Counselling in New York

Photo of Ashanty Alves, Psychotherapist, MSc, MBACP
Ashanty Alves
Psychotherapist, MSc, MBACP
Online Only
Do you find yourself deeply affected by everyday situations, often feeling emotionally overwhelmed, anxious, or highly sensitive? Are you stuck in patterns of people-pleasing, struggling with boundaries, low self-esteem, or inner conflict? If that resonates with you, you're in the right place. I'm a Psychotherapist offering online therapy, and I specialise in working with individuals who identify as emotionally sensitive, self-critical, or overly responsible in relationships. As someone who is neurodivergent, I bring lived understanding to working with those who feel misunderstood or disconnected from their authentic selves.
Do you find yourself deeply affected by everyday situations, often feeling emotionally overwhelmed, anxious, or highly sensitive? Are you stuck in patterns of people-pleasing, struggling with boundaries, low self-esteem, or inner conflict? If that resonates with you, you're in the right place. I'm a Psychotherapist offering online therapy, and I specialise in working with individuals who identify as emotionally sensitive, self-critical, or overly responsible in relationships. As someone who is neurodivergent, I bring lived understanding to working with those who feel misunderstood or disconnected from their authentic selves.
020 3949 4817 View 020 3949 4817
Photo of Ricky Williamson, Counsellor, MA, MBACP
Ricky Williamson
Counsellor, MA, MBACP
3 Endorsed
Online Only
Struggling with meaning and purpose in life, spirituality or the lack of it, the big questions, or a difficult experience? Anxiety or depression? I am a therapist with a background in philosophy and psychedelic integration, looking forward to hearing from you. I have an MA in Philosophy from the University of Amsterdam. I trained at the Psychosynthesis Trust in London, which is a Transpersonal form of therapy; grounded in psychodynamic therapy, but also accepting of the more mystical, metaphysical side of life. I am Head of Editorial at The Institute of Art and Ideas and HowTheLightGetsIn festival.
Struggling with meaning and purpose in life, spirituality or the lack of it, the big questions, or a difficult experience? Anxiety or depression? I am a therapist with a background in philosophy and psychedelic integration, looking forward to hearing from you. I have an MA in Philosophy from the University of Amsterdam. I trained at the Psychosynthesis Trust in London, which is a Transpersonal form of therapy; grounded in psychodynamic therapy, but also accepting of the more mystical, metaphysical side of life. I am Head of Editorial at The Institute of Art and Ideas and HowTheLightGetsIn festival.
020 3949 4861 View 020 3949 4861
Photo of Muni Jarman - Wellness mind counselling, Counsellor, MA, MBACP
Wellness mind counselling
Counsellor, MA, MBACP
Online Only
Choosing to start counselling is a courageous step, and I’m here to walk beside you with throughout. I offer a safe, non-judgmental space where you can explore your thoughts, feelings, and experiences freely. As an integrative counsellor, I work collaboratively, empathetically, and grounded in your process. Whether you're facing anxiety, loss, relationship struggles, or life transitions, we'll work to support in finding clarity, building resilience, and regaining your inner strengths. You are the expert in your life. I’m here to support you, to move toward in your healing journey and growth in a way that feels right for you.
Choosing to start counselling is a courageous step, and I’m here to walk beside you with throughout. I offer a safe, non-judgmental space where you can explore your thoughts, feelings, and experiences freely. As an integrative counsellor, I work collaboratively, empathetically, and grounded in your process. Whether you're facing anxiety, loss, relationship struggles, or life transitions, we'll work to support in finding clarity, building resilience, and regaining your inner strengths. You are the expert in your life. I’m here to support you, to move toward in your healing journey and growth in a way that feels right for you.
01843 262636 View 01843 262636
Photo of Kim Van Silfhout, Psychotherapist, MSc, MBACP
Kim Van Silfhout
Psychotherapist, MSc, MBACP
Serves Area
You may be carrying deep pain, grief after loss, or the effects of trauma that still shape how you feel and connect. You might long to feel safe, understood, and whole again. In our work together, I offer a compassionate, trauma-informed space where your story is held with care. Gently, we’ll explore your experiences, nurture self-compassion and self-esteem, and begin to release the weight of the past. My integrative approach supports your healing, helping you rebuild trust, find new meaning after loss, and rediscover peace, strength, and connection within yourself and with life.
You may be carrying deep pain, grief after loss, or the effects of trauma that still shape how you feel and connect. You might long to feel safe, understood, and whole again. In our work together, I offer a compassionate, trauma-informed space where your story is held with care. Gently, we’ll explore your experiences, nurture self-compassion and self-esteem, and begin to release the weight of the past. My integrative approach supports your healing, helping you rebuild trust, find new meaning after loss, and rediscover peace, strength, and connection within yourself and with life.
0161 524 9641 View 0161 524 9641
Photo of Eleanor Wolfe, Psychotherapist, MA, MBACP
Eleanor Wolfe
Psychotherapist, MA, MBACP
Serves Area
I am an integrative individual and couples psychotherapist (MBACP) practicing in London. I have significant experience, training and academic knowledge to offer expert, culturally informed psychological therapy.
I am an integrative individual and couples psychotherapist (MBACP) practicing in London. I have significant experience, training and academic knowledge to offer expert, culturally informed psychological therapy.
020 3757 5585 View 020 3757 5585
Photo of Jacqueline Burns - The Echelon Scene Ltd, MSc
The Echelon Scene Ltd
Verified Verified
Serves Area
Our Clients at The Echelon Scene are gay men who are seeking a long-term relationship. They come to us because they simply do not have the time to online date or sit in a crowded bar in Soho. They would rather outsource and have us do the filtering so they are only going out on dates they are excited about. Our Clients are typically busy individuals who are passionate about what they do and excel at work, they range in ages from 30-mid 60s and are based all over the world. The common factors are they are all genuinely seeking a monogamous long-term relationship and are in a positive state of mind for dating.
Our Clients at The Echelon Scene are gay men who are seeking a long-term relationship. They come to us because they simply do not have the time to online date or sit in a crowded bar in Soho. They would rather outsource and have us do the filtering so they are only going out on dates they are excited about. Our Clients are typically busy individuals who are passionate about what they do and excel at work, they range in ages from 30-mid 60s and are based all over the world. The common factors are they are all genuinely seeking a monogamous long-term relationship and are in a positive state of mind for dating.
01748 901494 View 01748 901494

More Therapists Nearby

Photo of Estelle Cooper, Counsellor, MNCPS Acc.
Estelle Cooper
Counsellor, MNCPS Acc.
Grantham NG31
Starting counselling can feel like a daunting experience, but you have already made the first move by searching for a counsellor. My approach is flexible to suit your needs, as we are all individuals with unique qualities. Within our sessions I can draw on a range of models from my training and experience. This helps in understanding any worries or thoughts you are experiencing, how they are impacting your life and to move forward. I am passionate about counselling and truly believe in the unique connection that person-centred counselling offers. The open non-judgemental space I offer provides you with a safe and confidential space.
Starting counselling can feel like a daunting experience, but you have already made the first move by searching for a counsellor. My approach is flexible to suit your needs, as we are all individuals with unique qualities. Within our sessions I can draw on a range of models from my training and experience. This helps in understanding any worries or thoughts you are experiencing, how they are impacting your life and to move forward. I am passionate about counselling and truly believe in the unique connection that person-centred counselling offers. The open non-judgemental space I offer provides you with a safe and confidential space.
01529 404576 View 01529 404576
Photo of Diane Webb, Counsellor, MA, MBACP
Diane Webb
Counsellor, MA, MBACP
Bourne PE10
Maybe your sense of wellbeing has been impacted by circumstances, or you are feeling low and anxious and unable to see a way forward. Whether this is due to a relationship breakdown, childhood, work, health, bereavement or something else, we will work together to find a place of restoration and balance that is right for you. Our counselling sessions offer the space and opportunity to talk through the difficult situations you are facing, or have faced, in a confidential environment with a qualified professional. My counselling room for face-to-face sessions is in Bourne (PE10), I also offer outdoor and online sessions.
Maybe your sense of wellbeing has been impacted by circumstances, or you are feeling low and anxious and unable to see a way forward. Whether this is due to a relationship breakdown, childhood, work, health, bereavement or something else, we will work together to find a place of restoration and balance that is right for you. Our counselling sessions offer the space and opportunity to talk through the difficult situations you are facing, or have faced, in a confidential environment with a qualified professional. My counselling room for face-to-face sessions is in Bourne (PE10), I also offer outdoor and online sessions.
01778 301731 View 01778 301731
Photo of Matthew Eaves, Counsellor, MBACP
Matthew Eaves
Counsellor, MBACP
Online Only
Existential therapy with me can help you explore and make sense of things and find ways through your difficulties that are unique to you. Feel free to book a free consultation. Evening and lunchtime sessions available. Hello, I'm Matthew. Sometimes it can be too difficult to face things and attempting to escape them can cause more issues. I’ve been there, and I decided to train as a therapist and dedicate myself to helping other people who are struggling — I know that things can get so much better, no matter how bad they seem.
Existential therapy with me can help you explore and make sense of things and find ways through your difficulties that are unique to you. Feel free to book a free consultation. Evening and lunchtime sessions available. Hello, I'm Matthew. Sometimes it can be too difficult to face things and attempting to escape them can cause more issues. I’ve been there, and I decided to train as a therapist and dedicate myself to helping other people who are struggling — I know that things can get so much better, no matter how bad they seem.
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Photo of Dawn Walters - Andrelax, Psychotherapist, MHGI
Andrelax
Psychotherapist, MHGI
Serves Area
Human givens practitioners offer practical, solution-focused help that deals with mental and emotional distress in the here and now. They won’t waste time just endlessly listening to you or attempting to dredge up real or imagined miserable memories from the past. Nor do they deal in time-wasting so-called voyages of ‘self-discovery’… Their psychotherapy training ensures that they have a sound body of evidence-based knowledge and the proven skills to help both adults and children as quickly as possible with a wide variety of emotional and behavioural difficulties.
Human givens practitioners offer practical, solution-focused help that deals with mental and emotional distress in the here and now. They won’t waste time just endlessly listening to you or attempting to dredge up real or imagined miserable memories from the past. Nor do they deal in time-wasting so-called voyages of ‘self-discovery’… Their psychotherapy training ensures that they have a sound body of evidence-based knowledge and the proven skills to help both adults and children as quickly as possible with a wide variety of emotional and behavioural difficulties.
0115 697 1253 View 0115 697 1253
Photo of Viera Harrison, Counsellor, PNCPS Acc.
Viera Harrison
Counsellor, PNCPS Acc.
Spalding PE12
I believe that counselling is not just for crisis, but it helps to deal with everyday stresses and worries. I aim to help you feel at ease so you can talk freely about whatever worries you. Whether you're dealing with anxiety, depression, stress, grief, loss, substance misuse, negative behaviour patterns, perimenopause, abuse, family or relationship challenges, sexuality, or lack of self-esteem and confidence, l am here to help. My background includes working with individuals of all ages, as well as couples. I have a strong passion for supporting teenagers. But ultimately, even as adults, we all carry our inner wounded child inside.
I believe that counselling is not just for crisis, but it helps to deal with everyday stresses and worries. I aim to help you feel at ease so you can talk freely about whatever worries you. Whether you're dealing with anxiety, depression, stress, grief, loss, substance misuse, negative behaviour patterns, perimenopause, abuse, family or relationship challenges, sexuality, or lack of self-esteem and confidence, l am here to help. My background includes working with individuals of all ages, as well as couples. I have a strong passion for supporting teenagers. But ultimately, even as adults, we all carry our inner wounded child inside.
01775 661172 View 01775 661172
Photo of Joshua Richards, Counsellor, MSc, GMBPsS
Joshua Richards
Counsellor, MSc, GMBPsS
Online Only
As an experienced Mental Health Practitioner, I bring over five years of specialised support in both healthcare and educational settings. My approach is grounded in empathy, evidence-based methods, and a deep personal commitment to helping individuals thrive—whether academically, professionally, or personally.
As an experienced Mental Health Practitioner, I bring over five years of specialised support in both healthcare and educational settings. My approach is grounded in empathy, evidence-based methods, and a deep personal commitment to helping individuals thrive—whether academically, professionally, or personally.
01620 672887 View 01620 672887
Photo of Monica Beck, MSc
Monica Beck
Verified Verified
Ropsley NG33
You may be navigating a major life transition, feeling overwhelmed by anxiety, or struggling with depression. You might be facing challenges in your career or relationships, or seeking balance between your personal and professional life. You could also be neurodivergent, managing giftedness, ADHD, ASD, or AuDHD, and looking for strategies to improve executive functioning, emotional regulation, or social communication. Whatever your situation, I can help you feel more confident, organized, and resilient, and support you to achieve your personal, academic and professional goals.
You may be navigating a major life transition, feeling overwhelmed by anxiety, or struggling with depression. You might be facing challenges in your career or relationships, or seeking balance between your personal and professional life. You could also be neurodivergent, managing giftedness, ADHD, ASD, or AuDHD, and looking for strategies to improve executive functioning, emotional regulation, or social communication. Whatever your situation, I can help you feel more confident, organized, and resilient, and support you to achieve your personal, academic and professional goals.
01476 851696 View 01476 851696
Photo of Lewis Etoria, Psychotherapist, UKCP Trainee
Lewis Etoria
Psychotherapist, UKCP Trainee
Lincoln LN6
I am a psychotherapist in advanced training offering long term and short term psychotherapy and counselling to adults. I provide a space in which you can safely explore things that are troubling you, whether these are in your day-to-day life or things that have been with you for a long time. Life can sometimes be daunting and frightening and can give us painful experiences that stay with us. It takes tremendous bravery to work through these things and I will be an active and understanding presence alongside you as you do this.
I am a psychotherapist in advanced training offering long term and short term psychotherapy and counselling to adults. I provide a space in which you can safely explore things that are troubling you, whether these are in your day-to-day life or things that have been with you for a long time. Life can sometimes be daunting and frightening and can give us painful experiences that stay with us. It takes tremendous bravery to work through these things and I will be an active and understanding presence alongside you as you do this.
01522 302270 View 01522 302270
Photo of Sarah-Louise Howarth - Sarah-Louise Psychotherapy , Psychotherapist, MBABCP
Sarah-Louise Psychotherapy
Psychotherapist, MBABCP
Retford DN22
I am dedicated to supporting my clients and giving you the tools you need in life. I work with the whole person, our minds are just as important as our bodies and we need to work on emotional and mental resilience to allow us to bounce back when life happens. Now you are ready to make changes, I am here to support you along that journey, giving you a toolkit that you will be able to use throughout life. I work in an empathic and sensitive manner, helping to support with problems that you may never have felt able to talk out loud about before.
I am dedicated to supporting my clients and giving you the tools you need in life. I work with the whole person, our minds are just as important as our bodies and we need to work on emotional and mental resilience to allow us to bounce back when life happens. Now you are ready to make changes, I am here to support you along that journey, giving you a toolkit that you will be able to use throughout life. I work in an empathic and sensitive manner, helping to support with problems that you may never have felt able to talk out loud about before.
01427 800750 View 01427 800750
Photo of Steph Adams, Counsellor, MA, MNCPS Acc.
Steph Adams
Counsellor, MA, MNCPS Acc.
1 Endorsed
Barnetby DN38
If you feel overwhelmed, anxious, lost, worried, or you are managing on a day to day basis but feel that “something’s not quite right”, you are not alone. Those around you may have no idea of the struggles that are happening inside you, but by working together we can explore those struggles and bring them into the light. We can look at the repeating patterns that are often a result of early experiences that continue to affect our lives. We can challenge these patterns to help you make changes that are important to you
If you feel overwhelmed, anxious, lost, worried, or you are managing on a day to day basis but feel that “something’s not quite right”, you are not alone. Those around you may have no idea of the struggles that are happening inside you, but by working together we can explore those struggles and bring them into the light. We can look at the repeating patterns that are often a result of early experiences that continue to affect our lives. We can challenge these patterns to help you make changes that are important to you
01652 248439 View 01652 248439
Photo of Melisa Claire Griffiths - Inclusive Counselling & Psychotherapy, Psychotherapist, DCounsPsych
Inclusive Counselling & Psychotherapy
Psychotherapist, DCounsPsych
Sleaford NG34
Maybe you feel confused, sad, numb, guilty, ashamed, lost, alone or anxious, with no clear idea of where to turn. Do you need understanding or, empathic support whilst you work through loss, anxiety, negative thoughts and behaviour, relationship problems, or natural life transition and personal crisis? I can help you. I whole heartedly understand how difficult sharing emotions can be, but allow me to reassure you that together we can find different or new ways of understanding your problems by discovering new insights/empowerment/self acceptance & resilience.
Maybe you feel confused, sad, numb, guilty, ashamed, lost, alone or anxious, with no clear idea of where to turn. Do you need understanding or, empathic support whilst you work through loss, anxiety, negative thoughts and behaviour, relationship problems, or natural life transition and personal crisis? I can help you. I whole heartedly understand how difficult sharing emotions can be, but allow me to reassure you that together we can find different or new ways of understanding your problems by discovering new insights/empowerment/self acceptance & resilience.
01529 404439 View 01529 404439
Photo of Buick Hamblin, Counsellor, MBACP Accred
Buick Hamblin
Counsellor, MBACP Accred
Grantham NG31
We all need a little help sometimes and the decision to do something different and make a change is a brave one . I have over 20 years of experience as a counsellor. For 12 of those years, I worked with the NHS, helping people of all ages, backgrounds, and cultures with a wide range of issues such as depression, low self-esteem, family problems, relationship issues, self-harm, and childhood abuse. My therapeutic approach is primarily person-centred counselling, combined with cognitive behavioural therapy (CBT) when beneficial.
We all need a little help sometimes and the decision to do something different and make a change is a brave one . I have over 20 years of experience as a counsellor. For 12 of those years, I worked with the NHS, helping people of all ages, backgrounds, and cultures with a wide range of issues such as depression, low self-esteem, family problems, relationship issues, self-harm, and childhood abuse. My therapeutic approach is primarily person-centred counselling, combined with cognitive behavioural therapy (CBT) when beneficial.
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Photo of Amanda Warren, Counsellor, MBACP
Amanda Warren
Counsellor, MBACP
Boston PE20
Life can be pretty daunting and choosing a therapist is no exception!  I offer a complimentary, initial session, to meet, hear your story and we can take it from there... As an Integrative therapist, I recognise that each person is unique and has specific needs and circumstances.  Listening, without judgment, creates a safe, confidential space, to establish a therapeutic relationship .  Helping clients to overcome negative patterns of behaviour, caused be anxieties, fears, phobias or any other mental health issue, that is impacting on life (ie. addictions, depression, low self-esteem, past and present trauma and bereavement).
Life can be pretty daunting and choosing a therapist is no exception!  I offer a complimentary, initial session, to meet, hear your story and we can take it from there... As an Integrative therapist, I recognise that each person is unique and has specific needs and circumstances.  Listening, without judgment, creates a safe, confidential space, to establish a therapeutic relationship .  Helping clients to overcome negative patterns of behaviour, caused be anxieties, fears, phobias or any other mental health issue, that is impacting on life (ie. addictions, depression, low self-esteem, past and present trauma and bereavement).
01205 337795 View 01205 337795
Photo of Gemma Goodwin, Counsellor, MBACP
Gemma Goodwin
Counsellor, MBACP
1 Endorsed
When life moves at 100 miles an hour, and the pressure to be everything to everyone takes over, it’s natural to feel anxious and overwhelmed. That’s why it’s so important to pause, take stock, and give ourselves time and space to talk things through. Maybe you’re feeling stuck, weighed down by anxiety, loss, or self-doubt. Maybe life feels louder than you can handle, or quieter than you’d like. You might be facing a big change, struggling in your relationships, or carrying the weight of past experiences that still show up in your present. As we work together, you'll have a space to breathe, speak without judgment and be heard.
When life moves at 100 miles an hour, and the pressure to be everything to everyone takes over, it’s natural to feel anxious and overwhelmed. That’s why it’s so important to pause, take stock, and give ourselves time and space to talk things through. Maybe you’re feeling stuck, weighed down by anxiety, loss, or self-doubt. Maybe life feels louder than you can handle, or quieter than you’d like. You might be facing a big change, struggling in your relationships, or carrying the weight of past experiences that still show up in your present. As we work together, you'll have a space to breathe, speak without judgment and be heard.
01673 263955 View 01673 263955

How does your Counsellor compare?

Number of Counsellors in New York

< 10

Counsellors in New York who prioritize treating:

83% Relationship Issues
67% Depression
67% Anxiety
67% Bereavement
67% Self Esteem
67% Stress
50% ADHD

Average years in practice

9 Years

Top 3 insurances accepted

50% Aetna
50% Cigna and Evernorth
50% Other

How Counsellors in New York see their clients

50% In Person and Online
50% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counselling

How can I find a therapist in New York?

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.