Counselling in London

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Photo of Ana Vidal, Psychotherapist in London, England
Ana Vidal
Psychotherapist, MSc, MBACP Accred
Verified Verified
1 Endorsed
London E14
Do you feel overwhelmed or anxious? Perhaps you feel stuck in patterns of behaviour as if nothing was ever going to change? Do you struggle with narcissistic relationships and experiences? Perhaps you feel depressed and is hard to cope with certain feelings. Does it feel that family problems and work are overwhelmingly hard to handle? Do you fear humiliation and or social situations? Are you living with a visual impairment and or chronic illness? Do you feel burdened by the past and unable to move on? This is when a therapist like me can help.
Do you feel overwhelmed or anxious? Perhaps you feel stuck in patterns of behaviour as if nothing was ever going to change? Do you struggle with narcissistic relationships and experiences? Perhaps you feel depressed and is hard to cope with certain feelings. Does it feel that family problems and work are overwhelmingly hard to handle? Do you fear humiliation and or social situations? Are you living with a visual impairment and or chronic illness? Do you feel burdened by the past and unable to move on? This is when a therapist like me can help.
020 3962 1519 View 020 3962 1519
Photo of Victoria Walford, Psychologist in London, England
Victoria Walford
Psychologist, GMBPsS
Verified Verified
London SW1V
Hello! I healed myself from Complex PTSD, to include flashbacks, anxiety, pain, sadness, anger, unwanted thoughts, sleepless nights and overwhelming feelings. I will teach you the tools to overcome your challenges via pocketstressbuster.com. What bothers you now? What do you want to achieve? This is your starting point. Your life experience shapes your behaviour and personality. Unwanted thoughts, feelings and habits are a product of your brain trying to help you, but by now that help is out of date. Learn how EMDR can 're-set yourself’ and strengthen your nervous system to build resilience for future happiness and success.
Hello! I healed myself from Complex PTSD, to include flashbacks, anxiety, pain, sadness, anger, unwanted thoughts, sleepless nights and overwhelming feelings. I will teach you the tools to overcome your challenges via pocketstressbuster.com. What bothers you now? What do you want to achieve? This is your starting point. Your life experience shapes your behaviour and personality. Unwanted thoughts, feelings and habits are a product of your brain trying to help you, but by now that help is out of date. Learn how EMDR can 're-set yourself’ and strengthen your nervous system to build resilience for future happiness and success.
020 3962 0683 View 020 3962 0683
Photo of Toby Burton, Psychotherapist in London, England
Toby Burton
Psychotherapist, MA, MBACP Accred
Verified Verified
London NW5
I am a psychotherapist and addiction specialist with 27 years experience of working in addiction. I work in the short and long-term, on a weekly, fortnightly and ad-hoc basis with young and older adults to help them with addiction and the issues that underlie their dependence, including anxiety, anger, depression and relational difficulties.
I am a psychotherapist and addiction specialist with 27 years experience of working in addiction. I work in the short and long-term, on a weekly, fortnightly and ad-hoc basis with young and older adults to help them with addiction and the issues that underlie their dependence, including anxiety, anger, depression and relational difficulties.
020 3984 9514 View 020 3984 9514
Photo of Dunya Sullivan- Eating Disorders, Psychotherapist in London, England
Dunya Sullivan- Eating Disorders
Psychotherapist, MA
Verified Verified
London EC2R  (Online Only)
Welcome! I am a clinical psychologist and a TA psychotherapist (transactional analysis). I work with a variety of psychological challenges but I am specialized in working with individuals struggling with eating disorders (bulimia nervosa, anorexia nervosa, binge-eating disorder). The individuals I work with often come to therapy having tried many behavioral interventions that brought little change (being more disciplined with their diet, exercising more/less, creating plans etc.).
Welcome! I am a clinical psychologist and a TA psychotherapist (transactional analysis). I work with a variety of psychological challenges but I am specialized in working with individuals struggling with eating disorders (bulimia nervosa, anorexia nervosa, binge-eating disorder). The individuals I work with often come to therapy having tried many behavioral interventions that brought little change (being more disciplined with their diet, exercising more/less, creating plans etc.).
020 4538 2690 View 020 4538 2690
Photo of Rhiana Sheth, Psychotherapist in London, England
Rhiana Sheth
Psychotherapist, MA, MBABCP
Verified Verified
London SE3  (Online Only)
Hello and welcome to my page. My name is Rhiana and I am a qualified and accredited CBT therapist. Are you struggling with mental health, insomnia, or just want to increase your performance in all areas? If you are looking make positive changes in your life then look no further. I offer remote therapy so that we can start working together whenever and wherever suits you best.
Hello and welcome to my page. My name is Rhiana and I am a qualified and accredited CBT therapist. Are you struggling with mental health, insomnia, or just want to increase your performance in all areas? If you are looking make positive changes in your life then look no further. I offer remote therapy so that we can start working together whenever and wherever suits you best.
020 3870 3597 View 020 3870 3597
Photo of The Psych Practice Limited, Psychologist in London, England
The Psych Practice Limited
Psychologist, HCPC - Clin. Psych.
Verified Verified
London SW11  (Online Only)
We work with a wide range of conditions, from common psychological problems such as anxiety, depression, to more complex health conditions such as brain injury. We see individuals, couples and families. We offer: Couple therapy, Family therapy; Neuropsychology assessment & treatment including cognitive rehabilitation; EMDR, Expert witness work; consultation (with staff teams working with challenging behaviour); ADHD assessments, Neurodevelopmental disorder and Mental capacity assessments
We work with a wide range of conditions, from common psychological problems such as anxiety, depression, to more complex health conditions such as brain injury. We see individuals, couples and families. We offer: Couple therapy, Family therapy; Neuropsychology assessment & treatment including cognitive rehabilitation; EMDR, Expert witness work; consultation (with staff teams working with challenging behaviour); ADHD assessments, Neurodevelopmental disorder and Mental capacity assessments
020 4538 2743 View 020 4538 2743
Photo of Roger James Turner, Counsellor in London, England
Roger James Turner
Counsellor, MBACP Accred
Verified Verified
London SW5
I am a BACP accredited Counsellor and psychotherapist with 16 years experience of working with in a wide variety of settings including bereavement, addictions, GP surgery, a prison and educational institutes. I believe that my effectiveness as a Counsellor is enhanced by a warm and accepting personality and an ability to work with people from a wide variety of backgrounds
I am a BACP accredited Counsellor and psychotherapist with 16 years experience of working with in a wide variety of settings including bereavement, addictions, GP surgery, a prison and educational institutes. I believe that my effectiveness as a Counsellor is enhanced by a warm and accepting personality and an ability to work with people from a wide variety of backgrounds
01748 901283 View 01748 901283
Photo of Roy Graff, Counsellor in London, England
Roy Graff
Counsellor, PNCPS Acc.
Verified Verified
London SE1
I offer therapy following the Psychosynthesis modality, as a qualified counselor accredited by NCPS. My practice is informed by lived experience; a great deal of self-experimentation and exploration; a range of educational courses in radical honesty, non-violent communication and wheel of consent; and 7+ years of running workshops and facilitating groups. I have had a varied career in business development and marketing for 20+ years, living on different continents and collecting many life experiences. I have lived in Europe, the Middle East, North America and Asia.
I offer therapy following the Psychosynthesis modality, as a qualified counselor accredited by NCPS. My practice is informed by lived experience; a great deal of self-experimentation and exploration; a range of educational courses in radical honesty, non-violent communication and wheel of consent; and 7+ years of running workshops and facilitating groups. I have had a varied career in business development and marketing for 20+ years, living on different continents and collecting many life experiences. I have lived in Europe, the Middle East, North America and Asia.
020 4538 8658 View 020 4538 8658
Photo of Dr Charlotte Lemaigre, Psychologist in London, England
Dr Charlotte Lemaigre
Psychologist, HCPC - Clin. Psych.
Verified Verified
London W1W  (Online Only)
I'm a Clinical Psychologist offering specialist assessment and therapy. I am registered with the Health and Care Professions Council (HCPC) and have over ten years experience working in mental health. I work with people who may be experiencing diverse emotional and psychological difficulties such as depression, anxiety, OCD, PTSD, low self-esteem, substance misuse issues and relationship difficulties. I offer accessible and personalised therapy from the comfort of your own home with online sessions. Welcome! It's a pleasure to meet you; I'm glad you're here. Find out more: www.releafpsychology.com
I'm a Clinical Psychologist offering specialist assessment and therapy. I am registered with the Health and Care Professions Council (HCPC) and have over ten years experience working in mental health. I work with people who may be experiencing diverse emotional and psychological difficulties such as depression, anxiety, OCD, PTSD, low self-esteem, substance misuse issues and relationship difficulties. I offer accessible and personalised therapy from the comfort of your own home with online sessions. Welcome! It's a pleasure to meet you; I'm glad you're here. Find out more: www.releafpsychology.com
020 3962 2449 View 020 3962 2449
Photo of Steven Thomas Mayers, Psychologist in London, England
Steven Thomas Mayers
Psychologist, HCPC - Clin. Psych.
Verified Verified
London SW6
We can all experience emotional difficulties at some point in our lives. This may be due to recent or historic events and these can manifest in different ways. I work with trauma, PTSD, depression, anxiety, relationship challenges, psychosis and other problems. I integrate different ideas and approaches in order to understand your experiences. I am trained in Cognitive Behavioural Therapy, Acceptance and Commitment Therapy, psychodynamic psychotherapy and family therapy.
We can all experience emotional difficulties at some point in our lives. This may be due to recent or historic events and these can manifest in different ways. I work with trauma, PTSD, depression, anxiety, relationship challenges, psychosis and other problems. I integrate different ideas and approaches in order to understand your experiences. I am trained in Cognitive Behavioural Therapy, Acceptance and Commitment Therapy, psychodynamic psychotherapy and family therapy.
020 3701 7992 View 020 3701 7992
Photo of Gemma Berongoy, Counsellor in London, England
Gemma Berongoy
Counsellor, DCounsPsych, MBACP
Verified Verified
London NW3
Coming to therapy, wanting to understand yourself, is a deeply vulnerable and brave thing to do. Life can be demanding and fast-paced and I think therapy can be a place that offers the opportunity to slow it down, connect with what our bodies are telling us and process difficult emotions or experiences. People come to therapy for a myriad of reasons and I have worked with a broad range of concerns and issues. Whatever it is that brings you to therapy, I offer a warm and compassionate space to explore. Therapy can offer a space to untangle and understand who we are and the opportunity to live more peacefully.
Coming to therapy, wanting to understand yourself, is a deeply vulnerable and brave thing to do. Life can be demanding and fast-paced and I think therapy can be a place that offers the opportunity to slow it down, connect with what our bodies are telling us and process difficult emotions or experiences. People come to therapy for a myriad of reasons and I have worked with a broad range of concerns and issues. Whatever it is that brings you to therapy, I offer a warm and compassionate space to explore. Therapy can offer a space to untangle and understand who we are and the opportunity to live more peacefully.
020 3617 6997 View 020 3617 6997
Photo of Let Alan Help, Counsellor in London, England
Let Alan Help
Counsellor, MBACP
Verified Verified
London SW11  (Online Only)
Dear friend, Are you fed up with feeling like something in your life isn’t working? Do you want to feel like yourself again? Are your days filled by constant stress, endless pressures and never ending to-do lists? Do you spend a lot of time worrying about what other people think and how to make them happy? Are you running yourself ragged while trying to keep your head above water? And even as you try to fall asleep at night… Do you replay everything you could have done differently? Do you think about all the things you HAVE to do tomorrow? Do you question whether all you’re doing is even enough?
Dear friend, Are you fed up with feeling like something in your life isn’t working? Do you want to feel like yourself again? Are your days filled by constant stress, endless pressures and never ending to-do lists? Do you spend a lot of time worrying about what other people think and how to make them happy? Are you running yourself ragged while trying to keep your head above water? And even as you try to fall asleep at night… Do you replay everything you could have done differently? Do you think about all the things you HAVE to do tomorrow? Do you question whether all you’re doing is even enough?
020 3376 8107 View 020 3376 8107
Photo of Jessica B DEMOL Eating Disorders, Psychologist in London, England
Jessica B DEMOL Eating Disorders
Psychologist, DCounsPsych, CPsychol
Verified Verified
London N3
I am a qualified, experienced Psychologist in Eating Disorders. I work in both inpatient and outpatient settings, with over 10 years experience. I have worked both in the NHS and private sector since 2006, specialising in Eating Disorders since 2012. I am experienced in a wide range of mental health problems; depression, relationship issues, low self esteem, body image issues, eating disorders, emotional regulation, as well as anxiety disorders such as obsessive-compulsive disorder (OCD), health anxiety, panic disorder, phobias and more.
I am a qualified, experienced Psychologist in Eating Disorders. I work in both inpatient and outpatient settings, with over 10 years experience. I have worked both in the NHS and private sector since 2006, specialising in Eating Disorders since 2012. I am experienced in a wide range of mental health problems; depression, relationship issues, low self esteem, body image issues, eating disorders, emotional regulation, as well as anxiety disorders such as obsessive-compulsive disorder (OCD), health anxiety, panic disorder, phobias and more.
020 3974 1808 View 020 3974 1808
Photo of Gina Phillips, Counsellor in London, England
Gina Phillips
Counsellor, MBACP Accred
Verified Verified
London W1B
I am an experienced BACP accredited counsellor with an Advanced Diploma in Integrative Counselling and a Post Graduate Certificate in CBT. I believe that the most important aspect of counselling is a strong therapeutic relationship between counsellor and client. I aim to provide a warm, safe, supportive, non-judgemental space, which allows you to challenge established ways of thinking and being. Working collaboratively I aim to help you evaluate your needs to gain a deeper understanding and practical tools to enable you to make empowered choices.
I am an experienced BACP accredited counsellor with an Advanced Diploma in Integrative Counselling and a Post Graduate Certificate in CBT. I believe that the most important aspect of counselling is a strong therapeutic relationship between counsellor and client. I aim to provide a warm, safe, supportive, non-judgemental space, which allows you to challenge established ways of thinking and being. Working collaboratively I aim to help you evaluate your needs to gain a deeper understanding and practical tools to enable you to make empowered choices.
020 4538 1064 View 020 4538 1064
Photo of Alan Wardle, Counsellor in London, England
Alan Wardle
Counsellor, MNCPS Acc.
Verified Verified
London W1W
I am a gay man and have particular expertise in working with LGBT+ clients, both for individuals and those in relationships. You may be coming to therapy with a specific challenge – work, relationships, your identity – or because something in your life doesn’t feel right. We will look at patterns of behaviour which are causing problems and see how past experiences impact you today. I aim to offer a safe and non-judgmental space to work with you to make sense of your life. Therapy is a partnership – we will work together to make meaning of what’s going on and help bring about changes in your life
I am a gay man and have particular expertise in working with LGBT+ clients, both for individuals and those in relationships. You may be coming to therapy with a specific challenge – work, relationships, your identity – or because something in your life doesn’t feel right. We will look at patterns of behaviour which are causing problems and see how past experiences impact you today. I aim to offer a safe and non-judgmental space to work with you to make sense of your life. Therapy is a partnership – we will work together to make meaning of what’s going on and help bring about changes in your life
020 8016 2791 View 020 8016 2791
Photo of Amir Oren, Psychologist in London, England
Amir Oren
Psychologist, MA, CPsychol
Verified Verified
London NW4
I have extensive experience working with both children and adults coping with different psychological symptoms and medical conditions. Over the years I have worked extensively with people with problems such as depression and anxiety (e.g. stress, OCD, specific phobias, health worries, sleep problems, skin picking and trichotillomania). I also have experience in working with children with ADHD and providing consultations to parents on different parenting issues (e.g. behavioura
I have extensive experience working with both children and adults coping with different psychological symptoms and medical conditions. Over the years I have worked extensively with people with problems such as depression and anxiety (e.g. stress, OCD, specific phobias, health worries, sleep problems, skin picking and trichotillomania). I also have experience in working with children with ADHD and providing consultations to parents on different parenting issues (e.g. behavioura
07446 870934 View 07446 870934
Photo of Erica Eassom, Psychologist in London, England
Erica Eassom
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London WC1N
I can help if you're struggling in your relationship to yourself or those around you. This might include feeling repeatedly let down, rejected, abandoned; feeling depressed, anxious, ashamed as well as self-critical; lacking in intimacy and trust or even fearing others. I can also help if you have been affected by past trauma. You might struggle with food and eating, self-harming or experience unstable emotions as well as substance abuse. You might have difficulty asserting yourself or consistently finding yourself in vulnerable situations and problematic relationships and have difficulty establishing long-term relationships.
I can help if you're struggling in your relationship to yourself or those around you. This might include feeling repeatedly let down, rejected, abandoned; feeling depressed, anxious, ashamed as well as self-critical; lacking in intimacy and trust or even fearing others. I can also help if you have been affected by past trauma. You might struggle with food and eating, self-harming or experience unstable emotions as well as substance abuse. You might have difficulty asserting yourself or consistently finding yourself in vulnerable situations and problematic relationships and have difficulty establishing long-term relationships.
020 8051 7910 View 020 8051 7910
Photo of Caroline Françoise Renssen, Psychotherapist in London, England
Caroline Françoise Renssen
Psychotherapist, MSc, MBACP
Verified Verified
London SW16
My purpose as a Psychotherapist is to bring self-awareness to the client of their emotional issues, behaviours and their way of connecting with themselves and the world. My work consists of walking with the client through the discoveries, experiences and emotions, in the here and now, aiming for self-awareness. My goal is to give a non-judgmental, comprehensive and safe environment for my patients, building a trustful therapist-client relationship. I have a considerable capacity of putting myself in others shoes, empathizing and feeling together with my patients.
My purpose as a Psychotherapist is to bring self-awareness to the client of their emotional issues, behaviours and their way of connecting with themselves and the world. My work consists of walking with the client through the discoveries, experiences and emotions, in the here and now, aiming for self-awareness. My goal is to give a non-judgmental, comprehensive and safe environment for my patients, building a trustful therapist-client relationship. I have a considerable capacity of putting myself in others shoes, empathizing and feeling together with my patients.
020 3872 3045 View 020 3872 3045
Photo of Philip Walker, Psychotherapist in London, England
Philip Walker
Psychotherapist, MSc, MUKCP
Verified Verified
London W8
I am an accredited psychotherapist and counsellor who works is based in the Kensington, Nottinghill area of central / west London. I meet and talk with people who, maybe like you, want to change how they feel. There may be something specific that you are aware of (depression, anxiety, bereavement), but often the specifics of the difficulty might not be apparent, but the unhappiness is. My work with my clients is about surfacing what's going and helping clients process their feelings to reach a happier, more settled place. I am Certified by the European Association of Psychotherapy and have been DBS checked and cleared.
I am an accredited psychotherapist and counsellor who works is based in the Kensington, Nottinghill area of central / west London. I meet and talk with people who, maybe like you, want to change how they feel. There may be something specific that you are aware of (depression, anxiety, bereavement), but often the specifics of the difficulty might not be apparent, but the unhappiness is. My work with my clients is about surfacing what's going and helping clients process their feelings to reach a happier, more settled place. I am Certified by the European Association of Psychotherapy and have been DBS checked and cleared.
01375 807150 View 01375 807150
Photo of NuVista Counselling, Counsellor in London, England
NuVista Counselling
Counsellor, MBACP
Verified Verified
London SE1
I gave my Counselling business the name NuVista (new view/Horizon because it was born from my vision and indeed my own personal journey that counselling or talking therapy can give people a new view of life once they; with the therapists help have explored and untangled the issues that make them anxious, stressed, depressed, bereaved, feeling suicidal or simply struggling with day to day life, or their jobs, their relationships their family life, their sexuality or even historical events that have been rendered unconscious or hidden and never spoken about. For me the goal or vision was to have a new outlook on life - a New View.
I gave my Counselling business the name NuVista (new view/Horizon because it was born from my vision and indeed my own personal journey that counselling or talking therapy can give people a new view of life once they; with the therapists help have explored and untangled the issues that make them anxious, stressed, depressed, bereaved, feeling suicidal or simply struggling with day to day life, or their jobs, their relationships their family life, their sexuality or even historical events that have been rendered unconscious or hidden and never spoken about. For me the goal or vision was to have a new outlook on life - a New View.
020 8051 4918 View 020 8051 4918

See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
58% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.