Photo of Emma Blackburne, Psychotherapist in BT8, Northern Ireland
Emma Blackburne
Psychotherapist, COSRT General
Verified Verified
Belfast BT8  (Online Only)
Waitlist for new clients
I specialise in working with individuals and couples who are experiencing sexual difficulties, which are preventing them from achieving a fulfilling sex life. I provide individually tailored psychotherapeutic treatment for a wide range of presentations including, but not limited to, erectile issues, ejaculation issues, low or loss of desire, vaginismus and/ or sexual pain, anxiety or phobia around sex and orgasm difficulties. I understand that sexual difficulties can impact upon your relationship, your self esteem and mental wellbeing and therefore offer a holistic approach within my assessment and treatment approach.
I specialise in working with individuals and couples who are experiencing sexual difficulties, which are preventing them from achieving a fulfilling sex life. I provide individually tailored psychotherapeutic treatment for a wide range of presentations including, but not limited to, erectile issues, ejaculation issues, low or loss of desire, vaginismus and/ or sexual pain, anxiety or phobia around sex and orgasm difficulties. I understand that sexual difficulties can impact upon your relationship, your self esteem and mental wellbeing and therefore offer a holistic approach within my assessment and treatment approach.
028 9344 7214 View 028 9344 7214
Photo of Oriel CBT Clinic, Psychotherapist in BT8, Northern Ireland
Oriel CBT Clinic
Psychotherapist, MSc, MBABCP
Verified Verified
Are you experiencing unhelpful thoughts, or engaging in unhelpful behaviours? Would you like to better understand how these have developed, and how you might change them? Are you motivated to make changes in your life, to help maximise your potential and live life to the full?
Are you experiencing unhelpful thoughts, or engaging in unhelpful behaviours? Would you like to better understand how these have developed, and how you might change them? Are you motivated to make changes in your life, to help maximise your potential and live life to the full?
028 9693 1075 View 028 9693 1075
Photo of Dr Amanda Gleeson, Psychologist in BT8, Northern Ireland
Dr Amanda Gleeson
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Belfast BT8  (Online Only)
I am an experienced Clinical Psychologist who has worked with adults and young people with a variety of different mental health difficulties. I am fully registered and offer a variety of evidence-based psychological therapies for a range of difficulties. I specialise in supporting individuals with psychological difficulties as a result of their experience of trauma and I have published research in this area. I also work with anxiety, stress/overwhelm, OCD, panic and relationship difficulties. I currently offer online appointments only, with both evening and weekend availability.
I am an experienced Clinical Psychologist who has worked with adults and young people with a variety of different mental health difficulties. I am fully registered and offer a variety of evidence-based psychological therapies for a range of difficulties. I specialise in supporting individuals with psychological difficulties as a result of their experience of trauma and I have published research in this area. I also work with anxiety, stress/overwhelm, OCD, panic and relationship difficulties. I currently offer online appointments only, with both evening and weekend availability.
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Photo of Woodmere CBT, Psychotherapist in BT8, Northern Ireland
Woodmere CBT
Psychotherapist, MBACP Accred
Verified Verified
Woodmere CBT is a Cognitive Behavioural Therapy practice located in Belfast offering BACP accredited & NCPS Professionally Accredited psychotherapy services and specialised grief therapy interventions. Whatever your issue, Woodmere CBT will meet it with compassion, curiosity and care, using a contemporary, rational and evidence based therapy framework which aims to reduce your presenting symptoms and get you thinking, feeling and behaving like the human being you want to be.
Woodmere CBT is a Cognitive Behavioural Therapy practice located in Belfast offering BACP accredited & NCPS Professionally Accredited psychotherapy services and specialised grief therapy interventions. Whatever your issue, Woodmere CBT will meet it with compassion, curiosity and care, using a contemporary, rational and evidence based therapy framework which aims to reduce your presenting symptoms and get you thinking, feeling and behaving like the human being you want to be.
028 9694 3938 View 028 9694 3938
Photo of Lagan Counselling & Training, Counsellor in BT8, Northern Ireland
Lagan Counselling & Training
Counsellor, MA, MBACP Accred
Verified Verified
I am a BACP Accredited Counsellor and certified Community Resilience Model (TM) Teacher with many years' experience in working with all sections of our community, particularly with victims and survivors of the NI conflict. I understand the impact trauma of all kinds can have on us, and how it can affect our relationships, our physical health, and our ability to manage the stresses of life. Working with you in a person-centred way I will support you in becoming aware of what might be causing you difficulty, and in learning new ways of coping, always respecting that you are the expert in your own life.
I am a BACP Accredited Counsellor and certified Community Resilience Model (TM) Teacher with many years' experience in working with all sections of our community, particularly with victims and survivors of the NI conflict. I understand the impact trauma of all kinds can have on us, and how it can affect our relationships, our physical health, and our ability to manage the stresses of life. Working with you in a person-centred way I will support you in becoming aware of what might be causing you difficulty, and in learning new ways of coping, always respecting that you are the expert in your own life.
028 9433 8830 View 028 9433 8830
Photo of Laura Stoops, Counsellor in BT8, Northern Ireland
Laura Stoops
Counsellor, PhD, MBACP
Verified Verified
I have supported people when things are feeling too much and are becoming overwhelming. Things we have to do can build up and up and it can feel like they are forming a brick wall that we need to find a way over. Do you feel this way? Is it a struggle to cope? Do you have racing thoughts, or thoughts that are so loud that you can't focus on anything else? Do you have so much to do that you don't know where to start and you just can't relax? Are you in a safe and supportive relationship now, and feel like hurtful or traumatic experiences from your past are getting in the way of day-to-day life or you fear conflict?
I have supported people when things are feeling too much and are becoming overwhelming. Things we have to do can build up and up and it can feel like they are forming a brick wall that we need to find a way over. Do you feel this way? Is it a struggle to cope? Do you have racing thoughts, or thoughts that are so loud that you can't focus on anything else? Do you have so much to do that you don't know where to start and you just can't relax? Are you in a safe and supportive relationship now, and feel like hurtful or traumatic experiences from your past are getting in the way of day-to-day life or you fear conflict?
028 3829 4789 View 028 3829 4789
Photo of Rachael Morrison, Counsellor in BT8, Northern Ireland
Rachael Morrison
Counsellor, MSc, MBACP Accred
Verified Verified
Adults, children and adolescents all need a space to explore and express their experiences, and for some this tends to be more difficult as they struggle to understand what they're feeling, never mind find the words to describe them to someone. People often find that when they voice their experiences, feelings, and worries, and confide in a professional who can offer support and help them make sense of these, they feel heard, understood, and often a little lighter from sharing the weight of these. I aim to help my clients to feel that little bit lighter.
Adults, children and adolescents all need a space to explore and express their experiences, and for some this tends to be more difficult as they struggle to understand what they're feeling, never mind find the words to describe them to someone. People often find that when they voice their experiences, feelings, and worries, and confide in a professional who can offer support and help them make sense of these, they feel heard, understood, and often a little lighter from sharing the weight of these. I aim to help my clients to feel that little bit lighter.
028 9694 3247 View 028 9694 3247
Photo of Paula Kane, Counsellor in BT8, Northern Ireland
Paula Kane
Counsellor, MBACP
Verified Verified
Have you been in abusive relationship after abusive relationship and wonder why you can't seem to find a partner who will treat you well and respect you? Do you worry that you won't be able to have a healthy relationship? Perhaps you find yourself prioritising others needs over your own and feel that you come last in all your relationships throughout your life. Do you wish you could set boundaries with others, and have the ability to ask for what you want without feeling guilty?
Have you been in abusive relationship after abusive relationship and wonder why you can't seem to find a partner who will treat you well and respect you? Do you worry that you won't be able to have a healthy relationship? Perhaps you find yourself prioritising others needs over your own and feel that you come last in all your relationships throughout your life. Do you wish you could set boundaries with others, and have the ability to ask for what you want without feeling guilty?
028 9433 8832 View 028 9433 8832
Photo of Counsellor, Mother-Daughter Coach, Counsellor in BT8, Northern Ireland
Counsellor, Mother-Daughter Coach
Counsellor, MBACP
Verified Verified
Counsellor and Mother-Daughter Coach. Hi my name is Cathy I specialise in offering a range of therapies to teens or young adults who may be struggling with exam stress, anxiety, depression, self-esteem, sexuality, identity and the many other issues commonly faced by these age groups. I have gained substantial experience helping young people with their problems across the schools counselling service in Primary, Post Primary and Special Education. I also work with adults on a range of Mental Health problems such as anxiety, depression, panic and stress, within the Community, Voluntary Sector and Private Practice.
Counsellor and Mother-Daughter Coach. Hi my name is Cathy I specialise in offering a range of therapies to teens or young adults who may be struggling with exam stress, anxiety, depression, self-esteem, sexuality, identity and the many other issues commonly faced by these age groups. I have gained substantial experience helping young people with their problems across the schools counselling service in Primary, Post Primary and Special Education. I also work with adults on a range of Mental Health problems such as anxiety, depression, panic and stress, within the Community, Voluntary Sector and Private Practice.
028 9694 3732 View 028 9694 3732
Photo of Flora Todaro Luck, Psychotherapist in BT8, Northern Ireland
Flora Todaro Luck
Psychotherapist, PhD, MBACP
Verified Verified
An Emotionally Focused Couple Counselling will help you and your partner to: -Identify the distressing, repeating interactions that make a couple feel stuck in an unhappy cycle. -Understand the feelings that underlie such negative interaction. - Create new patterns of interaction that brings you closer and strengthens your precious bond. -Build a more positive, constructive relationship that is the basis for a happy relationship. Emotionally Focused Couple Counselling is for couples who want to break away from the cycle of arguing, blaming, silence, and frustration.
An Emotionally Focused Couple Counselling will help you and your partner to: -Identify the distressing, repeating interactions that make a couple feel stuck in an unhappy cycle. -Understand the feelings that underlie such negative interaction. - Create new patterns of interaction that brings you closer and strengthens your precious bond. -Build a more positive, constructive relationship that is the basis for a happy relationship. Emotionally Focused Couple Counselling is for couples who want to break away from the cycle of arguing, blaming, silence, and frustration.
028 9692 8123 View 028 9692 8123
Photo of RBCounselling, Counsellor in BT8, Northern Ireland
RBCounselling
Counsellor, PNCPS Acc.
Verified Verified
I work with couples and relationships; sexual health presentations such as erection and ejaculation concerns; pain and penetration issues; vaginismus; porn and sex compulsivity; sexuality and concerns re low sexual desire. I am an accredited (NCPS) integrative counsellor, registered with BACP and EMDR UK and Ireland and a COSRT student member (Sex and Relationships) meaning that I hope to have tools that will support any presentation that is brought into the room. Read more at www.rb-counselling.com
I work with couples and relationships; sexual health presentations such as erection and ejaculation concerns; pain and penetration issues; vaginismus; porn and sex compulsivity; sexuality and concerns re low sexual desire. I am an accredited (NCPS) integrative counsellor, registered with BACP and EMDR UK and Ireland and a COSRT student member (Sex and Relationships) meaning that I hope to have tools that will support any presentation that is brought into the room. Read more at www.rb-counselling.com
028 9694 3440 View 028 9694 3440
Photo of Catherine Gillen, Psychotherapist in BT8, Northern Ireland
Catherine Gillen
Psychotherapist, MBACP Accred
Verified Verified
Are you looking for effective therapy that is pragmatic, realistic and down to earth? I am an integrative therapist offering a warm and compassionate approach that is tailored to your individual needs. I will work collaboratively with you to resolve the inevitable struggles that are part of life. If you feel you are ready to take those first tentative steps to alleviate your distress and live a richer and more meaningful life then please call me for a free/no obligation telephone consultation.
Are you looking for effective therapy that is pragmatic, realistic and down to earth? I am an integrative therapist offering a warm and compassionate approach that is tailored to your individual needs. I will work collaboratively with you to resolve the inevitable struggles that are part of life. If you feel you are ready to take those first tentative steps to alleviate your distress and live a richer and more meaningful life then please call me for a free/no obligation telephone consultation.
028 9744 1150 View 028 9744 1150
Photo of Dr Christine Carroll, Psychologist in BT8, Northern Ireland
Dr Christine Carroll
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Not accepting new clients
I am a fully accredited clinical psychologist with over 10 years experience of working in the area of mental health and well-being. I offer private, individual therapy sessions in a discrete and convenient location in South Belfast. Every individual and their difficulties are unique, and so I am trained across a number of different therapeutic modalities, and can tailor therapy to suit your particular needs. My approach is holistic and person-centred which means you can be assured of genuine warmth, empathy and respect.
I am a fully accredited clinical psychologist with over 10 years experience of working in the area of mental health and well-being. I offer private, individual therapy sessions in a discrete and convenient location in South Belfast. Every individual and their difficulties are unique, and so I am trained across a number of different therapeutic modalities, and can tailor therapy to suit your particular needs. My approach is holistic and person-centred which means you can be assured of genuine warmth, empathy and respect.
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Photo of Marie-Claire Desgranges-Rodgers, Counsellor in BT8, Northern Ireland
Marie-Claire Desgranges-Rodgers
Counsellor, MBACP Accred
Verified Verified
Belfast BT8  (Online Only)
A BSc Hons in Psychology, FdSc Integrative Therapist and trained in Humanistic, Cognitive Behavioural and Psychodynamic approaches to counselling. My joy is in the collaborative and healing process of the therapeutic relationship. I believe in a holistic approach with the core value and understanding that you as a person are the expert in your own life. I believe that taking the decision to engage in therapy is a difficult and confusing one and my aim is to create a welcoming and encouraging environment for growth and change.
A BSc Hons in Psychology, FdSc Integrative Therapist and trained in Humanistic, Cognitive Behavioural and Psychodynamic approaches to counselling. My joy is in the collaborative and healing process of the therapeutic relationship. I believe in a holistic approach with the core value and understanding that you as a person are the expert in your own life. I believe that taking the decision to engage in therapy is a difficult and confusing one and my aim is to create a welcoming and encouraging environment for growth and change.
028 9692 8901 View 028 9692 8901
Photo of Megan Williams, Counsellor in BT8, Northern Ireland
Megan Williams
Counsellor, MNCPS Acc.
Verified Verified
Welcome and thank you for visiting my page. I am an accredited integrative counsellor and psychotherapist. Integrative means that I can use different counselling techniques such as Person Centred, Psychodynamic and CBT, this allows me to provide therapy that is best suited to your individual needs. You may be searching here because you want something in your life to change, or because you need a safe place to explore the past and how it may be affecting you now. Whatever the reason I can provide a safe non-judgmental space and work collaboratively with you on this journey to make positive changes in your life.
Welcome and thank you for visiting my page. I am an accredited integrative counsellor and psychotherapist. Integrative means that I can use different counselling techniques such as Person Centred, Psychodynamic and CBT, this allows me to provide therapy that is best suited to your individual needs. You may be searching here because you want something in your life to change, or because you need a safe place to explore the past and how it may be affecting you now. Whatever the reason I can provide a safe non-judgmental space and work collaboratively with you on this journey to make positive changes in your life.
028 9694 3411 View 028 9694 3411
Photo of Healthy Mind Coaching in BT8, Northern Ireland
Healthy Mind Coaching
Verified Verified
Life Coaching - Mental Wellbeing CBT & Mindset Coaching. Are you anxious, stressed, worried, stuck or uncertain about your future? I will help you to get your life back on track and get to where you want to be with our unique way of working & talking with you and giving you practical help by way of integrating challenges into your days & week to allow you to try different approaches to doing things in your life. Helping you to change your perspective and perceptions (Mindset) to take on your issues, concerns or difficulties more on your own terms to achieve better success outcomes in your life.
Life Coaching - Mental Wellbeing CBT & Mindset Coaching. Are you anxious, stressed, worried, stuck or uncertain about your future? I will help you to get your life back on track and get to where you want to be with our unique way of working & talking with you and giving you practical help by way of integrating challenges into your days & week to allow you to try different approaches to doing things in your life. Helping you to change your perspective and perceptions (Mindset) to take on your issues, concerns or difficulties more on your own terms to achieve better success outcomes in your life.
028 9694 3904 View 028 9694 3904
Photo of Michael Paul Reilly, Counsellor in BT8, Northern Ireland
Michael Paul Reilly
Counsellor, MBACP Accred
Verified Verified
How do you feel right now? Can you put a word to that feeling? Feelings can often go unchecked and we don't notice until we feel overwhelmed. In modern life we are constantly bombarded with information and feel pressure to make decisions. We anxiously think about the future and regretfully think of the past. Unable to find peace in the now. A therapist can act as a companion who can help you explore your feelings in a safe environment. Help you learn more about yourself. We all have aspects of our personality that we keep hidden from others and even ourselves. Together we can explore these aspects.
How do you feel right now? Can you put a word to that feeling? Feelings can often go unchecked and we don't notice until we feel overwhelmed. In modern life we are constantly bombarded with information and feel pressure to make decisions. We anxiously think about the future and regretfully think of the past. Unable to find peace in the now. A therapist can act as a companion who can help you explore your feelings in a safe environment. Help you learn more about yourself. We all have aspects of our personality that we keep hidden from others and even ourselves. Together we can explore these aspects.
028 9694 3184 View 028 9694 3184
Photo of Fionnuala Rupchand, Psychotherapist in BT8, Northern Ireland
Fionnuala Rupchand
Psychotherapist, MSc, MUKCP
Verified Verified
In my experience, people seek psychotherapy for a variety of reasons ranging from crisis to personal development. The psychotherapeutic relationship is unique, separate from the rest of life, and offers a confidential space to explore and understand your relationship with yourself and others. My practice is anchored by the belief that we are all fundamentally ok and we all have the capacity for change and growth.
In my experience, people seek psychotherapy for a variety of reasons ranging from crisis to personal development. The psychotherapeutic relationship is unique, separate from the rest of life, and offers a confidential space to explore and understand your relationship with yourself and others. My practice is anchored by the belief that we are all fundamentally ok and we all have the capacity for change and growth.
028 9692 8127 View 028 9692 8127
Photo of Caroline Smyth, Counsellor in BT8, Northern Ireland
Caroline Smyth
Counsellor, MBACP
Verified Verified
I am an Integrative Therapist who has been practicing in both private and community sectors since 2015. I am originally from South Australia and Belfast has been my home for 12 years now. I believe that self-awareness and happiness are not a destination and toxic positivity takes us further from who we are. We can become stuck in what has happened to us (depression) or fear what may happen to us (anxiety). Tabula Rasa means clean slate "Where there is nothing, there is the possibility of everything". That slate exists in the present moment and by exploring what your life means to you, you can create a meaningful life.
I am an Integrative Therapist who has been practicing in both private and community sectors since 2015. I am originally from South Australia and Belfast has been my home for 12 years now. I believe that self-awareness and happiness are not a destination and toxic positivity takes us further from who we are. We can become stuck in what has happened to us (depression) or fear what may happen to us (anxiety). Tabula Rasa means clean slate "Where there is nothing, there is the possibility of everything". That slate exists in the present moment and by exploring what your life means to you, you can create a meaningful life.
028 9692 8248 View 028 9692 8248
Photo of Marian Rafferty, Counsellor in BT8, Northern Ireland
Marian Rafferty
Counsellor, MBACP Accred
Verified Verified
Have you been feeling anxious or depressed? Perhaps you have suffered a loss - a relationship, a bereavement, a job? Are events from the past still haunting you? Maybe you are not really sure why you are feeling so low? As an experienced counsellor, I can help you to explore your thoughts and feelings, manage your symptoms and decide what changes you want to make to your life. It is often difficult to talk to friends and family about our problems due to embarrassment or fear of being a burden. As a qualified counsellor, I have been trained to listen and support you through your darkest moments.
Have you been feeling anxious or depressed? Perhaps you have suffered a loss - a relationship, a bereavement, a job? Are events from the past still haunting you? Maybe you are not really sure why you are feeling so low? As an experienced counsellor, I can help you to explore your thoughts and feelings, manage your symptoms and decide what changes you want to make to your life. It is often difficult to talk to friends and family about our problems due to embarrassment or fear of being a burden. As a qualified counsellor, I have been trained to listen and support you through your darkest moments.
028 9692 8153 View 028 9692 8153

See more therapy options for BT8

How does your Counsellor compare?

Number of Counsellors in BT8

30+

Average cost per session

£50

Counsellors in BT8 who prioritize treating:

94% Anxiety
91% Self Esteem
88% Depression
79% Relationship Issues
79% Stress
74% Life Transitions
71% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

71% Aviva
57% AXA PPP
57% Vitality

How Counsellors in BT8 see their clients

92% In Person and Online
8% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counselling

How can I find a therapist in BT8?

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.