Photo of Estelle Maria Brightwell, MA, HCPC-Art Therap., Psychotherapist
Estelle Maria Brightwell
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Hexham NE46
Art Psychotherapy can support psychological, emotional, educational, social, physical growth and brain development. Its a client led journey, non intrusive space to express ,communicate, talk and to work through past experience and to explore future goals. Its different to art teaching, you do not have to of had experience in art techniques to benefit from art therapy. We all interact with, process and produce art differently .Every individuals work is original. It can help with a range of things from raising self esteem/confidence, processing past trauma , coping with changes , coping skills, anxiety, sensory.............
Art Psychotherapy can support psychological, emotional, educational, social, physical growth and brain development. Its a client led journey, non intrusive space to express ,communicate, talk and to work through past experience and to explore future goals. Its different to art teaching, you do not have to of had experience in art techniques to benefit from art therapy. We all interact with, process and produce art differently .Every individuals work is original. It can help with a range of things from raising self esteem/confidence, processing past trauma , coping with changes , coping skills, anxiety, sensory.............
01434 303701 View 01434 303701
Photo of Adam Eagle, MBACP, Counsellor
Adam Eagle
Counsellor, MBACP
Verified Verified
Hexham NE46
Reaching out for help doesn’t come easily to many of us. Especially when we’re trying to contend with (maybe struggle with) something very painful and personal. I think it's great that you're seeking out therapy, at what might be a tough time for you. At the core of my approach is providing each client with empathy, acceptance, care, and genuineness. We work together to reduce the emotional difficulties you are living with. See a short video of me on my website adameaglecounsellor.co.uk , which also includes a blog.
Reaching out for help doesn’t come easily to many of us. Especially when we’re trying to contend with (maybe struggle with) something very painful and personal. I think it's great that you're seeking out therapy, at what might be a tough time for you. At the core of my approach is providing each client with empathy, acceptance, care, and genuineness. We work together to reduce the emotional difficulties you are living with. See a short video of me on my website adameaglecounsellor.co.uk , which also includes a blog.
01661 525153 View 01661 525153
Photo of Dr Petra Carlsson Mitchell Inpsychology, HCPC - Clin. Psych., Psychologist
Dr Petra Carlsson Mitchell Inpsychology
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hexham NE46
Waitlist for new clients
Do you feel that despite efforts to improve your life, the way you are feeling continues to have a negative impact on your mood, motivation, relationships and how you cope with everyday life? Perhaps you are experiencing a sense of hopelessness that things may never improve as a result of having felt this way for a long time? These could be signs that your mental health needs are enduring and deep-rooted. I am Petra Carlsson-Mitchell, a Clinical Psychologist and through my practice INPSYCHOLOGY, I specialise in psychological treatments for mental health concerns at the moderate to complex end of the mental health continuum.
Do you feel that despite efforts to improve your life, the way you are feeling continues to have a negative impact on your mood, motivation, relationships and how you cope with everyday life? Perhaps you are experiencing a sense of hopelessness that things may never improve as a result of having felt this way for a long time? These could be signs that your mental health needs are enduring and deep-rooted. I am Petra Carlsson-Mitchell, a Clinical Psychologist and through my practice INPSYCHOLOGY, I specialise in psychological treatments for mental health concerns at the moderate to complex end of the mental health continuum.
01434 408847 View 01434 408847
Photo of Sarah Smith, MBACP, Counsellor
Sarah Smith
Counsellor, MBACP
Verified Verified
1 Endorsed
Hexham NE46
Not accepting new clients
It’s hard to be human right now. Changes in the economy and environment can trigger anxiety that may be amplified by past trauma or life’s curve balls. I can help with tools for coping, or work at depth on childhood issues, with my caring yet straightforward style. You might be feeling numb, depressed or grieving. Maybe you’re going through a big change or feeling that something ‘just isn’t right’ and you’re stuck. You’ve taken the first step in getting help. If my profile resonates with you, I’d love to hear from you.
It’s hard to be human right now. Changes in the economy and environment can trigger anxiety that may be amplified by past trauma or life’s curve balls. I can help with tools for coping, or work at depth on childhood issues, with my caring yet straightforward style. You might be feeling numb, depressed or grieving. Maybe you’re going through a big change or feeling that something ‘just isn’t right’ and you’re stuck. You’ve taken the first step in getting help. If my profile resonates with you, I’d love to hear from you.
01434 303162 View 01434 303162
Photo of Jamie Coulthard, HCPC - Clin. Psych., Psychologist
Jamie Coulthard
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hexham NE46
Ideal client: Diverse individuals (children, adults, families) facing neuro-diversity, mental health challenges, or chronic pain. They seek support, understanding, and improved well-being, daily functioning, and resilience. Their goals include gaining self-acceptance, overcoming barriers, and living fulfilling lives. They desire an empathetic, knowledgeable therapist who values their uniqueness, collaborates on goals, and recognises their strengths and succsses.
Ideal client: Diverse individuals (children, adults, families) facing neuro-diversity, mental health challenges, or chronic pain. They seek support, understanding, and improved well-being, daily functioning, and resilience. Their goals include gaining self-acceptance, overcoming barriers, and living fulfilling lives. They desire an empathetic, knowledgeable therapist who values their uniqueness, collaborates on goals, and recognises their strengths and succsses.
01434 307713 View 01434 307713
Photo of Xania Prentice, MBACP, Counsellor
Xania Prentice
Counsellor, MBACP
Verified Verified
1 Endorsed
Hexham NE46
The most important aspect of my practice is the relationship between myself and you, the client. I aim to create a safe, approachable environment to ease the building of trust and an understanding of one another and help you to feel comfortable enough to share and explore whatever you are experiencing. My therapeutic approach as an Integrative Counsellor, enables me to work from a Person Centred perspective with the adaptability to use other therapeutic approaches. This means that you, the client have control over how our sessions are carried out, your perspective, your story, and your lived experience are highly valued.
The most important aspect of my practice is the relationship between myself and you, the client. I aim to create a safe, approachable environment to ease the building of trust and an understanding of one another and help you to feel comfortable enough to share and explore whatever you are experiencing. My therapeutic approach as an Integrative Counsellor, enables me to work from a Person Centred perspective with the adaptability to use other therapeutic approaches. This means that you, the client have control over how our sessions are carried out, your perspective, your story, and your lived experience are highly valued.
01434 405383 View 01434 405383
Photo of Dr Clark Davison, PsychD, HCPC - Clin. Psych., Psychologist
Dr Clark Davison
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Hexham NE46
My name is Dr Clark Davison and I am a Consultant Clinical Psychologist with experience working within the NHS and private sector at a senior level.
My name is Dr Clark Davison and I am a Consultant Clinical Psychologist with experience working within the NHS and private sector at a senior level.
01434 307702 View 01434 307702
Photo of Wendy Anderson, MBACP, Counsellor
Wendy Anderson
Counsellor, MBACP
Verified Verified
Hexham NE46
Waitlist for new clients
Hi, I'm Wendy. How are you doing? Having taken the courageous step to look for help, I'm guessing the answer to that is: 'Not great'. Are you feeling like your life has lost direction, suffering a loss in your life, or struggling with emotions that the current pandemic situation has brought to the forefront of your mind? I believe that we all have the innate ability to realise our full potential and live our best life. With the right help, you can take back control of your life.
Hi, I'm Wendy. How are you doing? Having taken the courageous step to look for help, I'm guessing the answer to that is: 'Not great'. Are you feeling like your life has lost direction, suffering a loss in your life, or struggling with emotions that the current pandemic situation has brought to the forefront of your mind? I believe that we all have the innate ability to realise our full potential and live our best life. With the right help, you can take back control of your life.
01661 525181 View 01661 525181
Photo of Loveday Elisabeth Koranteng, MUKCP, Psychotherapist
Loveday Elisabeth Koranteng
Psychotherapist, MUKCP
Verified Verified
Hexham NE46
Are you stressed, depressed, anxious, sad or just not feeling yourself? Then counselling might be something that can help you, whether it is a new concern or a long held one. Sometimes emotional pain or life events can temporarily cloud your ability to see possible solutions, leaving you feeling stuck, confused, unhappy, anxious, sad or even shut down. The process of talking about this can gradually make things seem clearer as you make sense of your feelings and your thoughts become more ordered. You can feel change taking place, sometimes to your own surprise and so start to find a way forward that feels right for you.
Are you stressed, depressed, anxious, sad or just not feeling yourself? Then counselling might be something that can help you, whether it is a new concern or a long held one. Sometimes emotional pain or life events can temporarily cloud your ability to see possible solutions, leaving you feeling stuck, confused, unhappy, anxious, sad or even shut down. The process of talking about this can gradually make things seem clearer as you make sense of your feelings and your thoughts become more ordered. You can feel change taking place, sometimes to your own surprise and so start to find a way forward that feels right for you.
01434 307992 View 01434 307992
Photo of James Bowness Clarke, PsychD, HCPC - Clin. Psych., Psychologist
James Bowness Clarke
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Hexham NE46
I am an experienced Consultant Clinical Psychologist with over 15 years of experience of working in the NHS and private practice. Whilst I typically work with clients who are experiencing anxiety or low mood, I have a special interest in Personality Disorder, Obsessive Compulsive Disorder (OCD) and complex grief. I am experienced in working with individual or couples and families, and I am qualified in Cognitive Behavior Therapy (CBT), Dialectic Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing Therapy (EMDR). I hold clinics in the evenings in Jesmond or offer evening online appointments.
I am an experienced Consultant Clinical Psychologist with over 15 years of experience of working in the NHS and private practice. Whilst I typically work with clients who are experiencing anxiety or low mood, I have a special interest in Personality Disorder, Obsessive Compulsive Disorder (OCD) and complex grief. I am experienced in working with individual or couples and families, and I am qualified in Cognitive Behavior Therapy (CBT), Dialectic Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing Therapy (EMDR). I hold clinics in the evenings in Jesmond or offer evening online appointments.
01434 307703 View 01434 307703
Photo of Laura Reside-Robb, MBACP Accred, Psychotherapist
Laura Reside-Robb
Psychotherapist, MBACP Accred
Verified Verified
Hexham NE46
Hello, and thanks for visiting. I'm Laura and I'm trained as an Integrative Psychotherapist. I'm a firm believer that each person is uniquely individual, and any therapeutic help they receive should be tailored to them, and their needs.​ Being Integrative means I'm not set on one school of thought, and work with you to find what approach fits best for you. You're in control of the sessions, you can bring whatever issues you'd like to discuss, , we go at a pace you're comfortable with. We'll look at working together to set realistic goals, based on what you'd like to achieve.
Hello, and thanks for visiting. I'm Laura and I'm trained as an Integrative Psychotherapist. I'm a firm believer that each person is uniquely individual, and any therapeutic help they receive should be tailored to them, and their needs.​ Being Integrative means I'm not set on one school of thought, and work with you to find what approach fits best for you. You're in control of the sessions, you can bring whatever issues you'd like to discuss, , we go at a pace you're comfortable with. We'll look at working together to set realistic goals, based on what you'd like to achieve.
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Photo of Paul George Madden, MSc, BACP, Counsellor
Paul George Madden
Counsellor, MSc, BACP
Verified Verified
Hexham NE46
There are many reasons why you may be seeking out a therapist to help with the issues you face in your life. You may be experiencing distressing feelings; you may be approaching important crossroads in life and you’re faced with uncertainty; you may feel like your confidence or self-esteem is low. It may also be something more difficult to put your finger on – you may have an unnameable sense that something just isn’t right with your internal world and you want to make a change. You may be wondering what it is that I can do to help, so let's start there...
There are many reasons why you may be seeking out a therapist to help with the issues you face in your life. You may be experiencing distressing feelings; you may be approaching important crossroads in life and you’re faced with uncertainty; you may feel like your confidence or self-esteem is low. It may also be something more difficult to put your finger on – you may have an unnameable sense that something just isn’t right with your internal world and you want to make a change. You may be wondering what it is that I can do to help, so let's start there...
07395 938772 View 07395 938772
Photo of Amanda Fox, MUKCP, Psychotherapist
Amanda Fox
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
Hexham NE46
Waitlist for new clients
Hiya, I'm Amanda a therapist dedicated to empowering adults on their path to recovery from trauma. If you've landed here, you may have frequent anxiety, depression, complex emotions, or challenges in your relationships. Traumatic events and abusive relationships at any age can effect your identity and leave you feeling stuck in the past. If life feels like it keeps repeating the same cycles, it may be time for change.
Hiya, I'm Amanda a therapist dedicated to empowering adults on their path to recovery from trauma. If you've landed here, you may have frequent anxiety, depression, complex emotions, or challenges in your relationships. Traumatic events and abusive relationships at any age can effect your identity and leave you feeling stuck in the past. If life feels like it keeps repeating the same cycles, it may be time for change.
01388 311147 View 01388 311147
Photo of Mark James Douthwaite, MBACP, Counsellor
Mark James Douthwaite
Counsellor, MBACP
Verified Verified
1 Endorsed
Hexham NE46
Not accepting new clients
Seeking a counsellor is a big step and one which can be celebrated. I encourage you to reach out. I provide a safe, comfortable, and non-judgmental space where we can explore your thoughts and feelings together. As a qualified Psychotherapeutic Counsellor and Buteyko breathing instructor, I can help with a wide range of issues including anxiety, depression, sleep disorders, grief, trauma, stress, anger, self-harm, low self-esteem, low confidence, existential and relationship issues, phobias, asthma, improving sports performance, early life issues, and more.
Seeking a counsellor is a big step and one which can be celebrated. I encourage you to reach out. I provide a safe, comfortable, and non-judgmental space where we can explore your thoughts and feelings together. As a qualified Psychotherapeutic Counsellor and Buteyko breathing instructor, I can help with a wide range of issues including anxiety, depression, sleep disorders, grief, trauma, stress, anger, self-harm, low self-esteem, low confidence, existential and relationship issues, phobias, asthma, improving sports performance, early life issues, and more.
01661 521097 View 01661 521097
Photo of Alex Hull - ADHD North East : Dr Alex Hull, HCPC - Clin. Psych., Psychologist
ADHD North East : Dr Alex Hull
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hexham NE46
You’re probably reading this because you know about ADHD and you're wondering whether it could explain some of your characteristics, or those of your child. You're looking for the best value, gold standard ADHD assessment to help you understand whether ADHD is the answer. And you don't want to have to sit on a waiting list for years to get it. If you receive a diagnosis, you want a comprehensive, personalised report and a full range of follow-up options, including strategies and techniques as well as the possibility of a referral to specialists to consider medication if that's your choice.
You’re probably reading this because you know about ADHD and you're wondering whether it could explain some of your characteristics, or those of your child. You're looking for the best value, gold standard ADHD assessment to help you understand whether ADHD is the answer. And you don't want to have to sit on a waiting list for years to get it. If you receive a diagnosis, you want a comprehensive, personalised report and a full range of follow-up options, including strategies and techniques as well as the possibility of a referral to specialists to consider medication if that's your choice.
0191 743 4746 View 0191 743 4746
Photo of Fennec Adams, DCounsPsych, BACP, Counsellor
Fennec Adams
Counsellor, DCounsPsych, BACP
Verified Verified
Hexham NE46  (Online Only)
I think it is really important to understand and acknowledge the complexity of every individuals experience. I endeavour to do this by holding an open mind and creating a safe boundaried space in which we can both get to know you better. I encorporate a range of theories and skills in order to best facilitate your individual process and needs. Within my practice I work with a range of issues which are listed below. I also work in a sex and kink positive way, with all types of relationship styles. Neurodiversity and how that shapes how we experience the world is also a big part of my practise.
I think it is really important to understand and acknowledge the complexity of every individuals experience. I endeavour to do this by holding an open mind and creating a safe boundaried space in which we can both get to know you better. I encorporate a range of theories and skills in order to best facilitate your individual process and needs. Within my practice I work with a range of issues which are listed below. I also work in a sex and kink positive way, with all types of relationship styles. Neurodiversity and how that shapes how we experience the world is also a big part of my practise.
01273 099026 View 01273 099026
Photo of David Merritt, MA, MBACP, Counsellor
David Merritt
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Hexham NE46
Life can be difficult. It throws up challenges, changes and conflicts. These can be within ourselves, or in our relationships and work, or from living in a worrying world. Counsellors work together with people who are faced with troubles, burdens and questions and seek to help them find a better place to be. Whatever the source of the problem I believe that counselling has the potential to help. People can talk to someone who will not judge them but listen to them carefully and supportively. Counsellors can also go a little deeper and use a range of techniques which may be of help.
Life can be difficult. It throws up challenges, changes and conflicts. These can be within ourselves, or in our relationships and work, or from living in a worrying world. Counsellors work together with people who are faced with troubles, burdens and questions and seek to help them find a better place to be. Whatever the source of the problem I believe that counselling has the potential to help. People can talk to someone who will not judge them but listen to them carefully and supportively. Counsellors can also go a little deeper and use a range of techniques which may be of help.
01670 333771 View 01670 333771
Photo of Susie Warburton Brown - Heal with Susie, MA, MBACP, Counsellor
Heal with Susie
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Hexham NE46
Whether you feel depressed, angry, stuck, anxious, fearful, overwhelmed, stressed, ​self-critical, disconnected or numb, I can lovingly support you to ​feel better, get clarity, increase self-acceptance, and empower yourself to heal and grow​. ​Hello, my name is Susie and I live with my husband and two teenage daughters in Newcastle. ​I have developed my deeply healing, compassionate, spiritual and mindful therapy through two decades of personal healing and inner work and over 10 years of empowering hundreds of therapy clients to change and grow.
Whether you feel depressed, angry, stuck, anxious, fearful, overwhelmed, stressed, ​self-critical, disconnected or numb, I can lovingly support you to ​feel better, get clarity, increase self-acceptance, and empower yourself to heal and grow​. ​Hello, my name is Susie and I live with my husband and two teenage daughters in Newcastle. ​I have developed my deeply healing, compassionate, spiritual and mindful therapy through two decades of personal healing and inner work and over 10 years of empowering hundreds of therapy clients to change and grow.
0191 917 9318 View 0191 917 9318
Photo of Kate Bull, MSc, MUKCP, Psychotherapist
Kate Bull
Psychotherapist, MSc, MUKCP
Verified Verified
Hexham NE46  (Online Only)
Are you looking to work with someone who offers you a space in which you can work on your own personal growth, all while developing coping strategies to help you with your difficulties? I can work with you to achieve those goals. By working with me you can learn how to establish healthy boundaries in relationships, process difficult or challenging experiences.
Are you looking to work with someone who offers you a space in which you can work on your own personal growth, all while developing coping strategies to help you with your difficulties? I can work with you to achieve those goals. By working with me you can learn how to establish healthy boundaries in relationships, process difficult or challenging experiences.
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Photo of Anna Kate Peter, MA, MBACP, Psychotherapist
Anna Kate Peter
Psychotherapist, MA, MBACP
Verified Verified
Hexham NE46
I offer a space where you can feel safe and free to talk about the issues that you are currently facing, knowing that what you say is confidential, and will not be judged. Are you suffering from problems that are hindering you from actively enjoying life? I work with you to find a deeper understanding of what may be causing these problems, working towards raising awareness of why you feel the way you do. This will enable you to make changes in your life and increase your sense of wellbeing.
I offer a space where you can feel safe and free to talk about the issues that you are currently facing, knowing that what you say is confidential, and will not be judged. Are you suffering from problems that are hindering you from actively enjoying life? I work with you to find a deeper understanding of what may be causing these problems, working towards raising awareness of why you feel the way you do. This will enable you to make changes in your life and increase your sense of wellbeing.
01434 629544 View 01434 629544
1

See more therapy options for NE46

How does your Counsellor compare?

Number of Counsellors in NE46

20+

Average cost per session

£60

Counsellors in NE46 who prioritize treating:

81% Anxiety
76% Depression
71% Relationship Issues
71% Self Esteem
67% Trauma and PTSD
62% Bereavement
62% Sexual Abuse

Average years in practice

10 Years

Top 3 insurances accepted

67% Aviva
67% Bupa
33% Other

How Counsellors in NE46 see their clients

91% In Person and Online
9% Online Only

Gender breakdown

58% Female
37% Male
5% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in NE46?

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.