Counselling in Lichfield

Photo of Lisa Guilfoyle - Lisa Guilfoyle Counselling, MBACP, Counsellor
Lisa Guilfoyle Counselling
Counsellor, MBACP
Verified Verified
Lichfield WS13
I work with anyone 16+ and offer a confidential, non-judgemental approach to help you work through and process any issues you might want support with. I am experienced in working with anxiety, depression & loss (including traumatic bereavement). I have extensive personal and working experience of Autism and ADHD. As a specialist fertility and perinatal counsellor. I can help you work through the difficult emotions infertility can bring, inc if you are considering fertility treatment, or are going through or are ending treatment. I am experienced in working with perinatal issues, inc pregnancy loss at any stage of pregnancy.
I work with anyone 16+ and offer a confidential, non-judgemental approach to help you work through and process any issues you might want support with. I am experienced in working with anxiety, depression & loss (including traumatic bereavement). I have extensive personal and working experience of Autism and ADHD. As a specialist fertility and perinatal counsellor. I can help you work through the difficult emotions infertility can bring, inc if you are considering fertility treatment, or are going through or are ending treatment. I am experienced in working with perinatal issues, inc pregnancy loss at any stage of pregnancy.
01283 387264 View 01283 387264
Photo of Dr Laura Draycott, PsychD, HCPC - Clin. Psych., Psychologist
Dr Laura Draycott
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Lichfield WS13
I have experience of working with a wide range of difficulties, and I offer an individually tailored treatment plan. I have experience working with depression and low mood, relationship difficulties, anxiety, trauma and PTSD, OCD, eating related difficulties, chronic pain, and low self-esteem. Some individuals also seek support for emotional difficulties arising from past/traumatic experiences, life transitions, being a victim of crime or abuse, difficulties at work, difficulties arising from health problems or being involved in an accident or crime.
I have experience of working with a wide range of difficulties, and I offer an individually tailored treatment plan. I have experience working with depression and low mood, relationship difficulties, anxiety, trauma and PTSD, OCD, eating related difficulties, chronic pain, and low self-esteem. Some individuals also seek support for emotional difficulties arising from past/traumatic experiences, life transitions, being a victim of crime or abuse, difficulties at work, difficulties arising from health problems or being involved in an accident or crime.
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Photo of Helen Dell - Thrive Counselling, MNCPS Acc., Counsellor
Thrive Counselling
Counsellor, MNCPS Acc.
Verified Verified
Lichfield WS14
Hi, I'm Helen. I'm a qualified Integrative Counsellor based just outside the City of Lichfield. I offer my clients warmth and honesty which is fundamental to building a good therapeutic relationship. I won't judge you or offer advice but will work with you to overcome any difficulties and work out what you want from life so that you can thrive.
Hi, I'm Helen. I'm a qualified Integrative Counsellor based just outside the City of Lichfield. I offer my clients warmth and honesty which is fundamental to building a good therapeutic relationship. I won't judge you or offer advice but will work with you to overcome any difficulties and work out what you want from life so that you can thrive.
01543 221026 View 01543 221026
Photo of Dr Louise Earley - Cura Psychology , PsychD, HCPC - Clin. Psych., Psychologist
Cura Psychology
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Lichfield WS13
We have availability in our expert team now for child/family and adult therapy. We recognise that reaching out for help can be a big step. I run Cura Psychology, Lichfield's most established independent clinical psychology, therapy and counselling practice. We are a bespoke team of highly skilled and experienced mental health professionals offering CBT, ACT, trauma treatments, DDP, theraplay, music therapy/art therapy and creative therapies and parenting advice as well as assessments for ADHD and Autism; delivered within a warm and collaborative therapeutic relationship in our beautiful suite. We would love to hear from you!
We have availability in our expert team now for child/family and adult therapy. We recognise that reaching out for help can be a big step. I run Cura Psychology, Lichfield's most established independent clinical psychology, therapy and counselling practice. We are a bespoke team of highly skilled and experienced mental health professionals offering CBT, ACT, trauma treatments, DDP, theraplay, music therapy/art therapy and creative therapies and parenting advice as well as assessments for ADHD and Autism; delivered within a warm and collaborative therapeutic relationship in our beautiful suite. We would love to hear from you!
0121 817 7058 View 0121 817 7058
Photo of Dr Lucy Banks, PsychD, HCPC - Clin. Psych., Psychologist
Dr Lucy Banks
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Lichfield WS13
I work with adults and children with a range of difficulties, and I specialise in supporting parents and families. Perhaps you are a parent who finds themselves being self-critical of their skills or maybe you are struggling to bond or connect with your child. Possibly you are finding it hard to understand your child’s behaviour and how to manage it. It can be isolating to become a parent and the role brings many different challenges at all stages of your childs life. My background working with attachment theory helps me to guide parents on how to best meet their child's needs, whilst still allowing time to look after themselves.
I work with adults and children with a range of difficulties, and I specialise in supporting parents and families. Perhaps you are a parent who finds themselves being self-critical of their skills or maybe you are struggling to bond or connect with your child. Possibly you are finding it hard to understand your child’s behaviour and how to manage it. It can be isolating to become a parent and the role brings many different challenges at all stages of your childs life. My background working with attachment theory helps me to guide parents on how to best meet their child's needs, whilst still allowing time to look after themselves.
01543 222914 View 01543 222914
Photo of Loran Yates, MSc, MBACP Accred, Psychotherapist
Loran Yates
Psychotherapist, MSc, MBACP Accred
Verified Verified
Lichfield WS13
My primary aim is to encourage and support you to make the positive changes you are seeking. I understand that life throws us curve balls which may be challenging, and it may be tricky to balance all of these on your own and so I provide you with an understanding, warm, non-judgemental and confidential space to explore your thoughts, feelings and behaviours. 
My primary aim is to encourage and support you to make the positive changes you are seeking. I understand that life throws us curve balls which may be challenging, and it may be tricky to balance all of these on your own and so I provide you with an understanding, warm, non-judgemental and confidential space to explore your thoughts, feelings and behaviours. 
07480 788176 View 07480 788176
Photo of Ellen Bird, BACP, Counsellor
Ellen Bird
Counsellor, BACP
Verified Verified
Lichfield WS13
My name is Ellen. I love my job. I work hard to ensure you will receive the highest possible service from me, and to ensure you feel supported and safe throughout the time we spend together. I am a qualified Counsellor working in the Lichfield area (face to face) and with clients across the UK (online). Talking to me will give you the opportunity to have an open and honest conversation with me about whatever is troubling you. Working at your pace, we can talk things through and explore how to make the changes you want to see in your life. I won't judge you and I won't offer advice.
My name is Ellen. I love my job. I work hard to ensure you will receive the highest possible service from me, and to ensure you feel supported and safe throughout the time we spend together. I am a qualified Counsellor working in the Lichfield area (face to face) and with clients across the UK (online). Talking to me will give you the opportunity to have an open and honest conversation with me about whatever is troubling you. Working at your pace, we can talk things through and explore how to make the changes you want to see in your life. I won't judge you and I won't offer advice.
01283 244235 View 01283 244235
Photo of Lakshnie Hettihewa, MSc, MBACP, Psychotherapist
Lakshnie Hettihewa
Psychotherapist, MSc, MBACP
Verified Verified
Lichfield WS14
Not accepting new clients
My way of working is somewhat dependent on you and your wants from a therapy space. I am trained to work with CBT, person-centred and attachment based therapy. I have done additional training in: Somatic Abolitionism, Emotional Regulation Skills and CBT adapted to work with those that self-define as autistic. I have worked with many clients and believe therapy works best by meeting the client where they are and towards what they identify they need. I work openly with race and other forms of systemic oppression in therapy and support clients from minoritised identities to explore this in therapy.
My way of working is somewhat dependent on you and your wants from a therapy space. I am trained to work with CBT, person-centred and attachment based therapy. I have done additional training in: Somatic Abolitionism, Emotional Regulation Skills and CBT adapted to work with those that self-define as autistic. I have worked with many clients and believe therapy works best by meeting the client where they are and towards what they identify they need. I work openly with race and other forms of systemic oppression in therapy and support clients from minoritised identities to explore this in therapy.
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Photo of Kimberley Hackett, MSc, MBACP, Counsellor
Kimberley Hackett
Counsellor, MSc, MBACP
Verified Verified
Lichfield WS13  (Online Only)
Life can involve upsetting, stressful, or traumatic events that can impact us in so many ways. You may have anxiety and depression, struggle with low self esteem or have suicidal/intrusive thoughts. You may have problems controlling anger, or struggle with neurodiversity in a neurotypical world. Maybe your thoughts or feelings are impacting relationships around you, or vice versa. Whatever the circumstance, I can help you understand yourself and others in a safe and non-judgmental space, for new or long term troubles. I also offer coping techniques to reduce intensity/frequency of negative thoughts, images, and physical sensations
Life can involve upsetting, stressful, or traumatic events that can impact us in so many ways. You may have anxiety and depression, struggle with low self esteem or have suicidal/intrusive thoughts. You may have problems controlling anger, or struggle with neurodiversity in a neurotypical world. Maybe your thoughts or feelings are impacting relationships around you, or vice versa. Whatever the circumstance, I can help you understand yourself and others in a safe and non-judgmental space, for new or long term troubles. I also offer coping techniques to reduce intensity/frequency of negative thoughts, images, and physical sensations
01922 927074 View 01922 927074
Photo of David John Briggs - Dr David Briggs Psychology, DCounsPsych, CPsychol, Psychologist
Dr David Briggs Psychology
Psychologist, DCounsPsych, CPsychol
Verified Verified
Lichfield WS14  (Online Only)
As a Doctor of Counselling Psychology my training has been in a wide range of theoretical approaches as accredited by the British Psychological Society and this enables me to work effectively with people with a wide range of psychological difficulties and mental health problems.
As a Doctor of Counselling Psychology my training has been in a wide range of theoretical approaches as accredited by the British Psychological Society and this enables me to work effectively with people with a wide range of psychological difficulties and mental health problems.
01633 358487 View 01633 358487
Photo of Helen Ann Hadfield - Windmill Health Care, MA, MBACP Accred, Counsellor
Windmill Health Care
Counsellor, MA, MBACP Accred
Verified Verified
Lichfield WS13
Do people tell you that you are sensitive? Do you have low self-esteem, anxiety or depression? Are you struggling with the unexpected amount of emotions after having a baby? Together we will empower you to feel more confident I am a HSP (Highly Sensitive Person) qualified therapist, with a M.A in Integrative therapy, including Attachment theory, Compassion Focussed therapy.
Do people tell you that you are sensitive? Do you have low self-esteem, anxiety or depression? Are you struggling with the unexpected amount of emotions after having a baby? Together we will empower you to feel more confident I am a HSP (Highly Sensitive Person) qualified therapist, with a M.A in Integrative therapy, including Attachment theory, Compassion Focussed therapy.
01889 227562 View 01889 227562
Photo of Sarah Hopton, MSc, MBACP Accred, Psychotherapist
Sarah Hopton
Psychotherapist, MSc, MBACP Accred
Verified Verified
Lichfield WS13
As an integrative therapist, I am relational in my approach, this style places great emphasis on the relationship between the client and the therapist. I believe the most important part of any therapy is to build a trusting relationship, where you can feel safe and secure so you feel able to share your story and experiences in a confidential, non-judgmental space where you can explore positive and challenging aspects of your life and any change you wish to explore or make. I have personal experience in sexual, physical, emotional and mental abuse; divorce; living with a narcissist; step-parenting; addiction and PTSD.
As an integrative therapist, I am relational in my approach, this style places great emphasis on the relationship between the client and the therapist. I believe the most important part of any therapy is to build a trusting relationship, where you can feel safe and secure so you feel able to share your story and experiences in a confidential, non-judgmental space where you can explore positive and challenging aspects of your life and any change you wish to explore or make. I have personal experience in sexual, physical, emotional and mental abuse; divorce; living with a narcissist; step-parenting; addiction and PTSD.
01283 260108 View 01283 260108
Photo of Gavin Crisp, MBABCP, Psychotherapist
Gavin Crisp
Psychotherapist, MBABCP
Verified Verified
Lichfield WS13
Hi, I’m Gav and I’m an accredited Psychological Therapist based in Birmingham. I have 15 years of experience supporting & empowering people to improve their mental health and transform their lives. Ultimately my passion and drive is to support people to rediscover happiness, connection and fulfilment and I can support you to achieve this by a tailored approach to meet your individual needs. I work on the premise of self-development and growth, utilising a combination of evidence-based therapies and tools to help you move forward, feel confident and succeed in every area of your life.
Hi, I’m Gav and I’m an accredited Psychological Therapist based in Birmingham. I have 15 years of experience supporting & empowering people to improve their mental health and transform their lives. Ultimately my passion and drive is to support people to rediscover happiness, connection and fulfilment and I can support you to achieve this by a tailored approach to meet your individual needs. I work on the premise of self-development and growth, utilising a combination of evidence-based therapies and tools to help you move forward, feel confident and succeed in every area of your life.
0121 227 9899 View 0121 227 9899
Photo of Claire Hadfield, CPsychol, Psychologist
Claire Hadfield
Psychologist, CPsychol
Verified Verified
Lichfield WS13
Do you feel like your life is lacking direction or purpose? Sometimes these feelings arise from a life-changing event, sometimes we don’t know or understand why we feel like this. Whatever the cause, I can help you to identify where you are now and where you want to be. I will work with you to take positive steps forward. I use coaching techniques that help empower you; help you to find your purpose; maximise your potential and deal with change. I have had my own experience with a life-threatening illness and understand that sometimes life does not go the way we planned. Therapy can help you to feel more in control of your life.
Do you feel like your life is lacking direction or purpose? Sometimes these feelings arise from a life-changing event, sometimes we don’t know or understand why we feel like this. Whatever the cause, I can help you to identify where you are now and where you want to be. I will work with you to take positive steps forward. I use coaching techniques that help empower you; help you to find your purpose; maximise your potential and deal with change. I have had my own experience with a life-threatening illness and understand that sometimes life does not go the way we planned. Therapy can help you to feel more in control of your life.
01283 243921 View 01283 243921
Photo of Jill Phillips, MSc, MBACP Accred, Counsellor
Jill Phillips
Counsellor, MSc, MBACP Accred
Verified Verified
Lichfield WS14
Hi, my name is Jill. I am an experienced counsellor who is easy to talk to. I work online with adults. I am passionate about helping clients find their unique ways to move forwards and improve their sense of wellbeing. Are you struggling with the sadness of grief and bereavement? Is stress, anxiety or panic impacting your life? Do distressing moods like depression and anger trouble you? Do you need support with family issues and tensions in relationships? Do you have a long-term health condition or cancer? Is a phobia holding you back? Do you have traumatic experiences that need resolving? Please get in touch.
Hi, my name is Jill. I am an experienced counsellor who is easy to talk to. I work online with adults. I am passionate about helping clients find their unique ways to move forwards and improve their sense of wellbeing. Are you struggling with the sadness of grief and bereavement? Is stress, anxiety or panic impacting your life? Do distressing moods like depression and anger trouble you? Do you need support with family issues and tensions in relationships? Do you have a long-term health condition or cancer? Is a phobia holding you back? Do you have traumatic experiences that need resolving? Please get in touch.
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Photo of Alan James Naughton, MBACP, Psychotherapist
Alan James Naughton
Psychotherapist, MBACP
Verified Verified
Lichfield WS13
Life is not straightforward and sometimes overwhelming. Often we know what our difficulties are, sometimes we don't. I offer a friendly, supportive environment in which to talk about what matters most to you, and find ways to move forward. I am a psychotherapist working for Prohealth UK (www.prohealthuk.org) and privately. I have worked in varied settings, providing psychotherapy services for NHS patients, Staffordshire Fire & Police Service, Staffordshire County Council, East Staffs Borough Council, Salford Hospital and local charity.
Life is not straightforward and sometimes overwhelming. Often we know what our difficulties are, sometimes we don't. I offer a friendly, supportive environment in which to talk about what matters most to you, and find ways to move forward. I am a psychotherapist working for Prohealth UK (www.prohealthuk.org) and privately. I have worked in varied settings, providing psychotherapy services for NHS patients, Staffordshire Fire & Police Service, Staffordshire County Council, East Staffs Borough Council, Salford Hospital and local charity.
01543 399608 View 01543 399608
Photo of Carol Martin, MBACP, Counsellor
Carol Martin
Counsellor, MBACP
Verified Verified
Lichfield WS13
Counselling is an opportunity to talk over any troubling issues in a private and relaxed setting with someone who plays no other role in your life. It allows the counsellor and client to develop a non-judgemental, accepting relationship, where the client feels they are safe and able to express themselves freely. As an integrative counsellor, I draw on various therapeutic theories and use them to suit the unique needs of individuals. I am a registered member of the BACP and adhere to its ethical framework. Currently, I work for a charity offering support to young people and adults who are impacted by cancer.
Counselling is an opportunity to talk over any troubling issues in a private and relaxed setting with someone who plays no other role in your life. It allows the counsellor and client to develop a non-judgemental, accepting relationship, where the client feels they are safe and able to express themselves freely. As an integrative counsellor, I draw on various therapeutic theories and use them to suit the unique needs of individuals. I am a registered member of the BACP and adhere to its ethical framework. Currently, I work for a charity offering support to young people and adults who are impacted by cancer.
0121 269 8541 View 0121 269 8541
Photo of Victoria Moore, MBACP, Psychotherapist
Victoria Moore
Psychotherapist, MBACP
Verified Verified
Lichfield WS14
I specialise in Humanistic Integrative psychotherapy and counselling, providing compassionate support for individuals and couples seeking emotional support, well-being and personal growth. Whether you are struggling with anxiety, depression, relationship challenges, or unresolved trauma, I provide a safe and non-judgmental space for you to explore your thoughts, emotions, and experiences. I aim to empower you to uncover your inner strengths, gain self-awareness, and develop practical strategies to navigate life's hurdles with resilience and get to wherever you wish to be.
I specialise in Humanistic Integrative psychotherapy and counselling, providing compassionate support for individuals and couples seeking emotional support, well-being and personal growth. Whether you are struggling with anxiety, depression, relationship challenges, or unresolved trauma, I provide a safe and non-judgmental space for you to explore your thoughts, emotions, and experiences. I aim to empower you to uncover your inner strengths, gain self-awareness, and develop practical strategies to navigate life's hurdles with resilience and get to wherever you wish to be.
01543 220421 View 01543 220421
Photo of Salyann White, MBACP Accred, Counsellor
Salyann White
Counsellor, MBACP Accred
Verified Verified
Lichfield WS13  (Online Only)
Hi, I am an experienced MBACP accredited Integrative counsellor with a relaxed and easy-going approach. I have worked with a diverse range of clients from commercial, private, and public sectors for ten years. My goal is to provide you with a safe and comfortable environment where you can express yourself freely without fear of judgment. As an Integrative therapist, I can adapt my approach to your unique needs, drawing inspiration from a range of modalities, including Person-centered, Cognitive Behavioral Therapy, and Solution-focused.
Hi, I am an experienced MBACP accredited Integrative counsellor with a relaxed and easy-going approach. I have worked with a diverse range of clients from commercial, private, and public sectors for ten years. My goal is to provide you with a safe and comfortable environment where you can express yourself freely without fear of judgment. As an Integrative therapist, I can adapt my approach to your unique needs, drawing inspiration from a range of modalities, including Person-centered, Cognitive Behavioral Therapy, and Solution-focused.
01922 927094 View 01922 927094
Photo of Amy Gunn - Clearmind Counselling With Amy, MBACP, Counsellor
Clearmind Counselling With Amy
Counsellor, MBACP
Verified Verified
Lichfield WS14
Deciding upon counselling-or even asking for help is not an easy step to take. When you feel strong enough to take that first step, I will help you take time out, by creating a safe space where you will be seen, heard and can talk things through at your own pace. This really can make all the difference.
Deciding upon counselling-or even asking for help is not an easy step to take. When you feel strong enough to take that first step, I will help you take time out, by creating a safe space where you will be seen, heard and can talk things through at your own pace. This really can make all the difference.
01827 948618 View 01827 948618
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See more therapy options for Lichfield

How does your Counsellor compare?

Number of Counsellors in Lichfield

40+

Average cost per session

£55

Counsellors in Lichfield who prioritize treating:

98% Anxiety
93% Depression
90% Self Esteem
80% Stress
76% Coping Skills
68% Relationship Issues
68% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

80% AXA PPP
70% Aviva
50% Bupa

How Counsellors in Lichfield see their clients

79% In Person and Online
21% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Lichfield?

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.