Counselling in Epsom

Photo of Bianca Clarke, Psychotherapist in Epsom, England
Bianca Clarke
Psychotherapist, MBABCP
Verified
1 Endorsed
Epsom KT19  (Online Only)
Hi, I'm Bianca, a CBT therapist and owner of MindkindCBT. Do you feel depressed, anxious, just not feeling quite right in yourself? As you are reading this you have already taken the first step in seeking support which can feel difficult to do but is a huge step on your journey to wellness. I offer a warm, friendly and compassionate safe space for you to gain a greater understanding of your difficulties and guide you through techniques and life skills that will push you towards your goals, increase your sense of wellness and allow you to be the person that you wish to be. Therapies I deliver are CBT and Somatic EMDR.
Hi, I'm Bianca, a CBT therapist and owner of MindkindCBT. Do you feel depressed, anxious, just not feeling quite right in yourself? As you are reading this you have already taken the first step in seeking support which can feel difficult to do but is a huge step on your journey to wellness. I offer a warm, friendly and compassionate safe space for you to gain a greater understanding of your difficulties and guide you through techniques and life skills that will push you towards your goals, increase your sense of wellness and allow you to be the person that you wish to be. Therapies I deliver are CBT and Somatic EMDR.
01798 305166 View 01798 305166
Photo of Bronwyn Stewart, Psychologist in Epsom, England
Bronwyn Stewart
Psychologist, PsychD, CPsychol
Verified
Epsom KT19
I am a Chartered Psychologist and Registered Clinical Psychologist working with adolescents, adults and families across a wide range of difficulties. I have a decade of experience in the NHS and understand the importance of adapting my knowledge and expertise to meet the needs of the individual or family that I am working with.
I am a Chartered Psychologist and Registered Clinical Psychologist working with adolescents, adults and families across a wide range of difficulties. I have a decade of experience in the NHS and understand the importance of adapting my knowledge and expertise to meet the needs of the individual or family that I am working with.
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Photo of Karina Godwin Psychotherapy, Psychotherapist in Epsom, England
Karina Godwin Psychotherapy
Psychotherapist, MA, MBACP
Verified
Epsom KT17  (Online Only)
Know thyself is an ancient aphorism that encourages individuals to explore and gain a deeper understanding of themselves. The phrase dates back to ancient Greece, where it was inscribed on the Temple of Apollo at Delphi. At its core, know thyself is a call to introspection, self-awareness, and personal growth. It encourages you to look within, explore your thoughts and emotions, and gain insight into their motivations, values, and beliefs. By knowing yourself, you can better understand your strengths and weaknesses, make more informed choices, and live a more authentic and fulfilling life.
Know thyself is an ancient aphorism that encourages individuals to explore and gain a deeper understanding of themselves. The phrase dates back to ancient Greece, where it was inscribed on the Temple of Apollo at Delphi. At its core, know thyself is a call to introspection, self-awareness, and personal growth. It encourages you to look within, explore your thoughts and emotions, and gain insight into their motivations, values, and beliefs. By knowing yourself, you can better understand your strengths and weaknesses, make more informed choices, and live a more authentic and fulfilling life.
020 4538 8026 View 020 4538 8026
Photo of Sheila Lewis, Counsellor in Epsom, England
Sheila Lewis
Counsellor, MBACP
Verified
Epsom KT20
Welcome to Pathway Therapy, you've made it this far. I am dedicated to helping you through life's challenges. I am a qualified and registered BACP Counsellor that provides compassionate Psychodynamic counseling services, specialising in open-ended, long-term therapy for adults. I understand that life can be hectic, which is why we offer flexible session options, including in-person, online, or over-the-phone sessions tailored to your needs.
Welcome to Pathway Therapy, you've made it this far. I am dedicated to helping you through life's challenges. I am a qualified and registered BACP Counsellor that provides compassionate Psychodynamic counseling services, specialising in open-ended, long-term therapy for adults. I understand that life can be hectic, which is why we offer flexible session options, including in-person, online, or over-the-phone sessions tailored to your needs.
01737 949516 View 01737 949516
Photo of (Mal) Malgorzata Arciszewska, Psychologist in Epsom, England
(Mal) Malgorzata Arciszewska
Psychologist, MSc, GMBPsS
Verified
Epsom KT18
Hello, I'm Mal, a psychologist committed to understanding and supporting you through life's challenges. If you're a foreigner navigating unfamiliar territories, grappling with loss, feeling weighed down by depression, stuck in a difficult place, wrestling with low self-esteem, or feeling the heavy burden of stress and anxiety, you're not alone. I want you to know that reaching out for support is a courageous step, and I'm here to walk with you on your unique journey. Together, we can explore your experiences, uncover strengths, and work towards a renewed sense of well-being.
Hello, I'm Mal, a psychologist committed to understanding and supporting you through life's challenges. If you're a foreigner navigating unfamiliar territories, grappling with loss, feeling weighed down by depression, stuck in a difficult place, wrestling with low self-esteem, or feeling the heavy burden of stress and anxiety, you're not alone. I want you to know that reaching out for support is a courageous step, and I'm here to walk with you on your unique journey. Together, we can explore your experiences, uncover strengths, and work towards a renewed sense of well-being.
01372 233945 View 01372 233945
Photo of Janine Melanie Murden, Counsellor in Epsom, England
Janine Melanie Murden
Counsellor, MBACP
Verified
Epsom KT18
I'm Janine and I am an experienced and fully qualified counsellor. I work with you by building a relationship with you that allows you to share whatever is on your mind. I provide a private and non judgemental space for you to explore the issues that have brought you to Counselling as well as longer term issues that you may need help to process. I have helped people work through a whole range of issues from anxiety and depression, trauma, abuse, gender, sexuality, parenting, loss and family relationships. If you need to talk I'm here to listen.
I'm Janine and I am an experienced and fully qualified counsellor. I work with you by building a relationship with you that allows you to share whatever is on your mind. I provide a private and non judgemental space for you to explore the issues that have brought you to Counselling as well as longer term issues that you may need help to process. I have helped people work through a whole range of issues from anxiety and depression, trauma, abuse, gender, sexuality, parenting, loss and family relationships. If you need to talk I'm here to listen.
01932 361026 View 01932 361026
Photo of Belinda Dimmock, Counsellor in Epsom, England
Belinda Dimmock
Counsellor, MNCPS Acc.
Verified
Epsom KT19
You may be looking at this website because something has got out of hand, it isn’t quite right, you may be feeling overwhelmed, a bit stressed or anxious and experiencing feelings of being unable to cope. Perhaps your doctor, friend or another health therapist has suggested you consider talking through your dilemma to help seek clarity to see your situation from a different perspective. If this sounds like you then you have come to the right place and I may be able to help you gain understanding of your situation. The symptoms you are experiencing are simply a sign something is wrong. Through collaboration I can help you.
You may be looking at this website because something has got out of hand, it isn’t quite right, you may be feeling overwhelmed, a bit stressed or anxious and experiencing feelings of being unable to cope. Perhaps your doctor, friend or another health therapist has suggested you consider talking through your dilemma to help seek clarity to see your situation from a different perspective. If this sounds like you then you have come to the right place and I may be able to help you gain understanding of your situation. The symptoms you are experiencing are simply a sign something is wrong. Through collaboration I can help you.
01260 540957 View 01260 540957
Photo of Liessa Callaghan, Counsellor in Epsom, England
Liessa Callaghan
Counsellor, MA, MBACP
Verified
Epsom KT19
You may wish to start counselling for many reasons. You may be experiencing depression, anxiety, relationship problems, bereavement, or other challenges that are impacting your wellbeing. Or you could be overwhelmed by feelings like sadness, confusion, anger, or distress. You may wish to explore your experience of neurodiversity. Whatever the issue, we will work specifically on your circumstances. I respect everyone's uniqueness and individuality, and the focus of our therapeutic work together is to process your past or current distress.
You may wish to start counselling for many reasons. You may be experiencing depression, anxiety, relationship problems, bereavement, or other challenges that are impacting your wellbeing. Or you could be overwhelmed by feelings like sadness, confusion, anger, or distress. You may wish to explore your experience of neurodiversity. Whatever the issue, we will work specifically on your circumstances. I respect everyone's uniqueness and individuality, and the focus of our therapeutic work together is to process your past or current distress.
01737 301523 View 01737 301523
Photo of Susannah Hebden Dip.Couns Bacp Accred, Counsellor in Epsom, England
Susannah Hebden Dip.Couns Bacp Accred
Counsellor, MBACP Accred
Verified
Epsom KT18
I am a trauma informed counsellor based in Epsom, Surrey. I provide a relaxed, friendly, non judgemental environment for clients to explore and work through issues that may be proving problematic, in a safe and confidential space. I will listen to what you would like to achieve from our time together and explore what you feel to be most relevant in each session. I use both traditional and creative therapeutic methods and will be guided by what suits you. I offer both face to face and online counselling sessions. Please feel free to call/email me in the first instance to discuss your needs in complete confidence.
I am a trauma informed counsellor based in Epsom, Surrey. I provide a relaxed, friendly, non judgemental environment for clients to explore and work through issues that may be proving problematic, in a safe and confidential space. I will listen to what you would like to achieve from our time together and explore what you feel to be most relevant in each session. I use both traditional and creative therapeutic methods and will be guided by what suits you. I offer both face to face and online counselling sessions. Please feel free to call/email me in the first instance to discuss your needs in complete confidence.
01372 239548 View 01372 239548
Photo of Sue Wall Therapy, Counsellor in Epsom, England
Sue Wall Therapy
Counsellor, MBACP
Verified
Epsom KT19  (Online Only)
As an autistic woman, I understand what it is to feel like a square peg trying to fit in a round hole. Depression and anxiety can build to intolerable depths. But it doesn't have to stay that way. I can help guide you through the fog.
As an autistic woman, I understand what it is to feel like a square peg trying to fit in a round hole. Depression and anxiety can build to intolerable depths. But it doesn't have to stay that way. I can help guide you through the fog.
020 3728 8319 View 020 3728 8319
Photo of Catherine Huckle, Psychologist in Epsom, England
Catherine Huckle
Psychologist, PsychD, CPsychol
Verified
Epsom KT18
There are many reasons why you may be looking for a psychologist. We all have times when life feels difficult and we experience strong and uncomfortable emotions. Perhaps you are feeling “stuck” or you are experiencing life changes that are difficult to cope with. I can provide a non-judgemental space to help you move on. As a Clinical Psychologist I am trained in a range of therapeutic models. My approach is integrative and person-centered; I might use elements from a range of models according to the difficulties that an individual is experiencing at any given time. I specialise in working with adults and see clients aged 18y+.
There are many reasons why you may be looking for a psychologist. We all have times when life feels difficult and we experience strong and uncomfortable emotions. Perhaps you are feeling “stuck” or you are experiencing life changes that are difficult to cope with. I can provide a non-judgemental space to help you move on. As a Clinical Psychologist I am trained in a range of therapeutic models. My approach is integrative and person-centered; I might use elements from a range of models according to the difficulties that an individual is experiencing at any given time. I specialise in working with adults and see clients aged 18y+.
01372 232697 View 01372 232697
Photo of Jill Le Jeune, Psychotherapist in Epsom, England
Jill Le Jeune
Psychotherapist, COSRT General
Verified
1 Endorsed
Epsom KT17
As a Psychosexual and Relationship Therapist I specialise in helping clients build healthy relationships and improve their sexual wellbeing through talking therapy. I work with individuals presenting with a broad range of psychosexual presentations by creating a safe space to enable them to gain a greater understanding of the issues and by developing the tools by which they can find a path forward. I have experience working with a diverse range of relationships, helping clients navigate through challenging times to establish a relationship in which they can thrive.
As a Psychosexual and Relationship Therapist I specialise in helping clients build healthy relationships and improve their sexual wellbeing through talking therapy. I work with individuals presenting with a broad range of psychosexual presentations by creating a safe space to enable them to gain a greater understanding of the issues and by developing the tools by which they can find a path forward. I have experience working with a diverse range of relationships, helping clients navigate through challenging times to establish a relationship in which they can thrive.
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Photo of The Wellbeing Therapy Hut, Counsellor in Epsom, England
The Wellbeing Therapy Hut
Counsellor, MNCPS Acc.
Verified
Epsom KT17
I'm Jess, a qualified NCS/CPCAB counsellor. I have over 10 years experience of working with families, adults and children in a range of settings. I have always loved my work and feel that the most important thing is truly listening to someone and how they are feeling. To be able to give someone the space to be able to talk without judgement, and be accepted is so powerful! I understand that people come to counselling for loads of different reasons. I hope that I can offer a space for you to explore what you need in a non judgemental and accepting environment.
I'm Jess, a qualified NCS/CPCAB counsellor. I have over 10 years experience of working with families, adults and children in a range of settings. I have always loved my work and feel that the most important thing is truly listening to someone and how they are feeling. To be able to give someone the space to be able to talk without judgement, and be accepted is so powerful! I understand that people come to counselling for loads of different reasons. I hope that I can offer a space for you to explore what you need in a non judgemental and accepting environment.
01737 948400 View 01737 948400
Photo of Sally Coombe, Counsellor in Epsom, England
Sally Coombe
Counsellor, MBACP Accred
Verified
Epsom KT17
You may be reading this as you’re finding things in life difficult at the moment. You may be struggling with thoughts or certain circumstances, maybe you can’t pin point what you’re going through; you just know you need some support. I offer you a safe and non judgmental space to explore what is happening, and help you to understand why you’re feeling the way you are. I personalise my work with you and provide tools to support you to work through the difficulties you are experiencing. You may be searching for the right counsellor, or you may be the parent/carer of a young person who needs support.
You may be reading this as you’re finding things in life difficult at the moment. You may be struggling with thoughts or certain circumstances, maybe you can’t pin point what you’re going through; you just know you need some support. I offer you a safe and non judgmental space to explore what is happening, and help you to understand why you’re feeling the way you are. I personalise my work with you and provide tools to support you to work through the difficulties you are experiencing. You may be searching for the right counsellor, or you may be the parent/carer of a young person who needs support.
01737 949810 View 01737 949810
Photo of Charo Trigo, Counsellor in Epsom, England
Charo Trigo
Counsellor, MBACP
Verified
Epsom KT19  (Online Only)
Hello and welcome to my practice. I am a fully qualified integrative therapist and a registered member of the BACP. I am currently offering online therapy sessions for adults and young people aged 16+. My overall aim is to create a safe space in which my clients can explore their feelings, situations and inner worlds, and feel empowered in their ability to navigate daily life.
Hello and welcome to my practice. I am a fully qualified integrative therapist and a registered member of the BACP. I am currently offering online therapy sessions for adults and young people aged 16+. My overall aim is to create a safe space in which my clients can explore their feelings, situations and inner worlds, and feel empowered in their ability to navigate daily life.
01737 924998 View 01737 924998
Photo of Niamh Quinn Counselling & Psychotherapy, Psychotherapist in Epsom, England
Niamh Quinn Counselling & Psychotherapy
Psychotherapist, MA, MBACP
Verified
Epsom KT18
Welcome, I'm Niamh - The Anxiety Therapist! I’m here to support you with any anxiety related issues. Panic, anxiety, worry, intrusive thoughts and phobias can seriously impact your quality of life. They can cause uncomfortable physical symptoms, racing thoughts, stop you doing things you enjoy and impact your sleep. If anxious thoughts and feelings are affecting your mental well-being, confidence, relationships, career or social life and you want support, it can help to speak to a professional. I offer online and in person, private 1-1 therapy where we can discuss the difficulties you’re having and how I can best support you.
Welcome, I'm Niamh - The Anxiety Therapist! I’m here to support you with any anxiety related issues. Panic, anxiety, worry, intrusive thoughts and phobias can seriously impact your quality of life. They can cause uncomfortable physical symptoms, racing thoughts, stop you doing things you enjoy and impact your sleep. If anxious thoughts and feelings are affecting your mental well-being, confidence, relationships, career or social life and you want support, it can help to speak to a professional. I offer online and in person, private 1-1 therapy where we can discuss the difficulties you’re having and how I can best support you.
01372 239532 View 01372 239532
Photo of Claire Smith, Psychotherapist in Epsom, England
Claire Smith
Psychotherapist, BPC
Verified
Epsom KT18
Life can feel overwhelming at times, particularly after the pandemic and with the current economic and environmental uncertainty. Anxiety, depression and loneliness are common issues many people face on top of relationship difficulties, bereavement and loss, and trauma. Therapy offers the chance to talk about what is bothering you in a warm, empathic and confidential space. I am a registered psychodynamic psychotherapist with the BPC & BACP and have found that by giving someone the space to talk and reflect on how they feel, and where those feelings come from, enables them to understand themselves better.
Life can feel overwhelming at times, particularly after the pandemic and with the current economic and environmental uncertainty. Anxiety, depression and loneliness are common issues many people face on top of relationship difficulties, bereavement and loss, and trauma. Therapy offers the chance to talk about what is bothering you in a warm, empathic and confidential space. I am a registered psychodynamic psychotherapist with the BPC & BACP and have found that by giving someone the space to talk and reflect on how they feel, and where those feelings come from, enables them to understand themselves better.
01260 545165 View 01260 545165
Photo of Sabine Gough, Counsellor in Epsom, England
Sabine Gough
Counsellor, MBACP
Verified
Epsom KT17
There are times in our lives when we may experience distressing events which leave us feeling lost, anxious or overwhelmed. Or life may simply be getting too much, we may feel unhappy or stuck, unable to move forward. Sharing your concerns, fears and anxieties with a therapist can help release the stress of holding in such emotions. I will listen to any concerns you may have, no matter how big or small. Together we will explore your situation, so that you can gain a greater sense of self-awareness and insights which will enable you to move forward towards a happier and more fulfilled life.
There are times in our lives when we may experience distressing events which leave us feeling lost, anxious or overwhelmed. Or life may simply be getting too much, we may feel unhappy or stuck, unable to move forward. Sharing your concerns, fears and anxieties with a therapist can help release the stress of holding in such emotions. I will listen to any concerns you may have, no matter how big or small. Together we will explore your situation, so that you can gain a greater sense of self-awareness and insights which will enable you to move forward towards a happier and more fulfilled life.
020 3974 1763 View 020 3974 1763
Photo of David Campbell, Counsellor in Epsom, England
David Campbell
Counsellor, MBACP
Verified
Epsom KT18
My name is David and I offer outcome based therapy for complex based issues like depression, anxiety, addiction, and relationship challenges whether that is at home or work. We can only truly move past them by understanding where they originate from and deal with them as they present in your current life. This may involve looking at past experiences and the emotions associated with them in a compassionate, empathic, non-judgmental, curious way, creating the right conditions for you to get to the source of your problem and see how certain triggers from the past directly inform how you think, feel, and behave in the present moment.
My name is David and I offer outcome based therapy for complex based issues like depression, anxiety, addiction, and relationship challenges whether that is at home or work. We can only truly move past them by understanding where they originate from and deal with them as they present in your current life. This may involve looking at past experiences and the emotions associated with them in a compassionate, empathic, non-judgmental, curious way, creating the right conditions for you to get to the source of your problem and see how certain triggers from the past directly inform how you think, feel, and behave in the present moment.
01372 664327 View 01372 664327
Photo of Marta Guz-Goodliffe, Psychologist in Epsom, England
Marta Guz-Goodliffe
Psychologist, PsychD, HCPC - Couns. Psych.
Verified
Epsom KT19
My aim as a therapist is to help you through any challenges. This could be a long-standing issue that has troubled you for most of your life or something more recent. I always feel privileged when clients choose to share their stories with me and I admire their courage to do so. I’m here to help when you’re feeling stuck, anxiety, loss or other difficult emotions. Whatever it may be, together we will look at any unhelpful coping strategies and challenge negative thinking, looking at how to maintain healthy, positive change. I am an integrative therapist, however I draw on specific ideas to help us make sense of what’s troubling you.
My aim as a therapist is to help you through any challenges. This could be a long-standing issue that has troubled you for most of your life or something more recent. I always feel privileged when clients choose to share their stories with me and I admire their courage to do so. I’m here to help when you’re feeling stuck, anxiety, loss or other difficult emotions. Whatever it may be, together we will look at any unhelpful coping strategies and challenge negative thinking, looking at how to maintain healthy, positive change. I am an integrative therapist, however I draw on specific ideas to help us make sense of what’s troubling you.
07775 922983 View 07775 922983

See more therapy options for Epsom

How does your Counsellor compare?

Number of Counsellors in Epsom

70+

Average cost per session

£72

Counsellors in Epsom who prioritize treating:

95% Anxiety
91% Depression
87% Self Esteem
80% Relationship Issues
76% Stress
73% Trauma and PTSD
72% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

78% Aviva
70% Vitality
63% AXA PPP

How Counsellors in Epsom see their clients

87% In Person and Online
13% Online Only

Gender breakdown

83% Female
17% Male

FAQs - About Therapy and Counselling

How can I find a therapist in Epsom?

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.