Counselling in Exeter
Lou Stacey Counselling and Clinical Supervision
Counsellor, BACP
Verified Verified
Exeter EX6
Hello. My name is Lou. I would like to support you. If you are feeling vulnerable or are in need of some help; maybe things are no longer in your control, than please get in touch. Not being able to trust or understand your own thoughts and feelings, yet finding yourself stuck in them, can be very overwhelming and I would like to support and help you find some peace and calm, so you can re-connect to yourself and your world around you again without so much pain, fear or sadness. I am available face to face in Exminster, as well as Telephone or Online via Zoom. Email me for further details or visit my website.
Hello. My name is Lou. I would like to support you. If you are feeling vulnerable or are in need of some help; maybe things are no longer in your control, than please get in touch. Not being able to trust or understand your own thoughts and feelings, yet finding yourself stuck in them, can be very overwhelming and I would like to support and help you find some peace and calm, so you can re-connect to yourself and your world around you again without so much pain, fear or sadness. I am available face to face in Exminster, as well as Telephone or Online via Zoom. Email me for further details or visit my website.
Kay Vickers
Psychotherapist, MBACP
Verified Verified
Exeter EX1 (Online Only)
If you are seeking the opportunity to talk matters though in a non judgemental and safe environment, I provide the support and understanding to empower you to consider the issues you wish to explore. Working together to help you gain a deeper understanding of yourself and why you are experiencing the difficulties that you have. Enabling you to develop new methods of coping with these difficulties. We will explore patterns in your thoughts and behaviours which will help you to gain a sense of control and stability in your everyday life. I am a registered member of the BACP and the NCS.
If you are seeking the opportunity to talk matters though in a non judgemental and safe environment, I provide the support and understanding to empower you to consider the issues you wish to explore. Working together to help you gain a deeper understanding of yourself and why you are experiencing the difficulties that you have. Enabling you to develop new methods of coping with these difficulties. We will explore patterns in your thoughts and behaviours which will help you to gain a sense of control and stability in your everyday life. I am a registered member of the BACP and the NCS.
Jennifer Gledhill
Counsellor, MA, BACP
Verified Verified
Exeter EX3
Making the first move to see a counsellor can feel like a big step, especially if this is the first time you've done it. Perhaps you feel like you’re worrying more than usual at the moment? Or maybe there is a specific issue on your mind that you can't seem to get past. Perhaps you've had enough of feeling anxious, or you're feeling low and 'stuck'. When we have the opportunity to share how we feel in a safe, confidential environment it can help us to develop a toolkit of coping strategies to deal with times when things get tough.
Making the first move to see a counsellor can feel like a big step, especially if this is the first time you've done it. Perhaps you feel like you’re worrying more than usual at the moment? Or maybe there is a specific issue on your mind that you can't seem to get past. Perhaps you've had enough of feeling anxious, or you're feeling low and 'stuck'. When we have the opportunity to share how we feel in a safe, confidential environment it can help us to develop a toolkit of coping strategies to deal with times when things get tough.
Dr Rebecca Evans
Psychologist, PsychD, HCPC - Health Psych.
Verified Verified
Exeter EX2
Hello, I am Becky a HCPC registered Applied Health Psychologist. I am trained in person-centred care, CBT, CFT, ACT, DBT, systemic and narrative therapy. I have supported people with chronic pain, neurodiversity, weight management, trauma, relationship difficulties and memory difficulties. I am an integrative psychologist, thus I use a range of different models and skills to meet the needs of each individual. I have worked with young children up to older adults. I have seen people individually, in couples or as a family. I have helped clients explore their struggles with anxiety, self-esteem, low-mood, bullying, bereavement, & loss.
Hello, I am Becky a HCPC registered Applied Health Psychologist. I am trained in person-centred care, CBT, CFT, ACT, DBT, systemic and narrative therapy. I have supported people with chronic pain, neurodiversity, weight management, trauma, relationship difficulties and memory difficulties. I am an integrative psychologist, thus I use a range of different models and skills to meet the needs of each individual. I have worked with young children up to older adults. I have seen people individually, in couples or as a family. I have helped clients explore their struggles with anxiety, self-esteem, low-mood, bullying, bereavement, & loss.
Karys Varker
Counsellor, MSc, MBACP Accred
Verified Verified
Exeter EX4
Do you want to relieve pain and distress caused by depression and anxiety? Do you want to work towards a better relationship with your loved ones or have a space to talk openly about what you’re currently experiencing in life? Are you feeling alone with what you’re experiencing, and would you like to be listened to in a manner free from judgement and opinion? My name is Karys Varker and I'm a qualified Integrative Counsellor and Psychotherapist offering counselling and psychological therapies to individuals in the heart of Exeter and online.
Do you want to relieve pain and distress caused by depression and anxiety? Do you want to work towards a better relationship with your loved ones or have a space to talk openly about what you’re currently experiencing in life? Are you feeling alone with what you’re experiencing, and would you like to be listened to in a manner free from judgement and opinion? My name is Karys Varker and I'm a qualified Integrative Counsellor and Psychotherapist offering counselling and psychological therapies to individuals in the heart of Exeter and online.
Samantha Barlow
Counsellor, MBACP Accred
Verified Verified
Exeter EX1
Life can be challenging. I offer a caring environment free from judgment for you to explore your feelings. I will work alongside you to develop life-changing habits and help you become the person you wish to be. I have a special interest in working with relationship difficulties, such as separation, divorce, affairs, control or abuse, stepfamily issues and parenting. I am a Relate trained, CPCAB Level 5 relational counsellor. I also work extensively with life stage transitions, such as adolescence, parenthood, menopause, older adults and bereavement. I am passionate about supporting people on their journey for meaning and purpose.
Life can be challenging. I offer a caring environment free from judgment for you to explore your feelings. I will work alongside you to develop life-changing habits and help you become the person you wish to be. I have a special interest in working with relationship difficulties, such as separation, divorce, affairs, control or abuse, stepfamily issues and parenting. I am a Relate trained, CPCAB Level 5 relational counsellor. I also work extensively with life stage transitions, such as adolescence, parenthood, menopause, older adults and bereavement. I am passionate about supporting people on their journey for meaning and purpose.
Aimery Martin
Counsellor, MBACP
Verified Verified
1 Endorsed
Exeter EX1
If this is a time when you need to talk to someone, then I am here to listen and help you find the strength to move forward. I offer a safe and supportive space, with understanding that facing our realities can be hard. Allow me to walk this path alongside you, and let us face the things that you find most difficult together, carefully, gently and with compassion. Acceptance and change can take time. It's okay to revisit things several times and we will go at a pace you are comfortable with. I offer concessionary rates based on affordability, because I am a strong believer in making therapy available to more people.
If this is a time when you need to talk to someone, then I am here to listen and help you find the strength to move forward. I offer a safe and supportive space, with understanding that facing our realities can be hard. Allow me to walk this path alongside you, and let us face the things that you find most difficult together, carefully, gently and with compassion. Acceptance and change can take time. It's okay to revisit things several times and we will go at a pace you are comfortable with. I offer concessionary rates based on affordability, because I am a strong believer in making therapy available to more people.
Zoe Powell Martin
Counsellor, MSc, MBACP
Verified Verified
Exeter EX6 (Online Only)
Hello, I'm Zoe - it's a pleasure to meet you. I am an experienced LGBTQ+ and University counsellor currently offering online counselling and psychotherapy. I provide a warm, safe and nurturing space to support you on your therapeutic journey. As a therapist, I am committed to ensure that your therapy sessions are co-constructed to meet your individual therapeutic needs. Benefitting from shared-decision making, a focus on therapeutic direction as well as empathy, support, compassion and attention, you can expect a uniquely inclusive and collaborative therapeutic experience.
Hello, I'm Zoe - it's a pleasure to meet you. I am an experienced LGBTQ+ and University counsellor currently offering online counselling and psychotherapy. I provide a warm, safe and nurturing space to support you on your therapeutic journey. As a therapist, I am committed to ensure that your therapy sessions are co-constructed to meet your individual therapeutic needs. Benefitting from shared-decision making, a focus on therapeutic direction as well as empathy, support, compassion and attention, you can expect a uniquely inclusive and collaborative therapeutic experience.
Harry Toogood
Counsellor, MBACP
Verified Verified
1 Endorsed
Exeter EX1
I offer therapeutic counselling to adult individuals. I work with issues affecting Mental Health and Wellbeing including • Anxiety • Depression • Stress • Low Mood • Bereavement • Trauma • Relationship Issues • Shame • Identity • Existential Concerns • Boarding School Syndrome. I run a private counselling practice from my own therapy room in Southernhay in central Exeter, Devon as well as offering counselling on the telephone and online via video.
I offer therapeutic counselling to adult individuals. I work with issues affecting Mental Health and Wellbeing including • Anxiety • Depression • Stress • Low Mood • Bereavement • Trauma • Relationship Issues • Shame • Identity • Existential Concerns • Boarding School Syndrome. I run a private counselling practice from my own therapy room in Southernhay in central Exeter, Devon as well as offering counselling on the telephone and online via video.
Between You and Me Integrative Therapy
Psychotherapist, MBACP Snr. Accred
Verified Verified
1 Endorsed
Exeter EX5
Reaching out can be hard. Are you feeling overwhelmed? struggling to cope with your situation? your emotions? your experiences? If your trust has been damaged, talking to someone who will take time to understand you can be a huge relief. Perhaps you need support through a crisis or you are at the end of your tether with multiple stresses. Even if you have longterm issues that seem stuck, talking to someone can make a difference. You may gain insight into the roots of your difficulties and find qualities in yourself that have never had a chance to develop. The aim is to help you live a more rewarding life.
Reaching out can be hard. Are you feeling overwhelmed? struggling to cope with your situation? your emotions? your experiences? If your trust has been damaged, talking to someone who will take time to understand you can be a huge relief. Perhaps you need support through a crisis or you are at the end of your tether with multiple stresses. Even if you have longterm issues that seem stuck, talking to someone can make a difference. You may gain insight into the roots of your difficulties and find qualities in yourself that have never had a chance to develop. The aim is to help you live a more rewarding life.
Karen Hedges
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Exeter EX4
Hello, I'm Karen. If you are looking for ways to make positive changes and move forward with your life, I can help you. I'm experienced in working alongside a range of people, and have a particular interest in helping people who may have ADHD (attention deficit and hyperactivity disorder) or be on the autistic spectrum. If you feel that your emotions, thoughts and behaviours are not serving you well, then I will help you to understand them so that you can identify what needs to change. Using approaches to suit you, I'll support you to overcome your difficulties.
Hello, I'm Karen. If you are looking for ways to make positive changes and move forward with your life, I can help you. I'm experienced in working alongside a range of people, and have a particular interest in helping people who may have ADHD (attention deficit and hyperactivity disorder) or be on the autistic spectrum. If you feel that your emotions, thoughts and behaviours are not serving you well, then I will help you to understand them so that you can identify what needs to change. Using approaches to suit you, I'll support you to overcome your difficulties.
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Counsellor, MBACP
Verified Verified
1 Endorsed
Exeter EX1
I have a special interest in the transitions and dilemmas that can occur at any point during a woman’s life. These might include marrying; pregnancy; changes in role; relationship difficulties; and the challenges presented at menopause and during the aging process. It is common to experience uncertainty, confusion, fear, and pressure at times of change or loss. Depression and anxiety may emerge as well as other, less common mental health issues. Times of change or loss can be difficult for everyone. I work with all genders, without discrimination. It is not necessary to have a mental health diagnosis to benefit from our sessions.
I have a special interest in the transitions and dilemmas that can occur at any point during a woman’s life. These might include marrying; pregnancy; changes in role; relationship difficulties; and the challenges presented at menopause and during the aging process. It is common to experience uncertainty, confusion, fear, and pressure at times of change or loss. Depression and anxiety may emerge as well as other, less common mental health issues. Times of change or loss can be difficult for everyone. I work with all genders, without discrimination. It is not necessary to have a mental health diagnosis to benefit from our sessions.
Pippa Counselling
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
Exeter EX1
My name is Pippa. I'm a compassionate integrative therapist, working with adults aged 18+. You may have a specific issue you want to work through in therapy such as persistent anxiety, relationship challenges, low self esteem or navigating a life change such as divorce. Or perhaps you have a persistent sense of something being wrong and feel that talking to a friendly, compassionate therapist may help. Whatever your reason, reaching out is the first step to changing patterns of behaviour that may be holding you back, with knowledge and tools to gain a sense of purpose, self compassion and start to feel more in control of your life.
My name is Pippa. I'm a compassionate integrative therapist, working with adults aged 18+. You may have a specific issue you want to work through in therapy such as persistent anxiety, relationship challenges, low self esteem or navigating a life change such as divorce. Or perhaps you have a persistent sense of something being wrong and feel that talking to a friendly, compassionate therapist may help. Whatever your reason, reaching out is the first step to changing patterns of behaviour that may be holding you back, with knowledge and tools to gain a sense of purpose, self compassion and start to feel more in control of your life.
Roberta Hutchins
Psychotherapist, MHGI
Verified Verified
Exeter EX1
Roberta Hutchins has over 15 years’ experience in private practice as an integrated holistic healthcare practitioner in Devon. Roberta’s many years’ experience of working effectively with people with diverse health problems in a variety of ways have provided a strong foundation for her Human Givens Psychotherapy practice. People suffering from anxiety, depression, and many health problems related to stress, have formed the backbone of her practice. It is often the case that resolving life difficulties, getting needs met and focusing on psychological wellbeing are the keys to getting back on track with life and feeling well again.
Roberta Hutchins has over 15 years’ experience in private practice as an integrated holistic healthcare practitioner in Devon. Roberta’s many years’ experience of working effectively with people with diverse health problems in a variety of ways have provided a strong foundation for her Human Givens Psychotherapy practice. People suffering from anxiety, depression, and many health problems related to stress, have formed the backbone of her practice. It is often the case that resolving life difficulties, getting needs met and focusing on psychological wellbeing are the keys to getting back on track with life and feeling well again.
Anne Mattock
Counsellor, BACP
Verified Verified
Exeter EX5
Are you struggling to make sense of your world, finding it difficult to get through your day? Do you feel out of step with everyone else? Are feeling alone and not sure what to do next? Have you had traumatic experiences that affect your present life? Do you have a feeling of impending doom that makes you wake up anxious? Do you want to self harm or end your life? Can you only manage by using drugs or alcohol? Do you have no one to understand or that you can talk to?
Are you struggling to make sense of your world, finding it difficult to get through your day? Do you feel out of step with everyone else? Are feeling alone and not sure what to do next? Have you had traumatic experiences that affect your present life? Do you have a feeling of impending doom that makes you wake up anxious? Do you want to self harm or end your life? Can you only manage by using drugs or alcohol? Do you have no one to understand or that you can talk to?
Bernadette Kavanagh
Counsellor, BACP
Verified Verified
Exeter EX1
I am an experienced registered counsellor. I offer a warm, calm, confidential and non judgmental space for clients to explore thoughts and feelings. I work with a range of issues with both males, females and couples. I also work at The Safe Foundation as Clinical Lead. I specialise with clients, both male and female who have been through domestic abuse and Trauma.
I am an experienced registered counsellor. I offer a warm, calm, confidential and non judgmental space for clients to explore thoughts and feelings. I work with a range of issues with both males, females and couples. I also work at The Safe Foundation as Clinical Lead. I specialise with clients, both male and female who have been through domestic abuse and Trauma.
Catherine C Davies
Psychotherapist, MBACP Accred
Verified Verified
Exeter EX1 (Online Only)
Not accepting new clients
I specialise in the field of unresolved grief, loss, overwhelm and trauma. I offer EMDR therapy to clients who seek to fulfil their potential away from painful life events, overwhelming and challenging personal and professional stressors. I have experience in treating single or complex traumas alongside supporting the emotional wellbeing of any individuals at high risk of stress, anxiety and chronic career pressures. Over the last sixteen years as an integrative psychotherapist, supervisor and clinical lead in a busy NHS environment, I have also experienced a broad spectrum of clients' concerns and struggles.
I specialise in the field of unresolved grief, loss, overwhelm and trauma. I offer EMDR therapy to clients who seek to fulfil their potential away from painful life events, overwhelming and challenging personal and professional stressors. I have experience in treating single or complex traumas alongside supporting the emotional wellbeing of any individuals at high risk of stress, anxiety and chronic career pressures. Over the last sixteen years as an integrative psychotherapist, supervisor and clinical lead in a busy NHS environment, I have also experienced a broad spectrum of clients' concerns and struggles.
Rachael Walker
Counsellor, MBACP
Verified Verified
Exeter EX4
Hello, I'm Rachael. I provide a safe, secure place, where you will be able to talk about your thoughts and feelings in confidence, without the fear of being judged. I know the thought of having counselling can be daunting, but I will help you to feel comfortable and relaxed. All my clients and their issues are extremely important to me, so there is no such thing as a client or an issue being ‘unimportant,’ or a problem being too ‘minor’. The sessions are all about you...
Hello, I'm Rachael. I provide a safe, secure place, where you will be able to talk about your thoughts and feelings in confidence, without the fear of being judged. I know the thought of having counselling can be daunting, but I will help you to feel comfortable and relaxed. All my clients and their issues are extremely important to me, so there is no such thing as a client or an issue being ‘unimportant,’ or a problem being too ‘minor’. The sessions are all about you...
Kevin Dudman
Psychotherapist, MSc, MBABCP
Verified Verified
Exeter EX1
Waitlist for new clients
Hello my name is Kevin. I specialise in the treatment of trauma including accidents, medical trauma, work place and childhood bullying, domestic abuse, rape, sexual abuse and traumatic grief. I can also help you with depression, anxiety, worry, low self -esteem, OCD, phobias, body and self esteem issues, chronic pain, porn and Internet addiction. I am an EMDR Consultant and Accredited CBT Psychotherapist with over thirty years’ experience in working in Mental Health within the NHS. Twenty of these have been in senior positions supervising and supporting the clinical practice of a wide range of psychological therapists.
Hello my name is Kevin. I specialise in the treatment of trauma including accidents, medical trauma, work place and childhood bullying, domestic abuse, rape, sexual abuse and traumatic grief. I can also help you with depression, anxiety, worry, low self -esteem, OCD, phobias, body and self esteem issues, chronic pain, porn and Internet addiction. I am an EMDR Consultant and Accredited CBT Psychotherapist with over thirty years’ experience in working in Mental Health within the NHS. Twenty of these have been in senior positions supervising and supporting the clinical practice of a wide range of psychological therapists.
Claire Annette Williams
Counsellor, MBACP
Verified Verified
Exeter EX1
I am an experienced and registered MBACP counsellor, based in Exeter, working with adults, young people and children. I work with a wide range of issues, including anxiety, depression, self-harm, bereavement and loss, and trauma. I offer a warm, safe, confidential and non-judgemental space for you to explore difficulties or problems from your past or present and look at how these maybe holding you back from living a more satisfying and fuller life. As a humanistic counsellor, I focus on building a respectful, caring and empathetic relationship with you and, through this, support you as you progress towards your goal.
I am an experienced and registered MBACP counsellor, based in Exeter, working with adults, young people and children. I work with a wide range of issues, including anxiety, depression, self-harm, bereavement and loss, and trauma. I offer a warm, safe, confidential and non-judgemental space for you to explore difficulties or problems from your past or present and look at how these maybe holding you back from living a more satisfying and fuller life. As a humanistic counsellor, I focus on building a respectful, caring and empathetic relationship with you and, through this, support you as you progress towards your goal.
See more therapy options for Exeter
How does your Counsellor compare?
Number of Counsellors in Exeter
200+
Average cost per session
£55
Counsellors in Exeter who prioritize treating:
91% | Anxiety |
90% | Depression |
86% | Self Esteem |
84% | Stress |
80% | Relationship Issues |
69% | Bereavement |
67% | Trauma and PTSD |
Average years in practice
7 Years
Top 3 insurances accepted
56% | AXA PPP |
54% | Aviva |
44% | Bupa |
How Counsellors in Exeter see their clients
84% | In Person and Online | |
16% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Exeter?
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
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.
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.
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.