Counselling in EH49

Photo of Margaret Rose Gibson, Counsellor, MBACP Accred
Margaret Rose Gibson
Counsellor, MBACP Accred
I am an experienced Counsellor, Hypnotherapist, BWRT practitioner and Advanced Clinical Supervisor including Online and Telephone Counselling. I have worked across all age groups in a variety of settings. My counselling, Hypnotherapy and BWRT practice is built opon my practical experience. I also have extensive knowledge and working experience of child development, special educational needs, adult mental health,gender and diveristy and perinatal care .
I am an experienced Counsellor, Hypnotherapist, BWRT practitioner and Advanced Clinical Supervisor including Online and Telephone Counselling. I have worked across all age groups in a variety of settings. My counselling, Hypnotherapy and BWRT practice is built opon my practical experience. I also have extensive knowledge and working experience of child development, special educational needs, adult mental health,gender and diveristy and perinatal care .
01506 243421 View 01506 243421
Photo of Sheena Miller, Counsellor, MCOSCA
Sheena Miller
Counsellor, MCOSCA
I would like to offer you my support in working towards making change and taking control in your life. Whether you are here because life has become overwhelming in whatever form that takes, such as experiencing anxiety or depression, or whether learning new ways of coping and navigating through life would effect more freedom and control for you; I would like to be part of your journey towards understanding your experiences, effecting change and in such bringing autonomy and peace.  Finding yourself here is the first positive step on your journey towards healing and self understanding.
I would like to offer you my support in working towards making change and taking control in your life. Whether you are here because life has become overwhelming in whatever form that takes, such as experiencing anxiety or depression, or whether learning new ways of coping and navigating through life would effect more freedom and control for you; I would like to be part of your journey towards understanding your experiences, effecting change and in such bringing autonomy and peace.  Finding yourself here is the first positive step on your journey towards healing and self understanding.
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Photo of Sam Roger, Counsellor, MCOSCA
Sam Roger
Counsellor, MCOSCA
1 Endorsed
I am a psychodynamic walk & talk therapist. I specialise in gently exploring unresolved early life experiences that may still be shaping your present. These unresolved issues often lie beneath the surface, waiting to be fully processed. I work with trauma, anxiety, depression, and those feelings of being "stuck" that can seem overwhelming. Walk & Talk helps calm the overwhelm. Together, we’ll create space to pause, reflect, and uncover how past events might be influencing you now. This process can stir emotions, but it also offers real relief and the opportunity to see yourself and your life with greater clarity and compassion.
I am a psychodynamic walk & talk therapist. I specialise in gently exploring unresolved early life experiences that may still be shaping your present. These unresolved issues often lie beneath the surface, waiting to be fully processed. I work with trauma, anxiety, depression, and those feelings of being "stuck" that can seem overwhelming. Walk & Talk helps calm the overwhelm. Together, we’ll create space to pause, reflect, and uncover how past events might be influencing you now. This process can stir emotions, but it also offers real relief and the opportunity to see yourself and your life with greater clarity and compassion.
01383 669765 View 01383 669765
Photo of Wendy Sneddon, Counsellor, MBACP
Wendy Sneddon
Counsellor, MBACP
Serves Area
There are moments in many people's lives when external events can feel overwhelming. You may be feeling low and unhappy yet not able to understand why. You may have experienced a bereavement or a life changing event in your life and just need space to talk. I will actively listen, reflect and provide a supportive, caring and non-judgemental space to enable you to collect your thoughts and talk about anything that is troubling you. The sessions will give you space and time to think about yourself and your needs.
There are moments in many people's lives when external events can feel overwhelming. You may be feeling low and unhappy yet not able to understand why. You may have experienced a bereavement or a life changing event in your life and just need space to talk. I will actively listen, reflect and provide a supportive, caring and non-judgemental space to enable you to collect your thoughts and talk about anything that is troubling you. The sessions will give you space and time to think about yourself and your needs.
01324 468293 View 01324 468293
Photo of Elaine Margaret Turtle, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Elaine Margaret Turtle
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Serves Area
Hello, my name is Dr Elaine Turtle. I set up my practice 8 years ago. I understand that beginning your journey can be difficult and stressful. I have therefore taken time to create a safe space for you to feel able to talk to me about your troubles. The first session will explore your concerns and what you wish to gain from therapy. Together we create a unique plan that is focussed on your needs/outcomes. I have training in various therapy methods/approaches and will talk you through which ones would benefit you. I am also a registered Clinical Supervisor and work with trainees and qualified therapists. I am accredited by BPS.
Hello, my name is Dr Elaine Turtle. I set up my practice 8 years ago. I understand that beginning your journey can be difficult and stressful. I have therefore taken time to create a safe space for you to feel able to talk to me about your troubles. The first session will explore your concerns and what you wish to gain from therapy. Together we create a unique plan that is focussed on your needs/outcomes. I have training in various therapy methods/approaches and will talk you through which ones would benefit you. I am also a registered Clinical Supervisor and work with trainees and qualified therapists. I am accredited by BPS.
01324 461804 View 01324 461804
Photo of Anna Wills, MSc
Anna Wills
Verified Verified
1 Endorsed
Serves Area
Hi I'm Anna. I'm a BAPT Registered Play Therapist and Certified SandStory Therapist providing a safe, warm, & healing space where children and young people can explore their emotions and challenges through play and SandStory therapy. I specialize in helping children process feelings like anxiety, sadness, and anger, or navigate life changes such as loss or family transitions. Using creative, non-verbal approaches tailored to each child, I honor their unique pace and story, fostering resilience and self-awareness. I am committed to helping children and families navigate their journeys with care, compassion, and creativity.
Hi I'm Anna. I'm a BAPT Registered Play Therapist and Certified SandStory Therapist providing a safe, warm, & healing space where children and young people can explore their emotions and challenges through play and SandStory therapy. I specialize in helping children process feelings like anxiety, sadness, and anger, or navigate life changes such as loss or family transitions. Using creative, non-verbal approaches tailored to each child, I honor their unique pace and story, fostering resilience and self-awareness. I am committed to helping children and families navigate their journeys with care, compassion, and creativity.
01506 538432 View 01506 538432
Photo of Kimberley Cunningham, Psychotherapist, MSc, MBACP
Kimberley Cunningham
Psychotherapist, MSc, MBACP
Serves Area
I am a BACP registered psychotherapist with a Bachelor of Science (Honours) in Psychology and a Master of Science in Psychotherapy. I have particular experience supporting clients with burnout, depression, low self-esteem and anxiety - including Generalised Anxiety Disorder and Social Anxiety. I offer long-term & short-term in-person and online therapy for adults and young people (age 13+), with a specific focus on the Person-Centred Approach to counselling.
I am a BACP registered psychotherapist with a Bachelor of Science (Honours) in Psychology and a Master of Science in Psychotherapy. I have particular experience supporting clients with burnout, depression, low self-esteem and anxiety - including Generalised Anxiety Disorder and Social Anxiety. I offer long-term & short-term in-person and online therapy for adults and young people (age 13+), with a specific focus on the Person-Centred Approach to counselling.
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Photo of Marion Laird, Psychotherapist, MSc, MBACP
Marion Laird
Psychotherapist, MSc, MBACP
Serves Area
Your relationships affect the way you feel and difficulties can make you very unhappy, hurt and angry. One in five say their relationship is in distress. Some reasons people give are - emotional pain and distress, feeling unloved, conflict, infidelity, sex, different outlooks, children, career, addiction or family relationships. Communication, is often cited as at the heart of a distressed relationship, each of us thinks we are clear about telling our loved ones what is going on for us and we get frustrated when they just ‘don’t hear us’. It can all be very confusing and difficult to resolve.
Your relationships affect the way you feel and difficulties can make you very unhappy, hurt and angry. One in five say their relationship is in distress. Some reasons people give are - emotional pain and distress, feeling unloved, conflict, infidelity, sex, different outlooks, children, career, addiction or family relationships. Communication, is often cited as at the heart of a distressed relationship, each of us thinks we are clear about telling our loved ones what is going on for us and we get frustrated when they just ‘don’t hear us’. It can all be very confusing and difficult to resolve.
01324 804408 View 01324 804408
Photo of Mark Rae - mettatherapy, Counsellor, MCOSCA
mettatherapy
Counsellor, MCOSCA
2 Endorsed
Serves Area
I am an Integrative Therapist with over 20+ years of practice experience, qualifying in 2002. I have continually added to my professional training and qualifications throughout my career. In addition to 'in person' and 'online' Integrative Therapy, I also provide Clinical Hypnosis as well as Outdoor Therapy. There is no additional cost to combine Integrative Therapy with Clinical Hypnosis. Clients are free to select stand-alone therapeutic services; and/or to combine them. It is always led by client choice. Over the years, I've noticed therapy is most effective with clients willing to work between sessions as well as in sessions.
I am an Integrative Therapist with over 20+ years of practice experience, qualifying in 2002. I have continually added to my professional training and qualifications throughout my career. In addition to 'in person' and 'online' Integrative Therapy, I also provide Clinical Hypnosis as well as Outdoor Therapy. There is no additional cost to combine Integrative Therapy with Clinical Hypnosis. Clients are free to select stand-alone therapeutic services; and/or to combine them. It is always led by client choice. Over the years, I've noticed therapy is most effective with clients willing to work between sessions as well as in sessions.
01324 461772 View 01324 461772
Photo of Tracy Uttridge - Tracy Uttridge Counselling, Counsellor, MBACP
Tracy Uttridge Counselling
Counsellor, MBACP
Serves Area
Waitlist for new clients
Hello and welcome. Thank you for taking the first step by looking here. Working with warmth and building trust is at the core of my approach and by taking one step at a time, in a safe space we can work collaboratively in achieving your aims and seeing yourself in a different light. We all come to counselling for our unique reasons. When stress, overwhelm, depression, anxiety, grief, and trauma start to feel like too much, they can dominate every aspect of our lives – from our behaviours and relationships to our work and overall well-being.
Hello and welcome. Thank you for taking the first step by looking here. Working with warmth and building trust is at the core of my approach and by taking one step at a time, in a safe space we can work collaboratively in achieving your aims and seeing yourself in a different light. We all come to counselling for our unique reasons. When stress, overwhelm, depression, anxiety, grief, and trauma start to feel like too much, they can dominate every aspect of our lives – from our behaviours and relationships to our work and overall well-being.
01506 379373 View 01506 379373
Photo of Brenda Fleming - Counselling for you, Counsellor, MBACP
Counselling for you
Counsellor, MBACP
Online Only
If you are reading this statement then you are considering counselling for either you or someone close. Sometimes we all need help with coping with life either with past or present issues. These issues and how we currently manage them can prevent us from moving forward. They can also make us feel not too good about ourselves, others and the world. They can impact on our day to day life and relationships. My role is to work with you to create a balance in your life to enable you to move forward. I am also a qualified brain spotting therapist. This is a talk therapy that reveals unprocessed traumas through the use of the visual field.
If you are reading this statement then you are considering counselling for either you or someone close. Sometimes we all need help with coping with life either with past or present issues. These issues and how we currently manage them can prevent us from moving forward. They can also make us feel not too good about ourselves, others and the world. They can impact on our day to day life and relationships. My role is to work with you to create a balance in your life to enable you to move forward. I am also a qualified brain spotting therapist. This is a talk therapy that reveals unprocessed traumas through the use of the visual field.
01324 374528 View 01324 374528

More Therapists Nearby

Photo of Donna McDonald, Counsellor, MSc, MNCPS Acc.
Donna McDonald
Counsellor, MSc, MNCPS Acc.
1 Endorsed
I believe in having a holistic approach when referring to someone’s wellbeing and recognising each person as an individual. What helps one person may not help another. I do believe we all need a variety of good resources that we can turn to. These resources should be diverse enough for you to use wherever you are and whenever you need something. Whether you are struggling with trauma, bereavement, depression or existential difficulties, the biggest resource you have is truly knowing yourself and listening to your inner voice and developing a sense of peace within.
I believe in having a holistic approach when referring to someone’s wellbeing and recognising each person as an individual. What helps one person may not help another. I do believe we all need a variety of good resources that we can turn to. These resources should be diverse enough for you to use wherever you are and whenever you need something. Whether you are struggling with trauma, bereavement, depression or existential difficulties, the biggest resource you have is truly knowing yourself and listening to your inner voice and developing a sense of peace within.
01236 918766 View 01236 918766
Photo of Robert McNeil Geelan
Robert McNeil Geelan
Verified Verified
I am pleased to announce that I am now (dec, 2023) also a Solution-Focussed Hypnotherapist as well as a Certified Master Practitioner of NLP, Mental and Emotional Release Therapy. I am also Certified in Counselling Skills thro COSCA. Currently, I help clients with a range of issues from anxiety, feeling low, emotional regulation and phobias, and also to quit smoking. My journey began after hitting pretty much rock bottom after a co-dependency relationship with a narcissist. My search for answers took me to Canada and USA as well as my beautiful native Scotland.
I am pleased to announce that I am now (dec, 2023) also a Solution-Focussed Hypnotherapist as well as a Certified Master Practitioner of NLP, Mental and Emotional Release Therapy. I am also Certified in Counselling Skills thro COSCA. Currently, I help clients with a range of issues from anxiety, feeling low, emotional regulation and phobias, and also to quit smoking. My journey began after hitting pretty much rock bottom after a co-dependency relationship with a narcissist. My search for answers took me to Canada and USA as well as my beautiful native Scotland.
0141 280 4176 View 0141 280 4176
Photo of Saad Malik, Counsellor, MRes, MBACP
Saad Malik
Counsellor, MRes, MBACP
Glasgow G41
I am a Glasgow based integrative counsellor specialising in anxiety, depression, trauma, abuse and LGBTQIA+ issues. Working with me will allow you to understand the impact of the past on your current situation and find creative ways for moving forward. I have lived in different parts of the world which has given me a diverse understanding of the lived experience. I believe that talking through our issues can provide a deep sense of relief. Its my passion to support my clients as they come to terms with their inner truth and find meaning in their life.
I am a Glasgow based integrative counsellor specialising in anxiety, depression, trauma, abuse and LGBTQIA+ issues. Working with me will allow you to understand the impact of the past on your current situation and find creative ways for moving forward. I have lived in different parts of the world which has given me a diverse understanding of the lived experience. I believe that talking through our issues can provide a deep sense of relief. Its my passion to support my clients as they come to terms with their inner truth and find meaning in their life.
0141 673 4833 View 0141 673 4833
Photo of Karen Matthews - Eir Counselling
Eir Counselling
Verified Verified
4 Endorsed
Are you struggling with anxiety, depression, chronic illness, relationship difficulties, problems with your sexual identity, grief, trauma or a feeling of being stuck? Often the difficulties people face in the present are connected to earlier life experiences. By exploring these connections, we can uncover the deeper meanings behind current struggles. I am Dr Karen Matthews, the founder of Eir Counselling. I offer psychodynamic counselling in a safe, non-judgemental and confidential space where together we can work through your struggles towards healing and lasting change.
Are you struggling with anxiety, depression, chronic illness, relationship difficulties, problems with your sexual identity, grief, trauma or a feeling of being stuck? Often the difficulties people face in the present are connected to earlier life experiences. By exploring these connections, we can uncover the deeper meanings behind current struggles. I am Dr Karen Matthews, the founder of Eir Counselling. I offer psychodynamic counselling in a safe, non-judgemental and confidential space where together we can work through your struggles towards healing and lasting change.
01764 915841 View 01764 915841
Photo of Louisa Casselden, Psychologist, PsychD, HCPC - Clin. Psych.
Louisa Casselden
Psychologist, PsychD, HCPC - Clin. Psych.
Edinburgh EH10
I provide a welcoming and therapeutic environment for adults and young people over the age of 16 who are struggling with a range of mental health difficulties, to help them explore and make sense of the experiences they have had. Through the use of evidence-based psychological therapy I aim to work collaboratively with people to improve their daily functioning and help them build skills to live the life they want to achieve. I use a number of therapeutic approaches in my work including Cognitive Behaviour Therapy, EMDR for trauma processing, Acceptance and Commitment Therapy, Compassion Focused Therapy and systemic approaches.
I provide a welcoming and therapeutic environment for adults and young people over the age of 16 who are struggling with a range of mental health difficulties, to help them explore and make sense of the experiences they have had. Through the use of evidence-based psychological therapy I aim to work collaboratively with people to improve their daily functioning and help them build skills to live the life they want to achieve. I use a number of therapeutic approaches in my work including Cognitive Behaviour Therapy, EMDR for trauma processing, Acceptance and Commitment Therapy, Compassion Focused Therapy and systemic approaches.
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Photo of Mary Leonard, Counsellor, MBACP
Mary Leonard
Counsellor, MBACP
Currie EH14
Counselling and psychotherapy can serve a two-fold purpose. The first is helping us navigate what life serves up – often a crisis or painful experience, while the second is as a tool in continuing self-development. While it is usually the first which initially brings people to counselling, the second can be helpful in exploring areas such as low mood, procrastination or a lack-lustre feeling about life in general. My work is informed by psychodynamic practice and psychoanalytic theory, both of which provide valuable insight into the complexities of human development, relationships, and experience.
Counselling and psychotherapy can serve a two-fold purpose. The first is helping us navigate what life serves up – often a crisis or painful experience, while the second is as a tool in continuing self-development. While it is usually the first which initially brings people to counselling, the second can be helpful in exploring areas such as low mood, procrastination or a lack-lustre feeling about life in general. My work is informed by psychodynamic practice and psychoanalytic theory, both of which provide valuable insight into the complexities of human development, relationships, and experience.
0131 381 3435 View 0131 381 3435
Photo of Dr Paul C. Mollitt, Psychotherapist, PsychD, MBACP Snr. Accred
Dr Paul C. Mollitt
Psychotherapist, PsychD, MBACP Snr. Accred
Serves Area
Finding the right therapist can be a confusing and frustrating experience and it may take some time to find the right 'fit'. I suggest that you aim to meet with several therapists before making a decision. Please contact me via email, text, WhatsApp or phone we would arrange to have a brief telephone call to discuss your needs. I can answer any questions you may have around therapy and any practicalities. Then, should you want to move forward, we will arrange a more in-depth consultation.
Finding the right therapist can be a confusing and frustrating experience and it may take some time to find the right 'fit'. I suggest that you aim to meet with several therapists before making a decision. Please contact me via email, text, WhatsApp or phone we would arrange to have a brief telephone call to discuss your needs. I can answer any questions you may have around therapy and any practicalities. Then, should you want to move forward, we will arrange a more in-depth consultation.
020 4634 5076 View 020 4634 5076
Photo of Fiona Harvie, Counsellor, MBACP
Fiona Harvie
Counsellor, MBACP
Sometimes life can seem overwhelming and whilst it is good to talk to friends and family, sometimes you need an independent professional to talk to about your problems. Counselling gives you a safe and confidential space to look at your situation and understand the root cause of your current difficulties. As a counsellor I don’t give advice but help you to discover the solution that works for you,
Sometimes life can seem overwhelming and whilst it is good to talk to friends and family, sometimes you need an independent professional to talk to about your problems. Counselling gives you a safe and confidential space to look at your situation and understand the root cause of your current difficulties. As a counsellor I don’t give advice but help you to discover the solution that works for you,
01506 353799 View 01506 353799
Photo of Agnieszka Waszkiewicz, Psychotherapist, MA, MBACP Accred
Agnieszka Waszkiewicz
Psychotherapist, MA, MBACP Accred
1 Endorsed
Solution Focus Therapy is a unique approach where in atmosphere of safety and understanding we will speak briefly about issues you will bring to the therapy sessions however we will focus on solutions rather then on problems. As a Solution Focused Therapist I will offer support in expressing your thoughts and feelings where awareness can rise and leads you to making a better and healthier choices in your life.
Solution Focus Therapy is a unique approach where in atmosphere of safety and understanding we will speak briefly about issues you will bring to the therapy sessions however we will focus on solutions rather then on problems. As a Solution Focused Therapist I will offer support in expressing your thoughts and feelings where awareness can rise and leads you to making a better and healthier choices in your life.
0141 673 0029 View 0141 673 0029

See more therapy options for EH49

How does your Counsellor compare?

Number of Counsellors in EH49

10+

Average cost per session

£50

Counsellors in EH49 who prioritize treating:

91% Depression
91% Anxiety
82% Domestic Abuse
73% Relationship Issues
73% Trauma and PTSD
73% Anger Management
73% Self Esteem

Average years in practice

8 Years

Top 3 insurances accepted

50% AXA PPP
50% Bupa
50% WPA

How Counsellors in EH49 see their clients

91% In Person and Online
9% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counselling

How can I find a therapist in EH49?

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.