Counselling in Bracknell

Photo of Caitlin Cheale, Psychotherapist in Bracknell, England
Caitlin Cheale
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
Bracknell RG12
Are you feeling sad, anxious, or overwhelmed with the demands of everyday life? Are you a mum struggling with the ups and downs of parenthood? Is your child struggling to manage big feelings and you don't know where to turn? I am here to help. I have over a decade of experience supporting children, adolescents, and adult women facing challenging times. Some of my areas of focus include anxiety, depression, emotional regulation, perinatal mental health, eating disorders, self-harm, and chronic illness. I provide both short-term, goal focused therapy and long-term work where we can explore your past and how it impacts your present.
Are you feeling sad, anxious, or overwhelmed with the demands of everyday life? Are you a mum struggling with the ups and downs of parenthood? Is your child struggling to manage big feelings and you don't know where to turn? I am here to help. I have over a decade of experience supporting children, adolescents, and adult women facing challenging times. Some of my areas of focus include anxiety, depression, emotional regulation, perinatal mental health, eating disorders, self-harm, and chronic illness. I provide both short-term, goal focused therapy and long-term work where we can explore your past and how it impacts your present.
01344 949273 View 01344 949273
Photo of Soulful Healing with Becca , Counsellor in Bracknell, England
Soulful Healing with Becca
Counsellor, DCounsPsych, PNCPS Acc.
Verified Verified
Bracknell RG42
I am a qualified integrative Child and Adult Counsellor and ADHD Coach As an ex-Detective working in the Child abuse team, I saw how childhood traumas can affect childhood through to adulthood. The lasting effects are life debilitating and can be crippling. I believe in working collaboratively with your mind, body and soul to bring your body back in alignment. Whether that's through talking therapies, or hypnotherapy.
I am a qualified integrative Child and Adult Counsellor and ADHD Coach As an ex-Detective working in the Child abuse team, I saw how childhood traumas can affect childhood through to adulthood. The lasting effects are life debilitating and can be crippling. I believe in working collaboratively with your mind, body and soul to bring your body back in alignment. Whether that's through talking therapies, or hypnotherapy.
01344 951237 View 01344 951237
Photo of Dr Mandeep Bachu, Psychologist in Bracknell, England
Dr Mandeep Bachu
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bracknell RG42
I am a clinical psychologist trained in a diverse range of therapeutic models including Cognitive Behavioural Therapy (CBT) with a special interest in Schema Therapy. I have received formal training in Cognitive Analytic Therapy (CAT) as well as experience of delivering Dialectical Behavioural Therapy (DBT) interventions. I have 11 years of experience working within the NHS with children and adults with a range of psychological difficulties including anxiety, depression, and personality disorders.
I am a clinical psychologist trained in a diverse range of therapeutic models including Cognitive Behavioural Therapy (CBT) with a special interest in Schema Therapy. I have received formal training in Cognitive Analytic Therapy (CAT) as well as experience of delivering Dialectical Behavioural Therapy (DBT) interventions. I have 11 years of experience working within the NHS with children and adults with a range of psychological difficulties including anxiety, depression, and personality disorders.
01344 951923 View 01344 951923
Photo of Olivia Rose Counselling, Counsellor in Bracknell, England
Olivia Rose Counselling
Counsellor, MBACP
Verified Verified
Bracknell RG12  (Online Only)
Not being accepted for your full identity, experiencing the turmoil of family conflict or disconnection, or healing from abuse may have lead to you feeling confused, anxious, angry, ashamed or frustrated, or just completely fed up. You might wonder if you're good enough, or "normal". I am particularly passionate about helping people who feel like an 'other', with a profound sense of difference from family, friends or community. I have professional and lived experience and understanding of the LGBT+ community, neurodiverse individuals and survivors of parental abuse and neglect, as well as sexual abuse.
Not being accepted for your full identity, experiencing the turmoil of family conflict or disconnection, or healing from abuse may have lead to you feeling confused, anxious, angry, ashamed or frustrated, or just completely fed up. You might wonder if you're good enough, or "normal". I am particularly passionate about helping people who feel like an 'other', with a profound sense of difference from family, friends or community. I have professional and lived experience and understanding of the LGBT+ community, neurodiverse individuals and survivors of parental abuse and neglect, as well as sexual abuse.
01344 951381 View 01344 951381
Photo of Adriana Prado, Counsellor in Bracknell, England
Adriana Prado
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Bracknell RG12
I'm trained and experienced in helping young people (13+) and adults who are struggling with their mental health, and in gently assisting them in their search for the roots of those feelings. I work closely with LGBTQ+ folk, and with those who are and/or love neurodivergent people (ASD, ADHD, AuDHD, etc). I'm also an experienced School Counsellor, a role I greatly enjoy. I'm trauma-informed, anti-oppressive and culturally attuned. We will use your personal values and beliefs as our reference points during therapy, so that we can safely explore what's going on for you from the only appropriate perspective: your own.
I'm trained and experienced in helping young people (13+) and adults who are struggling with their mental health, and in gently assisting them in their search for the roots of those feelings. I work closely with LGBTQ+ folk, and with those who are and/or love neurodivergent people (ASD, ADHD, AuDHD, etc). I'm also an experienced School Counsellor, a role I greatly enjoy. I'm trauma-informed, anti-oppressive and culturally attuned. We will use your personal values and beliefs as our reference points during therapy, so that we can safely explore what's going on for you from the only appropriate perspective: your own.
01344 951451 View 01344 951451
Photo of Amy Owen, Psychotherapist in Bracknell, England
Amy Owen
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
Bracknell RG12
Hi my name is Amy, I understand that seeking help can be scary, especially if you have felt let down in the past or you haven't ever opened up to anyone before. Healing takes time and I will be alongside you for as long as it takes to feel safe and secure in expressing difficult and painful life experiences and feelings. I won't ever try to force you to open up, sometimes I might suggest using creative tools to express how you feel if you are finding it hard to put things into words. My approach is tailored to you and what you are comfortable doing.
Hi my name is Amy, I understand that seeking help can be scary, especially if you have felt let down in the past or you haven't ever opened up to anyone before. Healing takes time and I will be alongside you for as long as it takes to feel safe and secure in expressing difficult and painful life experiences and feelings. I won't ever try to force you to open up, sometimes I might suggest using creative tools to express how you feel if you are finding it hard to put things into words. My approach is tailored to you and what you are comfortable doing.
01344 586018 View 01344 586018
Photo of Karen Lesley Horrocks, Psychotherapist in Bracknell, England
Karen Lesley Horrocks
Psychotherapist, MSc, MUKCP
Verified Verified
Bracknell RG42
My particular interests are: helping men and women who have suffered trauma, from mental, physical and sexual abuse; and working with couples - around commmunication and relationship issues. Providing a safe, supportive space, I employ a Relational Approach, using the unique therapeutic relationship between me and each client as a way for us to mutually understand the personal dynamics of each person - how they interact with themselves, and with the world - and to help facilitate personal change. Through our therapeutic relationship we can help change patterns of thinking, feeling and behaviour causing pain and distress.
My particular interests are: helping men and women who have suffered trauma, from mental, physical and sexual abuse; and working with couples - around commmunication and relationship issues. Providing a safe, supportive space, I employ a Relational Approach, using the unique therapeutic relationship between me and each client as a way for us to mutually understand the personal dynamics of each person - how they interact with themselves, and with the world - and to help facilitate personal change. Through our therapeutic relationship we can help change patterns of thinking, feeling and behaviour causing pain and distress.
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Photo of Emma Rigby, Psychologist in Bracknell, England
Emma Rigby
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bracknell RG42
Waitlist for new clients
Thank you for taking the time to view my profile and find out more about my experience as a therapist and how I practice.  If you, or someone you care about are struggling, and certain aspects of life are feeling overwhelming, reaching out for help is such an important first step. Many of us are affected by mental health issues at some point in life, through our own experiences, or somebody close to us. I am dedicated in helping you to better understand these difficulties and to provide you with the tools you need to achieve emotional wellbeing.
Thank you for taking the time to view my profile and find out more about my experience as a therapist and how I practice.  If you, or someone you care about are struggling, and certain aspects of life are feeling overwhelming, reaching out for help is such an important first step. Many of us are affected by mental health issues at some point in life, through our own experiences, or somebody close to us. I am dedicated in helping you to better understand these difficulties and to provide you with the tools you need to achieve emotional wellbeing.
01344 959630 View 01344 959630
Photo of Abi Gray, Counsellor in Bracknell, England
Abi Gray
Counsellor, MBACP Accred
Verified Verified
Bracknell RG12
As an experienced and qualified counsellor, I will help you to make sense of what's happening in your life as I believe that this understanding will open up options for you to move forwards and past the uncomfortable feelings you are experiencing. You might be wanting to deal with past/current difficult and distressing experiences; improve personal or work relationships; overcome fears or anxieties; develop confidence or self-esteem; or find more purpose, motivation or fulfilment in your life.
As an experienced and qualified counsellor, I will help you to make sense of what's happening in your life as I believe that this understanding will open up options for you to move forwards and past the uncomfortable feelings you are experiencing. You might be wanting to deal with past/current difficult and distressing experiences; improve personal or work relationships; overcome fears or anxieties; develop confidence or self-esteem; or find more purpose, motivation or fulfilment in your life.
01344 949716 View 01344 949716
Photo of Gurshinder Kaur Mann, Psychotherapist in Bracknell, England
Gurshinder Kaur Mann
Psychotherapist, MBABCP
Verified Verified
Bracknell RG12
Collaborative working is at the heart of CBT and its important for clients to take control and contribute to their recovery. To help clients reach their goals I guide them to their own realisations and encourage them to challenge their bias negative thinking and unhelpful behaviours. Clients often want to be heard and understood but importantly to learn coping skills to make changes to improve their life experiences.
Collaborative working is at the heart of CBT and its important for clients to take control and contribute to their recovery. To help clients reach their goals I guide them to their own realisations and encourage them to challenge their bias negative thinking and unhelpful behaviours. Clients often want to be heard and understood but importantly to learn coping skills to make changes to improve their life experiences.
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Photo of Shahajra Ahmad, Counsellor in Bracknell, England
Shahajra Ahmad
Counsellor, MBACP
Verified Verified
Bracknell RG42
Life is full of its ups and downs, and during the difficult times it may feel, for some, that there is no one to turn to. It can be daunting asking for help and sometimes it feels like no one understands what we are going through. However this does not need to be the case, as you can get support and understanding through counselling. It's really about finding the right counselling relationships- if you've tried before and it didn't work... it was the wrong therapeutic realtionship- please don't give up, You are worth not giving up for.
Life is full of its ups and downs, and during the difficult times it may feel, for some, that there is no one to turn to. It can be daunting asking for help and sometimes it feels like no one understands what we are going through. However this does not need to be the case, as you can get support and understanding through counselling. It's really about finding the right counselling relationships- if you've tried before and it didn't work... it was the wrong therapeutic realtionship- please don't give up, You are worth not giving up for.
01344 595695 View 01344 595695
Photo of By Your Side Therapy, Counsellor in Bracknell, England
By Your Side Therapy
Counsellor, MBACP
Verified Verified
Bracknell RG12
Life can offer wonderful experiences, but it can also present challenges that can be difficult to manage. Similarly, the people in our lives can bring us joy but relationships can be stressful and can leave us feeling overwhelmed. Navigating life's journey isn't always straightforward, and discovering our own path can be difficult. Sometimes we may need help in order to make sense of it all, this is where I can support you.
Life can offer wonderful experiences, but it can also present challenges that can be difficult to manage. Similarly, the people in our lives can bring us joy but relationships can be stressful and can leave us feeling overwhelmed. Navigating life's journey isn't always straightforward, and discovering our own path can be difficult. Sometimes we may need help in order to make sense of it all, this is where I can support you.
01344 959679 View 01344 959679
Photo of ReWard Counselling, Counsellor in Bracknell, England
ReWard Counselling
Counsellor, MA, MBACP
Verified Verified
Bracknell RG12
Do you want to talk to someone? Are you considering therapy with a qualified counsellor? If you are feeling confused, unhappy, overwhelmed or worried I can work with you. Do you want to make changes but are not sure what or how? Do you feel stuck in a rut or afraid? Do you feel alone, isolated or different? Are you struggling with low-self esteem? I will listen to your thoughts and feelings, supporting you to become more empowered and autonomous. I will offer you unconditional positive regard, whatever you tell me. I do not offer advice but together we will explore your concerns so that you can be more content .
Do you want to talk to someone? Are you considering therapy with a qualified counsellor? If you are feeling confused, unhappy, overwhelmed or worried I can work with you. Do you want to make changes but are not sure what or how? Do you feel stuck in a rut or afraid? Do you feel alone, isolated or different? Are you struggling with low-self esteem? I will listen to your thoughts and feelings, supporting you to become more empowered and autonomous. I will offer you unconditional positive regard, whatever you tell me. I do not offer advice but together we will explore your concerns so that you can be more content .
01344 595535 View 01344 595535
Photo of HC-Counselling , Counsellor in Bracknell, England
HC-Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Bracknell RG42  (Online Only)
As a Person-Centred Counsellor, I offer a safe, non-judgmental space for you to explore your thoughts and feelings. It’s all about you and your journey towards finding what's best for you. I'm here to guide, listen and together, we will uncover what is happening for you. Find out more at - HC-Counselling.com
As a Person-Centred Counsellor, I offer a safe, non-judgmental space for you to explore your thoughts and feelings. It’s all about you and your journey towards finding what's best for you. I'm here to guide, listen and together, we will uncover what is happening for you. Find out more at - HC-Counselling.com
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Photo of Sarah Boylan, Counsellor in Bracknell, England
Sarah Boylan
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
Bracknell RG42
I support clients who are experiencing anxiety, depression, relationship difficulties or who are struggling with a life event. I aim to build a therapeutic relationship with you that is unique to you and offers what you need. We would carefully work at a pace and depth governed by you, to explore coping strategies and understand what has gone on in the past, what is going wrong now and have the ultimate goal of empowering you to find greater control over your life and a different way forward to a better place.
I support clients who are experiencing anxiety, depression, relationship difficulties or who are struggling with a life event. I aim to build a therapeutic relationship with you that is unique to you and offers what you need. We would carefully work at a pace and depth governed by you, to explore coping strategies and understand what has gone on in the past, what is going wrong now and have the ultimate goal of empowering you to find greater control over your life and a different way forward to a better place.
01344 949612 View 01344 949612
Photo of Marta Rosa, Counsellor in Bracknell, England
Marta Rosa
Counsellor, MNCPS Acc.
Verified Verified
2 Endorsed
Bracknell RG12
Waitlist for new clients
Let it be anxiety, depression, parenthood, general worries, grief or another specific theme that you have in mind, nothing is too little to be explored in therapy. Taking the first step towards entering therapy might not always be easy, being vulnerable in front of a stranger might be intimidating. My goal as a therapist is to give clients a safe, empathic, warm and non-judgemental space so that we can speak freely and you can have the psychological support you need, may this be in a short-term therapy concept or longer term.
Let it be anxiety, depression, parenthood, general worries, grief or another specific theme that you have in mind, nothing is too little to be explored in therapy. Taking the first step towards entering therapy might not always be easy, being vulnerable in front of a stranger might be intimidating. My goal as a therapist is to give clients a safe, empathic, warm and non-judgemental space so that we can speak freely and you can have the psychological support you need, may this be in a short-term therapy concept or longer term.
01344 959726 View 01344 959726
Photo of Samantha Cooke, Counsellor in Bracknell, England
Samantha Cooke
Counsellor, MBACP
Verified Verified
Bracknell RG42
Are you finding it difficult to get up and face the day ahead? Struggling to connect or maintain your relationships? Tired of pretending to be something you're not, yet afraid of judgment? Do you feel stuck while others move forward? Are you experiencing low mood, stress, or anxiety? With irritation and anger surfacing frequently? Maybe you're overwhelmed by mixed emotions, made even more challenging by guilt or shame for feeling that way? Perhaps you feel different, and fear being left behind. Are your nights consumed by uncertainty and worries life will always be like this?
Are you finding it difficult to get up and face the day ahead? Struggling to connect or maintain your relationships? Tired of pretending to be something you're not, yet afraid of judgment? Do you feel stuck while others move forward? Are you experiencing low mood, stress, or anxiety? With irritation and anger surfacing frequently? Maybe you're overwhelmed by mixed emotions, made even more challenging by guilt or shame for feeling that way? Perhaps you feel different, and fear being left behind. Are your nights consumed by uncertainty and worries life will always be like this?
01344 951864 View 01344 951864
Photo of Julie Easterbrook Counselling MBACP (Accred), Counsellor in Bracknell, England
Julie Easterbrook Counselling MBACP (Accred)
Counsellor, MSc, MBACP Accred
Verified Verified
Bracknell RG12
By combining my therapeutic models, I am able to provide a unique approach for each client which will help you to gain insight into your issue, enabling you to bring about change. The therapy lies in the realationship between the client and counsellor, where trust and respect is developed and at the centre of each session, and is integral in the way I work. I have experience working with adults and young people, helping with a wide range of issues. Therapy offered can be either short or long term at flexible times during the day and evening depending on the needs/requirements for each client.
By combining my therapeutic models, I am able to provide a unique approach for each client which will help you to gain insight into your issue, enabling you to bring about change. The therapy lies in the realationship between the client and counsellor, where trust and respect is developed and at the centre of each session, and is integral in the way I work. I have experience working with adults and young people, helping with a wide range of issues. Therapy offered can be either short or long term at flexible times during the day and evening depending on the needs/requirements for each client.
01344 231642 View 01344 231642
Photo of Vicky Wenham, Counsellor in Bracknell, England
Vicky Wenham
Counsellor, MBACP
Verified Verified
Bracknell RG12
I am an experienced, qualified counsellor. Counselling offers a unique and compassionate experience based on forming a relationship of trust and respect. I work with individual adults, couples and young people helping them to make sense of their lives, life events, thoughts and emotions. I have spent time working in schools with young people and their parents helping them to deal with the difficulties and challenges life can bring, especially in this age of social media. I offer a safe and non-judgemental environment in which I can help facilitate reflection and clarity on life events, thoughts and emotions.
I am an experienced, qualified counsellor. Counselling offers a unique and compassionate experience based on forming a relationship of trust and respect. I work with individual adults, couples and young people helping them to make sense of their lives, life events, thoughts and emotions. I have spent time working in schools with young people and their parents helping them to deal with the difficulties and challenges life can bring, especially in this age of social media. I offer a safe and non-judgemental environment in which I can help facilitate reflection and clarity on life events, thoughts and emotions.
07480 539821 View 07480 539821
Photo of Tania Foad, Psychotherapist in Bracknell, England
Tania Foad
Psychotherapist, MBABCP
Verified Verified
Bracknell RG12  (Online Only)
I have over 20 years of mental health experience working in the NHS and in private practice. I offer cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing therapy (EMDR). My treatments are guided by (but not restricted to) NICE guidelines. I have extensive experience of working with a range of difficulties including anxiety disorders, OCD, depression, insomnia, binge eating disorders and obesity. I will see clients for weight loss at a reduced rate and I am also a nutritional coach. Please see my website for details.
I have over 20 years of mental health experience working in the NHS and in private practice. I offer cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing therapy (EMDR). My treatments are guided by (but not restricted to) NICE guidelines. I have extensive experience of working with a range of difficulties including anxiety disorders, OCD, depression, insomnia, binge eating disorders and obesity. I will see clients for weight loss at a reduced rate and I am also a nutritional coach. Please see my website for details.
01276 543758 View 01276 543758

See more therapy options for Bracknell

How does your Counsellor compare?

Number of Counsellors in Bracknell

60+

Average cost per session

£65

Counsellors in Bracknell who prioritize treating:

98% Anxiety
97% Self Esteem
92% Relationship Issues
92% Depression
89% Stress
67% Coping Skills
64% Peer Relationships

Average years in practice

7 Years

Top 3 insurances accepted

61% AXA PPP
61% Vitality
56% Aviva

How Counsellors in Bracknell see their clients

93% In Person and Online
7% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Bracknell?

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.