Counselling in London

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Photo of Jonathan Banes, PhD, HCPC - Clin. Psych., Psychologist
Jonathan Banes
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
London N8  (Online Only)
I work with both young people and adults who are experiencing high levels of stress and anxiety; sometimes feeling overwhelmed, low in mood or lacking in confidence. You may have had upsetting experiences that you are trying to process, or finding it difficult to get on with people close to you? Some of my clients are feeling overwhelmed at work, or experiencing burnout. When we meet, I will listen carefully to try to understand why you may be struggling and what changes you would like to make. After the assessment we will make a clear plan of what you would like to achieve and what a successful outcome from therapy looks like.
I work with both young people and adults who are experiencing high levels of stress and anxiety; sometimes feeling overwhelmed, low in mood or lacking in confidence. You may have had upsetting experiences that you are trying to process, or finding it difficult to get on with people close to you? Some of my clients are feeling overwhelmed at work, or experiencing burnout. When we meet, I will listen carefully to try to understand why you may be struggling and what changes you would like to make. After the assessment we will make a clear plan of what you would like to achieve and what a successful outcome from therapy looks like.
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Photo of Neil Hammond, PsychD, HCPC - Clin. Psych., Psychologist
Neil Hammond
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London W1G
I run therapy clinic delivering adapted evidence based therapies for mental health difficulties associated with Autism. I have vast experience of working with adults with neurodevelopmental difficulties. I work using National Institute of Clinical Excellence (NICE) guidelines adapted interventions which I’ve been developing as the lead Consultant Clinical Psychologist at the Maudsley Hospital for the last 10 years. I am internationally known for these interventions and is regularly invited to teach and train others.
I run therapy clinic delivering adapted evidence based therapies for mental health difficulties associated with Autism. I have vast experience of working with adults with neurodevelopmental difficulties. I work using National Institute of Clinical Excellence (NICE) guidelines adapted interventions which I’ve been developing as the lead Consultant Clinical Psychologist at the Maudsley Hospital for the last 10 years. I am internationally known for these interventions and is regularly invited to teach and train others.
020 3962 1645 View 020 3962 1645
Photo of Sarah Drewer, DCounsPsych, MBACP, Counsellor
Sarah Drewer
Counsellor, DCounsPsych, MBACP
Verified Verified
4 Endorsed
London W10  (Online Only)
I believe that we all have the capacity for growth and change given the right environment. Creating that environment starts with finding a therapist you can connect and feel safe with. As individual & unique beings it makes sense to me that there is no ‘one size fits all model’ when it comes to therapy. Naturally, different people need different things at different times. The wonderfully dynamic process of therapy is proven to work best when it is co-created (between therapist and client) in the presence of genuine warmth, open-mindedness, listening and acceptance. These qualities are always at the heart of my work.
I believe that we all have the capacity for growth and change given the right environment. Creating that environment starts with finding a therapist you can connect and feel safe with. As individual & unique beings it makes sense to me that there is no ‘one size fits all model’ when it comes to therapy. Naturally, different people need different things at different times. The wonderfully dynamic process of therapy is proven to work best when it is co-created (between therapist and client) in the presence of genuine warmth, open-mindedness, listening and acceptance. These qualities are always at the heart of my work.
020 3856 8007 View 020 3856 8007
Photo of Lisa Greenspan - London Accessible Psychotherapy Independent Svc, PsychD, CPsychol, Psychologist
London Accessible Psychotherapy Independent Svc
Psychologist, PsychD, CPsychol
Verified Verified
London N10
LAPIS serves people with disabilities, carers and NHS workers/ healthworkers. LAPIS addresses the disadvantage in accessing therapy so people with physical disabilities, learning disabilities and life-changing physical health issues as well as those with learning disorders such as ASD and ADHD can address mental health issues. We do this by making available an accessible service that offers specialist Counselling and Psychotherapy as a low cost service that we strive to make available to all.
LAPIS serves people with disabilities, carers and NHS workers/ healthworkers. LAPIS addresses the disadvantage in accessing therapy so people with physical disabilities, learning disabilities and life-changing physical health issues as well as those with learning disorders such as ASD and ADHD can address mental health issues. We do this by making available an accessible service that offers specialist Counselling and Psychotherapy as a low cost service that we strive to make available to all.
07480 783279 View 07480 783279
Photo of Johnathan Sunley, MBACP, Psychotherapist
Johnathan Sunley
Psychotherapist, MBACP
Verified Verified
London W1W
If you’re searching this site it’s almost certainly because something in life is getting on top of you. It might be a worry you can’t stop thinking about. Or a more general sense of unease. Perhaps it’s worse than that and you can barely get out of bed in the morning or are turning more and more to addictions of one kind or another — food, social media, alcohol, porn, drugs — just to get through the day. You might be struggling in the aftermath of a bereavement. Or unsure what to do next in a difficult relationship. Perhaps it’s at work that you feel most stuck. Therapy can be very helpful for dealing with issues like these.
If you’re searching this site it’s almost certainly because something in life is getting on top of you. It might be a worry you can’t stop thinking about. Or a more general sense of unease. Perhaps it’s worse than that and you can barely get out of bed in the morning or are turning more and more to addictions of one kind or another — food, social media, alcohol, porn, drugs — just to get through the day. You might be struggling in the aftermath of a bereavement. Or unsure what to do next in a difficult relationship. Perhaps it’s at work that you feel most stuck. Therapy can be very helpful for dealing with issues like these.
020 3828 7282 View 020 3828 7282
Photo of Marigemma Rocco, ACP, Psychotherapist
Marigemma Rocco
Psychotherapist, ACP
Verified Verified
London E18
I am a Consultant Child and Adolescent Psychotherapist who recently retired from the NHS, after over 30 years of dedicated work in Children and families mental health. It is hard to see our children struggle or to acknowledge our struggles as parents. Children might struggle with anxiety, trauma, and a variety of psychological issues that might effect their relationships, their sleep or their learning. I offer a safe and not judgemental space for parents, young children, adolescents and young adults (up to 25 years of age) a space to explore their difficulties and to move on.
I am a Consultant Child and Adolescent Psychotherapist who recently retired from the NHS, after over 30 years of dedicated work in Children and families mental health. It is hard to see our children struggle or to acknowledge our struggles as parents. Children might struggle with anxiety, trauma, and a variety of psychological issues that might effect their relationships, their sleep or their learning. I offer a safe and not judgemental space for parents, young children, adolescents and young adults (up to 25 years of age) a space to explore their difficulties and to move on.
020 4538 0015 View 020 4538 0015
Photo of Daniela Bloom, DCounsPsych, HCPC - Couns. Psych., Psychologist
Daniela Bloom
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
London W1W
Waitlist for new clients
Are you looking for someone to talk to but wonder what it will be like to tell someone you don't know about things that worry you and possibly cause you anxiety? Are you wondering about your relationships, about the dynamics, the love you feel or do not feel, trust and safety?I promise that within the safe and confidential boundaries of a therapeutic encounter I offer the opportunity to discuss and explore your feelings and help raise awareness of what it means to be 'you', both within relationships and on your own.
Are you looking for someone to talk to but wonder what it will be like to tell someone you don't know about things that worry you and possibly cause you anxiety? Are you wondering about your relationships, about the dynamics, the love you feel or do not feel, trust and safety?I promise that within the safe and confidential boundaries of a therapeutic encounter I offer the opportunity to discuss and explore your feelings and help raise awareness of what it means to be 'you', both within relationships and on your own.
020 3870 4262 View 020 3870 4262
Photo of Clare louise Venner - Clare Venner, MA, MBACP, Counsellor
Clare Venner
Counsellor, MA, MBACP
Verified Verified
London W14  (Online Only)
Hello! I help individual adults with a wide variety of issues to explore their concerns and move on to a more contented life. I specialise in addiction and bereavement but also see people who suffer from a wide variety of human conditions such as anxiety, depression, stress, relationship difficulties etc. I have been in practice for 14 years and have witnessed numerous times how counselling can change peoples' lives and relationships for the better. Lets get started!
Hello! I help individual adults with a wide variety of issues to explore their concerns and move on to a more contented life. I specialise in addiction and bereavement but also see people who suffer from a wide variety of human conditions such as anxiety, depression, stress, relationship difficulties etc. I have been in practice for 14 years and have witnessed numerous times how counselling can change peoples' lives and relationships for the better. Lets get started!
020 7046 1361 View 020 7046 1361
Photo of Lorna French, PsychD, HCPC - Clin. Psych., Psychologist
Lorna French
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
London SE19
Many people come to therapy feeling low, anxious or lost, and I offer a space to explore those experiences and identify opportunities for doing things differently. I welcome people from all backgrounds and experiences, and usually start by working with you to understand who you are and what is important to you. I draw on a range of approaches (e.g. narrative therapy, cognitive behavioural therapy, and compassion focused approaches), with a particular focus on values and identity. I am experienced in supporting adults of all ages with a range of issues, such as low mood, stress, anxiety and shame.
Many people come to therapy feeling low, anxious or lost, and I offer a space to explore those experiences and identify opportunities for doing things differently. I welcome people from all backgrounds and experiences, and usually start by working with you to understand who you are and what is important to you. I draw on a range of approaches (e.g. narrative therapy, cognitive behavioural therapy, and compassion focused approaches), with a particular focus on values and identity. I am experienced in supporting adults of all ages with a range of issues, such as low mood, stress, anxiety and shame.
020 3835 4653 View 020 3835 4653
Photo of Dr Charlotte Rose, PsychD, HCPC - Clin. Psych., Psychologist
Dr Charlotte Rose
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SW17  (Online Only)
I am an accredited Clinical Psychologist and Cognitive Behavioural Therapy (CBT) psychotherapist with a deep commitment to supporting individuals on their journey towards mental well-being. With over 8 years of experience in specialist NHS services, I bring knowledge and expertise to my practice. My practice covers a broad spectrum of mental health difficulties which are outlined below. Drawing on my background in a specialised neurodevelopmental service (e.g., Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder), I am able to identify neurodivergence and adapt sessions in order to support individual’s needs.
I am an accredited Clinical Psychologist and Cognitive Behavioural Therapy (CBT) psychotherapist with a deep commitment to supporting individuals on their journey towards mental well-being. With over 8 years of experience in specialist NHS services, I bring knowledge and expertise to my practice. My practice covers a broad spectrum of mental health difficulties which are outlined below. Drawing on my background in a specialised neurodevelopmental service (e.g., Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder), I am able to identify neurodivergence and adapt sessions in order to support individual’s needs.
020 3815 9297 View 020 3815 9297
Photo of Emonie Carter - Hale - Serenity Psychotherapy, MA, MUKCP, Psychotherapist
Serenity Psychotherapy
Psychotherapist, MA, MUKCP
Verified Verified
London EC1V
Welcome! My therapy approach comes from perspectives of holistic, systemic, and trauma-informed. In Systemic Therapy I examine patterns of interactions and behaviours to determine why the issues are presenting themselves, and support you in making changes. The aim is to help the individual, couple or family gain a better understanding of self not only from an individual level but a relational perspective as well
Welcome! My therapy approach comes from perspectives of holistic, systemic, and trauma-informed. In Systemic Therapy I examine patterns of interactions and behaviours to determine why the issues are presenting themselves, and support you in making changes. The aim is to help the individual, couple or family gain a better understanding of self not only from an individual level but a relational perspective as well
020 3917 2288 View 020 3917 2288
Photo of Anna Maratos, MSc, MUKCP, Psychotherapist
Anna Maratos
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
London NW10
I am lucky to be working with clients from a wide range of backgrounds with all sorts of issues. I see people on a 1-1 and if indicated, in my analytic group; mostly helping people with inter-personal issues which are often at the root of their depression, anxiety, loneliness. Clients report life-changing improvements in close relationships, self-awareness, self-confidence and feelings of belonging and significance. These foundational shifts occur through conversation: making links between past and present, noticing patterns and getting to the root cause.
I am lucky to be working with clients from a wide range of backgrounds with all sorts of issues. I see people on a 1-1 and if indicated, in my analytic group; mostly helping people with inter-personal issues which are often at the root of their depression, anxiety, loneliness. Clients report life-changing improvements in close relationships, self-awareness, self-confidence and feelings of belonging and significance. These foundational shifts occur through conversation: making links between past and present, noticing patterns and getting to the root cause.
020 4538 2735 View 020 4538 2735
Photo of Brent Carville Magee, MBACP, Psychotherapist
Brent Carville Magee
Psychotherapist, MBACP
Verified Verified
London EC1R
I have lived & worked in London most of my life. I am an experienced & qualified psychotherapist/coaching psychologist mostly working with a mix of cognitive behavioural therapy CBT & Psychodynamic theory. I have seen countless clients improve with these techniques over the years. I work efficiently to reach goals quickly, valuing time, cultivating motivation, and improving clients' sense of control. Most importantly, my role is active and seeks to first establish what the problems are, focusing therapy around these issues, and targeting them directly. I find this far more effective than relying solely on talking and listening.
I have lived & worked in London most of my life. I am an experienced & qualified psychotherapist/coaching psychologist mostly working with a mix of cognitive behavioural therapy CBT & Psychodynamic theory. I have seen countless clients improve with these techniques over the years. I work efficiently to reach goals quickly, valuing time, cultivating motivation, and improving clients' sense of control. Most importantly, my role is active and seeks to first establish what the problems are, focusing therapy around these issues, and targeting them directly. I find this far more effective than relying solely on talking and listening.
020 3974 2479 View 020 3974 2479
Photo of Suzy Rosenthal, MBACP, Counsellor
Suzy Rosenthal
Counsellor, MBACP
Verified Verified
London N3
You may be experiencing feelings which are leaving you distressed and confused. You may be feeling anxious or alone - unsure of where to turn or who can be there beside you. Coming for counselling may initially feel daunting, however it is a courageous step forward in enabling a time of self reflection. It is important that you feel that the space I offer is a space where you can speak openly and freely, and that the warmth, empathy and non-judgemental space will enable you to feel listened to in a unique way where you feel able to express your emotions, empowering you to understand any negative feelings you may be experiencing.
You may be experiencing feelings which are leaving you distressed and confused. You may be feeling anxious or alone - unsure of where to turn or who can be there beside you. Coming for counselling may initially feel daunting, however it is a courageous step forward in enabling a time of self reflection. It is important that you feel that the space I offer is a space where you can speak openly and freely, and that the warmth, empathy and non-judgemental space will enable you to feel listened to in a unique way where you feel able to express your emotions, empowering you to understand any negative feelings you may be experiencing.
020 3893 2443 View 020 3893 2443
Photo of Anna Sugarman, MSc, MUKCP, Psychotherapist
Anna Sugarman
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
London SW4
Relationships can impact our lives in many different ways. At the heart of systemic psychotherapy is a belief that building support and understanding, being able to appreciate each other’s needs and experiences and finding ways to have difficult conversations safely can not only allow for more meaningful relationships but can promote overall wellbeing and positive mental health. My role is to provide a non-judgemental and safe therapeutic space where you will able to explore ways in which to have different experiences within relationships. If you need help to improve your relationships then I could be a good fit for you.
Relationships can impact our lives in many different ways. At the heart of systemic psychotherapy is a belief that building support and understanding, being able to appreciate each other’s needs and experiences and finding ways to have difficult conversations safely can not only allow for more meaningful relationships but can promote overall wellbeing and positive mental health. My role is to provide a non-judgemental and safe therapeutic space where you will able to explore ways in which to have different experiences within relationships. If you need help to improve your relationships then I could be a good fit for you.
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Photo of Madeleine Ensor, BPC, Psychotherapist
Madeleine Ensor
Psychotherapist, BPC
Verified Verified
London SW11
At any point in our lives we may find ourselves feeling low, depressed or anxious. This may be something that has been going on for some time, perhaps over many years, or it may be brought on by an event. It can help to share these feelings with a trained therapist. Psychotherapy offers a safe, confidential and non-judgemental space to talk, think and be.
At any point in our lives we may find ourselves feeling low, depressed or anxious. This may be something that has been going on for some time, perhaps over many years, or it may be brought on by an event. It can help to share these feelings with a trained therapist. Psychotherapy offers a safe, confidential and non-judgemental space to talk, think and be.
020 7046 1982 View 020 7046 1982
Photo of Rosalyn Graham, MNCPS Acc., Counsellor
Rosalyn Graham
Counsellor, MNCPS Acc.
Verified Verified
2 Endorsed
London W1W
Hello, thank you for taking the time to read my profile. I would describe my style as warm, compassionate, honest, empathic and humorous where applicable. Whatever the challenges of life have bought you to this page, I am here to listen to you primarily as a human, who has had relevant training and life experience with the therapeutic process, working at its best. I aim to meet you at where you are at, and walk with you as we navigate your personal journey of discovery, healing and growth.
Hello, thank you for taking the time to read my profile. I would describe my style as warm, compassionate, honest, empathic and humorous where applicable. Whatever the challenges of life have bought you to this page, I am here to listen to you primarily as a human, who has had relevant training and life experience with the therapeutic process, working at its best. I aim to meet you at where you are at, and walk with you as we navigate your personal journey of discovery, healing and growth.
020 4538 1672 View 020 4538 1672
Photo of Elizabeth Loach, MSc, MUKCP, Psychotherapist
Elizabeth Loach
Psychotherapist, MSc, MUKCP
Verified Verified
London W5
My name is Elizabeth and I work with adult individuals and couples. Sometimes we feel lost and struggle to cope with life’s difficulties. Taking the first step to contact a therapist can feel really difficult and so I’d like you to know that our therapeutic 'space' is safe and non-judgemental.
My name is Elizabeth and I work with adult individuals and couples. Sometimes we feel lost and struggle to cope with life’s difficulties. Taking the first step to contact a therapist can feel really difficult and so I’d like you to know that our therapeutic 'space' is safe and non-judgemental.
020 3828 7469 View 020 3828 7469
Photo of Belinda Evans, MBACP, Counsellor
Belinda Evans
Counsellor, MBACP
Verified Verified
London E4
It is not an easy decision to come to therapy and seek help, so I appreciate that this may be a big step for you. I am experienced in supporting people with a range of issues including anxiety, depression, low self-esteem, relationship difficulties, bereavement , divorce, and trauma. I have specialist training in supporting people experiencing loss, complicated grief and traumatic bereavement, I welcome anyone regardless of whatever you may be experiencing and regardless of age, gender, race, sexual orientation, religion or culture,
It is not an easy decision to come to therapy and seek help, so I appreciate that this may be a big step for you. I am experienced in supporting people with a range of issues including anxiety, depression, low self-esteem, relationship difficulties, bereavement , divorce, and trauma. I have specialist training in supporting people experiencing loss, complicated grief and traumatic bereavement, I welcome anyone regardless of whatever you may be experiencing and regardless of age, gender, race, sexual orientation, religion or culture,
020 7123 8559 View 020 7123 8559
Photo of Daniel Smyth, MSc, MBACP, Counsellor
Daniel Smyth
Counsellor, MSc, MBACP
Verified Verified
London N3
I am a psychodynamic therapist based in inner London. My focus is on behaviour and the catalysts behind it.My objective is to make thinking and thinking about the self, more accessible to all and to remove what may be perceived to be the difficulty to this. One of the simplest ways I do this is by how I present, smart and professional but no formal attire. Presentation, alongside communication are key catalysts in creating a space in which young people feel safe to access and begin their journey towards positive internal and external progression.
I am a psychodynamic therapist based in inner London. My focus is on behaviour and the catalysts behind it.My objective is to make thinking and thinking about the self, more accessible to all and to remove what may be perceived to be the difficulty to this. One of the simplest ways I do this is by how I present, smart and professional but no formal attire. Presentation, alongside communication are key catalysts in creating a space in which young people feel safe to access and begin their journey towards positive internal and external progression.
020 4538 0346 View 020 4538 0346
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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:

91% Anxiety
85% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

70% Aviva
65% AXA PPP
57% 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.