Counselling in Bristol

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Photo of Isabella Mighetto, Counsellor in Bristol, England
Isabella Mighetto
Counsellor, MSc, MBACP
Verified
1 Endorsed
Bristol BS8
Hello, I am Isabella. I offer a compassionate and non-judgmental space for you to talk and to be heard. I see the relationship we build together as central. Our work together might include exploring difficult feelings or thoughts in the present and how they may connect to past experiences and relationships. I am a registered member of the BACP (British Association of Counsellors and Psychotherapists), graduate member of the BPS (British Psychological Society) and a counselling psychologist in training (clinical training completed, currently at the end of writing up my research thesis).
Hello, I am Isabella. I offer a compassionate and non-judgmental space for you to talk and to be heard. I see the relationship we build together as central. Our work together might include exploring difficult feelings or thoughts in the present and how they may connect to past experiences and relationships. I am a registered member of the BACP (British Association of Counsellors and Psychotherapists), graduate member of the BPS (British Psychological Society) and a counselling psychologist in training (clinical training completed, currently at the end of writing up my research thesis).
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Photo of Milla Kenny, Counsellor in Bristol, England
Milla Kenny
Counsellor, MBACP
Verified
Bristol BS31
Hello, do you need space to talk? Together we can explore issues relating to bereavement, loss and grief, depression and anxiety, loneliness and isolation, low self-esteem and self-confidence, relationship issues or challenging family dynamics. I have special interest in working with bereavement, grief and loss and can help with what can be a very difficult time in your life. I gravitate towards psychodynamic approach to therapy and I will encourage you to be self-reflective, engage in self-exploration into your thoughts, feelings, emotions, experiences from early life, and the beliefs that you hold.
Hello, do you need space to talk? Together we can explore issues relating to bereavement, loss and grief, depression and anxiety, loneliness and isolation, low self-esteem and self-confidence, relationship issues or challenging family dynamics. I have special interest in working with bereavement, grief and loss and can help with what can be a very difficult time in your life. I gravitate towards psychodynamic approach to therapy and I will encourage you to be self-reflective, engage in self-exploration into your thoughts, feelings, emotions, experiences from early life, and the beliefs that you hold.
01454 804757 View 01454 804757
Photo of Simone Passos, Psychologist in Bristol, England
Simone Passos
Psychologist, MSc, HCPC - Clin. Psych.
Verified
Bristol BS2
The psychologist can help you. Count on the support of a professional. Many think that the psychologist is exclusive for mental illnesses, this is a myth, the psychologist works in several areas and uses the best and specific knowledge to help people to have an improvement, guidance or even a determination that generates doubts in several aspects of your everyday life.
The psychologist can help you. Count on the support of a professional. Many think that the psychologist is exclusive for mental illnesses, this is a myth, the psychologist works in several areas and uses the best and specific knowledge to help people to have an improvement, guidance or even a determination that generates doubts in several aspects of your everyday life.
0117 456 5092 View 0117 456 5092
Photo of Elyssa McKeown, Counsellor in Bristol, England
Elyssa McKeown
Counsellor, MBACP
Verified
Bristol BS6
Are you struggling with stress, anxiety, depression, or self-esteem? Perhaps life is throwing big challenges your way? Or maybe you're starting to see some patterns play out in your relationships, that you can't quite make sense of? It can be hard to know where to start, and it can feel really isolating. But Counselling provides a non-judgmental, supportive space with a trained professional to help you work through difficult issues; deepen understanding of your self and ultimately harness your inner sense of strength.
Are you struggling with stress, anxiety, depression, or self-esteem? Perhaps life is throwing big challenges your way? Or maybe you're starting to see some patterns play out in your relationships, that you can't quite make sense of? It can be hard to know where to start, and it can feel really isolating. But Counselling provides a non-judgmental, supportive space with a trained professional to help you work through difficult issues; deepen understanding of your self and ultimately harness your inner sense of strength.
020 3667 9823 View 020 3667 9823
Photo of Natasha Vdovkina, Counsellor in Bristol, England
Natasha Vdovkina
Counsellor, MBACP Accred
Verified
Bristol BS8
No evening or weekend availability. Fully qualified, BACP and EMDR accredited, I have been working with clients in a variety of settings, including the NHS, local therapy centre for women, Bristol University, voluntary sector organisations and private practice. Whether you are feeling overwhelmed by life’s demands, struggling with anxiety and depression, experienced trauma as a child or adult, or simply looking for self-growth and deeper understanding of yourself, I hope to be able to help you.
No evening or weekend availability. Fully qualified, BACP and EMDR accredited, I have been working with clients in a variety of settings, including the NHS, local therapy centre for women, Bristol University, voluntary sector organisations and private practice. Whether you are feeling overwhelmed by life’s demands, struggling with anxiety and depression, experienced trauma as a child or adult, or simply looking for self-growth and deeper understanding of yourself, I hope to be able to help you.
0117 463 3255 View 0117 463 3255
Photo of Daniel Fryer, Counsellor in Bristol, England
Daniel Fryer
Counsellor, MSc, MNCPS Acc.
Verified
1 Endorsed
Bristol BS1
Hello there, I've been in practice as a psychotherapist and hypnotherapist for nearly 20 years now and have worked in a variety of settings, including private practice (in both London and Bristol), the NHS, occupational health, private healthcare and The Priory Hospital. I also develop group therapy programmes, workshops, webinars and live presentations and am the author of two pop psych self-help titles. I bring wit, wisdom and experience into the room. If you need help with your anxiety and stress, including work-related stress and burnout, if you want help with your confidence or in overcoming a life challenge, I can help
Hello there, I've been in practice as a psychotherapist and hypnotherapist for nearly 20 years now and have worked in a variety of settings, including private practice (in both London and Bristol), the NHS, occupational health, private healthcare and The Priory Hospital. I also develop group therapy programmes, workshops, webinars and live presentations and am the author of two pop psych self-help titles. I bring wit, wisdom and experience into the room. If you need help with your anxiety and stress, including work-related stress and burnout, if you want help with your confidence or in overcoming a life challenge, I can help
0117 325 6775 View 0117 325 6775
Photo of Carly Read, Counsellor in Bristol, England
Carly Read
Counsellor, BACP
Verified
Bristol BS6
Not accepting new clients
I'm an integrative counsellor, which means that I don't believe there is a one size fits all approach when it comes to therapy. My main specialisms and passions though are working with children & young people, the LGBTQ+ community, women and survivors of abuse. I have years of experience working with women, children and young people, having worked for respected charities like Women's Aid, The NSPCC, Kinergy and Off The Record. I’m also an artist, and a big believer in the healing and communicative power of play & creativity. I am happy to work with you in this way if you want to-though there’s no pressure to.
I'm an integrative counsellor, which means that I don't believe there is a one size fits all approach when it comes to therapy. My main specialisms and passions though are working with children & young people, the LGBTQ+ community, women and survivors of abuse. I have years of experience working with women, children and young people, having worked for respected charities like Women's Aid, The NSPCC, Kinergy and Off The Record. I’m also an artist, and a big believer in the healing and communicative power of play & creativity. I am happy to work with you in this way if you want to-though there’s no pressure to.
0117 456 3051 View 0117 456 3051
Photo of Steve Harland, Counsellor in Bristol, England
Steve Harland
Counsellor, MBACP
Verified
Bristol BS6
I am currently offering in person, online video and telephone counselling by appointment. If you are currently looking for a counsellor it may well be that you have reached a point of change. You can no longer put up with the current situation you feel you are in. You may be suffering anxious feelings or low mood, or be struggling with anger and frustration, or any number of other concerns. These are feelings that we all experience from time to time, but they can be limiting and have an effect on our general happiness and satisfaction with life.
I am currently offering in person, online video and telephone counselling by appointment. If you are currently looking for a counsellor it may well be that you have reached a point of change. You can no longer put up with the current situation you feel you are in. You may be suffering anxious feelings or low mood, or be struggling with anger and frustration, or any number of other concerns. These are feelings that we all experience from time to time, but they can be limiting and have an effect on our general happiness and satisfaction with life.
0117 456 2302 View 0117 456 2302
Photo of Kayla Dunkley, Counsellor in Bristol, England
Kayla Dunkley
Counsellor, MNCPS Acc.
Verified
Bristol BS6
Hello, my name is Kayla! I offer in person and online therapy. We can easily fall into feelings of despair, anxiety and self sabotage when met with life difficulties on top of unresolved emotions or trauma. This can be overwhelming, but with the right tools and a safe place to process; patterns can be identified, repeating cycles can be intercepted and changed, improving your emotional wellbeing, relationships and quality of life for the better. If you are fed up, tired of being in a slump or just want to understand yourself better and see change, perhaps now is the time to start your therapeutic journey.
Hello, my name is Kayla! I offer in person and online therapy. We can easily fall into feelings of despair, anxiety and self sabotage when met with life difficulties on top of unresolved emotions or trauma. This can be overwhelming, but with the right tools and a safe place to process; patterns can be identified, repeating cycles can be intercepted and changed, improving your emotional wellbeing, relationships and quality of life for the better. If you are fed up, tired of being in a slump or just want to understand yourself better and see change, perhaps now is the time to start your therapeutic journey.
01275 409703 View 01275 409703
Photo of Sandra Wilson Hypnotherapy for Women in Bristol, England
Sandra Wilson Hypnotherapy for Women
MSc
Bristol BS4
Hi, I'm Sandra, a Clinical Hypnotherapist who helps women with menopause symptoms, in particular anxiety/panic, rage, sexual problems, low body confidence, relationship issues and low self esteem. I have 39 five star google ratings too! Get in touch for a friendly chat.
Hi, I'm Sandra, a Clinical Hypnotherapist who helps women with menopause symptoms, in particular anxiety/panic, rage, sexual problems, low body confidence, relationship issues and low self esteem. I have 39 five star google ratings too! Get in touch for a friendly chat.
0117 325 5737 View 0117 325 5737
Photo of Holly Robinson, Counsellor in Bristol, England
Holly Robinson
Counsellor, MNCPS Acc.
Verified
1 Endorsed
Bristol BS2
Hi, my name is Holly, and I am an Integrative Counsellor with a specialist interest in working in the areas of sexual abuse, trauma and identity. An example of clients that I may see at my practice (but are not limited to) are survivors who have experienced any form of sexual violence, their loved ones, sex workers and those impacted by sexually intrusive thoughts, images or compulsions. I also work with clients who have experienced various types of trauma, who have challenges with or are looking to explore different aspects of their identity.
Hi, my name is Holly, and I am an Integrative Counsellor with a specialist interest in working in the areas of sexual abuse, trauma and identity. An example of clients that I may see at my practice (but are not limited to) are survivors who have experienced any form of sexual violence, their loved ones, sex workers and those impacted by sexually intrusive thoughts, images or compulsions. I also work with clients who have experienced various types of trauma, who have challenges with or are looking to explore different aspects of their identity.
0117 463 3285 View 0117 463 3285
Photo of Claudia Kent, Psychotherapist in Bristol, England
Claudia Kent
Psychotherapist, MSc, MBACP
Verified
1 Endorsed
Bristol BS7  (Online Only)
Hello, I'm Claudia (she/her), a dedicated Bristol based psychotherapist with a passion for justice and equality. I aim to create a safe and affirming space for individuals of diverse backgrounds, including LGBTQIA+ individuals, those exploring kink or polyamory, and anyone navigating questions of gender, sexuality, or identity. I approach therapy with gentleness and a genuine curiosity about the vast spectrum of human experiences. I am here to support you as you journey through your unique story, at your own pace. When you feel stuck or uncertain, I use active, compassionate listening to guide you forward.
Hello, I'm Claudia (she/her), a dedicated Bristol based psychotherapist with a passion for justice and equality. I aim to create a safe and affirming space for individuals of diverse backgrounds, including LGBTQIA+ individuals, those exploring kink or polyamory, and anyone navigating questions of gender, sexuality, or identity. I approach therapy with gentleness and a genuine curiosity about the vast spectrum of human experiences. I am here to support you as you journey through your unique story, at your own pace. When you feel stuck or uncertain, I use active, compassionate listening to guide you forward.
01273 092301 View 01273 092301
Photo of Becky Gant, Counsellor in Bristol, England
Becky Gant
Counsellor, MA, MBACP
Verified
Bristol BS2
It’s a beautiful, but very complicated thing, to be a human. There are many difficulties we encounter throughout our lives that can leave us feeling overwhelmed or in distress – and yet so often, we feel as though we must push these feelings down. It takes a lot of courage to reach out and ask for help, to commit the time and energy to your own self-care and healing. Whatever has brought you to this space today, taking these first steps is a huge achievement.
It’s a beautiful, but very complicated thing, to be a human. There are many difficulties we encounter throughout our lives that can leave us feeling overwhelmed or in distress – and yet so often, we feel as though we must push these feelings down. It takes a lot of courage to reach out and ask for help, to commit the time and energy to your own self-care and healing. Whatever has brought you to this space today, taking these first steps is a huge achievement.
01275 402723 View 01275 402723
Photo of Hannah Lehrain, Psychotherapist in Bristol, England
Hannah Lehrain
Psychotherapist, MBABCP
Verified
Bristol BS1
Does depression or anxiety stop you from living the life you want? – As an accredited Cognitive Behavioural Psychotherapist I offer NICE recommended, evidenced-based treatments for Depression, Generalised Anxiety Disorder (worry), Health Anxiety, Insomnia, Low Self Esteem, OCD, Panic Attacks, Phobias, PTSD, Social Anxiety, Stress. I am also trained in IPT, a pragmatic and focused approach to treating depression, which focuses on resolving difficulties by helping patients to address interpersonal problems and relationship-based issues.
Does depression or anxiety stop you from living the life you want? – As an accredited Cognitive Behavioural Psychotherapist I offer NICE recommended, evidenced-based treatments for Depression, Generalised Anxiety Disorder (worry), Health Anxiety, Insomnia, Low Self Esteem, OCD, Panic Attacks, Phobias, PTSD, Social Anxiety, Stress. I am also trained in IPT, a pragmatic and focused approach to treating depression, which focuses on resolving difficulties by helping patients to address interpersonal problems and relationship-based issues.
0117 456 2877 View 0117 456 2877
Photo of Lucy Powell, Counsellor in Bristol, England
Lucy Powell
Counsellor, BACP
Verified
1 Endorsed
Bristol BS1
Waitlist for new clients
I am a trained integrative therapist and have worked in the areas of complex trauma, abuse, addiction and mental health for a number of years. I have trained as an integrative counsellor which means I have studied and experienced a wide variety of skills, techniques and theories that enable me to provide a tailored approach to each individual's specific goals and needs. I work in a safe, paced and creative way that will enrich the relationship and keep you, the client, resourced to engage in the therapeutic process.
I am a trained integrative therapist and have worked in the areas of complex trauma, abuse, addiction and mental health for a number of years. I have trained as an integrative counsellor which means I have studied and experienced a wide variety of skills, techniques and theories that enable me to provide a tailored approach to each individual's specific goals and needs. I work in a safe, paced and creative way that will enrich the relationship and keep you, the client, resourced to engage in the therapeutic process.
0117 456 2183 View 0117 456 2183
Photo of Melissa Kent, Psychotherapist in Bristol, England
Melissa Kent
Psychotherapist, MBABCP
Verified
1 Endorsed
Bristol BS15  (Online Only)
I am here for you. I understand the busy demands of day-to-day life and know how challenging it can be to find space for self-care. My services are based on the premise, that you are the expert in knowing yourself; I’m simply here to guide you in the process. As a Psychological Wellbeing Practitioner, I am a qualified Behavioural and Cognitive Psychotherapist, trained in delivering Cognitive Behavioural Therapy (CBT) interventions working across all ages.
I am here for you. I understand the busy demands of day-to-day life and know how challenging it can be to find space for self-care. My services are based on the premise, that you are the expert in knowing yourself; I’m simply here to guide you in the process. As a Psychological Wellbeing Practitioner, I am a qualified Behavioural and Cognitive Psychotherapist, trained in delivering Cognitive Behavioural Therapy (CBT) interventions working across all ages.
0117 463 0199 View 0117 463 0199
Photo of Toby Gray, Psychotherapist in Bristol, England
Toby Gray
Psychotherapist, UKCP Trainee
Verified
1 Endorsed
Bristol BS1
I am senior trainee in Core Process Psychotherapy with 20 years of working in mental health. We all have times in our life when we suffer. This takes many forms such as depression, anxiety, grief, negative patterns of behaviour or lack of meaning. At times we cannot see a way out and need help. Psychotherapy creates a safe and compassionate space to explore our experience. By listening and empathising at a deep level I allow you to fully engage with your difficulties, at a pace that is right for you. This is a collaborative journey that ultimately leads to more freedom and contentment.All you need to bring is curiosity and openness.
I am senior trainee in Core Process Psychotherapy with 20 years of working in mental health. We all have times in our life when we suffer. This takes many forms such as depression, anxiety, grief, negative patterns of behaviour or lack of meaning. At times we cannot see a way out and need help. Psychotherapy creates a safe and compassionate space to explore our experience. By listening and empathising at a deep level I allow you to fully engage with your difficulties, at a pace that is right for you. This is a collaborative journey that ultimately leads to more freedom and contentment.All you need to bring is curiosity and openness.
0117 463 7265 View 0117 463 7265
Photo of The Rose May Practice - Sarah Davies , Psychotherapist in Bristol, England
The Rose May Practice - Sarah Davies
Psychotherapist, MNCPS Acc.
Verified
1 Endorsed
Bristol BS5  (Online Only)
I am a clinical psychotherapist specialising in EMDR Trauma therapy. I am an accredited member of the NCPS, NCYPT & EMDRIA register. I currently work internationally online operating from a range of modalities including IFS (informed) as a member of the IFS Online Circle in an integrative approach.
I am a clinical psychotherapist specialising in EMDR Trauma therapy. I am an accredited member of the NCPS, NCYPT & EMDRIA register. I currently work internationally online operating from a range of modalities including IFS (informed) as a member of the IFS Online Circle in an integrative approach.
0117 463 3666 View 0117 463 3666
Photo of Katrina Young, Counsellor in Bristol, England
Katrina Young
Counsellor, MBACP
Verified
Bristol BS34
Hello and welcome. I have particular experience in helping clients who are struggling with a sense of what I call ‘stuckness’, in their life. Are you feeling trapped in a job that doesn’t inspire you to get up every morning? Are you feeling imprisoned in life’s routine and experiencing a sense of emptiness, but are unsure of how to fill that void? Are you quietly asking yourself ‘Who am I?’ You are not alone. I have worked with many individuals with troubles such as these. In a world that seems to be telling us how to look, how to act and even how to feel, it’s no wonder we can find ourselves feeling lost and confused. I can help.
Hello and welcome. I have particular experience in helping clients who are struggling with a sense of what I call ‘stuckness’, in their life. Are you feeling trapped in a job that doesn’t inspire you to get up every morning? Are you feeling imprisoned in life’s routine and experiencing a sense of emptiness, but are unsure of how to fill that void? Are you quietly asking yourself ‘Who am I?’ You are not alone. I have worked with many individuals with troubles such as these. In a world that seems to be telling us how to look, how to act and even how to feel, it’s no wonder we can find ourselves feeling lost and confused. I can help.
0117 463 0633 View 0117 463 0633
Photo of Sapling CBT (cbt, emdr, btti for tics) in Bristol, England
Sapling CBT (cbt, emdr, btti for tics)
MSc
Bristol BS3
Thank you for taking the time to view my profile. I am a specialist Child and Adolescent Psychotherapist. My professional background is Educational Psychology, trauma and attachment therapy with 18 years experience supporting families. I help people aged 8- 24 who have experienced trauma, anxiety, low mood tics and care experienced young people. We will work together to build a bespoke treatment plan, I believe we all have the potential for positive wellbeing, I will work with you to uncover what this means to you. Weekly clinic held in Bath and Bristol and online.
Thank you for taking the time to view my profile. I am a specialist Child and Adolescent Psychotherapist. My professional background is Educational Psychology, trauma and attachment therapy with 18 years experience supporting families. I help people aged 8- 24 who have experienced trauma, anxiety, low mood tics and care experienced young people. We will work together to build a bespoke treatment plan, I believe we all have the potential for positive wellbeing, I will work with you to uncover what this means to you. Weekly clinic held in Bath and Bristol and online.
0117 325 4798 View 0117 325 4798

See more therapy options for Bristol

How does your Counsellor compare?

Number of Counsellors in Bristol

600+

Average cost per session

£60

Counsellors in Bristol who prioritize treating:

90% Anxiety
85% Self Esteem
84% Depression
78% Relationship Issues
78% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

62% AXA PPP
61% Aviva
46% Vitality

How Counsellors in Bristol see their clients

73% In Person and Online
27% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Bristol?

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.