Counselling in Bristol

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Photo of Becky Lewis, MA, MBACP, Psychotherapist
Becky Lewis
Psychotherapist, MA, MBACP
Verified Verified
Bristol BS8
Not accepting new clients
Unexpected life events, such as as death of a loved one, divorce, end of a relationship, loss of employment and sexual/domestic abuse, can be overwhelming that we find ourselves reacting or behaving in uncharacteristic ways such as overcome with anxiety, depression, extreme anger or adopt unhelpful coping mechanisms such as dependence on alcohol or drugs. Therapy provides the opportunity to process such life changing events and examines our response/behaviour as we deal with these issues. It is an opportunity to be truly heard, and heal without fear of judgement, being diminished or shamed.
Unexpected life events, such as as death of a loved one, divorce, end of a relationship, loss of employment and sexual/domestic abuse, can be overwhelming that we find ourselves reacting or behaving in uncharacteristic ways such as overcome with anxiety, depression, extreme anger or adopt unhelpful coping mechanisms such as dependence on alcohol or drugs. Therapy provides the opportunity to process such life changing events and examines our response/behaviour as we deal with these issues. It is an opportunity to be truly heard, and heal without fear of judgement, being diminished or shamed.
01275 403007 View 01275 403007
Photo of Sarah Jane Leonard, MBACP Accred, Counsellor
Sarah Jane Leonard
Counsellor, MBACP Accred
Verified Verified
Bristol BS3
Accredited member of the BACP: Face to face or video call. Over 16 years of experience. Relaxed and personable therapy where I Welcome you to my home or online where I offer a confidential, safe, professional, positive, supportive environment each session. I have been working in Counselling/psychotherapy for it’s my life’s passion. Let’s go back to your childhood and develop new skills to help you manage. I am down to earth and off a ray of understanding and guidance through difficult times. LGBTQ friendly.
Accredited member of the BACP: Face to face or video call. Over 16 years of experience. Relaxed and personable therapy where I Welcome you to my home or online where I offer a confidential, safe, professional, positive, supportive environment each session. I have been working in Counselling/psychotherapy for it’s my life’s passion. Let’s go back to your childhood and develop new skills to help you manage. I am down to earth and off a ray of understanding and guidance through difficult times. LGBTQ friendly.
0117 325 5728 View 0117 325 5728
Photo of Samantha Lloyd, PsychD, HCPC - Clin. Psych., Psychologist
Samantha Lloyd
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bristol BS1
Not accepting new clients
I have experience of working with clients experiencing a range of emotional difficulties including anxiety, low mood, PTSD, stress and burnout, low self-esteem and shame. I am experienced in working with trauma, adjustment to major life events, loss and bereavement. I also have a special interest in clinical health psychology and in supporting individuals who are experiencing health related emotional difficulties, such as adjusting to living with a diagnosis or physical symptoms, anxiety, low mood or treatment related trauma. I draw flexibly upon a range of evidence based approaches tailored to the individual and their needs.
I have experience of working with clients experiencing a range of emotional difficulties including anxiety, low mood, PTSD, stress and burnout, low self-esteem and shame. I am experienced in working with trauma, adjustment to major life events, loss and bereavement. I also have a special interest in clinical health psychology and in supporting individuals who are experiencing health related emotional difficulties, such as adjusting to living with a diagnosis or physical symptoms, anxiety, low mood or treatment related trauma. I draw flexibly upon a range of evidence based approaches tailored to the individual and their needs.
0117 463 0041 View 0117 463 0041
Photo of Dr Natalie Stott, PsychD, HCPC - Clin. Psych., Psychologist
Dr Natalie Stott
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Bristol BS8  (Online Only)
Also trained in EMDR, I am a HCPC registered clinical psychologist specialising in working with high achievers and professionals who experience intense anxiety and burnout, often brought about by perfectionism, imposter syndrome and people pleasing. You may have reached a roadblock because of the demands of your job, or because of difficult life circumstances. I can help you to regain your self confidence and work through those intense feelings of anxiety or not feeling good enough. It is possible make changes and learn to see yourself differently.
Also trained in EMDR, I am a HCPC registered clinical psychologist specialising in working with high achievers and professionals who experience intense anxiety and burnout, often brought about by perfectionism, imposter syndrome and people pleasing. You may have reached a roadblock because of the demands of your job, or because of difficult life circumstances. I can help you to regain your self confidence and work through those intense feelings of anxiety or not feeling good enough. It is possible make changes and learn to see yourself differently.
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Photo of Zoe Hobson, MBACP, Counsellor
Zoe Hobson
Counsellor, MBACP
Verified Verified
Bristol BS6
I am passionate about supporting people’s mental health, growth and personal development; seeking to empower people to achieve their goals and to make positive choices and changes in their life. Whether you are struggling with difficult emotions, a significant life change, relationships, family dynamics or coming to terms with your past, I can support you to understand yourself and your situation better by offering a place to explore your experiences, thoughts and feelings in a completely non-judgemental, warm and supportive space.
I am passionate about supporting people’s mental health, growth and personal development; seeking to empower people to achieve their goals and to make positive choices and changes in their life. Whether you are struggling with difficult emotions, a significant life change, relationships, family dynamics or coming to terms with your past, I can support you to understand yourself and your situation better by offering a place to explore your experiences, thoughts and feelings in a completely non-judgemental, warm and supportive space.
01275 402776 View 01275 402776
Photo of Lucy Kozlowski - Dr Lucy Kozlowski, PsychD, HCPC - Clin. Psych., Psychologist
Dr Lucy Kozlowski
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bristol BS35  (Online Only)
I am the Service Lead for Third Wave Psychologist, an online clinical psychology practice. My specialisms are long-term health conditions (e.g. long covid, pain, fatigue, IBS, diabetes, obesity & neurological conditions, tinnitus, hyperacusis, misophonia) & supporting people undertaking elective & cosmetic surgery. I also specialise in perinatal mental health (e.g. antenatal & postnatal depression, anxiety, family issues) & staff & student wellbeing, including common mental health issues (e.g. stress, low mood, anger, adjustment, anxiety, trauma, bereavement, grief & self-esteem issues).
I am the Service Lead for Third Wave Psychologist, an online clinical psychology practice. My specialisms are long-term health conditions (e.g. long covid, pain, fatigue, IBS, diabetes, obesity & neurological conditions, tinnitus, hyperacusis, misophonia) & supporting people undertaking elective & cosmetic surgery. I also specialise in perinatal mental health (e.g. antenatal & postnatal depression, anxiety, family issues) & staff & student wellbeing, including common mental health issues (e.g. stress, low mood, anger, adjustment, anxiety, trauma, bereavement, grief & self-esteem issues).
0117 456 2479 View 0117 456 2479
Photo of Andi Lee Smart, MA, PNCPS Acc., Counsellor
Andi Lee Smart
Counsellor, MA, PNCPS Acc.
Verified Verified
Bristol BS6  (Online Only)
Thank you for taking the time to read my profile. Sessions are delivered through a person-centered strength-based perspective. This means that in our session we focus on YOUR needs/wants/wishes through directive and none-directive dialogues/assessments/goal setting (where relevant) and, consequently, the building of a ‘resilience toolbox’ as a means to manage future stress, anxiety and/or trauma.
Thank you for taking the time to read my profile. Sessions are delivered through a person-centered strength-based perspective. This means that in our session we focus on YOUR needs/wants/wishes through directive and none-directive dialogues/assessments/goal setting (where relevant) and, consequently, the building of a ‘resilience toolbox’ as a means to manage future stress, anxiety and/or trauma.
0117 463 5609 View 0117 463 5609
Photo of James Hicks - NOSA National Outreach Service for Anxiety, MBABCP, Psychotherapist
NOSA National Outreach Service for Anxiety
Psychotherapist, MBABCP
Verified Verified
Bristol BS16
NOSA is a national service and we are happy to asses any problem that is related to anxiety, anywhere in the country. Some of the problems we most commonly help people with include obsessive compulsive disorder (OCD), hoarding, panic, agoraphobia, health anxiety, specific phobias (e.g. fear of flying), emetophobia (fear of vomiting), PTSD/Trauma and social anxiety.
NOSA is a national service and we are happy to asses any problem that is related to anxiety, anywhere in the country. Some of the problems we most commonly help people with include obsessive compulsive disorder (OCD), hoarding, panic, agoraphobia, health anxiety, specific phobias (e.g. fear of flying), emetophobia (fear of vomiting), PTSD/Trauma and social anxiety.
0117 463 0213 View 0117 463 0213
Photo of Robert Holman, BACP, Counsellor
Robert Holman
Counsellor, BACP
Verified Verified
Bristol BS1
There are many reasons why people seek time and space to talk and reflect. You might want to talk about thoughts and feelings that are difficult to discuss with others, or consider what has happened to bring you to this point in your life. This can be a space for exploration and discovery, a protected hour in which you will be listened to. My focus is on listening openly, without judgment, to whatever you bring. I will listen to your experiences and your point of view and together we can look at different perspectives which can help you to live more freely.
There are many reasons why people seek time and space to talk and reflect. You might want to talk about thoughts and feelings that are difficult to discuss with others, or consider what has happened to bring you to this point in your life. This can be a space for exploration and discovery, a protected hour in which you will be listened to. My focus is on listening openly, without judgment, to whatever you bring. I will listen to your experiences and your point of view and together we can look at different perspectives which can help you to live more freely.
020 3984 8654 View 020 3984 8654
Photo of Anna Browne, MUKCP, Psychotherapist
Anna Browne
Psychotherapist, MUKCP
Verified Verified
Bristol BS8
I offer therapy and supervision and have a particular interest in trauma and how it impacts our nervous system: CPTSD, PTSD, and DID; dissociation, hearing voices, addictive behaviours and coping mechanisms and links to childhood trauma. 'ACE's' (Adverse Childhood Experiences), and how these affect us as adults. Trauma comes in many forms; overt ones such as physical or sexual abuse, car accidents, war, disasters etc, and less obvious or covert forms like emotional abuse or neglect, bullying, or just 'not getting what we need' on an emotional level. I am accredited with UKCP, and have specialist trauma training.
I offer therapy and supervision and have a particular interest in trauma and how it impacts our nervous system: CPTSD, PTSD, and DID; dissociation, hearing voices, addictive behaviours and coping mechanisms and links to childhood trauma. 'ACE's' (Adverse Childhood Experiences), and how these affect us as adults. Trauma comes in many forms; overt ones such as physical or sexual abuse, car accidents, war, disasters etc, and less obvious or covert forms like emotional abuse or neglect, bullying, or just 'not getting what we need' on an emotional level. I am accredited with UKCP, and have specialist trauma training.
0117 456 5291 View 0117 456 5291
Photo of Joanna Bazalgette, MBACP, Counsellor
Joanna Bazalgette
Counsellor, MBACP
Verified Verified
Bristol BS48
There can come a time in anybody’s life when they feel that some support is required. Sometimes it feels difficult to know who to turn to. Do you feel challenged by life? Are you feeling bewildered about where your current path is taking you? Are you suffering following the loss of a relationship, be it through bereavement or relationship breakdown. Maybe you are struggling at work, home or university? Is life too confusing? Do you want to realise the power of your potential? I am here to offer support while you are working through life’s challenges - support which is confidential, open-minded, non-judgemental and consistent.
There can come a time in anybody’s life when they feel that some support is required. Sometimes it feels difficult to know who to turn to. Do you feel challenged by life? Are you feeling bewildered about where your current path is taking you? Are you suffering following the loss of a relationship, be it through bereavement or relationship breakdown. Maybe you are struggling at work, home or university? Is life too confusing? Do you want to realise the power of your potential? I am here to offer support while you are working through life’s challenges - support which is confidential, open-minded, non-judgemental and consistent.
07245 271736 View 07245 271736
Photo of Dr Shelley Kerr, PsychD, HCPC - Clin. Psych., Psychologist
Dr Shelley Kerr
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
7 Endorsed
Bristol BS3
We all want to enjoy the lives we have, not be bogged down in self criticism, overwhelmed by emotions, stuck in spirals of negative thinking, or be haunted by the past. If you find yourself here because you're struggling with anxiety, depression, painful emotions, self criticism, or patterns of coping that are damaging your life and your relationships, then you're in the right place. Again and again I have seen the power of compassion in releasing people from the suffering that can come with these cycles. With the right support you too can take the courageous, and sometimes painful steps towards becoming the person you'd like to be.
We all want to enjoy the lives we have, not be bogged down in self criticism, overwhelmed by emotions, stuck in spirals of negative thinking, or be haunted by the past. If you find yourself here because you're struggling with anxiety, depression, painful emotions, self criticism, or patterns of coping that are damaging your life and your relationships, then you're in the right place. Again and again I have seen the power of compassion in releasing people from the suffering that can come with these cycles. With the right support you too can take the courageous, and sometimes painful steps towards becoming the person you'd like to be.
01275 402881 View 01275 402881
Photo of Becky Gant, MA, MBACP, Counsellor
Becky Gant
Counsellor, MA, MBACP
Verified Verified
Bristol BS2
It’s a beautiful, but very complicated thing, to be a human. There are many difficulties we encounter throughout our lives that can leave us feeling overwhelmed or in distress – and yet so often, we feel as though we must push these feelings down. It takes a lot of courage to reach out and ask for help, to commit the time and energy to your own self-care and healing. Whatever has brought you to this space today, taking these first steps is a huge achievement.
It’s a beautiful, but very complicated thing, to be a human. There are many difficulties we encounter throughout our lives that can leave us feeling overwhelmed or in distress – and yet so often, we feel as though we must push these feelings down. It takes a lot of courage to reach out and ask for help, to commit the time and energy to your own self-care and healing. Whatever has brought you to this space today, taking these first steps is a huge achievement.
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Photo of Hannah Lock, MBACP Accred, Psychotherapist
Hannah Lock
Psychotherapist, MBACP Accred
Verified Verified
Bristol BS1  (Online Only)
Therapy can support us through our difficulties and towards our goals or help us to explore and understand ourselves better. My role is to support you through the process in a safe and supportive space at your own pace to find your way through these difficulties. I work with many areas including, trauma, depression, low self esteem, issues around gender, sexuality and relationship diversities. I offer a variety of therapy options to suit your particular needs.
Therapy can support us through our difficulties and towards our goals or help us to explore and understand ourselves better. My role is to support you through the process in a safe and supportive space at your own pace to find your way through these difficulties. I work with many areas including, trauma, depression, low self esteem, issues around gender, sexuality and relationship diversities. I offer a variety of therapy options to suit your particular needs.
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Photo of Deborah Louise Creed, MA, MUKCP, Psychotherapist
Deborah Louise Creed
Psychotherapist, MA, MUKCP
Verified Verified
Bristol BS6
Deborah Creed is a UKCP (UK Council for Psychotherapy) and AFT (Association of Family Therapy) accredited systemic psychotherapist with over ten years experience working with children, adolescents, and adults.

She has a wealth of experience working with problems such as anxiety, behaviour, eating disorders, sleep, social anxiety, bullying, or school-related problems. Deborah has worked with many clients affected by separation, divorce, trauma, or couples wanting to reconnect. Deborah offers a bespoke service to meet the needs of the client. This is a private practice. It is a highly successful and discreet place to talk
Deborah Creed is a UKCP (UK Council for Psychotherapy) and AFT (Association of Family Therapy) accredited systemic psychotherapist with over ten years experience working with children, adolescents, and adults.

She has a wealth of experience working with problems such as anxiety, behaviour, eating disorders, sleep, social anxiety, bullying, or school-related problems. Deborah has worked with many clients affected by separation, divorce, trauma, or couples wanting to reconnect. Deborah offers a bespoke service to meet the needs of the client. This is a private practice. It is a highly successful and discreet place to talk
07576 088328 View 07576 088328
Photo of Zoe Newton, BACP, Counsellor
Zoe Newton
Counsellor, BACP
Verified Verified
Bristol BS1
Hi, I'm Zoe! I'm a person-centred counsellor which means we'll work together to explore, process & understand the difficult things you're experiencing and feeling. I won't analyse you, instead I'll be alongside you, offering a warm, accepting space.
Hi, I'm Zoe! I'm a person-centred counsellor which means we'll work together to explore, process & understand the difficult things you're experiencing and feeling. I won't analyse you, instead I'll be alongside you, offering a warm, accepting space.
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Photo of Patricia Falvey, MBACP, Counsellor
Patricia Falvey
Counsellor, MBACP
Verified Verified
Bristol BS1
We live in a culture that promotes the idea of strong, powerful individuals who live picture perfect lives. There is little room for showing our vulnerability, or our need for connection. There is a cultural expectation that when things are difficult for us we should just 'get over it' and not make a fuss, this might manifest in you with thoughts of "what's wrong with me", "why is this so hard" and "I should be able to manage by myself" and so on! You may be feeling fragmented, ​disconnected, numb, overwhelmed, fearful, unable to cope, you might feel like giving up.
We live in a culture that promotes the idea of strong, powerful individuals who live picture perfect lives. There is little room for showing our vulnerability, or our need for connection. There is a cultural expectation that when things are difficult for us we should just 'get over it' and not make a fuss, this might manifest in you with thoughts of "what's wrong with me", "why is this so hard" and "I should be able to manage by myself" and so on! You may be feeling fragmented, ​disconnected, numb, overwhelmed, fearful, unable to cope, you might feel like giving up.
0117 325 2788 View 0117 325 2788
Photo of Jenny Clarke, MA, HCPC-Art Therap., Psychotherapist
Jenny Clarke
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Bristol BS3
I offer art therapy to children, young people and adults. I have a personal interest in neurodivergence (Autism, ADHD, dyslexia and other neurodevelopmental conditions) and a SEND friendly approach. I can support children and young people who are struggling to attend school and adults who are recently diagnosed or wondering whether they are neurodivergent. I have experience of working with mental health, including anxiety and depression, dementia, addiction and bereavement. My aim is to create a safe space for you to reflect and explore your strengths, challenges and any areas which are causing you difficulty.
I offer art therapy to children, young people and adults. I have a personal interest in neurodivergence (Autism, ADHD, dyslexia and other neurodevelopmental conditions) and a SEND friendly approach. I can support children and young people who are struggling to attend school and adults who are recently diagnosed or wondering whether they are neurodivergent. I have experience of working with mental health, including anxiety and depression, dementia, addiction and bereavement. My aim is to create a safe space for you to reflect and explore your strengths, challenges and any areas which are causing you difficulty.
0117 463 1641 View 0117 463 1641
Photo of Sandra Elizabeth Wilson - Sandra Wilson Clinical Hypnotherapy, MSc
Sandra Wilson Clinical Hypnotherapy
MSc
Verified Verified
Bristol BS4
Hi, I'm Sandra, a Clinical Hypnotherapist who works with chronic anxiety/panic, PTSD, OCD, sexual problems, low body confidence, low self esteem, hair pulling/skin picking, performance anxiety and school avoidance. I have 40 five star google ratings too! Get in touch for a friendly chat.
Hi, I'm Sandra, a Clinical Hypnotherapist who works with chronic anxiety/panic, PTSD, OCD, sexual problems, low body confidence, low self esteem, hair pulling/skin picking, performance anxiety and school avoidance. I have 40 five star google ratings too! Get in touch for a friendly chat.
0117 325 5737 View 0117 325 5737
Photo of Yotam Bezalel, MA
Yotam Bezalel
MA
Verified Verified
Bristol BS8
Waitlist for new clients
If your soul calls for a Dynamic Therapy (emotional talks) combined with Psychodrama techniques and more... A therapy that can make a real difference in your life. You are most welcome to contact me. I am a Clinical Social Worker specialized in Trauma and Addiction Therapy and will love to be in your assistant.
If your soul calls for a Dynamic Therapy (emotional talks) combined with Psychodrama techniques and more... A therapy that can make a real difference in your life. You are most welcome to contact me. I am a Clinical Social Worker specialized in Trauma and Addiction Therapy and will love to be in your assistant.
0117 463 2623 View 0117 463 2623
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See more therapy options for Bristol

How does your Counsellor compare?

Number of Counsellors in Bristol

700+

Average cost per session

£60

Counsellors in Bristol who prioritize treating:

90% Anxiety
85% Depression
84% Self Esteem
78% Relationship Issues
78% Stress
69% Trauma and PTSD
63% Bereavement

Average years in practice

8 Years

Top 3 insurances accepted

60% AXA PPP
59% Aviva
47% Bupa

How Counsellors in Bristol see their clients

74% In Person and Online
26% Online Only

Gender breakdown

71% Female
28% 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.