Counselling in South West London, London

Photo of Dr Ciaran Doody, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Ciaran Doody
Psychologist, DCounsPsych, HCPC - Couns. Psych.
1 Endorsed
South West London, London SW19
Life today can be challenging where unexpected or slow burning issues can knock us off our centre of gravity leaving us depressed and/or anxious. This makes life more difficult and pleasure, joy & contentment hard to come by. Psychotherapy provides a safe, confidential space to delve deeper into these issues which may originate from the present or distant past. My goal for our psychotherapeutic work together is to construct an approach that is unique to you as an individual and the issues you need support with. I aim to build a collaborative, respectful and accepting therapeutic relationship throughout our work together.
Life today can be challenging where unexpected or slow burning issues can knock us off our centre of gravity leaving us depressed and/or anxious. This makes life more difficult and pleasure, joy & contentment hard to come by. Psychotherapy provides a safe, confidential space to delve deeper into these issues which may originate from the present or distant past. My goal for our psychotherapeutic work together is to construct an approach that is unique to you as an individual and the issues you need support with. I aim to build a collaborative, respectful and accepting therapeutic relationship throughout our work together.
01929 501036 View 01929 501036
Photo of Ben Dustin, Psychotherapist, MSc, MUKCP
Ben Dustin
Psychotherapist, MSc, MUKCP
1 Endorsed
South West London, London SW4
If you've been feeling depressed, anxious, sad, or stressed for a while, lacking any enjoyment with nothing to look forward to, life can feel miserable. Additionally, you may not understand why you’ve been feeling this way, but know that you just don’t feel like your usual self, and you may be feeling powerless to change how you feel, or hopeless about things getting better. You might want to talk to someone about how you’re feeling but don’t want to burden friends or family, and may feel nervous or apprehensive, or embarrassed about seeking help from a counsellor or therapist.
If you've been feeling depressed, anxious, sad, or stressed for a while, lacking any enjoyment with nothing to look forward to, life can feel miserable. Additionally, you may not understand why you’ve been feeling this way, but know that you just don’t feel like your usual self, and you may be feeling powerless to change how you feel, or hopeless about things getting better. You might want to talk to someone about how you’re feeling but don’t want to burden friends or family, and may feel nervous or apprehensive, or embarrassed about seeking help from a counsellor or therapist.
020 4538 6109 View 020 4538 6109
Photo of Basia Avgoustidis Ma Ukcp Rcst, Psychotherapist, MA, MUKCP
Basia Avgoustidis Ma Ukcp Rcst
Psychotherapist, MA, MUKCP
South West London, London SW1H
If you are feeling alone, overwhelmed and experiencing difficulties in relationship or noticing the same unwanted behaviors repeating, we can bring a sense of health and forward movement to your life. We can work with a range of issues like anxiety, panic attacks, PTSD, nervous system activation, relationship issues, abandonment, rumination, phobias, physical pain, trauma, and early trauma.
If you are feeling alone, overwhelmed and experiencing difficulties in relationship or noticing the same unwanted behaviors repeating, we can bring a sense of health and forward movement to your life. We can work with a range of issues like anxiety, panic attacks, PTSD, nervous system activation, relationship issues, abandonment, rumination, phobias, physical pain, trauma, and early trauma.
020 3962 1331 View 020 3962 1331
Photo of Sophie Lawton, Psychotherapist, MNCPS Acc.
Sophie Lawton
Psychotherapist, MNCPS Acc.
Online Only
I am an integrative therapist, meaning I draw on multiple approaches and theories in my practice, but my way of working has been particularly shaped by relational psychotherapy and attachment theory. This means I believe that the relationships we experience in our early lives affect our later ways of relating to both ourselves and others. I believe that therapy is a fundamentally relational endeavour - not that people are broken and therefore need to be “fixed” - but rather that through working together we can come to new ways of relating, understanding and being.
I am an integrative therapist, meaning I draw on multiple approaches and theories in my practice, but my way of working has been particularly shaped by relational psychotherapy and attachment theory. This means I believe that the relationships we experience in our early lives affect our later ways of relating to both ourselves and others. I believe that therapy is a fundamentally relational endeavour - not that people are broken and therefore need to be “fixed” - but rather that through working together we can come to new ways of relating, understanding and being.
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Photo of Momoko Tsuchida, Counsellor, MBACP
Momoko Tsuchida
Counsellor, MBACP
1 Endorsed
South West London, London SW17
Hello and welcome. As you are here, I believe you have already embarked on your journey in exploring what your needs are at this stage of your life and whether I can be of help as an integrative counsellor. I believe in the ability and inner strength of your unique self to fulfil your meaningful life and welcome clients from diverse backgrounds and cultures to a calm and empathetic space enabling you to deepen the understanding of you. Your therapy provides a confidential space for you to be heard and explore any difficulties that you may be experiencing without being judged. This may be how you relate to yourself and others.
Hello and welcome. As you are here, I believe you have already embarked on your journey in exploring what your needs are at this stage of your life and whether I can be of help as an integrative counsellor. I believe in the ability and inner strength of your unique self to fulfil your meaningful life and welcome clients from diverse backgrounds and cultures to a calm and empathetic space enabling you to deepen the understanding of you. Your therapy provides a confidential space for you to be heard and explore any difficulties that you may be experiencing without being judged. This may be how you relate to yourself and others.
020 4538 9397 View 020 4538 9397
Photo of Rebecca McGurrell, Psychotherapist, MBACP
Rebecca McGurrell
Psychotherapist, MBACP
South West London, London SW6
Hi, I’m Rebecca, I’m an integrative psychotherapist passionate about tailoring therapy to your unique needs. Inspired by Dr. Gabor Maté’s belief in real genuine human connection with clients over just techniques. I create a safe, supportive space to help you explore what’s holding you back and work toward meaningful change. With strong Irish roots and 13 years of experience in London, I’ve connected with clients from all walks of life. Whether it’s anxiety, depression, relationship struggles, or feeling stuck, I use a flexible blend of approaches to help you find clarity & direction. Let's get started
Hi, I’m Rebecca, I’m an integrative psychotherapist passionate about tailoring therapy to your unique needs. Inspired by Dr. Gabor Maté’s belief in real genuine human connection with clients over just techniques. I create a safe, supportive space to help you explore what’s holding you back and work toward meaningful change. With strong Irish roots and 13 years of experience in London, I’ve connected with clients from all walks of life. Whether it’s anxiety, depression, relationship struggles, or feeling stuck, I use a flexible blend of approaches to help you find clarity & direction. Let's get started
020 4572 3486 View 020 4572 3486
Photo of Sahar Beg, Counsellor, MBACP Accred
Sahar Beg
Counsellor, MBACP Accred
South West London, London SW17
Not accepting new clients
My ideal clients are those seeking deeper self-understanding, healing, and authenticity. They may be navigating identity, belonging, emotional pain, trauma, or life transitions, and are looking for a space where they can feel seen, heard, and supported. Many are drawn to creative and holistic ways of exploring their inner world. They want to feel more balanced and connected to heal mind, body, and heart and to rediscover their strength, creativity, and sense of wholeness as they move toward a more grounded and authentic way of being.
My ideal clients are those seeking deeper self-understanding, healing, and authenticity. They may be navigating identity, belonging, emotional pain, trauma, or life transitions, and are looking for a space where they can feel seen, heard, and supported. Many are drawn to creative and holistic ways of exploring their inner world. They want to feel more balanced and connected to heal mind, body, and heart and to rediscover their strength, creativity, and sense of wholeness as they move toward a more grounded and authentic way of being.
020 4572 1196 View 020 4572 1196
Photo of Dr Hannah Puddephatt, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Hannah Puddephatt
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
South West London, London SW11
Hi, I’m Hannah. I’m a Clinical Psychologist and EMDR practitioner, working with adults who may appear to be coping on the outside—managing careers, relationships, families, and responsibilities—yet internally feel overwhelmed, anxious, self-critical, or stuck in patterns they can’t seem to shift. I help people with: anxiety and chronic stress, obsessive - compulsive disorder, burnout and emotional exhaustion, perfectionism and self criticism, confidence and self-worth, relationship and communication patterns, life, career, and identity transitions.
Hi, I’m Hannah. I’m a Clinical Psychologist and EMDR practitioner, working with adults who may appear to be coping on the outside—managing careers, relationships, families, and responsibilities—yet internally feel overwhelmed, anxious, self-critical, or stuck in patterns they can’t seem to shift. I help people with: anxiety and chronic stress, obsessive - compulsive disorder, burnout and emotional exhaustion, perfectionism and self criticism, confidence and self-worth, relationship and communication patterns, life, career, and identity transitions.
020 8187 1380 View 020 8187 1380
Photo of Ailis Weir, Counsellor, MSc, BACP
Ailis Weir
Counsellor, MSc, BACP
Online Only
I am a person-centred therapist who primarily works with people who are members of ENM, kink and LGBTQ+ communities. Each of these aspects of our identities are so multifaceted that it can feel overwhelming sometimes. I want to work with you to help you understand yourself, your needs and how to move towards that. Allowing ourselves to let go of who we were, embrace who we are and get out of old thinking patterns can be a lifelong mission, one that is much easier with support. I can work with you as you explore yourself. My practice is based on compassion and honesty, and collaboration is incredibly important to me.
I am a person-centred therapist who primarily works with people who are members of ENM, kink and LGBTQ+ communities. Each of these aspects of our identities are so multifaceted that it can feel overwhelming sometimes. I want to work with you to help you understand yourself, your needs and how to move towards that. Allowing ourselves to let go of who we were, embrace who we are and get out of old thinking patterns can be a lifelong mission, one that is much easier with support. I can work with you as you explore yourself. My practice is based on compassion and honesty, and collaboration is incredibly important to me.
0113 519 4367 View 0113 519 4367
Photo of Gail Walker, Counsellor, MBACP Accred
Gail Walker
Counsellor, MBACP Accred
South West London, London SW18
Finding the right person to trust and talk to can feel difficult, but together we can explore your issues, in a safe place where you will be heard fully; and where you will be able to process your thoughts openly without judgement. As an MBACP Accredited integrative counsellor, I draw upon a person-centred, humanistic and psychodynamic approach. This places my client’s best interest first; to facilitate the safe and trusted exploration of current and past conflicts, trauma and/or struggles affecting you today.
Finding the right person to trust and talk to can feel difficult, but together we can explore your issues, in a safe place where you will be heard fully; and where you will be able to process your thoughts openly without judgement. As an MBACP Accredited integrative counsellor, I draw upon a person-centred, humanistic and psychodynamic approach. This places my client’s best interest first; to facilitate the safe and trusted exploration of current and past conflicts, trauma and/or struggles affecting you today.
020 4634 8442 View 020 4634 8442
Photo of Rebecca Tanhara - Tranquil Minds Counselling & Psychotherapy, Counsellor, MBACP
Tranquil Minds Counselling & Psychotherapy
Counsellor, MBACP
1 Endorsed
South West London, London SW1W
Are you feeling overwhelmed by anxiety, stress, low mood, or relationship difficulties? Do past experiences continue to affect your wellbeing, leaving you stuck? Or you have lost a loved one and struggling to cope with the pain/loneliness? I’ve supported dozens of clients to make the changes to their lives that have given them more freedom to be themselves and foster healthier relationships. Previous clients have told me that therapy enabled them to find solutions for  stresses in their relationships. I’d love to help you too. I invite you to reach out today.
Are you feeling overwhelmed by anxiety, stress, low mood, or relationship difficulties? Do past experiences continue to affect your wellbeing, leaving you stuck? Or you have lost a loved one and struggling to cope with the pain/loneliness? I’ve supported dozens of clients to make the changes to their lives that have given them more freedom to be themselves and foster healthier relationships. Previous clients have told me that therapy enabled them to find solutions for  stresses in their relationships. I’d love to help you too. I invite you to reach out today.
020 3962 1812 View 020 3962 1812
Photo of Jack Brenman, Counsellor, BACP
Jack Brenman
Counsellor, BACP
South West London, London SW6
Choosing a therapist can feel overwhelming which is why I offer a free 15-minute initial chat so you can get a sense of how I work, and whether it feels like the right fit. I work with adults who may appear to be coping on the surface, but feel stuck, overwhelmed, disconnected, or dissatisfied underneath. This might show up as anxiety, depression, low mood, burnout, or recurring difficulties in relationships, as well as the ongoing impact of past experiences or trauma.
Choosing a therapist can feel overwhelming which is why I offer a free 15-minute initial chat so you can get a sense of how I work, and whether it feels like the right fit. I work with adults who may appear to be coping on the surface, but feel stuck, overwhelmed, disconnected, or dissatisfied underneath. This might show up as anxiety, depression, low mood, burnout, or recurring difficulties in relationships, as well as the ongoing impact of past experiences or trauma.
020 4538 1646 View 020 4538 1646
Photo of Okie Adebanjo, Psychotherapist, MSc, MBACP Accred
Okie Adebanjo
Psychotherapist, MSc, MBACP Accred
Online Only
Explore! Understand! Change! Greetings and a warm welcome. "You may not control all the events that happen to you, but you can decide not to be reduced by them" Life is a journey with many different seasons. Each season comes with its own ups and downs, expected and unexpected changes, and unique transitions. These experiences look and feel different for everyone, and at times it can be helpful to navigate them with support. It would be a privilege to walk alongside you for part of your journey. I am a warm and compassionate person who cares deeply about helping people heal from emotional and psychological pain
Explore! Understand! Change! Greetings and a warm welcome. "You may not control all the events that happen to you, but you can decide not to be reduced by them" Life is a journey with many different seasons. Each season comes with its own ups and downs, expected and unexpected changes, and unique transitions. These experiences look and feel different for everyone, and at times it can be helpful to navigate them with support. It would be a privilege to walk alongside you for part of your journey. I am a warm and compassionate person who cares deeply about helping people heal from emotional and psychological pain
020 4634 3875 View 020 4634 3875
Photo of Annabel Kicks, Counsellor, MBACP
Annabel Kicks
Counsellor, MBACP
South West London, London SW6
I provide an atmosphere of support, empathy and trust so that my clients feel able to share their feelings without fear of judgement. I believe that client is the expert on themselves and I create a non-judgmental, empathic and authentic relationship which my clients can utilise to enable personal growth.
I provide an atmosphere of support, empathy and trust so that my clients feel able to share their feelings without fear of judgement. I believe that client is the expert on themselves and I create a non-judgmental, empathic and authentic relationship which my clients can utilise to enable personal growth.
01748 900178 View 01748 900178
Photo of Monika Anna Dec, Counsellor, MA, PNCPS Acc.
Monika Anna Dec
Counsellor, MA, PNCPS Acc.
South West London, London SW2
Do you feel overwhelmed, anxious, maybe depressed, frustrated or under pressure? Is the current pandemic time additionally affecting you? You may not understand why you’ve been feeling the way you feel. You might be lonely, misunderstood and unable to find any solace or solution to your difficulties. You probably know you would benefit from professional help and talking about and explore aspects of your live that may be causing you difficulty will be helpful. Whether you're going through a significant life change or are facing a challenging situation at work or personal life, therapy can help you to overcome those difficulties.
Do you feel overwhelmed, anxious, maybe depressed, frustrated or under pressure? Is the current pandemic time additionally affecting you? You may not understand why you’ve been feeling the way you feel. You might be lonely, misunderstood and unable to find any solace or solution to your difficulties. You probably know you would benefit from professional help and talking about and explore aspects of your live that may be causing you difficulty will be helpful. Whether you're going through a significant life change or are facing a challenging situation at work or personal life, therapy can help you to overcome those difficulties.
020 4538 1944 View 020 4538 1944
Photo of Dr Sophie King-Clarke, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Sophie King-Clarke
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I’m a Clinical Psychologist with 10 years experience in the NHS. I specialise in working with people experiencing anxiety, depression, low self-esteem, burnout, trauma both recent and long-standing and the challenges that come with long-term health conditions.
I’m a Clinical Psychologist with 10 years experience in the NHS. I specialise in working with people experiencing anxiety, depression, low self-esteem, burnout, trauma both recent and long-standing and the challenges that come with long-term health conditions.
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Photo of Bert-Jan Zuiderduin, Psychotherapist, MSc, MBACP
Bert-Jan Zuiderduin
Psychotherapist, MSc, MBACP
South West London, London SW11
I offer a compassionate and confidential environment, where you can feel safe to explore any issues in your life, in an accepting and non-judgmental way. Over more than a decade, I have worked with a wide variety of clients, supporting them through difficult times by helping them to express and understand their thoughts and feelings, transform the relationship with themselves and others, and live their life more confidently. I integrate psychoanalytic and Jungian approaches in open and creative ways, for example working with external relationships and influences from the past that shape our "internal world".
I offer a compassionate and confidential environment, where you can feel safe to explore any issues in your life, in an accepting and non-judgmental way. Over more than a decade, I have worked with a wide variety of clients, supporting them through difficult times by helping them to express and understand their thoughts and feelings, transform the relationship with themselves and others, and live their life more confidently. I integrate psychoanalytic and Jungian approaches in open and creative ways, for example working with external relationships and influences from the past that shape our "internal world".
020 3974 1659 View 020 3974 1659
Martin Simpson
Psychotherapist, MSc, MBACP Accred
Online Only
i have worked for 25 years helping individuals, couples and groups work through different challenges and reasons for seeking therapy. These can be issues such as trauma, stress, abuse, depression, relationship difficulties and bullying. Problems at work or within the family to name but a few. The reasons can be from the past, the present and also difficulty looking forward to the future.
i have worked for 25 years helping individuals, couples and groups work through different challenges and reasons for seeking therapy. These can be issues such as trauma, stress, abuse, depression, relationship difficulties and bullying. Problems at work or within the family to name but a few. The reasons can be from the past, the present and also difficulty looking forward to the future.
020 4617 0589 View 020 4617 0589
Photo of Sargam Chhabra, Psychotherapist, MBABCP
Sargam Chhabra
Psychotherapist, MBABCP
South West London, London SW7
You might be functioning on the outside while feeling low, anxious, overwhelmed or stuck on the inside. I work with clients experiencing difficulties such as depression and anxiety-related problems (including PTSD, OCD, Social Anxiety, Panic, Phobias), trauma, stress, habit disorders, self-esteem, low confidence, attachment and relationship difficulties. With over 10 years' experience in mental health, I support people who want to better understand what's been driving these patterns and find steadier, healthier ways of moving forward.
You might be functioning on the outside while feeling low, anxious, overwhelmed or stuck on the inside. I work with clients experiencing difficulties such as depression and anxiety-related problems (including PTSD, OCD, Social Anxiety, Panic, Phobias), trauma, stress, habit disorders, self-esteem, low confidence, attachment and relationship difficulties. With over 10 years' experience in mental health, I support people who want to better understand what's been driving these patterns and find steadier, healthier ways of moving forward.
020 4572 9541 View 020 4572 9541
Photo of Kasia Wawrzyniak - Psychology 4U Ltd, Psychotherapist, MSc, MBABCP
Psychology 4U Ltd
Psychotherapist, MSc, MBABCP
Online Only
You might look like you've got it all together — success, drive, ambition — but inside, you're wrestling with anxiety, self-doubt, or feeling like an imposter. You're likely hard on yourself, aiming for perfection, often delaying tasks because they feel too daunting, finding it hard to switch off at night, or constantly trying to meet others' expectations at the expense of your own well-being. Despite all this, you're looking for a way to make your inner life as rewarding and fulfilling as your outer achievements suggest. You want to break free from the cycle of worry and self-criticism to find peace.
You might look like you've got it all together — success, drive, ambition — but inside, you're wrestling with anxiety, self-doubt, or feeling like an imposter. You're likely hard on yourself, aiming for perfection, often delaying tasks because they feel too daunting, finding it hard to switch off at night, or constantly trying to meet others' expectations at the expense of your own well-being. Despite all this, you're looking for a way to make your inner life as rewarding and fulfilling as your outer achievements suggest. You want to break free from the cycle of worry and self-criticism to find peace.
020 4538 0408 View 020 4538 0408

See more therapy options for South West London, London

How does your Counsellor compare?

Number of Counsellors in South West London, London

1,000+

Average cost per session

£80

Counsellors in South West London, London who prioritize treating:

93% Anxiety
86% Depression
85% Self Esteem
81% Relationship Issues
79% Stress
67% Trauma and PTSD
61% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

75% Aviva
67% AXA PPP
58% WPA

How Counsellors in South West London, London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

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

How can I find a therapist in South West 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.