Counselling in HP4
![Photo of Dr Maria O’Neill- Autism And Adhd Specialist, PsychD, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/b60ca50a-2d57-47b9-b934-1ac431927d4a/2/320x400.jpeg)
Dr Maria O’Neill- Autism And Adhd Specialist
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Berkhamsted HP4
Hello, I am Dr Maria O’Neill (D.Clin.Psych, MA, BSc Hons) I am a Clinical Psychologist registered with the Health and Care Professions Council (HCPC). I have over 15 years experience specialising in Autism and Attention Deficit Hyperactivity Disorder (ADHD) within various settings including the NHS, private and charitable providers (National Autistic Society). I have worked within health, forensic and educational environments with involvement in the setting up of several specialist Autism and ADHD services. I currently work in specialist Autism and ADHD services in the NHS alongside my private practice.
Hello, I am Dr Maria O’Neill (D.Clin.Psych, MA, BSc Hons) I am a Clinical Psychologist registered with the Health and Care Professions Council (HCPC). I have over 15 years experience specialising in Autism and Attention Deficit Hyperactivity Disorder (ADHD) within various settings including the NHS, private and charitable providers (National Autistic Society). I have worked within health, forensic and educational environments with involvement in the setting up of several specialist Autism and ADHD services. I currently work in specialist Autism and ADHD services in the NHS alongside my private practice.
![Photo of Sean Heneghan, MBACP, Counsellor](https://photos.psychologytoday.com/bb4e4bd3-647f-4cbd-be5a-e2c01067dea5/1/320x400.png)
I'm a counsellor, a cognitive hypnotherapist and an acupuncturist based in Berkhamsted. I have an extensive training in a range of disciplines that can help people with a variety of emotional and physical problems. I use these approaches sometimes alone and sometimes in combination depending on the uniqueness of each client.
I'm a counsellor, a cognitive hypnotherapist and an acupuncturist based in Berkhamsted. I have an extensive training in a range of disciplines that can help people with a variety of emotional and physical problems. I use these approaches sometimes alone and sometimes in combination depending on the uniqueness of each client.
![Photo of Dr Jenny Davis, PsychD, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/5acfe944-80e0-4208-930f-b0b09d398d5b/3/320x400.jpeg)
Are you struggling with your relationship with food? Stuck in a cycle of dieting? Maybe you hate how your body looks? I'm Clinical Psychologist specialising in therapy for adults (age 16+) with eating difficulties and body image. I have helped people with emotional eating, disordered eating, anorexia, bulimia, binge eating, and body image difficulties. I provide comprehensive psychological assessment and therapy to make sense of your current difficulties in the context of your life. Often this includes links with low self-esteem, perfectionism, childhood experiences, anxiety and low mood.
Are you struggling with your relationship with food? Stuck in a cycle of dieting? Maybe you hate how your body looks? I'm Clinical Psychologist specialising in therapy for adults (age 16+) with eating difficulties and body image. I have helped people with emotional eating, disordered eating, anorexia, bulimia, binge eating, and body image difficulties. I provide comprehensive psychological assessment and therapy to make sense of your current difficulties in the context of your life. Often this includes links with low self-esteem, perfectionism, childhood experiences, anxiety and low mood.
![Photo of Charlotte Woollett - Charlotte Woollett Therapy, MBACP, Counsellor](https://photos.psychologytoday.com/8efe5f26-5f5d-457e-8299-0ea340a94049/1/320x400.jpeg)
For most people there are times when life can become emotionally difficult. Sometimes you might feel you have support around you, yet nothing seems to help. Or you might feel isolated and like you have no one with whom you can share your difficulties or distress. Sometimes we can feel overwhelmed, not like our usual self and find it difficult to cope. This might be in part due to sudden events such as bereavement, or breakdown of relationships, or sometimes something from our past impacts how we react to situations in the present.
For most people there are times when life can become emotionally difficult. Sometimes you might feel you have support around you, yet nothing seems to help. Or you might feel isolated and like you have no one with whom you can share your difficulties or distress. Sometimes we can feel overwhelmed, not like our usual self and find it difficult to cope. This might be in part due to sudden events such as bereavement, or breakdown of relationships, or sometimes something from our past impacts how we react to situations in the present.
![Photo of Sonja Kormann, MSc, MUKCP, Psychotherapist](https://photos.psychologytoday.com/63c01f66-8230-4573-a9f4-1253e4481bf5/2/320x400.jpeg)
Sonja Kormann
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Berkhamsted HP4
Not accepting new clients
You may be looking for a counsellor / psychotherapist because you feel low, unmotivated, stuck, confused or anxious. You may be grappling with a difficult situation in your life currently, or with something that has happened to you in the past. Perhaps you struggle with the dynamics in a close relationship or at work.
You may be looking for a counsellor / psychotherapist because you feel low, unmotivated, stuck, confused or anxious. You may be grappling with a difficult situation in your life currently, or with something that has happened to you in the past. Perhaps you struggle with the dynamics in a close relationship or at work.
![Photo of Colin Winter, MBABCP, Psychotherapist](https://photos.psychologytoday.com/9ca8ca15-0809-4e1b-a1d0-fc6e7be6344c/3/320x400.jpeg)
Warmth, empathy, non-judgemental acceptance, scientific rigour and humour are at the heart of my approach to therapy. I follow core CBT traditions which put the client and therapist on an equal footing in a collaborative partnership, with the client as the authoritative expert in themselves. I aim to debunk and demystify, strip out jargon, and explain transparently how I work. CBT aims to give clients a therapeutic fishing rod, not just a fish, so that clients are helped to become CBT experts, their own therapists for the future. Therapy can be challenging, but more often it should be healing, uplifting, enriching and fun.
Warmth, empathy, non-judgemental acceptance, scientific rigour and humour are at the heart of my approach to therapy. I follow core CBT traditions which put the client and therapist on an equal footing in a collaborative partnership, with the client as the authoritative expert in themselves. I aim to debunk and demystify, strip out jargon, and explain transparently how I work. CBT aims to give clients a therapeutic fishing rod, not just a fish, so that clients are helped to become CBT experts, their own therapists for the future. Therapy can be challenging, but more often it should be healing, uplifting, enriching and fun.
![Photo of Rebecca Hargreaves, MBACP Accred, Counsellor](https://photos.psychologytoday.com/082f2447-d2b2-4b47-9c79-5492970be649/2/320x400.jpeg)
Therapy is your space to think about you, your experiences, your feelings, your life. When things are feeling difficult, you may not know the reason why. Taking time to talk to someone not involved in your life can be helpful.
Therapy is your space to think about you, your experiences, your feelings, your life. When things are feeling difficult, you may not know the reason why. Taking time to talk to someone not involved in your life can be helpful.
![Photo of Sauda Hansdot, MBACP, Counsellor](https://photos.psychologytoday.com/87a4a833-7d76-44b6-9412-7271498a08a0/2/320x400.jpeg)
My name is Sauda (she/her) and I specialise in supporting people who are going through or have been through difficult experiences. Having gone through several traumatic experiences myself, I can understand how hard it can be to make sense of life again. You may feel sad, scared, angry or perhaps it’s hard to feel anything at all, leaving you not knowing who you are anymore. I believe that I can help you work through many of the difficult experiences you have been through, and help you to find your way back to you - to find joy and meaning in life again.
My name is Sauda (she/her) and I specialise in supporting people who are going through or have been through difficult experiences. Having gone through several traumatic experiences myself, I can understand how hard it can be to make sense of life again. You may feel sad, scared, angry or perhaps it’s hard to feel anything at all, leaving you not knowing who you are anymore. I believe that I can help you work through many of the difficult experiences you have been through, and help you to find your way back to you - to find joy and meaning in life again.
![Photo of Kim Abercromby, MBACP, Counsellor](https://photos.psychologytoday.com/690eb7ac-8719-46ff-ac22-45094a1ed41b/1/320x400.jpeg)
I will offer you a safe warm and compassionate space so that we can build a trusting and therapeutic relationship. I am committed to working with you at your pace and at the level of depth you require to find a way through the struggles you may be faced with. I understand how daunting it can be to reach out for help, so I assure you that I will do my best to make this as comfortable as it can be for you. I am deeply committed to providing you with a genuine counselling service tailored to meet your needs. I offer in person and virtual sessions.
I will offer you a safe warm and compassionate space so that we can build a trusting and therapeutic relationship. I am committed to working with you at your pace and at the level of depth you require to find a way through the struggles you may be faced with. I understand how daunting it can be to reach out for help, so I assure you that I will do my best to make this as comfortable as it can be for you. I am deeply committed to providing you with a genuine counselling service tailored to meet your needs. I offer in person and virtual sessions.
![Photo of Catherine Richardson, MBACP, Psychotherapist](https://photos.psychologytoday.com/8ca5c999-89d4-4fa6-8368-f686e04804c5/2/320x400.jpeg)
I work using a combination of Humanistic and Cognitive Behavioural (CBT) approaches. I believe that this offers you the best of both worlds. You may feel your life has lost meaning and this can lead to depression, stress or anxiety. This can sometimes be due to unhelpful or negative thinking (cognitive) patterns and together we can work on these. Talking to a professional counsellor can help you process those feelings and move towards a more contented life. I will not judge you and I will always work at your pace. I offer a careful balance of support and gentle challenge.
I work using a combination of Humanistic and Cognitive Behavioural (CBT) approaches. I believe that this offers you the best of both worlds. You may feel your life has lost meaning and this can lead to depression, stress or anxiety. This can sometimes be due to unhelpful or negative thinking (cognitive) patterns and together we can work on these. Talking to a professional counsellor can help you process those feelings and move towards a more contented life. I will not judge you and I will always work at your pace. I offer a careful balance of support and gentle challenge.
![Photo of Alison Parsons, MBACP, Counsellor](https://photos.psychologytoday.com/4e0b329d-d87d-40c9-9055-8d02c26782f3/1/320x400.jpeg)
Alison Parsons
Counsellor, MBACP
Verified Verified
1 Endorsed
Berkhamsted HP4
Not accepting new clients
Talking to someone about things that are making you feel uncomfortable, anxious, or perhaps overwhelmed can help. Sometimes, just saying out loud how you feel can start a process that leads to change and new choices in your life. Thinking, with a counsellor, about the experiences that are making you feel this way can give you the support, the space and insight to find a way through what’s troubling you. I have experience supporting adults who are struggling with aspects of their life such as anxiety, depression, grief, identity, sexuality and self-esteem and I offer a warm and professional place where we can work together.
Talking to someone about things that are making you feel uncomfortable, anxious, or perhaps overwhelmed can help. Sometimes, just saying out loud how you feel can start a process that leads to change and new choices in your life. Thinking, with a counsellor, about the experiences that are making you feel this way can give you the support, the space and insight to find a way through what’s troubling you. I have experience supporting adults who are struggling with aspects of their life such as anxiety, depression, grief, identity, sexuality and self-esteem and I offer a warm and professional place where we can work together.
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![Photo of Dr Claire Mansfield, PsychD, CPsychol, Psychologist](https://photos.psychologytoday.com/99accf82-dfaa-4216-8e11-34b28c660b1e/6/320x400.jpeg)
Chartered counselling psychologist offering psychological support for difficulties such as depression, anxiety, health anxiety, and relationship and family issues. Highly qualified and experienced, offering expert care. Counselling and therapy enables individuals to talk about painful or difficult experiences in a safe and confidential setting. It can allow people to find new ways of coping or to think about changes that they may want to make.
Chartered counselling psychologist offering psychological support for difficulties such as depression, anxiety, health anxiety, and relationship and family issues. Highly qualified and experienced, offering expert care. Counselling and therapy enables individuals to talk about painful or difficult experiences in a safe and confidential setting. It can allow people to find new ways of coping or to think about changes that they may want to make.
![Photo of Paul Keshishian - Care Counselling Now , DCounsPsych, MBACP, Counsellor](https://photos.psychologytoday.com/d07a303e-aaaa-4cc3-8385-674c8edc8b0c/1/320x400.png)
Thank you for looking at my profile. My name is Paul and I’m a registered MBACP counsellor. My experience is quite broad, working with people with anxiety, low self-esteem, issues with relationships or work. I’ve also worked with clients with addictions such as drugs and alcohol. My aim is to work with the client to help them achieve their full potential.
Thank you for looking at my profile. My name is Paul and I’m a registered MBACP counsellor. My experience is quite broad, working with people with anxiety, low self-esteem, issues with relationships or work. I’ve also worked with clients with addictions such as drugs and alcohol. My aim is to work with the client to help them achieve their full potential.
![Photo of Gina Bryant, MBACP, Counsellor](https://photos.psychologytoday.com/1e76c405-ae2a-41cf-85c9-36d91c43257d/1/320x400.jpeg)
Welcome. I provide talking therapy to help adults, teenagers and young people, age 11 +. Life can be challenging and I work with clients facing the demands of a range of issues including stress and anxiety, pressure of work and demands, mid-life crisis, bereavement, traumatic loss and change. Student life can be stressful and I am experienced in working with overwhelming emotions, relationships and the stress of exams and expectations, so that you can find strategies for a positive way forward.
Welcome. I provide talking therapy to help adults, teenagers and young people, age 11 +. Life can be challenging and I work with clients facing the demands of a range of issues including stress and anxiety, pressure of work and demands, mid-life crisis, bereavement, traumatic loss and change. Student life can be stressful and I am experienced in working with overwhelming emotions, relationships and the stress of exams and expectations, so that you can find strategies for a positive way forward.
![Photo of Jenna Stoodley, MBACP, Counsellor](https://photos.psychologytoday.com/1cd47dcb-4988-418c-a319-22aaa775f10e/1/320x400.jpeg)
Hi, my name is Jenna and I am a qualified therapeutic counsellor. I have experience working with both adults and young people, and I have worked with clients experiencing depression, stress, anxiety, loss, difficulty in relationships, neurodiversity (both diagnosed, self-diagnosed or questioning), suicidal thoughts, trauma, disability, misdiagnosis, medical trauma, intrusive thoughts, abuse and neglect. I am LGBTQI+ friendly and aim to provide a neuro-affirming and gender-affirming environment.
Hi, my name is Jenna and I am a qualified therapeutic counsellor. I have experience working with both adults and young people, and I have worked with clients experiencing depression, stress, anxiety, loss, difficulty in relationships, neurodiversity (both diagnosed, self-diagnosed or questioning), suicidal thoughts, trauma, disability, misdiagnosis, medical trauma, intrusive thoughts, abuse and neglect. I am LGBTQI+ friendly and aim to provide a neuro-affirming and gender-affirming environment.
![Photo of Dr Eleanor Martin, PsychD, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/0cb021c8-fcbb-4d3d-a0fc-153ebe94faef/2/320x400.jpeg)
I am a Chartered Clinical Psychologist, with over 10 years experience working in the NHS and Local Authority services. I work with children, young people and adults who are seeking help for their mental health and well being. I support people to make sense of how their problems developed, recognise how their problems impact their life and consider what strategies can make a difference.
I am a Chartered Clinical Psychologist, with over 10 years experience working in the NHS and Local Authority services. I work with children, young people and adults who are seeking help for their mental health and well being. I support people to make sense of how their problems developed, recognise how their problems impact their life and consider what strategies can make a difference.
![Photo of Carolyn Dunmur, MBACP, Counsellor](https://photos.psychologytoday.com/4bdad0ea-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Whether you are looking for support through challenging times or trying to make sense of your life, talking to a professional counsellor can be really valuable when things feel overwhelming and uncertain, we all need help at times. Feelings we can’t manage or make sense of can impact on our whole sense of well-being and prevent us from living our lives fully. Counselling can help manage current situations and look at new ways of coping. It can also give us insight, understanding and perspective on past experiences.
Whether you are looking for support through challenging times or trying to make sense of your life, talking to a professional counsellor can be really valuable when things feel overwhelming and uncertain, we all need help at times. Feelings we can’t manage or make sense of can impact on our whole sense of well-being and prevent us from living our lives fully. Counselling can help manage current situations and look at new ways of coping. It can also give us insight, understanding and perspective on past experiences.
![Photo of Lee Payton, MBACP Accred, Counsellor](https://photos.psychologytoday.com/83bb36c3-e707-447f-b698-8141b431e1b6/2/320x400.jpeg)
Hello, I'm Lee and thanks for visiting my profile. I work with a range of differing clients from age 18 to older-age adult. I have a special interest in anxiety and related issues, such as panic attacks and stress. My training in counselling and psychotherapy is available to help you understand what is taking place when experiencing strong feelings and emotions, whether they be due to anxiety, stress, panic attacks, low mood, self-harm or a range of many other areas I can help with. An initial phone chat or Zoom costs you nothing: I'm always happy to chat through where I can help you.
Hello, I'm Lee and thanks for visiting my profile. I work with a range of differing clients from age 18 to older-age adult. I have a special interest in anxiety and related issues, such as panic attacks and stress. My training in counselling and psychotherapy is available to help you understand what is taking place when experiencing strong feelings and emotions, whether they be due to anxiety, stress, panic attacks, low mood, self-harm or a range of many other areas I can help with. An initial phone chat or Zoom costs you nothing: I'm always happy to chat through where I can help you.
![Photo of Claire Meredith, MBACP, Counsellor](https://photos.psychologytoday.com/f413808f-4136-49eb-9243-a4288380a253/1/320x400.jpeg)
There are moments in all our lives when we need some help. As an experienced psychotherapeutic counsellor, I offer safe and caring support through talking therapy. Pressures of life, responsibility, change, loss and unresolved past experience can all impact how we feel. When our personal resources are stretched, even a little extra stress may be overwhelming. I offer a confidential space where you can feel heard, a safe place to focus on your concerns, support and compassion in understanding your individual needs, help with issues including anxiety, depression, self-esteem, identity, relationships, loss and trauma.
There are moments in all our lives when we need some help. As an experienced psychotherapeutic counsellor, I offer safe and caring support through talking therapy. Pressures of life, responsibility, change, loss and unresolved past experience can all impact how we feel. When our personal resources are stretched, even a little extra stress may be overwhelming. I offer a confidential space where you can feel heard, a safe place to focus on your concerns, support and compassion in understanding your individual needs, help with issues including anxiety, depression, self-esteem, identity, relationships, loss and trauma.
![Photo of Suzanne Burrage, MBACP, Counsellor](https://photos.psychologytoday.com/3f80781e-7385-4a22-9cfe-a04fb61a4bfe/1/320x400.jpeg)
Hi, my name is Suzanne, firstly thank you for looking at my profile. I am an experienced and fully qualified integrative counsellor and a registered member of the British Association for Counselling and Psychotherapy (BACP). I have experience in working with a wide range of issues that could be affecting your well-being and how you feel about yourself. Life changes such as illness, bereavement, menopause, parenting, infidelity, relationship breakdowns, divorce, identity issues, addictions, and work and family pressures can be some of the challenges you are facing. These each take their toll and leave us struggling to cope.
Hi, my name is Suzanne, firstly thank you for looking at my profile. I am an experienced and fully qualified integrative counsellor and a registered member of the British Association for Counselling and Psychotherapy (BACP). I have experience in working with a wide range of issues that could be affecting your well-being and how you feel about yourself. Life changes such as illness, bereavement, menopause, parenting, infidelity, relationship breakdowns, divorce, identity issues, addictions, and work and family pressures can be some of the challenges you are facing. These each take their toll and leave us struggling to cope.
See more therapy options for HP4
How does your Counsellor compare?
Number of Counsellors in HP4
60+
Average cost per session
£60
Counsellors in HP4 who prioritize treating:
94% | Anxiety |
89% | Self Esteem |
87% | Depression |
84% | Relationship Issues |
84% | Stress |
71% | Bereavement |
68% | Life Transitions |
Average years in practice
8 Years
Top 3 insurances accepted
76% | WPA |
71% | Aviva |
65% | Bupa |
How Counsellors in HP4 see their clients
94% | In Person and Online | |
6% | Online Only |
Gender breakdown
86% | Female | |
14% | Male |
FAQs - About Therapy and Counselling
How can I find a therapist in HP4?
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
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.
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.
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.