Counselling in London

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Photo of Dr Nazee Akbari, PsychD, MBACP, Psychotherapist
Dr Nazee Akbari
Psychotherapist, PsychD, MBACP
Verified Verified
London N3
With over 23 years of experience in the mental health field, I bring expertise as a bilingual psychotherapist with a Doctorate-level qualification. Providing therapy in English and Farsi, I tailor an integrative approach to meet each client's unique needs. My extensive background encompasses Humanistic, Psychoanalytic, Existential,and Cognitive Behavioural approaches, with a focus on CBT and Cross-Cultural therapy. As a cross-cultural therapist, I specialise in supporting individuals and couples from diverse backgrounds, including those navigating mixed cultural relationships and identity challenges within different cultures.
With over 23 years of experience in the mental health field, I bring expertise as a bilingual psychotherapist with a Doctorate-level qualification. Providing therapy in English and Farsi, I tailor an integrative approach to meet each client's unique needs. My extensive background encompasses Humanistic, Psychoanalytic, Existential,and Cognitive Behavioural approaches, with a focus on CBT and Cross-Cultural therapy. As a cross-cultural therapist, I specialise in supporting individuals and couples from diverse backgrounds, including those navigating mixed cultural relationships and identity challenges within different cultures.
020 4538 7865 View 020 4538 7865
Photo of Olivia Lichtenstein, MA, MBACP, Counsellor
Olivia Lichtenstein
Counsellor, MA, MBACP
Verified Verified
London W3
It can be tough being a human and life can present a range of challenges—whether it’s negotiating complex relationships, coping with loss or managing the pressures of daily life. My approach is rooted in a deep understanding and insight into human experience, helping clients not only to survive difficult times but to thrive beyond them. I maintain a small private practice to ensure I can provide the personalised support each client deserves. Whether you’re facing overwhelming emotions, stuck in unhelpful patterns, or looking to explore new aspects of yourself, I’m here to guide you through your journey with compassion and clarity.
It can be tough being a human and life can present a range of challenges—whether it’s negotiating complex relationships, coping with loss or managing the pressures of daily life. My approach is rooted in a deep understanding and insight into human experience, helping clients not only to survive difficult times but to thrive beyond them. I maintain a small private practice to ensure I can provide the personalised support each client deserves. Whether you’re facing overwhelming emotions, stuck in unhelpful patterns, or looking to explore new aspects of yourself, I’m here to guide you through your journey with compassion and clarity.
020 4572 1352 View 020 4572 1352
Photo of Dr Steve Young, PsychD, HCPC - Couns. Psych., Psychologist
Dr Steve Young
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London SE15
I work very relationally, often helping my clients make sense of themselves and their difficulties through understanding early experiences, current relationships and their therapeutic relationship with me, and how patterns in one area can often offer understandings about another. I draw on a range of therapeutic models and modalities, including psychodynamic, person-centred, existential, cognitive and behavioural, transactional analysis, and attachment theory. My starting point is always the client, and I believe strongly that the therapy should fit the client, not the other way around.
I work very relationally, often helping my clients make sense of themselves and their difficulties through understanding early experiences, current relationships and their therapeutic relationship with me, and how patterns in one area can often offer understandings about another. I draw on a range of therapeutic models and modalities, including psychodynamic, person-centred, existential, cognitive and behavioural, transactional analysis, and attachment theory. My starting point is always the client, and I believe strongly that the therapy should fit the client, not the other way around.
020 3835 2466 View 020 3835 2466
Photo of Atanaska Donkova, GMBPsS, Psychologist
Atanaska Donkova
Psychologist, GMBPsS
Verified Verified
London W1U
Do you experience difficulties in a certain area such as career, relationships, self-esteem, health-physical and mental, or maybe there are difficulties in all areas of your life? And even though you understand that something is wrong, you can't pinpoint where and what the problem is. Do you want a career and a decent financial reward, a loving and harmonious relationship with a partner you can count, great physical and mental health and wonderful relationship with family and friends? Then do not procastinate anymore and book a session with me. Together we will try and find out solution to all your problems, step by step.
Do you experience difficulties in a certain area such as career, relationships, self-esteem, health-physical and mental, or maybe there are difficulties in all areas of your life? And even though you understand that something is wrong, you can't pinpoint where and what the problem is. Do you want a career and a decent financial reward, a loving and harmonious relationship with a partner you can count, great physical and mental health and wonderful relationship with family and friends? Then do not procastinate anymore and book a session with me. Together we will try and find out solution to all your problems, step by step.
020 3835 2347 View 020 3835 2347
Photo of Alison Goolnik, MA, MBACP, Psychotherapist
Alison Goolnik
Psychotherapist, MA, MBACP
Verified Verified
London W10
Feeling overwhelmed by anxiety? Facing new job or exam jitters or university challenges? Are you depressed or self-harming? Do you dream of healthier relationships or improved self-esteem? I am an experienced psychotherapist, passionate about helping individuals manage anxiety, navigate life transitions, and improve self-esteem. I support individuals on their journey to positively change their mental health and emotional well-being.
Feeling overwhelmed by anxiety? Facing new job or exam jitters or university challenges? Are you depressed or self-harming? Do you dream of healthier relationships or improved self-esteem? I am an experienced psychotherapist, passionate about helping individuals manage anxiety, navigate life transitions, and improve self-esteem. I support individuals on their journey to positively change their mental health and emotional well-being.
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Photo of Charlotte Putland, MSc, MBABCP, Psychotherapist
Charlotte Putland
Psychotherapist, MSc, MBABCP
Verified Verified
London SW11  (Online Only)
I am a BABCP accredited CBT therapist with over ten years experience of working in the field of Health Psychology. I specialise in working with patients who have been given a difficult diagnosis or who may be struggling with a health condition. I am also particularly interested in working with patients who are dealing with grief, such as a bereavement or any other major loss.
I am a BABCP accredited CBT therapist with over ten years experience of working in the field of Health Psychology. I specialise in working with patients who have been given a difficult diagnosis or who may be struggling with a health condition. I am also particularly interested in working with patients who are dealing with grief, such as a bereavement or any other major loss.
020 3870 2796 View 020 3870 2796
Photo of Ty Lloyd-Smith, MBACP, Psychotherapist
Ty Lloyd-Smith
Psychotherapist, MBACP
Verified Verified
London SE15
Is this a time in your life that feels difficult? Life can be somewhat challenging and overwhelming at times. Counselling is a process that gives you space and time, in a confidential environment that allow you to express yourself freely enabling you, to make better sense of your feelings, emotions and fears. It is important that during this process you remain an individual and we find a way for you to express your thoughts and feelings, making it's essential to work with a flexible approach tailoring our work to your needs.
Is this a time in your life that feels difficult? Life can be somewhat challenging and overwhelming at times. Counselling is a process that gives you space and time, in a confidential environment that allow you to express yourself freely enabling you, to make better sense of your feelings, emotions and fears. It is important that during this process you remain an individual and we find a way for you to express your thoughts and feelings, making it's essential to work with a flexible approach tailoring our work to your needs.
020 8103 5675 View 020 8103 5675
Photo of Dr Saira Khan, PsychD, HCPC - Couns. Psych., Psychologist
Dr Saira Khan
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London W5
You are worthy of living the life you want to lead. Together, we can move towards balanced mental well-being. I can support you towards understanding, managing and improving mental health challenges you face. You may be trying to make sense of what is happening to you or can't remember a time when you felt okay. Either way, one thing is for sure: you are ready for some relief. My short-term goal for you is to help you understand your struggles and figure out how to move forward. In the long-term, I want to help you build an internal foundation for well-being and emotional healing.
You are worthy of living the life you want to lead. Together, we can move towards balanced mental well-being. I can support you towards understanding, managing and improving mental health challenges you face. You may be trying to make sense of what is happening to you or can't remember a time when you felt okay. Either way, one thing is for sure: you are ready for some relief. My short-term goal for you is to help you understand your struggles and figure out how to move forward. In the long-term, I want to help you build an internal foundation for well-being and emotional healing.
020 3984 9048 View 020 3984 9048
Photo of Deepa Pagarani, DCounsPsych, MBACP, Psychotherapist
Deepa Pagarani
Psychotherapist, DCounsPsych, MBACP
Verified Verified
1 Endorsed
London W2
I specialise in working with relationships, helping you as a couple to communicate your needs better to each other, have a greater emotional and sexual connection, and helping you to navigate through life's challenges that can impact the quality of your relationship and ultimately your happiness. I also work with individuals who may want to have therapy in the context of their relationship. These are the areas that I can help you with: infidelity, fertility issues, mental health issues, polyamory, sexual intimacy, emotional intimacy, improving your communication skills and exploring if this relationship is right for you.
I specialise in working with relationships, helping you as a couple to communicate your needs better to each other, have a greater emotional and sexual connection, and helping you to navigate through life's challenges that can impact the quality of your relationship and ultimately your happiness. I also work with individuals who may want to have therapy in the context of their relationship. These are the areas that I can help you with: infidelity, fertility issues, mental health issues, polyamory, sexual intimacy, emotional intimacy, improving your communication skills and exploring if this relationship is right for you.
020 4538 5152 View 020 4538 5152
Photo of Anoushka Beazley, MSc, MUKCP, Psychotherapist
Anoushka Beazley
Psychotherapist, MSc, MUKCP
Verified Verified
London W3
Life is not always easy. You may be struggling with an event in your life today, or perhaps in your past, that has you unable to move forward. You may be struggling with a family or relationship issue, you may be having problems at work, with a bereavement or with an issue of sexuality. Or does it feel like you are too much? Too sensitive? I offer a safe, non-judgemental and confidential space to explore how you can make the changes you need to live a more fulfilled and happier life. I place the therapeutic relationship at the very heart of what I do. Every individual is unique so my approach is tailored to the individual.
Life is not always easy. You may be struggling with an event in your life today, or perhaps in your past, that has you unable to move forward. You may be struggling with a family or relationship issue, you may be having problems at work, with a bereavement or with an issue of sexuality. Or does it feel like you are too much? Too sensitive? I offer a safe, non-judgemental and confidential space to explore how you can make the changes you need to live a more fulfilled and happier life. I place the therapeutic relationship at the very heart of what I do. Every individual is unique so my approach is tailored to the individual.
020 3974 2371 View 020 3974 2371
Photo of Barry Florin - Barry Florin - Counselling for Expats, MHGI, Counsellor
Barry Florin - Counselling for Expats
Counsellor, MHGI
Verified Verified
London NW7  (Online Only)
Are you an expat who lives and works in London? Are you suffering from Depression & Anxiety? Have you seen a GP who has prescribed anti-depressants that haven’t helped that much? Have you realised that perhaps it is time to get some professional help? There is no doubt about it: life in London is extremely stressful. As an expat, you may be dealing with difficult employment and relationship issues that can easily lead to emotional problems. I offer compassionate, modern and intelligent therapy for my clients. I aim to help you get back on track in as few sessions as possible.
Are you an expat who lives and works in London? Are you suffering from Depression & Anxiety? Have you seen a GP who has prescribed anti-depressants that haven’t helped that much? Have you realised that perhaps it is time to get some professional help? There is no doubt about it: life in London is extremely stressful. As an expat, you may be dealing with difficult employment and relationship issues that can easily lead to emotional problems. I offer compassionate, modern and intelligent therapy for my clients. I aim to help you get back on track in as few sessions as possible.
020 3962 2234 View 020 3962 2234
Photo of Christopher Wilson, BACP, Counsellor
Christopher Wilson
Counsellor, BACP
Verified Verified
London SE20  (Online Only)
I am a qualified Counsellor and Psychotherapist with diverse experience working in various agency settings. Let me assist in alleviating your stress and anxiety and enable you to live a fuller and richer life personally and professionally. Through working with clients, I have utilised various counselling approaches tailored to meet each client's unique needs. By providing a safe and empathetic space, I aim to explore historic trauma that is holding you back from reaching your fullest potential. Together, we can delve into early experiences that may still impact you today.
I am a qualified Counsellor and Psychotherapist with diverse experience working in various agency settings. Let me assist in alleviating your stress and anxiety and enable you to live a fuller and richer life personally and professionally. Through working with clients, I have utilised various counselling approaches tailored to meet each client's unique needs. By providing a safe and empathetic space, I aim to explore historic trauma that is holding you back from reaching your fullest potential. Together, we can delve into early experiences that may still impact you today.
020 4538 0441 View 020 4538 0441
Photo of Gregory Hamlin, MSc, MBACP, Counsellor
Gregory Hamlin
Counsellor, MSc, MBACP
Verified Verified
London N11  (Online Only)
We all have times in our lives when our thoughts and feelings can become overwhelming and we need someone to talk and think with. Sometimes something has happened in life, like a break up or bereavement and other times you might not be sure where these difficult feelings are coming from. Therapy offers a safe and confidential space to discuss anything on your mind, helping you to gain more self-understanding and work through whatever is troubling you.
We all have times in our lives when our thoughts and feelings can become overwhelming and we need someone to talk and think with. Sometimes something has happened in life, like a break up or bereavement and other times you might not be sure where these difficult feelings are coming from. Therapy offers a safe and confidential space to discuss anything on your mind, helping you to gain more self-understanding and work through whatever is troubling you.
020 8106 0865 View 020 8106 0865
Photo of Marek Sarnecki, MSc, MBACP Accred, Psychotherapist
Marek Sarnecki
Psychotherapist, MSc, MBACP Accred
Verified Verified
1 Endorsed
London EC4N
My name is Marek and I am a Psychotherapist and a Sex and Relationship Therapist who works in a private practice and in a higher education institution in London. I believe therapy helps people to develop a deeper understanding of themselves and their relationships to become free of old patterns, or simply find ways to process pain or memories that have kept them feeling stuck. I strongly believe that we simply repeat what we don't repair. I have a heart and a passion for the work I do in creating effective change. My clinical experience includes working for: NHS, a community counselling services, and a suicidal respite centre.
My name is Marek and I am a Psychotherapist and a Sex and Relationship Therapist who works in a private practice and in a higher education institution in London. I believe therapy helps people to develop a deeper understanding of themselves and their relationships to become free of old patterns, or simply find ways to process pain or memories that have kept them feeling stuck. I strongly believe that we simply repeat what we don't repair. I have a heart and a passion for the work I do in creating effective change. My clinical experience includes working for: NHS, a community counselling services, and a suicidal respite centre.
020 3962 2243 View 020 3962 2243
Photo of Anita Andrews, PhD, MBACP, Counsellor
Anita Andrews
Counsellor, PhD, MBACP
Verified Verified
London NW7
I am an Integrative Counsellor and Life Coach. Additionally, I am a Chartered Psychologist with the British Psychological Society, holding a PhD in Addiction Psychology. I am passionate about supporting people who are struggling to overcome addictive behaviour, mental health challenges, or who simply need a safe space to talk through their difficulties. I feel deeply inspired by the resilience, adaptability and capacity for change shown by individuals when faced with difficult circumstances. My aim is to listen to you attentively, compassionately and without judgement.
I am an Integrative Counsellor and Life Coach. Additionally, I am a Chartered Psychologist with the British Psychological Society, holding a PhD in Addiction Psychology. I am passionate about supporting people who are struggling to overcome addictive behaviour, mental health challenges, or who simply need a safe space to talk through their difficulties. I feel deeply inspired by the resilience, adaptability and capacity for change shown by individuals when faced with difficult circumstances. My aim is to listen to you attentively, compassionately and without judgement.
020 4538 2613 View 020 4538 2613
Photo of Dr Sarah Lynch, HCPC - Clin. Psych., Psychologist
Dr Sarah Lynch
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
London SE23  (Online Only)
It takes courage to seek therapy and to be willing to share and be vulnerable with another person. People seek therapy for many different reasons - sometimes we may be struggling particularly with our mental health, feeling distressed and overwhelmed. At other times, it may be that we need a space away from the rest of our lives and relationships to explore and think through dilemmas, issues or past experiences. Therapy can help to work through difficulties, manage distress and to support people to engage with their lives and what is meaningful to them.
It takes courage to seek therapy and to be willing to share and be vulnerable with another person. People seek therapy for many different reasons - sometimes we may be struggling particularly with our mental health, feeling distressed and overwhelmed. At other times, it may be that we need a space away from the rest of our lives and relationships to explore and think through dilemmas, issues or past experiences. Therapy can help to work through difficulties, manage distress and to support people to engage with their lives and what is meaningful to them.
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Photo of Vanessa McHardy, MA, MUKCP, Psychotherapist
Vanessa McHardy
Psychotherapist, MA, MUKCP
Verified Verified
London E17  (Online Only)
I work with children who experience anxiety and stress. This can be because of school trauma, family trauma and all the small disconnects that build to leave your child not living life to the fullest of their being. I work 1:1 and with a family programme called ‘Building Loving Foundations’ that I designed to give families the tools to create really loving communication and ways to back each other. I work online.
I work with children who experience anxiety and stress. This can be because of school trauma, family trauma and all the small disconnects that build to leave your child not living life to the fullest of their being. I work 1:1 and with a family programme called ‘Building Loving Foundations’ that I designed to give families the tools to create really loving communication and ways to back each other. I work online.
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Photo of Anna Sugarman, MSc, MUKCP, Psychotherapist
Anna Sugarman
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
London SW4
Relationships can impact our lives in many different ways. At the heart of systemic psychotherapy is a belief that building support and understanding, being able to appreciate each other’s needs and experiences and finding ways to have difficult conversations safely can not only allow for more meaningful relationships but can promote overall wellbeing and positive mental health. My role is to provide a non-judgemental and safe therapeutic space where you will able to explore ways in which to have different experiences within relationships. If you need help to improve your relationships then I could be a good fit for you.
Relationships can impact our lives in many different ways. At the heart of systemic psychotherapy is a belief that building support and understanding, being able to appreciate each other’s needs and experiences and finding ways to have difficult conversations safely can not only allow for more meaningful relationships but can promote overall wellbeing and positive mental health. My role is to provide a non-judgemental and safe therapeutic space where you will able to explore ways in which to have different experiences within relationships. If you need help to improve your relationships then I could be a good fit for you.
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Photo of Shannon Talbot, COSRT General, Psychotherapist
Shannon Talbot
Psychotherapist, COSRT General
Verified Verified
London E1
Anxiety around intimacy, relationships, or sexual concerns is incredibly common, and the overarching impact that these issues can have on your health and happiness is often underestimated and undervalued. Forming meaningful and honest connections with people including yourself, and feeling empowered to truly accept and project how you feel - good and bad - is challenging with sex and relationships being no exception. Shedding light on the unconscious and bringing new perspectives to your world can be the seed from which healing and personal development grow.
Anxiety around intimacy, relationships, or sexual concerns is incredibly common, and the overarching impact that these issues can have on your health and happiness is often underestimated and undervalued. Forming meaningful and honest connections with people including yourself, and feeling empowered to truly accept and project how you feel - good and bad - is challenging with sex and relationships being no exception. Shedding light on the unconscious and bringing new perspectives to your world can be the seed from which healing and personal development grow.
020 3994 2120 View 020 3994 2120
Photo of Marc Dalal, MBACP Accred, Psychotherapist
Marc Dalal
Psychotherapist, MBACP Accred
Verified Verified
London SW14
I am a highly experienced therapist who is registered and accredited by the BACP. With a strong background in private practice, I have successfully worked with a diverse range of clients. As I currently have ample availability, I welcome new clients, whether they are seeking short-term or open-ended therapy. My expertise spans a wide spectrum, encompassing complex mental health conditions such as Dissociative Identity Disorder, as well as anxiety, anger management, and personal or relationship issues. I believe in providing a safe and supportive environment for all clients, regardless of the nature or severity of their challenges.
I am a highly experienced therapist who is registered and accredited by the BACP. With a strong background in private practice, I have successfully worked with a diverse range of clients. As I currently have ample availability, I welcome new clients, whether they are seeking short-term or open-ended therapy. My expertise spans a wide spectrum, encompassing complex mental health conditions such as Dissociative Identity Disorder, as well as anxiety, anger management, and personal or relationship issues. I believe in providing a safe and supportive environment for all clients, regardless of the nature or severity of their challenges.
01748 901233 View 01748 901233
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See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

90% Anxiety
85% Depression
83% Self Esteem
80% Relationship Issues
78% Stress
66% Trauma and PTSD
62% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

68% Aviva
63% AXA PPP
55% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

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

How can I find a therapist in London?

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

Learn more about how to find a therapist

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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