Counselling in London

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Photo of Jana Martiskova Phd, PhD, MNCPS Acc., Psychotherapist
Jana Martiskova Phd
Psychotherapist, PhD, MNCPS Acc.
Verified Verified
1 Endorsed
London SE1
Hello, there are many different reasons that brought you here to read these lines. Maybe you are experiencing negative emotions and feel overwhelmed by them. Maybe you have lots of worries, unwanted, or self-critical thoughts that are difficult to control. Or maybe you struggle with unhealthy behaviours you want to change, but you do not know how. Are you stuck and it is difficult for you to make decisions and take actions? Or maybe you want to find a therapist for someone you love and care about. Taking the first step might be daunting. Could I be the right person for you? I am a CBT therapist offering in-person and online sessions
Hello, there are many different reasons that brought you here to read these lines. Maybe you are experiencing negative emotions and feel overwhelmed by them. Maybe you have lots of worries, unwanted, or self-critical thoughts that are difficult to control. Or maybe you struggle with unhealthy behaviours you want to change, but you do not know how. Are you stuck and it is difficult for you to make decisions and take actions? Or maybe you want to find a therapist for someone you love and care about. Taking the first step might be daunting. Could I be the right person for you? I am a CBT therapist offering in-person and online sessions
020 3835 5102 View 020 3835 5102
Photo of Shirley Archibald-William, MBACP Accred, Counsellor
Shirley Archibald-William
Counsellor, MBACP Accred
Verified Verified
London W13
My mantra, "Once we face the things we fear, they no longer have power over us!" So well done for taking your initial steps towards change. We get stuck within our own worlds (especially our past), fearful that we will not be heard or even understood. The 'noises' within us remain unheard setting the tone to overthink/discredit our way own way of being. We find sanctuary in others peoples words, feelings, emotions, thoughts & continue to dishonor our own as we are fearful for what we mite have to face - demeaning our needs seem so much easier than confront them?
My mantra, "Once we face the things we fear, they no longer have power over us!" So well done for taking your initial steps towards change. We get stuck within our own worlds (especially our past), fearful that we will not be heard or even understood. The 'noises' within us remain unheard setting the tone to overthink/discredit our way own way of being. We find sanctuary in others peoples words, feelings, emotions, thoughts & continue to dishonor our own as we are fearful for what we mite have to face - demeaning our needs seem so much easier than confront them?
020 3835 4612 View 020 3835 4612
Photo of Munise Sabri, MA, MBACP, Psychotherapist
Munise Sabri
Psychotherapist, MA, MBACP
Verified Verified
London SE9
“The wound is the place where the Light enters you.” — Rumi Therapy is a tool to resolve the challenges in your life, to help you feel more confident and more in control, providing insight and showing you a path through the experiences that are part of being human. Life can put you in a lonely place, maybe too hard to cope with, complicated,challenging or confusing. I offer you the space for your story to be told, heard and understood in a confidential, non-judgmental safe space. There is nothing that cannot be "worked with and worked through".
“The wound is the place where the Light enters you.” — Rumi Therapy is a tool to resolve the challenges in your life, to help you feel more confident and more in control, providing insight and showing you a path through the experiences that are part of being human. Life can put you in a lonely place, maybe too hard to cope with, complicated,challenging or confusing. I offer you the space for your story to be told, heard and understood in a confidential, non-judgmental safe space. There is nothing that cannot be "worked with and worked through".
020 8103 8596 View 020 8103 8596
Photo of Hannah Frenken, PsychD, HCPC - Clin. Psych., Psychologist
Hannah Frenken
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London N16  (Online Only)
I'm a clinical psychologist offering individual therapy for adults. I appreciate how hard it can be to start working with a new therapist, and prioritise creating a trusting working relationship where difficulties can be discussed without shame or judgement. I continue to work in the NHS as a senior psychologist, and have several years of experience working with people across the lifespan facing a range of difficulties.
I'm a clinical psychologist offering individual therapy for adults. I appreciate how hard it can be to start working with a new therapist, and prioritise creating a trusting working relationship where difficulties can be discussed without shame or judgement. I continue to work in the NHS as a senior psychologist, and have several years of experience working with people across the lifespan facing a range of difficulties.
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Photo of Maya Patel - Dr Maya Patel, Willow Psychology Service, PsychD, HCPC - Clin. Psych., Psychologist
Dr Maya Patel, Willow Psychology Service
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London EC2A  (Online Only)
Many of us will experience difficult moments in our lives which may leave us feeling stuck or overwhelmed. I’m glad that you have taken the first step to seek support and share what has been going on for you. My aim is to provide a safe space for you to be able to express and understand how you have been feeling, in addition to helping you identify your personal strengths and resources. Some clients hope to gain specific tools and strategies to manage feelings such as low mood or anxiety, whilst others seek a space to talk openly about a particular situation and reflect on its impact on their day-to-day life and wellbeing.
Many of us will experience difficult moments in our lives which may leave us feeling stuck or overwhelmed. I’m glad that you have taken the first step to seek support and share what has been going on for you. My aim is to provide a safe space for you to be able to express and understand how you have been feeling, in addition to helping you identify your personal strengths and resources. Some clients hope to gain specific tools and strategies to manage feelings such as low mood or anxiety, whilst others seek a space to talk openly about a particular situation and reflect on its impact on their day-to-day life and wellbeing.
020 3893 2065 View 020 3893 2065
Photo of Rosanna Singler, MUKCP, Psychotherapist
Rosanna Singler
Psychotherapist, MUKCP
Verified Verified
London E8
I am an integrative psychotherapist and counsellor, with several years’ experience supporting individuals privately and in the voluntary sector. I provide therapy which is accepting and supportive to enable you to safely and creatively explore what it is you are struggling with. We can all become stuck or disconnected at times. Therapy can help us slow down for a moment, feel safe enough to re-connect with ourselves. It is then possible to reflect and discover what it is our bodies are telling us we need to move towards change or to feel freer in ourselves. I provide short, medium, long-term and open-ended therapy to adults.
I am an integrative psychotherapist and counsellor, with several years’ experience supporting individuals privately and in the voluntary sector. I provide therapy which is accepting and supportive to enable you to safely and creatively explore what it is you are struggling with. We can all become stuck or disconnected at times. Therapy can help us slow down for a moment, feel safe enough to re-connect with ourselves. It is then possible to reflect and discover what it is our bodies are telling us we need to move towards change or to feel freer in ourselves. I provide short, medium, long-term and open-ended therapy to adults.
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Photo of Anthony Richard Fletcher Clarke, MBACP Snr. Accred, Psychotherapist
Anthony Richard Fletcher Clarke
Psychotherapist, MBACP Snr. Accred
Verified Verified
London SE1
Extreme trauma exists in PTSD but in some way all of us experience trauma from the school bully to the manager who does not listen. We all have states of anxiety and depression. What is a normal state and how do we know if we are heading for a breakdown. What is a balanced happy life? We can have control of some things in our life and other things come along and smack us in the face. What therapy with me does is give you a space for observation without personal judgement or criticism , just questions from me so that I understand your motivations and help shape your goals. Sometimes your answers are in the past, often in the present.
Extreme trauma exists in PTSD but in some way all of us experience trauma from the school bully to the manager who does not listen. We all have states of anxiety and depression. What is a normal state and how do we know if we are heading for a breakdown. What is a balanced happy life? We can have control of some things in our life and other things come along and smack us in the face. What therapy with me does is give you a space for observation without personal judgement or criticism , just questions from me so that I understand your motivations and help shape your goals. Sometimes your answers are in the past, often in the present.
020 8059 2297 View 020 8059 2297
Photo of Pinar Demir, MBACP, Psychotherapist
Pinar Demir
Psychotherapist, MBACP
Verified Verified
London N21
Welcome to my profile.My name is Pinar, I am an Integrative Psychotherapist. I combine different therapeutic tools and approaches to fit the needs of my clients.I work with children, adults and couples.In this day and age one in four people go through some kind of emotional or psychological difficulties throughout their lives.If that is how you have been feeling you are not alone, i am here to help you come to terms with your difficulties and help you resolve them with you.
Welcome to my profile.My name is Pinar, I am an Integrative Psychotherapist. I combine different therapeutic tools and approaches to fit the needs of my clients.I work with children, adults and couples.In this day and age one in four people go through some kind of emotional or psychological difficulties throughout their lives.If that is how you have been feeling you are not alone, i am here to help you come to terms with your difficulties and help you resolve them with you.
07723 449546 View 07723 449546
Photo of Claudia Battel, MBACP, Counsellor
Claudia Battel
Counsellor, MBACP
Verified Verified
3 Endorsed
London SE19
Hello and welcome, I am Claudia. I am a person-centred therapeutic counsellor and member of the British Association for Counselling and Psychotherapy (MBACP-402951).
Hello and welcome, I am Claudia. I am a person-centred therapeutic counsellor and member of the British Association for Counselling and Psychotherapy (MBACP-402951).
020 4538 1715 View 020 4538 1715
Photo of Dr Anna Herrmann, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Anna Herrmann
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
London NW2  (Online Only)
Taking the step of contacting a therapist can be daunting: often, people have thought about it for a period of time, before something prompts them to reach out. However, much research has shown that therapy can be an effective way of solving many problems, whether they are about relationship problems, work problems, social fears or shyness, general presentations of depression or anxiety, or more specific mental health related symptoms, or troubling memories from the past, including childhood trauma. Therapy can also help with existential life issues or questions related to identity: who am I, and what do I really want?
Taking the step of contacting a therapist can be daunting: often, people have thought about it for a period of time, before something prompts them to reach out. However, much research has shown that therapy can be an effective way of solving many problems, whether they are about relationship problems, work problems, social fears or shyness, general presentations of depression or anxiety, or more specific mental health related symptoms, or troubling memories from the past, including childhood trauma. Therapy can also help with existential life issues or questions related to identity: who am I, and what do I really want?
07429 645970 View 07429 645970
Photo of Amanda Jane Baker, PsychD, MBACP, Psychotherapist
Amanda Jane Baker
Psychotherapist, PsychD, MBACP
Verified Verified
London EC1V
I am a integrative Psychotherapist and Counsellor and a registrant on the BACP Register of Counsellors and Psychotherapists. I am also a certified Clinical Hypnotherapist and rapid transformational therapist, trained in the Marisa Peer Method. What this means is that I draw on a wide range of different strategies, techniques, theories and trainings.
I am a integrative Psychotherapist and Counsellor and a registrant on the BACP Register of Counsellors and Psychotherapists. I am also a certified Clinical Hypnotherapist and rapid transformational therapist, trained in the Marisa Peer Method. What this means is that I draw on a wide range of different strategies, techniques, theories and trainings.
020 3834 8738 View 020 3834 8738
Photo of Sonja De Martini, MSc, MBACP, Psychotherapist
Sonja De Martini
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
London EC3V
The fact that you're here suggests a curiosity and a need to find someone to listen and to help you think about your current situation. It takes courage to reach out and connect with someone unknown to talk about feelings and emotions. Therapy offers a safe space to do so where you are met with warmth and empathy. I offer a comfortable non-judgemental confidential space where we can work together to make things better by making sense of your experiences.
The fact that you're here suggests a curiosity and a need to find someone to listen and to help you think about your current situation. It takes courage to reach out and connect with someone unknown to talk about feelings and emotions. Therapy offers a safe space to do so where you are met with warmth and empathy. I offer a comfortable non-judgemental confidential space where we can work together to make things better by making sense of your experiences.
020 3835 6236 View 020 3835 6236
Photo of Samantha Campbell, MBACP, Counsellor
Samantha Campbell
Counsellor, MBACP
Verified Verified
London SW16
Life has a tendency to throw major challenges at us without warning. You may find yourself dealing with a specific life changing circumstance such as a bereavement, traumatic experience, relationship difficulties or redundancy to name a few. Sometimes being able to pin point feelings can be a little difficult. You may be experiencing feelings of being in a rut and are anxious, depressed or just unsure of how you currently feel about your life or a certain situation.
Life has a tendency to throw major challenges at us without warning. You may find yourself dealing with a specific life changing circumstance such as a bereavement, traumatic experience, relationship difficulties or redundancy to name a few. Sometimes being able to pin point feelings can be a little difficult. You may be experiencing feelings of being in a rut and are anxious, depressed or just unsure of how you currently feel about your life or a certain situation.
020 3962 0638 View 020 3962 0638
Photo of Paul Moody, BACP, Counsellor
Paul Moody
Counsellor, BACP
Verified Verified
London SE22
I understand that you are going through a very difficult period in your life at present, and it is a possibility that you are experiencing emotional challenges that leave you feeling overwhelmed and unable to find the right solution to solve them. You may find that you are becoming increasingly frustrated with the direction your life is presently taking, which has led you to become your own harshest judge and critic. Whatever your psychological and emotional needs are, I am here to offer you a warm supportive confidential service that will encourage and empower you to achieve the emotional wellbeing.
I understand that you are going through a very difficult period in your life at present, and it is a possibility that you are experiencing emotional challenges that leave you feeling overwhelmed and unable to find the right solution to solve them. You may find that you are becoming increasingly frustrated with the direction your life is presently taking, which has led you to become your own harshest judge and critic. Whatever your psychological and emotional needs are, I am here to offer you a warm supportive confidential service that will encourage and empower you to achieve the emotional wellbeing.
020 3835 5987 View 020 3835 5987
Photo of Henry Olsen, DCounsPsych, MBACP, Psychotherapist
Henry Olsen
Psychotherapist, DCounsPsych, MBACP
Verified Verified
London NW6
I am an experienced counsellor registered with BACP. I work in Queens Park in London, and also work remotely (online and phone). I offer a non-judgmental space to help you explore your feelings, good and bad, in order to support you to move towards your true self. “I found therapy with you approachable and accessible. "I really enjoyed your straightforwardness and authenticity. I felt held. Thank you”. William, 2022. I charge £75 for in-person sessions and £55 for online sessions. Concessions are avaialble for students and unemployed people.
I am an experienced counsellor registered with BACP. I work in Queens Park in London, and also work remotely (online and phone). I offer a non-judgmental space to help you explore your feelings, good and bad, in order to support you to move towards your true self. “I found therapy with you approachable and accessible. "I really enjoyed your straightforwardness and authenticity. I felt held. Thank you”. William, 2022. I charge £75 for in-person sessions and £55 for online sessions. Concessions are avaialble for students and unemployed people.
020 3835 5976 View 020 3835 5976
Photo of Anna Victoria Williams, COSRT General, Psychotherapist
Anna Victoria Williams
Psychotherapist, COSRT General
Verified Verified
London W7  (Online Only)
I have worked for the NHS, Terrence Higgins Trust and Ealing Abbey Counselling Service working with individuals and couples from a diverse range of backgrounds. I have experience of providing in depth long-term therapy on complex issues such as the effects of conversion therapy as well as providing short term therapy for the NHS. I aim to resolve sexual problems and improve my client's overall well being, their self esteem and their relationships. I do this through the use of Psychosexual tools such as sensate focus and through allowing the client to discuss their thoughts and feelings in a safe and non-judgemental environment.
I have worked for the NHS, Terrence Higgins Trust and Ealing Abbey Counselling Service working with individuals and couples from a diverse range of backgrounds. I have experience of providing in depth long-term therapy on complex issues such as the effects of conversion therapy as well as providing short term therapy for the NHS. I aim to resolve sexual problems and improve my client's overall well being, their self esteem and their relationships. I do this through the use of Psychosexual tools such as sensate focus and through allowing the client to discuss their thoughts and feelings in a safe and non-judgemental environment.
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Photo of Dr Sarah Totman, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Sarah Totman
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
London WC1B
I bring over 15 years' of experience in NHS and educational settings. I have knowledge of a range of mental health issues including mood conditions (such as depression), anxiety and stress, but also issues related to personal growth, relationships and belonging. I understand that deciding you would like to explore talking therapy is an important step and comes with a lot of questions, but perhaps two are key: 'will therapy be helpful?' and 'will my therapist understand me and make me feel at ease?'. It is important to me that therapy is a positive experience for you and you feel supported and helped throughout the process.
I bring over 15 years' of experience in NHS and educational settings. I have knowledge of a range of mental health issues including mood conditions (such as depression), anxiety and stress, but also issues related to personal growth, relationships and belonging. I understand that deciding you would like to explore talking therapy is an important step and comes with a lot of questions, but perhaps two are key: 'will therapy be helpful?' and 'will my therapist understand me and make me feel at ease?'. It is important to me that therapy is a positive experience for you and you feel supported and helped throughout the process.
020 3835 2878 View 020 3835 2878
Photo of Nomir Ahmed, HCPC - Couns. Psych., Psychologist
Nomir Ahmed
Psychologist, HCPC - Couns. Psych.
Verified Verified
London NW1
I offer psychological therapy and counselling sessions to clients with a wide range of mental health problems. There is no one-size-fits-all. I believe in creating a safe space for transformational conversations that will help you move forward through the challenges that you are facing. I hold an open mind when asking about what a person requires help with and strive to identify strengths alongside areas they are struggling in. I provide tailored evidence-based psychological interventions which draws from cognitive behavioural therapy, attachment theory and systemic practice to help you find your own ‘fit’.
I offer psychological therapy and counselling sessions to clients with a wide range of mental health problems. There is no one-size-fits-all. I believe in creating a safe space for transformational conversations that will help you move forward through the challenges that you are facing. I hold an open mind when asking about what a person requires help with and strive to identify strengths alongside areas they are struggling in. I provide tailored evidence-based psychological interventions which draws from cognitive behavioural therapy, attachment theory and systemic practice to help you find your own ‘fit’.
020 3870 2497 View 020 3870 2497
Photo of Maria Cau, MBACP, Counsellor
Maria Cau
Counsellor, MBACP
Verified Verified
London N21
Welcome! Asking for help is not easy, especially if you find difficult to talk about things that upset you. Have you been thinking to try counselling but postponing making that call? Are you going through a challenging time in your relationships or feeling anxious, under the weather, worried for the future? Maybe you are under a lot of stress at work or in your personal life and feel exhausted all the time, or you might be experiencing the pain of loss and bereavement. Remember that you don't have to do it all on your own. I offer one to one session and couple counselling sessions. Please contact me by email for any enquiries.
Welcome! Asking for help is not easy, especially if you find difficult to talk about things that upset you. Have you been thinking to try counselling but postponing making that call? Are you going through a challenging time in your relationships or feeling anxious, under the weather, worried for the future? Maybe you are under a lot of stress at work or in your personal life and feel exhausted all the time, or you might be experiencing the pain of loss and bereavement. Remember that you don't have to do it all on your own. I offer one to one session and couple counselling sessions. Please contact me by email for any enquiries.
020 3984 8670 View 020 3984 8670
Photo of Kevin Scott, MBACP, Psychotherapist
Kevin Scott
Psychotherapist, MBACP
Verified Verified
London W4
Is there something troubling you? Something upsetting you? Something making you sad, anxious, angry, fearful, lonely or unheard? Have you lost someone you love or lost direction? Or is it something inside that you can’t fathom out, but is affecting your life? These feelings and many others are ones we all face during our lives and when they remain unaddressed they can lead to anxiety, depression, addiction, relationship problems, work issues, loss of self-confidence and self-esteem, or simply a feeling of being stuck. The good news is that therapy can help you explore one's issues you in a safe, caring and confidential space.
Is there something troubling you? Something upsetting you? Something making you sad, anxious, angry, fearful, lonely or unheard? Have you lost someone you love or lost direction? Or is it something inside that you can’t fathom out, but is affecting your life? These feelings and many others are ones we all face during our lives and when they remain unaddressed they can lead to anxiety, depression, addiction, relationship problems, work issues, loss of self-confidence and self-esteem, or simply a feeling of being stuck. The good news is that therapy can help you explore one's issues you in a safe, caring and confidential space.
020 3974 1328 View 020 3974 1328
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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:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

70% Aviva
64% AXA PPP
57% Vitality

How Counsellors in London see their clients

75% In Person and Online
25% 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.