Counselling in DE3

Photo of Abigail Louise Ayre, Counsellor, MNCPS Acc.
Abigail Louise Ayre
Counsellor, MNCPS Acc.
Derby DE3
Life can be overwhelming at times. Whether you’re feeling stuck, struggling with anxiety or low self-esteem, carrying the weight of past trauma, grief, or simply trying to rediscover joy and purpose, you don’t have to face it alone. I am an integrative counsellor, which means that where therapy is concerned, it's not a "one size fits all". I use different modalities, including Person Centred, Transactional Analysis, Gestalt, CBT, EFT, Sand Tray and creativity. Every person is unique and deserves to live their full existence. I’m passionate about helping people reconnect with their true selves and build healthier lives.
Life can be overwhelming at times. Whether you’re feeling stuck, struggling with anxiety or low self-esteem, carrying the weight of past trauma, grief, or simply trying to rediscover joy and purpose, you don’t have to face it alone. I am an integrative counsellor, which means that where therapy is concerned, it's not a "one size fits all". I use different modalities, including Person Centred, Transactional Analysis, Gestalt, CBT, EFT, Sand Tray and creativity. Every person is unique and deserves to live their full existence. I’m passionate about helping people reconnect with their true selves and build healthier lives.
01332 529972 View 01332 529972
Photo of Beverley Janet Powell - Calm Counselling, Counsellor, PNCPS Acc.
Calm Counselling
Counsellor, PNCPS Acc.
Derby DE3
Are you facing a challenge. Are you looking for counselling or a couple looking for counselling? I can help and support you through a difficult situation? I offer individuals or couples quality time, a non judgmental listening ear in an environment where you can feel safe and confident to talk about whatever is concerning or is important to you. I can support you if you are fearful, anxious or feeling overwhelmed. Perhaps your faith is being challenged, and you're seeking inner peace and healing.
Are you facing a challenge. Are you looking for counselling or a couple looking for counselling? I can help and support you through a difficult situation? I offer individuals or couples quality time, a non judgmental listening ear in an environment where you can feel safe and confident to talk about whatever is concerning or is important to you. I can support you if you are fearful, anxious or feeling overwhelmed. Perhaps your faith is being challenged, and you're seeking inner peace and healing.
01332 417303 View 01332 417303
Photo of Kim Byng - My Choice Psychotherapy & Counselling Practice, Counsellor, MBACP
My name is Kim Byng, I am a fully qualified counsellor working in Derby. I have a background in working with clients affected by domestic violence (male and female) and also with victims of crime. I work with adult clients around relationship and attachment issues, domestic abuse, sexual abuse, anxiety, depression, low self-esteem, low self-confidence, loss, trauma, self harm, identifying patterns of relating to others, new relationships and personal growth. I generally use Transactional Analysis when working with clients, this involves inviting the client to examine their own processes and ways of relating to others so they can make changes in their lives.
My name is Kim Byng, I am a fully qualified counsellor working in Derby. I have a background in working with clients affected by domestic violence (male and female) and also with victims of crime. I work with adult clients around relationship and attachment issues, domestic abuse, sexual abuse, anxiety, depression, low self-esteem, low self-confidence, loss, trauma, self harm, identifying patterns of relating to others, new relationships and personal growth. I generally use Transactional Analysis when working with clients, this involves inviting the client to examine their own processes and ways of relating to others so they can make changes in their lives.
01332 321739 View 01332 321739
Photo of Neil Porter, Psychotherapist, MBACP
Neil Porter
Psychotherapist, MBACP
Derby DE3
I became a therapist because I believe in the power of healing, both in theory and in practice. I’ve seen transformation firsthand—through my own journey, through my training, and most powerfully, through the courage and growth of my clients. Every time someone dares to open up, to trust, to explore their pain and their potential—I am reminded why I do this work. My approach is grounded in deep presence. I offer a space that is accepting, non-judgmental, and real. Clients often tell me they feel like they're talking to someone who truly sees them—not just as a set of problems to solve, but as a whole person.
I became a therapist because I believe in the power of healing, both in theory and in practice. I’ve seen transformation firsthand—through my own journey, through my training, and most powerfully, through the courage and growth of my clients. Every time someone dares to open up, to trust, to explore their pain and their potential—I am reminded why I do this work. My approach is grounded in deep presence. I offer a space that is accepting, non-judgmental, and real. Clients often tell me they feel like they're talking to someone who truly sees them—not just as a set of problems to solve, but as a whole person.
01332 529441 View 01332 529441
Photo of Marta Perestrello, Psychotherapist, MA, HCPC-Art Therap.
Marta Perestrello
Psychotherapist, MA, HCPC-Art Therap.
1 Endorsed
Derby DE3
I am an experienced and highly qualified art psychotherapist. I offer in person and online psychotherapy, clinical supervision, parent and professional consultation. I work with young people and adults in person from Derby or online from where ever you live, work or travel to. Contact me to arrange a free Introductory Meeting to talk through your needs and agree on the best plan forward before committing to any work.
I am an experienced and highly qualified art psychotherapist. I offer in person and online psychotherapy, clinical supervision, parent and professional consultation. I work with young people and adults in person from Derby or online from where ever you live, work or travel to. Contact me to arrange a free Introductory Meeting to talk through your needs and agree on the best plan forward before committing to any work.
07480 485905 View 07480 485905
Photo of Donna Cooper, Psychotherapist, MSc, MBABCP
Donna Cooper
Psychotherapist, MSc, MBABCP
Derby DE3
Hello, I’m Donna. I am a Holistic Psychotherapist who is passionate about providing a service that is able to tailor therapy to the needs of the individual. During my time working as a Cognitive Behavioural Psychotherapist, I have become increasingly aware of the need to adopt a flexible and more inclusive way of offering therapy. With the aim of offering you a person-centred approach to your therapy journey, I have completed training in a variety of disciplines and therapies. Each therapy can be accessed as a stand-alone treatment or as part of a tailored treatment plan.
Hello, I’m Donna. I am a Holistic Psychotherapist who is passionate about providing a service that is able to tailor therapy to the needs of the individual. During my time working as a Cognitive Behavioural Psychotherapist, I have become increasingly aware of the need to adopt a flexible and more inclusive way of offering therapy. With the aim of offering you a person-centred approach to your therapy journey, I have completed training in a variety of disciplines and therapies. Each therapy can be accessed as a stand-alone treatment or as part of a tailored treatment plan.
01332 215457 View 01332 215457
Photo of Nick Campion, Psychotherapist, MSc, MUKCP
Nick Campion
Psychotherapist, MSc, MUKCP
1 Endorsed
Serves Area
Waitlist for new clients
Time to address something in your life? Perhaps you’ve been depressed or anxious, fearful, grieving or stuck. Maybe you’re struggling with relationships or something has happened in your life that you need to deal with and understand. Or it might be that you just have a nagging sense that something isn’t quite right and it’s finally time to work out who you are and what you want from life. I’ll listen to you carefully to understand why you’ve chosen to come to therapy and maybe even help clarify what it is that is troubling you. My aim will be to help you feel safe, valued, accepted and understood.
Time to address something in your life? Perhaps you’ve been depressed or anxious, fearful, grieving or stuck. Maybe you’re struggling with relationships or something has happened in your life that you need to deal with and understand. Or it might be that you just have a nagging sense that something isn’t quite right and it’s finally time to work out who you are and what you want from life. I’ll listen to you carefully to understand why you’ve chosen to come to therapy and maybe even help clarify what it is that is troubling you. My aim will be to help you feel safe, valued, accepted and understood.
01332 215223 View 01332 215223
Photo of Sally Cooper, Psychotherapist, MA, MBACP Accred
Sally Cooper
Psychotherapist, MA, MBACP Accred
Serves Area
Hello and welcome. People access therapy for a variety of different reasons. You may have an area of your life that you are keen to explore, or perhaps you are less sure and that's ok too. Often the therapeutic relationship can offer new perspectives or awareness - perhaps new potentials or the rediscovery of something 'lost'. We are all unique I will work with you in a way that honours your experiences and respects you as an individual - supporting you to find your own direction and resources.
Hello and welcome. People access therapy for a variety of different reasons. You may have an area of your life that you are keen to explore, or perhaps you are less sure and that's ok too. Often the therapeutic relationship can offer new perspectives or awareness - perhaps new potentials or the rediscovery of something 'lost'. We are all unique I will work with you in a way that honours your experiences and respects you as an individual - supporting you to find your own direction and resources.
01332 985973 View 01332 985973
Photo of Jonathan Stone - Jonathan Stone - Discover U, Psychotherapist, MA, MUKCP
Jonathan Stone - Discover U
Psychotherapist, MA, MUKCP
1 Endorsed
Serves Area
I am an experienced qualified Integrative Psychotherapist, Counsellor and Supervisor, working in Private practice and within the NHS for over 13 years. I work with individuals, couples, EAP services, and provide clinical supervision. I have significant experience of working with a wide range of clients. Ages range from teens to older adults. I work with people experiencing a range of issues - Relationship issues; anxiety including panic disorders and depression; post natal depression; work problems; stress; loss, I am trained and have considerable experience in working with psychiatric diagnosis.
I am an experienced qualified Integrative Psychotherapist, Counsellor and Supervisor, working in Private practice and within the NHS for over 13 years. I work with individuals, couples, EAP services, and provide clinical supervision. I have significant experience of working with a wide range of clients. Ages range from teens to older adults. I work with people experiencing a range of issues - Relationship issues; anxiety including panic disorders and depression; post natal depression; work problems; stress; loss, I am trained and have considerable experience in working with psychiatric diagnosis.
01332 650348 View 01332 650348
Photo of Kristina Gumbryte, Psychotherapist, MSc, MBACP
Kristina Gumbryte
Psychotherapist, MSc, MBACP
Serves Area
I strongly believe that the client knows themselves best, therefore I listen not to diagnose, but to understand you and how you came to be. I appreciate everyone wants to be happy, but the idea of happiness will look different to everyone - to some, it may be having better relationships with their loved ones, to others, it may be excelling at their career, and others may want to have a better relationship with themselves. Together, we can work through the barriers like anxiety, depression, self-harm, suicidal thoughts, eating disorders, or anything else. Whatever it is that your happiness looks like, I want to help you get there.
I strongly believe that the client knows themselves best, therefore I listen not to diagnose, but to understand you and how you came to be. I appreciate everyone wants to be happy, but the idea of happiness will look different to everyone - to some, it may be having better relationships with their loved ones, to others, it may be excelling at their career, and others may want to have a better relationship with themselves. Together, we can work through the barriers like anxiety, depression, self-harm, suicidal thoughts, eating disorders, or anything else. Whatever it is that your happiness looks like, I want to help you get there.
01332 497537 View 01332 497537
Photo of Dave Petch, Psychotherapist, MSc, MBACP
Dave Petch
Psychotherapist, MSc, MBACP
1 Endorsed
Serves Area
The experiences we have early in our lives can often impact our view of the world and ourselves as adults. We may place unhealthy expectations on ourselves or view ourselves in an overly negative light. I can offer you a safe, compassionate and non-judgemental environment in which I can help you to achieve the goals you set yourself at the start of our journey together.
The experiences we have early in our lives can often impact our view of the world and ourselves as adults. We may place unhealthy expectations on ourselves or view ourselves in an overly negative light. I can offer you a safe, compassionate and non-judgemental environment in which I can help you to achieve the goals you set yourself at the start of our journey together.
01332 985690 View 01332 985690
Photo of Dr Kate Williams-Markey, Psychologist, PhD, HCPC - Clin. Psych.
Dr Kate Williams-Markey
Psychologist, PhD, HCPC - Clin. Psych.
Online Only
Hello! I work as a Clinical Psychologist part-time in the NHS, and one evening online in private practice. Fundamentally, I enjoy meeting people and working alongside people to help process and understand their experiences. Sometimes our life experiences and difficulties we encounter can feel overwhelming, and we may not know where to start. I can help you start to make sense of your experiences through talking and applying a range of therapeutic approaches along the way. I accept self-funding, as well as BUPA insurance payments. I also offer block bookings with 10% discount.
Hello! I work as a Clinical Psychologist part-time in the NHS, and one evening online in private practice. Fundamentally, I enjoy meeting people and working alongside people to help process and understand their experiences. Sometimes our life experiences and difficulties we encounter can feel overwhelming, and we may not know where to start. I can help you start to make sense of your experiences through talking and applying a range of therapeutic approaches along the way. I accept self-funding, as well as BUPA insurance payments. I also offer block bookings with 10% discount.
01663 790542 View 01663 790542
Photo of Miricia Van Rensburg - Friar Gate Counselling & Psychotherapy, Psychotherapist, MSc, MBACP
Friar Gate Counselling & Psychotherapy
Psychotherapist, MSc, MBACP
Serves Area
I am Miricia, an experienced, fully qualified BACP registered counsellor and psychotherapist. I have many years' experience in the mental health field along with formal training that provides me with a solid foundation to practice as an integrative counsellor. I have worked in private practise, businesses, charities, schools and have also featured on BBC Radio Two. In addition to my private practice I have experience in various mental health settings, having worked in the mental health field for the NHS in London, and as a counsellor for various employee assistance programmes and voluntary community counselling services.
I am Miricia, an experienced, fully qualified BACP registered counsellor and psychotherapist. I have many years' experience in the mental health field along with formal training that provides me with a solid foundation to practice as an integrative counsellor. I have worked in private practise, businesses, charities, schools and have also featured on BBC Radio Two. In addition to my private practice I have experience in various mental health settings, having worked in the mental health field for the NHS in London, and as a counsellor for various employee assistance programmes and voluntary community counselling services.
01332 985704 View 01332 985704

More Therapists Nearby

Photo of Linda Stamp - Amethyst Therapy, Psychotherapist, MBACP
Amethyst Therapy
Psychotherapist, MBACP
Serves Area
Hi I’m Linda, I have a vast amount of experience working with individuals and couples. I offer a variety of therapy approaches which I tailor make to clients specific needs. I work from my home in a quiet village location in Tuxford with ample parking and privacy. I offer Counselling, Psychosexual therapy and Hypnotherapy. Please visit my reviews page on my website.
Hi I’m Linda, I have a vast amount of experience working with individuals and couples. I offer a variety of therapy approaches which I tailor make to clients specific needs. I work from my home in a quiet village location in Tuxford with ample parking and privacy. I offer Counselling, Psychosexual therapy and Hypnotherapy. Please visit my reviews page on my website.
07794 647442 View 07794 647442
Matthew Vinecombe
Psychologist, PsychD, HCPC - Clin. Psych.
I am a Chartered Clinical Psychologist with over 20 years of experience in the NHS and private sector. I specialise in supporting the families of neurodiverse children and young people to understand their differences, to develop better relationships and to lead happier, more fulfilled lives. Clinical services include: neurodevelopmental & family assessment; autism assessment; ADHD assessment; assessment of intellectual ability; and brief neurodevelopmental intervention. I offer most of these services online for clients throughout the UK. For more information about my services, fees and cinical approach, please visit www.vicandas.com
I am a Chartered Clinical Psychologist with over 20 years of experience in the NHS and private sector. I specialise in supporting the families of neurodiverse children and young people to understand their differences, to develop better relationships and to lead happier, more fulfilled lives. Clinical services include: neurodevelopmental & family assessment; autism assessment; ADHD assessment; assessment of intellectual ability; and brief neurodevelopmental intervention. I offer most of these services online for clients throughout the UK. For more information about my services, fees and cinical approach, please visit www.vicandas.com
01889 228105 View 01889 228105
Photo of Dr Jenny Ward, Psychologist, HCPC - Clin. Psych.
Dr Jenny Ward
Psychologist, HCPC - Clin. Psych.
Online Only
I am an experienced HCPC registered Clinical Psychologist. I offer a welcoming and collaborative space to explore your therapeutic goals. My specialism is in Cognitive Analytic Therapy and EMDR. I help clients experiencing difficulties in their relationships, coping with emotions, low mood and low self-worth. I also work with trauma (EMDR trained and IFS-informed). My clients often want to understand their past experiences, how these have impacted how they relate to themselves and others, and explore making changes to feel more empowered, safe, and able to cope with life's stressors.
I am an experienced HCPC registered Clinical Psychologist. I offer a welcoming and collaborative space to explore your therapeutic goals. My specialism is in Cognitive Analytic Therapy and EMDR. I help clients experiencing difficulties in their relationships, coping with emotions, low mood and low self-worth. I also work with trauma (EMDR trained and IFS-informed). My clients often want to understand their past experiences, how these have impacted how they relate to themselves and others, and explore making changes to feel more empowered, safe, and able to cope with life's stressors.
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Photo of Louise Knowles, Psychotherapist, MA, MUKCP
Louise Knowles
Psychotherapist, MA, MUKCP
Serves Area
With over 30 years of clinical experience, I offer a supportive space to help you navigate work-based challenges and relationship difficulties. I specialize in supporting individuals in mental health, psychological fields, and education, including academics, students, and professionals. My approach integrates person-centered and Gestalt psychotherapy, alongside executive coaching training, tailored to your needs. With experience in the NHS, third sector, and higher education, I bring a deep understanding of professional and personal challenges. Together, we’ll create positive change and increase your insight.
With over 30 years of clinical experience, I offer a supportive space to help you navigate work-based challenges and relationship difficulties. I specialize in supporting individuals in mental health, psychological fields, and education, including academics, students, and professionals. My approach integrates person-centered and Gestalt psychotherapy, alongside executive coaching training, tailored to your needs. With experience in the NHS, third sector, and higher education, I bring a deep understanding of professional and personal challenges. Together, we’ll create positive change and increase your insight.
01724 514338 View 01724 514338
Photo of Vicki Jones, Psychotherapist, MSc, MBACP Accred
Vicki Jones
Psychotherapist, MSc, MBACP Accred
1 Endorsed
Serves Area
Vicki has experience with treating a wide range of psychological conditions and her qualifications mean she is suitably qualified to address many different types of issues. Her techniques have been proven to be effective, allowing the client to overcome their psychological concerns, relieve stress and anxiety, while allowing for a life of greater fulfillment. A full assessment is initially carried out and a diagnosis will be offered along with an appropriate treatment intervention plan.
Vicki has experience with treating a wide range of psychological conditions and her qualifications mean she is suitably qualified to address many different types of issues. Her techniques have been proven to be effective, allowing the client to overcome their psychological concerns, relieve stress and anxiety, while allowing for a life of greater fulfillment. A full assessment is initially carried out and a diagnosis will be offered along with an appropriate treatment intervention plan.
01789 339419 View 01789 339419
Photo of Susan Gail Prosser, Counsellor, MBACP
Susan Gail Prosser
Counsellor, MBACP
4 Endorsed
Serves Area
Hi, I am Susie, a friendly psychotherapist who has experience of working with a diverse range of clients within a confidential environment. For me, the heart of counselling is a good relationship between client and counsellor. This helps to create a safe and respectful setting for exploration, reflection and understanding of what is important to you. As we are all individual and unique, people will naturally need different things from counselling. I use an integrative, person-centred approach which means that we can work together in a way which best suits you, drawing from different techniques which will support you.
Hi, I am Susie, a friendly psychotherapist who has experience of working with a diverse range of clients within a confidential environment. For me, the heart of counselling is a good relationship between client and counsellor. This helps to create a safe and respectful setting for exploration, reflection and understanding of what is important to you. As we are all individual and unique, people will naturally need different things from counselling. I use an integrative, person-centred approach which means that we can work together in a way which best suits you, drawing from different techniques which will support you.
01423 222921 View 01423 222921
Photo of Jo Pitfield, Psychotherapist, MBACP
Jo Pitfield
Psychotherapist, MBACP
I am a Humanistic and Integrative Psychotherapist and Counsellor who believes in the uniqueness of every individual. My approach is holistic, taking into account both mind and body, and rooted in the belief that our early developmental and relational experiences significantly shape who we are. Drawing on a range of psychological theories, I tailor the therapeutic process to meet each person’s specific needs. This integrative approach allows for flexibility and depth, supporting growth, healing, and meaningful change in a way that feels authentic to you.
I am a Humanistic and Integrative Psychotherapist and Counsellor who believes in the uniqueness of every individual. My approach is holistic, taking into account both mind and body, and rooted in the belief that our early developmental and relational experiences significantly shape who we are. Drawing on a range of psychological theories, I tailor the therapeutic process to meet each person’s specific needs. This integrative approach allows for flexibility and depth, supporting growth, healing, and meaningful change in a way that feels authentic to you.
0116 478 4459 View 0116 478 4459

How does your Counsellor compare?

Number of Counsellors in DE3

10+

Average cost per session

£55

Counsellors in DE3 who prioritize treating:

100% Depression
100% Anxiety
92% Bereavement
85% Trauma and PTSD
85% Self Esteem
85% Stress
77% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

100% Bupa
50% Aviva
50% AXA PPP

How Counsellors in DE3 see their clients

92% In Person and Online
8% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counselling

How can I find a therapist in DE3?

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.