Counselling in Birmingham

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Photo of Gemma Jones, PsychD, HCPC - Clin. Psych., Psychologist
Gemma Jones
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Birmingham B28
Hi, my name is Gemma and I’m a Clinical Psychologist with 20 years experience in the NHS and independent practise. I specialise in supporting people who are experiencing psychological difficulties due to a physical health problem, perhaps from illness, injury, a medical problem or a long -term condition. I have particular interest and expertise in pain management, oncology, palliative care and women's health (e.g. peri-menopause, fertility).
Hi, my name is Gemma and I’m a Clinical Psychologist with 20 years experience in the NHS and independent practise. I specialise in supporting people who are experiencing psychological difficulties due to a physical health problem, perhaps from illness, injury, a medical problem or a long -term condition. I have particular interest and expertise in pain management, oncology, palliative care and women's health (e.g. peri-menopause, fertility).
0121 817 7916 View 0121 817 7916
Photo of Jim Lucas - Openforwards, MBABCP, Psychotherapist
Openforwards
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Birmingham B18
Do you need ways to relax, lift your mood and build your confidence? My name is Jim Lucas and I run a Psychology Service based in Birmingham and Online. We teach you the best ways to deal with your anxiety, reduce depression, manage work-related stress and self-esteem. We'll help you get to the root of the problems quickly. And, we'll make sure you get fully equipped to handle these difficulties on your own. Get in touch to speak with a CBT-Psychology Expert or visit our online shop to see our ebooks and online courses. Go to www.openforwards.com
Do you need ways to relax, lift your mood and build your confidence? My name is Jim Lucas and I run a Psychology Service based in Birmingham and Online. We teach you the best ways to deal with your anxiety, reduce depression, manage work-related stress and self-esteem. We'll help you get to the root of the problems quickly. And, we'll make sure you get fully equipped to handle these difficulties on your own. Get in touch to speak with a CBT-Psychology Expert or visit our online shop to see our ebooks and online courses. Go to www.openforwards.com
0121 726 1175 View 0121 726 1175
Photo of Jon King - Addiction Specialist Psychotherapist, MSc, MUKCP, Psychotherapist
Jon King - Addiction Specialist Psychotherapist
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B28
I am a fully qualified and experienced counsellor and psychotherapist with experience working within the NHS, private and charitable sectors. I offer a safe and confidential space in Birmingham and Coventry where clients are able to explore themselves free from judgement. I have extensive experience working within the field of addiction and have also been working within my own private practice for a number of years where i have enjoyed working with clients that present with a variety of different issues such as anxiety, relationship issues, sex issues, anger issues, personality disorders and also bereavement.
I am a fully qualified and experienced counsellor and psychotherapist with experience working within the NHS, private and charitable sectors. I offer a safe and confidential space in Birmingham and Coventry where clients are able to explore themselves free from judgement. I have extensive experience working within the field of addiction and have also been working within my own private practice for a number of years where i have enjoyed working with clients that present with a variety of different issues such as anxiety, relationship issues, sex issues, anger issues, personality disorders and also bereavement.
0121 285 8149 View 0121 285 8149
Photo of Nazia Fazal, UKCP Trainee, Counsellor
Nazia Fazal
Counsellor, UKCP Trainee
Verified Verified
Birmingham B4
Starting therapy can be daunting and may evoke a number of different emotions including worry and fear. Yet, it also offers hope of change and self-growth, of overcoming the obstacles you’re faced with that stop you from living a more fulfilled life. I understand the importance of compassion, kindness and the need to feel heard throughout the therapeutic journey so feelings can be shared and normalised and a sense of hope restored. I work with people looking to overcome any issue, in particular around race, gender, culture and sexuality. I also have extensive practical experience supporting survivors of sexual and domestic abuse.
Starting therapy can be daunting and may evoke a number of different emotions including worry and fear. Yet, it also offers hope of change and self-growth, of overcoming the obstacles you’re faced with that stop you from living a more fulfilled life. I understand the importance of compassion, kindness and the need to feel heard throughout the therapeutic journey so feelings can be shared and normalised and a sense of hope restored. I work with people looking to overcome any issue, in particular around race, gender, culture and sexuality. I also have extensive practical experience supporting survivors of sexual and domestic abuse.
0121 387 6391 View 0121 387 6391
Photo of Ashanty Alves, BACP, Counsellor
Ashanty Alves
Counsellor, BACP
Verified Verified
Birmingham B23  (Online Only)
Are you an overthinker? Would you consider yourself to be quite sensitive? Struggling with people-pleasing tendencies or self-esteem issues? Are you currently going through an internal conflict? If this resonates with you, I can support you. I am a Highly Sensitive, Psychotherapeutic Counsellor who specialises in working with individuals who struggle with self-esteem issues, and people-pleasing and are quite sensitive in nature. You may be feeling tired of being stuck in repeated patterns and find yourself longing for change, yet needing assistance to work through them.
Are you an overthinker? Would you consider yourself to be quite sensitive? Struggling with people-pleasing tendencies or self-esteem issues? Are you currently going through an internal conflict? If this resonates with you, I can support you. I am a Highly Sensitive, Psychotherapeutic Counsellor who specialises in working with individuals who struggle with self-esteem issues, and people-pleasing and are quite sensitive in nature. You may be feeling tired of being stuck in repeated patterns and find yourself longing for change, yet needing assistance to work through them.
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Photo of Andrew Abernethy, BACP, Counsellor
Andrew Abernethy
Counsellor, BACP
Verified Verified
Birmingham B13
Hello, my name is Andrew and I have counselled many people from various walks of lives including those on the autism spectrum. You may be feeling low in mood , motivation and feelings of what's the point. Relationship struggles with a partner, manager or family member can be debilitating and can lower our self-esteem and boundaries. You might be at a crossroads in your life where you need somebody to help reinforce that gut instinct that you have in your stomach. Having someone to listen to you and appreciate what you're going through can be life changing when you have nobody else to talk to. I have over 6000 hours experience.
Hello, my name is Andrew and I have counselled many people from various walks of lives including those on the autism spectrum. You may be feeling low in mood , motivation and feelings of what's the point. Relationship struggles with a partner, manager or family member can be debilitating and can lower our self-esteem and boundaries. You might be at a crossroads in your life where you need somebody to help reinforce that gut instinct that you have in your stomach. Having someone to listen to you and appreciate what you're going through can be life changing when you have nobody else to talk to. I have over 6000 hours experience.
01926 357134 View 01926 357134
Photo of Jane Oneill, HCPC - Couns. Psych., Psychologist
Jane Oneill
Psychologist, HCPC - Couns. Psych.
Verified Verified
Birmingham B14
You feel like you can’t cope, you’re fed up, you’ve had enough. Your life isn’t what you want it to be. Living has become hard and there’s no joy in your world. It’s like everyone else except you is happy. You’re haunted by your past. You think you’ll never be happy again. You feel alone like no one else understands how hard your life is at the moment. On the outside you look fine but inside you feel like you’re dying. Everything you do feels like an act to look like you’re okay. You don’t know how to change things or what to do about it anymore.
You feel like you can’t cope, you’re fed up, you’ve had enough. Your life isn’t what you want it to be. Living has become hard and there’s no joy in your world. It’s like everyone else except you is happy. You’re haunted by your past. You think you’ll never be happy again. You feel alone like no one else understands how hard your life is at the moment. On the outside you look fine but inside you feel like you’re dying. Everything you do feels like an act to look like you’re okay. You don’t know how to change things or what to do about it anymore.
0121 827 8999 View 0121 827 8999
Photo of Waqar Azam, MSc, MUKCP, Psychotherapist
Waqar Waqar Azam
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B28
If you’ve found yourself here searching for a therapist, then I can imagine that you are going through some tough times at the moment. Life can be difficult, and things can get all too much at times. Whether its emotional distress, depression, anxiety or feeling dissatisfied and empty if your life, we all go through these hardships and sometimes need some help to navigate through and overcome these times.
If you’ve found yourself here searching for a therapist, then I can imagine that you are going through some tough times at the moment. Life can be difficult, and things can get all too much at times. Whether its emotional distress, depression, anxiety or feeling dissatisfied and empty if your life, we all go through these hardships and sometimes need some help to navigate through and overcome these times.
0121 726 8224 View 0121 726 8224
Photo of Dr Caroline Cox, PsychD, HCPC - Clin. Psych., Psychologist
Dr Caroline Cox
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Birmingham B30
I work with those who are looking to improve their psychological wellbeing, lower their stress levels, find ways to manage low mood, anxiety or phobias, increase their self-esteem, or work towards personal development goals. I also work with those who may be struggling with the emotional or psychological impact of living with a health condition, such as managing fatigue and/ or pain, adjusting to diagnosis or treatment and managing difficult feelings.
I work with those who are looking to improve their psychological wellbeing, lower their stress levels, find ways to manage low mood, anxiety or phobias, increase their self-esteem, or work towards personal development goals. I also work with those who may be struggling with the emotional or psychological impact of living with a health condition, such as managing fatigue and/ or pain, adjusting to diagnosis or treatment and managing difficult feelings.
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Photo of Nour El Masry, MUKCP, Psychotherapist
Nour El Masry
Psychotherapist, MUKCP
Verified Verified
Birmingham B1
You may be looking here because you are dealing with upsetting or challenging feelings and experiences, feeling overwhelmed, or having troubles in your relationships. If so, psychotherapy could help you. In the psychotherapy sessions you can explore various aspects of your life and feelings, talking about them freely and openly in a way that is rarely possible with friends or family. Bottled-up feelings such as anger, anxiety, grief and embarrassment can become very intense and counselling offers an opportunity to explore them, with the possibility of making them easier to understand.
You may be looking here because you are dealing with upsetting or challenging feelings and experiences, feeling overwhelmed, or having troubles in your relationships. If so, psychotherapy could help you. In the psychotherapy sessions you can explore various aspects of your life and feelings, talking about them freely and openly in a way that is rarely possible with friends or family. Bottled-up feelings such as anger, anxiety, grief and embarrassment can become very intense and counselling offers an opportunity to explore them, with the possibility of making them easier to understand.
0121 817 7071 View 0121 817 7071
Photo of Sabah Khalid, MSc, MUKCP, Psychotherapist
Sabah Khalid
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Birmingham B9
Not accepting new clients
As an integrative psychotherapist I am here to go on a journey of self-discovery with you with any difficulties that may arise on the journey. Whether you’re seeking a simple improvement or healing from deep wounds, within yourself and/or with others, I can help. I understand that at times your family/friends may be part of the problem, this is where I come into your situation with fresh eyes, an open heart, and much experience and strength to help you regain your sense of who you are.
As an integrative psychotherapist I am here to go on a journey of self-discovery with you with any difficulties that may arise on the journey. Whether you’re seeking a simple improvement or healing from deep wounds, within yourself and/or with others, I can help. I understand that at times your family/friends may be part of the problem, this is where I come into your situation with fresh eyes, an open heart, and much experience and strength to help you regain your sense of who you are.
0121 728 6545 View 0121 728 6545
Photo of Dr Lalitaa Suglani, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Lalitaa Suglani
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Birmingham B15  (Online Only)
Do you feel stuck? stressed? not understanding why you are not able to move forward? struggle in relationships? I offer a simple tailored process for you to create life-lasting changes. Benefit from confidential sessions to overcome self-doubt, get to the top of your game and be recognised as a truly effective leader you are capable of becoming. I have helped thousands of people reach their goals in their personal and professional life to feel a sense of achievement and success. I am a Psychologist, Mindfulness Expert & Life Coach. My approach is holistic, integrative & soulful, yet firmly based in health sciences & research.
Do you feel stuck? stressed? not understanding why you are not able to move forward? struggle in relationships? I offer a simple tailored process for you to create life-lasting changes. Benefit from confidential sessions to overcome self-doubt, get to the top of your game and be recognised as a truly effective leader you are capable of becoming. I have helped thousands of people reach their goals in their personal and professional life to feel a sense of achievement and success. I am a Psychologist, Mindfulness Expert & Life Coach. My approach is holistic, integrative & soulful, yet firmly based in health sciences & research.
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Photo of Dr Chanae Mayers, HCPC - Clin. Psych., Psychologist
Dr Chanae Mayers
Psychologist, HCPC - Clin. Psych.
Verified Verified
Birmingham B33  (Online Only)
I am a qualified Senior Clinical Psychologist and EMDR Therapist, registered with The Health and Care Professions Council (HCPC), British Psychological Society (BPS) and EMDR Academy. My mission as a psychologist is to help people build resilience, heal from past traumas, and develop healthy attachment relationships. I believe in the power of connection and the importance of seeking help when needed.
I am a qualified Senior Clinical Psychologist and EMDR Therapist, registered with The Health and Care Professions Council (HCPC), British Psychological Society (BPS) and EMDR Academy. My mission as a psychologist is to help people build resilience, heal from past traumas, and develop healthy attachment relationships. I believe in the power of connection and the importance of seeking help when needed.
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Photo of Laura Marsden, MBACP, Psychotherapist
Laura Marsden
Psychotherapist, MBACP
Verified Verified
Birmingham B14
I understand how visible and hidden stresses also changing circumstances within our lives can often result in difficult experiences which impact on our mental and physical health. My experience is in working with adults and young people, individually on a range of presenting issues including trauma, trauma related issues or symptoms (such as PTSD), anxiety, depression, personality adaptations or disorders, as well as other mental health symptoms. In addition to this have experience of working with relationship issues, family issues, bereavement, grief and loss and also of working with neurodiversity within the therapeutic setting.
I understand how visible and hidden stresses also changing circumstances within our lives can often result in difficult experiences which impact on our mental and physical health. My experience is in working with adults and young people, individually on a range of presenting issues including trauma, trauma related issues or symptoms (such as PTSD), anxiety, depression, personality adaptations or disorders, as well as other mental health symptoms. In addition to this have experience of working with relationship issues, family issues, bereavement, grief and loss and also of working with neurodiversity within the therapeutic setting.
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Photo of Dr Satbinder Kaur Bhogal, PsychD, HCPC - Clin. Psych., Psychologist
Dr Satbinder Kaur Bhogal
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Birmingham B15  (Online Only)
I work with both children and adults and have a keen interest in working with those who have experienced complex/relational trauma with or without self harming/suicidal behaviour. I work with a variety of mental health problems, such as anxiety and depression. I also work with couples experiencing difficulties in their relationship and work towards understanding the emotional conflicts, that result in the relationship being strained or likely to end without support. There is no one size fits all therapeutic approach and so I place importance on developing a shared understanding of what the core emotional issues are that impact you.
I work with both children and adults and have a keen interest in working with those who have experienced complex/relational trauma with or without self harming/suicidal behaviour. I work with a variety of mental health problems, such as anxiety and depression. I also work with couples experiencing difficulties in their relationship and work towards understanding the emotional conflicts, that result in the relationship being strained or likely to end without support. There is no one size fits all therapeutic approach and so I place importance on developing a shared understanding of what the core emotional issues are that impact you.
01564 334869 View 01564 334869
Photo of Ross Wykes, PNCPS Acc., Counsellor
Ross Wykes
Counsellor, PNCPS Acc.
Verified Verified
Birmingham B5
Welcome. I'm Ross, an Integrative Counsellor dedicated to supporting people on their journey towards healing, growth, and self-discovery. Drawing from my own experiences of overcoming mental health challenges such as depression and anxiety, I offer compassionate guidance and practical tools to help you navigate life's ups and downs with resilience and clarity. I understand first-hand the courage and strength it takes to confront inner demons and emerge stronger on the other side, and I congratulate you in taking that first step towards healing and wholeness.
Welcome. I'm Ross, an Integrative Counsellor dedicated to supporting people on their journey towards healing, growth, and self-discovery. Drawing from my own experiences of overcoming mental health challenges such as depression and anxiety, I offer compassionate guidance and practical tools to help you navigate life's ups and downs with resilience and clarity. I understand first-hand the courage and strength it takes to confront inner demons and emerge stronger on the other side, and I congratulate you in taking that first step towards healing and wholeness.
0121 387 0137 View 0121 387 0137
Photo of Michael Swift, MSc, MBACP, Psychotherapist
Michael Swift
Psychotherapist, MSc, MBACP
Verified Verified
Birmingham B18
Hi, I'm Mike! I value authenticity and transparency in the therapy room. I became a therapist to empower you to make positive and lasting change. I'll be honest, I won't have all the answers, but I'm never afraid to accompany you on the journey to find them. In my practice, I am a compassionate and knowledgeable integrative psychotherapist who has worked in health care organizations for over 10 years. I mainly specialize in the use of Cognitive Behavioural Therapy and third wave therapy approaches for a range of mental health difficulties including anxiety, depression, specific phobias, OCD and health anxiety.
Hi, I'm Mike! I value authenticity and transparency in the therapy room. I became a therapist to empower you to make positive and lasting change. I'll be honest, I won't have all the answers, but I'm never afraid to accompany you on the journey to find them. In my practice, I am a compassionate and knowledgeable integrative psychotherapist who has worked in health care organizations for over 10 years. I mainly specialize in the use of Cognitive Behavioural Therapy and third wave therapy approaches for a range of mental health difficulties including anxiety, depression, specific phobias, OCD and health anxiety.
01564 335986 View 01564 335986
Photo of Beth Whiting, BACP, Counsellor
Beth Whiting
Counsellor, BACP
Verified Verified
Birmingham B9
Everyone needs a bit of help sometimes. Life can get overwhelming and it can be hard to see a clear way through. I work with you in a secure and confidential environment to work through issues that are holding you back. It may be depression, anxiety, relationship issues, grief or general feeling of a lack of fulfilment in your life. Talking to a professional can help you to untangle your thoughts and feelings and navigate a path towards better peace of mind.
Everyone needs a bit of help sometimes. Life can get overwhelming and it can be hard to see a clear way through. I work with you in a secure and confidential environment to work through issues that are holding you back. It may be depression, anxiety, relationship issues, grief or general feeling of a lack of fulfilment in your life. Talking to a professional can help you to untangle your thoughts and feelings and navigate a path towards better peace of mind.
0121 752 2759 View 0121 752 2759
Photo of Wendy Jane Hooker - Birmingham-Therapy, MSc, MBACP, Psychotherapist
Birmingham-Therapy
Psychotherapist, MSc, MBACP
Verified Verified
Birmingham B15  (Online Only)
I have recently moved my office to Birmingham, however am still accepting clients from the Bristol area for online work. I have worked with a diverse range of clients over the years particularly those from socially marginalised backgrounds. The issues I work with are many and varied and clients goals are findamentally 'to feel better' and live a more enriched and fuller life. How this is achieved and the therapuetic startegies employed will be unique and individual to every client.
I have recently moved my office to Birmingham, however am still accepting clients from the Bristol area for online work. I have worked with a diverse range of clients over the years particularly those from socially marginalised backgrounds. The issues I work with are many and varied and clients goals are findamentally 'to feel better' and live a more enriched and fuller life. How this is achieved and the therapuetic startegies employed will be unique and individual to every client.
0117 463 7298 View 0117 463 7298
Dr Cathy Ghaib
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Birmingham B1  (Online Only)
I provide specialist support to adolescents and adults who are struggling with difficulties such as PTSD, childhood trauma, perinatal and postnatal difficulties, low self esteem, anxiety and depression. I also offer couples work. I use range of evidence-based therapeutic interventions and attune to each individuals needs.
I provide specialist support to adolescents and adults who are struggling with difficulties such as PTSD, childhood trauma, perinatal and postnatal difficulties, low self esteem, anxiety and depression. I also offer couples work. I use range of evidence-based therapeutic interventions and attune to each individuals needs.
0121 728 2205 View 0121 728 2205
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See more therapy options for Birmingham

How does your Counsellor compare?

Number of Counsellors in Birmingham

500+

Average cost per session

£60

Counsellors in Birmingham who prioritize treating:

93% Anxiety
88% Depression
86% Self Esteem
83% Stress
78% Relationship Issues
69% Trauma and PTSD
66% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

64% Aviva
58% AXA PPP
50% Bupa

How Counsellors in Birmingham see their clients

66% In Person and Online
34% Online Only

Gender breakdown

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

How can I find a therapist in Birmingham?

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.