Counselling in Saltford

Photo of Angelina Lewis, MBACP, Counsellor
Angelina Lewis
Counsellor, MBACP
Verified Verified
Saltford BS31
Offering 1:1 counselling sessions for a range of issues, including relationship and family problems, anxiety, depression, trauma, abuse, loss, low self-esteem, or just experiencing a general feeling of dissatisfaction with life. I offer a warm and non-judgmental space to explore whatever is troubling you, big or small, at your own pace. As well as working from my quiet therapy room, I can also offer walk and talk therapy and sessions outside in nature if preferred.
Offering 1:1 counselling sessions for a range of issues, including relationship and family problems, anxiety, depression, trauma, abuse, loss, low self-esteem, or just experiencing a general feeling of dissatisfaction with life. I offer a warm and non-judgmental space to explore whatever is troubling you, big or small, at your own pace. As well as working from my quiet therapy room, I can also offer walk and talk therapy and sessions outside in nature if preferred.
01225 434528 View 01225 434528
Photo of Sam Fairgrieve, MA, MUKCP, Psychotherapist
Sam Fairgrieve
Psychotherapist, MA, MUKCP
Verified Verified
Saltford BS31
Do you feel overwhelmed by your emotions? Is anxiety adversely affecting your day-to-day life? Has life lost it’s meaning for you, making it hard for you to find energy or enthusiasm for anything? Is the transition to parenthood more challenging that you envisaged? It can be difficult to imagine things can be different, but therapy can make change possible. Therapy can not only provide relief from distressing symptoms, but can also help you live at your highest level of capacity – free to feel fully alive and to thrive in all areas of your life.
Do you feel overwhelmed by your emotions? Is anxiety adversely affecting your day-to-day life? Has life lost it’s meaning for you, making it hard for you to find energy or enthusiasm for anything? Is the transition to parenthood more challenging that you envisaged? It can be difficult to imagine things can be different, but therapy can make change possible. Therapy can not only provide relief from distressing symptoms, but can also help you live at your highest level of capacity – free to feel fully alive and to thrive in all areas of your life.
01480 585503 View 01480 585503
Photo of Nikki Holmes, UKCP Trainee, Psychotherapist
Nikki Holmes
Psychotherapist, UKCP Trainee
Verified Verified
Saltford BS31
Life can bring us a variety of 'ups and downs.' Sometimes we feel able to cope with these and sometimes we need more support to see us through. You might be feeling stressed, anxious, lost or confused. It can be difficult to reach out and ask for help and you might feel worried about where or how to start. I can offer you a calm and non-judgemental space to explore whatever has brought you to Psychotherapy. I will follow your lead and work gently to support you in understanding yourself more fully, bringing self compassion to areas of difficulty and in moving towards greater freedom from whatever is troubling you.
Life can bring us a variety of 'ups and downs.' Sometimes we feel able to cope with these and sometimes we need more support to see us through. You might be feeling stressed, anxious, lost or confused. It can be difficult to reach out and ask for help and you might feel worried about where or how to start. I can offer you a calm and non-judgemental space to explore whatever has brought you to Psychotherapy. I will follow your lead and work gently to support you in understanding yourself more fully, bringing self compassion to areas of difficulty and in moving towards greater freedom from whatever is troubling you.
0117 463 5176 View 0117 463 5176
Photo of Claire Crocker, MA, MUKCP, Psychotherapist
Claire Crocker
Psychotherapist, MA, MUKCP
Verified Verified
Saltford BS31
Life can be really tough at times. We can all go through periods when we feel we are constantly struggling to cope, and there are many different reasons why you might want to come to see a psychotherapist. You might be facing issues in the present, like relationship difficulties, bereavement or a health scare, or feeling overwhelmed by global events and challenges. Maybe you’re dealing with anxiety or depression, or feeling troubled by past events and experiences like abuse, violence or problematic relationships. Maybe you’re working though issues connected with gender, sexuality or identity generally.
Life can be really tough at times. We can all go through periods when we feel we are constantly struggling to cope, and there are many different reasons why you might want to come to see a psychotherapist. You might be facing issues in the present, like relationship difficulties, bereavement or a health scare, or feeling overwhelmed by global events and challenges. Maybe you’re dealing with anxiety or depression, or feeling troubled by past events and experiences like abuse, violence or problematic relationships. Maybe you’re working though issues connected with gender, sexuality or identity generally.
01225 434954 View 01225 434954
Photo of Stanka Krnacova, MA, MUKCP, Psychotherapist
Stanka Krnacova
Psychotherapist, MA, MUKCP
Verified Verified
2 Endorsed
Saltford BS31
Do you feel like it is difficult to reach your partner emotionally, are you being stone walled, afraid of conflict or are you people pleasing for a quiet life? Do you have a pattern of being submissive, passive aggressive or unable to effectively communicate your wants and needs? Do you feel like you and your partner don’t understand each other or feel as if you have married your mother or father? Couples therapy aims to uncover reactionary aspects of yourself that lead to discontent and a loss of connection and intimacy in your relationship. We will examine unhelpful dynamics and behavioural patterns and explore where you are stuck
Do you feel like it is difficult to reach your partner emotionally, are you being stone walled, afraid of conflict or are you people pleasing for a quiet life? Do you have a pattern of being submissive, passive aggressive or unable to effectively communicate your wants and needs? Do you feel like you and your partner don’t understand each other or feel as if you have married your mother or father? Couples therapy aims to uncover reactionary aspects of yourself that lead to discontent and a loss of connection and intimacy in your relationship. We will examine unhelpful dynamics and behavioural patterns and explore where you are stuck
07897 601897 View 07897 601897

More Therapists Nearby

Photo of Gary McFarlane, MNCPS Acc., Counsellor
Gary McFarlane
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Bristol BS30  (Online Only)
A Relate trained and experienced Relationship Counsellor, Mediator, Sex Therapist, Sex Addiction & Love Addiction Therapist; Accredited EMDR practitioner. All via Zoom, Bilateralbase with clients from the UK and all over the world. Trained in online counselling, with a Certificate in Online Counselling, having worked Online for 14 years; AI-EMDR (Attachment Informed EMDR), Couples EMDR; Group impacted Trauma EMDR and Recent Trauma Event EMDR; as well as The Advanced Flash Technique - for Trauma, Anxiety, Stress, Depression, pain, fears, other conditions and unprocessed issues from the past. VR soon to be added to facilitate healing.
A Relate trained and experienced Relationship Counsellor, Mediator, Sex Therapist, Sex Addiction & Love Addiction Therapist; Accredited EMDR practitioner. All via Zoom, Bilateralbase with clients from the UK and all over the world. Trained in online counselling, with a Certificate in Online Counselling, having worked Online for 14 years; AI-EMDR (Attachment Informed EMDR), Couples EMDR; Group impacted Trauma EMDR and Recent Trauma Event EMDR; as well as The Advanced Flash Technique - for Trauma, Anxiety, Stress, Depression, pain, fears, other conditions and unprocessed issues from the past. VR soon to be added to facilitate healing.
01934 315777 View 01934 315777
Photo of Milla Kenny, MBACP, Counsellor
Milla Kenny
Counsellor, MBACP
Verified Verified
Bristol BS31
Hello, do you need space to talk? Together we can explore issues relating to bereavement, loss and grief, depression and anxiety, loneliness and isolation, low self-esteem and self-confidence, relationship issues or challenging family dynamics. I have special interest in working with bereavement, grief and loss and can help with what can be a very difficult time in your life. I gravitate towards psychodynamic approach to therapy and I will encourage you to be self-reflective, engage in self-exploration into your thoughts, feelings, emotions, experiences from early life, and the beliefs that you hold.
Hello, do you need space to talk? Together we can explore issues relating to bereavement, loss and grief, depression and anxiety, loneliness and isolation, low self-esteem and self-confidence, relationship issues or challenging family dynamics. I have special interest in working with bereavement, grief and loss and can help with what can be a very difficult time in your life. I gravitate towards psychodynamic approach to therapy and I will encourage you to be self-reflective, engage in self-exploration into your thoughts, feelings, emotions, experiences from early life, and the beliefs that you hold.
01454 804757 View 01454 804757
Photo of Dominic Glover, PsychD, HCPC - Clin. Psych., Psychologist
Dominic Glover
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Longwell Green BS30
I completed my Doctorate in Clinical Psychology in 2004 and have worked in NHS adult psychological therapies services since that time. I have worked as a Consultant Clinical Psychologist and Lead Clinician for an NHS service in West London before re-locating to the South-West and working in private practice.
I completed my Doctorate in Clinical Psychology in 2004 and have worked in NHS adult psychological therapies services since that time. I have worked as a Consultant Clinical Psychologist and Lead Clinician for an NHS service in West London before re-locating to the South-West and working in private practice.
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Photo of Ana Garcia, MA, MBABCP, Psychotherapist
Ana Garcia
Psychotherapist, MA, MBABCP
Verified Verified
4 Endorsed
Bristol BS31
Hi I’m Ana, an accredited CBT Therapist working with children, young people and adults. I have worked in mental health for almost two decades. Are you feeling stuck, lost or finding things difficult to manage? This may include struggling with waiting lists for support or guidance around Autism and/or ADHD? Are you unsure on what direction to go next or what choices to make? I would encourage you to reach out and get in touch with me. I work with a range of mental health difficulties, and I will work with you to help adapt our work to focus on your own individual needs and experiences, supporting you to achieve your goals.
Hi I’m Ana, an accredited CBT Therapist working with children, young people and adults. I have worked in mental health for almost two decades. Are you feeling stuck, lost or finding things difficult to manage? This may include struggling with waiting lists for support or guidance around Autism and/or ADHD? Are you unsure on what direction to go next or what choices to make? I would encourage you to reach out and get in touch with me. I work with a range of mental health difficulties, and I will work with you to help adapt our work to focus on your own individual needs and experiences, supporting you to achieve your goals.
01225 258839 View 01225 258839
Photo of Doug Teeling, MA, MUKCP, Psychotherapist
Doug Teeling
Psychotherapist, MA, MUKCP
Verified Verified
Longwell Green BS30
Whether you have recently experienced a crisis in life, or are dealing with a more prolonged sense of disillusionment, I offer a compassionate space for you to explore whatever issue brings you to therapy. Beginning to talk about yourself and what you are dealing with may feel new or even unnerving, so I am always mindful to work with you at your own pace. In this process many different issues may come up for you, and through talking together we have an opportunity to explore, reflect upon and understand more fully how and why you feel the way you do.
Whether you have recently experienced a crisis in life, or are dealing with a more prolonged sense of disillusionment, I offer a compassionate space for you to explore whatever issue brings you to therapy. Beginning to talk about yourself and what you are dealing with may feel new or even unnerving, so I am always mindful to work with you at your own pace. In this process many different issues may come up for you, and through talking together we have an opportunity to explore, reflect upon and understand more fully how and why you feel the way you do.
01225 530215 View 01225 530215
Photo of Hannah Raine-Smith, MBACP Accred, Psychotherapist
Hannah Raine-Smith
Psychotherapist, MBACP Accred
Verified Verified
Longwell Green BS30
I am an integrative therapist specialising in using eye-movement desensitization and reprocessing (EMDR) therapy to treat a wide range of psychological issues. I am highly trained in psychotherapy, neuroscience and trauma and believe that our current issues can often be traced back to early adverse experiences in childhood. Compared to standard talking therapy EMDR generally takes a shorter amount of time to get to the root cause of the issue. Rather than just dealing with symptom management (like CBT), EMDR therapy works directly with the cause of your distress.
I am an integrative therapist specialising in using eye-movement desensitization and reprocessing (EMDR) therapy to treat a wide range of psychological issues. I am highly trained in psychotherapy, neuroscience and trauma and believe that our current issues can often be traced back to early adverse experiences in childhood. Compared to standard talking therapy EMDR generally takes a shorter amount of time to get to the root cause of the issue. Rather than just dealing with symptom management (like CBT), EMDR therapy works directly with the cause of your distress.
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Photo of Mike Swift, MBACP, Counsellor
Mike Swift
Counsellor, MBACP
Verified Verified
1 Endorsed
Bristol BS31
Is your life is feeling hard or painful in some way right now? Something needs to change but it feels like a mountain to climb? Feeling stuck or confused? If you choose to work with me, my promise to you is that I will offer curiosity, respect, care and compassion. Perhaps, together, we can develop new, useful perspectives. I believe that though counselling, it's always possible to find new ways to move forwards in positive directions. I look forward to hearing from you.
Is your life is feeling hard or painful in some way right now? Something needs to change but it feels like a mountain to climb? Feeling stuck or confused? If you choose to work with me, my promise to you is that I will offer curiosity, respect, care and compassion. Perhaps, together, we can develop new, useful perspectives. I believe that though counselling, it's always possible to find new ways to move forwards in positive directions. I look forward to hearing from you.
0117 463 1503 View 0117 463 1503
Photo of Catelyn Dorsey, MSc, MBACP, Counsellor
Catelyn Dorsey
Counsellor, MSc, MBACP
Verified Verified
Bath BA2  (Online Only)
Life is inevitably filled with many challenges and transitions and it’s not unusual to become overwhelmed. We can easily struggle with who we are and what we want from life. Maybe you're experiencing the breakdown of a relationship with a loved one, you’ve lost your job, just become a parent, received a diagnosis, started university, or maybe you’re just struggling with the idea of making a change in your life. Therapy can help you understand yourself better so that you can confidently adjust to change, set boundaries, navigate relationships, implement coping strategies & give yourself grace if you stumble.
Life is inevitably filled with many challenges and transitions and it’s not unusual to become overwhelmed. We can easily struggle with who we are and what we want from life. Maybe you're experiencing the breakdown of a relationship with a loved one, you’ve lost your job, just become a parent, received a diagnosis, started university, or maybe you’re just struggling with the idea of making a change in your life. Therapy can help you understand yourself better so that you can confidently adjust to change, set boundaries, navigate relationships, implement coping strategies & give yourself grace if you stumble.
01225 430673 View 01225 430673
Photo of Kate Howells, PsychD, HCPC - Clin. Psych., Psychologist
Kate Howells
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Kelston BA1
I am a Clinical Psychologist with more than 20 years experience of working with young people, adults (including couples) and families. I work in both the NHS and private practice, in person and online. I am open to working with men and women, younger and older with a broad range of difficulties including those affecting mental health and emotional wellbeing, behaviour, relationships and learning.
I am a Clinical Psychologist with more than 20 years experience of working with young people, adults (including couples) and families. I work in both the NHS and private practice, in person and online. I am open to working with men and women, younger and older with a broad range of difficulties including those affecting mental health and emotional wellbeing, behaviour, relationships and learning.
01225 617404 View 01225 617404
Photo of Kathy Garton, MNCPS Acc., Counsellor
Kathy Garton
Counsellor, MNCPS Acc.
Verified Verified
Bristol BS31  (Online Only)
Waitlist for new clients
I am a Narcissistic/Abuse Specialist. I support families, couples, adults & teens to understand their unhealthy relationships. Are all your relationships being affected; family, romantic, friendships, work, school? Do you struggle with (sometimes chronic) health issues? I struggled with abusive/narcissistic relationships for years & needed support to understand how this affected me & what I needed to change to have healthy relationships.
I am a Narcissistic/Abuse Specialist. I support families, couples, adults & teens to understand their unhealthy relationships. Are all your relationships being affected; family, romantic, friendships, work, school? Do you struggle with (sometimes chronic) health issues? I struggled with abusive/narcissistic relationships for years & needed support to understand how this affected me & what I needed to change to have healthy relationships.
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Photo of Charlene Wolf, BACP, Counsellor
Charlene Wolf
Counsellor, BACP
Verified Verified
1 Endorsed
Bitton BS30
I am a qualified integrative Counsellor offering in person sessions only. I offer a warm, compassionate approach in a non judgemental space. I have experience working with bereavement, anxiety, anger, depression, chronic pain, life transitions and communication within relationships.
I am a qualified integrative Counsellor offering in person sessions only. I offer a warm, compassionate approach in a non judgemental space. I have experience working with bereavement, anxiety, anger, depression, chronic pain, life transitions and communication within relationships.
0117 463 3721 View 0117 463 3721
Photo of Lucy Hobbs, MNCPS Acc., Counsellor
Lucy Hobbs
Counsellor, MNCPS Acc.
Verified Verified
Bristol BS14
Hello, my name is Lucy and I am a fully qualified and insured counsellor. I work as an integrative therapist taking a person-centred and relational approach to counselling. I use a range of techniques and approaches - depending on a client's individual needs. Put simply, I'm passionate about promoting good mental health. We all need to express ourselves in a way that we want to, and at a pace that is comfortable for us. I will support you to explore and reflect upon your feelings, issues and challenges - past and present, build on your self-acceptance and gain a greater understanding of your emotional and physical wellbeing.
Hello, my name is Lucy and I am a fully qualified and insured counsellor. I work as an integrative therapist taking a person-centred and relational approach to counselling. I use a range of techniques and approaches - depending on a client's individual needs. Put simply, I'm passionate about promoting good mental health. We all need to express ourselves in a way that we want to, and at a pace that is comfortable for us. I will support you to explore and reflect upon your feelings, issues and challenges - past and present, build on your self-acceptance and gain a greater understanding of your emotional and physical wellbeing.
01225 985700 View 01225 985700
Photo of Simon Copleston, MBACP, Counsellor
Simon Copleston
Counsellor, MBACP
Verified Verified
Bridgeyate BS30
People come to counselling for many different reasons. It’s a brave first step to make; to decide that you might need or want help processing your thoughts and feelings with another person. Counselling can often help us to understand ourselves better; reframe the way we experience ourselves and help us to open up to the possibility of change. As a counsellor, my focus is on the relationship that is co-created in a safe, non-judgemental space with clients. I believe that once we feel that we are being listened to and heard by another we can express our authentic self; the parts of us that may be hidden in everyday life.
People come to counselling for many different reasons. It’s a brave first step to make; to decide that you might need or want help processing your thoughts and feelings with another person. Counselling can often help us to understand ourselves better; reframe the way we experience ourselves and help us to open up to the possibility of change. As a counsellor, my focus is on the relationship that is co-created in a safe, non-judgemental space with clients. I believe that once we feel that we are being listened to and heard by another we can express our authentic self; the parts of us that may be hidden in everyday life.
0117 463 4087 View 0117 463 4087
Photo of Helen Barbara Moore - www.helenbarbara.com, GMBPsS, Counsellor
www.helenbarbara.com
Counsellor, GMBPsS
Verified Verified
Bristol BS1
Having recently completed a three-year, full-time BSc (Hons) Degree in Psychology with Counselling I can offer a range of therapeutic solutions primarily focusing on the humanistic approach. My academic grasp of 21st-century counselling enhances my own lived experiences. Along with my 25 years of sales experience and education in health and wellness, I can offer services to help many people striving to better their lives by providing coaching, wellbeing and lifestyle counselling. Please take a look further at www.helenbarbara.com
Having recently completed a three-year, full-time BSc (Hons) Degree in Psychology with Counselling I can offer a range of therapeutic solutions primarily focusing on the humanistic approach. My academic grasp of 21st-century counselling enhances my own lived experiences. Along with my 25 years of sales experience and education in health and wellness, I can offer services to help many people striving to better their lives by providing coaching, wellbeing and lifestyle counselling. Please take a look further at www.helenbarbara.com
01633 603417 View 01633 603417
Photo of Louise Diffey Light Step Counselling, MBACP, Counsellor
Louise Diffey Light Step Counselling
Counsellor, MBACP
Verified Verified
Bristol BS4
Do you feel anxious, depressed, exhausted or generally struggling? I believe that there is hope for improvement through counselling. We talk things through in a calm space where you can voice and explore your thoughts. I work collaboratively with you to find ways for you to feel better about yourself, your life, health, and relationships. We can explore your feelings about relationships with partners, family, friends, and colleagues, and find ways to process your feelings and make decisions. We discuss challenging issues you might have and find a way to guide you towards your goals.
Do you feel anxious, depressed, exhausted or generally struggling? I believe that there is hope for improvement through counselling. We talk things through in a calm space where you can voice and explore your thoughts. I work collaboratively with you to find ways for you to feel better about yourself, your life, health, and relationships. We can explore your feelings about relationships with partners, family, friends, and colleagues, and find ways to process your feelings and make decisions. We discuss challenging issues you might have and find a way to guide you towards your goals.
0117 450 2905 View 0117 450 2905

See more therapy options for Saltford

How does your Counsellor compare?

Number of Counsellors in Saltford

< 10

Counsellors in Saltford who prioritize treating:

100% Relationship Issues
100% Anxiety
80% Depression
80% Self Esteem
80% Life Transitions
60% Stress
40% Bereavement

Average years in practice

11 Years

Gender breakdown

100% Female

How Counsellors in Saltford see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Saltford?

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.