Counselling in Rainford

Photo of Sarah Preston, MBACP, Counsellor
Sarah Preston
Counsellor, MBACP
Verified Verified
Rainford WA11
If you are struggling with relationships, loss, stress, or feeling lost and overwhelmed, you might feel like you’re stuck, don’t know where to turn or how to move forward. Sometimes we don’t know what to say, how to say it or even fully understand what we are feeling; it’s often not just one thing that we are feeling but a complex mix of different emotions. Our sessions together will give you the opportunity to be heard, to explore your emotions and unpick the difficulties you are having.
If you are struggling with relationships, loss, stress, or feeling lost and overwhelmed, you might feel like you’re stuck, don’t know where to turn or how to move forward. Sometimes we don’t know what to say, how to say it or even fully understand what we are feeling; it’s often not just one thing that we are feeling but a complex mix of different emotions. Our sessions together will give you the opportunity to be heard, to explore your emotions and unpick the difficulties you are having.
01744 415882 View 01744 415882
Photo of undefined - PB Psychotherapy, MSc, MUKCP, Psychotherapist
PB Psychotherapy
Psychotherapist, MSc, MUKCP
Verified Verified
Rainford WA11
As an experienced, UKCP registered, professional Systemic Psychotherapist working in Merseyside, your mental health and well-being is at the heart of my practice. I offer individual, couples and family work with children, young people, adults and/or the wider family network. With 30+ years experience in the field of mental health care, across a range of services, I am able to offer assessment, formulation and tailored interventions for all those I work with.
As an experienced, UKCP registered, professional Systemic Psychotherapist working in Merseyside, your mental health and well-being is at the heart of my practice. I offer individual, couples and family work with children, young people, adults and/or the wider family network. With 30+ years experience in the field of mental health care, across a range of services, I am able to offer assessment, formulation and tailored interventions for all those I work with.
0151 453 6366 View 0151 453 6366
Photo of Stephanie Alexander., MBACP, Psychotherapist
Stephanie Alexander.
Psychotherapist, MBACP
Verified Verified
Rainford WA11  (Online Only)
Do you find it difficult to open up and talk? My natural ability to provide a safe, relaxed, confidential space to explore your emotions, concerns, past or current experiences can help you make sense of them and gain clarity. I will support you in developing your confidence to make your own way forward in the direction you choose. I have strong faith, supported by research and personal experience, that person-centred therapy is effective in bringing about real change and personal growth.
Do you find it difficult to open up and talk? My natural ability to provide a safe, relaxed, confidential space to explore your emotions, concerns, past or current experiences can help you make sense of them and gain clarity. I will support you in developing your confidence to make your own way forward in the direction you choose. I have strong faith, supported by research and personal experience, that person-centred therapy is effective in bringing about real change and personal growth.
01257 445770 View 01257 445770

More Therapists Nearby

Photo of undefined - Kerry Thorpe Therapy, DCounsPsych, MBACP, Counsellor
Kerry Thorpe Therapy
Counsellor, DCounsPsych, MBACP
Verified Verified
Saint Helens WA9
Are you a couple looking for support with enhancing your communication and the quality of your connection with your partner? Are you an individual looking for an experienced counsellor who can work with a wide range of issues? Perhaps you have experienced difficulty in your relationship or life and want to work through, heal from and process this in therapy. Perhaps you are looking for growth and forward movement, individually, or with your partner. You may want to feel more enjoyment in life and be able to respond to stressful situations in a different way?
Are you a couple looking for support with enhancing your communication and the quality of your connection with your partner? Are you an individual looking for an experienced counsellor who can work with a wide range of issues? Perhaps you have experienced difficulty in your relationship or life and want to work through, heal from and process this in therapy. Perhaps you are looking for growth and forward movement, individually, or with your partner. You may want to feel more enjoyment in life and be able to respond to stressful situations in a different way?
01942 559573 View 01942 559573
Photo of Karen Nolan, MBACP, Psychotherapist
Karen Nolan
Psychotherapist, MBACP
Verified Verified
Saint Helens WA9
If you're thinking about therapy, you may have reached a stage in your life where you're ready to make some changes and don't know how to begin. Possibly you're experiencing anxiety, sleep difficulties, burnout or overwhelm. Your relationships may be under strain and your confidence has taken a knock. Maybe you're struggling to process a traumatic event or find painful experiences from your past prevent you from achieving your goals in the present. If any of this resonates with what you're feeling right now, please read on.
If you're thinking about therapy, you may have reached a stage in your life where you're ready to make some changes and don't know how to begin. Possibly you're experiencing anxiety, sleep difficulties, burnout or overwhelm. Your relationships may be under strain and your confidence has taken a knock. Maybe you're struggling to process a traumatic event or find painful experiences from your past prevent you from achieving your goals in the present. If any of this resonates with what you're feeling right now, please read on.
0161 850 4082 View 0161 850 4082
Photo of Dr Heather Boland, PsychD, HCPC - Clin. Psych., Psychologist
Dr Heather Boland
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Saint Helens WA10
We all dream of the way we want our life to be. Then life happens and sometimes it can feel like we are stuck in a pattern of living that we do not want to be in. Or we live through painful experiences that days, months, or years later continue to influence how we feel, think and act. Or maybe our family life and relationships feel out of balance, we may feel out of control, overwhelmed or disconnected from our loved ones. I am here to listen to your story, your difficulties and your dreams of how you wish your life, relationships, work, and family to be. Therapy can help you feel unstuck, so you can enjoy being who you are.
We all dream of the way we want our life to be. Then life happens and sometimes it can feel like we are stuck in a pattern of living that we do not want to be in. Or we live through painful experiences that days, months, or years later continue to influence how we feel, think and act. Or maybe our family life and relationships feel out of balance, we may feel out of control, overwhelmed or disconnected from our loved ones. I am here to listen to your story, your difficulties and your dreams of how you wish your life, relationships, work, and family to be. Therapy can help you feel unstuck, so you can enjoy being who you are.
01983 219162 View 01983 219162
Photo of Donna Court, MBACP, Counsellor
Donna Court
Counsellor, MBACP
Verified Verified
Saint Helens WA9
Hi, I am a qualified Person Centred and CBT therapist with experience in counselling and coaching adults, adolescents and children. If you are stressed, anxious, depressed or maybe you have a sense of wanting something better, I can help. In counselling, I will work closely with you to explore any issues you bring and help you to identify any barriers to your happiness. I will help you to recognise your own strengths and resources and find new coping strategies to make choices to create the life you desire.
Hi, I am a qualified Person Centred and CBT therapist with experience in counselling and coaching adults, adolescents and children. If you are stressed, anxious, depressed or maybe you have a sense of wanting something better, I can help. In counselling, I will work closely with you to explore any issues you bring and help you to identify any barriers to your happiness. I will help you to recognise your own strengths and resources and find new coping strategies to make choices to create the life you desire.
01925 933384 View 01925 933384
Photo of Leanne Orrick, MBACP, Counsellor
Leanne Orrick
Counsellor, MBACP
Verified Verified
Saint Helens WA10
Life can be hard, there's no escaping that, but taking that initial step to contact a counsellor may be the life-changing encounter you've been needing. Whether your issues are from the past, ongoing in the present or worries about the future, I've got you covered. If you need a safe space to figure out exactly what it is you need from life, a non-judgemental ear to listen without jumping in to add an opinion, a place where you can be yourself, hear yourself and learn to love yourself again...I'm your person. Whether you're depressed or anxious, struggling to reach your goals or are somewhere in-between, lets figure it out together.
Life can be hard, there's no escaping that, but taking that initial step to contact a counsellor may be the life-changing encounter you've been needing. Whether your issues are from the past, ongoing in the present or worries about the future, I've got you covered. If you need a safe space to figure out exactly what it is you need from life, a non-judgemental ear to listen without jumping in to add an opinion, a place where you can be yourself, hear yourself and learn to love yourself again...I'm your person. Whether you're depressed or anxious, struggling to reach your goals or are somewhere in-between, lets figure it out together.
01744 413409 View 01744 413409
Photo of undefined - The Soulshine Therapist, MA, MBACP, Counsellor
The Soulshine Therapist
Counsellor, MA, MBACP
Verified Verified
Saint Helens WA10
Are you facing a life change that feels overwhelming? Do you wish you had more control of your life? Are you feeling lost or struggling with who you are? These are profound challenges, but you don't have to face them alone. My clinical experience has allowed me to support adults of all ages through their most difficult moments. Whether you're on a journey of self-discovery, at a crossroads in life, or ready to shed old patterns that no longer serve you, I'm here to help you navigate these changes with compassion and understanding. You will find a nurturing space where you can speak freely, feel deeply, and find meaning in your story
Are you facing a life change that feels overwhelming? Do you wish you had more control of your life? Are you feeling lost or struggling with who you are? These are profound challenges, but you don't have to face them alone. My clinical experience has allowed me to support adults of all ages through their most difficult moments. Whether you're on a journey of self-discovery, at a crossroads in life, or ready to shed old patterns that no longer serve you, I'm here to help you navigate these changes with compassion and understanding. You will find a nurturing space where you can speak freely, feel deeply, and find meaning in your story
0151 453 8722 View 0151 453 8722
Photo of Adrian Cammann, MA, MBACP, Psychotherapist
Adrian Cammann
Psychotherapist, MA, MBACP
Verified Verified
Saint Helens WA10
Hi my name is Adrian, I am a positive and enthusiastic people person with a warm and friendly personality who genuinely loves the job I do. I am a fully qualified Counsellor and Psychotherapist who uses Person-Centred Therapy with you the client being central to the therapy process with what you bring to sessions being heard, validated and not-judged. Alongside the Person-Centred approach I use elements of Cognitive Behaviour Therapy (CBT) that is personalised to you the client to help you change behaviours, increase happiness, and overcome current problems/challenges.
Hi my name is Adrian, I am a positive and enthusiastic people person with a warm and friendly personality who genuinely loves the job I do. I am a fully qualified Counsellor and Psychotherapist who uses Person-Centred Therapy with you the client being central to the therapy process with what you bring to sessions being heard, validated and not-judged. Alongside the Person-Centred approach I use elements of Cognitive Behaviour Therapy (CBT) that is personalised to you the client to help you change behaviours, increase happiness, and overcome current problems/challenges.
0151 453 6821 View 0151 453 6821
Photo of undefined - Paden Psychotherapy, MA, MBABCP, Psychotherapist
Paden Psychotherapy
Psychotherapist, MA, MBABCP
Verified Verified
Saint Helens WA10
I believe that we all need a safe space to talk about what we are going through at particular points in our lives. I help people strive to make sense of often complex issues because developing our self-awareness empowers us towards acceptance and change. I am passionate about connecting with others through therapeutic relationships in order to collaboratively address difficulties and achieve goals.
I believe that we all need a safe space to talk about what we are going through at particular points in our lives. I help people strive to make sense of often complex issues because developing our self-awareness empowers us towards acceptance and change. I am passionate about connecting with others through therapeutic relationships in order to collaboratively address difficulties and achieve goals.
01744 903833 View 01744 903833
Photo of Julie Jameson, BACP, Counsellor
Julie Jameson
Counsellor, BACP
Verified Verified
Saint Helens WA10
Is COVID 19 causing you concern? Are you feeling stressed, lonely or anxious?This can often cause nausea ,constantly on edge? Maybe you are struggling to cope with a bereavement, relationship issues or loneliness? Counselling can help individuals overcome some of the struggles that we can often be faced with in our lives. Within a safe, warm and confidential environment your difficulties can be shared and explored. Empathic, non-judgemental therapy will help you to gain a better understanding of your feelings, thoughts and behaviour. This will enable you to move forward in life and provide you with a greater sense of well being.
Is COVID 19 causing you concern? Are you feeling stressed, lonely or anxious?This can often cause nausea ,constantly on edge? Maybe you are struggling to cope with a bereavement, relationship issues or loneliness? Counselling can help individuals overcome some of the struggles that we can often be faced with in our lives. Within a safe, warm and confidential environment your difficulties can be shared and explored. Empathic, non-judgemental therapy will help you to gain a better understanding of your feelings, thoughts and behaviour. This will enable you to move forward in life and provide you with a greater sense of well being.
07733 534626 View 07733 534626
Photo of undefined - Virtual CBT Clinic, MSc, MBABCP, Psychotherapist
Virtual CBT Clinic
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
Saint Helens WA10  (Online Only)
As a Psychotherapist, I support clients with common mental health difficulties, including: Major Depressive Disorder; Perfectionism; Low Self-Esteem; Obsessive-Compulsive Disorder (OCD); Hoarding Disorder; Body Dysmorphic Disorder (BDD); Social Anxiety Disorder; Health Anxiety Disorder; Generalised Anxiety Disorder (GAD); Panic Disorder; Specific Phobia; Post-Traumatic Stress Disorder (PTSD); and more. So, if you are feeling low, lacking in motivation, are self-critical, engage in ritualistic behaviours, struggle with social interactions, have a lot of worries, or relive traumatic experiences, I can help you.
As a Psychotherapist, I support clients with common mental health difficulties, including: Major Depressive Disorder; Perfectionism; Low Self-Esteem; Obsessive-Compulsive Disorder (OCD); Hoarding Disorder; Body Dysmorphic Disorder (BDD); Social Anxiety Disorder; Health Anxiety Disorder; Generalised Anxiety Disorder (GAD); Panic Disorder; Specific Phobia; Post-Traumatic Stress Disorder (PTSD); and more. So, if you are feeling low, lacking in motivation, are self-critical, engage in ritualistic behaviours, struggle with social interactions, have a lot of worries, or relive traumatic experiences, I can help you.
01257 440987 View 01257 440987
Photo of undefined - Karen Burke, Trauma Recovery, CBT, Counselling, MBACP, Counsellor
Karen Burke, Trauma Recovery, CBT, Counselling
Counsellor, MBACP
Verified Verified
Saint Helens WA11  (Online Only)
Trauma-focused therapy helps to address the underlying traumatic memories and triggers that contribute to anxiety. CBT, on the other hand, equips individuals with practical techniques to identify and challenge negative thought patterns. However, a combination of trauma-focused therapy and cognitive-behavioural therapy (CBT) can offer effective strategies for managing anxiety and reclaiming a sense of calm. I provide a safe and supportive environment for processing and healing trauma, and all anxiety-based issues. I offer therapy sessions over the phone and video link.
Trauma-focused therapy helps to address the underlying traumatic memories and triggers that contribute to anxiety. CBT, on the other hand, equips individuals with practical techniques to identify and challenge negative thought patterns. However, a combination of trauma-focused therapy and cognitive-behavioural therapy (CBT) can offer effective strategies for managing anxiety and reclaiming a sense of calm. I provide a safe and supportive environment for processing and healing trauma, and all anxiety-based issues. I offer therapy sessions over the phone and video link.
01744 419687 View 01744 419687
Photo of Lucy Fallaize, MSc, MBACP, Counsellor
Lucy Fallaize
Counsellor, MSc, MBACP
Verified Verified
Saint Helens WA10
Are you feeling overwhelmed, stressed or just need someone to talk to? I am here to help you navigate life's challenges with compassion, empathy and without judgement. My approach to counselling is to work with each of my clients with genuine curiosity and have an interest in their unique journey. For me, there is nothing more rewarding than leaving them feeling heard, validated and empowered to take on life’s challenges with confidence and resilience.
Are you feeling overwhelmed, stressed or just need someone to talk to? I am here to help you navigate life's challenges with compassion, empathy and without judgement. My approach to counselling is to work with each of my clients with genuine curiosity and have an interest in their unique journey. For me, there is nothing more rewarding than leaving them feeling heard, validated and empowered to take on life’s challenges with confidence and resilience.
0151 453 3367 View 0151 453 3367
Photo of Ellie Threlkeld, MSc, GMBPsS, Psychologist
Ellie Threlkeld
Psychologist, MSc, GMBPsS
Verified Verified
Saint Helens WA10  (Online Only)
Helping athletes to unlock their potential. Alongside my current professional cricket career, I am completing the BPS qualification in Sport and Exercise Psychology under supervision. I have experience working with both male and female athletes in different sports
Helping athletes to unlock their potential. Alongside my current professional cricket career, I am completing the BPS qualification in Sport and Exercise Psychology under supervision. I have experience working with both male and female athletes in different sports
0151 453 1905 View 0151 453 1905
Photo of Mandy Jones, MBACP, Counsellor
Mandy Jones
Counsellor, MBACP
Verified Verified
Orrell WN5
Hi, thank you for taking the time to look at my profile. Here is just a little bit of info about me.............I am a highly experienced, skilled and established counsellor. Alongside my private practice work, I am also employed part-time as a Lead Therapist for a local Charity. My previous work experience has included working for a statutory service in the NHS, Charities and various EAP's companies. I offer my clients a safe, private, confidential and non-judgemental space to help process and explore any difficulties or issues you may have.
Hi, thank you for taking the time to look at my profile. Here is just a little bit of info about me.............I am a highly experienced, skilled and established counsellor. Alongside my private practice work, I am also employed part-time as a Lead Therapist for a local Charity. My previous work experience has included working for a statutory service in the NHS, Charities and various EAP's companies. I offer my clients a safe, private, confidential and non-judgemental space to help process and explore any difficulties or issues you may have.
07955 727317 View 07955 727317
Photo of Dr Maria Mullan, PsychD, HCPC - Clin. Psych., Psychologist
Dr Maria Mullan
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Saint Helens WA10
Do you feel stuck and unable to move forward in life? Is your life being guided by uncomfortable thoughts and feelings that are keeping you stuck in unhelpful cycles? I am here to support you through life’s challenges, offering understanding, compassion and a non-judgemental space. My role is to listen and help you make sense of your experiences, so you can find adaptive ways to break out of unhelpful patterns and take meaningful steps forwards in line with your goals and values.
Do you feel stuck and unable to move forward in life? Is your life being guided by uncomfortable thoughts and feelings that are keeping you stuck in unhelpful cycles? I am here to support you through life’s challenges, offering understanding, compassion and a non-judgemental space. My role is to listen and help you make sense of your experiences, so you can find adaptive ways to break out of unhelpful patterns and take meaningful steps forwards in line with your goals and values.
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Photo of Natalie Rodil, MNCPS Acc., Psychotherapist
Natalie Rodil
Psychotherapist, MNCPS Acc.
Verified Verified
1 Endorsed
Saint Helens WA11
I believe that each person has a unique experience to be shared and deserves to be heard. Often in society people are quick to try and 'fix' or give solutions leaving little room for someone to deeply explore the emotional pain they are in. These experiences can include chronic health, bereavement, feeling shame, rejected, guilty for something that wasn't your fault. Struggling in a relationship, not feeling seen amongst many other issues. If you feel you're going through any of these issues, I am here to help.
I believe that each person has a unique experience to be shared and deserves to be heard. Often in society people are quick to try and 'fix' or give solutions leaving little room for someone to deeply explore the emotional pain they are in. These experiences can include chronic health, bereavement, feeling shame, rejected, guilty for something that wasn't your fault. Struggling in a relationship, not feeling seen amongst many other issues. If you feel you're going through any of these issues, I am here to help.
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Photo of Jessica Hayes, MSc, MBABCP, Psychotherapist
Jessica Hayes
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
Saint Helens WA10
I am here to help you in a way that is collaborative and gives you control. I am a CBT and EMDR Therapist with special interests in OCD and perinatal mental health, helping people all over the country who have had unsuccessful therapy before. I also work with self-esteem and many other difficulties. Think about what you are finding tough right now, because we will make this our priority; we can explore any thoughts and emotions contributing to your difficulties and focus on reaching the goals you have. We will work with openness and honesty, gaining insight and making lasting positive changes to your emotional wellbeing together.
I am here to help you in a way that is collaborative and gives you control. I am a CBT and EMDR Therapist with special interests in OCD and perinatal mental health, helping people all over the country who have had unsuccessful therapy before. I also work with self-esteem and many other difficulties. Think about what you are finding tough right now, because we will make this our priority; we can explore any thoughts and emotions contributing to your difficulties and focus on reaching the goals you have. We will work with openness and honesty, gaining insight and making lasting positive changes to your emotional wellbeing together.
01925 906930 View 01925 906930

How does your Counsellor compare?

Number of Counsellors in Rainford

< 10

Counsellors in Rainford who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Bereavement
100% Divorce
100% Family Conflict
100% Infidelity

Average years in practice

12 Years

Top 3 insurances accepted

100% Aviva
100% AXA PPP
100% Bupa

How Counsellors in Rainford see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Rainford?

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.