Counselling in London

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Photo of David Integrative Counsellor In Finsbury Park, Counsellor in London, England
David Integrative Counsellor In Finsbury Park
Counsellor, MA, MBACP
Verified Verified
London N4
Does it feel like things are getting too difficult for you? I want to offer you a safe environment in which to explore without fear any issues, problems or challenges that are causing you distress. I believe that when you are truly listened to in a confidential and non-judgemental way you can work through the difficulties gaining an invaluable insight into yourself building the resources you need for the future. Together we can explore what is going on for you, how present circumstances are preventing you from breaking the cycle. I have experience working with anxiety, panic attacks, depression, family issues, and emotional abuse.
Does it feel like things are getting too difficult for you? I want to offer you a safe environment in which to explore without fear any issues, problems or challenges that are causing you distress. I believe that when you are truly listened to in a confidential and non-judgemental way you can work through the difficulties gaining an invaluable insight into yourself building the resources you need for the future. Together we can explore what is going on for you, how present circumstances are preventing you from breaking the cycle. I have experience working with anxiety, panic attacks, depression, family issues, and emotional abuse.
020 3835 5981 View 020 3835 5981
Photo of Anne Lucas - Counselling - Psychotherapy, Counsellor in London, England
Anne Lucas - Counselling - Psychotherapy
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
London EC4A
Are you feeling exhausted by life’s demands? Prehards you’ve always felt alone. Maybe you feel emotionally overwhelmed right now. Life can be difficult, and some experiences are profoundly painful. While everyone's challenges are unique, asking for help is always nerve-wracking; it takes a leap of faith to reach out! Still, therapy can change your life. I’m an experienced and fully qualified therapist registered with the British Association of Counsellors & Psychotherapists. I offer individual counselling and psychotherapy sessions for adults of varying lengths, in either French (mother tongue) or English, according to your needs.
Are you feeling exhausted by life’s demands? Prehards you’ve always felt alone. Maybe you feel emotionally overwhelmed right now. Life can be difficult, and some experiences are profoundly painful. While everyone's challenges are unique, asking for help is always nerve-wracking; it takes a leap of faith to reach out! Still, therapy can change your life. I’m an experienced and fully qualified therapist registered with the British Association of Counsellors & Psychotherapists. I offer individual counselling and psychotherapy sessions for adults of varying lengths, in either French (mother tongue) or English, according to your needs.
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Photo of Nicole Castellani, Psychotherapist in London, England
Nicole Castellani
Psychotherapist, MUKCP
Verified Verified
London NW6
I am a counsellor and psychotherapist with over twenty years experience. I work integratively, which means I have the benefit of drawing on a range of tools according to the needs of my clients, including aspects from the psychodynamic, creative arts and transpersonal approaches. I work holistically, taking into account all the dimensions that makes us human. Stress and pain can cause us to shut down some of these parts, causing anxiety , depression and other symptoms. My work is about how we begin to understand and heal from this in order to reach our full potential.
I am a counsellor and psychotherapist with over twenty years experience. I work integratively, which means I have the benefit of drawing on a range of tools according to the needs of my clients, including aspects from the psychodynamic, creative arts and transpersonal approaches. I work holistically, taking into account all the dimensions that makes us human. Stress and pain can cause us to shut down some of these parts, causing anxiety , depression and other symptoms. My work is about how we begin to understand and heal from this in order to reach our full potential.
020 3917 4538 View 020 3917 4538
Photo of Claire (Montefiore) Mankowitz, Psychotherapist in London, England
Claire (Montefiore) Mankowitz
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
London SW6
Not accepting new clients
People may come for therapy because of specific issues such as recent or past trauma, loss, relationship difficulties or for support with making life changes. But often, we don't know why we feel bad about ourselves or our lives - we may simply know we're depressed, anxious, stuck or frustrated. Therapy can provide a safe, non-judgemental space in which to figure out where we are in our lives, and what we need next. For some, this may be a short course of counselling, for others a longer term psychotherapy and yet others may find they need something other than therapy: my job is to support you in making your own decision.
People may come for therapy because of specific issues such as recent or past trauma, loss, relationship difficulties or for support with making life changes. But often, we don't know why we feel bad about ourselves or our lives - we may simply know we're depressed, anxious, stuck or frustrated. Therapy can provide a safe, non-judgemental space in which to figure out where we are in our lives, and what we need next. For some, this may be a short course of counselling, for others a longer term psychotherapy and yet others may find they need something other than therapy: my job is to support you in making your own decision.
020 3856 8449 View 020 3856 8449
Photo of Marin Yeats Psychotherapy, Counsellor in London, England
Marin Yeats Psychotherapy
Counsellor, MBACP
Verified Verified
London N1
I believe that we tend to access therapy when it’s no longer possible for us to travel alone on our journey, hidden from ourselves and others, stuck in familiar and/or unfamiliar patterns that can no longer contain us, and when the way in which we are relating (or not relating) to ourselves, others and the world around us, is no longer making us feel fully alive. Something tells us it's time to look inwards. Looking inwards can feel daunting but it is necessary in order to instigate meaningful and lasting changes ( both external and internal ).
I believe that we tend to access therapy when it’s no longer possible for us to travel alone on our journey, hidden from ourselves and others, stuck in familiar and/or unfamiliar patterns that can no longer contain us, and when the way in which we are relating (or not relating) to ourselves, others and the world around us, is no longer making us feel fully alive. Something tells us it's time to look inwards. Looking inwards can feel daunting but it is necessary in order to instigate meaningful and lasting changes ( both external and internal ).
020 3962 0980 View 020 3962 0980
Photo of Dominique Frater, Counsellor in London, England
Dominique Frater
Counsellor, MBACP
Verified Verified
London SE15
My approach to counselling has been formed from my own experiences, I believe everyone has the capability to reach a place of peace and live a fulfilling life but to do so you must learn about yourself. This can be an uncomfortable process but one that I believe is worth it. My purpose is to support my clients on their journeys to gain a deeper understanding of themselves and to empower them to make the changes they want to align with the life and the person they want to be. I am passionate about enhancing others experience of life as I am of my own but with the awareness that these changes can only come from within.
My approach to counselling has been formed from my own experiences, I believe everyone has the capability to reach a place of peace and live a fulfilling life but to do so you must learn about yourself. This can be an uncomfortable process but one that I believe is worth it. My purpose is to support my clients on their journeys to gain a deeper understanding of themselves and to empower them to make the changes they want to align with the life and the person they want to be. I am passionate about enhancing others experience of life as I am of my own but with the awareness that these changes can only come from within.
020 4538 1659 View 020 4538 1659
Photo of David I Chalmers, Psychotherapist in London, England
David I Chalmers
Psychotherapist, MSc, MUKCP
Verified Verified
London W4
I understand there are many reasons you might be looking for help from psychotherapy or counselling. You may be struggling with a relationship, with your partner, family, or friends, or be unhappy with how you feel about yourself, struggling with low self-esteem, your identity, or your behaviour. Perhaps you’ve suffered the loss of a loved one and are grieving, or you’ve experienced a crisis or some traumatic event at some point in your life that you’re struggling to live with now. Maybe you’re feeling unhappy with where you are in life and need help to find direction and figure out where you want to be.
I understand there are many reasons you might be looking for help from psychotherapy or counselling. You may be struggling with a relationship, with your partner, family, or friends, or be unhappy with how you feel about yourself, struggling with low self-esteem, your identity, or your behaviour. Perhaps you’ve suffered the loss of a loved one and are grieving, or you’ve experienced a crisis or some traumatic event at some point in your life that you’re struggling to live with now. Maybe you’re feeling unhappy with where you are in life and need help to find direction and figure out where you want to be.
020 3835 2621 View 020 3835 2621
Photo of Diyala Souob, Psychotherapist in London, England
Diyala Souob
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
London SW5  (Online Only)
Do you get road rage? Do you swear when angry? Has anger damaged your relationship/s? Do you suffer angrily in silence? Is your anger causing you depression? Anger is a symptom and often has its deep roots in childhood experiences, especially in situations where there was a withdrawal of love or emotional neglect. The foundation of our emotional regulation and expression is often laid during our early childhood. We have emotional needs for affection, attention, and validation. When these needs go unmet, anger can become a coping mechanism.
Do you get road rage? Do you swear when angry? Has anger damaged your relationship/s? Do you suffer angrily in silence? Is your anger causing you depression? Anger is a symptom and often has its deep roots in childhood experiences, especially in situations where there was a withdrawal of love or emotional neglect. The foundation of our emotional regulation and expression is often laid during our early childhood. We have emotional needs for affection, attention, and validation. When these needs go unmet, anger can become a coping mechanism.
020 8106 0746 View 020 8106 0746
Photo of Jessica Roberts, Psychologist in London, England
Jessica Roberts
Psychologist, MA, HCPC - Clin. Psych.
Verified Verified
London SW19  (Online Only)
Hi, I am Jess, I am a clinical psychologist who is registered in both UK and Australia with the Health and Care Professionals Council and Australian Health Practitioners Regulation Agency. I’ve helped people across the lifespan from teens to adults from diverse backgrounds with a range of different issues and problems including anxiety, relationship and social difficulties, low mood, eating disorders, self-esteem issues, obsessive-compulsive disorders, specific phobias, adjustment difficulties and more. I believe that therapy is a collaborative process, where the relationship between a therapist and their client is paramount.
Hi, I am Jess, I am a clinical psychologist who is registered in both UK and Australia with the Health and Care Professionals Council and Australian Health Practitioners Regulation Agency. I’ve helped people across the lifespan from teens to adults from diverse backgrounds with a range of different issues and problems including anxiety, relationship and social difficulties, low mood, eating disorders, self-esteem issues, obsessive-compulsive disorders, specific phobias, adjustment difficulties and more. I believe that therapy is a collaborative process, where the relationship between a therapist and their client is paramount.
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Photo of Sinem Uyanik, Psychotherapist in London, England
Sinem Uyanik
Psychotherapist, MBACP Accred
Verified Verified
London NW5  (Online Only)
Life can become overwhelming, confusing, and difficult to manage. Experiences such as loss, bereavement and major life changes like a medical crisis can make us lose our sense of self and purpose. Depression, anxiety and personality disorders can distort our sense of self, rob us off our full personal potential and quality of life leaving us feeling depleted. Therapy is a place to regain and restore your sense of self and purpose and to help you turn these experiences to an opportunity to grow.
Life can become overwhelming, confusing, and difficult to manage. Experiences such as loss, bereavement and major life changes like a medical crisis can make us lose our sense of self and purpose. Depression, anxiety and personality disorders can distort our sense of self, rob us off our full personal potential and quality of life leaving us feeling depleted. Therapy is a place to regain and restore your sense of self and purpose and to help you turn these experiences to an opportunity to grow.
01792 720572 View 01792 720572
Photo of Jane Klauber, Psychotherapist in London, England
Jane Klauber
Psychotherapist, MSc, MBACP
Verified Verified
London SW4
My clients typically experience depression, anxiety and problems with relationships. Many of my clients have no previous experience of counselling, others have tried different interventions but have struggled to make changes to their lives. All my clients want to lead their best lives and are curious about the patterns of behaviour that seem to get in the way and the origins of those behaviours.
My clients typically experience depression, anxiety and problems with relationships. Many of my clients have no previous experience of counselling, others have tried different interventions but have struggled to make changes to their lives. All my clients want to lead their best lives and are curious about the patterns of behaviour that seem to get in the way and the origins of those behaviours.
020 3675 0531 View 020 3675 0531
Photo of Gorana Nad, Counsellor in London, England
Gorana Nad
Counsellor, MBACP
Verified Verified
London NW10  (Online Only)
Living is complicated, lives are messy, and relationships can be really, really difficult. Our saving grace is our unique capacity to reflect and expand our self-awareness, and this alone can help us grow and live richer and more fulfilling lives, irrespective of the mess we were born into or fell into. I am a BACP registered integrative therapist providing a warm, respectful and non-judgemental space that allows you to tell your story and be truly seen and heard. Our therapeutic relationship is unique and it is my belief that connection, compassion and focus on your needs hold the key to your healing and growth.
Living is complicated, lives are messy, and relationships can be really, really difficult. Our saving grace is our unique capacity to reflect and expand our self-awareness, and this alone can help us grow and live richer and more fulfilling lives, irrespective of the mess we were born into or fell into. I am a BACP registered integrative therapist providing a warm, respectful and non-judgemental space that allows you to tell your story and be truly seen and heard. Our therapeutic relationship is unique and it is my belief that connection, compassion and focus on your needs hold the key to your healing and growth.
020 3948 4026 View 020 3948 4026
Photo of Michele Lamonaca, Psychotherapist in London, England
Michele Lamonaca
Psychotherapist, MSc, MBACP
Verified Verified
London SE18
Welcome, my name is Michele. I'm a registered counsellor and psychotherapist - I help individuals and couples with their emotional health. I have private sector experience as a counsellor and psychotherapist. My focus involves abuse, depression and narcissistic personality disorder, and the specific problems encountered by men, transgender people and women. An initial assessment meeting allows you to see if you feel comfortable with me, discuss what concerns you, ask questions, clarify confidentiality, and determine if therapy could assist you.
Welcome, my name is Michele. I'm a registered counsellor and psychotherapist - I help individuals and couples with their emotional health. I have private sector experience as a counsellor and psychotherapist. My focus involves abuse, depression and narcissistic personality disorder, and the specific problems encountered by men, transgender people and women. An initial assessment meeting allows you to see if you feel comfortable with me, discuss what concerns you, ask questions, clarify confidentiality, and determine if therapy could assist you.
07723 423681 View 07723 423681
Photo of Alison Bickmore, Psychotherapist in London, England
Alison Bickmore
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
London SE24
If you are looking for a safe confidential space to explore difficult emotions and you are interested in using a creative model of therapy to explore them please get in touch. I have worked with individuals and groups in the NHS and at my private practice for over 15 years.
If you are looking for a safe confidential space to explore difficult emotions and you are interested in using a creative model of therapy to explore them please get in touch. I have worked with individuals and groups in the NHS and at my private practice for over 15 years.
020 3835 5711 View 020 3835 5711
Photo of Jurgen Carlo Schmidt, Psychotherapist in London, England
Jurgen Carlo Schmidt
Psychotherapist, MA, MUKCP
Verified Verified
London WC2N
I offer a space for peace and reflection, helping to understand how the way we react to what life throws at us can make things even harder. I offer individual counselling using Mindfulness-based Therapy, combining Western approaches to psychotherapy with the wisdom and awareness of Buddhism. You may feel anxious, or depressed, you may be affected by psychosexual issues, by grief and bereavement, living with illness, especially HIV/AIDS, or caring for a loved one with a mental health problem. You may be going through problems coming from your multicultural background, having identity issues and trouble at reintegration.
I offer a space for peace and reflection, helping to understand how the way we react to what life throws at us can make things even harder. I offer individual counselling using Mindfulness-based Therapy, combining Western approaches to psychotherapy with the wisdom and awareness of Buddhism. You may feel anxious, or depressed, you may be affected by psychosexual issues, by grief and bereavement, living with illness, especially HIV/AIDS, or caring for a loved one with a mental health problem. You may be going through problems coming from your multicultural background, having identity issues and trouble at reintegration.
020 3816 3535 View 020 3816 3535
Photo of Monica Jato, Psychotherapist in London, England
Monica Jato
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
London SW15
I am a HCPC registered art psychotherapist, full member of the British Association of Art Therapists (BAAT) and a Transformational Coach. I have more than sixteen years’ experience working with adults,  children and young people in different settings and within different  roles. I have worked as an Art Psychotherapist for the not-for profit sector, the NHS, educational settings and  in my private practice. Parallel to my role as an art psychotherapist, I have worked as a team manager  delivering therapeutic services in  schools supporting, parents, staff and students for more than nine years.
I am a HCPC registered art psychotherapist, full member of the British Association of Art Therapists (BAAT) and a Transformational Coach. I have more than sixteen years’ experience working with adults,  children and young people in different settings and within different  roles. I have worked as an Art Psychotherapist for the not-for profit sector, the NHS, educational settings and  in my private practice. Parallel to my role as an art psychotherapist, I have worked as a team manager  delivering therapeutic services in  schools supporting, parents, staff and students for more than nine years.
020 8106 2138 View 020 8106 2138
Photo of Darren Ward, Psychotherapist in London, England
Darren Ward
Psychotherapist, MUKCP
Verified Verified
London SE22
If you have suffered trauma in your earlier life, or are having difficulty coping with day to day life, due to feelings of depression and or anxiety and want to explore what is underneath these problems and what may have contributed in the past to keeping them going and are keen to better understand the hidden parts of yourself then I feel I could be of help to you. If you feel that the very earliest relationships in your life, going right back to being an infant have been damaged in some way and have created barriers for you in forming new relationships, then I think we will have space and time to work together on these.
If you have suffered trauma in your earlier life, or are having difficulty coping with day to day life, due to feelings of depression and or anxiety and want to explore what is underneath these problems and what may have contributed in the past to keeping them going and are keen to better understand the hidden parts of yourself then I feel I could be of help to you. If you feel that the very earliest relationships in your life, going right back to being an infant have been damaged in some way and have created barriers for you in forming new relationships, then I think we will have space and time to work together on these.
020 3322 3305 View 020 3322 3305
Photo of Eva Maiwald, Psychologist in London, England
Eva Maiwald
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London W10
Struggling with overwhelming emotions? Mood-swings? Or no feelings at all? I am a highly skilled clinical psychologist and psychotherapist specialising in more complex presentations, often trauma-related and/or resistant to change. A lot of my clients present with mood- or anxiety-driven symptoms that stem from more long-term patterns. Some have had therapy before and might feel frustrated or a bit hopeless about their experience. Or they are already very well educated about their symptoms and are looking for a way to turn all that knowledge into the results they are hoping for. I am here to support you with all my experience.
Struggling with overwhelming emotions? Mood-swings? Or no feelings at all? I am a highly skilled clinical psychologist and psychotherapist specialising in more complex presentations, often trauma-related and/or resistant to change. A lot of my clients present with mood- or anxiety-driven symptoms that stem from more long-term patterns. Some have had therapy before and might feel frustrated or a bit hopeless about their experience. Or they are already very well educated about their symptoms and are looking for a way to turn all that knowledge into the results they are hoping for. I am here to support you with all my experience.
07533 063576 View 07533 063576
Photo of Gemma Elizabeth Mogg, Psychotherapist in London, England
Gemma Elizabeth Mogg
Psychotherapist, MBACP
Verified Verified
1 Endorsed
London SE24  (Online Only)
Sometimes life feels like a struggle. I offer an opportunity to work through these struggles in a supportive and compassionate way. I will listen when you need to be heard and accept you as you are.
Sometimes life feels like a struggle. I offer an opportunity to work through these struggles in a supportive and compassionate way. I will listen when you need to be heard and accept you as you are.
020 3984 9196 View 020 3984 9196
Photo of Becky Ashton, Psychologist in London, England
Becky Ashton
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London EC1R
Does life feel out of control at times? Perhaps things were going smoothly and then something has knocked you off course, whether that’s a break-up, loss of a loved one or ill-health. Or maybe work and life has gotten on top of you and you’re feeling anxious, exhausted and burnt out. You might not feel able to talk openly about how you’re really feeling to those around you so you’ve decided to look for emotional support from a professional… but you find yourself confused, not knowing who or what approach might suit you best.
Does life feel out of control at times? Perhaps things were going smoothly and then something has knocked you off course, whether that’s a break-up, loss of a loved one or ill-health. Or maybe work and life has gotten on top of you and you’re feeling anxious, exhausted and burnt out. You might not feel able to talk openly about how you’re really feeling to those around you so you’ve decided to look for emotional support from a professional… but you find yourself confused, not knowing who or what approach might suit you best.
020 7123 8605 View 020 7123 8605

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.