Counselling in Berkshire

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Photo of Francesca Carnicelli, Counsellor, PTUK
Francesca Carnicelli
Counsellor, PTUK
Newbury RG20
I am Francesca Carnicelli, a dedicated and passionate Certified Play and Creative Arts Therapist, listed on the PTUK register (accredited by the Professional Standards Authority). I am also a PTUK Creative Counsellor for Children and Young People. My aim is to empower children and young people through the power of play and arts, helping them navigate their emotions, build resilience, and thrive in their developmental journey. As a play therapist, I address a wide range of issues, including trauma, anxiety, behavioural challenges, and social skills development through a consistent and compassionate support.
I am Francesca Carnicelli, a dedicated and passionate Certified Play and Creative Arts Therapist, listed on the PTUK register (accredited by the Professional Standards Authority). I am also a PTUK Creative Counsellor for Children and Young People. My aim is to empower children and young people through the power of play and arts, helping them navigate their emotions, build resilience, and thrive in their developmental journey. As a play therapist, I address a wide range of issues, including trauma, anxiety, behavioural challenges, and social skills development through a consistent and compassionate support.
01635 889548 View 01635 889548
Photo of Karen Bacon, Counsellor, MBACP
Karen Bacon
Counsellor, MBACP
1 Endorsed
Wokingham RG40
Life can feel overwhelming at times, and it's easy to feel like you've lost your way. You might be struggling with stress, anxiety, loss, depression or a sense of dissatisfaction that has left you questioning your direction. Whether you're facing a difficult decision, grappling with overwhelming emotions, experiencing relationship or career issues, or simply feeling stuck, you're not alone. I work with individuals who feel like their lives have gone off track. Whatever you’re facing, I believe you have the strength within you to overcome it, and I would welcome the opportunity to support you on this journey.
Life can feel overwhelming at times, and it's easy to feel like you've lost your way. You might be struggling with stress, anxiety, loss, depression or a sense of dissatisfaction that has left you questioning your direction. Whether you're facing a difficult decision, grappling with overwhelming emotions, experiencing relationship or career issues, or simply feeling stuck, you're not alone. I work with individuals who feel like their lives have gone off track. Whatever you’re facing, I believe you have the strength within you to overcome it, and I would welcome the opportunity to support you on this journey.
0118 230 1602 View 0118 230 1602
Photo of Isobel Hall, Psychotherapist, MNCPS Acc.
Isobel Hall
Psychotherapist, MNCPS Acc.
Wantage OX12
Hi, I’m Isobel - a warm, direct and down-to-earth therapist offering a space where you can feel truly heard. I work with both individuals and couples, supporting people through a wide range of challenges — including anxiety, low self-esteem, relationship difficulties, trauma, and self-defeating patterns. I'm also experienced working with neurodivergent clients, including those with ADHD, autism, or traits. Whether you’re exploring a recent diagnosis, struggling with masking, burnout, or executive functioning, therapy can help you make sense of your experience and develop more self-compassion and clarity.
Hi, I’m Isobel - a warm, direct and down-to-earth therapist offering a space where you can feel truly heard. I work with both individuals and couples, supporting people through a wide range of challenges — including anxiety, low self-esteem, relationship difficulties, trauma, and self-defeating patterns. I'm also experienced working with neurodivergent clients, including those with ADHD, autism, or traits. Whether you’re exploring a recent diagnosis, struggling with masking, burnout, or executive functioning, therapy can help you make sense of your experience and develop more self-compassion and clarity.
01235 639486 View 01235 639486
Photo of Carolyn Teresa Heap - The Brook Counselling and Hypnotherapy, Psychotherapist, DCounsPsych, PNCPS Acc.
The Brook Counselling and Hypnotherapy
Psychotherapist, DCounsPsych, PNCPS Acc.
Bracknell RG12
A warm welcome to you. My name is Carolyn. I worked with children and families for local authorities for over 30 years before training as a psychotherapeutic counsellor and hypnotherapist in 2019. Seeking the right therapy is a daunting task and this may be your first step towards ridding yourself of deep seated memories, feeling, emotions and reactions that are impacting negatively on your quality of life. I specialise in working with adults who feel stuck and overwhelmed by negative thoughts linked to anxiety and depression. I offer Couple Therapy and support people to overcome low self esteem, addictions and phobias.
A warm welcome to you. My name is Carolyn. I worked with children and families for local authorities for over 30 years before training as a psychotherapeutic counsellor and hypnotherapist in 2019. Seeking the right therapy is a daunting task and this may be your first step towards ridding yourself of deep seated memories, feeling, emotions and reactions that are impacting negatively on your quality of life. I specialise in working with adults who feel stuck and overwhelmed by negative thoughts linked to anxiety and depression. I offer Couple Therapy and support people to overcome low self esteem, addictions and phobias.
01344 951053 View 01344 951053
Photo of Carol Jane Phillips, Psychotherapist, MA, HCPC-Art Therap.
Carol Jane Phillips
Psychotherapist, MA, HCPC-Art Therap.
Online Only
I am a psychotherapist with 17 years' experience working for social services, GPs, local government and in private practice. Proficient in talking and creative therapies, I work with adults and children. I am experienced in delivering therapeutic interventions for: Depression, Anxiety, Trauma, Separation and Loss, Transition, Grief, and Relationship Difficulties. I also offer Clinical Supervision.
I am a psychotherapist with 17 years' experience working for social services, GPs, local government and in private practice. Proficient in talking and creative therapies, I work with adults and children. I am experienced in delivering therapeutic interventions for: Depression, Anxiety, Trauma, Separation and Loss, Transition, Grief, and Relationship Difficulties. I also offer Clinical Supervision.
01753 945315 View 01753 945315
Photo of Laura Mellor, Psychotherapist, MSc, MUKCP
Laura Mellor
Psychotherapist, MSc, MUKCP
1 Endorsed
Reading RG7
Whatever your reasons for seeking therapy, I believe it is paramount for you to feel safe, heard and understood. You may know what you need or you may be more uncertain. No matter, it is your unique perspective and experience which is important. Having the space to explore this, free of judgement, can build self-awareness and bring clarity.
Whatever your reasons for seeking therapy, I believe it is paramount for you to feel safe, heard and understood. You may know what you need or you may be more uncertain. No matter, it is your unique perspective and experience which is important. Having the space to explore this, free of judgement, can build self-awareness and bring clarity.
0118 230 6339 View 0118 230 6339
Photo of Sandra Pellecchia, Counsellor, MBACP
Sandra Pellecchia
Counsellor, MBACP
2 Endorsed
Windsor SL4
Hi and thank you for taking the time to read about me and what I can offer you. My name is Sandra, I’m in my forties and I am a qualified person-centred counsellor and registered member of the BACP. I continue to develop professionally through regular further training and learning. I currently see clients from different backgrounds and ages who are experiencing a wide variety of difficulties and issues. I also volunteer for charities supporting individuals in distress or at crisis point.
Hi and thank you for taking the time to read about me and what I can offer you. My name is Sandra, I’m in my forties and I am a qualified person-centred counsellor and registered member of the BACP. I continue to develop professionally through regular further training and learning. I currently see clients from different backgrounds and ages who are experiencing a wide variety of difficulties and issues. I also volunteer for charities supporting individuals in distress or at crisis point.
01753 309788 View 01753 309788
Photo of Suzanne Farrell, Counsellor, MBACP
Suzanne Farrell
Counsellor, MBACP
Online Only
Choosing a therapist can be confusing and probably a little overwhelming but it is important to choose the right therapist to help you to open up about your thoughts and feelings. I work collaboratively with my clients by providing a safe, non-judgmental and confidential space to explore. I see you as an individual and acknowledge that each one of us has had unique life experiences. As a Humanistic counsellor, I believe that you have the tools within yourself to make the changes you want and find the answers you are searching for. Your reasons for seeking professional support can be as diverse and unique as we each are.
Choosing a therapist can be confusing and probably a little overwhelming but it is important to choose the right therapist to help you to open up about your thoughts and feelings. I work collaboratively with my clients by providing a safe, non-judgmental and confidential space to explore. I see you as an individual and acknowledge that each one of us has had unique life experiences. As a Humanistic counsellor, I believe that you have the tools within yourself to make the changes you want and find the answers you are searching for. Your reasons for seeking professional support can be as diverse and unique as we each are.
0118 230 0378 View 0118 230 0378
Photo of Kate England, Counsellor, MBACP
Kate England
Counsellor, MBACP
Reading RG10
Therapy provides a place in which to safely explore thoughts and feelings free from the fear of judgement. My aim, as a therapist, is to empower my clients to live their lives as they wish, free from mental tension. I believe that the emotionally wounded deserve acceptance and compassion. I recognise that sometimes there are dark days. I integrate Person-Centred and Psychodynamic theories into my counselling.
Therapy provides a place in which to safely explore thoughts and feelings free from the fear of judgement. My aim, as a therapist, is to empower my clients to live their lives as they wish, free from mental tension. I believe that the emotionally wounded deserve acceptance and compassion. I recognise that sometimes there are dark days. I integrate Person-Centred and Psychodynamic theories into my counselling.
01962 571883 View 01962 571883
Photo of Aldine Mestre Iqbal, Psychotherapist, MBACP Accred
Aldine Mestre Iqbal
Psychotherapist, MBACP Accred
Wokingham RG41
As an experienced (19 years) and relational therapist, I bring warmth, safety, honesty and provide a space where you can bring what is troubling you and be truly heard, understood and accepted. I listen with care, offer perspective and work alongside you as you make sense of your challenges and move towards meaningful change. As well as having some knowledge and understanding of many issues that bring clients to therapy, I also understand that how each person relates to their own struggle is unique. My integrative training as well as ongoing professional development means that I can tailor the therapy to your own specific needs.
As an experienced (19 years) and relational therapist, I bring warmth, safety, honesty and provide a space where you can bring what is troubling you and be truly heard, understood and accepted. I listen with care, offer perspective and work alongside you as you make sense of your challenges and move towards meaningful change. As well as having some knowledge and understanding of many issues that bring clients to therapy, I also understand that how each person relates to their own struggle is unique. My integrative training as well as ongoing professional development means that I can tailor the therapy to your own specific needs.
01344 951265 View 01344 951265
Photo of Sarah Anne Newton - New Direction Therapies , Counsellor, MNCPS Acc.
New Direction Therapies
Counsellor, MNCPS Acc.
1 Endorsed
Reading RG5
If you’re feeling anxious, low, or overwhelmed, you don’t have to face it alone. I offer counselling and hypnotherapy to help you find calm, confidence, and a sense of balance again. Working with adults and young adults in Reading, Woodley, Henley-on-Thames, and online across Berkshire, I provide a kind, confidential space where you can talk freely, feel supported, and start moving forward at your own pace.
If you’re feeling anxious, low, or overwhelmed, you don’t have to face it alone. I offer counselling and hypnotherapy to help you find calm, confidence, and a sense of balance again. Working with adults and young adults in Reading, Woodley, Henley-on-Thames, and online across Berkshire, I provide a kind, confidential space where you can talk freely, feel supported, and start moving forward at your own pace.
0118 230 5536 View 0118 230 5536
Photo of Keeley Taverner - Key for Change, Psychotherapist, MSc, MBACP Accred
Key for Change
Psychotherapist, MSc, MBACP Accred
1 Endorsed
Marlow SL7
Are you baffled by your relationship with a narcissist? Are you exhausted by the mind games, gaslighting, and deceit? Have your friends grown tired of hearing you talk about the same issues? Don't worry, you're not alone. Narcissistic abuse is real and NOT all therapists get it. Narcs are sly, conniving, and incredibly devious. Until you've experienced their abuse, it's hard to understand. This often leads to victims feeling increasingly isolated, which exacerbates the narcissist's control and creates fertile ground for further abuse. It's no wonder such relationships compromise your sanity.
Are you baffled by your relationship with a narcissist? Are you exhausted by the mind games, gaslighting, and deceit? Have your friends grown tired of hearing you talk about the same issues? Don't worry, you're not alone. Narcissistic abuse is real and NOT all therapists get it. Narcs are sly, conniving, and incredibly devious. Until you've experienced their abuse, it's hard to understand. This often leads to victims feeling increasingly isolated, which exacerbates the narcissist's control and creates fertile ground for further abuse. It's no wonder such relationships compromise your sanity.
020 3856 8714 View 020 3856 8714
Photo of Toni Doyle, Psychologist, MSc, HCPC - Couns. Psych.
Toni Doyle
Psychologist, MSc, HCPC - Couns. Psych.
Reading RG1
My name is Toni and I am an HPCP Registered and BPS Chartered Counselling Psychologist working in Reading, Berkshire and online. In addition to my private practice, I worked in the NHS for over fifteen years where I gained experience working with adults and elders who struggled with a wide variety of issues including anxiety and panic, depression, stress, trauma, psychosis, substance misuse, bereavement, domestic violence, rape, personality issues, self-harm and suicidality. The knowledge and the experience I gained throughout the years enables me to adapt my approach to suit the needs of each individual that I meet.
My name is Toni and I am an HPCP Registered and BPS Chartered Counselling Psychologist working in Reading, Berkshire and online. In addition to my private practice, I worked in the NHS for over fifteen years where I gained experience working with adults and elders who struggled with a wide variety of issues including anxiety and panic, depression, stress, trauma, psychosis, substance misuse, bereavement, domestic violence, rape, personality issues, self-harm and suicidality. The knowledge and the experience I gained throughout the years enables me to adapt my approach to suit the needs of each individual that I meet.
020 3870 3920 View 020 3870 3920
Photo of Jessica Chapman, Psychotherapist, DCounsPsych, MNCPS Acc.
Jessica Chapman
Psychotherapist, DCounsPsych, MNCPS Acc.
Reading RG4
As a Pluralistic Counsellor, I incorporate the tools and strategies from CBT, Humanistic and Psychodynamic Counselling. Together, these equip me to adapt to any concern or challenge you may wish to bring to sessions. I am qualified to work in all areas of life that can pose challenges or concerns; whether this may be general anxiety, relationship issues, facing significant decision or changes in circumstances, addiction, phobias or feeling generally low or overwhelmed. I am willing to work on any challenge you may be facing.
As a Pluralistic Counsellor, I incorporate the tools and strategies from CBT, Humanistic and Psychodynamic Counselling. Together, these equip me to adapt to any concern or challenge you may wish to bring to sessions. I am qualified to work in all areas of life that can pose challenges or concerns; whether this may be general anxiety, relationship issues, facing significant decision or changes in circumstances, addiction, phobias or feeling generally low or overwhelmed. I am willing to work on any challenge you may be facing.
0118 230 5815 View 0118 230 5815
Photo of Dr John Eaton, Psychotherapist, PhD, MUKCP
Dr John Eaton
Psychotherapist, PhD, MUKCP
Kintbury RG17
I can assist with anxiety, depression, stress, emotional suffering, trauma and relationship issues. I offer a brief-solution focused service that makes it simple and easy to overcome your difficulty. Focusing on your strengths rather than weaknesses; opportunities rather than problems; the present and future rather than the past. Where needed I can show you how to defuse from harmful thoughts, express your needs and emotions effectively, neutralise traumatic memories, and resolve problematic situations at work or in your personal life. Going on to dissolve any mental health problems you may have.
I can assist with anxiety, depression, stress, emotional suffering, trauma and relationship issues. I offer a brief-solution focused service that makes it simple and easy to overcome your difficulty. Focusing on your strengths rather than weaknesses; opportunities rather than problems; the present and future rather than the past. Where needed I can show you how to defuse from harmful thoughts, express your needs and emotions effectively, neutralise traumatic memories, and resolve problematic situations at work or in your personal life. Going on to dissolve any mental health problems you may have.
01488 508430 View 01488 508430
Photo of Diane Everitt, Counsellor, DCounsPsych, MBACP
Diane Everitt
Counsellor, DCounsPsych, MBACP
2 Endorsed
Sonning RG4
Hi, my name's Diane and I'm a qualified Integrative counsellor and work with young people (13+) and adults of all ages. You may have experienced something that's left you feeling shaken and insecure, and want to learn how to feel safe and trust again? Maybe the stress of everyday life seems to be constantly weighing you down? Maybe anxiety or depression feel overwhelming and you can't seem to break free from them on your own? Or maybe something from your past seems to be clouding your judgement and self-esteem in the present? I offer a safe, confidential space to explore your issues, free of judgement and full of kindness.
Hi, my name's Diane and I'm a qualified Integrative counsellor and work with young people (13+) and adults of all ages. You may have experienced something that's left you feeling shaken and insecure, and want to learn how to feel safe and trust again? Maybe the stress of everyday life seems to be constantly weighing you down? Maybe anxiety or depression feel overwhelming and you can't seem to break free from them on your own? Or maybe something from your past seems to be clouding your judgement and self-esteem in the present? I offer a safe, confidential space to explore your issues, free of judgement and full of kindness.
View
Photo of Julia Hudson, Psychotherapist, MBABCP
Julia Hudson
Psychotherapist, MBABCP
Marlow SL7
Feeling stuck in your emotional life? Your tried and tested strategies for coping aren't working? Or has there been a significant life event that has caused distress or made you re-evaluate where you are and where you are going? Has your doctor recommended Cognitive Behavioural Therapy? Talking through your difficulties with an Accredited CBT Therapist can help to reduce emotional distress by developing alternative thoughts, behaviours and feelings. By developing flexible attitudes and behaviours you can cope more effectively now and in the future. These skills build resilience to manage challenges. They are transferrable.
Feeling stuck in your emotional life? Your tried and tested strategies for coping aren't working? Or has there been a significant life event that has caused distress or made you re-evaluate where you are and where you are going? Has your doctor recommended Cognitive Behavioural Therapy? Talking through your difficulties with an Accredited CBT Therapist can help to reduce emotional distress by developing alternative thoughts, behaviours and feelings. By developing flexible attitudes and behaviours you can cope more effectively now and in the future. These skills build resilience to manage challenges. They are transferrable.
01494 416591 View 01494 416591
Photo of Jenn Craig - Prospect Therapies Reading, Psychotherapist, PsychD, MNCPS Acc.
Prospect Therapies Reading
Psychotherapist, PsychD, MNCPS Acc.
Reading RG1
I believe in a collaborative approach to therapy, where we work together as partners on your healing journey. Life can present challenges, and I'm here to offer support as you navigate anxiety, depression, low motivation, poor self-esteem and other life stressors. Together, we can explore solutions and develop coping strategies that empower you to live a more fulfilling life.
I believe in a collaborative approach to therapy, where we work together as partners on your healing journey. Life can present challenges, and I'm here to offer support as you navigate anxiety, depression, low motivation, poor self-esteem and other life stressors. Together, we can explore solutions and develop coping strategies that empower you to live a more fulfilling life.
0118 230 6952 View 0118 230 6952
Photo of Rebecca Platt, Counsellor, DCounsPsych, BACP
Rebecca Platt
Counsellor, DCounsPsych, BACP
Wokingham RG40
My passion is supporting families, helping you when things are tough. This might be when things are hard with your child and they might need a space to talk and work things through, or it might be for you as a parent, when you feel you have lost your voice and are walking on eggshells. Or it might be the whole family needs a neutral space to come and explore why things aren't working between you all. I am here to help you through these challenging times, so you aren't alone.
My passion is supporting families, helping you when things are tough. This might be when things are hard with your child and they might need a space to talk and work things through, or it might be for you as a parent, when you feel you have lost your voice and are walking on eggshells. Or it might be the whole family needs a neutral space to come and explore why things aren't working between you all. I am here to help you through these challenging times, so you aren't alone.
0118 230 4908 View 0118 230 4908
Photo of Michael Walsh, Counsellor, MBACP
Michael Walsh
Counsellor, MBACP
Ascot SL5
I can offer a safe and confidential space in which we can explore whatever has brought you to counselling. Through this exploration we will look to gain an understanding of you and your relationships, which might enable you make changes and as a result find ways to move forward which could lead to a more contented and satisfying life. My method of working takes into account every aspect of you. everything you feel and think can be thought about together, whatever is right for you will be the priority of our work together.
I can offer a safe and confidential space in which we can explore whatever has brought you to counselling. Through this exploration we will look to gain an understanding of you and your relationships, which might enable you make changes and as a result find ways to move forward which could lead to a more contented and satisfying life. My method of working takes into account every aspect of you. everything you feel and think can be thought about together, whatever is right for you will be the priority of our work together.
01344 964299 View 01344 964299

See more therapy options for Berkshire

How does your Counsellor compare?

Number of Counsellors in Berkshire

500+

Average cost per session

£65

Counsellors in Berkshire who prioritize treating:

91% Anxiety
85% Depression
85% Self Esteem
80% Stress
79% Relationship Issues
66% Trauma and PTSD
64% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

73% Aviva
65% AXA PPP
55% Vitality

How Counsellors in Berkshire see their clients

83% In Person and Online
17% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Berkshire?

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.