Counselling in Preston

Photo of Frances Redding, MSc, MBABCP, Psychotherapist
Frances Redding
Psychotherapist, MSc, MBABCP
Verified Verified
Preston PR2
Waitlist for new clients
Hello I'm Fran. I worked for the NHS for 18 years in mental health/physical health settings and currently I'm a therapist and supervisor offering a compassionate space to help clients and colleagues, on a private basis. I use a combination of Compassion Focused Therapy which uses a non judgemental approach to help clients understand themselves/difficulties and make decisions for change in their best interests, alongside Cognitive Behavioural Therapy and Eye Movement Desensitisation Re-processing of psychological trauma.
Hello I'm Fran. I worked for the NHS for 18 years in mental health/physical health settings and currently I'm a therapist and supervisor offering a compassionate space to help clients and colleagues, on a private basis. I use a combination of Compassion Focused Therapy which uses a non judgemental approach to help clients understand themselves/difficulties and make decisions for change in their best interests, alongside Cognitive Behavioural Therapy and Eye Movement Desensitisation Re-processing of psychological trauma.
01772 503093 View 01772 503093
Photo of Shelley Jones - Shelley Jones Counselling Ltd, Counsellor
Shelley Jones Counselling Ltd
Counsellor
Verified Verified
1 Endorsed
Preston PR1
I'm a Person Centered Counsellor, an excellent listener and naturally empathetic. I will support you on your journey of self reflection to empower you to find your own way through any difficulties you may be experiencing.
I'm a Person Centered Counsellor, an excellent listener and naturally empathetic. I will support you on your journey of self reflection to empower you to find your own way through any difficulties you may be experiencing.
01772 503065 View 01772 503065
Photo of Hannah Jane Heys, MBABCP, Psychotherapist
Hannah Jane Heys
Psychotherapist, MBABCP
Verified Verified
Preston PR4
I have 15 years experience working with young people whom present with various anxiety disorders, depressive episodes, OCD and trauma. I was once “a young cool practitioner” within NHS services and have since worked for a private service. I must admit I am no longer the “young cool one” but instead “middle aged, experienced practitioner/ therapist”.
I have 15 years experience working with young people whom present with various anxiety disorders, depressive episodes, OCD and trauma. I was once “a young cool practitioner” within NHS services and have since worked for a private service. I must admit I am no longer the “young cool one” but instead “middle aged, experienced practitioner/ therapist”.
01772 419761 View 01772 419761
Photo of Moira Finley-Landry Counselling And Supervision, MNCPS Acc., Psychotherapist
Moira Finley-Landry Counselling And Supervision
Psychotherapist, MNCPS Acc.
Verified Verified
Preston PR2
Life throws us some very difficult challenges at times and it's not always easy to face these alone. I work alongside you, at your pace, on the things that matter to you most. I can offer you a supportive, safe and confidential space in which to explore your concerns in a non-judgemental relationship, with you at the core of everything we do together. I have a wide range of experience of counselling people of all ages with a variety of emotional, social, relational & mental health issues. I am qualified and experienced in working with Adults, Children & Young People.
Life throws us some very difficult challenges at times and it's not always easy to face these alone. I work alongside you, at your pace, on the things that matter to you most. I can offer you a supportive, safe and confidential space in which to explore your concerns in a non-judgemental relationship, with you at the core of everything we do together. I have a wide range of experience of counselling people of all ages with a variety of emotional, social, relational & mental health issues. I am qualified and experienced in working with Adults, Children & Young People.
01772 963395 View 01772 963395
Photo of Amber Parkinson, MSc, MBACP, Psychotherapist
Amber Parkinson
Psychotherapist, MSc, MBACP
Verified Verified
Preston PR5
I work as a therapist because of the privilege of journeying with another, often through difficult territory, in the direction of self-understanding and healing. I offer both face-to-face, outdoor and online therapy. I love co-creating a healing space (indoors or outdoors) in which you can work with, and process, your concerns. I’ve been so lucky to have been practicing as a therapist, supervisor and lecturer for nearly 30 years and to bring this experience to the therapy space, along with my mindfulness training. Please reach out if you wish to discuss how my way of working may help you.
I work as a therapist because of the privilege of journeying with another, often through difficult territory, in the direction of self-understanding and healing. I offer both face-to-face, outdoor and online therapy. I love co-creating a healing space (indoors or outdoors) in which you can work with, and process, your concerns. I’ve been so lucky to have been practicing as a therapist, supervisor and lecturer for nearly 30 years and to bring this experience to the therapy space, along with my mindfulness training. Please reach out if you wish to discuss how my way of working may help you.
01772 211446 View 01772 211446
Photo of Elisa Hari, UKCP Trainee, Psychotherapist
Elisa Hari
Psychotherapist, UKCP Trainee
Verified Verified
Preston PR1
I am a graduate in Transactional Analysis Integrative Psychotherapy. Through this mode of psychotherapy, an understanding and awareness of why we are the way we are can assist us to grow, develop and change the narrative that may be keeping you stuck or struggling to navigate life, feelings, behaviours and relationships. I have been a practicing Registered Mental Health Nurse for almost 30 years now and through my experience of working diagnostically within the mental health system, I have come to recognise that beneath the labels and diagnoses, there are the experiences of life that only you have had.
I am a graduate in Transactional Analysis Integrative Psychotherapy. Through this mode of psychotherapy, an understanding and awareness of why we are the way we are can assist us to grow, develop and change the narrative that may be keeping you stuck or struggling to navigate life, feelings, behaviours and relationships. I have been a practicing Registered Mental Health Nurse for almost 30 years now and through my experience of working diagnostically within the mental health system, I have come to recognise that beneath the labels and diagnoses, there are the experiences of life that only you have had.
01772 283775 View 01772 283775
Dr . F. Abdoola
Psychotherapist
Verified Verified
Preston PR2
“MBBCHB - M.D, D.Psychotherapy, MRCPsych, RCGP -C.Alcohol &Substance”. Dr. F. Abdoola is a highly respected Consultant Psychiatrist, with over 20 years of experience working in mental health. He currently provides a non judgemental and confidential psychotherapy service, with the aim of individuals discovering , understanding and exploring their most inner, deepest and traumatic feelings and emotions. He helps Identify and managing the root/stressor's which are causing/contributing to their mental health difficulties. Dr. Abdoola takes a holistic, bespoke and individualised approach with children, adults, and older adults.
“MBBCHB - M.D, D.Psychotherapy, MRCPsych, RCGP -C.Alcohol &Substance”. Dr. F. Abdoola is a highly respected Consultant Psychiatrist, with over 20 years of experience working in mental health. He currently provides a non judgemental and confidential psychotherapy service, with the aim of individuals discovering , understanding and exploring their most inner, deepest and traumatic feelings and emotions. He helps Identify and managing the root/stressor's which are causing/contributing to their mental health difficulties. Dr. Abdoola takes a holistic, bespoke and individualised approach with children, adults, and older adults.
01772 503281 View 01772 503281
Photo of Pam Burke, BACP, Counsellor
Pam Burke
Counsellor, BACP
Verified Verified
Preston PR2
I offer Psychotherapy and ounselling which are often interchangeable and also Eye Movement Desensitisation and Reprocessing (EMDR) for more deep-rooted trauma. By engaging in a therapeutic relationship with me, you are safe in the knowledge that what you say will be respectfully listened to and you will not be judged in any way. I work face-to-face and online, with individuals and couples. I am also a Registered Mental Nurse with over 30 years experience prior to qualifying as a therapist, so I have helped people with all degrees of mental health problems. My areas of interest are substance misuse, addictive behaviour and trauma.
I offer Psychotherapy and ounselling which are often interchangeable and also Eye Movement Desensitisation and Reprocessing (EMDR) for more deep-rooted trauma. By engaging in a therapeutic relationship with me, you are safe in the knowledge that what you say will be respectfully listened to and you will not be judged in any way. I work face-to-face and online, with individuals and couples. I am also a Registered Mental Nurse with over 30 years experience prior to qualifying as a therapist, so I have helped people with all degrees of mental health problems. My areas of interest are substance misuse, addictive behaviour and trauma.
01772 419563 View 01772 419563
Photo of Helena Smith, BACP, Counsellor
Helena Smith
Counsellor, BACP
Verified Verified
Preston PR3
It can be such a relief to share your worries and concerns about whatever is causing you stress or distress in your life. Sometimes, we need another person who isn't part of our family or friendship group. I am here to be that person, here to listen, understand and help you unravel those jumbled thoughts when life is feeling stressful. I offer a safe space and my experience of working with depression, anxiety, work or family difficulties and a warm, supportive, friendly and confidential environment. Don't hesitate to contact me for a chat together to see if I am the right person for you.
It can be such a relief to share your worries and concerns about whatever is causing you stress or distress in your life. Sometimes, we need another person who isn't part of our family or friendship group. I am here to be that person, here to listen, understand and help you unravel those jumbled thoughts when life is feeling stressful. I offer a safe space and my experience of working with depression, anxiety, work or family difficulties and a warm, supportive, friendly and confidential environment. Don't hesitate to contact me for a chat together to see if I am the right person for you.
01254 927994 View 01254 927994
Photo of Catherine Mary Ashbrook, MBACP, Counsellor
Catherine Mary Ashbrook
Counsellor, MBACP
Verified Verified
Preston PR4
Life can feel too much when you are juggling lots of different roles and you may feel as if you are weighed down by everything that you are carrying. This might leave you feeling stressed, anxious or depressed. Putting the needs of others before yourself can be exhausting and a constant source of worry, negative thinking and conflicting emotions. Maybe you are finding it hard to gain a work life balance. Maybe this is causing relationship difficulties or affecting your ability to connect with others. Perhaps you keep telling yourself that you should be managing better but are finding it hard to cope and can't admit this to anyone.
Life can feel too much when you are juggling lots of different roles and you may feel as if you are weighed down by everything that you are carrying. This might leave you feeling stressed, anxious or depressed. Putting the needs of others before yourself can be exhausting and a constant source of worry, negative thinking and conflicting emotions. Maybe you are finding it hard to gain a work life balance. Maybe this is causing relationship difficulties or affecting your ability to connect with others. Perhaps you keep telling yourself that you should be managing better but are finding it hard to cope and can't admit this to anyone.
01722 442125 View 01722 442125
Photo of Matthew Murray, MBACP Accred, Psychotherapist
Matthew Murray
Psychotherapist, MBACP Accred
Verified Verified
Preston PR2
Hi, My Name is Matt. I am a fully accredited Counsellor / Psychotherapist, with six years experience working with those in need of support.
Hi, My Name is Matt. I am a fully accredited Counsellor / Psychotherapist, with six years experience working with those in need of support.
01722 449936 View 01722 449936
Photo of Clare Madeline Yilmaz, DCounsPsych, PNCPS Acc., Counsellor
Clare Madeline Yilmaz
Counsellor, DCounsPsych, PNCPS Acc.
Verified Verified
Preston PR5
Whatever difficulties you may be facing, I am here to help. I have more than 15 years experience supporting adults, children and teenagers with a wide range of emotional, behavioural and mental heath issues. I believe the therapeutic relationship is fundamental to the outcome of therapy, and provide warmth, understanding and a safe space to help you explore your thoughts and feelings with the aim of increasing your self-awareness and ability to manage your emotions and problems. I offer a free initial consulation to discuss the issues that have brought you to seek therapy and to explore how I may be able to help you.
Whatever difficulties you may be facing, I am here to help. I have more than 15 years experience supporting adults, children and teenagers with a wide range of emotional, behavioural and mental heath issues. I believe the therapeutic relationship is fundamental to the outcome of therapy, and provide warmth, understanding and a safe space to help you explore your thoughts and feelings with the aim of increasing your self-awareness and ability to manage your emotions and problems. I offer a free initial consulation to discuss the issues that have brought you to seek therapy and to explore how I may be able to help you.
01772 963059 View 01772 963059
Photo of Lowri Dowthwaite - 1 Life Therapy & Coaching, MSc, GMBPsS, Psychologist
1 Life Therapy & Coaching
Psychologist, MSc, GMBPsS
Verified Verified
1 Endorsed
Preston PR2
Waitlist for new clients
Hello, I am delighted to be able to offer one to one Cognitive behavioural therapy sessions in person or online. If you are struggling with low mood, anxiety, panic attacks or trauma, I would love to help you overcome these difficulties. Feelings of depression and anxiety can be very distressing and isolating, you may be thinking that life will always be this way, but it doesn't have to be. You can learn ways to manage your anxiety, improve your mood and overcome trauma so you can lead a happier, more fulfilling life.
Hello, I am delighted to be able to offer one to one Cognitive behavioural therapy sessions in person or online. If you are struggling with low mood, anxiety, panic attacks or trauma, I would love to help you overcome these difficulties. Feelings of depression and anxiety can be very distressing and isolating, you may be thinking that life will always be this way, but it doesn't have to be. You can learn ways to manage your anxiety, improve your mood and overcome trauma so you can lead a happier, more fulfilling life.
01772 503125 View 01772 503125
Photo of Martin Peter Robert Rigby - Martin Rigby Counselling, MSc, MBACP, Counsellor
Martin Rigby Counselling
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Preston PR4
Hello my name is Martin Rigby. I'm an experienced, qualified and registered person-centred counsellor working in private practice in Preston, Ashton-in-Makerfield, Hindley, Leigh and Wigan. I provide counselling face-to-face, by phone and online to people of all ages, cultures and backgrounds. I work with young people, adults, senior citizens, couples and organisations. My counselling fees are: Initial 30 minute appointment-free of charge. Individual:£35. Couples:£40. Home visits:£45- travel costs may apply. Skype/IM, Facetime, Whattsapp:£25. Consessions are available.
Hello my name is Martin Rigby. I'm an experienced, qualified and registered person-centred counsellor working in private practice in Preston, Ashton-in-Makerfield, Hindley, Leigh and Wigan. I provide counselling face-to-face, by phone and online to people of all ages, cultures and backgrounds. I work with young people, adults, senior citizens, couples and organisations. My counselling fees are: Initial 30 minute appointment-free of charge. Individual:£35. Couples:£40. Home visits:£45- travel costs may apply. Skype/IM, Facetime, Whattsapp:£25. Consessions are available.
01305 235631 View 01305 235631
Photo of Aimee Hudson, MBACP, Psychotherapist
Aimee Hudson
Psychotherapist, MBACP
Verified Verified
Preston PR1
As an integrative practitioner, I work with a broad range of adult clients, able to tailor our sessions to whatever concerns or circumstances you feel you may need help with. I offer a free telephone consultation to help us decide if working together will be right for you and this will last approximately half an hour.
As an integrative practitioner, I work with a broad range of adult clients, able to tailor our sessions to whatever concerns or circumstances you feel you may need help with. I offer a free telephone consultation to help us decide if working together will be right for you and this will last approximately half an hour.
01772 283884 View 01772 283884
Photo of Baylissa Vynne Frederick, MA, MBACP, Counsellor
Baylissa Vynne Frederick
Counsellor, MA, MBACP
Verified Verified
Preston PR4  (Online Only)
Waitlist for new clients
Are you going through a challenging time and seeking support to make meaningful changes? Life's difficulties can feel overwhelming, especially during stressful or painful periods. While family and friends may offer well-meaning advice, it can sometimes fall short of providing the objectivity or depth of understanding you need. That's where working with a trained professional can be invaluable.
Are you going through a challenging time and seeking support to make meaningful changes? Life's difficulties can feel overwhelming, especially during stressful or painful periods. While family and friends may offer well-meaning advice, it can sometimes fall short of providing the objectivity or depth of understanding you need. That's where working with a trained professional can be invaluable.
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Photo of Tasneem Dahegamia - U Got This, Mental health & Wellbeing clinic, Psychotherapist
U Got This, Mental health & Wellbeing clinic
Psychotherapist
Verified Verified
Preston PR1
Want to GET BETTER & NOT JUST manage your mental health? Dealing with unresolved Anxiety & Depression can be debilitating, leaving you feeling like you wIill never get better. Your relationships, performance and confidence may suffer, you may dread the future and tired of wearing a mask & being positive. You may have been to see your GP or tried many therapies and still feel unwell. If this is you perhaps it’s time for further more therapy. The clinic offers unique techniques that are proving to be highly successful in the treatment for Mental health with growing 5 STAR Reviews. Referrals accepted from other therapists to.
Want to GET BETTER & NOT JUST manage your mental health? Dealing with unresolved Anxiety & Depression can be debilitating, leaving you feeling like you wIill never get better. Your relationships, performance and confidence may suffer, you may dread the future and tired of wearing a mask & being positive. You may have been to see your GP or tried many therapies and still feel unwell. If this is you perhaps it’s time for further more therapy. The clinic offers unique techniques that are proving to be highly successful in the treatment for Mental health with growing 5 STAR Reviews. Referrals accepted from other therapists to.
01772 367537 View 01772 367537
Photo of Nicola Lord, BACP, Counsellor
Nicola Lord
Counsellor, BACP
Verified Verified
Preston PR2
Hello, my name is Nicola. I have a strong passion for working with individuals of all ages, including both adults and children/young people. My ultimate goal is to assist others in overcoming personal challenges by providing a therapeutic environment that allows people to freely express their thoughts and emotions, while feeling comfortable and protected. With experience in various settings such as NHS, voluntary sector, higher education, and as a self-employed counsellor, I bring a wealth of knowledge and resourcefulness to my profession. Additionally, I am proficient in conducting sessions face to face or through online platforms.
Hello, my name is Nicola. I have a strong passion for working with individuals of all ages, including both adults and children/young people. My ultimate goal is to assist others in overcoming personal challenges by providing a therapeutic environment that allows people to freely express their thoughts and emotions, while feeling comfortable and protected. With experience in various settings such as NHS, voluntary sector, higher education, and as a self-employed counsellor, I bring a wealth of knowledge and resourcefulness to my profession. Additionally, I am proficient in conducting sessions face to face or through online platforms.
01722 440742 View 01722 440742
Photo of Heather Catherine Kynaston - Apple Counselling, BACP, Counsellor
Apple Counselling
Counsellor, BACP
Verified Verified
Preston PR4
Are you struggling with something difficult in the here and now, such as the loss of a loved one, or the breakdown of a relationship? Or perhaps you’re aware of vague, underlying feelings of sadness, anxiety, or anger. Maybe you feel trapped in a cycle of repeated disappointments with partners, friends, career and don’t know why. Whether you know what the problem is, or even if you don’t, therapy can help. It’s an opportunity to explore yourself; to examine feelings, thought, and motivations to gain understanding - the first step towards navigating a different, happier course. You've taken the first brave step - the next is to call.
Are you struggling with something difficult in the here and now, such as the loss of a loved one, or the breakdown of a relationship? Or perhaps you’re aware of vague, underlying feelings of sadness, anxiety, or anger. Maybe you feel trapped in a cycle of repeated disappointments with partners, friends, career and don’t know why. Whether you know what the problem is, or even if you don’t, therapy can help. It’s an opportunity to explore yourself; to examine feelings, thought, and motivations to gain understanding - the first step towards navigating a different, happier course. You've taken the first brave step - the next is to call.
01772 419875 View 01772 419875
Photo of Dr Dany Just, PsychD, HCPC - Clin. Psych., Psychologist
Dr Dany Just
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Preston PR2  (Online Only)
Hi, I'm Dany, a HCPC registered Clinical Psychologist based in the North-West. I am dedicated to help you improve your quality of life. I embrace a rich tapestry of therapeutic approaches – CBT, DBT, CFT, ACT, relational etc. – to tailor sessions to honour your unique experiences. Your journey of self-discovery and growth is nurtured in a sensitive space, where I am committed to fostering understanding and wellbeing. Take a step towards celebrating the strength and uniqueness within you, with me as your compassionate companion.
Hi, I'm Dany, a HCPC registered Clinical Psychologist based in the North-West. I am dedicated to help you improve your quality of life. I embrace a rich tapestry of therapeutic approaches – CBT, DBT, CFT, ACT, relational etc. – to tailor sessions to honour your unique experiences. Your journey of self-discovery and growth is nurtured in a sensitive space, where I am committed to fostering understanding and wellbeing. Take a step towards celebrating the strength and uniqueness within you, with me as your compassionate companion.
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See more therapy options for Preston

How does your Counsellor compare?

Number of Counsellors in Preston

100+

Average cost per session

£50

Counsellors in Preston who prioritize treating:

88% Anxiety
85% Depression
84% Self Esteem
79% Stress
76% Relationship Issues
74% Trauma and PTSD
73% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

47% AXA PPP
47% Bupa
43% Aviva

How Counsellors in Preston see their clients

85% In Person and Online
15% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Preston?

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.