Counselling in Lemsford

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Photo of Julie Greenhalgh, BACP, Counsellor
Julie Greenhalgh
Counsellor, BACP
Verified Verified
Welwyn Garden City AL7
On our journey through life, we can become lost and caught up in negative thoughts and feelings. This can change our perception and take us out of balance. It may also affect our well-being by creating problems in our relationships which may lead to anxiety, depression or low self-esteem. Counselling can help us to understand patterns in our life that cause distress and helps to facilitate insights into the core of our thinking, our self belief, our behaviour and the imposed limitations to bring about change. I have experience in working with teenagers and adults with anxiety, depression, loss and bereavement and low self esteem.
On our journey through life, we can become lost and caught up in negative thoughts and feelings. This can change our perception and take us out of balance. It may also affect our well-being by creating problems in our relationships which may lead to anxiety, depression or low self-esteem. Counselling can help us to understand patterns in our life that cause distress and helps to facilitate insights into the core of our thinking, our self belief, our behaviour and the imposed limitations to bring about change. I have experience in working with teenagers and adults with anxiety, depression, loss and bereavement and low self esteem.
01582 349524 View 01582 349524
Photo of Debbie Hague, DCounsPsych, MBACP, Counsellor
Debbie Hague
Counsellor, DCounsPsych, MBACP
Verified Verified
Welwyn Garden City AL8
Hi, I’m Debbie and I have expertise and proven experience of helping clients, from all walks of life and diversity, move forward with their lives. Perhaps your issues come from a difficult past or childhood abuse or trauma? I help with self esteem and identity, stress and sleep issues. Or maybe you are struggling with your relationship or the aftermath of COVID 19? I provide a calm and safe environment in which to explore what is important to you and at your own pace.
Hi, I’m Debbie and I have expertise and proven experience of helping clients, from all walks of life and diversity, move forward with their lives. Perhaps your issues come from a difficult past or childhood abuse or trauma? I help with self esteem and identity, stress and sleep issues. Or maybe you are struggling with your relationship or the aftermath of COVID 19? I provide a calm and safe environment in which to explore what is important to you and at your own pace.
01438 584449 View 01438 584449
Photo of Muriel Walshe. Phd, PhD, MUKCP, Psychotherapist
Muriel Walshe. Phd
Psychotherapist, PhD, MUKCP
Verified Verified
Welwyn Garden City AL7
I am a psychoanalytical psychotherapist with over 17 years experience of working in private practice and within the NHS. Some of the reasons people come to see me are to get help with anxiety; depression; emotional difficulties brought on by troublesome relationships; work stress; or concerns about an abusive or a traumatic past.
I am a psychoanalytical psychotherapist with over 17 years experience of working in private practice and within the NHS. Some of the reasons people come to see me are to get help with anxiety; depression; emotional difficulties brought on by troublesome relationships; work stress; or concerns about an abusive or a traumatic past.
01582 377188 View 01582 377188
Photo of Hayley Grilli - Chapters Therapy, MBACP, Counsellor
Chapters Therapy
Counsellor, MBACP
Verified Verified
Welwyn Garden City AL7
I have worked predominantly with clients with a Borderline Personality Disorder (BPD) diagnosis helping them to identify where their behaviours and thought patterns developed and to work on ways of coping with the crippling overwhelm that comes with BPD, to get to a place that feels like they have regained control. I have also worked extensively with people coming out of domestic abuse or prolonged exposure to relationships with narcissistic controlling & coercive people. We work together, in a non directive way, to identify patterns of behaviour and develop new pathways to break free from people pleasing and to find their voice.
I have worked predominantly with clients with a Borderline Personality Disorder (BPD) diagnosis helping them to identify where their behaviours and thought patterns developed and to work on ways of coping with the crippling overwhelm that comes with BPD, to get to a place that feels like they have regained control. I have also worked extensively with people coming out of domestic abuse or prolonged exposure to relationships with narcissistic controlling & coercive people. We work together, in a non directive way, to identify patterns of behaviour and develop new pathways to break free from people pleasing and to find their voice.
01707 241341 View 01707 241341
Photo of Renata Harris, MSc, HCPC - Couns. Psych., Psychologist
Renata Harris
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
Welwyn AL6
Hello, I'm Renata. I am a Psychologist and Psychotherapist (17+ years), and a BPS supervisor. I had extensive personal therapy myself. I aim to equip you with skills and self-acceptance to heal. I offer NICE recommended, holistic and relational therapy to get your life back on track, in a safe and validating space. I have worked in the NHS as a Psychology Lead in an eating disorders service for over 10 years. I have experience in working with most mental health diagnoses as well as neurodiversity, addiction, bereavement, anxiety, low mood, stress, family and marital problems, issues with anger, self-esteem, and relational issues.
Hello, I'm Renata. I am a Psychologist and Psychotherapist (17+ years), and a BPS supervisor. I had extensive personal therapy myself. I aim to equip you with skills and self-acceptance to heal. I offer NICE recommended, holistic and relational therapy to get your life back on track, in a safe and validating space. I have worked in the NHS as a Psychology Lead in an eating disorders service for over 10 years. I have experience in working with most mental health diagnoses as well as neurodiversity, addiction, bereavement, anxiety, low mood, stress, family and marital problems, issues with anger, self-esteem, and relational issues.
01582 377599 View 01582 377599
Photo of Jo Rowley Jones, BACP, Counsellor
Jo Rowley Jones
Counsellor, BACP
Verified Verified
1 Endorsed
Welwyn Garden City AL8
It is my firm belief that as an individual, you have the power to make positive changes in your life, which will enable you to feel happier and more fulfilled. Whether you are experiencing a specific challenge or are seeking a place to be heard, it is my aim to provide a confidential and compassionate space where we can work together to raise awareness and promote positive change.
It is my firm belief that as an individual, you have the power to make positive changes in your life, which will enable you to feel happier and more fulfilled. Whether you are experiencing a specific challenge or are seeking a place to be heard, it is my aim to provide a confidential and compassionate space where we can work together to raise awareness and promote positive change.
01727 326941 View 01727 326941
Photo of Kellie Giunta - Accredited Therapist & Clinical Supervisor, MBACP, Counsellor
Accredited Therapist & Clinical Supervisor
Counsellor, MBACP
Verified Verified
Welwyn Garden City AL7
HI My Name is Kellie and I am an Accredited therapist and Clinical Supervisor. I have been a therapist for 10 years. Are you feeling anxious, stressed, depressed or just unhappy? sometimes theses feelings are triggered by obvious causes like job stresses, relationship problems or bereavement, while other times the underlying causes seem opaque. I can provide for you a safe and supportive non-judgemental space to look into possible sources of feelings, behavioural pattens and core beliefs that might be underlying causes of destress. my aim is to create an environment where you feel comfortable and safe.y
HI My Name is Kellie and I am an Accredited therapist and Clinical Supervisor. I have been a therapist for 10 years. Are you feeling anxious, stressed, depressed or just unhappy? sometimes theses feelings are triggered by obvious causes like job stresses, relationship problems or bereavement, while other times the underlying causes seem opaque. I can provide for you a safe and supportive non-judgemental space to look into possible sources of feelings, behavioural pattens and core beliefs that might be underlying causes of destress. my aim is to create an environment where you feel comfortable and safe.y
01438 904028 View 01438 904028
Photo of Dawn Gregory, BACP, Counsellor
Dawn Gregory
Counsellor, BACP
Verified Verified
Welwyn Garden City AL7
I am a warm, friendly person and a good listener. I have a very empathic understanding and vast experiences from my own personal life. This has shaped me to be the person I am today. Things from our childhoods and certain traumas, can have us acting out behaviours that can be damaging to us. I have experience working with relationship breakdowns, alcohol addiction, depression, anxiety and self harm. I have worked with adolescents and adults of all disabilities. I've worked a great deal with confidence building and low self-esteem. I can help you recognise these behaviours and what triggers them.
I am a warm, friendly person and a good listener. I have a very empathic understanding and vast experiences from my own personal life. This has shaped me to be the person I am today. Things from our childhoods and certain traumas, can have us acting out behaviours that can be damaging to us. I have experience working with relationship breakdowns, alcohol addiction, depression, anxiety and self harm. I have worked with adolescents and adults of all disabilities. I've worked a great deal with confidence building and low self-esteem. I can help you recognise these behaviours and what triggers them.
01438 300453 View 01438 300453
Photo of Amy Jacques, MBACP, Counsellor
Amy Jacques
Counsellor, MBACP
Verified Verified
Hatfield AL9
I am a qualified integrative counsellor and registered member of the BACP. I invite you to bring whatever you would like us to work on together into a safe and compassionate environment where you can feel truly valued and accepted. At your own pace, together we can begin to explore and make sense of what is going on for you. I have experience of working with both adults and young people (11 +).
I am a qualified integrative counsellor and registered member of the BACP. I invite you to bring whatever you would like us to work on together into a safe and compassionate environment where you can feel truly valued and accepted. At your own pace, together we can begin to explore and make sense of what is going on for you. I have experience of working with both adults and young people (11 +).
01707 240948 View 01707 240948
Photo of Laura Smith, MBACP, Counsellor
Laura Smith
Counsellor, MBACP
Verified Verified
Welwyn Garden City AL8
Hello, I'm Laura. I am a warm and compassionate therapist who will listen to your concerns with sensitivity and without judgement. I offer a confidential, supportive environment where you can freely express and 'unburden' yourself. Somewhere you will feel truly 'heard'. I work relationally, which means I believe that the ability to build a secure and trusting therapeutic relationship with you will form the foundation of our work together.
Hello, I'm Laura. I am a warm and compassionate therapist who will listen to your concerns with sensitivity and without judgement. I offer a confidential, supportive environment where you can freely express and 'unburden' yourself. Somewhere you will feel truly 'heard'. I work relationally, which means I believe that the ability to build a secure and trusting therapeutic relationship with you will form the foundation of our work together.
01707 954035 View 01707 954035
Photo of Sharon Twydell, PsychD, MBACP, Psychotherapist
Sharon Twydell
Psychotherapist, PsychD, MBACP
Verified Verified
1 Endorsed
Welwyn Garden City AL7
Life is so tough at the moment! Are you feeling completely overwhelmed with things you feel you 'should' be doing?- Feeling anxious or not good enough? Trying so desperately hard to look ok but inside feeling you are really not? We can work together to figure out how you would like your life to look. How you are going to get there and why this feeling is happening now? We can keep this totally in the present or look back at your past to see if there are recurring patterns or issues that might be making you feel this way. I can help you unpick all of this at your own pace in confidence.
Life is so tough at the moment! Are you feeling completely overwhelmed with things you feel you 'should' be doing?- Feeling anxious or not good enough? Trying so desperately hard to look ok but inside feeling you are really not? We can work together to figure out how you would like your life to look. How you are going to get there and why this feeling is happening now? We can keep this totally in the present or look back at your past to see if there are recurring patterns or issues that might be making you feel this way. I can help you unpick all of this at your own pace in confidence.
01727 648477 View 01727 648477
Photo of Dr Rai Turton, PhD, HCPC - Clin. Psych., Psychologist
Dr Rai Turton
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Welwyn Garden City AL8
If you are struggling with anxiety or difficult emotion or behaviour, or stress, or sleep then I can help. I have many years of experience working with these difficulties and have always had a special interest in stress tolerance and emotion. My aim is to support you to understand your difficulties, to find relief from your symptoms and also discover solutions that enable you to feel better and to live your life as you really want to. I can offer you over 35 years of experience in the NHS and private practice, and a well evidenced approach that has been shown to work. Please see my webpage for more information: www.ntpsychology.com
If you are struggling with anxiety or difficult emotion or behaviour, or stress, or sleep then I can help. I have many years of experience working with these difficulties and have always had a special interest in stress tolerance and emotion. My aim is to support you to understand your difficulties, to find relief from your symptoms and also discover solutions that enable you to feel better and to live your life as you really want to. I can offer you over 35 years of experience in the NHS and private practice, and a well evidenced approach that has been shown to work. Please see my webpage for more information: www.ntpsychology.com
01707 241105 View 01707 241105
Photo of Joshua Holmes, PhD, ACP, Psychotherapist
Joshua Holmes
Psychotherapist, PhD, ACP
Verified Verified
1 Endorsed
Welwyn Garden City AL7
I am qualified to work with parents, infants, children, adolescents and young adults up to the age of 25.
I am qualified to work with parents, infants, children, adolescents and young adults up to the age of 25.
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Photo of Luisa Picciuto, MA, MBACP, Counsellor
Luisa Picciuto
Counsellor, MA, MBACP
Verified Verified
Welwyn Garden City AL7
Hello, I'm Luisa. I am an Integrative Counsellor and Psychotherapist for children and young people. Being an Integrative therapist means I am trained to use various therapeutic modalities and skills to support each young person, including using Play-Based techniques, Cognitive Behavioural Therapy, Psychodynamic approaches, Person-Centred approach and using Systemic thinking. I work with warmth, empathy, and a non-judgmental attitude, holding space for any young person to explore their feelings and experiences in a safe, ethical environment. I offer a modern and fresh perspective, bringing a warm, ‘human’, welcoming vibe to sessions.
Hello, I'm Luisa. I am an Integrative Counsellor and Psychotherapist for children and young people. Being an Integrative therapist means I am trained to use various therapeutic modalities and skills to support each young person, including using Play-Based techniques, Cognitive Behavioural Therapy, Psychodynamic approaches, Person-Centred approach and using Systemic thinking. I work with warmth, empathy, and a non-judgmental attitude, holding space for any young person to explore their feelings and experiences in a safe, ethical environment. I offer a modern and fresh perspective, bringing a warm, ‘human’, welcoming vibe to sessions.
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Photo of Arti Hughes - Cognitive Behavioural Therapist, Arti Hughes, MBABCP, Psychotherapist
Cognitive Behavioural Therapist, Arti Hughes
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Welwyn Garden City AL7
I own the BEST google rated private psychology practice in Hertfordshire! We have successfully helped 100’s of clients. I am a BABCP accredited Cognitive Behavioural therapist and Accredited Interpersonal Practitioner. I am friendly and professional. I/ We treat Depression, Obsessive compulsive disorder (OCD), Intrusive thoughts, Social anxiety, Panic attacks, Phobias, Excessive worry/being overwhelmed with anxiety, Post-traumatic stress disorder (PTSD), Health anxiety, Perfectionism, Body dysmorphic disorders (BDD), Eating disorders, Phobias, Agoraphobia, Low self-confidence, & LTC’s. Call now for a free phone consultation!
I own the BEST google rated private psychology practice in Hertfordshire! We have successfully helped 100’s of clients. I am a BABCP accredited Cognitive Behavioural therapist and Accredited Interpersonal Practitioner. I am friendly and professional. I/ We treat Depression, Obsessive compulsive disorder (OCD), Intrusive thoughts, Social anxiety, Panic attacks, Phobias, Excessive worry/being overwhelmed with anxiety, Post-traumatic stress disorder (PTSD), Health anxiety, Perfectionism, Body dysmorphic disorders (BDD), Eating disorders, Phobias, Agoraphobia, Low self-confidence, & LTC’s. Call now for a free phone consultation!
01707 240833 View 01707 240833
Photo of Gary Aldridge, MBACP, Psychotherapist
Gary Aldridge
Psychotherapist, MBACP
Verified Verified
Welwyn AL6
I am a qualified, experienced counsellor and have trained in various approaches to therapy. This means that I use a range of counselling theories and methods within my work, ensuring that I work with you to tailor our sessions to suit your needs. I cover all areas of counselling, including, addiction, anxiety, depression, stress, couples/ relationships. I also specialise in working with trauma, addiction and alcoholism, having worked in the field of addiction for over 10 years. My current mentor is Rachel Fairhurst who is my supervisor and trainer.  Within this model of working i have been trained in trauma focussed therapy.
I am a qualified, experienced counsellor and have trained in various approaches to therapy. This means that I use a range of counselling theories and methods within my work, ensuring that I work with you to tailor our sessions to suit your needs. I cover all areas of counselling, including, addiction, anxiety, depression, stress, couples/ relationships. I also specialise in working with trauma, addiction and alcoholism, having worked in the field of addiction for over 10 years. My current mentor is Rachel Fairhurst who is my supervisor and trainer.  Within this model of working i have been trained in trauma focussed therapy.
01992 352163 View 01992 352163
Photo of Mariangela Milioto, MA, MBACP, Psychotherapist
Mariangela Milioto
Psychotherapist, MA, MBACP
Verified Verified
Welwyn Garden City AL7
Want to explore what's brought you to therapy in a safe, compassionate, non-judgemental setting? I'm an Integrative psychotherapist - the essence of my practice is to work with you transparently and with warmth, empathy, humour and gentle challenge.  Perhaps you’re struggling - feeling alone and isolated.  Maybe you’re overwhelmed, depressed, burnt out or anxious.  It could be that what you’re experiencing isn’t any of these - maybe you don't feel yourself and you don’t know why.  If you’re experiencing any of these feelings, sharing your burden through counselling can help. 
Want to explore what's brought you to therapy in a safe, compassionate, non-judgemental setting? I'm an Integrative psychotherapist - the essence of my practice is to work with you transparently and with warmth, empathy, humour and gentle challenge.  Perhaps you’re struggling - feeling alone and isolated.  Maybe you’re overwhelmed, depressed, burnt out or anxious.  It could be that what you’re experiencing isn’t any of these - maybe you don't feel yourself and you don’t know why.  If you’re experiencing any of these feelings, sharing your burden through counselling can help. 
01582 377470 View 01582 377470
Photo of Amy LANGSHAW, MSc
Amy LANGSHAW
MSc
Verified Verified
1 Endorsed
Welwyn Garden City AL8
Not accepting new clients
It takes strength and courage to reach out for help, but it can be confusing which profession to go with. I specialise working with anxiety disorders. I work with adults experiencing overwhelming worries, tension or panic, anxiety or low mood; creating short term goals for long term mental well-being. I also support pregnant or new mums experiencing anxiety, overwhelming worries, panic, intrusive thoughts, or social anxiety. Or you maybe a parent and you would like support in managing your child's anxiety using Parent-Led CBT. Working together, we can explore unhelpful thoughts and behaviours, and develop positive coping strategies.
It takes strength and courage to reach out for help, but it can be confusing which profession to go with. I specialise working with anxiety disorders. I work with adults experiencing overwhelming worries, tension or panic, anxiety or low mood; creating short term goals for long term mental well-being. I also support pregnant or new mums experiencing anxiety, overwhelming worries, panic, intrusive thoughts, or social anxiety. Or you maybe a parent and you would like support in managing your child's anxiety using Parent-Led CBT. Working together, we can explore unhelpful thoughts and behaviours, and develop positive coping strategies.
01438 576997 View 01438 576997
Photo of Lizzie Mitchell, MBACP Accred, Psychotherapist
Lizzie Mitchell
Psychotherapist, MBACP Accred
Verified Verified
Welwyn Garden City AL7
I am a psychotherapist that specialises in working with children and adolescents. Is your child struggling with anxiety, low mood, managing their emotions or attending school? I also specialise in offering mental health support to children and adolescents with an ASD or ADHD diagnosis. My goal is to provide timely and individualised private therapy, helping your child navigate these complexities, by fostering resilience and empowering both you and your child.
I am a psychotherapist that specialises in working with children and adolescents. Is your child struggling with anxiety, low mood, managing their emotions or attending school? I also specialise in offering mental health support to children and adolescents with an ASD or ADHD diagnosis. My goal is to provide timely and individualised private therapy, helping your child navigate these complexities, by fostering resilience and empowering both you and your child.
01462 412417 View 01462 412417
Photo of Jennifer Kabelis, MBACP, Counsellor
Jennifer Kabelis
Counsellor, MBACP
Verified Verified
Welwyn Garden City AL7
Are you feeling the weight of a mental health struggle? Is the burden of work or the demands of daily life becoming too much to bear? You don't have to face these hardships alone. If you’re contending with anxiety or depression, reeling from the impact of a traumatic experience, wrestling with relationship issues, or navigating the delicate process of grief, there is hope and help available.
Are you feeling the weight of a mental health struggle? Is the burden of work or the demands of daily life becoming too much to bear? You don't have to face these hardships alone. If you’re contending with anxiety or depression, reeling from the impact of a traumatic experience, wrestling with relationship issues, or navigating the delicate process of grief, there is hope and help available.
01727 221418 View 01727 221418

How does your Counsellor compare?

Number of Counsellors in Lemsford

< 10

Counsellors in Lemsford who prioritize treating:

How Counsellors in Lemsford see their clients

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

How can I find a therapist in Lemsford?

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.