Photo of Dr Joe Kibble, PsychD, HCPC - Clin. Psych., Psychologist
Dr Joe Kibble
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Waitlist for new clients
Struggling with mental health is surprisingly common, yet we can often feel isolated or stuck with our problems. I support people to get a clearer perspective of why they are feeling the way they are and what steps can be taken to manage their difficulties. We can then work together to help move towards a more fulfilling and purposeful life. As a fully accredited Clinical Psychologist, I aim to do this by offering a compassionate and supportive space to talk, whilst also pulling upon the most recent research and therapeutic methods for making effective change.
Struggling with mental health is surprisingly common, yet we can often feel isolated or stuck with our problems. I support people to get a clearer perspective of why they are feeling the way they are and what steps can be taken to manage their difficulties. We can then work together to help move towards a more fulfilling and purposeful life. As a fully accredited Clinical Psychologist, I aim to do this by offering a compassionate and supportive space to talk, whilst also pulling upon the most recent research and therapeutic methods for making effective change.
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Photo of Jessica O'Kelly, MSc, GMBPsS, Psychologist
Jessica O'Kelly
Psychologist, MSc, GMBPsS
Verified Verified
London SE5  (Online Only)
Do you ever spend time worrying about things you have said or done in a meeting? to a friend? to your boss? Do you ever get trapped in self-critical thinking - where after a mistake you constantly berate yourself? Do you ever wake up in the night or when your trying to do something important and you can't control negative thoughts? Are you going through a period of transition and feeling stressed, confused or lost? I've always been fascinated by the power of the brain - how it can work for us and against us. With over 7 years of experience, I've witnessed first-hand how our mindset can either lift us up or hold us back.
Do you ever spend time worrying about things you have said or done in a meeting? to a friend? to your boss? Do you ever get trapped in self-critical thinking - where after a mistake you constantly berate yourself? Do you ever wake up in the night or when your trying to do something important and you can't control negative thoughts? Are you going through a period of transition and feeling stressed, confused or lost? I've always been fascinated by the power of the brain - how it can work for us and against us. With over 7 years of experience, I've witnessed first-hand how our mindset can either lift us up or hold us back.
020 4538 1803 View 020 4538 1803
Photo of Laura Craster, MBABCP, Psychotherapist
Laura Craster
Psychotherapist, MBABCP
Verified Verified
2 Endorsed
London SE5  (Online Only)
Hello! I'm Laura, an accredited Cognitive Behavioural Psychotherapist. I am experienced in working with clients to consider what is keeping their difficulties with anxiety and depression going in the here and now and collaboratively using practical coping skills and consider alternative perspectives to overcome these difficulties. I work with depression, generalised anxiety, social anxiety, OCD, health anxiety, PTSD and eating disorders.
Hello! I'm Laura, an accredited Cognitive Behavioural Psychotherapist. I am experienced in working with clients to consider what is keeping their difficulties with anxiety and depression going in the here and now and collaboratively using practical coping skills and consider alternative perspectives to overcome these difficulties. I work with depression, generalised anxiety, social anxiety, OCD, health anxiety, PTSD and eating disorders.
020 3962 2358 View 020 3962 2358
Photo of Carina Faria, MBACP, Counsellor
Carina Faria
Counsellor, MBACP
Verified Verified
Individuals who navigate the complexities of parental mental health, domestic violence and abuse (DVA), intimate partner violence (IPV), and bereavement is important to me. Balancing the responsibilities of parenting while tending to your mental health requires courage and resilience. Dealing with domestic abuse can have far-reaching effects on your emotional, physical, and financial well-being, as well as your sense of safety and relationships. Grieving the loss of a loved one, losing a job, a friendship, or a sense of self amid life's trials can evoke feelings of profound loss.
Individuals who navigate the complexities of parental mental health, domestic violence and abuse (DVA), intimate partner violence (IPV), and bereavement is important to me. Balancing the responsibilities of parenting while tending to your mental health requires courage and resilience. Dealing with domestic abuse can have far-reaching effects on your emotional, physical, and financial well-being, as well as your sense of safety and relationships. Grieving the loss of a loved one, losing a job, a friendship, or a sense of self amid life's trials can evoke feelings of profound loss.
020 7046 0579 View 020 7046 0579
Photo of Desmond Shortt, MSc, MBABCP, Psychotherapist
Desmond Shortt
Psychotherapist, MSc, MBABCP
Verified Verified
London SE5  (Online Only)
Hello - I am in training with EMDR (Eye Movement Desensitisation Reprocessing). EMDR is a treatment that is suitable for trauma and is approved of by NICE. I work as an accredited CBT therapist (BABCP) with DBS enhanced clearance, and am insured. I have over 10 years of NHS and agency experience. I am looking to work with people with mild to moderate trauma e.g. road traffic accidents, bullying, panic, single trauma, etc. Sessions can be done using a video link. If you are interested, sessions are £35 and last approximately 1 hour. Further information about me can be found at: walkingtalkingtherapy.com
Hello - I am in training with EMDR (Eye Movement Desensitisation Reprocessing). EMDR is a treatment that is suitable for trauma and is approved of by NICE. I work as an accredited CBT therapist (BABCP) with DBS enhanced clearance, and am insured. I have over 10 years of NHS and agency experience. I am looking to work with people with mild to moderate trauma e.g. road traffic accidents, bullying, panic, single trauma, etc. Sessions can be done using a video link. If you are interested, sessions are £35 and last approximately 1 hour. Further information about me can be found at: walkingtalkingtherapy.com
01422 415311 View 01422 415311
Photo of Christopher Raymond, MBACP, Counsellor
Christopher Raymond
Counsellor, MBACP
Verified Verified
London SE5  (Online Only)
Hello there. Feeling spoilt for choice? Lost in Therapist Profile City? Deciding to undertake therapy is courageous, and finding the right therapist to accompany you is crucial. Why do some of us need it? Well, life is untidy. It refuses to run along neat channels. Therapy offers you a place to express and articulate what is going on for you. It can help you gain clarity, put your thoughts, needs and desires in order, facilitate acceptance of your essential nature and tailor it to the way of life you want. It is entirely possible to find meaning and achieve personal growth.
Hello there. Feeling spoilt for choice? Lost in Therapist Profile City? Deciding to undertake therapy is courageous, and finding the right therapist to accompany you is crucial. Why do some of us need it? Well, life is untidy. It refuses to run along neat channels. Therapy offers you a place to express and articulate what is going on for you. It can help you gain clarity, put your thoughts, needs and desires in order, facilitate acceptance of your essential nature and tailor it to the way of life you want. It is entirely possible to find meaning and achieve personal growth.
020 3835 4673 View 020 3835 4673
Photo of Dr Riona Tweed, PsychD, HCPC - Clin. Psych., Psychologist
Dr Riona Tweed
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SE5  (Online Only)
Not accepting new clients
Hello, I am a Clinical Psychologist with 9 years’ experience providing psychological therapy in the NHS across a range of settings. My approach is warm, compassionate, and down to earth. I aim to make you feel at ease and to work collaboratively with you to identify, understand, and address the issues you are facing. I have experience working with people from many backgrounds, including with racially minoritised groups and those who identify as LGBTQ+. I provide evidence-based therapy drawing on several models to best meet your needs. This includes CBT, CFT, mindfulness-based approaches including ACT, EMDR and psychosexual therapy.
Hello, I am a Clinical Psychologist with 9 years’ experience providing psychological therapy in the NHS across a range of settings. My approach is warm, compassionate, and down to earth. I aim to make you feel at ease and to work collaboratively with you to identify, understand, and address the issues you are facing. I have experience working with people from many backgrounds, including with racially minoritised groups and those who identify as LGBTQ+. I provide evidence-based therapy drawing on several models to best meet your needs. This includes CBT, CFT, mindfulness-based approaches including ACT, EMDR and psychosexual therapy.
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Photo of Julia Mullins, MSc, BPC, Psychotherapist
Julia Mullins
Psychotherapist, MSc, BPC
Verified Verified
I am an adult psychoanalyst in private practice in London. I offer open-ended exploratory psychotherapy from one to five times a week.
I am an adult psychoanalyst in private practice in London. I offer open-ended exploratory psychotherapy from one to five times a week.
07399 873130 View 07399 873130
Photo of Kadija Taha - Blue Ocean, MBACP, Counsellor
Blue Ocean
Counsellor, MBACP
Verified Verified
Hi, my name is kadija Taha, I am an integrative counsellor and I am also specialised in bereavement counselling. I am very successful as a counsellor, because of my ability to help others overcome problems, such as depression, anxiety, phobia, relationship, grieving and so on. As a counsellor, I use the core conditions to help my clients, this means that, I use the unconditional positive regard to work fairly and genuinely to every client. I also use my empathic understanding to be in my clients world. I work with various age ranges, starting from children as young as 7 years old to the elderly aged 85 and upwards.
Hi, my name is kadija Taha, I am an integrative counsellor and I am also specialised in bereavement counselling. I am very successful as a counsellor, because of my ability to help others overcome problems, such as depression, anxiety, phobia, relationship, grieving and so on. As a counsellor, I use the core conditions to help my clients, this means that, I use the unconditional positive regard to work fairly and genuinely to every client. I also use my empathic understanding to be in my clients world. I work with various age ranges, starting from children as young as 7 years old to the elderly aged 85 and upwards.
020 3947 8955 View 020 3947 8955
Photo of Raymond Guddah, MBACP, Psychotherapist
Raymond Guddah
Psychotherapist, MBACP
Verified Verified
I am originally from the West Coast of Africa, Ghana and lived for the most part of my years in London, UK. I am a UK trained Psychodynamics Therapist with experience of using in-depth therapy to support clients in addressing unresolved early-life experiences. I do have 8 years working experience within the mental health services in the UK.
I am originally from the West Coast of Africa, Ghana and lived for the most part of my years in London, UK. I am a UK trained Psychodynamics Therapist with experience of using in-depth therapy to support clients in addressing unresolved early-life experiences. I do have 8 years working experience within the mental health services in the UK.
020 8106 0903 View 020 8106 0903
Photo of Alex White, MBACP, Counsellor
Alex White
Counsellor, MBACP
Verified Verified
London SE5  (Online Only)
I provide counselling and coaching to women and people who often find themselves outside of the mainstream - LGBTQ+ people, people who have multiple relationships, practice kink or do sex work. I also offer a space for people who sometimes struggle to connect with their emotions and find they need to think and talk their way into their feelings. No one seeking therapy is broken or in need of fixing. There are always meaningful explanations for the ways you behave or how you feel, but when those aren’t obvious to you, you might find yourself struggling, questioning yourself and wondering if something is wrong with you.
I provide counselling and coaching to women and people who often find themselves outside of the mainstream - LGBTQ+ people, people who have multiple relationships, practice kink or do sex work. I also offer a space for people who sometimes struggle to connect with their emotions and find they need to think and talk their way into their feelings. No one seeking therapy is broken or in need of fixing. There are always meaningful explanations for the ways you behave or how you feel, but when those aren’t obvious to you, you might find yourself struggling, questioning yourself and wondering if something is wrong with you.
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Photo of Rachel Harvey, GMBPsS, Psychotherapist
Rachel Harvey
Psychotherapist, GMBPsS
Verified Verified
Hello there! How are you feeling right now? Anxious? stressed? Not sleeping well? You don't have to keep feeling like this.
Hello there! How are you feeling right now? Anxious? stressed? Not sleeping well? You don't have to keep feeling like this.
020 7046 1363 View 020 7046 1363
Photo of Dr Mehdi Alemohammad, PsychD, HCPC - Forensic Psych., Psychologist
Dr Mehdi Alemohammad
Psychologist, PsychD, HCPC - Forensic Psych.
Verified Verified
I am a registered & chartered Principal Psychologist, EMDR Europe Accredited Practitioner and a Schema Therapist with over 13 years of experience. You might feel that difficult past experiences are continuing to impact the quality of your relationships & affecting your wellbeing. You may be stuck in patterns of behaviours that leave you feeling helpless, anxious or depressed. Despite our best efforts to manage, we may end up coping in ways that perpetuate or worsen our difficulties. I would like to offer you a safe, non-judgemental therapeutic space where we can explore & overcome these difficulties together.
I am a registered & chartered Principal Psychologist, EMDR Europe Accredited Practitioner and a Schema Therapist with over 13 years of experience. You might feel that difficult past experiences are continuing to impact the quality of your relationships & affecting your wellbeing. You may be stuck in patterns of behaviours that leave you feeling helpless, anxious or depressed. Despite our best efforts to manage, we may end up coping in ways that perpetuate or worsen our difficulties. I would like to offer you a safe, non-judgemental therapeutic space where we can explore & overcome these difficulties together.
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Photo of Michael Gerard O'Sullivan, MA, MBACP, Psychotherapist
Michael Gerard O'Sullivan
Psychotherapist, MA, MBACP
Verified Verified
London SE5  (Online Only)
"I help you Overcome your Challenges and Create the Life You Deserve" - Online Psychotherapy and Coaching - From the comfort of your own home or office - Telephone or Video - 30-Day Money-Back Guarantee - Book a Free No-Obligations Consultation Now! Life's challenges can leave you feeling stuck and unable to move forward. I provide a unique combination of evidence-based psychotherapy and coaching so that you can reclaim peace of mind and create the life you deserve. Finally, if for any reason you are not fully satisfied, I offer a full 30-Day Money-Back Guarantee. No questions asked.
"I help you Overcome your Challenges and Create the Life You Deserve" - Online Psychotherapy and Coaching - From the comfort of your own home or office - Telephone or Video - 30-Day Money-Back Guarantee - Book a Free No-Obligations Consultation Now! Life's challenges can leave you feeling stuck and unable to move forward. I provide a unique combination of evidence-based psychotherapy and coaching so that you can reclaim peace of mind and create the life you deserve. Finally, if for any reason you are not fully satisfied, I offer a full 30-Day Money-Back Guarantee. No questions asked.
020 3861 4079 View 020 3861 4079
Photo of Dr Gemma Scott, PsychD, HCPC - Clin. Psych., Psychologist
Dr Gemma Scott
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Gemma believes that two of the most important elements to effective psychological treatment is feeling safe and being able to trust your therapist. Therefore, her priority is to offer a therapeutic approach and space that remains patient-centred, warm and non-judgemental throughout your treatment with her. She will work collaboratively with you to understand your specific needs, your current difficulties and what keeps these difficulties going. Drawing on your strengths and the current evidence-base to help design a treatment plan that creates meaningful change and meets your specific goals.
Gemma believes that two of the most important elements to effective psychological treatment is feeling safe and being able to trust your therapist. Therefore, her priority is to offer a therapeutic approach and space that remains patient-centred, warm and non-judgemental throughout your treatment with her. She will work collaboratively with you to understand your specific needs, your current difficulties and what keeps these difficulties going. Drawing on your strengths and the current evidence-base to help design a treatment plan that creates meaningful change and meets your specific goals.
020 3376 8064 View 020 3376 8064
Photo of Shelly Morris, MA, MBACP Accred, Psychotherapist
Shelly Morris
Psychotherapist, MA, MBACP Accred
Verified Verified
I have over 15 years' experience as a psychotherapist, supervisor and trainer. I work in a creative, collaberative manner, focusing on your aims as the backbone of the therapy. I offer a supportive environment, either in-person or online to make sense of yourself and what you're experiencing.
I have over 15 years' experience as a psychotherapist, supervisor and trainer. I work in a creative, collaberative manner, focusing on your aims as the backbone of the therapy. I offer a supportive environment, either in-person or online to make sense of yourself and what you're experiencing.
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Photo of Daniel O'Toole - Dr Daniel O'Toole - Citadel Psychology, PsychD, HCPC - Clin. Psych., Psychologist
Dr Daniel O'Toole - Citadel Psychology
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
My name is Dr Daniel O’Toole (Danny) and I am the Principal Clinical Psychologist at Citadel Psychology. I have over 15 years experience working in the NHS and have also worked in the private and voluntary sectors. ​ As a clinical psychologist, I have worked with patients experiencing a wide variety of emotional and psychological difficulties. I take a compassionate and person-centred approach to my therapeutic work and draw on a range of evidence-based approaches such as Cognitive Behavioural Therapy (CBT), Cognitive Analytic Therapy (CAT), Mindfulness, Acceptance and Commitment Therapy (ACT) and psychodynamic psychotherapy.
My name is Dr Daniel O’Toole (Danny) and I am the Principal Clinical Psychologist at Citadel Psychology. I have over 15 years experience working in the NHS and have also worked in the private and voluntary sectors. ​ As a clinical psychologist, I have worked with patients experiencing a wide variety of emotional and psychological difficulties. I take a compassionate and person-centred approach to my therapeutic work and draw on a range of evidence-based approaches such as Cognitive Behavioural Therapy (CBT), Cognitive Analytic Therapy (CAT), Mindfulness, Acceptance and Commitment Therapy (ACT) and psychodynamic psychotherapy.
020 3856 8683 View 020 3856 8683
Photo of Dr Claire Tobin, PsychD, HCPC - Clin. Psych., Psychologist
Dr Claire Tobin
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I am a senior clinical psychologist working in both the NHS and in private practice. For several years I have dedicated my clinical work to helping people who have experienced adverse early experiences; this means that they may not have had their basic emotional needs met in childhood, for various reasons. I aim to work together with you to develop a fuller understanding of the development of your difficulties and what might help address them.
I am a senior clinical psychologist working in both the NHS and in private practice. For several years I have dedicated my clinical work to helping people who have experienced adverse early experiences; this means that they may not have had their basic emotional needs met in childhood, for various reasons. I aim to work together with you to develop a fuller understanding of the development of your difficulties and what might help address them.
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Photo of Luke Gosset, MBABCP, Psychotherapist
Luke Gosset
Psychotherapist, MBABCP
Verified Verified
London SE5  (Online Only)
I aim to help you get the results you want from therapy. As a CBT/EMDR practitioner for a top NHS Mental Health Trust, I provide a friendly, solution-focussed, person-centred, compassionate approach, adapting psychological interventions to meet your needs – it is about you as an individual. I can assist whether the problem is depression, low self-esteem, anxiety (health, panic, agoraphobia, social, OCD) trauma, anger, chronic pain or mood complications due to a difficult relationship with the body/illness/injury. Together we aim to find the particular tools you need in your life to self manage and become your own therapist.
I aim to help you get the results you want from therapy. As a CBT/EMDR practitioner for a top NHS Mental Health Trust, I provide a friendly, solution-focussed, person-centred, compassionate approach, adapting psychological interventions to meet your needs – it is about you as an individual. I can assist whether the problem is depression, low self-esteem, anxiety (health, panic, agoraphobia, social, OCD) trauma, anger, chronic pain or mood complications due to a difficult relationship with the body/illness/injury. Together we aim to find the particular tools you need in your life to self manage and become your own therapist.
020 8176 6769 View 020 8176 6769
Photo of Lisa Rose Akanuma, MSc, ACP, Psychotherapist
Lisa Rose Akanuma
Psychotherapist, MSc, ACP
Verified Verified
1 Endorsed
As a Child & Adolescent Psychotherapist, I was trained to carefully observe children and young people and respond to what they are consciously and unconsciously communicating through their behaviour, verbally and non-verbally, through unstructured play, their silence, and other ways to communicate their emotional difficulties or distress. I have several years working in the NHS in CAMHS, and with charity organizations, providing evidence-based therapy and individual & group interventions for children and adolescents and supporting the networks involved in their care so that they can build resilience, flourish and live fuller lives.
As a Child & Adolescent Psychotherapist, I was trained to carefully observe children and young people and respond to what they are consciously and unconsciously communicating through their behaviour, verbally and non-verbally, through unstructured play, their silence, and other ways to communicate their emotional difficulties or distress. I have several years working in the NHS in CAMHS, and with charity organizations, providing evidence-based therapy and individual & group interventions for children and adolescents and supporting the networks involved in their care so that they can build resilience, flourish and live fuller lives.
01883 779598 View 01883 779598
1

See more therapy options for SE5

How does your Counsellor compare?

Number of Counsellors in SE5

70+

Average cost per session

£80

Counsellors in SE5 who prioritize treating:

91% Anxiety
84% Self Esteem
83% Depression
76% Stress
74% Relationship Issues
71% Trauma and PTSD
61% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

50% AXA PPP
50% Vitality
40% Aviva

How Counsellors in SE5 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in SE5?

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.