Counselling in Rackheath

Photo of Lisa Walford, Counsellor, MA, MBACP Accred
Lisa Walford
Counsellor, MA, MBACP Accred
Serves Area
I am an experience BACP accredited & registered counsellor with 13yrs of clinical experience. I work with adults & my expertise is working with anxiety & Highly Sensitive People (HSP), also known as sensory processing sensitivity. I have also helped clients work through other issues such as; bereavement, low self-esteem, emotional dysregulation, attachment issues & depression. I have a Masters in counselling & a Post-Graduate Diploma in Person Centred Counselling. My Masters researched childhood trauma which is why my counselling approach is trauma informed & draws upon attachment theory, neuroscience & nervous system regulation.
I am an experience BACP accredited & registered counsellor with 13yrs of clinical experience. I work with adults & my expertise is working with anxiety & Highly Sensitive People (HSP), also known as sensory processing sensitivity. I have also helped clients work through other issues such as; bereavement, low self-esteem, emotional dysregulation, attachment issues & depression. I have a Masters in counselling & a Post-Graduate Diploma in Person Centred Counselling. My Masters researched childhood trauma which is why my counselling approach is trauma informed & draws upon attachment theory, neuroscience & nervous system regulation.
01603 361779 View 01603 361779

More Therapists Nearby

Photo of Stuart Garman, Counsellor, MBACP
Stuart Garman
Counsellor, MBACP
Norwich NR1
I am Stuart, a BACP registered Integrative Counsellor & Psychotherapist, offering in-person therapy sessions from my private practice room behind Norwich Castle. Issues I work with include anxiety and stress, depression, bereavement and loss, trauma, relationship breakdowns, addictive behaviours, and finding purpose in life. I work with people who are neurodiverse, and those who are diverse in their sexuality and gender. If you are unsure whether I can work with you please ask.
I am Stuart, a BACP registered Integrative Counsellor & Psychotherapist, offering in-person therapy sessions from my private practice room behind Norwich Castle. Issues I work with include anxiety and stress, depression, bereavement and loss, trauma, relationship breakdowns, addictive behaviours, and finding purpose in life. I work with people who are neurodiverse, and those who are diverse in their sexuality and gender. If you are unsure whether I can work with you please ask.
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Photo of Martin Wilks, Psychologist, DCounsPsych, CPsychol
Martin Wilks
Psychologist, DCounsPsych, CPsychol
Serves Area
People who are keen to re-orientate their lives in the direction of their values - towards what gives them a sense of meaning and purpose. Having a clearer idea of what really matters helps people motivate themselves - even to the extent of accepting the difficulties it may entail - to either change or persist - in behaviours that will move them in their valued directions. Typically, this approach can be powerfully effective in dealing with the pervasive problems of stress, anxiety and depression and other chronic issues where rigid patterns of avoidant behaviour have developed.
People who are keen to re-orientate their lives in the direction of their values - towards what gives them a sense of meaning and purpose. Having a clearer idea of what really matters helps people motivate themselves - even to the extent of accepting the difficulties it may entail - to either change or persist - in behaviours that will move them in their valued directions. Typically, this approach can be powerfully effective in dealing with the pervasive problems of stress, anxiety and depression and other chronic issues where rigid patterns of avoidant behaviour have developed.
07723 472754 View 07723 472754
Photo of Carol Hounslow, Counsellor, MBBS, MBACP
Carol Hounslow
Counsellor, MBBS, MBACP
Lowestoft NR32
I hold a degree in Person-Centred Counselling and work with adults of all ages and young people in school from Y7 - Y11. My decision to completely change my career and become a qualified counsellor came from a desperate need for therapy myself many years ago. Without professional help, I doubt I would have survived.
I hold a degree in Person-Centred Counselling and work with adults of all ages and young people in school from Y7 - Y11. My decision to completely change my career and become a qualified counsellor came from a desperate need for therapy myself many years ago. Without professional help, I doubt I would have survived.
01502 443258 View 01502 443258
Photo of Verity Lyndon-Stanford - Therapy Barn, Counsellor, BACP
Therapy Barn
Counsellor, BACP
Online Only
I work with adults presenting with a range of mental health difficulties, including addiction, depression, generalised anxiety disorder, stress-related difficulties, obsessive–compulsive disorder (OCD), relationship issues, loss and change, anger management and emotional regulation. I believe good therapy supports greater self-understanding, emotional balance, and healthier relationships. My approach is grounded, thoughtful, and focused on helping people feel more at ease with themselves and their lives.
I work with adults presenting with a range of mental health difficulties, including addiction, depression, generalised anxiety disorder, stress-related difficulties, obsessive–compulsive disorder (OCD), relationship issues, loss and change, anger management and emotional regulation. I believe good therapy supports greater self-understanding, emotional balance, and healthier relationships. My approach is grounded, thoughtful, and focused on helping people feel more at ease with themselves and their lives.
01379 778598 View 01379 778598
Photo of Berith Ngangombo, Psychologist, MSc, GMBPsS
Berith Ngangombo
Psychologist, MSc, GMBPsS
Online Only
Hiya, I'm Berith and thank you for being here. My aim is to help you discover and embrace yourself, while navigating the challenges that led you to seek counselling. Life can be overwhelming, with lote of thoughts; both positive and negative which affect our emotions and actions. But know your feelings are valid, and deserve to be acknowledged and validated. Knowing this, everything will be done at your pace. I understand that seeking counselling can be intimidating, but I'm here to offer a safe and supportive space where our energies match and you feel at ease to go through this process. It’s a safe space!
Hiya, I'm Berith and thank you for being here. My aim is to help you discover and embrace yourself, while navigating the challenges that led you to seek counselling. Life can be overwhelming, with lote of thoughts; both positive and negative which affect our emotions and actions. But know your feelings are valid, and deserve to be acknowledged and validated. Knowing this, everything will be done at your pace. I understand that seeking counselling can be intimidating, but I'm here to offer a safe and supportive space where our energies match and you feel at ease to go through this process. It’s a safe space!
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Photo of Caine Catchpole, Counsellor, MBACP
Caine Catchpole
Counsellor, MBACP
Norwich NR2
Hello, welcome and thank you for reading my profile. My name is Caine and I’m a BACP registered Person-Centred therapist offering counselling based in the discreet, comfortable setting of the Practice Rooms in central Norwich. Whether struggling with past or present life events or just curious and wanting to know yourself more deeply, I offer a genuine, warm and unassuming presence to help you find, within yourself, the resources and answers you are looking for. My aim is to ensure that your experience of counselling is a safe, inviting one where you can work through the issues at your pace, absolutely free of judgement.
Hello, welcome and thank you for reading my profile. My name is Caine and I’m a BACP registered Person-Centred therapist offering counselling based in the discreet, comfortable setting of the Practice Rooms in central Norwich. Whether struggling with past or present life events or just curious and wanting to know yourself more deeply, I offer a genuine, warm and unassuming presence to help you find, within yourself, the resources and answers you are looking for. My aim is to ensure that your experience of counselling is a safe, inviting one where you can work through the issues at your pace, absolutely free of judgement.
01603 249295 View 01603 249295
Photo of Dr Cassy Crabtree, Psychologist, HCPC - Forensic Psych.
Dr Cassy Crabtree
Psychologist, HCPC - Forensic Psych.
Online Only
Life has a way of piling onto us and sometimes its hard to recognize the effects of our experiences over time. This can lead to developing unhelpful coping skills in the moment, that are not conducive to a healthy and happy life. We need to adapt and find other ways of coping once the storm has passed, which can be difficult to do on your own. As a qualified psychologist, I have experience in working with inpatient and community settings over the last 6 years. I specialize in working with Personality Disorder (BPD, ASPD), Post Traumatic Stress Disorder (PTSD and CPTSD), and neurodevelopmental disorders (ADHD, LD, Autism).
Life has a way of piling onto us and sometimes its hard to recognize the effects of our experiences over time. This can lead to developing unhelpful coping skills in the moment, that are not conducive to a healthy and happy life. We need to adapt and find other ways of coping once the storm has passed, which can be difficult to do on your own. As a qualified psychologist, I have experience in working with inpatient and community settings over the last 6 years. I specialize in working with Personality Disorder (BPD, ASPD), Post Traumatic Stress Disorder (PTSD and CPTSD), and neurodevelopmental disorders (ADHD, LD, Autism).
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Photo of Ness Cooper, Counsellor, MNCPS Acc.
Ness Cooper
Counsellor, MNCPS Acc.
Norwich NR11
Relationship and intimacy focused therapy can feel like the last attempt. You've tried everything else or its gotten to point where change doesn't sound possible. But that's where I come in, and help you work through these challenges to gain the clarity you need to move in the direction you need. Not everyone is in a relationship when they come and see me, they may be processing old relationships or look towards the future. Whether you're an individual, couple or polyamorous group I can help you work through relationship dynamics, to, sexual issues, and more.
Relationship and intimacy focused therapy can feel like the last attempt. You've tried everything else or its gotten to point where change doesn't sound possible. But that's where I come in, and help you work through these challenges to gain the clarity you need to move in the direction you need. Not everyone is in a relationship when they come and see me, they may be processing old relationships or look towards the future. Whether you're an individual, couple or polyamorous group I can help you work through relationship dynamics, to, sexual issues, and more.
01263 808952 View 01263 808952
Photo of Donna Marie Hay, Counsellor, BACP
Donna Marie Hay
Counsellor, BACP
1 Endorsed
Serves Area
Thank you for taking the time to view my profile and for taking the first step towards positive change. Reaching out for support can feel daunting, especially when concerns relate to sex, intimacy or relationships. You will be met with warmth, understanding and respect. As an Integrative Psychotherapeutic Counsellor with specialist training with CICS in Psychosexual Therapy, I offer a confidential, safe and non-judgemental space to explore sensitive concerns. Psychosexual therapy recognises the connection between mind, body, emotions and relationships, and how these influence sexual wellbeing and intimacy.
Thank you for taking the time to view my profile and for taking the first step towards positive change. Reaching out for support can feel daunting, especially when concerns relate to sex, intimacy or relationships. You will be met with warmth, understanding and respect. As an Integrative Psychotherapeutic Counsellor with specialist training with CICS in Psychosexual Therapy, I offer a confidential, safe and non-judgemental space to explore sensitive concerns. Psychosexual therapy recognises the connection between mind, body, emotions and relationships, and how these influence sexual wellbeing and intimacy.
0113 519 0199 View 0113 519 0199
Photo of Jamie Carl Geary, Counsellor, MBACP Accred
Jamie Carl Geary
Counsellor, MBACP Accred
I am a Person Centred counselor who works with adults, children and young people, offering 1-1 or group therapy. My approach is non-judgmental and I offer a secure, confidential and nurturing therapeutic space to help you through your difficulties at your own pace. I got into counselling because of having counselling myself so am aware of the difficulties facing finding the right counselor and what it's like having therapy. Even with this knowledge your process will be different and you will have your own sense of the pain you are experiencing. What I offer is my ability to help you walk through this pain with empathy and safety.
I am a Person Centred counselor who works with adults, children and young people, offering 1-1 or group therapy. My approach is non-judgmental and I offer a secure, confidential and nurturing therapeutic space to help you through your difficulties at your own pace. I got into counselling because of having counselling myself so am aware of the difficulties facing finding the right counselor and what it's like having therapy. Even with this knowledge your process will be different and you will have your own sense of the pain you are experiencing. What I offer is my ability to help you walk through this pain with empathy and safety.
01493 804849 View 01493 804849
Photo of Lois Peachey, Counsellor, DCounsPsych, MNCPS Acc.
Lois Peachey
Counsellor, DCounsPsych, MNCPS Acc.
Diss IP22
Currently taking on new clients. I work with individual adults in person from my home and online. I mostly do long-term work but also have significant experience of shorter, time limited work. My areas of specialism are working with trauma from a body focussed perspective, with people who identify as LGBTQ+ and those with ADHD and ASD. Many of my clients have experiences of feeling 'different' and who struggle to find their place in the world. There is always something new to learn for both therapist and client and whilst therapeutic work is not always easy, it can be incredibly rewarding and enlightening.
Currently taking on new clients. I work with individual adults in person from my home and online. I mostly do long-term work but also have significant experience of shorter, time limited work. My areas of specialism are working with trauma from a body focussed perspective, with people who identify as LGBTQ+ and those with ADHD and ASD. Many of my clients have experiences of feeling 'different' and who struggle to find their place in the world. There is always something new to learn for both therapist and client and whilst therapeutic work is not always easy, it can be incredibly rewarding and enlightening.
01359 307902 View 01359 307902
Photo of Shirley Songhurst, Counsellor, MBACP
Shirley Songhurst
Counsellor, MBACP
2 Endorsed
Serves Area
Are you often weighed down with feelings of anxiety? Whether as a result of mental health issues, bereavement, work/social/family environment or all of the above? Are you feeling overwhelmed and unsure of what to do next? Are you giving too much to others? Perhaps anxiety and past memories are stopping you from living the life you want to lead. You deserve to enjoy your life, which is why I specialise in supporting people with stress, anxiety and CPTSD. Contact me now to see how counselling can help you to overcome these difficult times in life.
Are you often weighed down with feelings of anxiety? Whether as a result of mental health issues, bereavement, work/social/family environment or all of the above? Are you feeling overwhelmed and unsure of what to do next? Are you giving too much to others? Perhaps anxiety and past memories are stopping you from living the life you want to lead. You deserve to enjoy your life, which is why I specialise in supporting people with stress, anxiety and CPTSD. Contact me now to see how counselling can help you to overcome these difficult times in life.
01359 307909 View 01359 307909
Photo of Laura Green, Counsellor, MBACP
Laura Green
Counsellor, MBACP
3 Endorsed
Norwich NR2
Hi, welcome to my page and thank you for taking the time to read my profile, you’ve made the first step in getting help which is always the hardest. Through counselling, we will explore any issues that may be of concern for you. These can include, but are not limited to, depression, stress, anxiety, trauma, abuse (physical, sexual, emotional), addictions and addictive behaviour or problems in relationships. Counselling is a journey of self-discovery; we can work together to explore any difficulties that you are facing.
Hi, welcome to my page and thank you for taking the time to read my profile, you’ve made the first step in getting help which is always the hardest. Through counselling, we will explore any issues that may be of concern for you. These can include, but are not limited to, depression, stress, anxiety, trauma, abuse (physical, sexual, emotional), addictions and addictive behaviour or problems in relationships. Counselling is a journey of self-discovery; we can work together to explore any difficulties that you are facing.
01603 361735 View 01603 361735
Photo of Joanne Kay, Counsellor, MBACP
Joanne Kay
Counsellor, MBACP
1 Endorsed
Online Only
I work with Depression and Anxiety. Commonly other issues are intertwined such as trauma, attachment issues and low self-esteem. Clients that begin to work with me often do so because they find that their feelings, thoughts or other symptoms have begun to affect areas of functioning in life; they find that coping mechanisms that have been helpful in the past are beginning to work less effectively. My attachment-based approach means that I am interested in your past - our early relationships determine how we connect with others as adults, how we view ourselves, and how we regulate ourselves.
I work with Depression and Anxiety. Commonly other issues are intertwined such as trauma, attachment issues and low self-esteem. Clients that begin to work with me often do so because they find that their feelings, thoughts or other symptoms have begun to affect areas of functioning in life; they find that coping mechanisms that have been helpful in the past are beginning to work less effectively. My attachment-based approach means that I am interested in your past - our early relationships determine how we connect with others as adults, how we view ourselves, and how we regulate ourselves.
01777 802508 View 01777 802508
Photo of Jane Gracey, Counsellor, MBACP
Jane Gracey
Counsellor, MBACP
1 Endorsed
Online Only
Whether you have experienced mental health support before, or this is your first time - I am here to help you. I am understanding, experienced, realistic and grounded… so whatever issue you bring - you will find the support you need here. Some common areas to explore include worry, anxiety, stress, depression, relationship issues, self esteem and confidence. Or it might be that you want to learn techniques to cope with OCD or phobias. Whatever the issue is - we can work on it together.
Whether you have experienced mental health support before, or this is your first time - I am here to help you. I am understanding, experienced, realistic and grounded… so whatever issue you bring - you will find the support you need here. Some common areas to explore include worry, anxiety, stress, depression, relationship issues, self esteem and confidence. Or it might be that you want to learn techniques to cope with OCD or phobias. Whatever the issue is - we can work on it together.
01493 800418 View 01493 800418
Photo of Calla Mayes, Counsellor, BACP
Calla Mayes
Counsellor, BACP
Norwich NR1
Hello! A warm welcome to you. Trained as an integrative counsellor I am here to help you with life's challenges. Whether it's trying to deal with low self esteem, anxiety, feeling low, stuck, emotional - we can work together towards the changes you'd like to make. I know how daunting it can be trying to find the right counsellor and to start counselling - I also know the benefits it can offer.
Hello! A warm welcome to you. Trained as an integrative counsellor I am here to help you with life's challenges. Whether it's trying to deal with low self esteem, anxiety, feeling low, stuck, emotional - we can work together towards the changes you'd like to make. I know how daunting it can be trying to find the right counsellor and to start counselling - I also know the benefits it can offer.
01603 249203 View 01603 249203
Photo of Tracy Moore, Counsellor, MSc, MBACP Accred
Tracy Moore
Counsellor, MSc, MBACP Accred
Norwich NR15
I offer high quality, Psychotherapy and EMDR for individual therapy and couples, for relationship counselling and trauma and have many years experience working with mental health. I am also a clinical supervisor. My commitment is to unconditionally respect values, background and beliefs, offering a discreet and professional service. ​Whatever you are experiencing, you don't have to face it alone​. I believe in on-going training, academic learning and supervision and keep myself up-to-date with best practice, and developments in the industry. I am a member of, am registered with and work to the strict ethics and regulations.
I offer high quality, Psychotherapy and EMDR for individual therapy and couples, for relationship counselling and trauma and have many years experience working with mental health. I am also a clinical supervisor. My commitment is to unconditionally respect values, background and beliefs, offering a discreet and professional service. ​Whatever you are experiencing, you don't have to face it alone​. I believe in on-going training, academic learning and supervision and keep myself up-to-date with best practice, and developments in the industry. I am a member of, am registered with and work to the strict ethics and regulations.
01508 505551 View 01508 505551
Photo of Dr Hannah Ryan, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Hannah Ryan
Psychologist, PsychD, HCPC - Clin. Psych.
Eye IP23
Evidence-based therapies, tailored to you. My sessions provide a safe space for you to explore your thoughts, feelings and experiences, leading to deeper self-fulfilment and better coping in the face of challenges. I provide specialist therapy for anxiety, depression, stress and the management of chronic pain. Therapy can be invaluable for any life changes, improving mental wellbeing or simply deepening an understanding of yourself in order to live a meaningful life.
Evidence-based therapies, tailored to you. My sessions provide a safe space for you to explore your thoughts, feelings and experiences, leading to deeper self-fulfilment and better coping in the face of challenges. I provide specialist therapy for anxiety, depression, stress and the management of chronic pain. Therapy can be invaluable for any life changes, improving mental wellbeing or simply deepening an understanding of yourself in order to live a meaningful life.
01379 778475 View 01379 778475
Photo of Chris Haylock - Distinct-Minds, Psychologist, MA, HCPC - Couns. Psych.
Distinct-Minds
Psychologist, MA, HCPC - Couns. Psych.
1 Endorsed
Online Only
Hi, I’m Chris, a Counselling Psychologist who is committed to supporting adults and couples to feel calmer, more balanced, and better connected. If you’re feeling stuck, overwhelmed, stressed, isolated, or unsure where to turn next, you’re not alone. Many of the people I work with are navigating anxiety, low mood, grief, trauma, and relational difficulties. Whatever it is that you’re facing, I know that you are bigger than your challenges. And I would like to help you overcome your concerns, embrace your strengths, and make lasting changes.
Hi, I’m Chris, a Counselling Psychologist who is committed to supporting adults and couples to feel calmer, more balanced, and better connected. If you’re feeling stuck, overwhelmed, stressed, isolated, or unsure where to turn next, you’re not alone. Many of the people I work with are navigating anxiety, low mood, grief, trauma, and relational difficulties. Whatever it is that you’re facing, I know that you are bigger than your challenges. And I would like to help you overcome your concerns, embrace your strengths, and make lasting changes.
01953 660832 View 01953 660832

How does your Counsellor compare?

Number of Counsellors in Rackheath

< 10

Counsellors in Rackheath who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Bereavement
100% Trauma and PTSD
100% Transgender
100% Family Conflict

Average years in practice

13 Years

Gender breakdown

100% Female

How Counsellors in Rackheath see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Rackheath?

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.