Counselling in London

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Photo of Letizia Orlando Counselling And Psychotherapy, MBACP, Counsellor
Letizia Orlando Counselling And Psychotherapy
Counsellor, MBACP
Verified Verified
London W1G  (Online Only)
My first and foremost care is for you as my client. My counselling style is tailored to your personal circumstances and specific needs and to you as a whole. My priority to you is to promote your healing, facilitate your wholeness and ensure that your mental, physical and emotional levels are very soon back to their full potential. My personalized approach to therapy reflects elements of different schools. I will start by setting goals with you; consequently you will feel empowered to practice new behaviours, to move beyond your present limitations and you will very soon start to experience a greater satisfaction in your life.
My first and foremost care is for you as my client. My counselling style is tailored to your personal circumstances and specific needs and to you as a whole. My priority to you is to promote your healing, facilitate your wholeness and ensure that your mental, physical and emotional levels are very soon back to their full potential. My personalized approach to therapy reflects elements of different schools. I will start by setting goals with you; consequently you will feel empowered to practice new behaviours, to move beyond your present limitations and you will very soon start to experience a greater satisfaction in your life.
020 3870 2428 View 020 3870 2428
Photo of Laura Serrani, MA, MBACP, Counsellor
Laura Serrani
Counsellor, MA, MBACP
Verified Verified
London SE16  (Online Only)
Are you feeling anxious or angry and don't know why? Do your worries hinder your plans preventing you from achieving your goals? Are you feeling sad with a sense of no purpose in life? Do you feel stuck and overwhelmed in any area of your life? Are you holding back from relationships?
Are you feeling anxious or angry and don't know why? Do your worries hinder your plans preventing you from achieving your goals? Are you feeling sad with a sense of no purpose in life? Do you feel stuck and overwhelmed in any area of your life? Are you holding back from relationships?
020 4537 3013 View 020 4537 3013
Photo of Dr Eirini Melegkovits, HCPC - Clin. Psych., Psychologist
Dr Eirini Melegkovits
Psychologist, HCPC - Clin. Psych.
Verified Verified
London E8
Waitlist for new clients
I view therapy as a journey of healing, growth and discovery. Alongside my private practice, I work as a Clinical Psychologist and researcher in the NHS and academia, where I study the influence of trauma in childhood on adult mental health. I have training in different therapy models, and offer integrative therapy to adults, adolescents and children/parents of younger children. I am influenced by psychodynamic models of thinking, but also draw from systemic family therapy and CBT (in particular “third wave”, which connects how we think to how we feel and our relationship to our inner experiences).
I view therapy as a journey of healing, growth and discovery. Alongside my private practice, I work as a Clinical Psychologist and researcher in the NHS and academia, where I study the influence of trauma in childhood on adult mental health. I have training in different therapy models, and offer integrative therapy to adults, adolescents and children/parents of younger children. I am influenced by psychodynamic models of thinking, but also draw from systemic family therapy and CBT (in particular “third wave”, which connects how we think to how we feel and our relationship to our inner experiences).
020 3667 9567 View 020 3667 9567
Photo of Stella Nwokolo, MBACP, Counsellor
Stella Nwokolo
Counsellor, MBACP
Verified Verified
1 Endorsed
London SE13  (Online Only)
You have made a conscious effort and an important decision to seek counseling. You may be struggling to cope with life, or anxious about certain issues in your life which often leads to challenges with work, family, and relationships. Perhaps you need to reflect and work on yourself. I will work with you by telephone, from the comfort of your own home or wherever you consider a safe space. We will explore these issues with the aim of creating greater self-awareness and self-worth to help you understand and cope better.
You have made a conscious effort and an important decision to seek counseling. You may be struggling to cope with life, or anxious about certain issues in your life which often leads to challenges with work, family, and relationships. Perhaps you need to reflect and work on yourself. I will work with you by telephone, from the comfort of your own home or wherever you consider a safe space. We will explore these issues with the aim of creating greater self-awareness and self-worth to help you understand and cope better.
020 3856 3086 View 020 3856 3086
Photo of Miranda Jackson, MA, MBACP, Psychotherapist
Miranda Jackson
Psychotherapist, MA, MBACP
Verified Verified
London W1K
The ideal client is of course anyone ready to make real change in their lives, but I work with many seeking to reach that point. Clients see me asking “Why do I feel like this?” Once we have worked through why you do, the next goal is to see how you can change your mindset, rewrite the script so that your attitude to certain situations no longer causes you distress.
The ideal client is of course anyone ready to make real change in their lives, but I work with many seeking to reach that point. Clients see me asking “Why do I feel like this?” Once we have worked through why you do, the next goal is to see how you can change your mindset, rewrite the script so that your attitude to certain situations no longer causes you distress.
020 3962 1735 View 020 3962 1735
Photo of Liam Daniels, MBACP, Counsellor
Liam Daniels
Counsellor, MBACP
Verified Verified
London N22
I have trained in existential psychotherapy, and I apply this in my work with clients. The starting point is the experience of the client, to provide the opportunity for them to examine their understanding of life, and the problems and dilemmas they face; to reassess their goals and desires. It provides an opportunity to consider how their choices have been constrained, perhaps by the views and expectations of others, but also by constraints rooted in our society. Understanding can lead to questioning, and growth, possibly in new directions.
I have trained in existential psychotherapy, and I apply this in my work with clients. The starting point is the experience of the client, to provide the opportunity for them to examine their understanding of life, and the problems and dilemmas they face; to reassess their goals and desires. It provides an opportunity to consider how their choices have been constrained, perhaps by the views and expectations of others, but also by constraints rooted in our society. Understanding can lead to questioning, and growth, possibly in new directions.
020 3856 3783 View 020 3856 3783
Photo of Kay Noelis Gilbert, MBACP, Counsellor
Kay Noelis Gilbert
Counsellor, MBACP
Verified Verified
London E4
Embarking on the journey of therapy can feel overwhelming, but rest assured, you've found a supportive space. I prioritize building a strong therapeutic bond, creating an environment that's safe and inviting. As an integrative Counsellor, I view each client as distinct, shaping our sessions to suit your specific requirements. Through the Psychodynamic approach, we'll delve into your early life experiences to uncover potential links to your current concerns. Additionally, the person-centered philosophy ensures that you possess the deepest understanding of yourself, empowering you to navigate your path forward.
Embarking on the journey of therapy can feel overwhelming, but rest assured, you've found a supportive space. I prioritize building a strong therapeutic bond, creating an environment that's safe and inviting. As an integrative Counsellor, I view each client as distinct, shaping our sessions to suit your specific requirements. Through the Psychodynamic approach, we'll delve into your early life experiences to uncover potential links to your current concerns. Additionally, the person-centered philosophy ensures that you possess the deepest understanding of yourself, empowering you to navigate your path forward.
020 8138 9141 x079080 View 020 8138 9141 x079080
Photo of Emma Blijdenstein, MA, MBACP, Counsellor
Emma Blijdenstein
Counsellor, MA, MBACP
Verified Verified
London W3
Would you like emotional support - but find that talking is not always easy? I offer a warm, safe and collaborative space where you can explore your concerns through talking and/or the use of art materials. As an integrative counsellor I base my approach on a variety of psychological methods, enabling me to offer broad-spectrum, personalised treatments. Sessions are client-led; meaning I am guided by your needs, and tend to be a mix of talking and creativity. Don't worry! Art making is optional. Also, you do not need to be 'good' at art. The opposite: the more spontaneous and 'unfinished' your creation, often the more therapeutic.
Would you like emotional support - but find that talking is not always easy? I offer a warm, safe and collaborative space where you can explore your concerns through talking and/or the use of art materials. As an integrative counsellor I base my approach on a variety of psychological methods, enabling me to offer broad-spectrum, personalised treatments. Sessions are client-led; meaning I am guided by your needs, and tend to be a mix of talking and creativity. Don't worry! Art making is optional. Also, you do not need to be 'good' at art. The opposite: the more spontaneous and 'unfinished' your creation, often the more therapeutic.
020 7123 9301 View 020 7123 9301
Photo of Damian Castello - Damian Castello Counselling, MBACP, Psychotherapist
Damian Castello Counselling
Psychotherapist, MBACP
Verified Verified
London E16
Are you wearing many different masks, because you long to be accepted? Keeping up the pretence is tiring isn’t it? You really want to be your true self, but somewhere down the line, you concluded that the real you is not good enough, is not worthy to be loved and find happiness. It can take a lot of courage to share your innermost thoughts and feelings with someone, particularly if you have had past experiences, where you did not feel heard or listened to; felt dismissed or your trust was broken. Trust is built over time and I want you to know that we can go at your own pace in therapy. I will accept you for who you are.
Are you wearing many different masks, because you long to be accepted? Keeping up the pretence is tiring isn’t it? You really want to be your true self, but somewhere down the line, you concluded that the real you is not good enough, is not worthy to be loved and find happiness. It can take a lot of courage to share your innermost thoughts and feelings with someone, particularly if you have had past experiences, where you did not feel heard or listened to; felt dismissed or your trust was broken. Trust is built over time and I want you to know that we can go at your own pace in therapy. I will accept you for who you are.
020 4538 1480 View 020 4538 1480
Photo of Jamie Bloch, MA, MBACP, Psychotherapist
Jamie Bloch
Psychotherapist, MA, MBACP
Verified Verified
London W3
My name is Jamie (she/her). I moved to London from Toronto to further my education in counselling and psychotherapy. I'm a compassionate integrative counsellor, trained psychodynamically, who consistently provides a safe, supportive, therapeutic environment where my clients feel comfortable sharing their innermost thoughts and feelings. By maintaining an empathic, trauma-informed stance, I create a space where clients can feel held. By bringing unconscious thoughts and feelings into conscious awareness, clients can learn to better understand themselves.
My name is Jamie (she/her). I moved to London from Toronto to further my education in counselling and psychotherapy. I'm a compassionate integrative counsellor, trained psychodynamically, who consistently provides a safe, supportive, therapeutic environment where my clients feel comfortable sharing their innermost thoughts and feelings. By maintaining an empathic, trauma-informed stance, I create a space where clients can feel held. By bringing unconscious thoughts and feelings into conscious awareness, clients can learn to better understand themselves.
View
Photo of Julia Mair, MBACP, Psychotherapist
Julia Mair
Psychotherapist, MBACP
Verified Verified
London W4
Maybe a particular event, crisis, or relationship has brought you here. Maybe you don't have a clear reason but feel frustrated or despondent or sense that something is 'off'. Whether you feel your difficulties are specific or vague, together we can look at what brings you to therapy and what needs to change so that life is more manageable and enjoyable. My style is warm, engaging, and I practise in a sensitive and thoughtful way. I have completed a rigorous training and I am a fully qualified integrative therapist. Alongside general practice, I specialise in supporting clients who work in the creative industries.
Maybe a particular event, crisis, or relationship has brought you here. Maybe you don't have a clear reason but feel frustrated or despondent or sense that something is 'off'. Whether you feel your difficulties are specific or vague, together we can look at what brings you to therapy and what needs to change so that life is more manageable and enjoyable. My style is warm, engaging, and I practise in a sensitive and thoughtful way. I have completed a rigorous training and I am a fully qualified integrative therapist. Alongside general practice, I specialise in supporting clients who work in the creative industries.
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Photo of Parminder Sandhu, MA, BACP, Psychotherapist
Parminder Sandhu
Psychotherapist, MA, BACP
Verified Verified
1 Endorsed
London E1  (Online Only)
As an Integrative Psychotherapist and Counsellor, I provide a secure, confidential, and non-judgmental environment in my therapy space located in East London. What I offer is a therapy that provides the opportunity to foster a deeper connection with yourself and a chance to navigate your wellbeing with greater insight.
As an Integrative Psychotherapist and Counsellor, I provide a secure, confidential, and non-judgmental environment in my therapy space located in East London. What I offer is a therapy that provides the opportunity to foster a deeper connection with yourself and a chance to navigate your wellbeing with greater insight.
020 3974 2851 View 020 3974 2851
Photo of Paul Barrett, MUKCP, Psychotherapist
Paul Barrett
Psychotherapist, MUKCP
Verified Verified
London SW3
Paul Barrett Counselling & Psychotherapy in London Paul is an integrative psychotherapist based in Chelsea and Little Venice. He is a fully clinically accredited UKCP counsellor and psychotherapist. He is also a member of the BACP, CCPE and EMDR Europhe follows their codes of conducts and ethics. Choosing a therapist can be a daunting process and it’s essential that you feel comfortable enough to share memories and information that will help with the therapy process. Whatever your reasons for seeking help with an issue, it takes great courage. People are often fearful of ‘exposing’ their deepest selves. Pauls room is a safe place..
Paul Barrett Counselling & Psychotherapy in London Paul is an integrative psychotherapist based in Chelsea and Little Venice. He is a fully clinically accredited UKCP counsellor and psychotherapist. He is also a member of the BACP, CCPE and EMDR Europhe follows their codes of conducts and ethics. Choosing a therapist can be a daunting process and it’s essential that you feel comfortable enough to share memories and information that will help with the therapy process. Whatever your reasons for seeking help with an issue, it takes great courage. People are often fearful of ‘exposing’ their deepest selves. Pauls room is a safe place..
020 8106 6916 View 020 8106 6916
Photo of Sarah Zobin, MBACP, Psychotherapist
Sarah Zobin
Psychotherapist, MBACP
Verified Verified
1 Endorsed
London NW11
I am a psychotherapist and counsellor with lots of experience working in a variety of settings, including a Youth Support Service and Children's Service, Primary and Secondary schools and for a local charity organisation. I have a private practice in NW London where I offer a safe and confidential space that is non-judgemental, in which together with my clients I explore the difficulties that they may be experiencing. If you call me and do not get through please leave a message.
I am a psychotherapist and counsellor with lots of experience working in a variety of settings, including a Youth Support Service and Children's Service, Primary and Secondary schools and for a local charity organisation. I have a private practice in NW London where I offer a safe and confidential space that is non-judgemental, in which together with my clients I explore the difficulties that they may be experiencing. If you call me and do not get through please leave a message.
020 3984 8132 View 020 3984 8132
Photo of Steve Marshall, MSc, MBACP, Counsellor
Steve Marshall
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
London EC1V
Hi, I’m Steve. I’m a fully qualified and MBACP registered integrative counsellor, and addiction specialist. I have practised as a counsellor for over 10 years, with over 30 years working in health and social care. I have worked therapeutically with individuals and groups who are struggling with anger, shame, addiction, depression, anxiety, stress, bereavement, relationship problems and other issues in a variety of settings in both the voluntary and private sector. I am have worked as clinical manager in a well known therapy service, as manager of an addiction treatment programme, and lecturer for a London university.
Hi, I’m Steve. I’m a fully qualified and MBACP registered integrative counsellor, and addiction specialist. I have practised as a counsellor for over 10 years, with over 30 years working in health and social care. I have worked therapeutically with individuals and groups who are struggling with anger, shame, addiction, depression, anxiety, stress, bereavement, relationship problems and other issues in a variety of settings in both the voluntary and private sector. I am have worked as clinical manager in a well known therapy service, as manager of an addiction treatment programme, and lecturer for a London university.
020 3835 3663 View 020 3835 3663
Photo of Gordon Wax, MBACP, Psychotherapist
Gordon Wax
Psychotherapist, MBACP
Verified Verified
London E14
Hi, my name is Gordon. Welcome! . I was born and raised in London. Personal therapy helped me to untangle my relationship with myself and my emotions. The world alone is a chaotic place to manage our own unknowns, anxieties, and traumas. I understand that everyone experiences the world in different ways, so unique problems require bespoke responses. Our lives are constantly changing, so it’s natural to feel emotions strongly, think differently and respond atypically. I help clients explore all spheres of their life to help build hope and cope
Hi, my name is Gordon. Welcome! . I was born and raised in London. Personal therapy helped me to untangle my relationship with myself and my emotions. The world alone is a chaotic place to manage our own unknowns, anxieties, and traumas. I understand that everyone experiences the world in different ways, so unique problems require bespoke responses. Our lives are constantly changing, so it’s natural to feel emotions strongly, think differently and respond atypically. I help clients explore all spheres of their life to help build hope and cope
020 3871 8210 View 020 3871 8210
Photo of Simone Stephen, MNCPS Acc., Counsellor
Simone Stephen
Counsellor, MNCPS Acc.
Verified Verified
London W8  (Online Only)
Life disturbances can silence us; silence us into disbelief, fear, isolation and suffering. You need not suffer alone in silence. My experience upholding clients with various personal and professional challenges has enabled them to live healthier, more balanced, authentic lives that meet their need. I have uplifted clients troubled with identity and confidence issues. I have supported clients tormented from abuse, grief and trauma. I have helped clients struggling with depression, anxiety and stress. I have facilitated workshops to encourage self-discovery and self-transformation. I volunteered in primary schools with Place2Be
Life disturbances can silence us; silence us into disbelief, fear, isolation and suffering. You need not suffer alone in silence. My experience upholding clients with various personal and professional challenges has enabled them to live healthier, more balanced, authentic lives that meet their need. I have uplifted clients troubled with identity and confidence issues. I have supported clients tormented from abuse, grief and trauma. I have helped clients struggling with depression, anxiety and stress. I have facilitated workshops to encourage self-discovery and self-transformation. I volunteered in primary schools with Place2Be
020 7123 9251 View 020 7123 9251
Photo of Poppy Mellor, MSc, MBACP, Psychotherapist
Poppy Mellor
Psychotherapist, MSc, MBACP
Verified Verified
London W1T
I am a qualified sex and relationship therapist with over 15 years experience of working with individual and couples wanting to improve, repair or develop their relationships. This includes same sex relationships and clients from a range of cultural, religious and ethnic backgrounds.
I am a qualified sex and relationship therapist with over 15 years experience of working with individual and couples wanting to improve, repair or develop their relationships. This includes same sex relationships and clients from a range of cultural, religious and ethnic backgrounds.
020 3290 2875 View 020 3290 2875
Photo of Donna Raphael, DCounsPsych, MBACP, Counsellor
Donna Raphael
Counsellor, DCounsPsych, MBACP
Verified Verified
London N4
I specialise in anxiety and depression, but whatever brings you to therapy right now I can support you and together we can explore what is the cause. I am passionate about empowering clients to develop and strengthen their own sense of agency in the world, so that they feel in control. I work collaboratively with clients rather than acting as an expert. I help my clients consider new ways of viewing the world and guidance on ways they may consider changing their behaviours. The most important thing to me as a therapist is that I provide a warm and non-judgemental space for you to feel truly seen, heard and understood.
I specialise in anxiety and depression, but whatever brings you to therapy right now I can support you and together we can explore what is the cause. I am passionate about empowering clients to develop and strengthen their own sense of agency in the world, so that they feel in control. I work collaboratively with clients rather than acting as an expert. I help my clients consider new ways of viewing the world and guidance on ways they may consider changing their behaviours. The most important thing to me as a therapist is that I provide a warm and non-judgemental space for you to feel truly seen, heard and understood.
020 4538 6941 View 020 4538 6941
Photo of Naomi Segal - Couples Counselling Online, MA, MBACP, Psychotherapist
Naomi Segal - Couples Counselling Online
Psychotherapist, MA, MBACP
Verified Verified
London W1W
SPECIALIST ONLINE COUPLES COUNSELLING HELPING YOU CREATE THE RELATIONSHIP YOU WANT “How do we communicate better?”, “ How do we stop arguing?”, “We’re not getting on and I don’t know why”, “She/he won’t listen to me”, “I can’t get past her/his affair”, “Things changed after we had kids”, “I think I want to separate”... Sound familiar? Many people wait until their relationship problems seem unbearable before they decide to reach out for help. If tension is starting to develop in your relationship, don’t wait until it’s too late to ask for help.
SPECIALIST ONLINE COUPLES COUNSELLING HELPING YOU CREATE THE RELATIONSHIP YOU WANT “How do we communicate better?”, “ How do we stop arguing?”, “We’re not getting on and I don’t know why”, “She/he won’t listen to me”, “I can’t get past her/his affair”, “Things changed after we had kids”, “I think I want to separate”... Sound familiar? Many people wait until their relationship problems seem unbearable before they decide to reach out for help. If tension is starting to develop in your relationship, don’t wait until it’s too late to ask for help.
020 3984 9676 View 020 3984 9676
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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:

90% Anxiety
85% Depression
83% Self Esteem
80% Relationship Issues
78% Stress
66% Trauma and PTSD
62% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

68% Aviva
63% AXA PPP
56% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% 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.