Counselling in Southwell

Photo of Charlotte Davies, Psychotherapist
Charlotte Davies
Psychotherapist
Online Only
Waitlist for new clients
I am a Senior Accredited Counsellor & Psychotherapist qualified in several types of therapy, this is because I believe everyone to be unique with individual treatment needs. I do not believe in a one size fits all approach and therapy is tailored to each individual, couple or family using a variety of skills and experience to help you achieve the life you deserve. I work with adults, children and teens. I am online or by telephone only.
I am a Senior Accredited Counsellor & Psychotherapist qualified in several types of therapy, this is because I believe everyone to be unique with individual treatment needs. I do not believe in a one size fits all approach and therapy is tailored to each individual, couple or family using a variety of skills and experience to help you achieve the life you deserve. I work with adults, children and teens. I am online or by telephone only.
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Photo of Katie Boyd - Bodhi Therapy Nottingham, Psychotherapist, MSc, MUKCP
Bodhi Therapy Nottingham
Psychotherapist, MSc, MUKCP
Serves Area
You are the only person who knows exactly how you feel, which means, you are the only one who knows when something is wrong. When something has happened, big or small, but enough to create feelings of anxiety, stress and depression, it can lead us to feeling isolated and alone. There is a human need to want to get back to that balance of a happy life and that change can only happen when you know and understand what is wrong and why. Sometimes we get so overwhelmed by a situation, current or historical, we cant seem to find a way out. But balance is achievable again, but sometimes we just need a little support to help us get there.
You are the only person who knows exactly how you feel, which means, you are the only one who knows when something is wrong. When something has happened, big or small, but enough to create feelings of anxiety, stress and depression, it can lead us to feeling isolated and alone. There is a human need to want to get back to that balance of a happy life and that change can only happen when you know and understand what is wrong and why. Sometimes we get so overwhelmed by a situation, current or historical, we cant seem to find a way out. But balance is achievable again, but sometimes we just need a little support to help us get there.
0115 697 1518 View 0115 697 1518
Photo of Emma Spencer - Emma Spencer Therapy
Emma Spencer Therapy
Verified Verified
1 Endorsed
Serves Area
As an Interpersonal Therapist, I have worked with people who, because of a relationship, have slowly lost confidence, have increasingly began to doubt their worth, found themselves second-guessing every decision, and gradually become shadows of their former selves. If we continuously feel unheard, invalidated, or unloved, it creates profound internal turmoil, shaping our beliefs about who we are and what we deserve. It is this circumstance that is the cause of symptoms like depression, low self esteem and other self sabotaging actions. I can help you rebuild self-worth, identify harmful patterns, and develop healthy relationships.
As an Interpersonal Therapist, I have worked with people who, because of a relationship, have slowly lost confidence, have increasingly began to doubt their worth, found themselves second-guessing every decision, and gradually become shadows of their former selves. If we continuously feel unheard, invalidated, or unloved, it creates profound internal turmoil, shaping our beliefs about who we are and what we deserve. It is this circumstance that is the cause of symptoms like depression, low self esteem and other self sabotaging actions. I can help you rebuild self-worth, identify harmful patterns, and develop healthy relationships.
0115 647 7236 View 0115 647 7236
Photo of Steph Moore - Steph - Women and girls Wellbeing | CBT Therapist, Psychotherapist, MBABCP
Steph - Women and girls Wellbeing | CBT Therapist
Psychotherapist, MBABCP
Serves Area
Are you trapped in a cycle of self-doubt that's holding you back? You know you're capable, but that relentless inner critic keeps you second-guessing every decision. In relationships, you hold back your true thoughts and feelings, afraid of being judged or rejected. At work, you downplay your accomplishments and hesitate to speak up, watching opportunities pass by. Self-doubt doesn't have to run your life. Through our work together, you'll learn to recognize the thought patterns keeping you small, challenge the beliefs that no longer serve you, and develop concrete skills to move forward with clarity and self-assurance.
Are you trapped in a cycle of self-doubt that's holding you back? You know you're capable, but that relentless inner critic keeps you second-guessing every decision. In relationships, you hold back your true thoughts and feelings, afraid of being judged or rejected. At work, you downplay your accomplishments and hesitate to speak up, watching opportunities pass by. Self-doubt doesn't have to run your life. Through our work together, you'll learn to recognize the thought patterns keeping you small, challenge the beliefs that no longer serve you, and develop concrete skills to move forward with clarity and self-assurance.
01949 480476 View 01949 480476

More Therapists Nearby

Photo of Heloise Saunders, Psychotherapist, MUKCP
Heloise Saunders
Psychotherapist, MUKCP
I imagine you find yourself here because you are struggling with something and it is becoming increasingly difficult to manage this alone. Perhaps anxiety is ruling your life or relationships are strained. Sometimes a traumatic event or painful past experiences bring everything into sharp focus. In reaching out you are listening to that voice within that is telling you all is not well. The therapy I offer will attend to this. Together we will explore your challenges and what might be realised within your struggle as potential and possibility.
I imagine you find yourself here because you are struggling with something and it is becoming increasingly difficult to manage this alone. Perhaps anxiety is ruling your life or relationships are strained. Sometimes a traumatic event or painful past experiences bring everything into sharp focus. In reaching out you are listening to that voice within that is telling you all is not well. The therapy I offer will attend to this. Together we will explore your challenges and what might be realised within your struggle as potential and possibility.
01202 125322 View 01202 125322
Photo of Megan Baker-Stevens, Counsellor, MBACP Accred
Megan Baker-Stevens
Counsellor, MBACP Accred
1 Endorsed
Serves Area
Waitlist for new clients
Are you or your child finding it difficult to cope with life’s challenges? At times, we can all face situations that affect our mental health. You or your child may be experiencing thoughts or behaviours that cause confusion, distress, or harm. Experiences such as bullying, feeling out of place, or struggling with social and cultural expectations can have a profound impact on wellbeing, sometimes leading to anxiety, low mood, or other mental health difficulties. I understand that seeking help can feel daunting, and my aim is to provide a safe, confidential, and non-judgemental space where you or your child can feel at ease.
Are you or your child finding it difficult to cope with life’s challenges? At times, we can all face situations that affect our mental health. You or your child may be experiencing thoughts or behaviours that cause confusion, distress, or harm. Experiences such as bullying, feeling out of place, or struggling with social and cultural expectations can have a profound impact on wellbeing, sometimes leading to anxiety, low mood, or other mental health difficulties. I understand that seeking help can feel daunting, and my aim is to provide a safe, confidential, and non-judgemental space where you or your child can feel at ease.
01202 037516 View 01202 037516
Photo of Emma Harris - Emma Harris Therapy, Counsellor, MBACP Accred
Emma Harris Therapy
Counsellor, MBACP Accred
Maybe something in your life isn’t sitting right — a shift in identity, a quiet grief, a sense of stuckness or disconnection. A feeling that you’ve lost your way; or perhaps never quite found it. You may be in a time of change, wondering who you are now, or holding stories that feel tangled, heavy, or unheard. Perhaps you’re living with sorrow or confusion that few people in your life seem to understand - or respect. Therapy can be a place to honour what's missing, and gently (re)connect with what is here. It is a place where you can feel seen. I offer a warm and nurturing space, supporting you in this tender and sacred work.
Maybe something in your life isn’t sitting right — a shift in identity, a quiet grief, a sense of stuckness or disconnection. A feeling that you’ve lost your way; or perhaps never quite found it. You may be in a time of change, wondering who you are now, or holding stories that feel tangled, heavy, or unheard. Perhaps you’re living with sorrow or confusion that few people in your life seem to understand - or respect. Therapy can be a place to honour what's missing, and gently (re)connect with what is here. It is a place where you can feel seen. I offer a warm and nurturing space, supporting you in this tender and sacred work.
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Photo of Jo Sharkey, Counsellor, MBACP Accred
Jo Sharkey
Counsellor, MBACP Accred
Serves Area
I am an accredited, integrative therapeutic counsellor, finding that working in this way, gives uniqueness with each client, connecting in a way that is best suited to them as an individual. I have extensive experience, working with a variety of clients, of all ages.
I am an accredited, integrative therapeutic counsellor, finding that working in this way, gives uniqueness with each client, connecting in a way that is best suited to them as an individual. I have extensive experience, working with a variety of clients, of all ages.
01202 013935 View 01202 013935
Photo of Kasia Stankiewicz, Psychologist, MSc, CPsychol
Kasia Stankiewicz
Psychologist, MSc, CPsychol
I strongly believe that in order to provide the best possible psychological help there is a need to build tailored, high-quality programmes for each and every client. I offer a bespoke approach with a strong focus on discretion, privacy and confidentiality.
I strongly believe that in order to provide the best possible psychological help there is a need to build tailored, high-quality programmes for each and every client. I offer a bespoke approach with a strong focus on discretion, privacy and confidentiality.
01202 037409 View 01202 037409
Photo of Dr Leanne Timings, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Leanne Timings
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Wimborne BH21
Waitlist for new clients
Life’s challenges can feel overwhelming. Relationships, home or work life may be hard to navigate, or past experiences may still be affecting how you feel today. I offer therapy for a range of difficulties, including anxiety, depression, stress, low self-esteem, OCD and trauma. I strive to provide a warm and supportive space to make sense of what’s going on, explore and understand patterns, process difficult experiences, and build coping strategies that help you feel more grounded and confident to live a life that feels rich, full and meaningful to you.
Life’s challenges can feel overwhelming. Relationships, home or work life may be hard to navigate, or past experiences may still be affecting how you feel today. I offer therapy for a range of difficulties, including anxiety, depression, stress, low self-esteem, OCD and trauma. I strive to provide a warm and supportive space to make sense of what’s going on, explore and understand patterns, process difficult experiences, and build coping strategies that help you feel more grounded and confident to live a life that feels rich, full and meaningful to you.
01725 538769 View 01725 538769
Photo of Nushka Marinova, Psychologist, PsychD, HCPC - Clin. Psych.
Nushka Marinova
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
My clients find that therapy with me helps them to understand themselves better, break free from old patterns, feel more at ease, and live life more aligned with their values. I support adolescents and adults navigating anxiety, trauma, low mood, identity questions and relationship issues. I have experience supporting people with the impact of chronic or life-limiting illness, grief and loss, and have worked extensively with neurodivergence. We will work together to explore your story beyond diagnostic labels and find what truly helps you. I hold a space where diversity is celebrated and where you can safely express yourself.
My clients find that therapy with me helps them to understand themselves better, break free from old patterns, feel more at ease, and live life more aligned with their values. I support adolescents and adults navigating anxiety, trauma, low mood, identity questions and relationship issues. I have experience supporting people with the impact of chronic or life-limiting illness, grief and loss, and have worked extensively with neurodivergence. We will work together to explore your story beyond diagnostic labels and find what truly helps you. I hold a space where diversity is celebrated and where you can safely express yourself.
01202 144694 View 01202 144694
Photo of Mandy Jane Nicholson, Counsellor, MBACP
Mandy Jane Nicholson
Counsellor, MBACP
Poole BH12
I am a trauma-informed and experienced (12yrs) Humanistic Integrative LGBTQ affirmative counsellor. I was based at Over the Rainbow Sexual Health Clinic in Bournemouth until 2017. I've facilitated LGBTQ+ and wellbeing groups for Dorset Mind prior to starting my full time private practice. Due to cis, hetero and mono normativity, many LGBTQ+ people haven't felt safe enough to connect with their deepest thoughts, feelings and needs. I provide a safe, informed and affirmative space. I integrate Mindfulness, CBT, CPT, DBT Skills Training, IFS and Emotional Freedom Techniques to address the impact of trauma on the brain and body.
I am a trauma-informed and experienced (12yrs) Humanistic Integrative LGBTQ affirmative counsellor. I was based at Over the Rainbow Sexual Health Clinic in Bournemouth until 2017. I've facilitated LGBTQ+ and wellbeing groups for Dorset Mind prior to starting my full time private practice. Due to cis, hetero and mono normativity, many LGBTQ+ people haven't felt safe enough to connect with their deepest thoughts, feelings and needs. I provide a safe, informed and affirmative space. I integrate Mindfulness, CBT, CPT, DBT Skills Training, IFS and Emotional Freedom Techniques to address the impact of trauma on the brain and body.
01202 286144 View 01202 286144
Photo of Christian John Liberati, Counsellor, MBACP
Christian John Liberati
Counsellor, MBACP
Serves Area
Perhaps you feel lost, ungrounded, unable to understand your emotional way of being and always seem to be at conflict with yourself and others in your life. Perhaps you suffer from anxiety, stress, OCD, addictions, lack of self-worth. Perhaps you are grieving a loss of a loved one, relationship break-up or a job. In these times of stress and anxiety, one needs to find one’s inner core strength to be able to be fully grounded and able to fully move into life with clarity and focus. With my counselling skills and our teamwork, you can become the person you were born to be.
Perhaps you feel lost, ungrounded, unable to understand your emotional way of being and always seem to be at conflict with yourself and others in your life. Perhaps you suffer from anxiety, stress, OCD, addictions, lack of self-worth. Perhaps you are grieving a loss of a loved one, relationship break-up or a job. In these times of stress and anxiety, one needs to find one’s inner core strength to be able to be fully grounded and able to fully move into life with clarity and focus. With my counselling skills and our teamwork, you can become the person you were born to be.
01275 408887 View 01275 408887
Photo of George Gotts, Counsellor, MBACP
George Gotts
Counsellor, MBACP
1 Endorsed
Are you feeling that you need a supportive relationship to help with issues in your life? At different times in life we may feel overwhelmed, alone or stuck and it can help to talk in a non judgemental setting. You may be considering therapy for many reasons and the first step is to just make contact. This can bring feelings of nervousness but it can also be a very exciting moment. You can ask for the help and support you need. It’s very important that you feel completely comfortable with your counsellor, that they are a person you can share all of yourself with.
Are you feeling that you need a supportive relationship to help with issues in your life? At different times in life we may feel overwhelmed, alone or stuck and it can help to talk in a non judgemental setting. You may be considering therapy for many reasons and the first step is to just make contact. This can bring feelings of nervousness but it can also be a very exciting moment. You can ask for the help and support you need. It’s very important that you feel completely comfortable with your counsellor, that they are a person you can share all of yourself with.
01308 802020 View 01308 802020
Photo of Carolyn Kirk, Counsellor, MNCPS Acc.
Carolyn Kirk
Counsellor, MNCPS Acc.
2 Endorsed
If you’re feeling stressed, overwhelmed, anxious, low or unsure how to move forward, therapy can offer a safe place to talk and make sense of what you’re going through. I offer a warm, steady presence where you can explore your experiences at your own pace. I bring decades of experience working with children, young people and adults through stress, loss, trauma, grief, relationship issues and major life changes. I also have specific experience working alongside people with addictions. My approach is compassionate and grounded, focused entirely on helping you feel understood, supported and more in control of your life
If you’re feeling stressed, overwhelmed, anxious, low or unsure how to move forward, therapy can offer a safe place to talk and make sense of what you’re going through. I offer a warm, steady presence where you can explore your experiences at your own pace. I bring decades of experience working with children, young people and adults through stress, loss, trauma, grief, relationship issues and major life changes. I also have specific experience working alongside people with addictions. My approach is compassionate and grounded, focused entirely on helping you feel understood, supported and more in control of your life
01308 808668 View 01308 808668
Photo of Dr Erica McInnis, Psychologist, HCPC - Clin. Psych.
Dr Erica McInnis
Psychologist, HCPC - Clin. Psych.
Seaton EX12
Over 20 years as a Highly Specialised Clinical Psychologist in the NHS developed my skills in improving wellbeing particularly for Black/ Caribbean people (of African ancestry, including multiple heritage). Day to day pressures can be overwhelming without appropriate support and understanding for the many cultures we co-exist within. My interest in the psychological impact of disability makes me ideal for adjusting to such issues. Specialist training in offering a therapeutic chair to people with learning disabilities means level of ability is not a barrier to enhancing wellbeing for individuals and families.
Over 20 years as a Highly Specialised Clinical Psychologist in the NHS developed my skills in improving wellbeing particularly for Black/ Caribbean people (of African ancestry, including multiple heritage). Day to day pressures can be overwhelming without appropriate support and understanding for the many cultures we co-exist within. My interest in the psychological impact of disability makes me ideal for adjusting to such issues. Specialist training in offering a therapeutic chair to people with learning disabilities means level of ability is not a barrier to enhancing wellbeing for individuals and families.
0161 524 7449 View 0161 524 7449
Photo of Vicki Ritson - Wincanton Psychotherapy, MSc
Wincanton Psychotherapy
Verified Verified
Online Only
Not accepting new clients
My expertise lies in assessing and treating individuals following one or more traumatic events, which can lead to a number of moderate to severe mental health problems or diagnoses. These include; obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), personality disorders, chronic depression and anxiety, insomnia, low self-esteem and confidence, and, in some cases, physical disabilities including, chronic fatigue syndrome or ME. I also work with clients experiencing mild to moderate mental health difficulties, which do not have a traumatic origin, including, relationship difficulties and life challenges.
My expertise lies in assessing and treating individuals following one or more traumatic events, which can lead to a number of moderate to severe mental health problems or diagnoses. These include; obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), personality disorders, chronic depression and anxiety, insomnia, low self-esteem and confidence, and, in some cases, physical disabilities including, chronic fatigue syndrome or ME. I also work with clients experiencing mild to moderate mental health difficulties, which do not have a traumatic origin, including, relationship difficulties and life challenges.
07445 159905 View 07445 159905
Photo of Emma Louise Summers, Psychotherapist, PTUK
Emma Louise Summers
Psychotherapist, PTUK
Yeovil BA22
I am a certified Play Therapy UK play therapist and play and creative arts counsellor for children and young people, offering individual sessions for children and young people aged 5 to 18 years. I work with a range of issues including anxiety, depression, ADHD, autism, bereavement, parental separation, global developmental delay, emotional and behavioural difficulties, sensory differences, attachment disorders and trauma. Sessions offer the child or young person the opportunity to explore and process difficult experiences or feelings in a safe place with a friendly, non-judgmental and empathetic adult.
I am a certified Play Therapy UK play therapist and play and creative arts counsellor for children and young people, offering individual sessions for children and young people aged 5 to 18 years. I work with a range of issues including anxiety, depression, ADHD, autism, bereavement, parental separation, global developmental delay, emotional and behavioural difficulties, sensory differences, attachment disorders and trauma. Sessions offer the child or young person the opportunity to explore and process difficult experiences or feelings in a safe place with a friendly, non-judgmental and empathetic adult.
01935 313509 View 01935 313509
Photo of Caro Southcombe, Counsellor, MBACP
Caro Southcombe
Counsellor, MBACP
Hi, I'm Caro, an integrative therapist and member of the BACP. You may be coping on the outside but struggling inside, feeling anxious, overwhelmed, self-critical, angry, depressed, or not quite yourself. You might be dealing with a life transition such as midlife or menopause, burnout from work or study, relationship difficulties, or a lingering sense that something isn’t right. Perhaps you’re unsure what the problem is, only that things feel worse than they should. You want a safe, thoughtful space to talk things through, feel understood, and begin to make sense of what’s going on.
Hi, I'm Caro, an integrative therapist and member of the BACP. You may be coping on the outside but struggling inside, feeling anxious, overwhelmed, self-critical, angry, depressed, or not quite yourself. You might be dealing with a life transition such as midlife or menopause, burnout from work or study, relationship difficulties, or a lingering sense that something isn’t right. Perhaps you’re unsure what the problem is, only that things feel worse than they should. You want a safe, thoughtful space to talk things through, feel understood, and begin to make sense of what’s going on.
01392 542625 View 01392 542625
Photo of Rose Persson, Psychotherapist, BPC
Rose Persson
Psychotherapist, BPC
Serves Area
Not accepting new clients
You may feel your problems are too small or insignificant and may find it hard to understand why things seem so difficult but I am particularly equipped to work with those who really want to understand what might be underlying their current feelings of depression or anxiety.
You may feel your problems are too small or insignificant and may find it hard to understand why things seem so difficult but I am particularly equipped to work with those who really want to understand what might be underlying their current feelings of depression or anxiety.
01963 408881 View 01963 408881

How does your Counsellor compare?

Number of Counsellors in Southwell

< 10

Counsellors in Southwell who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
100% Stress
75% Bereavement
75% Trauma and PTSD
75% Other

Average years in practice

18 Years

Gender breakdown

100% Female

How Counsellors in Southwell see their clients

75% In Person and Online
25% Online Only
FAQs - About Therapy and Counselling

How can I find a therapist in Southwell?

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.