Psychotherapy Service

Confidentiality

Diagnosis & Mental Health

Prescriptions and Medications

All sessions are fully confidential, except where there is a serious and immediate risk of harm to the client or others, in which case the therapist has a duty of care to the client and society.

Under UK law, children are considered vulnerable, and if information arises indicating a child may be at risk of harm, the therapist has a duty of care toward the child’s wellbeing, with any action taken being proportionate to the level of risk.

Therapists have no general legal obligation to contact a GP, social services, the police, or other public bodies unless there is immediate and serious risk, which is always assessed case by case.


Any disclosure will be limited, proportionate, and necessary, and wherever possible, the therapist will seek to discuss concerns with the client before taking action.


Confidentiality cannot be used to withhold information where doing so would place the client or others at risk.

Psychotherapy is a non-medical and non-diagnostic intervention, and the therapeutic frameworks used in InclusiMind Clinic — Cognitive Behavioural Therapy (CBT), Psychodynamic Therapy, and Humanistic Therapy — are not diagnostic models.

Therapy focuses on understanding psychological processes, emotional patterns, relational dynamics, and lived experience rather than assigning clinical labels.

However, InclusiMind Therapists are trained in psychopathology and have a thorough understanding of mental health conditions and clinical presentations.

Where appropriate, therapists may use psychometric tools and standardised questionnaires as part of assessment and formulation to support understanding and therapeutic direction; these do not constitute a formal diagnosis.

In the UK, only specific regulated professionals can make formal mental health diagnoses, most commonly psychiatrists, and in certain contexts, HCPC-registered clinical psychologists, mental health nurses, or GPs working within statutory or medical services.

Practitioners holding academic BSc or MSc degrees in Psychology do not have diagnostic authority in the UK.

Where diagnostic assessment is clinically indicated, therapists can support clients through referrals to support accurate and informed diagnosis.

Psychotherapy is a non-pharmacological service. Therapists at InclusiMind do not prescribe medication and do not provide medical advice. Any questions, concerns, or side effects related to medication should be discussed directly with the original prescriber, such as a GP or psychiatrist.

Clients are asked to disclose any current or past medications as part of informed therapeutic care; this information supports safe and appropriate therapy and is not used to offer prescribing guidance or recommendations.

Where appropriate and with consent, therapists may liaise with prescribing professionals to support the client’s care. In most cases, clients will be encouraged to contact their prescriber directly. If there are concerns specifically relating to medication-based risk, including misuse of prescribed medication, use of non-prescribed medication, deviation from prescribed instructions, or a history of self-harm or overdose involving medication, the therapist has a duty of care to assess risk and may need to liaise with the client’s GP or relevant medical services.

All risk considerations are assessed on a case-by-case basis and guided by professional judgement, ethical standards, and clinical supervision. The therapist will seek supervisory advice before making any disclosures, and information shared will be limited to what is necessary to ensure safety.

Crisis Interventions and Emergency

Scope and Limitations of Psychotherapy

Psychotherapy is not a crisis intervention service.

This means that therapy is appropriate for clients who are able to tolerate the time between sessions and manage periods of distress without immediate professional intervention.

Therapy is designed to support reflection, insight, and emotional processing within scheduled sessions, and it is not intended to manage acute crises that require immediate or specialised response. If a client experiences a mental health crisis, immediate support should be sought through appropriate services such as Samaritans, local crisis centres (available via each London council’s website),

NHS 111, or 999 for emergency services where there is immediate risk to life.

The therapist may support the client in identifying the most appropriate crisis resources and discussing when and how to use them; however, accessing crisis support during a crisis remains the client’s responsibility.

Therapy cannot replace emergency or crisis services, and attempting to use therapy in place of such support may compromise client safety.

Psychotherapy is a reflective, relational process designed to support psychological understanding, emotional regulation, and personal development.

Therapy is a collaborative process, not advice-giving or directive instruction. The therapist does not tell clients how to live their lives; instead, they offer observations, reflections, and evidence-based psychotherapeutic tools within their training to support insight and wellbeing.

Clients have the right to agree or disagree with the therapist’s observations, and if a particular approach does not feel helpful, they are encouraged to discuss this openly.

Therapy is an information-based process: the therapist works with what the client chooses to share, trusting the client’s experience as their own frame of reference.

It is not a substitute for medical care, crisis intervention, legal advice, or social care, nor does it replace external support systems.

Therapy may not be suitable for all individuals at all stages, and suitability is considered on a case-by-case basis.

Where therapy alone is not appropriate or sufficient, this will be discussed openly, and alternative or additional sources of support may be recommended.

Therapy operates on a shared responsibility model. The therapist is responsible for maintaining ethical practice, professional boundaries, and a safe therapeutic frame, while the client is responsible for engaging honestly, attending sessions as agreed, and seeking additional support where required.

Risk is assessed dynamically and contextually, based on information shared within sessions.

Therapy is not static. The therapeutic process may be reviewed periodically to ensure it remains appropriate, effective, and aligned with the client’s needs and goals.

Clients are encouraged to reflect on their experience of therapy and raise any concerns about pace, focus, or approach.

Therapy is not intended to create dependency, but to support increasing autonomy, resilience, and the capacity to live meaningfully beyond the therapy space..

The therapeutic relationship is a professional, boundaried, and time-limited relationship that exists solely for the purpose of supporting the client’s psychological wellbeing, insight, and development.

It is fundamentally different from personal, social, familial, or professional relationships outside the therapy setting.

The relationship is asymmetrical by design, meaning the therapist holds professional responsibility for maintaining boundaries, ethical standards, and the therapeutic frame, while the client remains the primary focus of the work.

The therapist does not seek emotional support, validation, companionship, or reciprocal disclosure from the client, and the relationship does not extend beyond the agreed therapeutic context.

The therapist has no obligation to make personal disclosures, and the client remains the primary focus of each session. Any therapist disclosure, if made, is always guided by the therapeutic movement of the session and the client’s needs; the therapist may also choose not to disclose anything, as there is no obligation to do so.

Clients may experience transference within therapy, whereby aspects of the therapist, the therapeutic setting, or specific words or interventions evoke feelings, expectations, or defensive responses connected to past relationships or earlier life experiences.

This may include processes such as projection or displacement, where unresolved emotional material influences present perception, reactions, or behaviour.

These processes are considered a normal and meaningful part of therapeutic work.

Clients are encouraged to share such experiences openly, as therapists are ethically trained to support clients in recognising and working through these patterns.

Addressing transference can support insight, emotional regulation, and the disruption of repetitive relational dynamics that negatively impact wellbeing and functioning.

Transference and Relational Processes

Session Termination and End of the Therapy

Contact outside of the therapy room

Psychotherapy is a voluntary process and may be ended at any time by the client. All sessions are paid in advance and payments are non-refundable; clients are therefore responsible for planning appointments carefully and avoiding booking sessions they are not ready or able to attend.

The therapist reserves the right to terminate a session if a client presents visibly intoxicated, under the influence of drugs, or otherwise non-coherent and unable to engage safely in therapeutic work; it is the client’s responsibility to attend sessions in a suitable state.

A session may also be terminated, and the therapy contract ended if necessary, where a client behaves disrespectfully, uses accusatory or hostile language, seeks to establish a dual professional or personal relationship with the therapist, or sends inappropriate text messages, voicemails, or emails that a reasonable observer would consider insulting or unprofessional.

The therapist may cancel sessions and will not provide unpaid sessions, and sessions cancelled with less than 72 hours’ notice are chargeable in full; in such cases, one reschedule may be offered without refund, subject to availability.

If a client does not attend three scheduled sessions consecutively, the therapist reserves the right to terminate the therapy contract.

Where a client wishes to use a missed session, it must be rescheduled within two weeks; during this period flexibility cannot be guaranteed, and the client is responsible for accommodating the available time. If this does not occur, the session will be recorded as a DNA (Did Not Attend).

The therapeutic relationship is contained within the therapy setting, and clear agreements apply to any accidental or unavoidable contact outside the therapy room, such as meeting in public spaces.


Clients have the right to specify their preference, including requesting that the therapist does not acknowledge them in any way, or that a brief, neutral nod may be exchanged.

The therapist will never initiate contact outside sessions and will not indicate in any way that they work with the client. If the client chooses to approach the therapist in public, any interaction will remain minimal, professional, and non-disclosing.

A complete no-contact agreement outside sessions is fully respected and does not negatively affect the therapeutic relationship.

This boundary also applies to birthdays, holidays, and personal occasions; the therapist will not send greetings or acknowledgements, as these are part of personal rather than professional relationships.

Clients are welcome to explore their experiences of holidays, celebrations, or significant dates within therapy sessions if they wish.

Therapists will not view, monitor, or engage with a client’s personal social media accounts, and will never send or accept friend or follow requests on personal platforms.

This boundary exists to protect client privacy and maintain the integrity of the therapeutic relationship. Any therapist social media presence is strictly professional, and clients may choose to follow professional platforms at their own discretion.

Social media communication is not used for therapeutic work and, where permitted, may only be used for brief administrative communication, such as scheduling or practical arrangements.

There is no expectation or obligation for clients to engage with a therapist’s online presence, and non-engagement has no impact on therapy.

Social media and Online Presence