Counselling in Barton-upon-Humber

Photo of Joanne Carter-Hagger - Aspen Morgan Counselling & Wellbeing, Counsellor, MBACP
Aspen Morgan Counselling & Wellbeing
Counsellor, MBACP
1 Endorsed
Serves Area
Hi, I'm Jo. Are looking for someone who can help you make sense of your thoughts, feelings and behaviours? I understand life can be difficult to navigate, which is why I have created a safe, confidential space where you can feel comfortable and understood. I am empathetic and non-judgmental and I will focus on your unique experiences to help you navigate life challenges such as anxiety, depression, relationship issues and stress. I am committed to helping you develop the tools and resilience overcome obstacles and achieve your goals. I offer video and face to face counselling in my comfortable therapy room.
Hi, I'm Jo. Are looking for someone who can help you make sense of your thoughts, feelings and behaviours? I understand life can be difficult to navigate, which is why I have created a safe, confidential space where you can feel comfortable and understood. I am empathetic and non-judgmental and I will focus on your unique experiences to help you navigate life challenges such as anxiety, depression, relationship issues and stress. I am committed to helping you develop the tools and resilience overcome obstacles and achieve your goals. I offer video and face to face counselling in my comfortable therapy room.
01482 422391 View 01482 422391
Photo of Lesley Gibson, Psychologist, HCPC - Clin. Psych.
Lesley Gibson
Psychologist, HCPC - Clin. Psych.
Serves Area
Many of us experience times when we are struggling with our emotions or mental health. However sometimes this can go on for too long and it can have a big impact upon our quality of life. We might notice repeating patterns or cycles that feel hard to make sense of or change.
Many of us experience times when we are struggling with our emotions or mental health. However sometimes this can go on for too long and it can have a big impact upon our quality of life. We might notice repeating patterns or cycles that feel hard to make sense of or change.
01628 334511 View 01628 334511
Photo of Gillian Robinson - Counselling with Gillian, Counsellor, MBACP Accred
Counselling with Gillian
Counsellor, MBACP Accred
Serves Area
Are you facing a difficult stage in your life, feelings of anger, depression, anxiety, coping with a loss or bereavement, in a troublesome relationship? I offer a safe, confidential space so you can explore what is going on you can move forward. I am a qualified experienced counsellor working in Beverley, East Riding of Yorkshire within easy reach of the town centre and the surrounding areas of Beverley. I offer affordable one to one counselling for individual adults and couples.
Are you facing a difficult stage in your life, feelings of anger, depression, anxiety, coping with a loss or bereavement, in a troublesome relationship? I offer a safe, confidential space so you can explore what is going on you can move forward. I am a qualified experienced counsellor working in Beverley, East Riding of Yorkshire within easy reach of the town centre and the surrounding areas of Beverley. I offer affordable one to one counselling for individual adults and couples.
01964 775801 View 01964 775801
Photo of Mary Ablett - Cloud Counselling, Counsellor, MUKCP
Cloud Counselling
Counsellor, MUKCP
Serves Area
Hello my name is Mary, I am an Psychotherapeutic Counsellor. One of the hardest things is to admit you need help and then to ask for it, but we all need help at some point in our lives. I feel privileged to be able to work with both adults and teens. I pride myself in providing a supportive, friendly, non-judgemental, safe and confidential space for my clients. I will be by your side on your therapy journey which may feel uncomfortable at times but I also believe there is a place in the therapy room for smiles. My friendly private practice is run with Clinical Supervision, fully insured and have full clinical UKCP accreditation.
Hello my name is Mary, I am an Psychotherapeutic Counsellor. One of the hardest things is to admit you need help and then to ask for it, but we all need help at some point in our lives. I feel privileged to be able to work with both adults and teens. I pride myself in providing a supportive, friendly, non-judgemental, safe and confidential space for my clients. I will be by your side on your therapy journey which may feel uncomfortable at times but I also believe there is a place in the therapy room for smiles. My friendly private practice is run with Clinical Supervision, fully insured and have full clinical UKCP accreditation.
01482 251673 View 01482 251673

More Therapists Nearby

Photo of Sue J Daniels - Psychotherapist, Supervisor & Trainer, Counsellor, MBACP Snr. Accred
Psychotherapist, Supervisor & Trainer
Counsellor, MBACP Snr. Accred
1 Endorsed
Louth LN11
PTSD and C-PTSD are serious and debilitating disorders that occur as a result of experiencing either one trauma or repeated traumatic suffering over a long period of time. C-PTSD can often be seen in survivors of childhood abuse, domestic violence, and combat. The effects of all unresolved trauma are far-reaching and can deeply impact an individual’s ability to function in day-to-day life. However, with the right support and treatment, individuals with PTSD at any level can achieve post-traumatic growth and personal development.
PTSD and C-PTSD are serious and debilitating disorders that occur as a result of experiencing either one trauma or repeated traumatic suffering over a long period of time. C-PTSD can often be seen in survivors of childhood abuse, domestic violence, and combat. The effects of all unresolved trauma are far-reaching and can deeply impact an individual’s ability to function in day-to-day life. However, with the right support and treatment, individuals with PTSD at any level can achieve post-traumatic growth and personal development.
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Photo of Claire L Newman, Psychotherapist, MSc, MUKCP
Claire L Newman
Psychotherapist, MSc, MUKCP
Online Only
Welcome! You may be seeking a therapist, counsellor, or coach to address a specific issue, heal from past experiences, or explore a general sense that something isn’t quite right. Talking in confidence can help you discover who you are and make self-loving, empowered choices. Therapy and counselling foster self-awareness, emotional healing, and resilience, reconnecting you with your innate self-worth. Life coaching helps clear unconscious patterns, set meaningful goals, and take action toward a fulfilling, nourishing life.
Welcome! You may be seeking a therapist, counsellor, or coach to address a specific issue, heal from past experiences, or explore a general sense that something isn’t quite right. Talking in confidence can help you discover who you are and make self-loving, empowered choices. Therapy and counselling foster self-awareness, emotional healing, and resilience, reconnecting you with your innate self-worth. Life coaching helps clear unconscious patterns, set meaningful goals, and take action toward a fulfilling, nourishing life.
01604 954296 View 01604 954296
Photo of Ian Saunders - Integrative Counselling, Counsellor, MNCPS Acc.
Integrative Counselling
Counsellor, MNCPS Acc.
Online Only
Do you feel stuck or like you are not living up to your full potential? Are there areas of your life that are unresolved or seemingly out of your control? Have you developed addictive coping strategies to try and manage difficult thoughts, feelings and emotions? Are you in a place where you feel ready to access professional confidential support in a compassionate empathic and safe environment in order to free yourself and move forward to the next stage of your journey?
Do you feel stuck or like you are not living up to your full potential? Are there areas of your life that are unresolved or seemingly out of your control? Have you developed addictive coping strategies to try and manage difficult thoughts, feelings and emotions? Are you in a place where you feel ready to access professional confidential support in a compassionate empathic and safe environment in order to free yourself and move forward to the next stage of your journey?
01709 288050 View 01709 288050
Photo of Jan Baker, Psychotherapist, MSc, MUKCP
Jan Baker
Psychotherapist, MSc, MUKCP
Brigg DN20
This may be the first time you have decided to seek counselling or psychotherapy, or working with me, may be part of an ongoing personal journey to enhance your life further. Unresolved issues can confuse, distress and disrupt your life, often returning time and time again, causing you both emotional and sometimes even physical difficulties, that can not only affect you, but also might impact on your relationships, work and family life. Some examples of how these issues might manifest, could include you experiencing; depression, anxiety, stress, angry thoughts, addictions, suicidal thoughts, self-harm, eating disorders
This may be the first time you have decided to seek counselling or psychotherapy, or working with me, may be part of an ongoing personal journey to enhance your life further. Unresolved issues can confuse, distress and disrupt your life, often returning time and time again, causing you both emotional and sometimes even physical difficulties, that can not only affect you, but also might impact on your relationships, work and family life. Some examples of how these issues might manifest, could include you experiencing; depression, anxiety, stress, angry thoughts, addictions, suicidal thoughts, self-harm, eating disorders
01652 240648 View 01652 240648
Photo of Kirsty Sellers - Self Made Mental Health, Psychotherapist, MBACP
Self Made Mental Health
Psychotherapist, MBACP
2 Endorsed
I am very much committed to helping my clients be the best version of themselves and believe that everyone has arrived at the version of themselves they are today because of what they’ve been through. That means there are always understandable reasons why someone is having a tough time or struggling with something, no matter what that difficulty might be. Because of that belief, I am far more likely to ask what has happened to you, versus what is wrong with you - even if you have a diagnosis. You might already have a clear goal, or you could be reading this wondering where on earth to start. Either way, I’m glad you made it here!
I am very much committed to helping my clients be the best version of themselves and believe that everyone has arrived at the version of themselves they are today because of what they’ve been through. That means there are always understandable reasons why someone is having a tough time or struggling with something, no matter what that difficulty might be. Because of that belief, I am far more likely to ask what has happened to you, versus what is wrong with you - even if you have a diagnosis. You might already have a clear goal, or you could be reading this wondering where on earth to start. Either way, I’m glad you made it here!
01302 202378 View 01302 202378
Photo of Joanne Wilson-leake - JWL Counselling Service , Counsellor, DCounsPsych, MBACP
JWL Counselling Service
Counsellor, DCounsPsych, MBACP
Serves Area
ANXIETY SPECIALIST: Knowing how frightening and scary suffering with Anxiety can be. I specialise in helping you to understand the root cause of you’re issues, giving you the necessary tools to reduce the frequency and intensity of overwhelming feelings. Empowering you to take back control of your life and learn how to manage your anxiety affectively. Working at your pace to discover what will help. I tailor my approach to meet your needs. Developing an understanding of what is happening for you in a safe, supportive space, where you can begin to heal.
ANXIETY SPECIALIST: Knowing how frightening and scary suffering with Anxiety can be. I specialise in helping you to understand the root cause of you’re issues, giving you the necessary tools to reduce the frequency and intensity of overwhelming feelings. Empowering you to take back control of your life and learn how to manage your anxiety affectively. Working at your pace to discover what will help. I tailor my approach to meet your needs. Developing an understanding of what is happening for you in a safe, supportive space, where you can begin to heal.
01777 802556 View 01777 802556
Photo of Gemma McKenzie - Hidden Gem Psychology Service, Psychotherapist, MBABCP
Hidden Gem Psychology Service
Psychotherapist, MBABCP
1 Endorsed
Online Only
I am passionate about trauma-informed care and utilise a whole-person approach. Trauma can often underpin common mental health difficulties, and I can work with you to process the source of your difficulties and/or focus on your current symptoms. You may wish to focus on your current experiences of depression, anxiety, etc., or wish to address the underlying difficulties that have led to these. I also have a keen interest in complex trauma, dissociation, childhood emotional neglect, medically unexplained symptoms, functional neurological disorder, chronic pain, chronic fatigue and other physical difficulties.
I am passionate about trauma-informed care and utilise a whole-person approach. Trauma can often underpin common mental health difficulties, and I can work with you to process the source of your difficulties and/or focus on your current symptoms. You may wish to focus on your current experiences of depression, anxiety, etc., or wish to address the underlying difficulties that have led to these. I also have a keen interest in complex trauma, dissociation, childhood emotional neglect, medically unexplained symptoms, functional neurological disorder, chronic pain, chronic fatigue and other physical difficulties.
01427 808045 View 01427 808045
Photo of Nikki Paterson, Counsellor, MBACP
Nikki Paterson
Counsellor, MBACP
Grimsby DN31
Life can be difficult and counselling can help you explore what is going on. I believe we can work together and start to unpick issues and begin to understand them, improve, increase self-confidence and feel more empowered. I work with adults, couples, families and young people and love seeing a person walk away in a better place. Counselling is all about you and finding your own answers. I have experience of working with a variety of client issues including but not limited to work or school stress, relationship difficulties, boundaries, anxiety, communication, trauma and understanding the world around you.
Life can be difficult and counselling can help you explore what is going on. I believe we can work together and start to unpick issues and begin to understand them, improve, increase self-confidence and feel more empowered. I work with adults, couples, families and young people and love seeing a person walk away in a better place. Counselling is all about you and finding your own answers. I have experience of working with a variety of client issues including but not limited to work or school stress, relationship difficulties, boundaries, anxiety, communication, trauma and understanding the world around you.
01472 517156 View 01472 517156
Photo of Sophie Winter, Counsellor, MBACP
Sophie Winter
Counsellor, MBACP
Serves Area
I offer Internal Family Systems therapy. The core idea of IFS is that the different parts of our personality are like an inner family, and the key to healing is to respect, understand and love every part of us. I believe all parts of you, including parts that might cause difficulties for yourself or for others, are worthy of compassion, understanding, safety and fulfilment. I think of therapy as a space for you to feel heard, make sense of your past experiences, and build self-compassion, self-knowledge, and the skills needed to live in greater alignment with your needs and desires.
I offer Internal Family Systems therapy. The core idea of IFS is that the different parts of our personality are like an inner family, and the key to healing is to respect, understand and love every part of us. I believe all parts of you, including parts that might cause difficulties for yourself or for others, are worthy of compassion, understanding, safety and fulfilment. I think of therapy as a space for you to feel heard, make sense of your past experiences, and build self-compassion, self-knowledge, and the skills needed to live in greater alignment with your needs and desires.
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Photo of Patricia O'Connor, Counsellor, MBACP
Patricia O'Connor
Counsellor, MBACP
1 Endorsed
Serves Area
Life can be tough, sometimes, and overwhelming emotions can feel like too much to handle alone. Whether you're struggling with anxiety, depression, or other life challenges, I'm here to offer a safe and supportive space. My confidential, non-judgmental therapy can help you work through your feelings and find practical solutions. I believe in a personalised approach, tailored to your unique needs. Together, we can explore your experiences and create a plan to find your own answers and your way forward.
Life can be tough, sometimes, and overwhelming emotions can feel like too much to handle alone. Whether you're struggling with anxiety, depression, or other life challenges, I'm here to offer a safe and supportive space. My confidential, non-judgmental therapy can help you work through your feelings and find practical solutions. I believe in a personalised approach, tailored to your unique needs. Together, we can explore your experiences and create a plan to find your own answers and your way forward.
01923 695026 View 01923 695026
Photo of Elizabeth Rempel, Psychotherapist, MBABCP
Elizabeth Rempel
Psychotherapist, MBABCP
1 Endorsed
Online Only
Hi my name is Liz and I have been working as a Cognitive Behavioural Therapist for over 15 years. I am passionate about offering my knowledge and skills in CBT to allow people to reach their full potential. I work with people who may be struggling with stress, anxiety, low mood, low self esteem, OCD, PTSD, Health Anxiety, Social Anxiety or phobias. CBT is a practical talking therapy that teaches you coping skills for dealing with different problems. It focuses on how your thoughts, beliefs and attitudes affect your feelings and actions. If this sounds like something that would benefit you, I would love to hear from you.
Hi my name is Liz and I have been working as a Cognitive Behavioural Therapist for over 15 years. I am passionate about offering my knowledge and skills in CBT to allow people to reach their full potential. I work with people who may be struggling with stress, anxiety, low mood, low self esteem, OCD, PTSD, Health Anxiety, Social Anxiety or phobias. CBT is a practical talking therapy that teaches you coping skills for dealing with different problems. It focuses on how your thoughts, beliefs and attitudes affect your feelings and actions. If this sounds like something that would benefit you, I would love to hear from you.
01652 248444 View 01652 248444
Photo of Simon Paul West, Counsellor, MSc, MNCPS Acc.
Simon Paul West
Counsellor, MSc, MNCPS Acc.
Serves Area
I provide psychotherapeutic counselling to adults on a one-to-one basis for a wide range of difficulties, including anxiety, relationships, low mood, and bereavement. I specialise in working with gifted adults, autistic adults, and people who have experienced limited or no success from cognitive behavioural therapy (CBT). Whatever your situation, I am here to help you develop an understanding of what is happening and to find some hope and direction.
I provide psychotherapeutic counselling to adults on a one-to-one basis for a wide range of difficulties, including anxiety, relationships, low mood, and bereavement. I specialise in working with gifted adults, autistic adults, and people who have experienced limited or no success from cognitive behavioural therapy (CBT). Whatever your situation, I am here to help you develop an understanding of what is happening and to find some hope and direction.
01522 302664 View 01522 302664
Photo of Scarlett Webster - Thrive Therapies and Coaching , Counsellor, MBACP
Accepting who you’ve been, Embracing who you are, Becoming all you can be. This is the journey I support clients on whatever challenges they may be facing. I offer a range of therapies in Lincoln or one-on-one video calls depending on your needs and location. Within this space I create a container in which we can safely explore challenges you may be facing in your life – whether they are historical, current or future orientated. This container creates an opportunity for you to connect with yourself more deeply as I support your process with the appropriate models and tools suitable for your needs and goals.
Accepting who you’ve been, Embracing who you are, Becoming all you can be. This is the journey I support clients on whatever challenges they may be facing. I offer a range of therapies in Lincoln or one-on-one video calls depending on your needs and location. Within this space I create a container in which we can safely explore challenges you may be facing in your life – whether they are historical, current or future orientated. This container creates an opportunity for you to connect with yourself more deeply as I support your process with the appropriate models and tools suitable for your needs and goals.
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Photo of Mandy James, Psychotherapist, MBACP
Mandy James
Psychotherapist, MBACP
Grimsby DN34
I have many years of experience in providing Psychotherapy support and Life Coaching and I offer a wide range of caring, confidential and professional therapies, all of which are implemented with a non-judgmental approach. I am passionate about my work. I believe that Mental Issues can be debilitating and destructive. In many ways mental health issues are more serious than physical illness. My own experience in life has forged me into the person I am today and guided me into this career.
I have many years of experience in providing Psychotherapy support and Life Coaching and I offer a wide range of caring, confidential and professional therapies, all of which are implemented with a non-judgmental approach. I am passionate about my work. I believe that Mental Issues can be debilitating and destructive. In many ways mental health issues are more serious than physical illness. My own experience in life has forged me into the person I am today and guided me into this career.
01469 427186 View 01469 427186
Photo of Gareth Young, Counsellor, MBACP
Gareth Young
Counsellor, MBACP
A warm welcome to Rainbow Hearts Counselling my name is Gareth and I’m based in Doncaster. I offer a safe, non-judgmental space for you to explore your thoughts, feelings and experiences. I will walk by your side as you lead the way on your journey to find your rainbow again, no matter how big the storm may have been. Our lifestyles can be so busy and overwhelming, leaving us feeling drained, counselling offers you a break from this. You deserve to be heard, understood and accepted for who you are regardless of what you may have been through in life.
A warm welcome to Rainbow Hearts Counselling my name is Gareth and I’m based in Doncaster. I offer a safe, non-judgmental space for you to explore your thoughts, feelings and experiences. I will walk by your side as you lead the way on your journey to find your rainbow again, no matter how big the storm may have been. Our lifestyles can be so busy and overwhelming, leaving us feeling drained, counselling offers you a break from this. You deserve to be heard, understood and accepted for who you are regardless of what you may have been through in life.
01302 490585 View 01302 490585
Photo of Dawn Morris H Dip P H Dip, Counsellor, MHGI
Dawn Morris H Dip P H Dip
Counsellor, MHGI
Serves Area
Hello my name is Dawn, I understand that first contact and arranging a session and coming, takes a lot of strength, Many I have found is concerned about having to go into details of the concern they coming with or having to relive maybe a trauma. See therapy as painful. Therapy does not have to be painful, you do not have to go into details if did not wish to. Goals maybe to be able to look ahead to see there is a light, to feel heard, listened to, to be acknowledged. A place to feel safe and to look at all tools resources abilities already within to come away the the past and look to future which is preferred in a healthy way.
Hello my name is Dawn, I understand that first contact and arranging a session and coming, takes a lot of strength, Many I have found is concerned about having to go into details of the concern they coming with or having to relive maybe a trauma. See therapy as painful. Therapy does not have to be painful, you do not have to go into details if did not wish to. Goals maybe to be able to look ahead to see there is a light, to feel heard, listened to, to be acknowledged. A place to feel safe and to look at all tools resources abilities already within to come away the the past and look to future which is preferred in a healthy way.
01522 459251 View 01522 459251

How does your Counsellor compare?

Number of Counsellors in Barton-upon-Humber

< 10

Counsellors in Barton-upon-Humber who prioritize treating:

100% Depression
100% Anxiety
100% Bereavement
100% Self Esteem
100% Women's Issues
75% Relationship Issues
75% Domestic Abuse

Average years in practice

9 Years

Top 3 insurances accepted

100% Other
100% Aviva
100% AXA PPP

How Counsellors in Barton-upon-Humber see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Barton-upon-Humber?

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.