Counselling in West End, Bristol

Photo of Kate Hall, MBACP, Psychotherapist
Kate Hall
Psychotherapist, MBACP
Verified Verified
West End, Bristol BS1
Waitlist for new clients
I am a specialist relationship and couples therapist having trained at Tavistock Relationships, the leading centre of excellence for couple psychotherapy. You might seek help with a life transition whether that is living together, becoming parents, blending families, retiring, or seek help with a specific issue such as emotional withdrawal or feeling insecure, sexual intimacy, an affair, bereavement, or facing illness. You might be struggling to communicate with your partner about your needs, feeling lonely or anxious within your relationship, or struggling to sustain a relationship with a partner, parent or sibling.
I am a specialist relationship and couples therapist having trained at Tavistock Relationships, the leading centre of excellence for couple psychotherapy. You might seek help with a life transition whether that is living together, becoming parents, blending families, retiring, or seek help with a specific issue such as emotional withdrawal or feeling insecure, sexual intimacy, an affair, bereavement, or facing illness. You might be struggling to communicate with your partner about your needs, feeling lonely or anxious within your relationship, or struggling to sustain a relationship with a partner, parent or sibling.
01454 801782 View 01454 801782
Photo of Martin Robert Conway - Martin Conway Counselling, MSc, BACP, Counsellor
Martin Conway Counselling
Counsellor, MSc, BACP
Verified Verified
West End, Bristol BS1
I offer counselling in Bristol and online for individuals and couples experiencing a range of issues. I completed my Level 6 Diploma with merit and MSc in Psychology with commendation. I have worked in placements at an addiction clinic and the Wellbeing Service at the University of West of England and I have 1500+ hours of therapy experience. My experience includes (but is not limited to) stress, anxiety, depression, addiction, trauma, eating disorders, relationship difficulties, long-term illness and self-esteem.
I offer counselling in Bristol and online for individuals and couples experiencing a range of issues. I completed my Level 6 Diploma with merit and MSc in Psychology with commendation. I have worked in placements at an addiction clinic and the Wellbeing Service at the University of West of England and I have 1500+ hours of therapy experience. My experience includes (but is not limited to) stress, anxiety, depression, addiction, trauma, eating disorders, relationship difficulties, long-term illness and self-esteem.
01275 408902 View 01275 408902
Photo of Robert Holman, BACP, Counsellor
Robert Holman
Counsellor, BACP
Verified Verified
West End, Bristol BS1
There are many reasons why people seek time and space to talk and reflect. You might want to talk about thoughts and feelings that are difficult to discuss with others, or consider what has happened to bring you to this point in your life. This can be a space for exploration and discovery, a protected hour in which you will be listened to. My focus is on listening openly, without judgment, to whatever you bring. I will listen to your experiences and your point of view and together we can look at different perspectives which can help you to live more freely.
There are many reasons why people seek time and space to talk and reflect. You might want to talk about thoughts and feelings that are difficult to discuss with others, or consider what has happened to bring you to this point in your life. This can be a space for exploration and discovery, a protected hour in which you will be listened to. My focus is on listening openly, without judgment, to whatever you bring. I will listen to your experiences and your point of view and together we can look at different perspectives which can help you to live more freely.
020 3984 8654 View 020 3984 8654
Photo of Helen Downing, MBACP, Counsellor
Helen Downing
Counsellor, MBACP
Verified Verified
West End, Bristol BS1
Are you a parent or carer looking for support for the child in your care? Maybe you’ve been surprised by your own strong and complex emotions that seem to have been stirred up by parenting? One of the greatest privileges in my work is to support families working through past and present hurts to nurture understanding and deepen relationships. I work collaboratively with parents and carers to figure out what approach is best suited to your family’s needs right now. I also specialise in Jungian-informed sandplay therapy, which is suitable for individual clients of all ages and backgrounds.
Are you a parent or carer looking for support for the child in your care? Maybe you’ve been surprised by your own strong and complex emotions that seem to have been stirred up by parenting? One of the greatest privileges in my work is to support families working through past and present hurts to nurture understanding and deepen relationships. I work collaboratively with parents and carers to figure out what approach is best suited to your family’s needs right now. I also specialise in Jungian-informed sandplay therapy, which is suitable for individual clients of all ages and backgrounds.
0117 456 5018 View 0117 456 5018
Photo of Duncan E. Stafford, MBACP Accred, Psychotherapist
Duncan E. Stafford
Psychotherapist, MBACP Accred
Verified Verified
West End, Bristol BS1
Welcome. During the 25 years I've been in therapy practice I've come to think of my way of working with individuals or couples as creating a unique space that is facilitating for recovery or growth. I draw on a wide range of techniques and approaches to fulfil this way of working (including the use of CBT tools). Psychotherapy and counselling with me is a confidential and non-judgemental process. I won’t tell you what to do but we will talk about whatever you need to talk about and we will work on ways of developing a useful route through your issues, however difficult. (My practice is neurodiverse informed and kink friendly).
Welcome. During the 25 years I've been in therapy practice I've come to think of my way of working with individuals or couples as creating a unique space that is facilitating for recovery or growth. I draw on a wide range of techniques and approaches to fulfil this way of working (including the use of CBT tools). Psychotherapy and counselling with me is a confidential and non-judgemental process. I won’t tell you what to do but we will talk about whatever you need to talk about and we will work on ways of developing a useful route through your issues, however difficult. (My practice is neurodiverse informed and kink friendly).
0117 325 3080 View 0117 325 3080
Photo of Jonathan Patrick Jenkins - Joey Jenkins, MA, MBACP, Psychotherapist
Joey Jenkins
Psychotherapist, MA, MBACP
Verified Verified
West End, Bristol BS1
I am an accredited BACP counsellor who is in the process of seeking accreditation as a psychotherapist. I have over 700 hours of clinical experience and work part time for a charity specialising in eating disorders, which works with the NHS. As well as that I am in private practice and work with a range of mental health issues. If you have happened upon this then you might have been struggling with something life has thrown at you, or you are simply feeling distress for seemingly no apparent reason. I’m sorry if this is the case. But you have taken an important step towards asking for help, which is commendable as well as daunting.
I am an accredited BACP counsellor who is in the process of seeking accreditation as a psychotherapist. I have over 700 hours of clinical experience and work part time for a charity specialising in eating disorders, which works with the NHS. As well as that I am in private practice and work with a range of mental health issues. If you have happened upon this then you might have been struggling with something life has thrown at you, or you are simply feeling distress for seemingly no apparent reason. I’m sorry if this is the case. But you have taken an important step towards asking for help, which is commendable as well as daunting.
0117 463 4580 View 0117 463 4580
Photo of Hyunho Khang, MA, MBACP Accred, Psychotherapist
Hyunho Khang
Psychotherapist, MA, MBACP Accred
Verified Verified
West End, Bristol BS1
I have wide experience counselling a diverse range of clients experiencing depression, anxiety, low self-esteem, loss, grief, anger issues, confidence issues, relationship difficulties, issues around sex, issues at work, ADHD, addiction, eating issues, abuse and trauma. I work in conjunction with NHS services and other health professionals to support adults in the South West. I have a particular interest in working with clients with relationship difficulties (including sex issues), clients affected by narcissism in their relationships, and clients with somatic problems including pain, chronic fatigue, ME, IBS and fibromyalgia.
I have wide experience counselling a diverse range of clients experiencing depression, anxiety, low self-esteem, loss, grief, anger issues, confidence issues, relationship difficulties, issues around sex, issues at work, ADHD, addiction, eating issues, abuse and trauma. I work in conjunction with NHS services and other health professionals to support adults in the South West. I have a particular interest in working with clients with relationship difficulties (including sex issues), clients affected by narcissism in their relationships, and clients with somatic problems including pain, chronic fatigue, ME, IBS and fibromyalgia.
0117 325 2122 View 0117 325 2122
Photo of Miro Cansky, MBACP, Counsellor
Miro Cansky
Counsellor, MBACP
Verified Verified
1 Endorsed
West End, Bristol BS1
Update: As of October 2024, I am OPEN to new enquiries. With over 20 years in practice, my main objective is for you to know that you are welcome exactly as you are. Whatever is on your mind can be explored in a non-critical and open way. I want you to know that you are safe in your counselling sessions. You can rest assured that it is okay to ‘blurt it all out’, because we will be able to make sense of things together. You can also take your time to think and be quiet as you gather your thoughts. There is no pressure to go into topics you don’t want to speak about. In short, you can come exactly as you are.
Update: As of October 2024, I am OPEN to new enquiries. With over 20 years in practice, my main objective is for you to know that you are welcome exactly as you are. Whatever is on your mind can be explored in a non-critical and open way. I want you to know that you are safe in your counselling sessions. You can rest assured that it is okay to ‘blurt it all out’, because we will be able to make sense of things together. You can also take your time to think and be quiet as you gather your thoughts. There is no pressure to go into topics you don’t want to speak about. In short, you can come exactly as you are.
0117 456 5396 View 0117 456 5396
Photo of Zoe Newton, BACP, Counsellor
Zoe Newton
Counsellor, BACP
Verified Verified
West End, Bristol BS1
Hi, I'm Zoe! I'm a person-centred counsellor which means we'll work together to explore, process & understand the difficult things you're experiencing and feeling. I won't analyse you, instead I'll be alongside you, offering a warm, accepting space.
Hi, I'm Zoe! I'm a person-centred counsellor which means we'll work together to explore, process & understand the difficult things you're experiencing and feeling. I won't analyse you, instead I'll be alongside you, offering a warm, accepting space.
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Photo of Richard Lewis, MNCPS Acc., Psychotherapist
Richard Lewis
Psychotherapist, MNCPS Acc.
Verified Verified
West End, Bristol BS1
You may feel something is “off” or even unreal in the way you experience your interpersonal relationships, or in the way the world responds to you. You may be looking for relief from distressing thoughts or worries. You may be at a crossroads and unsure of your next steps. You may be looking to understand or heal from something that happened to you and the effects it had.
You may feel something is “off” or even unreal in the way you experience your interpersonal relationships, or in the way the world responds to you. You may be looking for relief from distressing thoughts or worries. You may be at a crossroads and unsure of your next steps. You may be looking to understand or heal from something that happened to you and the effects it had.
01454 804786 View 01454 804786
Photo of Luke Fielder, MBACP Accred, Counsellor
Luke Fielder
Counsellor, MBACP Accred
Verified Verified
West End, Bristol BS1
Waitlist for new clients
I offer a safe space in which you can speak and be listened to without judgement or expectation. As a psychoanalytically informed counsellor, I encourage you to speak about whatever comes to mind and to follow your thoughts wherever they lead. You may have a diagnosis or have your own terms for how you are suffering - we can start there. What we may find is that issues of identity and subjectivity follow - how you see yourself in relation to those around you now or in the past and possibly, in the future....
I offer a safe space in which you can speak and be listened to without judgement or expectation. As a psychoanalytically informed counsellor, I encourage you to speak about whatever comes to mind and to follow your thoughts wherever they lead. You may have a diagnosis or have your own terms for how you are suffering - we can start there. What we may find is that issues of identity and subjectivity follow - how you see yourself in relation to those around you now or in the past and possibly, in the future....
01275 402829 View 01275 402829
Photo of Juliana Garcia, MNCPS Acc., Counsellor
Juliana Garcia
Counsellor, MNCPS Acc.
Verified Verified
West End, Bristol BS1  (Online Only)
Whatever issues you are facing right now, I offer a safe, confidential and judgement-free space in which we can reflect on them and, by better understanding your conflicts and experiences, grow in self-awareness. I believe in the importance of building a trusting relationship with my clients, so that we can work together towards effecting change and constructing meaningful relationships.
Whatever issues you are facing right now, I offer a safe, confidential and judgement-free space in which we can reflect on them and, by better understanding your conflicts and experiences, grow in self-awareness. I believe in the importance of building a trusting relationship with my clients, so that we can work together towards effecting change and constructing meaningful relationships.
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Photo of Peter Dorling, MUKCP, Psychotherapist
Peter Dorling
Psychotherapist, MUKCP
Verified Verified
West End, Bristol BS1
I provide Psychodynamic Psychotherapy, and Relational Group-Analytic Therapy. Working together, we create trust and rapport to understand and address unresolved life events and dilemmas. We recognise the complexities of relating to self and others, engaging dreams, the imagination and communication to become receptive to deeper, lasting change. By working individually with an experienced clinician, or, through sharing honest communication in a supportive, facilitated group, you can develop increased agency, greater self-worth and resilience, courage to discern a new life-direction, and, the confidence to explore relationships.
I provide Psychodynamic Psychotherapy, and Relational Group-Analytic Therapy. Working together, we create trust and rapport to understand and address unresolved life events and dilemmas. We recognise the complexities of relating to self and others, engaging dreams, the imagination and communication to become receptive to deeper, lasting change. By working individually with an experienced clinician, or, through sharing honest communication in a supportive, facilitated group, you can develop increased agency, greater self-worth and resilience, courage to discern a new life-direction, and, the confidence to explore relationships.
0117 325 4023 View 0117 325 4023
Photo of Claire Nunan, MSc, SNCPS Acc., Counsellor
Claire Nunan
Counsellor, MSc, SNCPS Acc.
Verified Verified
West End, Bristol BS1  (Online Only)
I’m Claire. I am a Senior Accredited Counsellor providing safe and supportive online counselling sessions. I work with a wide range of people but I specialise in working with individuals from the LGBTQ+ and GSRD community, those who are neurodivergent (or think they might be) as well as Millennials and Gen Z-ers.
I’m Claire. I am a Senior Accredited Counsellor providing safe and supportive online counselling sessions. I work with a wide range of people but I specialise in working with individuals from the LGBTQ+ and GSRD community, those who are neurodivergent (or think they might be) as well as Millennials and Gen Z-ers.
0117 463 4729 View 0117 463 4729
Photo of Daniel Fryer, MSc, MNCPS Acc., Counsellor
Daniel Fryer
Counsellor, MSc, MNCPS Acc.
Verified Verified
1 Endorsed
West End, Bristol BS1  (Online Only)
Hello there, I'm a mental health and wellbeing consultant and have been in practicefor nearly 20 years now. I've 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 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 stress, life stress and burnout, if you want help with your confidence, or in overcoming a life challenge, I can help
Hello there, I'm a mental health and wellbeing consultant and have been in practicefor nearly 20 years now. I've 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 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 stress, life 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 Chloe Powell, MBACP, Counsellor
Chloe Powell
Counsellor, MBACP
Verified Verified
West End, Bristol BS1
Searching for the right counsellor can feel daunting. How do you know which one to choose, and who you will be comfortable with? It's a big decision. Let me tell you a little about me and the way I work. I am a dedicated and compassionate psychodynamic counsellor, a member of the British Association of Counsellors and Psychotherapists (BACP) and the British Psychoanalytic Council (BPC). I believe that our past experiences shape who we are today and that by uncovering and understanding unconscious behaviours and choices, we can gain insight and self-awareness, and light the way for future growth.
Searching for the right counsellor can feel daunting. How do you know which one to choose, and who you will be comfortable with? It's a big decision. Let me tell you a little about me and the way I work. I am a dedicated and compassionate psychodynamic counsellor, a member of the British Association of Counsellors and Psychotherapists (BACP) and the British Psychoanalytic Council (BPC). I believe that our past experiences shape who we are today and that by uncovering and understanding unconscious behaviours and choices, we can gain insight and self-awareness, and light the way for future growth.
01454 800867 View 01454 800867
Photo of Stephen Leighton, MA, BPC, Psychotherapist
Stephen Leighton
Psychotherapist, MA, BPC
Verified Verified
West End, Bristol BS1
I am a psychodynamic psychotherapist with a private practice in Bristol and Taunton. I work with individuals from all walks of life seeking help with many different problems, for example with depression and anxiety, panic states, phobias, obsessional behaviour or angry outbursts. People who turn to psychotherapy may also feel worried in more general ways such as feeling aimless or dissatisfied in their work life, or feeling unable to make satisfactory personal or sexual relationships. With empathy and careful listening my aim is always to help you feel better about yourself and your life, in work or in love.
I am a psychodynamic psychotherapist with a private practice in Bristol and Taunton. I work with individuals from all walks of life seeking help with many different problems, for example with depression and anxiety, panic states, phobias, obsessional behaviour or angry outbursts. People who turn to psychotherapy may also feel worried in more general ways such as feeling aimless or dissatisfied in their work life, or feeling unable to make satisfactory personal or sexual relationships. With empathy and careful listening my aim is always to help you feel better about yourself and your life, in work or in love.
01454 802664 View 01454 802664
Photo of Jonathan Wilkes, MBACP, Counsellor
Jonathan Wilkes
Counsellor, MBACP
Verified Verified
1 Endorsed
West End, Bristol BS1
I’m a qualified Psychosynthesis counsellor. Psychosynthesis is a broad and inclusive system which has many different techniques and approaches that can be tailored to you and your needs, given that you are unique! I emphasize warmth, kindness, sensitivity and empathy in my approach. I work with people who are experiencing; depression, anxiety, anger and rage, loss and grief, relationship issues, self-esteem issues, feelings of despair and childhood abuse and trauma. I work with people to achieve real, concrete, lasting change in their lives - and have received plenty of positive feedback confirming this!
I’m a qualified Psychosynthesis counsellor. Psychosynthesis is a broad and inclusive system which has many different techniques and approaches that can be tailored to you and your needs, given that you are unique! I emphasize warmth, kindness, sensitivity and empathy in my approach. I work with people who are experiencing; depression, anxiety, anger and rage, loss and grief, relationship issues, self-esteem issues, feelings of despair and childhood abuse and trauma. I work with people to achieve real, concrete, lasting change in their lives - and have received plenty of positive feedback confirming this!
0117 450 2960 View 0117 450 2960
Photo of Cory Stewart, MBACP, Counsellor
Cory Stewart
Counsellor, MBACP
Verified Verified
1 Endorsed
West End, Bristol BS1
I offer one-to-one counselling for clients who are going through difficult circumstances & feel ready to make a change in their life. I'll work with you to develop understanding of your behaviours, which I believe is important if we want to make progress. I prefer not to focus my work on specialisms, though I have a particular interest in clients struggling with their identity, relationships and anxiety.
I offer one-to-one counselling for clients who are going through difficult circumstances & feel ready to make a change in their life. I'll work with you to develop understanding of your behaviours, which I believe is important if we want to make progress. I prefer not to focus my work on specialisms, though I have a particular interest in clients struggling with their identity, relationships and anxiety.
0117 428 9017 View 0117 428 9017
Photo of Paul Kelly, MSc, MUKCP, Psychotherapist
Paul Kelly
Psychotherapist, MSc, MUKCP
Verified Verified
West End, Bristol BS1
Thanks for visiting my page. I have some capacity to offer therapy in my independent practice to individuals, couples and families, I am able to work with those who present with a range of difficulties. I’m registered with the U.K.C.P and AFT as a Family and Systemic Psychotherapist, and the N.M.C as a Registered Mental Health Nurse. I have extensive experiences over 2 decades of working within the NHS at a senior level, in adult secondary mental health services, CAMHS, and statutory social care. I offer supervision and training, alongside direct therapy.
Thanks for visiting my page. I have some capacity to offer therapy in my independent practice to individuals, couples and families, I am able to work with those who present with a range of difficulties. I’m registered with the U.K.C.P and AFT as a Family and Systemic Psychotherapist, and the N.M.C as a Registered Mental Health Nurse. I have extensive experiences over 2 decades of working within the NHS at a senior level, in adult secondary mental health services, CAMHS, and statutory social care. I offer supervision and training, alongside direct therapy.
01454 809542 View 01454 809542
1

See more therapy options for West End, Bristol

How does your Counsellor compare?

Number of Counsellors in West End, Bristol

30+

Average cost per session

£60

Counsellors in West End, Bristol who prioritize treating:

90% Anxiety
83% Depression
77% Relationship Issues
73% Self Esteem
70% Bereavement
70% Stress
60% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

67% Aviva
67% Vitality
50% AXA PPP

How Counsellors in West End, Bristol see their clients

87% In Person and Online
13% Online Only

Gender breakdown

57% Male
43% Female
FAQs - About Therapy and Counselling

How can I find a therapist in West End, 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.