Counselling in South Queensferry

Photo of David Sanmartino, MSc, GMBPsS, Counsellor
David Sanmartino
Counsellor, MSc, GMBPsS
Verified Verified
South Queensferry EH30
I promote a deep transformation by encouraging a positive outlook and the adoption of new attitudes and reactions. I have the tools and professional expertise and experience to help you explore whatever is important to you, in a respectful, non-judgemental and open way. In my sessions, I use a positive, holistic and integrative approach to take care of my clients and I work diligently to help find them the answers they seek. Since 2015 I have worked with a wide diversity of clients to deal with the many different circumstances that are unique to their lives.
I promote a deep transformation by encouraging a positive outlook and the adoption of new attitudes and reactions. I have the tools and professional expertise and experience to help you explore whatever is important to you, in a respectful, non-judgemental and open way. In my sessions, I use a positive, holistic and integrative approach to take care of my clients and I work diligently to help find them the answers they seek. Since 2015 I have worked with a wide diversity of clients to deal with the many different circumstances that are unique to their lives.
0131 357 3853 View 0131 357 3853
Photo of Louisa Casselden, PsychD, HCPC - Clin. Psych., Psychologist
Louisa Casselden
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
South Queensferry EH30
I provide a welcoming and therapeutic environment for adults and young people over the age of 16 who are struggling with a range of mental health difficulties, to help them explore and make sense of the experiences they have had. Through the use of evidence-based psychological therapy I aim to work collaboratively with people to improve their daily functioning and help them build skills to live the life they want to achieve. I use a number of therapeutic approaches in my work including Cognitive Behaviour Therapy, Acceptance and Commitment Therapy, Compassion Focussed Therapy and systemic approaches.
I provide a welcoming and therapeutic environment for adults and young people over the age of 16 who are struggling with a range of mental health difficulties, to help them explore and make sense of the experiences they have had. Through the use of evidence-based psychological therapy I aim to work collaboratively with people to improve their daily functioning and help them build skills to live the life they want to achieve. I use a number of therapeutic approaches in my work including Cognitive Behaviour Therapy, Acceptance and Commitment Therapy, Compassion Focussed Therapy and systemic approaches.
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Photo of Sam Roger, MCOSCA, Counsellor
Sam Roger
Counsellor, MCOSCA
Verified Verified
1 Endorsed
South Queensferry EH30
Life will often fill up with unexpected twists and turns - does this sometimes leave you feeling somewhat lost and unsure. Are you considering therapy as a way to navigate through these times? Have you thought of a different way of doing therapy? I am a walk and talk therapist, where therapy isn't just about talking. It's about taking a walk, experiencing the nature around you while delving into your thoughts and emotions. Picture this: instead of confining our conversations to four walls, we take them to the great outdoors with walk and talk therapy.
Life will often fill up with unexpected twists and turns - does this sometimes leave you feeling somewhat lost and unsure. Are you considering therapy as a way to navigate through these times? Have you thought of a different way of doing therapy? I am a walk and talk therapist, where therapy isn't just about talking. It's about taking a walk, experiencing the nature around you while delving into your thoughts and emotions. Picture this: instead of confining our conversations to four walls, we take them to the great outdoors with walk and talk therapy.
01383 669765 View 01383 669765
Photo of Louise McBride, PsychD, MBACP, Psychotherapist
Louise McBride
Psychotherapist, PsychD, MBACP
Verified Verified
South Queensferry EH30
Whatever your reasons for being here, you are very welcome. I provide a very safe and confidential space to people from ALL walks of life. Whatever difficulties you are experiencing I can help you to gain insight into why they exist and persist. Psychodynamic therapy helps you to bring that which is unconscious into conscious awareness which helps you to understand and resolve internal conflicts that cause suffering. These internal conflicts manifest as, for example, anxiety, depression and self-destructive behaviours, particularly in relationship with others. Psychodynamic therapy is effective in enabling life long change.
Whatever your reasons for being here, you are very welcome. I provide a very safe and confidential space to people from ALL walks of life. Whatever difficulties you are experiencing I can help you to gain insight into why they exist and persist. Psychodynamic therapy helps you to bring that which is unconscious into conscious awareness which helps you to understand and resolve internal conflicts that cause suffering. These internal conflicts manifest as, for example, anxiety, depression and self-destructive behaviours, particularly in relationship with others. Psychodynamic therapy is effective in enabling life long change.
0131 381 0828 View 0131 381 0828
Photo of Angela Peterson, DCounsPsych, MBACP, Counsellor
Angela Peterson
Counsellor, DCounsPsych, MBACP
Verified Verified
South Queensferry EH30
I specialise in supporting adults who are feeling overwhelmed. Stress can happen with a sudden change such as bereavement, job loss or relationship ending. It can also build with an increase in responsibilities. There can be times when life is quiet, giving you time to remember difficult past events. These memories can be troubling and make everyday life difficult. Overwhelm can show up as anxiety, low mood, avoiding things you used to enjoy. Perhaps work is too much now, or you find you are drinking/eating more than usual. Your sleep pattern may have changed. Effective help is here now.
I specialise in supporting adults who are feeling overwhelmed. Stress can happen with a sudden change such as bereavement, job loss or relationship ending. It can also build with an increase in responsibilities. There can be times when life is quiet, giving you time to remember difficult past events. These memories can be troubling and make everyday life difficult. Overwhelm can show up as anxiety, low mood, avoiding things you used to enjoy. Perhaps work is too much now, or you find you are drinking/eating more than usual. Your sleep pattern may have changed. Effective help is here now.
01383 663228 View 01383 663228
Photo of Celeste Micciche, MSc, BACP, Psychotherapist
Celeste Micciche
Psychotherapist, MSc, BACP
Verified Verified
South Queensferry EH30
I am an Italian psychologist and psychotherapist based in Edinburgh and Whitburn, Bathgate. Given my training in these two areas, I work with various issues that may afflict you, such as depression, panic attacks, obsessive-compulsive disorders, relationship issues, etc. Also, I use an affirmative approach in my work. This means that I validate and support the needs of people of sexual and gender minorities, promoting the search and the expression of an authentic dimension of themselves and their own identity.
I am an Italian psychologist and psychotherapist based in Edinburgh and Whitburn, Bathgate. Given my training in these two areas, I work with various issues that may afflict you, such as depression, panic attacks, obsessive-compulsive disorders, relationship issues, etc. Also, I use an affirmative approach in my work. This means that I validate and support the needs of people of sexual and gender minorities, promoting the search and the expression of an authentic dimension of themselves and their own identity.
0141 673 8698 View 0141 673 8698

More Therapists Nearby

Photo of Laura Hall, MBACP, Psychotherapist
Laura Hall
Psychotherapist, MBACP
Verified Verified
Edinburgh EH1  (Online Only)
Looking for a therapist can be a daunting experience, especially if things are tough for you right now, but you have taken the first step! I have experienced many times, both as a counsellor and personally in therapy, how people begin to feel less burdened and overwhelmed in their life when they feel really heard and accepted without judgement or criticism. I believe that the counselling relationship is a collaborative and dynamic process, and I am always receptive to feedback, as it can shape the dynamic between us. I feel that therapy can be proactive, and not just reactive. I have no expectations on what we speak about.
Looking for a therapist can be a daunting experience, especially if things are tough for you right now, but you have taken the first step! I have experienced many times, both as a counsellor and personally in therapy, how people begin to feel less burdened and overwhelmed in their life when they feel really heard and accepted without judgement or criticism. I believe that the counselling relationship is a collaborative and dynamic process, and I am always receptive to feedback, as it can shape the dynamic between us. I feel that therapy can be proactive, and not just reactive. I have no expectations on what we speak about.
01330 702235 View 01330 702235
Photo of Donatella Tamborrini - Donatella Tamborrini Psychological Therapies, MSc, MBACP Accred, Psychotherapist
Donatella Tamborrini Psychological Therapies
Psychotherapist, MSc, MBACP Accred
Verified Verified
Edinburgh EH10
Hello, my name is Donatella Tamborrini. I am a psychotherapist with over 1 9 years experience in mental health care based in Scotland. I am professionally qualified to use talking therapies to help make sense of mental health and emotional difficulties in young people, adults and families. I deliver research based psychological therapies, designed to improve mental health difficulties. I work with a focus, which is entirely based on the individuals’ needs, so that psychological therapies can be delivered with flexibility, within a safe and nurturing therapeutic relationship, at a sustainable pace that fosters change.
Hello, my name is Donatella Tamborrini. I am a psychotherapist with over 1 9 years experience in mental health care based in Scotland. I am professionally qualified to use talking therapies to help make sense of mental health and emotional difficulties in young people, adults and families. I deliver research based psychological therapies, designed to improve mental health difficulties. I work with a focus, which is entirely based on the individuals’ needs, so that psychological therapies can be delivered with flexibility, within a safe and nurturing therapeutic relationship, at a sustainable pace that fosters change.
0131 381 8157 View 0131 381 8157
Photo of Fiyaz Mughal Obe, MA, MBACP, Counsellor
Fiyaz Mughal Obe
Counsellor, MA, MBACP
Verified Verified
3 Endorsed
Edinburgh EH1
Feeling anxious, stressed or panicky? You may be searching for counselling or something associated with anxiety & conditions such as prolonged stress, panic attacks, phobias or obsessions and compulsions related to Obsessive Compulsive Disorder (OCD). Your search may be out of curiosity or it may be because you are looking for some help and assistance in managing these issues. Well, counselling & therapy is one route to ensuring better mental health & well-being & in managing these conditions so that you feel 'more in control'. Feeling 'more in control' also builds a sense of greater self-confidence, autonomy & personal capability.
Feeling anxious, stressed or panicky? You may be searching for counselling or something associated with anxiety & conditions such as prolonged stress, panic attacks, phobias or obsessions and compulsions related to Obsessive Compulsive Disorder (OCD). Your search may be out of curiosity or it may be because you are looking for some help and assistance in managing these issues. Well, counselling & therapy is one route to ensuring better mental health & well-being & in managing these conditions so that you feel 'more in control'. Feeling 'more in control' also builds a sense of greater self-confidence, autonomy & personal capability.
020 8176 6785 View 020 8176 6785
Photo of Ana Puljic - Human Development Scotland, MBACP, Counsellor
Human Development Scotland
Counsellor, MBACP
Verified Verified
Edinburgh EH2
Human Development Scotland (HDS) is a Scottish mental health charity and our mission is to relieve mental and emotional distress by increasing the availability of, and access to, high quality psychodynamic and psychoanalytic counselling and psychotherapy for all who need them. At HDS, we offer a range of counselling services at affordable costs to support people to explore their feelings and experiences in a safe, confidential and non-judgemental environment. This counselling service is based on psychodynamic theory.
Human Development Scotland (HDS) is a Scottish mental health charity and our mission is to relieve mental and emotional distress by increasing the availability of, and access to, high quality psychodynamic and psychoanalytic counselling and psychotherapy for all who need them. At HDS, we offer a range of counselling services at affordable costs to support people to explore their feelings and experiences in a safe, confidential and non-judgemental environment. This counselling service is based on psychodynamic theory.
0141 673 8625 View 0141 673 8625
Photo of Aisan Ghaemian - The Feel Better Psychological Services , PhD, MBABCP, Psychotherapist
The Feel Better Psychological Services
Psychotherapist, PhD, MBABCP
Verified Verified
Edinburgh EH4
At The Feel Better Psychological Services we provide psychological therapy to adults and their families. All of our clinicians are accredited members of the British Association for Behavioural and Cognitive Psychotherapies (BABCP) in the United Kingdom.
At The Feel Better Psychological Services we provide psychological therapy to adults and their families. All of our clinicians are accredited members of the British Association for Behavioural and Cognitive Psychotherapies (BABCP) in the United Kingdom.
0800 669 6281 View 0800 669 6281
Photo of Deborah McGill, BACP, Counsellor
Deborah McGill
Counsellor, BACP
Verified Verified
Edinburgh EH5
I work with people bringing a wide range of issues including depression, anxiety, low self-esteem, trauma, difficulties around weight, size and eating, loss and grief, and relationship problems. You may feel stuck and not know how to move forward in your life or you may be aware of repeating unhelpful patterns in relationships. Together we can explore your difficulties and look for ways forward.
I work with people bringing a wide range of issues including depression, anxiety, low self-esteem, trauma, difficulties around weight, size and eating, loss and grief, and relationship problems. You may feel stuck and not know how to move forward in your life or you may be aware of repeating unhelpful patterns in relationships. Together we can explore your difficulties and look for ways forward.
0131 378 8282 View 0131 378 8282
Photo of Kirsty Shaw Cbt - Kirsty Shaw CBT, MBABCP, Psychotherapist
Kirsty Shaw CBT
Psychotherapist, MBABCP
Verified Verified
4 Endorsed
Edinburgh EH1  (Online Only)
Are you or a loved one struggling with obsessional thoughts or compulsive behaviours? Perhaps you have been experiencing social anxiety or low mood which has led you to avoid certain activities, people, or places. Are you are now wanting to be able to find enjoyment and fulfilment in your life? If you are struggling with your mental health, I can help you to overcome these difficulties with regular online cognitive behavioural therapy (CBT) sessions. Please feel free to check out my website www.kirstyshawcbt.com
Are you or a loved one struggling with obsessional thoughts or compulsive behaviours? Perhaps you have been experiencing social anxiety or low mood which has led you to avoid certain activities, people, or places. Are you are now wanting to be able to find enjoyment and fulfilment in your life? If you are struggling with your mental health, I can help you to overcome these difficulties with regular online cognitive behavioural therapy (CBT) sessions. Please feel free to check out my website www.kirstyshawcbt.com
01642 668017 View 01642 668017
Photo of Jen Stewart, MCOSCA, Counsellor
Jen Stewart
Counsellor, MCOSCA
Verified Verified
4 Endorsed
Edinburgh EH9
Life can feel really tough at times. If you are feeling low, anxious, stressed or know that there are things in your life holding you back, I can help. I offer a space where you can explore what you are going through and why. As your counsellor, I want to provide a safe space for you, where we can look what is happening in your life, explore what might be the cause of your pain and what change might look like for you.
Life can feel really tough at times. If you are feeling low, anxious, stressed or know that there are things in your life holding you back, I can help. I offer a space where you can explore what you are going through and why. As your counsellor, I want to provide a safe space for you, where we can look what is happening in your life, explore what might be the cause of your pain and what change might look like for you.
0131 381 0238 View 0131 381 0238
Photo of Amy Caffrey Mbacp, MSc, MBACP, Counsellor
Amy Caffrey Mbacp
Counsellor, MSc, MBACP
Verified Verified
Edinburgh EH10
Are you looking for some support but not sure where to turn? I believe talking is a really powerful thing. I am really passionate about empowering you to become your own therapist by helping you find coping strategies that work for you and you can use in any situation life brings. Talking to a therapist can be quite daunting. However, I truly believe talking through a problem can really help. I can help you to identify and understand issues you are struggling with and together we can come up with a plan on how to help you overcome these.
Are you looking for some support but not sure where to turn? I believe talking is a really powerful thing. I am really passionate about empowering you to become your own therapist by helping you find coping strategies that work for you and you can use in any situation life brings. Talking to a therapist can be quite daunting. However, I truly believe talking through a problem can really help. I can help you to identify and understand issues you are struggling with and together we can come up with a plan on how to help you overcome these.
01875 444628 View 01875 444628
Photo of Sujarda Jayne Herring - Space to Tame, MA, MNCPS Acc., Counsellor
Space to Tame
Counsellor, MA, MNCPS Acc.
Verified Verified
Edinburgh EH2
Delivering online therapies across the UK and face to face therapies from my private practice in the centre of Edinburgh, I can help you to shift mental blocks, untangle complex emotions, resolve issues, reveal new perspectives and bring you back into balance. Whether its relaxation and self development or addressing emotional and psychological issues such as trauma, anxiety, self-esteem or bereavement I can help. I founded my practice to help people cope with the pressures of modern living by taking charge of their wellbeing. I can combine Counselling, Hypnotherapy, Reiki and EFT to help you make changes and reach your goals.
Delivering online therapies across the UK and face to face therapies from my private practice in the centre of Edinburgh, I can help you to shift mental blocks, untangle complex emotions, resolve issues, reveal new perspectives and bring you back into balance. Whether its relaxation and self development or addressing emotional and psychological issues such as trauma, anxiety, self-esteem or bereavement I can help. I founded my practice to help people cope with the pressures of modern living by taking charge of their wellbeing. I can combine Counselling, Hypnotherapy, Reiki and EFT to help you make changes and reach your goals.
0131 381 0219 View 0131 381 0219
Photo of Peter Donnelly, MSc, BACP, Counsellor
Peter Donnelly
Counsellor, MSc, BACP
Verified Verified
Edinburgh EH1
I am person-centred therapist with experience in supporting people going through a range of confusion and distress. This can include: anxiety and stress, family and relationship difficulties, sexuality and gender identity, low mood, loss, feeling stuck, and self esteem. Therapy can hopefully offer you a space to explore and connect with your true self. A reconnecting which in itself often helps to reduce tension and anxiety. We will work together with whatever you bring to therapy and gently explore your individual process as we go. I work online and outdoors (Fermanagh, NI).
I am person-centred therapist with experience in supporting people going through a range of confusion and distress. This can include: anxiety and stress, family and relationship difficulties, sexuality and gender identity, low mood, loss, feeling stuck, and self esteem. Therapy can hopefully offer you a space to explore and connect with your true self. A reconnecting which in itself often helps to reduce tension and anxiety. We will work together with whatever you bring to therapy and gently explore your individual process as we go. I work online and outdoors (Fermanagh, NI).
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Photo of Monika Burzykowska, MA, HCPC-Art Therap., Psychotherapist
Monika Burzykowska
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
Edinburgh EH1
Follow me therapy provides creative psychotherapy for children, adolescents and adults. The creative approach allows for the freedom of expression and safety in the therapeutic relationship. It engages the mind, cognitive understanding of the world, emotions and the body. There is a possibility for a face to face and on-line set of sessions.
Follow me therapy provides creative psychotherapy for children, adolescents and adults. The creative approach allows for the freedom of expression and safety in the therapeutic relationship. It engages the mind, cognitive understanding of the world, emotions and the body. There is a possibility for a face to face and on-line set of sessions.
01202 059155 View 01202 059155
Photo of James Paterson, GMBPsS, Psychotherapist
James Paterson
Psychotherapist, GMBPsS
Verified Verified
Edinburgh EH1
Do you find it difficult to talk to those closest to you about your issues and concerns? Perhaps you don’t want to burden them or feel worried that they might judge or not understand what you are going through? I provide a safe, confidential, and non-judgemental space in which you can explore your thoughts and feelings, allowing you to understand more about yourself and your relationships with others. As an integrative counsellor, I work with a variety of therapeutic approaches and methods, and combine them to suit the needs of each individual client.
Do you find it difficult to talk to those closest to you about your issues and concerns? Perhaps you don’t want to burden them or feel worried that they might judge or not understand what you are going through? I provide a safe, confidential, and non-judgemental space in which you can explore your thoughts and feelings, allowing you to understand more about yourself and your relationships with others. As an integrative counsellor, I work with a variety of therapeutic approaches and methods, and combine them to suit the needs of each individual client.
020 3984 8598 View 020 3984 8598
Photo of Mairi Rowan - Mairi Rowan Counselling , MBACP, Counsellor
Mairi Rowan Counselling
Counsellor, MBACP
Verified Verified
Edinburgh EH13  (Online Only)
Whatever you are struggling with right now, I know how hard it can be to find someone to talk to. You may still be carrying emotional hurt and pain from past life experiences or finding it hard to cope with more recent life changes or events. Or perhaps you are feeling lost, confused and alone in your life and no longer experiencing true happiness or enjoyment in the things that you do. All of this may be leading to conflict and tension in your close relationships, having a negative impact on your self-confidence and sense of self-worth, and making you feel more irritable, anxious or depressed day to day.
Whatever you are struggling with right now, I know how hard it can be to find someone to talk to. You may still be carrying emotional hurt and pain from past life experiences or finding it hard to cope with more recent life changes or events. Or perhaps you are feeling lost, confused and alone in your life and no longer experiencing true happiness or enjoyment in the things that you do. All of this may be leading to conflict and tension in your close relationships, having a negative impact on your self-confidence and sense of self-worth, and making you feel more irritable, anxious or depressed day to day.
01934 311531 View 01934 311531

See more therapy options for South Queensferry

How does your Counsellor compare?

Number of Counsellors in South Queensferry

< 10

Counsellors in South Queensferry who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Self Esteem
100% Stress
83% Relationship Issues
83% Emotional Disturbance

Average years in practice

11 Years

Gender breakdown

84% Female
16% Male

How Counsellors in South Queensferry see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in South Queensferry?

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.