Counselling in Hampstead, London

Photo of Yaela Orelowitz, MA
Yaela Orelowitz
Verified Verified
Hampstead, London NW3
Navigating life is a challenging task at the best of times and there are times when life may feel like anything BUT the best. Hi, my name is Yaela, and I work with clients on finding their inner strength and wisdom in order to navigate through life and its challenges. Aloneness brings suffering and shame but in finding the language to make sense of your experience and sharing what you are going through with a professional, your struggles can be transformed and can create new depths in your life. As a therapist I am trained to listen deeply and ask questions that may encourage you to think differently about parts of yourself.
Navigating life is a challenging task at the best of times and there are times when life may feel like anything BUT the best. Hi, my name is Yaela, and I work with clients on finding their inner strength and wisdom in order to navigate through life and its challenges. Aloneness brings suffering and shame but in finding the language to make sense of your experience and sharing what you are going through with a professional, your struggles can be transformed and can create new depths in your life. As a therapist I am trained to listen deeply and ask questions that may encourage you to think differently about parts of yourself.
020 4634 0124 x27 View 020 4634 0124 x27
Photo of Marina Gaspodini, Psychotherapist, MUKCP
Marina Gaspodini
Psychotherapist, MUKCP
Hampstead, London NW3
I was born and raised in Italy. I came to England and studied psychology at university and then I trained as a mental health nurse. I have worked in the NHS as individual and group psychotherapist for over 25 years, in a variety of settings and different levels of complexity. I trained as a Group Analyst at the Institute of Group Analysis in London and I have extensive experience in running groups. I have facilitated experiential groups in the statutory and third sector settings as well as staff reflective practice groups. I trained as a supervisor at the IGA and offer supervision. I am a member of the IGA and I belong to the UKCP.
I was born and raised in Italy. I came to England and studied psychology at university and then I trained as a mental health nurse. I have worked in the NHS as individual and group psychotherapist for over 25 years, in a variety of settings and different levels of complexity. I trained as a Group Analyst at the Institute of Group Analysis in London and I have extensive experience in running groups. I have facilitated experiential groups in the statutory and third sector settings as well as staff reflective practice groups. I trained as a supervisor at the IGA and offer supervision. I am a member of the IGA and I belong to the UKCP.
020 3540 6446 View 020 3540 6446
Photo of Dr Will Tadros, Psychologist, HCPC - Clin. Psych.
Dr Will Tadros
Psychologist, HCPC - Clin. Psych.
1 Endorsed
Hampstead, London NW3
Hi, I'm Will. I'm a highly trained and experienced clinical psychologist, having worked as a senior psychologist and borough lead for a specialist NHS mental health team. I have a successful record of helping people with anxiety, depression, trauma, loneliness, and hopelessness who have found standard therapy and medication to be unhelpful. I help people to recognise and respond to experiences that previously felt overwhelming and untouchable. I realise that for some people, sitting in an office is very challenging. So, as well as offering standard in person and online therapy, I also work outdoors with people, walking side by side.
Hi, I'm Will. I'm a highly trained and experienced clinical psychologist, having worked as a senior psychologist and borough lead for a specialist NHS mental health team. I have a successful record of helping people with anxiety, depression, trauma, loneliness, and hopelessness who have found standard therapy and medication to be unhelpful. I help people to recognise and respond to experiences that previously felt overwhelming and untouchable. I realise that for some people, sitting in an office is very challenging. So, as well as offering standard in person and online therapy, I also work outdoors with people, walking side by side.
020 4572 1975 View 020 4572 1975
Photo of Alex Papadakis, Psychotherapist, BPC
Alex Papadakis
Psychotherapist, BPC
Hampstead, London NW3
Are you feeling stuck, overwhelmed, or disconnected from yourself or others? Perhaps you're struggling with anxiety, depression, trauma, addiction, or relationship difficulties. These challenges can feel isolating, but psychotherapy offers a unique space to explore your inner world in a way that everyday life rarely allows. I am a fully qualified psychotherapist registered with the British Psychoanalytic Council (BPC). I work both privately and in the NHS, where I have extensive experience working with individuals from a wide range of backgrounds. I also accept clients through Aviva insurance.
Are you feeling stuck, overwhelmed, or disconnected from yourself or others? Perhaps you're struggling with anxiety, depression, trauma, addiction, or relationship difficulties. These challenges can feel isolating, but psychotherapy offers a unique space to explore your inner world in a way that everyday life rarely allows. I am a fully qualified psychotherapist registered with the British Psychoanalytic Council (BPC). I work both privately and in the NHS, where I have extensive experience working with individuals from a wide range of backgrounds. I also accept clients through Aviva insurance.
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Photo of Savanna Sparkes, Psychotherapist, MA, MBACP Accred
Savanna Sparkes
Psychotherapist, MA, MBACP Accred
Hampstead, London NW3
Asking for help can be really daunting. If you are here, reading this, and have recognised that you might benefit from the kind of support that therapy offers, then you have already taken a big step. There can be lots of reasons you might benefit from therapy. You might be dealing with a difficult time, such as an illness, bereavement, a separation. You might be feeling stressed, anxious, lost or low more often than feels ‘ok’. You might want to understand yourself better, why you feel and behave the way you do, or want to feel more alive.
Asking for help can be really daunting. If you are here, reading this, and have recognised that you might benefit from the kind of support that therapy offers, then you have already taken a big step. There can be lots of reasons you might benefit from therapy. You might be dealing with a difficult time, such as an illness, bereavement, a separation. You might be feeling stressed, anxious, lost or low more often than feels ‘ok’. You might want to understand yourself better, why you feel and behave the way you do, or want to feel more alive.
020 3958 4039 View 020 3958 4039
Photo of Lia Brown, Psychotherapist, MA, MUKCP
Lia Brown
Psychotherapist, MA, MUKCP
Hampstead, London NW3
Clients reach out to me because they are struggling within themselves, their work or their relationships. They might be feeling depressed, anxious, dreadful, stressed, overwhelmed, lonely, angry, empty, numb, purposeless, meaningless, traumatised, disconnected; yet not realise it. They might need to feel better, and live fulfilled lives. They may want to discover themselves and what would make them happy. At times people enter therapy in a crisis or for a multitude of other reasons and stay for various lengths of time. The time of entry is usually significant. Therapy is no longer a stigma; self development is now a norm.
Clients reach out to me because they are struggling within themselves, their work or their relationships. They might be feeling depressed, anxious, dreadful, stressed, overwhelmed, lonely, angry, empty, numb, purposeless, meaningless, traumatised, disconnected; yet not realise it. They might need to feel better, and live fulfilled lives. They may want to discover themselves and what would make them happy. At times people enter therapy in a crisis or for a multitude of other reasons and stay for various lengths of time. The time of entry is usually significant. Therapy is no longer a stigma; self development is now a norm.
020 3984 8198 View 020 3984 8198
Photo of Robert Bor - Dynamic Change Consultants Ltd, Psychologist, FMBPsS
Dynamic Change Consultants Ltd
Psychologist, FMBPsS
Hampstead, London NW3
Dynamic Change Consultants are specialists in modern psychological therapies and see clients in-person, online with offices in Harley Street and Hampstead. Founded by Professor Robert Bor, DCC is one of London's foremost psychology practices. Our highly experiences consultants provide modern, solution-focused approaches to help individuals, families and teams to overcome a broad range of personal and workplace issues.
Dynamic Change Consultants are specialists in modern psychological therapies and see clients in-person, online with offices in Harley Street and Hampstead. Founded by Professor Robert Bor, DCC is one of London's foremost psychology practices. Our highly experiences consultants provide modern, solution-focused approaches to help individuals, families and teams to overcome a broad range of personal and workplace issues.
020 4548 2731 View 020 4548 2731
Photo of Eleonora MacBryde, Psychotherapist, MA, MBACP
Eleonora MacBryde
Psychotherapist, MA, MBACP
2 Endorsed
Hampstead, London NW3
I work with the full spectrum of human pain and confusion, from feeling lost about your life circumstances to symptoms of neurosis and psychosis. One of the fundamental tasks of therapy is to create a space where we can meet ourselves – to discover who we are. This is what I ultimately strive to create for my patients, in the human encounter of the therapy room (be it online or in person). All life issues are explored together, in a spirit of acceptance, dialogue and openness. In psychoterapy we can cry, or laugh – sometimes at the same time. We are human to human, with all our complexity, different and yet similar, unjudgementally.
I work with the full spectrum of human pain and confusion, from feeling lost about your life circumstances to symptoms of neurosis and psychosis. One of the fundamental tasks of therapy is to create a space where we can meet ourselves – to discover who we are. This is what I ultimately strive to create for my patients, in the human encounter of the therapy room (be it online or in person). All life issues are explored together, in a spirit of acceptance, dialogue and openness. In psychoterapy we can cry, or laugh – sometimes at the same time. We are human to human, with all our complexity, different and yet similar, unjudgementally.
020 3856 8669 View 020 3856 8669
Photo of Jonathan Kay, Psychotherapist, MHGI
Jonathan Kay
Psychotherapist, MHGI
1 Endorsed
Hampstead, London NW3
I have particular success in treating anxiety, depression, sleep issues and trauma as quickly as possible. Using the most effective solution-focused techniques, I will empower you to deal with emotional distress, feel more positive about your life and take back control. I will help you understand depression and how to lift it and can assist in developing skills so that your needs for security, affection, friendship, intimacy, pleasure and connection can be better fulfilled. I will also help you relax deeply and feel better in each session. To support your progress, our time together will be structured, using measurable outcomes.
I have particular success in treating anxiety, depression, sleep issues and trauma as quickly as possible. Using the most effective solution-focused techniques, I will empower you to deal with emotional distress, feel more positive about your life and take back control. I will help you understand depression and how to lift it and can assist in developing skills so that your needs for security, affection, friendship, intimacy, pleasure and connection can be better fulfilled. I will also help you relax deeply and feel better in each session. To support your progress, our time together will be structured, using measurable outcomes.
020 3973 4002 View 020 3973 4002
Photo of Sandy Homouda - Hampstead CBT, Psychotherapist, MSc, MBABCP
Hampstead CBT
Psychotherapist, MSc, MBABCP
3 Endorsed
Hampstead, London NW3
My primary therapeutic grounding is in Cognitive behavioural therapy (CBT), an approach to change that’s solution focused, practical and geared towards achieving goals specific to your life circumstances and challenges you feel are holding you back. Over the years, I've done extensive professional training so I tailor my approach to each unique individual. My ideal client is curious, open to discussing and exploring ideas and keen to pursue lasting personal transformation. This a real challenge which takes great courage. Successful therapy requires some degree of trust in the process and collaborative therapeutic alliance.
My primary therapeutic grounding is in Cognitive behavioural therapy (CBT), an approach to change that’s solution focused, practical and geared towards achieving goals specific to your life circumstances and challenges you feel are holding you back. Over the years, I've done extensive professional training so I tailor my approach to each unique individual. My ideal client is curious, open to discussing and exploring ideas and keen to pursue lasting personal transformation. This a real challenge which takes great courage. Successful therapy requires some degree of trust in the process and collaborative therapeutic alliance.
020 3675 0147 View 020 3675 0147
Photo of David Paul MacBryde, Psychotherapist, MA, BACP
David Paul MacBryde
Psychotherapist, MA, BACP
Hampstead, London NW3
I have worked for over 25 years with folks who have struggled with a range of internal, interpersonal, relational, and environmental challenges and questions. This includes: difficult thoughts; "stuck" patterns of behavior, including addictions; persistent sadness and depression; relationship and family difficulties; loneliness; thoughts of life-and-death; trauma; identity and sexuality questions; experiences of madness; and other difficult life situations. I focus on working with adolescents (16+), young adults (18-25), and adults of all ages. I also work with men of all ages on questions of masculinity and "manhood".
I have worked for over 25 years with folks who have struggled with a range of internal, interpersonal, relational, and environmental challenges and questions. This includes: difficult thoughts; "stuck" patterns of behavior, including addictions; persistent sadness and depression; relationship and family difficulties; loneliness; thoughts of life-and-death; trauma; identity and sexuality questions; experiences of madness; and other difficult life situations. I focus on working with adolescents (16+), young adults (18-25), and adults of all ages. I also work with men of all ages on questions of masculinity and "manhood".
020 4634 4390 View 020 4634 4390
Photo of Andrew Royle, Psychotherapist, MA, MUKCP
Andrew Royle
Psychotherapist, MA, MUKCP
Hampstead, London NW3
Through talking and expressing, patients embark on a process - a move into new territory. Patterns that may seem unchangeable and fixed can become more fluid in therapy, allowing one to loosen up and potential create space for new understandings and ways of being to emerge. This is not often a quick or an easy journey. I often see patients for weekly sessions and sometimes over long periods. There are often unconscious (and conscious) motivations for remaining where we are and it can take time for this to become clear. I have a couch for patients to invite dreams and memories as a way of accessing other parts of the self. .
Through talking and expressing, patients embark on a process - a move into new territory. Patterns that may seem unchangeable and fixed can become more fluid in therapy, allowing one to loosen up and potential create space for new understandings and ways of being to emerge. This is not often a quick or an easy journey. I often see patients for weekly sessions and sometimes over long periods. There are often unconscious (and conscious) motivations for remaining where we are and it can take time for this to become clear. I have a couch for patients to invite dreams and memories as a way of accessing other parts of the self. .
020 3857 8021 View 020 3857 8021
Photo of Mandi Simons - Mandi Simons Counselling & Psychotherapy Practice, Psychotherapist, MBACP
Mandi Simons Counselling & Psychotherapy Practice
Psychotherapist, MBACP
Hampstead, London NW3
Finding the right counsellor can feel daunting. At Mandi Simons Counselling and Psychotherapy, we offer personalised support in Hampstead and online. Our team includes CBT and integrative therapists, hypnotherapists and life coaches with expertise in depression, anxiety, bereavement, addiction, neurodiversity and relationship issues. Although our backgrounds differ, we share an empathic, individual approach, ensuring you receive support that fits your needs.
Finding the right counsellor can feel daunting. At Mandi Simons Counselling and Psychotherapy, we offer personalised support in Hampstead and online. Our team includes CBT and integrative therapists, hypnotherapists and life coaches with expertise in depression, anxiety, bereavement, addiction, neurodiversity and relationship issues. Although our backgrounds differ, we share an empathic, individual approach, ensuring you receive support that fits your needs.
020 3872 2042 View 020 3872 2042
Photo of Sebastian Bosca, Psychotherapist, MSc, MBACP Accred
Sebastian Bosca
Psychotherapist, MSc, MBACP Accred
Hampstead, London NW3
I am passionate about working with people of all ages to help them find healthy ways to deal with life's challenges. I believe we are complex human beings and reducing people to just one extent would be a rather shallow approach. Therefore, I try to approach every person holistically, using a wide range of methods.
I am passionate about working with people of all ages to help them find healthy ways to deal with life's challenges. I believe we are complex human beings and reducing people to just one extent would be a rather shallow approach. Therefore, I try to approach every person holistically, using a wide range of methods.
020 3879 4405 View 020 3879 4405
Photo of Suzie Quartermaine, Psychotherapist, BPC
Suzie Quartermaine
Psychotherapist, BPC
Hampstead, London NW3
Are you unhappy in your relationship? Does it feel as if you are stuck having the same painful arguments again and again? Perhaps it feels that you are really arguing about something else or that communication has completely broken down. Couples therapy can offer a way out of these painful patterns.
Are you unhappy in your relationship? Does it feel as if you are stuck having the same painful arguments again and again? Perhaps it feels that you are really arguing about something else or that communication has completely broken down. Couples therapy can offer a way out of these painful patterns.
020 3835 2512 View 020 3835 2512
Photo of Afsaneh Navidinia, Psychotherapist, MA, BPC
Afsaneh Navidinia
Psychotherapist, MA, BPC
Hampstead, London NW3
I am a psychodynamic psychotherapist, trained at the Tavistock and Portman Clinic, with substantial experience across NHS Trusts, supporting groups and individuals with complex emotional and psychological difficulties. I work with people wishing to explore themselves more deeply, understand challenges, and see how past experiences shape thoughts, feelings, and ways of relating. In a safe, confidential space, we can reflect on these dynamics, navigate challenges, and gradually gain insight, supporting a greater sense of control and more conscious choices.
I am a psychodynamic psychotherapist, trained at the Tavistock and Portman Clinic, with substantial experience across NHS Trusts, supporting groups and individuals with complex emotional and psychological difficulties. I work with people wishing to explore themselves more deeply, understand challenges, and see how past experiences shape thoughts, feelings, and ways of relating. In a safe, confidential space, we can reflect on these dynamics, navigate challenges, and gradually gain insight, supporting a greater sense of control and more conscious choices.
01748 905951 View 01748 905951
Photo of Muby Oztabay, Counsellor, MBACP Accred
Muby Oztabay
Counsellor, MBACP Accred
1 Endorsed
Hampstead, London NW3
I have 20 years of experience as an Integrative counsellor/psychotherapist. Throughout my career, I have provided over 8500 hours of psychotherapy sessions, working with Children, Adolescents and Adults in Higher Education, the Third Sector/NGOs and Tier 3 services across United Kingdom.
I have 20 years of experience as an Integrative counsellor/psychotherapist. Throughout my career, I have provided over 8500 hours of psychotherapy sessions, working with Children, Adolescents and Adults in Higher Education, the Third Sector/NGOs and Tier 3 services across United Kingdom.
0161 524 3931 View 0161 524 3931
Photo of Vasilios Magalios, Psychotherapist, MUKCP
Vasilios Magalios
Psychotherapist, MUKCP
Hampstead, London NW3
Therapy has the exciting potential to support deep understanding and change of attitude. The reasons that people give therapy a try are uniquely subjective. Initially perhaps there is a wish to try something new and understanding starts from hints, clues and hunches. Especially in group therapy you come to know yourself in ways you didn't before, through reflecting with others on experiences in and out of the group. Group therapy is nothing mystical and can lead to better use of intuition as a tool. No need to learn special techniques, in group therapy there are only sincerity, honesty and responsiveness.
Therapy has the exciting potential to support deep understanding and change of attitude. The reasons that people give therapy a try are uniquely subjective. Initially perhaps there is a wish to try something new and understanding starts from hints, clues and hunches. Especially in group therapy you come to know yourself in ways you didn't before, through reflecting with others on experiences in and out of the group. Group therapy is nothing mystical and can lead to better use of intuition as a tool. No need to learn special techniques, in group therapy there are only sincerity, honesty and responsiveness.
020 3962 2197 View 020 3962 2197
Photo of Mariella Michaelides, Psychotherapist, MBACP
Mariella Michaelides
Psychotherapist, MBACP
Hampstead, London NW3
I offer psychotherapy to individuals and couples. With individuals, when we sit together, we begin with whatever you would like to share. If you don’t know what to say, we simply begin with that. You may be going through a crisis, you might need to share your grief, or a gnawing sense of existential unease, or perhaps you simply have a desire to get to know your inner world better. It is all welcome.
I offer psychotherapy to individuals and couples. With individuals, when we sit together, we begin with whatever you would like to share. If you don’t know what to say, we simply begin with that. You may be going through a crisis, you might need to share your grief, or a gnawing sense of existential unease, or perhaps you simply have a desire to get to know your inner world better. It is all welcome.
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Photo of Matthew Deaves, Psychotherapist, MBACP
Matthew Deaves
Psychotherapist, MBACP
Hampstead, London NW3
Hello, my name is Matthew, I am a qualified integrative therapist working online via Zoom from my therapy space in East London. I have the conviction that it is possible to make sense of our lives and doing so makes good sense. Clients I meet often have a sense of despair around aspects of their lives and find themselves being ‘fed up of being fed up’. This despair however can serve as a useful catalyst in the quest for healing and understanding. Therapy is an opportunity to take stock of our lives and work out what we want them to be, to face ourselves head on.
Hello, my name is Matthew, I am a qualified integrative therapist working online via Zoom from my therapy space in East London. I have the conviction that it is possible to make sense of our lives and doing so makes good sense. Clients I meet often have a sense of despair around aspects of their lives and find themselves being ‘fed up of being fed up’. This despair however can serve as a useful catalyst in the quest for healing and understanding. Therapy is an opportunity to take stock of our lives and work out what we want them to be, to face ourselves head on.
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How does your Counsellor compare?

Number of Counsellors in Hampstead, London

300+

Average cost per session

£90

Counsellors in Hampstead, London who prioritize treating:

92% Anxiety
86% Depression
86% Self Esteem
83% Relationship Issues
80% Stress
66% Trauma and PTSD
59% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

77% Aviva
66% AXA PPP
64% Vitality

How Counsellors in Hampstead, London see their clients

72% In Person and Online
28% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Hampstead, London?

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.