Counselling in Fullers Slade

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Photo of Richard Knowles - Remind MK, DCounsPsych, MNCPS Acc., Counsellor
Remind MK
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
Milton Keynes MK19
Confronting your mental health, accepting you need support and reaching out for help is a courageous step. I completely understand that the first step can be daunting and we will work together at a pace that suits you. I will spend as much time as you need explaining how I work and the methods I use. Your initial consultation will be about us getting to know each other, the emotions you’re experiencing; how they make you feel and how they are affecting your life and well-being. We will complete an assessment together which will allow an individually tailored treatment programme to be planned specifically for you.
Confronting your mental health, accepting you need support and reaching out for help is a courageous step. I completely understand that the first step can be daunting and we will work together at a pace that suits you. I will spend as much time as you need explaining how I work and the methods I use. Your initial consultation will be about us getting to know each other, the emotions you’re experiencing; how they make you feel and how they are affecting your life and well-being. We will complete an assessment together which will allow an individually tailored treatment programme to be planned specifically for you.
01908 103092 View 01908 103092
Photo of Petra Waker, DCounsPsych, MBACP Accred, Psychotherapist
Petra Waker
Psychotherapist, DCounsPsych, MBACP Accred
Verified Verified
Milton Keynes MK19
Hi, life has been trying for most of us in the last few years and we can find ourselves facing situations, that in the past we dealt with reasonable ease but now can seem difficult to resolve. Are you struggling with bereavement, loss, relationship issues, worries, repetitive thoughts? Or do you just need a safe place to be and reflect; being able to talk things through with someone impartial and non judgemental, to listen to you, to find a solution to the issue you want to resolve.
Hi, life has been trying for most of us in the last few years and we can find ourselves facing situations, that in the past we dealt with reasonable ease but now can seem difficult to resolve. Are you struggling with bereavement, loss, relationship issues, worries, repetitive thoughts? Or do you just need a safe place to be and reflect; being able to talk things through with someone impartial and non judgemental, to listen to you, to find a solution to the issue you want to resolve.
01767 660764 View 01767 660764
Photo of Carly Weston - Carly Weston Counselling, MBACP, Counsellor
Carly Weston Counselling
Counsellor, MBACP
Verified Verified
Milton Keynes MK11
There are many reasons people come to counselling, for example bereavement, relationship breakdown, issues at work, past or recent traumatic events, difficulties around disordered eating or complexities associated with gender dysphoria. Whatever it is that has led you to consider counselling, I know you have a unique story to tell. Are you are struggling with low self-worth, stress or anger? Or maybe you are worried, confused, scared, misunderstood, feeling lost or experiencing other unwanted feelings? Life can be very busy, demanding and draining. Counselling is an opportunity to slow down and look inside. What do you want?
There are many reasons people come to counselling, for example bereavement, relationship breakdown, issues at work, past or recent traumatic events, difficulties around disordered eating or complexities associated with gender dysphoria. Whatever it is that has led you to consider counselling, I know you have a unique story to tell. Are you are struggling with low self-worth, stress or anger? Or maybe you are worried, confused, scared, misunderstood, feeling lost or experiencing other unwanted feelings? Life can be very busy, demanding and draining. Counselling is an opportunity to slow down and look inside. What do you want?
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Photo of Doug Stow - DS-Therapia, MUKCP, Psychotherapist
DS-Therapia
Psychotherapist, MUKCP
Verified Verified
Milton Keynes MK12
Waitlist for new clients
Hello, my name is Doug Stow. I’m an experienced Psychotherapist, Couples & Relationship Psychotherapist, Psychosexual & Sex Addiction Psychotherapist with over 26+ years experience private practice. • PG. Dip. Psychosexual Therapy, London South Bank University • PG. Cert. Forensic Sexology, University of Central Lancashire • Professional Cert. Association for the Treatment of Sexual Addiction and Compulsivity (ATSAC) • Advance Cert. Psychosexual & Relationship Psychotherapy (COSRT) Accredited Training Course
Hello, my name is Doug Stow. I’m an experienced Psychotherapist, Couples & Relationship Psychotherapist, Psychosexual & Sex Addiction Psychotherapist with over 26+ years experience private practice. • PG. Dip. Psychosexual Therapy, London South Bank University • PG. Cert. Forensic Sexology, University of Central Lancashire • Professional Cert. Association for the Treatment of Sexual Addiction and Compulsivity (ATSAC) • Advance Cert. Psychosexual & Relationship Psychotherapy (COSRT) Accredited Training Course
01788 227343 View 01788 227343
Photo of Sarah Dunmur, MBACP, Counsellor
Sarah Dunmur
Counsellor, MBACP
Verified Verified
Milton Keynes MK19
Based in Milton Keynes & close to Northampton, I offer a safe space where clients can freely share their experiences without fear of judgment. Whether we meet face to face or online, my focus will be to help you find the answers you need, in order to help yourself through whatever is troubling you. Whether you are suffering from stress or anxiety, depression, sleep deprivation, or perhaps you are a survivor of trauma, my empathetic approach and therapeutic experience will support and guide you to become empowered on your journey toward healing, emotional well-being and renewed resilience.
Based in Milton Keynes & close to Northampton, I offer a safe space where clients can freely share their experiences without fear of judgment. Whether we meet face to face or online, my focus will be to help you find the answers you need, in order to help yourself through whatever is troubling you. Whether you are suffering from stress or anxiety, depression, sleep deprivation, or perhaps you are a survivor of trauma, my empathetic approach and therapeutic experience will support and guide you to become empowered on your journey toward healing, emotional well-being and renewed resilience.
01908 103494 View 01908 103494
Photo of Dr Grace Major, HCPC - Clin. Psych., Psychologist
Dr Grace Major
Psychologist, HCPC - Clin. Psych.
Verified Verified
Milton Keynes MK8
I am a highly specialist psychologist, who works therapeutically with both adults and children. I offer evidence based therapy for a variety of presenting difficulties. I have particular expertise in offering attachment and trauma informed therapeutic support for looked after or adopted children, their families and health professionals.
I am a highly specialist psychologist, who works therapeutically with both adults and children. I offer evidence based therapy for a variety of presenting difficulties. I have particular expertise in offering attachment and trauma informed therapeutic support for looked after or adopted children, their families and health professionals.
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Photo of Dr Jaspreet Tehara, PsychD, HCPC - Couns. Psych., Psychologist
Dr Jaspreet Tehara
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Milton Keynes MK11
Regarding any work you bring to the session, I would like to work with you in a co-productive manner in order to address issues as we understand them. I begin with offering phone consultation (15 mins- free) followed by assessment sessions which help to identify what could be areas of concern, and create a psycholgical formulation in co-production with you (which can be modified as we progress through our journey). From there we move ahead with a plan that addresses what you're looking to achieve, be that time limited (and specific) or open ended (and exploratory).
Regarding any work you bring to the session, I would like to work with you in a co-productive manner in order to address issues as we understand them. I begin with offering phone consultation (15 mins- free) followed by assessment sessions which help to identify what could be areas of concern, and create a psycholgical formulation in co-production with you (which can be modified as we progress through our journey). From there we move ahead with a plan that addresses what you're looking to achieve, be that time limited (and specific) or open ended (and exploratory).
01908 410724 View 01908 410724
Photo of Ali Holstead, MBACP Accred, Counsellor
Ali Holstead
Counsellor, MBACP Accred
Verified Verified
Milton Keynes MK14
My name is Alison (Ali). I specialise in providing support to those who are experiencing the pain of grief and loss. You may be feeling overwhelmed by the loss of somebody close to you, the loss of a relationship, way of life, your confidence, health or your direction in life. I am here to walk alongside you during this difficult time.
My name is Alison (Ali). I specialise in providing support to those who are experiencing the pain of grief and loss. You may be feeling overwhelmed by the loss of somebody close to you, the loss of a relationship, way of life, your confidence, health or your direction in life. I am here to walk alongside you during this difficult time.
01295 957853 View 01295 957853
Photo of Alexandre Farah Gieseke - LHR Therapy Ltd, MSc, MBACP, Counsellor
LHR Therapy Ltd
Counsellor, MSc, MBACP
Verified Verified
Heelands MK13
I have a proven track record, gained since 1995 in dealing with children, young people and adults with learning and behavioural difficulties. I have worked with those who have experienced physical, emotional or sexual abuse. My experience also includes those with a previous history of substance misuse and trauma. I have also worked with Autistic clients. I have gained experience in various settings: schools, residential care settings, foster homes, secure units and NHS hospitals. Additionally, I have worked in Local Authority and private clinic environments. I have worked as both a volunteer and in paid employment.
I have a proven track record, gained since 1995 in dealing with children, young people and adults with learning and behavioural difficulties. I have worked with those who have experienced physical, emotional or sexual abuse. My experience also includes those with a previous history of substance misuse and trauma. I have also worked with Autistic clients. I have gained experience in various settings: schools, residential care settings, foster homes, secure units and NHS hospitals. Additionally, I have worked in Local Authority and private clinic environments. I have worked as both a volunteer and in paid employment.
01908 103702 x137 View 01908 103702 x137
Photo of Coral-Lee Laurence, MBACP, Counsellor
Coral-Lee Laurence
Counsellor, MBACP
Verified Verified
Milton Keynes MK11  (Online Only)
How many times have you questioned why you repeat the same actions, find yourself in the same relationships, similar conditions or even ruminating on the same thoughts. We often do things unknowingly and have a deep longing to know why. You long for insight on your past and your present and feel anxious about the future because of this. It is at your worst moments that you seek self introspection, yet you still feel stuck. Perhaps you have self doubt or have uncertainty about where you are or what you want in your life. You have a deep desire to attain the life you dream of but feel that you get in your own way.
How many times have you questioned why you repeat the same actions, find yourself in the same relationships, similar conditions or even ruminating on the same thoughts. We often do things unknowingly and have a deep longing to know why. You long for insight on your past and your present and feel anxious about the future because of this. It is at your worst moments that you seek self introspection, yet you still feel stuck. Perhaps you have self doubt or have uncertainty about where you are or what you want in your life. You have a deep desire to attain the life you dream of but feel that you get in your own way.
01525 664382 View 01525 664382
Photo of Sharon Beagles, Psychotherapist
Sharon Beagles
Psychotherapist
Verified Verified
1 Endorsed
Milton Keynes MK13
Deciding to have therapy can be a big step so it is understandable that you may feel nervous or apprehensive. In my practice, my aim is to provide a safe place where we can explore whatever you struggle with at your own pace. I also believe that a trusting relationship, built upon authenticity and free from preconceptions and judgment, is an essential ingredient in any work we do together.
Deciding to have therapy can be a big step so it is understandable that you may feel nervous or apprehensive. In my practice, my aim is to provide a safe place where we can explore whatever you struggle with at your own pace. I also believe that a trusting relationship, built upon authenticity and free from preconceptions and judgment, is an essential ingredient in any work we do together.
01908 015410 View 01908 015410
Photo of Anya Amrith, MA, UKCP Trainee, Psychotherapist
Anya Amrith
Psychotherapist, MA, UKCP Trainee
Verified Verified
1 Endorsed
Milton Keynes MK11
Life can be challenging. It may feel like something is holding you back or perhaps you can’t feel yourself really living. You may have developed coping mechanisms that are negatively impacting your life. Parts of you may feel lost, disconnected or numb whilst you function through your daily life. Talking can be hard to do, even with those around you. I work with adults and young people in a trauma-informed way that is safe, gentle and compassionate to work towards real change. I specialise in eating disorders, sexual abuse, self-esteem, panic attacks, anxiety, depression, ADHD, autism, relationship issues, PTSD/CPTSD and identity.
Life can be challenging. It may feel like something is holding you back or perhaps you can’t feel yourself really living. You may have developed coping mechanisms that are negatively impacting your life. Parts of you may feel lost, disconnected or numb whilst you function through your daily life. Talking can be hard to do, even with those around you. I work with adults and young people in a trauma-informed way that is safe, gentle and compassionate to work towards real change. I specialise in eating disorders, sexual abuse, self-esteem, panic attacks, anxiety, depression, ADHD, autism, relationship issues, PTSD/CPTSD and identity.
01280 733127 View 01280 733127
Photo of Ella Sherlock, PsychD, HCPC - Clin. Psych., Psychologist
Ella Sherlock
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Milton Keynes MK11
Ella is an experienced Clinical Psychologist and specialist in helping people live well with a range of physical and mental health conditions. She will provide space to listen to your story whilst assessing your needs. You will be able to create an individualised treatment plan together. Ella will help you to understand what is happening in your mind and body and feel more empowered to cope. The treatments she offers are drawn from up-to-date research in line with the latest national NICE guidance. Ella will work with you to address your self-defined goals and she will show you some psychological tools to help you track the changes.
Ella is an experienced Clinical Psychologist and specialist in helping people live well with a range of physical and mental health conditions. She will provide space to listen to your story whilst assessing your needs. You will be able to create an individualised treatment plan together. Ella will help you to understand what is happening in your mind and body and feel more empowered to cope. The treatments she offers are drawn from up-to-date research in line with the latest national NICE guidance. Ella will work with you to address your self-defined goals and she will show you some psychological tools to help you track the changes.
01908 103095 View 01908 103095
Photo of Mat Schencks, MA, MBACP, Psychotherapist
Mat Schencks
Psychotherapist, MA, MBACP
Verified Verified
Milton Keynes MK11
I offer a caring and non-judgmental relationship in which you can explore the issues, experiences, thoughts and feelings that have brought you to seek help. We will explore the situations and challenges you are facing in your life. Speaking about what is difficult is the beginning of feeling better. Core Process Psychotherapy combines the wisdom and compassion of Buddhism with western approaches to psychology. This compassionate and relational approach emphasises our wholeness, and our inherent resilience and balance - however hidden these qualities may sometimes seem. I work with both individuals and couples.
I offer a caring and non-judgmental relationship in which you can explore the issues, experiences, thoughts and feelings that have brought you to seek help. We will explore the situations and challenges you are facing in your life. Speaking about what is difficult is the beginning of feeling better. Core Process Psychotherapy combines the wisdom and compassion of Buddhism with western approaches to psychology. This compassionate and relational approach emphasises our wholeness, and our inherent resilience and balance - however hidden these qualities may sometimes seem. I work with both individuals and couples.
01908 015946 View 01908 015946
Photo of Rebecca Suzanne Holland - Becky Counselling, BACP, Counsellor
Becky Counselling
Counsellor, BACP
Verified Verified
Milton Keynes MK12
Hi, I’m Becky. As a counsellor I can offer you a safe space to talk freely, getting things off your chest in a confidential environment or a chance to explore your feelings or things that are on your mind. I don’t offer advice but will guide you in becoming more self aware, understanding your feelings and thoughts and finding answers for yourself. At this time, with lockdown and all the things that come with this, things can feel uncertain and lonely. I am offering sessions over zoom, starting with a free telephone consultation and concessions for sessions to encourage everyone to reach out and ask for the help that they need.
Hi, I’m Becky. As a counsellor I can offer you a safe space to talk freely, getting things off your chest in a confidential environment or a chance to explore your feelings or things that are on your mind. I don’t offer advice but will guide you in becoming more self aware, understanding your feelings and thoughts and finding answers for yourself. At this time, with lockdown and all the things that come with this, things can feel uncertain and lonely. I am offering sessions over zoom, starting with a free telephone consultation and concessions for sessions to encourage everyone to reach out and ask for the help that they need.
01752 746513 View 01752 746513
Photo of Kerry Martin, MNCPS Acc., Counsellor
Kerry Martin
Counsellor, MNCPS Acc.
Verified Verified
Milton Keynes MK11
Hi, My name is Kerry welcome to my Profile I’m glad you’re here. I believe therapy isn’t just about solving problems – its also about unlocking your full potential and creating a life that feels truly meaningful and fulfilling. Whether you’re looking to strengthen your relationships, feel more confident, or simply find more joy and meaning in your daily life, therapy can help you get there. As a qualified therapist since 2017, I offer a range of evidence-based therapies designed to meet your unique needs and preferences.
Hi, My name is Kerry welcome to my Profile I’m glad you’re here. I believe therapy isn’t just about solving problems – its also about unlocking your full potential and creating a life that feels truly meaningful and fulfilling. Whether you’re looking to strengthen your relationships, feel more confident, or simply find more joy and meaning in your daily life, therapy can help you get there. As a qualified therapist since 2017, I offer a range of evidence-based therapies designed to meet your unique needs and preferences.
01908 103753 View 01908 103753
Photo of Anna Smith, MSc, MUKCP, Psychotherapist
Anna Smith
Psychotherapist, MSc, MUKCP
Verified Verified
Milton Keynes MK12  (Online Only)
Life for children, young people and families can be really challenging, a fact that has only been made worse by the pandemic. seeking counselling or therapy for your child or yourself can be a really scary task, but it can also help to resolve the issues that many young people and families face every day. I am currently offering online sessions only. I have a virtual therapy room that is suitable for children aged 3-18. This is a highly effective tool and replicates the 'in person' therapy experience, meaning your child isn't missing out by working online.
Life for children, young people and families can be really challenging, a fact that has only been made worse by the pandemic. seeking counselling or therapy for your child or yourself can be a really scary task, but it can also help to resolve the issues that many young people and families face every day. I am currently offering online sessions only. I have a virtual therapy room that is suitable for children aged 3-18. This is a highly effective tool and replicates the 'in person' therapy experience, meaning your child isn't missing out by working online.
01908 103294 View 01908 103294
Photo of Emma Allum, MSc, MBABCP, Psychotherapist
Emma Allum
Psychotherapist, MSc, MBABCP
Verified Verified
Old Stratford MK19
Cognitive Behavioural Psychotherapist: CAMHS and Eating Disorder specialist. CBT supervision also offered. I can help you in so many ways to feel calmer, happier, and even how to become your own therapist. Mental health issues can take away so much of our enjoyment. Struggling everyday with strong emotions and often worrying, self-critical thoughts is so difficult, especially when you are trying to cope alone. But you don’t have to continue to suffer at the mercy of your mind.
Cognitive Behavioural Psychotherapist: CAMHS and Eating Disorder specialist. CBT supervision also offered. I can help you in so many ways to feel calmer, happier, and even how to become your own therapist. Mental health issues can take away so much of our enjoyment. Struggling everyday with strong emotions and often worrying, self-critical thoughts is so difficult, especially when you are trying to cope alone. But you don’t have to continue to suffer at the mercy of your mind.
01908 410774 View 01908 410774
Photo of Charlotte Grosch - Counselling with Char, MBACP, Counsellor
Counselling with Char
Counsellor, MBACP
Verified Verified
Milton Keynes MK19
I provide counselling for individuals aged 18+. I have a comfy therapy room in Newport Pagnell, Milton Keynes and also offer virtual sessions either on Zoom or over the phone. I have experience of working with anxiety, depression, stress, PTSD, shame, low self-esteem, loss, grief, bereavement, unpaid carers, trauma, relationship issues and more.
I provide counselling for individuals aged 18+. I have a comfy therapy room in Newport Pagnell, Milton Keynes and also offer virtual sessions either on Zoom or over the phone. I have experience of working with anxiety, depression, stress, PTSD, shame, low self-esteem, loss, grief, bereavement, unpaid carers, trauma, relationship issues and more.
01908 103584 View 01908 103584
Photo of Jenny Edwards, MBACP, Counsellor
Jenny Edwards
Counsellor, MBACP
Verified Verified
1 Endorsed
Milton Keynes MK13
Thank you for taking time to visit my profile, It is the first step towards change and takes courage. Maybe you're here because you have experienced a difficult past? Perhaps your childhood has left you feeling hurt? Do you feel excluded from others and when you are around other people do you feel like you don’t fit in and find yourself overcompensating to fit in, or question yourself and wonder what is wrong with you? Are you constantly worrying and find it hard to relax around others? Maybe this surfaces anger, jealousy or sadness?
Thank you for taking time to visit my profile, It is the first step towards change and takes courage. Maybe you're here because you have experienced a difficult past? Perhaps your childhood has left you feeling hurt? Do you feel excluded from others and when you are around other people do you feel like you don’t fit in and find yourself overcompensating to fit in, or question yourself and wonder what is wrong with you? Are you constantly worrying and find it hard to relax around others? Maybe this surfaces anger, jealousy or sadness?
01296 254515 View 01296 254515

How does your Counsellor compare?

Number of Counsellors in Fullers Slade

< 10

Counsellors in Fullers Slade who prioritize treating:

How Counsellors in Fullers Slade see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Fullers Slade?

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.