Counselling in Bristol

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Photo of Emma Reeves, MSc, HCPC-Art Therap., Psychotherapist
Emma Reeves
Psychotherapist, MSc, HCPC-Art Therap.
Verified Verified
Bristol BS6
I am Art Psychotherapist providing art therapy sessions to adults and young adults in Bristol. I have 15 years experience practicing as an Art Psychotherapist with children, young people and adults in the voluntary sector. I am currently working within the Child and Adolescent Mental Health Service. I am familiar with working with the wide range of symptoms arising from trauma such as: anxiety, depression, self harm, behavioural difficulties, dissociation, hyperactivity, hypervigilance, eating difficulties, social difficulties, anger, aggression, etc. I am specialised in working with trauma.
I am Art Psychotherapist providing art therapy sessions to adults and young adults in Bristol. I have 15 years experience practicing as an Art Psychotherapist with children, young people and adults in the voluntary sector. I am currently working within the Child and Adolescent Mental Health Service. I am familiar with working with the wide range of symptoms arising from trauma such as: anxiety, depression, self harm, behavioural difficulties, dissociation, hyperactivity, hypervigilance, eating difficulties, social difficulties, anger, aggression, etc. I am specialised in working with trauma.
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Photo of Samantha Coleman, DCounsPsych, MBACP, Counsellor
Samantha Coleman
Counsellor, DCounsPsych, MBACP
Verified Verified
Bristol BS9  (Online Only)
Waitlist for new clients
If you're neurodivergent, facing enduring mental health or relationship challenges, and feel overlooked by conventional approaches, I'm here to take a different path with you. I want to hear about the world from your perspective—your challenges, your aspirations, your day-to-day. This isn't about fitting you into a box or fixing what's 'wrong'. I'm keen to hear your story – the real you, with all the quirks and colours that make you, well, you. If you're ready for a fresh ear and a new chapter, I'm here to flip the script with you.
If you're neurodivergent, facing enduring mental health or relationship challenges, and feel overlooked by conventional approaches, I'm here to take a different path with you. I want to hear about the world from your perspective—your challenges, your aspirations, your day-to-day. This isn't about fitting you into a box or fixing what's 'wrong'. I'm keen to hear your story – the real you, with all the quirks and colours that make you, well, you. If you're ready for a fresh ear and a new chapter, I'm here to flip the script with you.
0117 463 5786 View 0117 463 5786
Photo of Monika Frise, MA, UKCP Trainee, Psychotherapist
Monika Frise
Psychotherapist, MA, UKCP Trainee
Verified Verified
Bristol BS2
I believe that every client is unique, and their experiences, challenges, and needs are equally distinct. My approach is to cultivate an inclusive and collaborative environment where we can explore and address whatever issues or concerns you choose to bring forward. Together, we will navigate your journey towards growth, understanding, and fulfilment, tailored specifically to your circumstances and aspirations.
I believe that every client is unique, and their experiences, challenges, and needs are equally distinct. My approach is to cultivate an inclusive and collaborative environment where we can explore and address whatever issues or concerns you choose to bring forward. Together, we will navigate your journey towards growth, understanding, and fulfilment, tailored specifically to your circumstances and aspirations.
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Photo of Carly Read, BACP, Counsellor
Carly Read
Counsellor, BACP
Verified Verified
Bristol BS6  (Online Only)
Hi I’m Carly. I’m an integrative feminist therapist. Which basically means I don’t think there is a one size fits all approach to therapy. I specialise though in working with children & young people, survivors of trauma and the LGBTQIA+ community (of which I’m a proud member). I have years of experience working with women, children and young people, having worked for charities like National Women's Aid, The NSPCC, Rape Crisis and Off The Record. I’m also an artist, and a big believer in the healing power of play & creativity. I am happy to work with you in this way if you want to, though equally there’s no pressure to.
Hi I’m Carly. I’m an integrative feminist therapist. Which basically means I don’t think there is a one size fits all approach to therapy. I specialise though in working with children & young people, survivors of trauma and the LGBTQIA+ community (of which I’m a proud member). I have years of experience working with women, children and young people, having worked for charities like National Women's Aid, The NSPCC, Rape Crisis and Off The Record. I’m also an artist, and a big believer in the healing power of play & creativity. I am happy to work with you in this way if you want to, though equally there’s no pressure to.
0117 456 3051 View 0117 456 3051
Photo of Donna Taylor - Horus Wellbeing Contemporary Therapy, MBACP, Counsellor
Horus Wellbeing Contemporary Therapy
Counsellor, MBACP
Verified Verified
Bristol BS5
Feeling safety in a complex world is no mean feet. Childhood, historic, or current experiences, interacting/reacting with the complexities brought about by the pandemic, can exhaust any capacity for resilience. maybe you're a parent/carer of children transitioning from the intensity of lockdown to the uncertainty of the easing of restrictions? Is this further complicated by returning to education settings for children with Autism, ADHD, FASD, SPD, trauma and attachment? Maybe you are a foster care or adoptive parent wondering how to rebalance the attachment bond after the intensity of lockdown, recalibrating interfamilial dynamics?
Feeling safety in a complex world is no mean feet. Childhood, historic, or current experiences, interacting/reacting with the complexities brought about by the pandemic, can exhaust any capacity for resilience. maybe you're a parent/carer of children transitioning from the intensity of lockdown to the uncertainty of the easing of restrictions? Is this further complicated by returning to education settings for children with Autism, ADHD, FASD, SPD, trauma and attachment? Maybe you are a foster care or adoptive parent wondering how to rebalance the attachment bond after the intensity of lockdown, recalibrating interfamilial dynamics?
01275 402727 View 01275 402727
Kate Hannay
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
Bristol BS6  (Online Only)
I work with people struggling with anxiety, depression and relationship issues. I am particularly interested in working with trauma, anger, depression and OCD but enjoy working with almost any problem.
I work with people struggling with anxiety, depression and relationship issues. I am particularly interested in working with trauma, anger, depression and OCD but enjoy working with almost any problem.
0117 463 3027 View 0117 463 3027
Photo of Patrick Fountain, MA, MBACP, Counsellor
Patrick Fountain
Counsellor, MA, MBACP
Verified Verified
Bristol BS1
Welcome to Repertoire Counselling. At a certain point life feels overwhelming, we struggle to carry and understand the weight of our feelings, leading us to feel lost, stuck, alone, anxious, angry and fighting through life all by ourselves. My journey to becoming a therapist emerged out of painful experiences, which I am grateful because I love helping my clients to navigate their way through all that life has to throw at them. Talking to someone outside of your situation, who is not a family member or a friend can help in gaining relief, self-understanding, self-acceptance and help to build resilience and envision a way forward.
Welcome to Repertoire Counselling. At a certain point life feels overwhelming, we struggle to carry and understand the weight of our feelings, leading us to feel lost, stuck, alone, anxious, angry and fighting through life all by ourselves. My journey to becoming a therapist emerged out of painful experiences, which I am grateful because I love helping my clients to navigate their way through all that life has to throw at them. Talking to someone outside of your situation, who is not a family member or a friend can help in gaining relief, self-understanding, self-acceptance and help to build resilience and envision a way forward.
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Photo of Elizabeth Sorapure, MNCPS Acc., Counsellor
Elizabeth Sorapure
Counsellor, MNCPS Acc.
Verified Verified
Bristol BS6
We are living in challengesing times and its impact on our mental health is no surprise. You may never have experienced anxiety or depression before, and so now that can feel daunting, or its familar for you. My experience has enabled me to understand the ways we can look after mental wellbeing. I am supportive, encouraging, patient and calm. I take an active part in the counselling work and I want to understand the cause of your struggle. Sometimes it can help to talk about your past experiences and relationships, gathering insight into how they may impact the present time.
We are living in challengesing times and its impact on our mental health is no surprise. You may never have experienced anxiety or depression before, and so now that can feel daunting, or its familar for you. My experience has enabled me to understand the ways we can look after mental wellbeing. I am supportive, encouraging, patient and calm. I take an active part in the counselling work and I want to understand the cause of your struggle. Sometimes it can help to talk about your past experiences and relationships, gathering insight into how they may impact the present time.
0117 456 2841 View 0117 456 2841
Photo of Tanya Ratcliff - Tanya Ratcliff Counselling, MBACP, Counsellor
Tanya Ratcliff Counselling
Counsellor, MBACP
Verified Verified
Bristol BS15
If you're considering counselling, you're probably experiencing some emotional challenges. Perhaps you’re feeling stuck or your struggling with loss, relationships and uncertainty. Battling feelings of depression, worthlessness, anxiety, or stress. Maybe using now unhelpful coping strategies like food, drugs and alcohol to manage. I offer confidential private 1-1 counselling with adults of all ages (+18) on a variety of issues and have specialist knowledge and experience in both mental health and substance misuse.
If you're considering counselling, you're probably experiencing some emotional challenges. Perhaps you’re feeling stuck or your struggling with loss, relationships and uncertainty. Battling feelings of depression, worthlessness, anxiety, or stress. Maybe using now unhelpful coping strategies like food, drugs and alcohol to manage. I offer confidential private 1-1 counselling with adults of all ages (+18) on a variety of issues and have specialist knowledge and experience in both mental health and substance misuse.
0117 463 2423 View 0117 463 2423
Photo of Hannah Byrne - Sapling CBT (cbt, emdr, btti for tics) , MSc
Sapling CBT (cbt, emdr, btti for tics)
MSc
Verified Verified
Bristol BS3
Thank you for taking the time to view my profile. I am a specialist Child and Adolescent Psychotherapist. My professional background is Educational Psychology, trauma and attachment therapy with 18 years experience supporting families. I help people aged 8- 24 who have experienced trauma, anxiety, low mood tics and care experienced young people. We will work together to build a bespoke treatment plan, I believe we all have the potential for positive wellbeing, I will work with you to uncover what this means to you. Weekly clinic held in Bath and Bristol and online.
Thank you for taking the time to view my profile. I am a specialist Child and Adolescent Psychotherapist. My professional background is Educational Psychology, trauma and attachment therapy with 18 years experience supporting families. I help people aged 8- 24 who have experienced trauma, anxiety, low mood tics and care experienced young people. We will work together to build a bespoke treatment plan, I believe we all have the potential for positive wellbeing, I will work with you to uncover what this means to you. Weekly clinic held in Bath and Bristol and online.
0117 325 4798 View 0117 325 4798
Photo of Natasha Vdovkina, MBACP Accred, Counsellor
Natasha Vdovkina
Counsellor, MBACP Accred
Verified Verified
Bristol BS8
No evening or weekend availability. Fully qualified, BACP and EMDR accredited, I have been working with clients in a variety of settings, including the NHS, local therapy centre for women, Bristol University, voluntary sector organisations and private practice. Whether you are feeling overwhelmed by life’s demands, struggling with anxiety and depression, experienced trauma as a child or adult, or simply looking for self-growth and deeper understanding of yourself, I hope to be able to help you.
No evening or weekend availability. Fully qualified, BACP and EMDR accredited, I have been working with clients in a variety of settings, including the NHS, local therapy centre for women, Bristol University, voluntary sector organisations and private practice. Whether you are feeling overwhelmed by life’s demands, struggling with anxiety and depression, experienced trauma as a child or adult, or simply looking for self-growth and deeper understanding of yourself, I hope to be able to help you.
0117 463 3255 View 0117 463 3255
Photo of Karen Deeming, MA, MUKCP, Psychotherapist
Karen Deeming
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Bristol BS1
Counselling and psychotherapy is about you: your concerns, and your wellbeing. We can talk about me, and what clients say about me later. But for now, let's establish how you can benefit from professional support...... Does any of this sound like you? "I want to reduce stress" "I feel anxious all the time" "I wish I was more confident and less critical about myself " "I want to feel optimistic instead of negative all the time" ...Or perhaps you want some direction in life, become more productive or improve your relationships?
Counselling and psychotherapy is about you: your concerns, and your wellbeing. We can talk about me, and what clients say about me later. But for now, let's establish how you can benefit from professional support...... Does any of this sound like you? "I want to reduce stress" "I feel anxious all the time" "I wish I was more confident and less critical about myself " "I want to feel optimistic instead of negative all the time" ...Or perhaps you want some direction in life, become more productive or improve your relationships?
01275 402714 View 01275 402714
Photo of Nazeia Rani, MBACP, Psychotherapist
Nazeia Rani
Psychotherapist, MBACP
Verified Verified
Bristol BS16
I am a psychotherapist working with adults, children and young people in Bristol. I offer a confidential space to talk about the difficulties you might be experiencing and to explore the positive changes you can make. If you want to enhance your quality of life and important relationships, I'll be happy to meet with you and discuss how counselling or psychotherapy can help you achieve those goals.
I am a psychotherapist working with adults, children and young people in Bristol. I offer a confidential space to talk about the difficulties you might be experiencing and to explore the positive changes you can make. If you want to enhance your quality of life and important relationships, I'll be happy to meet with you and discuss how counselling or psychotherapy can help you achieve those goals.
0117 325 4341 View 0117 325 4341
Hellena Bitsios
Psychotherapist, MA, MBACP
Verified Verified
Bristol BS2
My work is underpinned by Buddhist principles and practice and is strongly influenced by Jungian and Humanistic psychology as well as Family Constellation principles and Shamanic Practice. I offer a warm, non-judgmental, and safe space where you can explore the feelings, the thoughts, and relational patterns which get in the way of you fully living.
My work is underpinned by Buddhist principles and practice and is strongly influenced by Jungian and Humanistic psychology as well as Family Constellation principles and Shamanic Practice. I offer a warm, non-judgmental, and safe space where you can explore the feelings, the thoughts, and relational patterns which get in the way of you fully living.
0117 463 7961 View 0117 463 7961
Photo of Joe Pawson, MA, MUKCP, Psychotherapist
Joe Pawson
Psychotherapist, MA, MUKCP
Verified Verified
Bristol BS7  (Online Only)
People come to psychotherapy for all kinds of different reasons. Perhaps a particular issue is making life very difficult, or maybe you have more general feelings of discontentment, unease or unhappiness that you want to address. One-to-one psychotherapy can help by providing a safe, therapeutic space in which you feel able to explore and express difficult thoughts, feelings and memories. This process of deep exploration helps you to grow and develop in areas that have previously felt stuck, painful or have been blocked out.
People come to psychotherapy for all kinds of different reasons. Perhaps a particular issue is making life very difficult, or maybe you have more general feelings of discontentment, unease or unhappiness that you want to address. One-to-one psychotherapy can help by providing a safe, therapeutic space in which you feel able to explore and express difficult thoughts, feelings and memories. This process of deep exploration helps you to grow and develop in areas that have previously felt stuck, painful or have been blocked out.
0117 463 3300 View 0117 463 3300
Photo of Ben Findlay, PNCPS Acc., Counsellor
Ben Findlay
Counsellor, PNCPS Acc.
Verified Verified
1 Endorsed
Bristol BS2
Life can be difficult, however, there are times when difficulties and feelings become overwhelming and everything seems like a struggle. Having a capable ally alongside you who is impartial, warm and honest can be what’s needed to recognise and shift out of unhelpful patterns of thinking and behaviour. Living in this world can't always be safe but I believe we are meant to feel safe in our bodies and our sense of who we are. Rather than 'fixing' problems, focusing on being 'better' or even happier, we can develop our sense of security, wholeness and worth, increasing our ability to navigate life's challenges.
Life can be difficult, however, there are times when difficulties and feelings become overwhelming and everything seems like a struggle. Having a capable ally alongside you who is impartial, warm and honest can be what’s needed to recognise and shift out of unhelpful patterns of thinking and behaviour. Living in this world can't always be safe but I believe we are meant to feel safe in our bodies and our sense of who we are. Rather than 'fixing' problems, focusing on being 'better' or even happier, we can develop our sense of security, wholeness and worth, increasing our ability to navigate life's challenges.
0117 463 4615 View 0117 463 4615
Photo of Donna Person, MBACP, Counsellor
Donna Person
Counsellor, MBACP
Verified Verified
Bristol BS6
If life feels like its falling apart and you feel lost, I can help you find your way back home reconnecting you to your mind, body and soul. Turning toward our suffering is not easy and you have already taking a very brave step by seeking help. I offer you a warm, open and peaceful space to gently explore the places in your life that feel disconnected and investigate the impact of this on your emotional, mental and physical health and wellbeing.
If life feels like its falling apart and you feel lost, I can help you find your way back home reconnecting you to your mind, body and soul. Turning toward our suffering is not easy and you have already taking a very brave step by seeking help. I offer you a warm, open and peaceful space to gently explore the places in your life that feel disconnected and investigate the impact of this on your emotional, mental and physical health and wellbeing.
0117 325 4995 View 0117 325 4995
Photo of Anne Amara, MNCPS Acc., Counsellor
Anne Amara
Counsellor, MNCPS Acc.
Verified Verified
Bristol BS15  (Online Only)
I offer a confidential and non-judgemental space for people who wish to deepen their understanding and awareness of themselves, to find support in a time of distress or to address a particular issue. I tailor my work to your specific needs. I work with each person in a unique and individual way, at a pace that suits them. You will be heard in confidence, without judgement and with your needs at the heart of our time together. I am a proud member of the LGBTQIA+ community and am a dedicated and compassionate counsellor with a deep understanding and commitment to serving the diverse needs of this community.
I offer a confidential and non-judgemental space for people who wish to deepen their understanding and awareness of themselves, to find support in a time of distress or to address a particular issue. I tailor my work to your specific needs. I work with each person in a unique and individual way, at a pace that suits them. You will be heard in confidence, without judgement and with your needs at the heart of our time together. I am a proud member of the LGBTQIA+ community and am a dedicated and compassionate counsellor with a deep understanding and commitment to serving the diverse needs of this community.
0117 463 2213 View 0117 463 2213
Photo of Anna Dabek, MBBS, GMBPsS, Psychologist
Anna Dabek
Psychologist, MBBS, GMBPsS
Verified Verified
Bristol BS9
Jestem psychologiem i praktykiem SE (Somatic Experiencing Practicioner ). Somatic Experiencing ® (SE) działa na układ nerwowy, który łączy mózg i ciało. Świadomość doznań w ciele daje dostęp do układu nerwowego i naturalnych zdolności uzdrawiania organizmu w celu rozwiązania traumy, szoku i zaburzeń związanych ze stresem.Trauma przybiera wiele form; oczywiste, jawne, takie jak przemoc fizyczna lub seksualna, wypadki samochodowe, wojny, katastrofy itp., a także mniej oczywiste lub ukryte formy, takie jak emocjonalne znęcanie się lub zaniedbanie, zastraszanie.
Jestem psychologiem i praktykiem SE (Somatic Experiencing Practicioner ). Somatic Experiencing ® (SE) działa na układ nerwowy, który łączy mózg i ciało. Świadomość doznań w ciele daje dostęp do układu nerwowego i naturalnych zdolności uzdrawiania organizmu w celu rozwiązania traumy, szoku i zaburzeń związanych ze stresem.Trauma przybiera wiele form; oczywiste, jawne, takie jak przemoc fizyczna lub seksualna, wypadki samochodowe, wojny, katastrofy itp., a także mniej oczywiste lub ukryte formy, takie jak emocjonalne znęcanie się lub zaniedbanie, zastraszanie.
0117 463 6980 View 0117 463 6980
Photo of Karen Jones, COSRT Accred, Counsellor
Karen Jones
Counsellor, COSRT Accred
Verified Verified
Bristol BS6  (Online Only)
Hello, my name is Karen. I work with couples and with individuals who are experiencing sexual and/ or relationship difficulties. It may be that you would like to attend therapy sessions on your own to look at a specific sexual issue or to make sense of a problematic relationship history. Alternatively you may be looking for couple sessions to explore and resolve sexual or relational difficulties between you. I am very experienced in all of these areas and I offer a safe, open and non-judgemental space within which to help you find solutions.
Hello, my name is Karen. I work with couples and with individuals who are experiencing sexual and/ or relationship difficulties. It may be that you would like to attend therapy sessions on your own to look at a specific sexual issue or to make sense of a problematic relationship history. Alternatively you may be looking for couple sessions to explore and resolve sexual or relational difficulties between you. I am very experienced in all of these areas and I offer a safe, open and non-judgemental space within which to help you find solutions.
01275 408900 View 01275 408900
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See more therapy options for Bristol

How does your Counsellor compare?

Number of Counsellors in Bristol

600+

Average cost per session

£60

Counsellors in Bristol who prioritize treating:

91% Anxiety
85% Self Esteem
84% Depression
78% Stress
77% Relationship Issues
68% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

63% AXA PPP
60% Aviva
48% Bupa

How Counsellors in Bristol see their clients

74% In Person and Online
26% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Bristol?

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.