Counselling in Aldersgate, London

Photo of Dr Abdo Abuhassan, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Abdo Abuhassan
Psychologist, PsychD, HCPC - Clin. Psych.
Aldersgate, London EC1M
I am a HCPC registered Clinical Psychologist who works with adults. Alongside my independent practice, I am the Psychology clinical lead in an Older Person’s Community Mental Health service. I offer individualised and integrative support to clients from a variety of backgrounds. I have experience working overseas and am available to provide services in Arabic.My approach to therapeutic work is to help and support individuals to ‘live the life they wish to live’, and to do so in ‘abundance’. This involves exploring your values, recognising goals in both the short and long term, and overcoming barriers.
I am a HCPC registered Clinical Psychologist who works with adults. Alongside my independent practice, I am the Psychology clinical lead in an Older Person’s Community Mental Health service. I offer individualised and integrative support to clients from a variety of backgrounds. I have experience working overseas and am available to provide services in Arabic.My approach to therapeutic work is to help and support individuals to ‘live the life they wish to live’, and to do so in ‘abundance’. This involves exploring your values, recognising goals in both the short and long term, and overcoming barriers.
020 4652 3356 View 020 4652 3356
Photo of Dr Cheryl Francis, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Cheryl Francis
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Aldersgate, London EC1M
I am a HCPC Registered Clinical Psychologist with over 5 years of experience, currently working in an NHS neuropsychology service. My approach is integrative, drawing from a variety of therapeutic models to meet your unique needs. I strive to create a warm, open, and empathic space where you feel safe to be yourself and share your experiences. I believe in working with your unique context and I focus on working collaboratively with you, rather than following a one-size-fits-all method. I offer a free telephone consultation to support you in finding the right therapist for your needs, please do get in touch to discuss further!
I am a HCPC Registered Clinical Psychologist with over 5 years of experience, currently working in an NHS neuropsychology service. My approach is integrative, drawing from a variety of therapeutic models to meet your unique needs. I strive to create a warm, open, and empathic space where you feel safe to be yourself and share your experiences. I believe in working with your unique context and I focus on working collaboratively with you, rather than following a one-size-fits-all method. I offer a free telephone consultation to support you in finding the right therapist for your needs, please do get in touch to discuss further!
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Photo of Heather Page, Psychotherapist, MBACP
Heather Page
Psychotherapist, MBACP
Aldersgate, London EC1Y
You may come to therapy to speak about issues that make you angry, afraid or unhappy or that simply don't make sense. Understanding that we are all unique, with our own strengths, qualities and interests, as well as challenges, is hugely important for our well-being. We also know that through having a balanced view of ourselves, we can feel better equipped to cope with difficult emotional and psychological experiences and make positive connections with others. In our sessions, we will have the chance to explore whatever is troubling you to help you identify and confront such issues and feel more confident about yourself.
You may come to therapy to speak about issues that make you angry, afraid or unhappy or that simply don't make sense. Understanding that we are all unique, with our own strengths, qualities and interests, as well as challenges, is hugely important for our well-being. We also know that through having a balanced view of ourselves, we can feel better equipped to cope with difficult emotional and psychological experiences and make positive connections with others. In our sessions, we will have the chance to explore whatever is troubling you to help you identify and confront such issues and feel more confident about yourself.
020 3870 4185 View 020 3870 4185
Photo of Dr Bianca Nardini, Psychologist, HCPC - Clin. Psych.
Dr Bianca Nardini
Psychologist, HCPC - Clin. Psych.
2 Endorsed
Aldersgate, London EC1M
Do you ever wonder why, despite everything going well in your life (e.g. you're in a good relationship, a successful job), something feels off? I specialise in helping people with anxiety who are highly self-critical. Often, my clients describe themselves as intellectualisers, perfectionists and/or people pleasers. You struggle to let go of control, to sit with your feelings, and set boundaries with people, but no one else would know because all your energy goes towards doing everything right. This happens when we learned to avoid our emotions like the plague, and before you know it, your life is all about doing and achieving.
Do you ever wonder why, despite everything going well in your life (e.g. you're in a good relationship, a successful job), something feels off? I specialise in helping people with anxiety who are highly self-critical. Often, my clients describe themselves as intellectualisers, perfectionists and/or people pleasers. You struggle to let go of control, to sit with your feelings, and set boundaries with people, but no one else would know because all your energy goes towards doing everything right. This happens when we learned to avoid our emotions like the plague, and before you know it, your life is all about doing and achieving.
020 4572 1275 View 020 4572 1275
Photo of Dr Jessica Mayer Johnson, Psychotherapist, PhD, BPC
Dr Jessica Mayer Johnson
Psychotherapist, PhD, BPC
Aldersgate, London EC1A
I have over 18 years post qualification experience as a psychotherapist/ counsellor Jungian analyst and Group Therapist working privately and in the NHS. I have also worked for many years as a psychotherapist at the University of London and teaching and supervising trainee counsellors and psychotherapists.
I have over 18 years post qualification experience as a psychotherapist/ counsellor Jungian analyst and Group Therapist working privately and in the NHS. I have also worked for many years as a psychotherapist at the University of London and teaching and supervising trainee counsellors and psychotherapists.
020 3870 3387 View 020 3870 3387
Photo of Ben Ross, Counsellor, MA, MNCPS Acc.
Ben Ross
Counsellor, MA, MNCPS Acc.
1 Endorsed
Serves Area
Are you suffering from anxiety, relationship or family issues, or worrying about depression or low self-esteem? I'm a friendly, approachable and supportive Gestalt counsellor working beside Liverpool Street Station, London. I'll support you to explore whatever your facing, without trying to label or fix you. I'm an accredited registrant member of The National Counselling and Psychotherapy Society (NCPS), having trained in Gestalt Therapy at the Esalen Institute, Big Sur, California and the Gestalt Centre, London.
Are you suffering from anxiety, relationship or family issues, or worrying about depression or low self-esteem? I'm a friendly, approachable and supportive Gestalt counsellor working beside Liverpool Street Station, London. I'll support you to explore whatever your facing, without trying to label or fix you. I'm an accredited registrant member of The National Counselling and Psychotherapy Society (NCPS), having trained in Gestalt Therapy at the Esalen Institute, Big Sur, California and the Gestalt Centre, London.
020 4634 8266 View 020 4634 8266
Photo of Robert Holman, Psychotherapist, BPC
Robert Holman
Psychotherapist, BPC
Serves Area
People come to therapy for many different reasons. You may be struggling with anxiety or depression, difficulties in relationships, questions about identity, the experience of becoming a parent, or a persistent sense that something in life is not quite working. Therapy offers a space to speak freely and to think together about what may lie beneath the surface of our difficulties. My approach is psychoanalytic and psychodynamic. Through conversation, reflection, and careful attention to experience, therapy can create the possibility for greater understanding and meaningful change.
People come to therapy for many different reasons. You may be struggling with anxiety or depression, difficulties in relationships, questions about identity, the experience of becoming a parent, or a persistent sense that something in life is not quite working. Therapy offers a space to speak freely and to think together about what may lie beneath the surface of our difficulties. My approach is psychoanalytic and psychodynamic. Through conversation, reflection, and careful attention to experience, therapy can create the possibility for greater understanding and meaningful change.
020 3984 8654 View 020 3984 8654
Photo of Amina Ispahani, Psychotherapist, MA, MBACP
Amina Ispahani
Psychotherapist, MA, MBACP
Serves Area
I am a ​fully qualified counsellor and psychotherapist based in Central/North London. I specialise in attachment, self-worth, relational issues and cultural/ identity issues. I provide a safe, warm and non-judgemental space to explore what is going on in your life. Any issue, big or small is valued, and together we can work through anything from daily struggles to deep-rooted issues. In a fast-paced world, with constant pressures on us, it can be difficult to find the emotional and physical space for yourself and your feelings. This is what I can help you with.
I am a ​fully qualified counsellor and psychotherapist based in Central/North London. I specialise in attachment, self-worth, relational issues and cultural/ identity issues. I provide a safe, warm and non-judgemental space to explore what is going on in your life. Any issue, big or small is valued, and together we can work through anything from daily struggles to deep-rooted issues. In a fast-paced world, with constant pressures on us, it can be difficult to find the emotional and physical space for yourself and your feelings. This is what I can help you with.
020 3962 0494 View 020 3962 0494
Photo of Heather Elizabeth Witcher, Counsellor, MNCPS Acc.
Heather Elizabeth Witcher
Counsellor, MNCPS Acc.
Serves Area
My counselling process is client focused and tailored. You and your personal journey are unique, therefore there is no "one size fits all" approach in my therapy space. Although I have had a long and varied education into counselling, psychology and social forces, I remain convinced by a fact that I learned on the first day of my degree... It is often not the method of counselling which predicts a benefit to our clients, but the relationship between client and practitioner. I prioritise building trust and a sense of safety that healing can bed into and thrive in.
My counselling process is client focused and tailored. You and your personal journey are unique, therefore there is no "one size fits all" approach in my therapy space. Although I have had a long and varied education into counselling, psychology and social forces, I remain convinced by a fact that I learned on the first day of my degree... It is often not the method of counselling which predicts a benefit to our clients, but the relationship between client and practitioner. I prioritise building trust and a sense of safety that healing can bed into and thrive in.
01803 222980 View 01803 222980
Photo of Neville Perrett, Counsellor, MA, MUKCP
Neville Perrett
Counsellor, MA, MUKCP
Serves Area
Counselling/Psychotherapy can help us understand better how we behave, what motivates us, and how past experiences can affect current behaviour. By expressing whatever is uppermost in our mind, feelings, thoughts, wishes, fears, memories and dreams can be explored within the safety of the therapeutic relationship. The aim being to enable us to find more appropriate ways of coping with our difficulties and to bring about changes in our thinking, feeling and behaviour. Through exploration therapy hopes to enable us to live a more fulfilling life and reach our full potential in the face of life's limitations.
Counselling/Psychotherapy can help us understand better how we behave, what motivates us, and how past experiences can affect current behaviour. By expressing whatever is uppermost in our mind, feelings, thoughts, wishes, fears, memories and dreams can be explored within the safety of the therapeutic relationship. The aim being to enable us to find more appropriate ways of coping with our difficulties and to bring about changes in our thinking, feeling and behaviour. Through exploration therapy hopes to enable us to live a more fulfilling life and reach our full potential in the face of life's limitations.
020 3984 9843 View 020 3984 9843
Photo of Naomi Milton, Psychotherapist, MUKCP
Naomi Milton
Psychotherapist, MUKCP
3 Endorsed
Serves Area
I am a UKCP registered psychotherapist providing therapy for those with anxiety, depression, relationship issues, work-related stress and many more presenting issues. I offer a warm and professional environment and tailor my way of working to help you feel comfortable but also work to gauge how much challenge you will need to facilitate change to move towards a healthier way of being.
I am a UKCP registered psychotherapist providing therapy for those with anxiety, depression, relationship issues, work-related stress and many more presenting issues. I offer a warm and professional environment and tailor my way of working to help you feel comfortable but also work to gauge how much challenge you will need to facilitate change to move towards a healthier way of being.
020 3856 7664 View 020 3856 7664
Photo of Lila Despotovic, Psychotherapist, MA, MUKCP
Lila Despotovic
Psychotherapist, MA, MUKCP
Serves Area
Hello, I'm Lila, a UKCP acredited psychotherapist. I am passionate about helping others and excited to witness clients' positive change and growth through therapy. Among my particular professional interests are eating dissorders, self-esteem and relationship problems, and issues facing women and girls. My own life journey has allowed me to gain invaluable lived experience of many things that my clients are going through, which have helped greatly with my personal growth and empathy towards my clients. Whether you're taking first steps in therapy, or returning to it, I welcome you and look forward to supporting you on your journey.
Hello, I'm Lila, a UKCP acredited psychotherapist. I am passionate about helping others and excited to witness clients' positive change and growth through therapy. Among my particular professional interests are eating dissorders, self-esteem and relationship problems, and issues facing women and girls. My own life journey has allowed me to gain invaluable lived experience of many things that my clients are going through, which have helped greatly with my personal growth and empathy towards my clients. Whether you're taking first steps in therapy, or returning to it, I welcome you and look forward to supporting you on your journey.
020 4634 2168 View 020 4634 2168
Photo of Ruta Adamone, Psychologist, PsychD, HCPC - Couns. Psych.
Ruta Adamone
Psychologist, PsychD, HCPC - Couns. Psych.
Serves Area
Many people come to therapy feeling stuck in repetitive patterns - persistent stress or anxiety that does not respond to self-help strategies, recurring relationship difficulties, feelings of emptiness or lack of meaning, or a deep sense of not being ‘enough’. I work with individuals from diverse backgrounds and experiences of life. My aim is to help you to start a journey of self-discovery and personal transformation that feels meaningful and sustainable.
Many people come to therapy feeling stuck in repetitive patterns - persistent stress or anxiety that does not respond to self-help strategies, recurring relationship difficulties, feelings of emptiness or lack of meaning, or a deep sense of not being ‘enough’. I work with individuals from diverse backgrounds and experiences of life. My aim is to help you to start a journey of self-discovery and personal transformation that feels meaningful and sustainable.
020 4634 0645 View 020 4634 0645
Photo of Malgosia Fijak-Koch, Psychologist, CPsychol
Malgosia Fijak-Koch
Psychologist, CPsychol
Serves Area
I am an integrative practitioner which means that my practice is influenced by more than one approach. In my work I focus on adapting the best-suited approach to your individual needs. This might entail helping you find coping strategies to address specific symptoms or assisting you to increase understanding of yourself and your relationships with others. I am also using DIT model (Dynamic Interpersonal Therapy) which is a 16 sessions time limited therapy aiming to identify and change unhelpful patterns affecting your important relationships and professional achievements.
I am an integrative practitioner which means that my practice is influenced by more than one approach. In my work I focus on adapting the best-suited approach to your individual needs. This might entail helping you find coping strategies to address specific symptoms or assisting you to increase understanding of yourself and your relationships with others. I am also using DIT model (Dynamic Interpersonal Therapy) which is a 16 sessions time limited therapy aiming to identify and change unhelpful patterns affecting your important relationships and professional achievements.
020 3962 2073 View 020 3962 2073
Photo of Marianne Morse, Counsellor, MBACP
Marianne Morse
Counsellor, MBACP
Serves Area
I understand the pressures that work, family and relationships can place on us and the importance of managing these experiences to find a satisfying balance and live with authenticity. I bring my warmth, intelligence, integrity and understanding to the work, with a commitment to holding a safe and boundaried space for you. If you have any questions about how I could work with you then please call or email me to arrange an initial, exploratory session.
I understand the pressures that work, family and relationships can place on us and the importance of managing these experiences to find a satisfying balance and live with authenticity. I bring my warmth, intelligence, integrity and understanding to the work, with a commitment to holding a safe and boundaried space for you. If you have any questions about how I could work with you then please call or email me to arrange an initial, exploratory session.
020 4572 5088 View 020 4572 5088
Photo of Nayna Patel, Counsellor, MBACP
Nayna Patel
Counsellor, MBACP
Serves Area
Making the decision to approach therapy is a positive step. Talking with friends and family is invaluable, but sometimes outside professional help can help you to gain a greater understanding in finding the resources to make those changes. It can also lead to self-discovery and self-awareness to live a more fulfilling life and to have more meaningful relationships. You may be deciding to seek therapy because you are feeling low or in distress, or confused with painful feelings that you do not understand, but you may also be coming from a place of curiosity. Wanting to understand yourself more deeply.
Making the decision to approach therapy is a positive step. Talking with friends and family is invaluable, but sometimes outside professional help can help you to gain a greater understanding in finding the resources to make those changes. It can also lead to self-discovery and self-awareness to live a more fulfilling life and to have more meaningful relationships. You may be deciding to seek therapy because you are feeling low or in distress, or confused with painful feelings that you do not understand, but you may also be coming from a place of curiosity. Wanting to understand yourself more deeply.
01992 932166 View 01992 932166
Photo of Natalia Senkova - Natalis Counselling & Psychotherapy, Counsellor, MBACP
Natalis Counselling & Psychotherapy
Counsellor, MBACP
1 Endorsed
Serves Area
I am not what happened to me. I am what I choose to become. -Carl Gustav Jung- A warm welcome to you. My primary aim is to facilitate a safe and empathic space for my clients where the psychological pain can be explored and validated without the fear of judgement or rejection. I have been trained in all mainstream therapeutic modalities, so I aim to tailor my approach to the unique needs and goals of each client. Alongside my private practice located just a few minutes from Hackney Wick station , I work in NHS as IAPT counsellor where I design and deliver individually tailored treatments for a wide range of presenting problems.
I am not what happened to me. I am what I choose to become. -Carl Gustav Jung- A warm welcome to you. My primary aim is to facilitate a safe and empathic space for my clients where the psychological pain can be explored and validated without the fear of judgement or rejection. I have been trained in all mainstream therapeutic modalities, so I aim to tailor my approach to the unique needs and goals of each client. Alongside my private practice located just a few minutes from Hackney Wick station , I work in NHS as IAPT counsellor where I design and deliver individually tailored treatments for a wide range of presenting problems.
020 3835 2097 View 020 3835 2097
Photo of Christian Murphy, Psychotherapist, MUKCP
Christian Murphy
Psychotherapist, MUKCP
Serves Area
Do you have a sense of feeling confused, stuck or disappointed? Perhaps you want to talk about a disturbing loss or new circumstances. You might be pursuing an unfamiliar role or new goal. Some people come to see me suffering from a lack of meaning or enjoyment in their lives. My particular interest is in people who are facing a change in their identity – perhaps a loss – or transition to a new stage in life. I also work with people who don’t yet know what the matter is – or feel like everything has gone wrong.
Do you have a sense of feeling confused, stuck or disappointed? Perhaps you want to talk about a disturbing loss or new circumstances. You might be pursuing an unfamiliar role or new goal. Some people come to see me suffering from a lack of meaning or enjoyment in their lives. My particular interest is in people who are facing a change in their identity – perhaps a loss – or transition to a new stage in life. I also work with people who don’t yet know what the matter is – or feel like everything has gone wrong.
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Photo of Armi Jones, Counsellor, MBACP
Armi Jones
Counsellor, MBACP
Serves Area
Sometimes life can feel harder than it seems it should. You might find yourself overthinking everything, feeling anxious in relationships, struggling with self-doubt, or noticing that the same patterns keep repeating despite your best efforts to change them. Perhaps you’ve become so used to carrying these feelings that you’ve started to wonder if this is simply how life will be. You don’t have to work through it alone. I’m Armi Jones, a registered psychodynamic counsellor with the British Association for Counselling and Psychotherapy (BACP) and the British Psychoanalytic Council (BPC). I work with adults looking for lasting change.
Sometimes life can feel harder than it seems it should. You might find yourself overthinking everything, feeling anxious in relationships, struggling with self-doubt, or noticing that the same patterns keep repeating despite your best efforts to change them. Perhaps you’ve become so used to carrying these feelings that you’ve started to wonder if this is simply how life will be. You don’t have to work through it alone. I’m Armi Jones, a registered psychodynamic counsellor with the British Association for Counselling and Psychotherapy (BACP) and the British Psychoanalytic Council (BPC). I work with adults looking for lasting change.
01480 775445 View 01480 775445
Photo of William Whitcombe, Psychotherapist, MSc, MBACP
William Whitcombe
Psychotherapist, MSc, MBACP
1 Endorsed
Serves Area
When life feels overwhelming, having someone truly listen can bring calm, clarity, and a renewed sense of direction. You may be feeling anxious or low, but can’t quite understand why. Maybe you struggle to connect with others, or you are feeling stuck or overwhelmed. You may not know exactly what’s wrong, only that something needs to change. Therapy can offer a calm space to reflect and begin to make sense of how you feel, and why.
When life feels overwhelming, having someone truly listen can bring calm, clarity, and a renewed sense of direction. You may be feeling anxious or low, but can’t quite understand why. Maybe you struggle to connect with others, or you are feeling stuck or overwhelmed. You may not know exactly what’s wrong, only that something needs to change. Therapy can offer a calm space to reflect and begin to make sense of how you feel, and why.
020 4572 4338 View 020 4572 4338

How does your Counsellor compare?

Number of Counsellors in Aldersgate, London

40+

Average cost per session

£85

Counsellors in Aldersgate, London who prioritize treating:

98% Anxiety
93% Depression
91% Relationship Issues
85% Self Esteem
80% Stress
76% Bereavement
67% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

77% Aviva
68% WPA
64% AXA PPP

How Counsellors in Aldersgate, London see their clients

80% In Person and Online
20% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Aldersgate?

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.