Counselling in Shoreditch, London

Photo of Dr Argyro (Iro) Ioannou, PsychD, HCPC - Couns. Psych., Psychologist
Dr Argyro (Iro) Ioannou
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
Shoreditch, London E1
I am an experienced Chartered Counselling Psychologist, Psychotherapist and Supervisor. I have experience working as a psychotherapist in the NHS and in private practice with clients facing a variety of psychological concerns, ranging in severity and intensity. Holding a Doctorate in Counselling Psychology, and striving for continuous professional development, I offer therapy with the highest level of knowledge and skills. I value your unique and subjective experience and our therapeutic sessions will be tailored to meet your unique needs, offering you the beginning of a healing process and a more fulfilling life.
I am an experienced Chartered Counselling Psychologist, Psychotherapist and Supervisor. I have experience working as a psychotherapist in the NHS and in private practice with clients facing a variety of psychological concerns, ranging in severity and intensity. Holding a Doctorate in Counselling Psychology, and striving for continuous professional development, I offer therapy with the highest level of knowledge and skills. I value your unique and subjective experience and our therapeutic sessions will be tailored to meet your unique needs, offering you the beginning of a healing process and a more fulfilling life.
020 3962 0779 View 020 3962 0779
Photo of Mandi Martin, MBBS, MBACP, Counsellor
Mandi Martin
Counsellor, MBBS, MBACP
Verified Verified
1 Endorsed
Shoreditch, London E2
Waitlist for new clients
If you are reading this, you have already begun the process of finding a therapist and I understand that this is a courageous step. A step towards change and commitment to yourself. Maybe you are wanting to understand yourself better? Looking for an opportunity to have a deeper knowledge of yourself and your behaviour? You might want more satisfaction in your career or be struggling with a personal or business relationship? Experiencing a loss? Recent diagnosis of life limiting illness? Or seeking a professional relationship with someone that will allow space for talking about your problems/challenges and explore these experiences?
If you are reading this, you have already begun the process of finding a therapist and I understand that this is a courageous step. A step towards change and commitment to yourself. Maybe you are wanting to understand yourself better? Looking for an opportunity to have a deeper knowledge of yourself and your behaviour? You might want more satisfaction in your career or be struggling with a personal or business relationship? Experiencing a loss? Recent diagnosis of life limiting illness? Or seeking a professional relationship with someone that will allow space for talking about your problems/challenges and explore these experiences?
020 3994 7614 View 020 3994 7614
Photo of Maxwell Addo, MSc, MBACP Accred, Psychotherapist
Maxwell Addo
Psychotherapist, MSc, MBACP Accred
Verified Verified
Shoreditch, London E1
My name is Maxwell Addo. I am a fully qualified integrative therapist and clinical supervisor. I am accredited by the British Association of Counsellors and Psychotherapy, a member of the United Kingdom Council for Psychotherapy and registered with the British Psychological Society. My role as a therapist is to work alongside you to help find ways to understand and address the issues you may be facing. My approach is to build a safe, trusting and confidential environment that challenges and supports you but also encourages self-awareness, resilience and personal growth.
My name is Maxwell Addo. I am a fully qualified integrative therapist and clinical supervisor. I am accredited by the British Association of Counsellors and Psychotherapy, a member of the United Kingdom Council for Psychotherapy and registered with the British Psychological Society. My role as a therapist is to work alongside you to help find ways to understand and address the issues you may be facing. My approach is to build a safe, trusting and confidential environment that challenges and supports you but also encourages self-awareness, resilience and personal growth.
020 8106 2513 View 020 8106 2513
Photo of Collin Browne, MA, MBACP, Psychotherapist
Collin Browne
Psychotherapist, MA, MBACP
Verified Verified
Shoreditch, London E1
The therapy hour is a time for someone to simply be who they are, an experience that is surprisingly difficult to have in a world filled with harsh demands, expectations, and at times tragedies. Often the people I work with have found themselves stuck in difficult patterns of feeling, thought and behavior that they find to be out of their control, preventing this experience of simply being themselves. We use words like anxiety, depression, and disorder to describe these patterns. As a therapist my aim is to help introduce a greater sense of freedom and control over one’s own life within a space where moral judgments have no place.
The therapy hour is a time for someone to simply be who they are, an experience that is surprisingly difficult to have in a world filled with harsh demands, expectations, and at times tragedies. Often the people I work with have found themselves stuck in difficult patterns of feeling, thought and behavior that they find to be out of their control, preventing this experience of simply being themselves. We use words like anxiety, depression, and disorder to describe these patterns. As a therapist my aim is to help introduce a greater sense of freedom and control over one’s own life within a space where moral judgments have no place.
020 4538 2104 View 020 4538 2104
Photo of Viviane Talkeu, MA, MUKCP, Psychotherapist
Viviane Talkeu
Psychotherapist, MA, MUKCP
Verified Verified
Shoreditch, London E1
At some point, most of us may come to feel anxious, low, overwhelmed or simply stuck. Perhaps life events have left you feel lost, confused, or distressed. Each person who enters therapy has a unique story, a unique combination of experiences and circumstances. We all have different strengths and concerns. The starting point is to come as we are. Whether you are dealing with a specific issue or would like to explore your existence in a broader sense, therapy can be an opportunity to create space in your life to consider where you are now, and where you would like to go from here.
At some point, most of us may come to feel anxious, low, overwhelmed or simply stuck. Perhaps life events have left you feel lost, confused, or distressed. Each person who enters therapy has a unique story, a unique combination of experiences and circumstances. We all have different strengths and concerns. The starting point is to come as we are. Whether you are dealing with a specific issue or would like to explore your existence in a broader sense, therapy can be an opportunity to create space in your life to consider where you are now, and where you would like to go from here.
020 3835 5016 View 020 3835 5016
Photo of Matthew Walker, MUKCP, Psychotherapist
Matthew Walker
Psychotherapist, MUKCP
Verified Verified
Shoreditch, London EC2A
Maybe your anxious or depressed and are finding it hard to do the things you used to love, and it's difficult spending time with the people you call family and friends as you currently feel so disconnected from them. Maybe you are feeling extremely sad and broken over a heartbreak, a death of a relative or a different loss such as an identity. Maybe you cannot understand what happened to you in the past but know at some level it has played a part in where you find yourself today. Psychodynamic therapy can help, and I would love in partnership to walk with you on that journey.
Maybe your anxious or depressed and are finding it hard to do the things you used to love, and it's difficult spending time with the people you call family and friends as you currently feel so disconnected from them. Maybe you are feeling extremely sad and broken over a heartbreak, a death of a relative or a different loss such as an identity. Maybe you cannot understand what happened to you in the past but know at some level it has played a part in where you find yourself today. Psychodynamic therapy can help, and I would love in partnership to walk with you on that journey.
020 3696 9701 View 020 3696 9701
Photo of Dr Lana Renny, PsychD, HCPC - Clin. Psych., Psychologist
Dr Lana Renny
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Shoreditch, London EC2A
I am a Clinical Psychologist, registered with the Health and Care Professions Council (HCPC). I have over 15 years of experience in the NHS working therapeutically with adults, young people and families. If you are struggling with your mood, feeling stuck, or perhaps experiencing low self esteem, trauma symptoms or relationship problems, I am here to support you.
I am a Clinical Psychologist, registered with the Health and Care Professions Council (HCPC). I have over 15 years of experience in the NHS working therapeutically with adults, young people and families. If you are struggling with your mood, feeling stuck, or perhaps experiencing low self esteem, trauma symptoms or relationship problems, I am here to support you.
020 3322 2419 View 020 3322 2419
Photo of Carena Rogers, MA, MBACP, Counsellor
Carena Rogers
Counsellor, MA, MBACP
Verified Verified
Shoreditch, London E1
Are you tired of pretending you’re OK? Are you your own harshest critic? So used to putting others first that it’s hard to hold on to your own self-worth? Or you may be finding that getting out of bed is a struggle, you don't want to go to work or show up in your life. Add in experiences of sexism, micro-aggressions, abuse, and ageism, and your confidence can be knocked. It’s not much fun feeling anxious, depressed or stressed all the time. Comparing yourself to others and not feeling good enough can affect your mood and your relationships with yourself and with others. These are all things that therapy can help you work through.
Are you tired of pretending you’re OK? Are you your own harshest critic? So used to putting others first that it’s hard to hold on to your own self-worth? Or you may be finding that getting out of bed is a struggle, you don't want to go to work or show up in your life. Add in experiences of sexism, micro-aggressions, abuse, and ageism, and your confidence can be knocked. It’s not much fun feeling anxious, depressed or stressed all the time. Comparing yourself to others and not feeling good enough can affect your mood and your relationships with yourself and with others. These are all things that therapy can help you work through.
020 4538 0397 View 020 4538 0397
Photo of Kae Spencer, MBACP, Psychotherapist
Kae Spencer
Psychotherapist, MBACP
Verified Verified
Shoreditch, London EC2A
I will help you explore, your thoughts and feelings, and work toward healing difficult experiences, and memories in a collaborative, deeply empathetic and completely non-judgmental way. ​
I will help you explore, your thoughts and feelings, and work toward healing difficult experiences, and memories in a collaborative, deeply empathetic and completely non-judgmental way. ​
020 3053 9816 View 020 3053 9816
Photo of Kendra Kronenberg, MUKCP, Psychotherapist
Kendra Kronenberg
Psychotherapist, MUKCP
Verified Verified
Shoreditch, London E1
Welcome. I am a trained Psychodynamic Psychotherapist with experience of working in organisations and in private practice. I have worked with people of all backgrounds experiencing a wide range of problems including anxiety, bereavement, cultural issues, depression, eating disorders, low self-esteem, relationship issues, sexual difficulties and trauma. Therapy is a creative and collaborative process and I want to support you on your journey. At times this can be challenging and uncomfortable, and therefore it is important to find the right therapist for you who helps you facing your inner truths, reflect and grow.
Welcome. I am a trained Psychodynamic Psychotherapist with experience of working in organisations and in private practice. I have worked with people of all backgrounds experiencing a wide range of problems including anxiety, bereavement, cultural issues, depression, eating disorders, low self-esteem, relationship issues, sexual difficulties and trauma. Therapy is a creative and collaborative process and I want to support you on your journey. At times this can be challenging and uncomfortable, and therefore it is important to find the right therapist for you who helps you facing your inner truths, reflect and grow.
020 3960 5196 View 020 3960 5196
Photo of Yanni Spiro - Yanni Spiro, MA, MBACP, Psychotherapist
Yanni Spiro
Psychotherapist, MA, MBACP
Verified Verified
Shoreditch, London E1
Myclient (s) would be couples or individuals who struggle in their relationships. Their issues would include communication, loneliness, depression, loss, struggling to find the couple after children, empty nest syndrome and many more. Their goals would be to understand the recurrent patterns that are putting strain on the relationship and resolve the underlying issues. Counselling and psychotherapy may involve exploring the past to the extent that it influences the present.
Myclient (s) would be couples or individuals who struggle in their relationships. Their issues would include communication, loneliness, depression, loss, struggling to find the couple after children, empty nest syndrome and many more. Their goals would be to understand the recurrent patterns that are putting strain on the relationship and resolve the underlying issues. Counselling and psychotherapy may involve exploring the past to the extent that it influences the present.
020 3960 5370 View 020 3960 5370
Photo of Claire Ratcliffe - Claire Ratcliffe Psychotherapy & Couples Therapy, MSc, MBACP, Psychotherapist
Claire Ratcliffe Psychotherapy & Couples Therapy
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Shoreditch, London E1
I work with Individuals, Couples, Polyamorous Relationships and those who are experiencing sexual issues. Therapy can be an empowering process, supporting you to reconnect with yourself, to notice and take care of your needs, bringing you self awareness, healing & a deeper sense of security. I work to provide clients with a safe & attuned therapeutic experience. This gives you the space to look at old patterns of behaviour that are no longer serving you, supporting you to make healthier changes, moving you forward into a place of authenticity
I work with Individuals, Couples, Polyamorous Relationships and those who are experiencing sexual issues. Therapy can be an empowering process, supporting you to reconnect with yourself, to notice and take care of your needs, bringing you self awareness, healing & a deeper sense of security. I work to provide clients with a safe & attuned therapeutic experience. This gives you the space to look at old patterns of behaviour that are no longer serving you, supporting you to make healthier changes, moving you forward into a place of authenticity
0161 524 6615 View 0161 524 6615
Photo of Guillermo Llorca, COSRT Accred, Psychotherapist
Guillermo Llorca
Psychotherapist, COSRT Accred
Verified Verified
Shoreditch, London E1
I believe sexual expression, sexual enjoyment, intimacy and meaningful relationships are integral elements of who we are. On many occasions we don’t talk about our problems and worries because of shame. Sex and Relationship Psychotherapy is a safe non-judgmental space where we explore and work together on those issues affecting your sexuality or your relationships.
I believe sexual expression, sexual enjoyment, intimacy and meaningful relationships are integral elements of who we are. On many occasions we don’t talk about our problems and worries because of shame. Sex and Relationship Psychotherapy is a safe non-judgmental space where we explore and work together on those issues affecting your sexuality or your relationships.
020 3856 3973 View 020 3856 3973
Photo of Justin Pryce, MBACP, Counsellor
Justin Pryce
Counsellor, MBACP
Verified Verified
Shoreditch, London E1
I am a qualified integrative counsellor with experience in providing support for a range of issues, including anxiety, anger, stress, depression, abuse, addiction, relationship problems and self-esteem. My approach is firmly rooted in understanding your unique individual needs, recognising the importance of tailoring our sessions to address your specific challenges and aspirations. As a dedicated counsellor, my foremost commitment is to create a confidential, non-judgmental, and nurturing space where we can collaboratively explore your thoughts, emotions, and the challenges you may be facing.
I am a qualified integrative counsellor with experience in providing support for a range of issues, including anxiety, anger, stress, depression, abuse, addiction, relationship problems and self-esteem. My approach is firmly rooted in understanding your unique individual needs, recognising the importance of tailoring our sessions to address your specific challenges and aspirations. As a dedicated counsellor, my foremost commitment is to create a confidential, non-judgmental, and nurturing space where we can collaboratively explore your thoughts, emotions, and the challenges you may be facing.
020 3772 6849 View 020 3772 6849
Photo of Sundraj Sreenivasan, MA, MUKCP, Psychotherapist
Sundraj Sreenivasan
Psychotherapist, MA, MUKCP
Verified Verified
Shoreditch, London E1
It can be daunting to start therapy. Opening up to someone and sharing your inner world takes a lot of courage. As an experienced and compassionate psychotherapist, I create a space free from judgement to empower you to talk about things that trouble you or cause you pain. I see therapy as a collaboration, I will be alongside you on this voyage of discovery as you learn more about who you are and who you can be.
It can be daunting to start therapy. Opening up to someone and sharing your inner world takes a lot of courage. As an experienced and compassionate psychotherapist, I create a space free from judgement to empower you to talk about things that trouble you or cause you pain. I see therapy as a collaboration, I will be alongside you on this voyage of discovery as you learn more about who you are and who you can be.
020 3701 7906 View 020 3701 7906
Photo of Stephen Christopher O’Toole, DCounsPsych, MBACP, Counsellor
Stephen Christopher O’Toole
Counsellor, DCounsPsych, MBACP
Verified Verified
Shoreditch, London E2  (Online Only)
I’m here to offer my expertise and and my eight years of therapeutic experience to those who feel they need support and understanding, in whatever area of their life has become difficult. Together we can seek the answers to your issues and hopefully as we explore, we will come to a clearer place with more security and more peace than we had before. We are on path whilst you are int her apt and there will both joys and challenges along that road.
I’m here to offer my expertise and and my eight years of therapeutic experience to those who feel they need support and understanding, in whatever area of their life has become difficult. Together we can seek the answers to your issues and hopefully as we explore, we will come to a clearer place with more security and more peace than we had before. We are on path whilst you are int her apt and there will both joys and challenges along that road.
01992 929597 View 01992 929597
Photo of Paula Clarke-Little, MA, MBACP, Psychotherapist
Paula Clarke-Little
Psychotherapist, MA, MBACP
Verified Verified
Shoreditch, London E1
Seeking therapy is a sign of courage in the depths of conflict. Currently, you may be troubled or overwhelmed, not knowing what is happening either within you, your partner or communicatively between your couple. To be understood and appreciated while conveying the same qualities to another person is an essential component of any satisfying relationship, but it is one that takes an emotional commitment from those involved in finding a resolution. The question I often ask my clients is, "Can you bear the difference of the other, or even tolerate the possibility that they may have a different perspective to the one in your mind?"
Seeking therapy is a sign of courage in the depths of conflict. Currently, you may be troubled or overwhelmed, not knowing what is happening either within you, your partner or communicatively between your couple. To be understood and appreciated while conveying the same qualities to another person is an essential component of any satisfying relationship, but it is one that takes an emotional commitment from those involved in finding a resolution. The question I often ask my clients is, "Can you bear the difference of the other, or even tolerate the possibility that they may have a different perspective to the one in your mind?"
020 8103 3878 View 020 8103 3878
Photo of Marta Zdzieblowska, BACP, Psychotherapist
Marta Zdzieblowska
Psychotherapist, BACP
Verified Verified
1 Endorsed
Shoreditch, London E1
You may be grappling with intense emotions, mental health challenges, facing an invisible barrier or navigating the complexities of life. Whether you are looking for personal growth or grappling with difficulties, together we can make space for what matters to you. I will listen attentively and adapt my approach to your needs. I can support you to • Regulate your nervous system • Make sense of your personal story and the impact it has on you • Deepen your connection with yourself and others • Find self-compassion and a sense of agency no matter your circumstances • Implement sustainable changes that align with your goals and values
You may be grappling with intense emotions, mental health challenges, facing an invisible barrier or navigating the complexities of life. Whether you are looking for personal growth or grappling with difficulties, together we can make space for what matters to you. I will listen attentively and adapt my approach to your needs. I can support you to • Regulate your nervous system • Make sense of your personal story and the impact it has on you • Deepen your connection with yourself and others • Find self-compassion and a sense of agency no matter your circumstances • Implement sustainable changes that align with your goals and values
020 3909 3628 View 020 3909 3628
Photo of Maggie Tambala, MA, MBACP, Counsellor
Maggie Tambala
Counsellor, MA, MBACP
Verified Verified
Shoreditch, London EC2A  (Online Only)
I work with clients presenting a wide range of issues such as anxiety, stress, depression, phobias, bereavement, loss, relationships, mental health. As an integrative counsellor I use a variety of different therapeutic methods designed to meet your personal needs whilst allowing me to gain an understanding of the world from your unique perspective. Together we are able to build a confidential relationship in which you can feel safe, heard and understood, where you can share your problems, see them more clearly and develop better ways of coping with them.
I work with clients presenting a wide range of issues such as anxiety, stress, depression, phobias, bereavement, loss, relationships, mental health. As an integrative counsellor I use a variety of different therapeutic methods designed to meet your personal needs whilst allowing me to gain an understanding of the world from your unique perspective. Together we are able to build a confidential relationship in which you can feel safe, heard and understood, where you can share your problems, see them more clearly and develop better ways of coping with them.
020 4538 4918 View 020 4538 4918
Photo of Nicola Corrigan, BPC, Psychotherapist
Nicola Corrigan
Psychotherapist, BPC
Verified Verified
Shoreditch, London EC2A
I am a qualified psychodynamic psychotherapist offering a compassionate and confidential space for you to be listened to, and where we can explore your thoughts, emotions, experiences and any challenges you may be facing. Over the years, I have had the privilege of working with individuals who seek a deeper understanding of themselves or require support in navigating various difficulties such as anxiety, stress, depression, burnout, perinatal mental health, relationship difficulties and bereavement.
I am a qualified psychodynamic psychotherapist offering a compassionate and confidential space for you to be listened to, and where we can explore your thoughts, emotions, experiences and any challenges you may be facing. Over the years, I have had the privilege of working with individuals who seek a deeper understanding of themselves or require support in navigating various difficulties such as anxiety, stress, depression, burnout, perinatal mental health, relationship difficulties and bereavement.
020 3856 8377 View 020 3856 8377
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See more therapy options for Shoreditch, London

How does your Counsellor compare?

Number of Counsellors in Shoreditch, London

50+

Average cost per session

£80

Counsellors in Shoreditch, London who prioritize treating:

92% Anxiety
87% Relationship Issues
87% Depression
87% Self Esteem
87% Stress
72% Trauma and PTSD
68% Bereavement

Average years in practice

11 Years

Top 3 insurances accepted

72% AXA PPP
67% Aviva
67% Vitality

How Counsellors in Shoreditch, London see their clients

84% In Person and Online
16% Online Only

Gender breakdown

68% Female
30% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Shoreditch, 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.