Counselling in Eccles

Photo of Joanne Crook, MBACP Snr. Accred, Counsellor
Joanne Crook
Counsellor, MBACP Snr. Accred
Verified Verified
1 Endorsed
Online Only
For over 25 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and Clinical Supervisor. I have been a Senior Accredited member of the BACP for over 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and Clinical Supervisor in private practice based in Worsley, Manchester. Our time together offers a place in which to explore and understand yourself and your place in the world, and the opportunity to find a new, more comfortable way of being.
For over 25 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and Clinical Supervisor. I have been a Senior Accredited member of the BACP for over 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and Clinical Supervisor in private practice based in Worsley, Manchester. Our time together offers a place in which to explore and understand yourself and your place in the world, and the opportunity to find a new, more comfortable way of being.
01890 545510 View 01890 545510
Photo of Rehanah Ahmad, MBACP Accred, Psychotherapist
Rehanah Ahmad
Psychotherapist, MBACP Accred
Verified Verified
Serves Area
I am a psychotherapist with a diploma in person centred counselling and in cognitive behavioral therapy.I provide a safe therapeutic environment in which you can explore and process your experiences. I use an integrative approach which combines person centred with CBT (cognitive behavioral therapy) techniques. My approach is compassionate, & non judgemental. I am here to help you process and move forwards towards where you want to be. I have experience of working one to one and remotely with people on a wide range of issues including Anxiety, depression, loss, relationship issues & self esteem issues, as well as cultural issues.
I am a psychotherapist with a diploma in person centred counselling and in cognitive behavioral therapy.I provide a safe therapeutic environment in which you can explore and process your experiences. I use an integrative approach which combines person centred with CBT (cognitive behavioral therapy) techniques. My approach is compassionate, & non judgemental. I am here to help you process and move forwards towards where you want to be. I have experience of working one to one and remotely with people on a wide range of issues including Anxiety, depression, loss, relationship issues & self esteem issues, as well as cultural issues.
0161 524 1162 View 0161 524 1162
Photo of Neil Harry Hewson - Sports Performance Mindset Coach
Sports Performance Mindset Coach
Verified Verified
Serves Area
I am a dedicated and passionate sports performance mindset coach with extensive experience in both football and athletics. My journey in the realm of sports psychology has been marked by a profound commitment to helping athletes unlock their full potential by mastering the mental aspects of their performance. Throughout my career, I have had the privilege of working with Premier league footballers and world class athletes. These experiences have helped equip me with a versatile skill set to address the diverse needs of athletes.
I am a dedicated and passionate sports performance mindset coach with extensive experience in both football and athletics. My journey in the realm of sports psychology has been marked by a profound commitment to helping athletes unlock their full potential by mastering the mental aspects of their performance. Throughout my career, I have had the privilege of working with Premier league footballers and world class athletes. These experiences have helped equip me with a versatile skill set to address the diverse needs of athletes.
0161 524 7226 View 0161 524 7226
Photo of Andrea Szentgyorgyi Mba Ma Pgdip Ba Adhp Chfp Mnch - Urmston Hypnotherapy and Psychotherapy, MUKCP, Psychotherapist
Urmston Hypnotherapy and Psychotherapy
Psychotherapist, MUKCP
Verified Verified
Serves Area
Hello, I`m Andrea. We will work together to change your life, response, thinking patterns, and habits or improve your mental and emotional well-being. First, we discover your specific needs and then find the most suitable therapy style for you (psychotherapy, hypnotherapy, counselling or coaching). The appointments are flexible; you do not have to attend at the same time every week. Single-session therapy is available too. More details are on my website, or you can always contact me for more information.
Hello, I`m Andrea. We will work together to change your life, response, thinking patterns, and habits or improve your mental and emotional well-being. First, we discover your specific needs and then find the most suitable therapy style for you (psychotherapy, hypnotherapy, counselling or coaching). The appointments are flexible; you do not have to attend at the same time every week. Single-session therapy is available too. More details are on my website, or you can always contact me for more information.
0161 524 2406 View 0161 524 2406
Photo of Mike Richard, MBACP, Counsellor
Mike Richard
Counsellor, MBACP
Verified Verified
Serves Area
Would you benefit from a space where you are seen, heard, valued and understood? Are you ready to develop a stronger relationship with yourself and others? Understanding our authentic self can help us search for meaning and purpose and provide direction. Investing time into self-exploration takes huge courage and will allow you to move forward in life by developing your self-awareness. There are times when we struggle with life, however these challenges can be overcome.
Would you benefit from a space where you are seen, heard, valued and understood? Are you ready to develop a stronger relationship with yourself and others? Understanding our authentic self can help us search for meaning and purpose and provide direction. Investing time into self-exploration takes huge courage and will allow you to move forward in life by developing your self-awareness. There are times when we struggle with life, however these challenges can be overcome.
01942 559682 View 01942 559682
Photo of Tracy McCadden, MBACP, Counsellor
Tracy McCadden
Counsellor, MBACP
Verified Verified
1 Endorsed
Serves Area
Life can sometimes feel unmanageable, we can feel low and isolated and unsure of who to turn to. When we feel stuck in certain situations and these begin impacting on our mood and our behaviour, we can often need the support of an outside source to help us look at our situation more clearly and to help us regain control. This is where an experienced counsellor can really help. "My therapist has been a great help, a good listener, and has given me an insight into who I really am....I'm sure I will be better for her sound counselling."
Life can sometimes feel unmanageable, we can feel low and isolated and unsure of who to turn to. When we feel stuck in certain situations and these begin impacting on our mood and our behaviour, we can often need the support of an outside source to help us look at our situation more clearly and to help us regain control. This is where an experienced counsellor can really help. "My therapist has been a great help, a good listener, and has given me an insight into who I really am....I'm sure I will be better for her sound counselling."
07831 202104 View 07831 202104

More Therapists Nearby

Photo of Dr John Kenneth Pates, PhD, CPsychol, Psychologist
Dr John Kenneth Pates
Psychologist, PhD, CPsychol
Verified Verified
Serves Area
I’m Dr. John Pates, a Chartered and HCPC-registered Performance Psychologist with over 20 years of experience transforming lives. From working with worlds best elite athletes—like The Ryder Cup Team, World Champions, Olympic Medalists, and Major winners—to empowering leaders and high-performance teams in Fortune 500 companies, my mission is clear: to help you unlock your full potential and achieve greatness. It should be noted, my expertise isn't limited to sports. I’ve guided individuals from all walks of life to conquer challenges, achieve big goals, and elevate their well-being.
I’m Dr. John Pates, a Chartered and HCPC-registered Performance Psychologist with over 20 years of experience transforming lives. From working with worlds best elite athletes—like The Ryder Cup Team, World Champions, Olympic Medalists, and Major winners—to empowering leaders and high-performance teams in Fortune 500 companies, my mission is clear: to help you unlock your full potential and achieve greatness. It should be noted, my expertise isn't limited to sports. I’ve guided individuals from all walks of life to conquer challenges, achieve big goals, and elevate their well-being.
07943 810069 View 07943 810069
Photo of Francesca Rawlinson, MA, HCPC-Drama Therap., Psychotherapist
Francesca Rawlinson
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
Manchester M1
I am a Psychotherapist (MA) and EMDR therapist. My experience includes working with adverse experiences and challenges. My approach is empathetic, non-judgemental and person-centred. I specialise in anxiety, attachment and trauma informed care. My work with adults includes working with refugees, students from Liverpool and Chester University, NHS staff members who struggled through the Covid pandemic and corporate private clients. I have a therapy room in Manchester centre. My website is www.upliftedtherapy.co.uk.
I am a Psychotherapist (MA) and EMDR therapist. My experience includes working with adverse experiences and challenges. My approach is empathetic, non-judgemental and person-centred. I specialise in anxiety, attachment and trauma informed care. My work with adults includes working with refugees, students from Liverpool and Chester University, NHS staff members who struggled through the Covid pandemic and corporate private clients. I have a therapy room in Manchester centre. My website is www.upliftedtherapy.co.uk.
01707 954064 View 01707 954064
Photo of Dr Anthony McSherry, PhD, MUKCP, Psychotherapist
Dr Anthony McSherry
Psychotherapist, PhD, MUKCP
Verified Verified
Liverpool L24
Waitlist for new clients
Problems often do not fit into easy categories as each person has their own individual history and way of being, and so difficulties emerge in a unique way to the individual. For example, depression or anxiety might be completely normal reactions to a difficult situation. Anxious about contacting me? I would encourage you not to be too anxious about making contact regarding psychotherapy. Feeling anxious is a normal aspect of therapy, especially at first.
Problems often do not fit into easy categories as each person has their own individual history and way of being, and so difficulties emerge in a unique way to the individual. For example, depression or anxiety might be completely normal reactions to a difficult situation. Anxious about contacting me? I would encourage you not to be too anxious about making contact regarding psychotherapy. Feeling anxious is a normal aspect of therapy, especially at first.
0151 453 6294 View 0151 453 6294
Photo of Saira Akhtar, UKCP Trainee, Psychotherapist
Saira Akhtar
Psychotherapist, UKCP Trainee
Verified Verified
Online Only
As a psychotherapist, I view the therapeutic journey as a path that leads you back to yourself—a journey home. A place where you feel safe, seen, and understood. My goal is to create that space for you within our sessions, where you can explore your thoughts, emotions, and experiences without fear of judgment. I believe that true healing occurs in an environment of acceptance and understanding. I am committed to creating a non-judgmental space where you can speak openly and honestly about what you're going through. I create a space to explore your inner world at your own pace, with no pressure or expectations—only care and respect.
As a psychotherapist, I view the therapeutic journey as a path that leads you back to yourself—a journey home. A place where you feel safe, seen, and understood. My goal is to create that space for you within our sessions, where you can explore your thoughts, emotions, and experiences without fear of judgment. I believe that true healing occurs in an environment of acceptance and understanding. I am committed to creating a non-judgmental space where you can speak openly and honestly about what you're going through. I create a space to explore your inner world at your own pace, with no pressure or expectations—only care and respect.
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Photo of Sarah Hayes, BACP, Psychotherapist
Sarah Hayes
Psychotherapist, BACP
Verified Verified
Manchester M2
At certain points in our lives, we might find ourselves in what may seem like an unbreakable cycle of self-destructive behaviours, overwhelming emotions and a sense of disconnect to those around us, or perhaps even within ourselves. If you’re reading this, it is likely that you currently find yourself somewhere within that cycle or you may have feelings of anxiety, depression or low self-worth. You may be experiencing relationship difficulties, intrusive and obsessive thoughts, self-harm, child-hood trauma or grief. Whatever the reason may be, I just want to firstly remind you that you are not alone.
At certain points in our lives, we might find ourselves in what may seem like an unbreakable cycle of self-destructive behaviours, overwhelming emotions and a sense of disconnect to those around us, or perhaps even within ourselves. If you’re reading this, it is likely that you currently find yourself somewhere within that cycle or you may have feelings of anxiety, depression or low self-worth. You may be experiencing relationship difficulties, intrusive and obsessive thoughts, self-harm, child-hood trauma or grief. Whatever the reason may be, I just want to firstly remind you that you are not alone.
01707 959170 View 01707 959170
Photo of Aurelia De Rocha, MBACP Accred, Counsellor
Aurelia De Rocha
Counsellor, MBACP Accred
Verified Verified
Serves Area
If you've got problems, I can help.. As a therapist I am happiest when I am genuinely able to make a difference to someone and help them feel better. I have had a great deal of experience of working with many different people, each one of them with their own unique story, and their own way of seeing the world, each one of them also with the problems that sometimes arise for all of us as human beings trying to live the best we can. Maybe you feel anxious and don't know why? Perhaps you've had things happen that are still affecting you?
If you've got problems, I can help.. As a therapist I am happiest when I am genuinely able to make a difference to someone and help them feel better. I have had a great deal of experience of working with many different people, each one of them with their own unique story, and their own way of seeing the world, each one of them also with the problems that sometimes arise for all of us as human beings trying to live the best we can. Maybe you feel anxious and don't know why? Perhaps you've had things happen that are still affecting you?
07723 486520 View 07723 486520
Photo of Leonora Eddolls, MBACP, Counsellor
Leonora Eddolls
Counsellor, MBACP
Verified Verified
Serves Area
I have worked as a Relate Counsellor since 2013 specialising in couples, family and individual counselling.   As a neurodivergent individual with a neurodivergent family I developed a special interest in neurodivergence including Adult ADHD and Adult Autism.  I completed additional post graduate training to assist me in supporting individuals and couples in understanding the differences in the way the brain operates between neurodivergent and predominant neurotypes with the aim of building better and stronger relationships.
I have worked as a Relate Counsellor since 2013 specialising in couples, family and individual counselling.   As a neurodivergent individual with a neurodivergent family I developed a special interest in neurodivergence including Adult ADHD and Adult Autism.  I completed additional post graduate training to assist me in supporting individuals and couples in understanding the differences in the way the brain operates between neurodivergent and predominant neurotypes with the aim of building better and stronger relationships.
01572 494640 View 01572 494640
Photo of Viviane Hill, BACP, Counsellor
Viviane Hill
Counsellor, BACP
Verified Verified
Serves Area
Are you feeling anxious, depressed, stuck ? Not quite yourself ? Perhaps you’re struggling with unexpected changes… difficulties in your relationship, the loss of a loved one, health problems? Or maybe you are wanting to move on from a situation that's holding you back, recover from a hurt or disappointment or regain your sense of self and what to do with your life? Whatever our age or circumstances, there are times when we could all use some support to light our way forward and to develop a deeper understanding of ourselves and our current situation.
Are you feeling anxious, depressed, stuck ? Not quite yourself ? Perhaps you’re struggling with unexpected changes… difficulties in your relationship, the loss of a loved one, health problems? Or maybe you are wanting to move on from a situation that's holding you back, recover from a hurt or disappointment or regain your sense of self and what to do with your life? Whatever our age or circumstances, there are times when we could all use some support to light our way forward and to develop a deeper understanding of ourselves and our current situation.
01903 684002 View 01903 684002
Photo of Sue Antrobus, MBACP, Psychotherapist
Sue Antrobus
Psychotherapist, MBACP
Verified Verified
Manchester M2
Hello! I specialise in working with women who have depression, anxiety, stress, anger issues, addictions, low self-esteem, relationship difficulties, or who wish to explore and deal with trauma or abuse from their past and the impact it is having on their lives today. I have expertise in and I am certified in the clinical treatment of clients who present with complex psychological trauma. I believe the key to healing is in supporting you to transform how your mind, body and soul remembers what has happened to you. This involves bringing to consciousness your patterns and supporting you to heal, change and grow.
Hello! I specialise in working with women who have depression, anxiety, stress, anger issues, addictions, low self-esteem, relationship difficulties, or who wish to explore and deal with trauma or abuse from their past and the impact it is having on their lives today. I have expertise in and I am certified in the clinical treatment of clients who present with complex psychological trauma. I believe the key to healing is in supporting you to transform how your mind, body and soul remembers what has happened to you. This involves bringing to consciousness your patterns and supporting you to heal, change and grow.
0161 850 3558 View 0161 850 3558
Photo of Dr Hannah Cowan, HCPC - Clin. Psych., Psychologist
Dr Hannah Cowan
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Nantwich CW5
Hello and a very warm welcome to you. My name is Dr Hannah Cowan and I am a Consultant Clinical Psychologist working in private practice and the NHS. I provide a compassionate, warm, non-judgemental and effective psychological assessment and therapy service that is completely individualised to your needs and requirements. With over fifteen years of experience, I offer effective therapy for adults experiencing difficulties such as PTSD, anxiety, worry, depression, OCD, complex trauma and other psychological concerns that you may have. My fundamental aim is to work with you to reduce the emotional distress that you are experiencing.
Hello and a very warm welcome to you. My name is Dr Hannah Cowan and I am a Consultant Clinical Psychologist working in private practice and the NHS. I provide a compassionate, warm, non-judgemental and effective psychological assessment and therapy service that is completely individualised to your needs and requirements. With over fifteen years of experience, I offer effective therapy for adults experiencing difficulties such as PTSD, anxiety, worry, depression, OCD, complex trauma and other psychological concerns that you may have. My fundamental aim is to work with you to reduce the emotional distress that you are experiencing.
01270 433520 View 01270 433520
Photo of Mobeen Akhtar, MSc, MBACP Accred, Psychotherapist
Mobeen Akhtar
Psychotherapist, MSc, MBACP Accred
Verified Verified
8 Endorsed
Sale M33
Sharing difficulties with a stranger can be daunting, but often better than facing them alone. Explore your experiences during our sessions together and find a way to understand, cope and thrive in this ever challenging world. Start today.
Sharing difficulties with a stranger can be daunting, but often better than facing them alone. Explore your experiences during our sessions together and find a way to understand, cope and thrive in this ever challenging world. Start today.
0161 524 8631 View 0161 524 8631
Photo of Valentina Cerutti, MSc, MBACP, Counsellor
Valentina Cerutti
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Manchester M1
Unavailable from 27th Jan to 12th February 2025 due to holiday. Any email will be replied from 13th February. Sexual wellbeing is for many a key factor for good mental health and relationship satisfaction. Yet it can feel very complex to navigate and often isolating. You might have concerns around intimacy such as low sexual desire, painful sex, issues with penetration i.e. vaginismus, worries about orgasm, erection problems, delayed or early ejaculation. If you're feeling lost with it, wanting to find some answers, overcome these challenges in a non judgemental, sex positive way, you're in the right place!
Unavailable from 27th Jan to 12th February 2025 due to holiday. Any email will be replied from 13th February. Sexual wellbeing is for many a key factor for good mental health and relationship satisfaction. Yet it can feel very complex to navigate and often isolating. You might have concerns around intimacy such as low sexual desire, painful sex, issues with penetration i.e. vaginismus, worries about orgasm, erection problems, delayed or early ejaculation. If you're feeling lost with it, wanting to find some answers, overcome these challenges in a non judgemental, sex positive way, you're in the right place!
View
Photo of Paula Marie Reid, MBABCP, Psychotherapist
Paula Marie Reid
Psychotherapist, MBABCP
Verified Verified
4 Endorsed
Manchester M32
Do your suffer with anxiety and do you want help, then I am able to help with this. Anxiety can plague you throughout your life. If this describes you then I can help you understand the reasons why. Have you engaged in therapy before and nothing seems to work, then I can help you understand why. Do you struggle to regulate your emotions and you do not understand why, then therapy can help you explore why you have unhelpful patterns of behaviour. This may relate to early life experiences.
Do your suffer with anxiety and do you want help, then I am able to help with this. Anxiety can plague you throughout your life. If this describes you then I can help you understand the reasons why. Have you engaged in therapy before and nothing seems to work, then I can help you understand why. Do you struggle to regulate your emotions and you do not understand why, then therapy can help you explore why you have unhelpful patterns of behaviour. This may relate to early life experiences.
0161 524 1327 View 0161 524 1327
Photo of Helen Hyland, BACP, Counsellor
Helen Hyland
Counsellor, BACP
Verified Verified
1 Endorsed
Bolton BL1
I am a qualified therapeutic Integrative Counsellor supporting children, adolescents & adults, either face to face, by telephone, online or home visits. Are you or your child finding it difficult to cope or manage with everyday situations and find life a struggle. Many of us can feel overwhelmed and unsure of how to deal with these thoughts, feelings and our behaviour. You may be feeling anxious or low about life in general. There may be physical health symptoms that are causing you concern. I would like to help and support you through this difficult time.
I am a qualified therapeutic Integrative Counsellor supporting children, adolescents & adults, either face to face, by telephone, online or home visits. Are you or your child finding it difficult to cope or manage with everyday situations and find life a struggle. Many of us can feel overwhelmed and unsure of how to deal with these thoughts, feelings and our behaviour. You may be feeling anxious or low about life in general. There may be physical health symptoms that are causing you concern. I would like to help and support you through this difficult time.
01204 803181 View 01204 803181

See more therapy options for Eccles

How does your Counsellor compare?

Number of Counsellors in Eccles

< 10

Counsellors in Eccles who prioritize treating:

83% Depression
83% Anxiety
83% Self Esteem
83% Stress
67% Peer Relationships
50% Relationship Issues
50% Obsessive-Compulsive (OCD)

Average years in practice

10 Years

Top 3 insurances accepted

100% Aviva
100% AXA PPP
100% Vitality

How Counsellors in Eccles see their clients

84% In Person and Online
16% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Eccles?

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.