behavioural Therapy (CBT).
020 3757 5585 View 020 3757 5585
Photo of Yaela Orelowitz: The Lighter Life Therapist, MA
Yaela Orelowitz: The Lighter Life Therapist
MA
Verified Verified
New York LN4  (Online Only)
Hi, my name is Yaela. I'm a South African born psychologist with a speciality in Expressive Arts Therapy. I've worked with everyone from drug addicts to the homeless. In 2020, when Covid-19 broke out, I was working in acute mental health at a London-based organization. The loneliness within society, that has always been beneath the surface, became starkly evident. In order to help my clients, and my future clients, overcome the suffering of loneliness, I began a three-year global research project to uncover what makes happy, connected, healthy societies and how these lessons can be applied in the daily lives of my clients.
Hi, my name is Yaela. I'm a South African born psychologist with a speciality in Expressive Arts Therapy. I've worked with everyone from drug addicts to the homeless. In 2020, when Covid-19 broke out, I was working in acute mental health at a London-based organization. The loneliness within society, that has always been beneath the surface, became starkly evident. In order to help my clients, and my future clients, overcome the suffering of loneliness, I began a three-year global research project to uncover what makes happy, connected, healthy societies and how these lessons can be applied in the daily lives of my clients.
020 3780 8927 View 020 3780 8927
Photo of Ashanty Alves, BACP, Counsellor
Ashanty Alves
Counsellor, BACP
Verified Verified
New York LN4  (Online Only)
Are you an overthinker? Would you consider yourself to be quite sensitive? Struggling with people-pleasing tendencies or self-esteem issues? Are you currently going through an internal conflict? If this resonates with you, I can support you. I am a Highly Sensitive, Psychotherapeutic Counsellor who specialises in working with individuals who struggle with self-esteem issues, and people-pleasing and are quite sensitive in nature. You may be feeling tired of being stuck in repeated patterns and find yourself longing for change, yet needing assistance to work through them.
Are you an overthinker? Would you consider yourself to be quite sensitive? Struggling with people-pleasing tendencies or self-esteem issues? Are you currently going through an internal conflict? If this resonates with you, I can support you. I am a Highly Sensitive, Psychotherapeutic Counsellor who specialises in working with individuals who struggle with self-esteem issues, and people-pleasing and are quite sensitive in nature. You may be feeling tired of being stuck in repeated patterns and find yourself longing for change, yet needing assistance to work through them.
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More Therapists Nearby

Photo of Elizabeth Hicks - Elizabeth Hicks Therapy, MBACP Accred, Counsellor
Elizabeth Hicks Therapy
Counsellor, MBACP Accred
Verified Verified
Lincoln LN4  (Online Only)
Navigating around life, work, family, relationships, sex and intimacy, most of us at some point will find ourselves in a situation where we might benefit from some extra support. I work with individuals, couples and families with both a relational and individual focus. I am qualified Psychosexual & Relationship therapist. Alongside my Private Practice, I have previously worked with Relate, the NHS, Hospices and a Sexual Assault Support Centre. I also work with sex addiction (including support for partners and families). I have an approachable, warm & empathic approach and clients feed back that they find this incredibly helpful.
Navigating around life, work, family, relationships, sex and intimacy, most of us at some point will find ourselves in a situation where we might benefit from some extra support. I work with individuals, couples and families with both a relational and individual focus. I am qualified Psychosexual & Relationship therapist. Alongside my Private Practice, I have previously worked with Relate, the NHS, Hospices and a Sexual Assault Support Centre. I also work with sex addiction (including support for partners and families). I have an approachable, warm & empathic approach and clients feed back that they find this incredibly helpful.
01522 440418 View 01522 440418
Photo of Karen Hopper-Peart, MNCPS Acc., Counsellor
Karen Hopper-Peart
Counsellor, MNCPS Acc.
Verified Verified
Lincoln LN5
“You do not need magic to transform your life. You carry the power you need inside yourself already.” My name is Karen. I am a wife, mother, and daughter. I have experienced the highs and lows of life; giving me a profound insight into how therapy can reinforce a positive mindset and change lives. I am deeply compassionate towards one’s experiences and provide a consensual understanding by placing the formation of a therapeutic relationship at the forefront of my counselling method. Through individuals being treated with respect, acceptance and understanding, an open and honest relationship can be built.
“You do not need magic to transform your life. You carry the power you need inside yourself already.” My name is Karen. I am a wife, mother, and daughter. I have experienced the highs and lows of life; giving me a profound insight into how therapy can reinforce a positive mindset and change lives. I am deeply compassionate towards one’s experiences and provide a consensual understanding by placing the formation of a therapeutic relationship at the forefront of my counselling method. Through individuals being treated with respect, acceptance and understanding, an open and honest relationship can be built.
01522 474080 View 01522 474080
Photo of Linda A O'Hern, MSc, MUKCP, Psychotherapist
Linda A O'Hern
Psychotherapist, MSc, MUKCP
Verified Verified
Lincoln LN5
Hello my name is Linda, I am an experienced psychotherapist, supervisor and trainer. I am currently accepting short and long term client work and supervision clients, to work online.   I work individually, with couples or pairs, or in small groups.  I also supervise those that offer supervision to others.  I believe relationship is key to successful therapy and supervision because it allows trust, respect and mutuality to build which results in having an open, safe space in which to work. Sometimes having the opportunity to talk with someone impartial and independent is essential.
Hello my name is Linda, I am an experienced psychotherapist, supervisor and trainer. I am currently accepting short and long term client work and supervision clients, to work online.   I work individually, with couples or pairs, or in small groups.  I also supervise those that offer supervision to others.  I believe relationship is key to successful therapy and supervision because it allows trust, respect and mutuality to build which results in having an open, safe space in which to work. Sometimes having the opportunity to talk with someone impartial and independent is essential.
01400 220144 View 01400 220144
Photo of Daniel James Palmer, MBACP, Counsellor
Daniel James Palmer
Counsellor, MBACP
Verified Verified
Lincoln LN1
Hey my name is Dan and I offer a counselling service in Sleaford, Grantham and Lincoln. Sometimes Life is difficult and you may not know what to do. You may feel you have no one to talk to or you are not comfortable talking to friends and family. You may prefer to come and talk to someone who can offer you an emphatic and non-judgmental environment for you to discuss your problems and experiences in life.
Hey my name is Dan and I offer a counselling service in Sleaford, Grantham and Lincoln. Sometimes Life is difficult and you may not know what to do. You may feel you have no one to talk to or you are not comfortable talking to friends and family. You may prefer to come and talk to someone who can offer you an emphatic and non-judgmental environment for you to discuss your problems and experiences in life.
01529 404436 View 01529 404436
Photo of Kevin Broom, MBACP, Counsellor
Kevin Broom
Counsellor, MBACP
Verified Verified
North Hykeham LN6
I have over over forty years experience working in the emergency services and whilst I am trained to support a wide range of people, my specialism would be emergency workers and government employees. Blue lights, NHS, spouses and relatives, local government or military. Regardless of your role, rank or position, I have a good understanding of the world you work in, and can support you safely whilst we explore the things you want to talk about. If you are a relative of such a worker, then you too might want some help. Please get in touch if you want to talk.
I have over over forty years experience working in the emergency services and whilst I am trained to support a wide range of people, my specialism would be emergency workers and government employees. Blue lights, NHS, spouses and relatives, local government or military. Regardless of your role, rank or position, I have a good understanding of the world you work in, and can support you safely whilst we explore the things you want to talk about. If you are a relative of such a worker, then you too might want some help. Please get in touch if you want to talk.
01400 225992 View 01400 225992
Photo of Joanne Wilsher-Mills - JWM Counselling, MBACP, Counsellor
JWM Counselling
Counsellor, MBACP
Verified Verified
Lincoln LN1
Are you feeling overwhelmed with difficult feelings? Have you been through a bereavement or loss that you're struggling to come to terms with? Have you experienced painful and traumatic life events that still impact on you today and stop you living the life you want. Would you like to improve your relationships with the people in your life? You may be struggling with issues life anxiety, depression or low self-worth. My focus is to offer a counselling relationship that is supportive, nurturing and empowering. I can offer practical coping strategies, better insight and understanding as well as help you find your own solutions.
Are you feeling overwhelmed with difficult feelings? Have you been through a bereavement or loss that you're struggling to come to terms with? Have you experienced painful and traumatic life events that still impact on you today and stop you living the life you want. Would you like to improve your relationships with the people in your life? You may be struggling with issues life anxiety, depression or low self-worth. My focus is to offer a counselling relationship that is supportive, nurturing and empowering. I can offer practical coping strategies, better insight and understanding as well as help you find your own solutions.
01529 400960 View 01529 400960
Photo of Louise Victoira Ellison - Active Listening Therapies, MBACP, Counsellor
Active Listening Therapies
Counsellor, MBACP
Verified Verified
Lincoln LN6
Hello, my name is Louise. I offer private counselling with the aim of overcoming life challenges and making positive changes to your life. As an integrative therapist I pick the most appropriate counselling model to suit your needs and work with you to discover your path. I have a private practice located in Balderton close to Newark with a ground floor therapy room and off street parking. Your first session will be 1.5 hours allowing us to get to know each other and discuss your challenges, with regular sessions lasting 50 minutes. I look forward to hearing from you.
Hello, my name is Louise. I offer private counselling with the aim of overcoming life challenges and making positive changes to your life. As an integrative therapist I pick the most appropriate counselling model to suit your needs and work with you to discover your path. I have a private practice located in Balderton close to Newark with a ground floor therapy room and off street parking. Your first session will be 1.5 hours allowing us to get to know each other and discuss your challenges, with regular sessions lasting 50 minutes. I look forward to hearing from you.
07480 487618 View 07480 487618
Photo of Heather Neil, BACP, Counsellor
Heather Neil
Counsellor, BACP
Verified Verified
Lincoln LN6
I am a qualified counsellor and registered with the British Association of Counsellors and Psychotherapists (BACP). I provide a safe and inclusive space for you to explore your concerns. My approach is friendly, compassionate and supportive. If you are struggling at the moment, please get in touch so we can discuss how I can help you. Parenting a child that experiences mental health struggles can be incredibly challenging and feel isolating, speaking through your experiences with someone that relates to your situation can be empowering and provide a release.
I am a qualified counsellor and registered with the British Association of Counsellors and Psychotherapists (BACP). I provide a safe and inclusive space for you to explore your concerns. My approach is friendly, compassionate and supportive. If you are struggling at the moment, please get in touch so we can discuss how I can help you. Parenting a child that experiences mental health struggles can be incredibly challenging and feel isolating, speaking through your experiences with someone that relates to your situation can be empowering and provide a release.
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Photo of Dr Kimberley Broom, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Kimberley Broom
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Lincoln LN6
I am a qualified Counselling Psychologist, Couples Therapist and Counsellor currently working in an NHS Centre of Excellence, supporting individuals and families to move forward in their lives and resolve difficulties that may be preventing them from progressing in the way that they would like. I offer short and long term therapy tailored to your needs
I am a qualified Counselling Psychologist, Couples Therapist and Counsellor currently working in an NHS Centre of Excellence, supporting individuals and families to move forward in their lives and resolve difficulties that may be preventing them from progressing in the way that they would like. I offer short and long term therapy tailored to your needs
01400 225991 View 01400 225991
Photo of Maya Rosser, PNCPS Acc., Counsellor
Maya Rosser
Counsellor, PNCPS Acc.
Verified Verified
Lincoln LN5
I am a qualified Therapeutic Integrative Counsellor and Psychotherapist. I qualified with Devon and Cornwall Counselling Hub and am registered with and adhere to the NCS ( National Counselling Society) ethical framework. If you are feeling overwhelmed by life’s demands, my services aim to introduce clarity and self-motivation. I also teach techniques to better manage the emotional stress of everyday life. Do you suffer with pre menstruation symptoms? Do you ever feel the affects of the menstrual cycle but ignore it because of society and pressure? Let’s start to look more at each cycle and what the mind and body may need
I am a qualified Therapeutic Integrative Counsellor and Psychotherapist. I qualified with Devon and Cornwall Counselling Hub and am registered with and adhere to the NCS ( National Counselling Society) ethical framework. If you are feeling overwhelmed by life’s demands, my services aim to introduce clarity and self-motivation. I also teach techniques to better manage the emotional stress of everyday life. Do you suffer with pre menstruation symptoms? Do you ever feel the affects of the menstrual cycle but ignore it because of society and pressure? Let’s start to look more at each cycle and what the mind and body may need
01400 225987 View 01400 225987
Photo of Patricia Valentina, MUKCP, Psychotherapist
Patricia Valentina
Psychotherapist, MUKCP
Verified Verified
Lincoln LN1  (Online Only)
You don't have to sit on your own with your struggles. Therapy is an amazing journey in which you can learn about yourself, make sense of the things you are experiencing, and learn new ways to overcome your difficulties.
You don't have to sit on your own with your struggles. Therapy is an amazing journey in which you can learn about yourself, make sense of the things you are experiencing, and learn new ways to overcome your difficulties.
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Photo of David Brown, MNCPS Acc., Counsellor
David Brown
Counsellor, MNCPS Acc.
Verified Verified
Lincoln LN6
Providing Home Visit Counselling or Video Online Counselling. Are you experiencing uncomfortable feelings such as anxiety, stress, or anger, that lead you to act in ways that are not helpful to you? Counselling with me could help. Or perhaps you would like to feel better about yourself, be more self-confident, talk something through, be clearer about your goals and plans, or make changes in your life? I can help with this too.
Providing Home Visit Counselling or Video Online Counselling. Are you experiencing uncomfortable feelings such as anxiety, stress, or anger, that lead you to act in ways that are not helpful to you? Counselling with me could help. Or perhaps you would like to feel better about yourself, be more self-confident, talk something through, be clearer about your goals and plans, or make changes in your life? I can help with this too.
01522 308214 View 01522 308214
Photo of Lisa Connolly, MBACP Accred, Psychotherapist
Lisa Connolly
Psychotherapist, MBACP Accred
Verified Verified
Lincoln LN2
Hello, my name is Lisa . I am a Degree qualified Private Psychotherapist who has practiced in the NHS. Many of the clients I see are not able to pinpoint what is wrong but know they feel confused and unhappy without understanding why. However you are feeling just now, things can change in time with the right support. Talking to a psychotherapist who is trained to help you make some sense of what is concerning you is the first step towards feeling better. The most important thing is for you to feel safe and comfortable with whoever you choose. This trust will encourage you to explore your thoughts and feelings more freely.
Hello, my name is Lisa . I am a Degree qualified Private Psychotherapist who has practiced in the NHS. Many of the clients I see are not able to pinpoint what is wrong but know they feel confused and unhappy without understanding why. However you are feeling just now, things can change in time with the right support. Talking to a psychotherapist who is trained to help you make some sense of what is concerning you is the first step towards feeling better. The most important thing is for you to feel safe and comfortable with whoever you choose. This trust will encourage you to explore your thoughts and feelings more freely.
01522 440428 View 01522 440428
Photo of James Hawes, MBACP Accred, Psychotherapist
James Hawes
Psychotherapist, MBACP Accred
Verified Verified
Lincoln LN1
I am an experienced therapist supporting clients with anger management difficulties , relationship issues, anxiety and a variety of other issues. I have worked successfully with hundreds of clients including Nurses, CEO's, plumbers, doctor's, professional sportsmen, businessmen and women, students, MD's and hairdressers. Modern life can be hectic and stressful stretching mind, body and spirit to breaking point. The result of this pressure can often make us feel out of sync or disjointed causing dis-ease and unhappiness. With my experienced and unique approach I seek to provide the right conditions to help people recover and develop
I am an experienced therapist supporting clients with anger management difficulties , relationship issues, anxiety and a variety of other issues. I have worked successfully with hundreds of clients including Nurses, CEO's, plumbers, doctor's, professional sportsmen, businessmen and women, students, MD's and hairdressers. Modern life can be hectic and stressful stretching mind, body and spirit to breaking point. The result of this pressure can often make us feel out of sync or disjointed causing dis-ease and unhappiness. With my experienced and unique approach I seek to provide the right conditions to help people recover and develop
0115 697 1834 View 0115 697 1834

How does your Counsellor compare?

Number of Counsellors in New York

< 10

Counsellors in New York who prioritize treating:

100% Relationship Issues
83% Depression
83% Anxiety
83% Life Coaching
67% Family Conflict
67% Self Esteem
67% Women's Issues

Average years in practice

8 Years

Gender breakdown

84% Female
16% Male

How Counsellors in New York see their clients

66% Online Only
34% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in New York?

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.