Counselling in Manchester

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Photo of South Manchester Psychologist, Psychologist in Manchester, England
South Manchester Psychologist
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Manchester M20
I am an experienced HCPC registered clinical psychologist with over 10 years post-qualification experience. Based in Didsbury, South Manchester, I offer psychological assessment and therapy to young people and adults. I have seen the transformative power of psychological therapy personally and in the hundreds of clients I have worked with over the years so I am passionate about my work. I understand the importance of providing a safe, compassionate and nonjudgemental space for my clients. In my spare time I enjoy spending time with my family, being outdoors, walking and yoga.
I am an experienced HCPC registered clinical psychologist with over 10 years post-qualification experience. Based in Didsbury, South Manchester, I offer psychological assessment and therapy to young people and adults. I have seen the transformative power of psychological therapy personally and in the hundreds of clients I have worked with over the years so I am passionate about my work. I understand the importance of providing a safe, compassionate and nonjudgemental space for my clients. In my spare time I enjoy spending time with my family, being outdoors, walking and yoga.
0161 524 1707 View 0161 524 1707
Photo of Adam Rothwell, Counsellor in Manchester, England
Adam Rothwell
Counsellor, MBACP
Verified Verified
Manchester M16
Are you looking to overcome anxiety, OCD or phobias? Perhaps you want to conquer insomnia, stress or IBS symptoms... The fact you are researching therapists is a great first step to creating the life you want. I know it can be overwhelming looking for a therapist but is also a rewarding and life-changing experience. It is because of this that I am committed to providing you with an informative, supportive and professional experience. My aim is to provide you with a safe space to reflect on your life and to help you create solutions that will get you to a place of feeling more confident, balanced and content.
Are you looking to overcome anxiety, OCD or phobias? Perhaps you want to conquer insomnia, stress or IBS symptoms... The fact you are researching therapists is a great first step to creating the life you want. I know it can be overwhelming looking for a therapist but is also a rewarding and life-changing experience. It is because of this that I am committed to providing you with an informative, supportive and professional experience. My aim is to provide you with a safe space to reflect on your life and to help you create solutions that will get you to a place of feeling more confident, balanced and content.
0161 524 2865 View 0161 524 2865
Photo of Jodie James, Counsellor in Manchester, England
Jodie James
Counsellor, DCounsPsych, MBACP
Verified Verified
Manchester M45
Life can be difficult and sometimes we need some extra support to navigate these difficulties. If you are looking for support with your mental health, I may be able to help you. I am a compassionate therapist based in Manchester, offering a range of counselling services tailored to your unique needs and preferences. My commitment is to provide a safe, supportive, and understanding environment, allowing you to explore your emotions and experiences as you work towards personal growth and enhanced well-being.
Life can be difficult and sometimes we need some extra support to navigate these difficulties. If you are looking for support with your mental health, I may be able to help you. I am a compassionate therapist based in Manchester, offering a range of counselling services tailored to your unique needs and preferences. My commitment is to provide a safe, supportive, and understanding environment, allowing you to explore your emotions and experiences as you work towards personal growth and enhanced well-being.
0161 524 3151 View 0161 524 3151
Photo of Dr Maria Kaltsi, Psychologist in Manchester, England
Dr Maria Kaltsi
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Manchester M21  (Online Only)
Welcome! I am a warm and compassionate Senior Clinical Psychologist with over 18 years experience of supporting individuals, groups and families. I also work in secondary care mental health services with people who present with a range of difficulties such as shame, self-criticism, dissociation, interpersonal difficulties etc. I hold a non-pathologising view of psychological distress and use a range of models flexibly and creatively to help people address their individual concerns and achieve greater well-being.
Welcome! I am a warm and compassionate Senior Clinical Psychologist with over 18 years experience of supporting individuals, groups and families. I also work in secondary care mental health services with people who present with a range of difficulties such as shame, self-criticism, dissociation, interpersonal difficulties etc. I hold a non-pathologising view of psychological distress and use a range of models flexibly and creatively to help people address their individual concerns and achieve greater well-being.
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Photo of Lesley Nance, Counsellor in Manchester, England
Lesley Nance
Counsellor, MNCPS Acc.
Verified Verified
Manchester M25
Firstly, let me reassure you, what you are feeling isnt permanent. Things WILL change, and all it takes is one session to start feeling better. I am here to say that whatever you are going through, change IS possible and do-able, with patience,self discovery, understanding, and professional support and expert knowledge. I can help you to see what is going on for you, discover your own internal resources as well as provide you with additional tools that help you to regulate your emotions, enabling you to cope in the here and now, but also going forward.
Firstly, let me reassure you, what you are feeling isnt permanent. Things WILL change, and all it takes is one session to start feeling better. I am here to say that whatever you are going through, change IS possible and do-able, with patience,self discovery, understanding, and professional support and expert knowledge. I can help you to see what is going on for you, discover your own internal resources as well as provide you with additional tools that help you to regulate your emotions, enabling you to cope in the here and now, but also going forward.
0161 524 6358 View 0161 524 6358
Photo of The MindTraining Clinic, Psychologist in Manchester, England
The MindTraining Clinic
Psychologist, PhD, CPsychol
Verified Verified
Manchester M45
I am Chartered (Academic) Psychologist teaching Applied Clinical Psychology at a University in the North West. I am Accredited in Cognitive Behavioural Therapy (BABCP) and EMDR (EMDR UK). I work with adults and children with anxiety and depressive conditions such as generalised anxiety, OCD, phobias and panic attacks. I also work with people who have suffered from trauma and Post-Traumatic Stress Disorder. I have also written over 25 psychology books published by reputable publishing houses like Hodder, Little Brown etc.
I am Chartered (Academic) Psychologist teaching Applied Clinical Psychology at a University in the North West. I am Accredited in Cognitive Behavioural Therapy (BABCP) and EMDR (EMDR UK). I work with adults and children with anxiety and depressive conditions such as generalised anxiety, OCD, phobias and panic attacks. I also work with people who have suffered from trauma and Post-Traumatic Stress Disorder. I have also written over 25 psychology books published by reputable publishing houses like Hodder, Little Brown etc.
07958 554509 View 07958 554509
Photo of Charlie Macfie, Counsellor in Manchester, England
Charlie Macfie
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Manchester M19  (Online Only)
I have a keen interest in working with issues relating to self-esteem and shame. Overthinking, constantly comparing yourself to others, people-pleasing, and holding high expectations for yourself that are impossible to achieve (perfectionism), to name a few, can all be symptoms of low self-esteem. These beliefs and behaviours can cause difficulties in your relationship with others and most importantly, yourself. It can feel impossible to break the cycle or know how to move forward. I can support you to make sense of your experiences so that you might develop self-worth and find a way through that works for you.
I have a keen interest in working with issues relating to self-esteem and shame. Overthinking, constantly comparing yourself to others, people-pleasing, and holding high expectations for yourself that are impossible to achieve (perfectionism), to name a few, can all be symptoms of low self-esteem. These beliefs and behaviours can cause difficulties in your relationship with others and most importantly, yourself. It can feel impossible to break the cycle or know how to move forward. I can support you to make sense of your experiences so that you might develop self-worth and find a way through that works for you.
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Photo of Salmaa Timol, Counsellor in Manchester, England
Salmaa Timol
Counsellor, MSc, MBACP
Verified Verified
Manchester M2
At any stage in life, we can experience changes or moments where it becomes difficult to cope with our thoughts and feelings. This can result in feeling stuck and not knowing how to process what we're experiencing. What can make this more difficult is knowing who or how to open up to others or feeling like what you're experiencing is too much for someone to understand. Having a therapist allows you to share all parts of you, parts that are accepted wholeheartedly without shame or judgement, which may not feel possible even with those you feel closest to.
At any stage in life, we can experience changes or moments where it becomes difficult to cope with our thoughts and feelings. This can result in feeling stuck and not knowing how to process what we're experiencing. What can make this more difficult is knowing who or how to open up to others or feeling like what you're experiencing is too much for someone to understand. Having a therapist allows you to share all parts of you, parts that are accepted wholeheartedly without shame or judgement, which may not feel possible even with those you feel closest to.
01707 246829 View 01707 246829
Photo of Colin David Ogdon, Psychotherapist in Manchester, England
Colin David Ogdon
Psychotherapist, MBACP
Verified Verified
Manchester M19
If you're struggling right now, you truly can be helped. Anxiety and depression are extremely common and in a world of pressure many of us are suffering in ways that don't fit a label and often others can't see. You deserve better than that and I built my practice to ensure hope and help is available to anyone.
If you're struggling right now, you truly can be helped. Anxiety and depression are extremely common and in a world of pressure many of us are suffering in ways that don't fit a label and often others can't see. You deserve better than that and I built my practice to ensure hope and help is available to anyone.
0161 694 8751 View 0161 694 8751
Photo of Julia Hanson in Manchester, England
Julia Hanson
Verified Verified
2 Endorsed
Manchester M21
Hi, you may be feeling overwhelmed at the moment or finding yourself trying to cope with pressure from work or relationships or just life in general. Maybe you have been feeling down or anxious and don't know how to deal with the symptoms. Many people have been impacted by Covid and are finding it hard to adjust. I can offer you a safe space in which you can talk about anything without judgement. Together we can discover what is holding you back, making you feel stuck, or causing you to repeat unhealthy patterns of behaviour.
Hi, you may be feeling overwhelmed at the moment or finding yourself trying to cope with pressure from work or relationships or just life in general. Maybe you have been feeling down or anxious and don't know how to deal with the symptoms. Many people have been impacted by Covid and are finding it hard to adjust. I can offer you a safe space in which you can talk about anything without judgement. Together we can discover what is holding you back, making you feel stuck, or causing you to repeat unhealthy patterns of behaviour.
0161 524 1043 View 0161 524 1043
Photo of Yvonne Elizabeth Meidlinger, Psychotherapist in Manchester, England
Yvonne Elizabeth Meidlinger
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Manchester M21
I believe that the therapist and client come together as a team to work through issues that may stand in the way of you reaching your potential. Through my training, I have mainly used Transactional Analysis, but also have some experience working in a solution-focussed way and like to work integratively as each person is an individual who may like to work in a different way. I work with people on a range of issues, but find that I work with people with anxiety or depression most commonly, and pride myself on working hard to make people feel at ease.
I believe that the therapist and client come together as a team to work through issues that may stand in the way of you reaching your potential. Through my training, I have mainly used Transactional Analysis, but also have some experience working in a solution-focussed way and like to work integratively as each person is an individual who may like to work in a different way. I work with people on a range of issues, but find that I work with people with anxiety or depression most commonly, and pride myself on working hard to make people feel at ease.
0161 850 7103 View 0161 850 7103
Photo of Helen Toward, Counsellor in Manchester, England
Helen Toward
Counsellor, MSc, BACP
Verified Verified
1 Endorsed
Manchester M20  (Online Only)
Hi I'm Helen, an integrative therapist based in Manchester. I currently work with university students in my full-time role and previously worked for the primary care mental health and wellbeing service. I have worked with individuals from different backgrounds and cultures which is also a great passion of mine. My interests are working with people who have childhood trauma, relationship problems, self-esteem and self-worth issues. My main focus in sessions is to support the person I am working with to feel empowered and achieve the things they want to achieve in therapy. I work in a holistic way and everything is about you!
Hi I'm Helen, an integrative therapist based in Manchester. I currently work with university students in my full-time role and previously worked for the primary care mental health and wellbeing service. I have worked with individuals from different backgrounds and cultures which is also a great passion of mine. My interests are working with people who have childhood trauma, relationship problems, self-esteem and self-worth issues. My main focus in sessions is to support the person I am working with to feel empowered and achieve the things they want to achieve in therapy. I work in a holistic way and everything is about you!
0161 524 9413 View 0161 524 9413
Photo of Lucy Smith, Psychotherapist in Manchester, England
Lucy Smith
Psychotherapist, MBACP
Verified Verified
Manchester M2  (Online Only)
Hi, I'm Lucy Smith, Lead Psychotherapist at Manchester Therapy for you. My role as a psychotherapist is to help and support you through life's challenges. Book your free 30 minute consultation www.therapyformanchester.co.uk
Hi, I'm Lucy Smith, Lead Psychotherapist at Manchester Therapy for you. My role as a psychotherapist is to help and support you through life's challenges. Book your free 30 minute consultation www.therapyformanchester.co.uk
0113 733 7449 View 0113 733 7449
Photo of Sarah Hayes, Psychotherapist in Manchester, England
Sarah Hayes
Psychotherapist, BACP
Verified Verified
Manchester M2
At certain points in our lives, we might find ourselves in what may seem like an unbreakable cycle of self-destructive behaviours, overwhelming emotions and a sense of disconnect to those around us, or perhaps even within ourselves. If you’re reading this, it is likely that you currently find yourself somewhere within that cycle or you may have feelings of anxiety, depression or low self-worth. You may be experiencing relationship difficulties, intrusive and obsessive thoughts, self-harm, child-hood trauma or grief. Whatever the reason may be, I just want to firstly remind you that you are not alone.
At certain points in our lives, we might find ourselves in what may seem like an unbreakable cycle of self-destructive behaviours, overwhelming emotions and a sense of disconnect to those around us, or perhaps even within ourselves. If you’re reading this, it is likely that you currently find yourself somewhere within that cycle or you may have feelings of anxiety, depression or low self-worth. You may be experiencing relationship difficulties, intrusive and obsessive thoughts, self-harm, child-hood trauma or grief. Whatever the reason may be, I just want to firstly remind you that you are not alone.
01707 959170 View 01707 959170
Photo of Francesca Rawlinson, Psychotherapist in Manchester, England
Francesca Rawlinson
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
Manchester M1
I am Manchester based, and have therapy rooms in both Northern Quarter and Chorlton. My website is www.upliftedtherapy.co.uk. I am a trauma responsive creative psychotherapist, and EMDR therapist. My experience includes working with adverse experiences and challenges. My approach is empathetic, non-judgemental and person-centred. I specialise in anxiety, attachment and trauma informed care. My work with adults includes working with refugees, students from Liverpool and Chester University, NHS staff members who struggled through the Covid pandemic and corporate private clients.
I am Manchester based, and have therapy rooms in both Northern Quarter and Chorlton. My website is www.upliftedtherapy.co.uk. I am a trauma responsive creative psychotherapist, and EMDR therapist. My experience includes working with adverse experiences and challenges. My approach is empathetic, non-judgemental and person-centred. I specialise in anxiety, attachment and trauma informed care. My work with adults includes working with refugees, students from Liverpool and Chester University, NHS staff members who struggled through the Covid pandemic and corporate private clients.
01707 954064 View 01707 954064
Photo of Dr Kelly Savery, Psychologist in Manchester, England
Dr Kelly Savery
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
3 Endorsed
Manchester M3
If you are a trauma survivor, I see you. I’m here for you. I provide a safe space to explore what happened to you. Together, we’ll find ways to manage the psychological and physiological distress that is a result of trauma. You are not alone. My collaborative process creates a safe space for you to work through your traumatic experience(s) and come out stronger on the other side. I will empower you to make choices to live your life in accordance with your values and beliefs. I am an inclusive therapist and work with everyone who has experienced trauma, including marginalized and under-represented groups of people.
If you are a trauma survivor, I see you. I’m here for you. I provide a safe space to explore what happened to you. Together, we’ll find ways to manage the psychological and physiological distress that is a result of trauma. You are not alone. My collaborative process creates a safe space for you to work through your traumatic experience(s) and come out stronger on the other side. I will empower you to make choices to live your life in accordance with your values and beliefs. I am an inclusive therapist and work with everyone who has experienced trauma, including marginalized and under-represented groups of people.
0161 524 4354 View 0161 524 4354
Photo of Laura Fenn, Psychotherapist in Manchester, England
Laura Fenn
Psychotherapist, MSc, MBACP
Verified Verified
Manchester M25
Starting therapy can be a difficult decision- you may feel desperate and alone but reaching out for help is the most important step on the road to recovery. I am a qualified integrative therapist who advocates for celebrating our uniqueness. The base of my sessions is always Person-Centred; to listen, offering compassion and warmth. I also offer stress, anxiety and mindfulness techniques and other therapeutic approaches were appropriate. I have worked extensively with clients suffering from a wide range of issues including trauma, anxiety, and bereavement, and have much experience of working with the LGBTQ+ community
Starting therapy can be a difficult decision- you may feel desperate and alone but reaching out for help is the most important step on the road to recovery. I am a qualified integrative therapist who advocates for celebrating our uniqueness. The base of my sessions is always Person-Centred; to listen, offering compassion and warmth. I also offer stress, anxiety and mindfulness techniques and other therapeutic approaches were appropriate. I have worked extensively with clients suffering from a wide range of issues including trauma, anxiety, and bereavement, and have much experience of working with the LGBTQ+ community
0161 524 0498 View 0161 524 0498
Photo of Sam Conner, Counsellor in Manchester, England
Sam Conner
Counsellor, MBACP
Verified Verified
Manchester M21  (Online Only)
Waitlist for new clients
I am a queer therapist, specialising in working with people within the LGBTQ+ community. I believe in working with people as individuals, in a way that works for them. I will work alongside you, to help you explore and navigate your issues, experiences, current situations and things that you may be struggling with.​​ ​​I have experience in supporting people, from a wide range of backgrounds and I create a non-judgmental and supportive environment, where you can be yourself and feel comfortable during our sessions.​
I am a queer therapist, specialising in working with people within the LGBTQ+ community. I believe in working with people as individuals, in a way that works for them. I will work alongside you, to help you explore and navigate your issues, experiences, current situations and things that you may be struggling with.​​ ​​I have experience in supporting people, from a wide range of backgrounds and I create a non-judgmental and supportive environment, where you can be yourself and feel comfortable during our sessions.​
0161 696 3004 View 0161 696 3004
Photo of Zara Whiteley, Counsellor in Manchester, England
Zara Whiteley
Counsellor, MBACP
Verified Verified
1 Endorsed
Manchester M3
Everyone comes to therapy with a loss, whether that is a bereavement, a relationship break-up, changes in health, the loss of a friendship, a change of job, etc. There are many different endings that we go through in life. Therapy is a safe and supportive place to talk, it provides the opportunity to process what has happened and to explore who you are now and how you can move forward. Therapy is a place where you can say out loud all of those things you can't say elsewhere. You can talk about things you may not feel able to talk about with friends or family.
Everyone comes to therapy with a loss, whether that is a bereavement, a relationship break-up, changes in health, the loss of a friendship, a change of job, etc. There are many different endings that we go through in life. Therapy is a safe and supportive place to talk, it provides the opportunity to process what has happened and to explore who you are now and how you can move forward. Therapy is a place where you can say out loud all of those things you can't say elsewhere. You can talk about things you may not feel able to talk about with friends or family.
0161 524 2563 View 0161 524 2563
Photo of Dr Mary Delaney, Psychologist in Manchester, England
Dr Mary Delaney
Psychologist, HCPC - Clin. Psych.
Verified Verified
Manchester M26
I've been working as a Clinical Psychologist for 14 years. I work with people experiencing stress, anxiety, burnout and low mood. I use a variety of therapeutic approaches including Cognitive Behavioural Therapy (CBT), Compassion Focussed Therapy (CFT), Acceptance and Commitment Therapy (ACT), and EMDR. I am also a qualified Clinical Neuropsychologist and so I also work with people living with long term physical health and neurological conditions.
I've been working as a Clinical Psychologist for 14 years. I work with people experiencing stress, anxiety, burnout and low mood. I use a variety of therapeutic approaches including Cognitive Behavioural Therapy (CBT), Compassion Focussed Therapy (CFT), Acceptance and Commitment Therapy (ACT), and EMDR. I am also a qualified Clinical Neuropsychologist and so I also work with people living with long term physical health and neurological conditions.
01204 929707 View 01204 929707

See more therapy options for Manchester

How does your Counsellor compare?

Number of Counsellors in Manchester

800+

Average cost per session

£60

Counsellors in Manchester who prioritize treating:

91% Anxiety
86% Depression
85% Self Esteem
81% Stress
78% Relationship Issues
67% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

63% Aviva
59% AXA PPP
47% Vitality

How Counsellors in Manchester see their clients

64% In Person and Online
36% Online Only

Gender breakdown

71% Female
27% Male
2% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Manchester?

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.