Counselling in Sunderland

Photo of Robert Edminson, Counsellor, MNCPS Acc.
Robert Edminson
Counsellor, MNCPS Acc.
I am a qualified Person Centred Counsellor and Cognitive Behavioural Therapist (CBT). I have over 20 years experience working with children and adults with complex needs. My focus is on helping clients understand and address thought patterns that may be impacting their emotional well-being and behaviour. My approach is compassionate and collaborative, aimed at providing a safe, non-judgmental space to explore life’s challenges. I work with adults and adolescents on issues including anxiety, depression, stress, trauma, and low self-esteem.
I am a qualified Person Centred Counsellor and Cognitive Behavioural Therapist (CBT). I have over 20 years experience working with children and adults with complex needs. My focus is on helping clients understand and address thought patterns that may be impacting their emotional well-being and behaviour. My approach is compassionate and collaborative, aimed at providing a safe, non-judgmental space to explore life’s challenges. I work with adults and adolescents on issues including anxiety, depression, stress, trauma, and low self-esteem.
0191 743 2773 View 0191 743 2773
Photo of Tracy Woodhouse, Counsellor, MNCPS Acc.
Tracy Woodhouse
Counsellor, MNCPS Acc.
I’m a qualified Counsellor and Clinical Supervisor with over 7 years of experience running my own practice. I’m deeply committed to helping clients navigate lifes challenges, working through anxiety, depression, grief, trauma, burnout, or relationship difficulties. I support children and adults, tailoring therapy to meet each clients emotional, developmental, and psychological needs. My approach is compassionate and grounded in the belief that clients deserve to feel safe, understood, respected, heard and supported. I take an integrative, person-centred approach, combining evidence-based therapies to best suit your needs.
I’m a qualified Counsellor and Clinical Supervisor with over 7 years of experience running my own practice. I’m deeply committed to helping clients navigate lifes challenges, working through anxiety, depression, grief, trauma, burnout, or relationship difficulties. I support children and adults, tailoring therapy to meet each clients emotional, developmental, and psychological needs. My approach is compassionate and grounded in the belief that clients deserve to feel safe, understood, respected, heard and supported. I take an integrative, person-centred approach, combining evidence-based therapies to best suit your needs.
0191 580 4413 View 0191 580 4413
Photo of Claire-Louise Calvert - CC Psychological Therapies, Psychotherapist, MBACP Accred
CC Psychological Therapies
Psychotherapist, MBACP Accred
If you're feeling overwhelmed, stuck, or unsure how to move forward, navigating the challenges of anxiety, persistent low mood, or struggling with social anxiety, OCD, or the effects of trauma. Maybe reaching a point where something needs to change but aren’t sure how to start. Seeking relief from symptoms but also a deeper understanding of what’s driving them. In our work together, we'll go beyond managing symptoms. I’ll help you explore how your past experiences and the beliefs you've developed over time may be shaping how you feel and respond today.
If you're feeling overwhelmed, stuck, or unsure how to move forward, navigating the challenges of anxiety, persistent low mood, or struggling with social anxiety, OCD, or the effects of trauma. Maybe reaching a point where something needs to change but aren’t sure how to start. Seeking relief from symptoms but also a deeper understanding of what’s driving them. In our work together, we'll go beyond managing symptoms. I’ll help you explore how your past experiences and the beliefs you've developed over time may be shaping how you feel and respond today.
0191 743 2279 View 0191 743 2279
Photo of Dr David Blakelock, Psychologist, PsychD, HCPC - Clin. Psych.
Dr David Blakelock
Psychologist, PsychD, HCPC - Clin. Psych.
I can provide clients with access to tailored, evidence based interventions for a range of mental health difficulties. Examples include depression, generalized anxiety disorder, phobias, obsessive compulsive disorder, post-traumatic stress disorder and personality disorder. I am also able to provide services to enhance the performance and well-being of athletes, sportspersons, coaches and teams. Examples of areas of focus include performance anxiety, difficulty managing/regulating emotions, problems with concentration, focus and attention and difficulties coping with transitions/injuries.
I can provide clients with access to tailored, evidence based interventions for a range of mental health difficulties. Examples include depression, generalized anxiety disorder, phobias, obsessive compulsive disorder, post-traumatic stress disorder and personality disorder. I am also able to provide services to enhance the performance and well-being of athletes, sportspersons, coaches and teams. Examples of areas of focus include performance anxiety, difficulty managing/regulating emotions, problems with concentration, focus and attention and difficulties coping with transitions/injuries.
0191 917 4532 View 0191 917 4532
Photo of Felicity Cousins, Counsellor, MBACP
Felicity Cousins
Counsellor, MBACP
I can offer you a safe space to be yourself. I’m a Psychotherapeutic counsellor and a registered member of the BACP who has direct experience working with adults suffering with anxiety, depression and more. I am nurturing, warm and compassionate and with an approach free from judgement, I can help you to identify and work through any challenges that you are facing. I work relationally using integrative methods which means counselling is a unique process -depending on what you need. Whether you want to work in the here and now to make changes or delve into the past and explore your story, I offer flexibility in therapy sessions.
I can offer you a safe space to be yourself. I’m a Psychotherapeutic counsellor and a registered member of the BACP who has direct experience working with adults suffering with anxiety, depression and more. I am nurturing, warm and compassionate and with an approach free from judgement, I can help you to identify and work through any challenges that you are facing. I work relationally using integrative methods which means counselling is a unique process -depending on what you need. Whether you want to work in the here and now to make changes or delve into the past and explore your story, I offer flexibility in therapy sessions.
0191 814 7131 View 0191 814 7131
Photo of Deborah English, Counsellor, DCounsPsych, MNCPS Acc.
Deborah English
Counsellor, DCounsPsych, MNCPS Acc.
Offices based in Sunderland & Easington. Are you experiencing life changes that are causing you stress, low moods and anxiety? Are you struggling with your mental health? Are you struggling with past trauma? Perhaps your using substances or alcohol to cope with life’s pressures that are spiralling out of control? Do you feel ready to talk, explore and work through your issues in a safe and confidential space? I can help you address your concerns without any judgement and at your own pace while building a trusting authentic therapeutic relationship.
Offices based in Sunderland & Easington. Are you experiencing life changes that are causing you stress, low moods and anxiety? Are you struggling with your mental health? Are you struggling with past trauma? Perhaps your using substances or alcohol to cope with life’s pressures that are spiralling out of control? Do you feel ready to talk, explore and work through your issues in a safe and confidential space? I can help you address your concerns without any judgement and at your own pace while building a trusting authentic therapeutic relationship.
0191 743 6562 View 0191 743 6562
Photo of Mandi Purvis, Counsellor, MBACP
Mandi Purvis
Counsellor, MBACP
Welcome. Are you struggling at the moment? Connecting with a professional therapist you feel comfortable with is vital as you step into your counselling journey. Please read my profile thoroughly and ensure you are happy with my fees and the therapy I offer. You may be grieving, lost, or have unprocessed traumas. You may feel anxious, about situations or issues in your life. You may be feeling ‘not good enough’ or perhaps you are going through work, identity or life changes or family struggles that are confusing and overwhelming. If you feel powerless at the moment or full of shame I’m here to empower you and help you.
Welcome. Are you struggling at the moment? Connecting with a professional therapist you feel comfortable with is vital as you step into your counselling journey. Please read my profile thoroughly and ensure you are happy with my fees and the therapy I offer. You may be grieving, lost, or have unprocessed traumas. You may feel anxious, about situations or issues in your life. You may be feeling ‘not good enough’ or perhaps you are going through work, identity or life changes or family struggles that are confusing and overwhelming. If you feel powerless at the moment or full of shame I’m here to empower you and help you.
07803 708199 View 07803 708199
Photo of Vicky Horgan - Counselling Direct , Counsellor, MBACP
Counselling Direct
Counsellor, MBACP
1 Endorsed
Hi, my name is Vicky and welcome to Counselling Direct. Are you struggling with life's challenges such as anxiety, ADHD/ADD, ASD, bereavement, depression or low self-esteem, then counselling can help. I offer a warm and friendly professional service and provide a safe and confidential space where you can feel free to explore your thoughts, feelings and issues. I work with people with a range of difficulties, helping them to gain personal awareness, a clearer perspective on their life and make positive changes.
Hi, my name is Vicky and welcome to Counselling Direct. Are you struggling with life's challenges such as anxiety, ADHD/ADD, ASD, bereavement, depression or low self-esteem, then counselling can help. I offer a warm and friendly professional service and provide a safe and confidential space where you can feel free to explore your thoughts, feelings and issues. I work with people with a range of difficulties, helping them to gain personal awareness, a clearer perspective on their life and make positive changes.
0191 607 6440 View 0191 607 6440
Photo of Molly Whetstone - A Calm Space, Counsellor, MNCPS Acc.
A Calm Space
Counsellor, MNCPS Acc.
Online Only
I understand talking about feelings can be difficult. My approach as a qualified integrative counsellor is non-judgemental, calm and compassionate. I firmly believe you are the expert of your own life - you may just need some help along the way. If you're feeling low, depressed, anxious, unmotivated, stressed or burnt out, I can help. I’m here to listen, be present and offer a calm space online for you to explore your emotions, in your own time.
I understand talking about feelings can be difficult. My approach as a qualified integrative counsellor is non-judgemental, calm and compassionate. I firmly believe you are the expert of your own life - you may just need some help along the way. If you're feeling low, depressed, anxious, unmotivated, stressed or burnt out, I can help. I’m here to listen, be present and offer a calm space online for you to explore your emotions, in your own time.
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Photo of Steve Jarvis - IAS Ltd, Psychotherapist, BACP
IAS Ltd
Psychotherapist, BACP
I have over 25 years of experience working with adults and young people who are experiencing, anxiety, depression along with other emotional and psychological distress. Counselling can be a liberating and uplifting experience, making the first step to call a counsellor is the biggest step you can make. ( see further down the page for more information about counselling ) I also see couples who are experiencing relationship issues and difficulties or just need to talk through issues together, in a professional, safe place. I qualified as a Person Centred Counsellor and Cognitive (CBT) Therapist [ University of Newcastle Upon T
I have over 25 years of experience working with adults and young people who are experiencing, anxiety, depression along with other emotional and psychological distress. Counselling can be a liberating and uplifting experience, making the first step to call a counsellor is the biggest step you can make. ( see further down the page for more information about counselling ) I also see couples who are experiencing relationship issues and difficulties or just need to talk through issues together, in a professional, safe place. I qualified as a Person Centred Counsellor and Cognitive (CBT) Therapist [ University of Newcastle Upon T
07506 747122 View 07506 747122
Photo of Maureen Courtney - Maureen Courtney , Psychotherapist, DCounsPsych, MUKCP
Maureen Courtney
Psychotherapist, DCounsPsych, MUKCP
I am a qualified and experienced Counsellor and Psychotherapist working in the Tunstall, Sunderland area. I offer one to one counselling and psychotherapy. My training was Integrative/ Transpersonal which means I learnt all the different Psychotherapy Theories and approaches in my 5 years of training. The great advantages of this training is you can tailor my work to suit each individual person best. I also work with couples & families as well as running one-to-one psychological Retreats offering.
I am a qualified and experienced Counsellor and Psychotherapist working in the Tunstall, Sunderland area. I offer one to one counselling and psychotherapy. My training was Integrative/ Transpersonal which means I learnt all the different Psychotherapy Theories and approaches in my 5 years of training. The great advantages of this training is you can tailor my work to suit each individual person best. I also work with couples & families as well as running one-to-one psychological Retreats offering.
01767 669710 View 01767 669710
Photo of Laura Britton - Laura Britton Psychotherapy, Psychotherapist, MUKCP
Laura Britton Psychotherapy
Psychotherapist, MUKCP
Feeling tense, stuck or overwhelmed, even when you’re managing day to day? Past experiences can continue to affect how you feel, react or cope. I work with adults using EMDR and with children and teenagers whose emotions or behaviour have become harder to manage, including child and adolescent EMDR. Therapy may involve talking, practical support, EMDR, or outdoor sessions where movement and the rhythm of nature can help things settle. Sessions are confidential, flexible, and offered in person or online. We’ll start where you are and work at a pace that feels manageable.
Feeling tense, stuck or overwhelmed, even when you’re managing day to day? Past experiences can continue to affect how you feel, react or cope. I work with adults using EMDR and with children and teenagers whose emotions or behaviour have become harder to manage, including child and adolescent EMDR. Therapy may involve talking, practical support, EMDR, or outdoor sessions where movement and the rhythm of nature can help things settle. Sessions are confidential, flexible, and offered in person or online. We’ll start where you are and work at a pace that feels manageable.
0191 743 7696 View 0191 743 7696
Photo of Michael Colling, Counsellor, MNCPS Acc.
Michael Colling
Counsellor, MNCPS Acc.
Whether you are finding it difficult to make a tough choice, or if you are experiencing difficult times that are a little bit overwhelming for you; if its to do with bereavement, mental health/illness, depression, anxiety, phobias, relationships or something in the past that feels unresolved, then it would be a privilege for me as a qualified counsellor/psychotherapist to join you on your road to a better place. I bring with me insights from my experience in mental health nursing also. I am a trauma-informed, neurodiversity-affirming counsellor with an excellent reputation in this field.
Whether you are finding it difficult to make a tough choice, or if you are experiencing difficult times that are a little bit overwhelming for you; if its to do with bereavement, mental health/illness, depression, anxiety, phobias, relationships or something in the past that feels unresolved, then it would be a privilege for me as a qualified counsellor/psychotherapist to join you on your road to a better place. I bring with me insights from my experience in mental health nursing also. I am a trauma-informed, neurodiversity-affirming counsellor with an excellent reputation in this field.
0191 743 6578 View 0191 743 6578
Photo of Kelly Allen - The Therapy Suite, Counsellor, MNCPS Acc.
The Therapy Suite
Counsellor, MNCPS Acc.
Are you feeling stuck? Are you exhausted from trying to hold everything together, without your family and friends noticing? I am a qualified counsellor with a strong background in supporting clients through some of life's most challenging experiences. You don’t have to carry it alone. I have worked extensively in the fields of substance misuse, within the prison system (in both the male and female establishments) and in women's refuges for those affected by domestic abuse. I also have experience of working with bereavement, depression, anxiety, self esteem, past abuse, relationship and
Are you feeling stuck? Are you exhausted from trying to hold everything together, without your family and friends noticing? I am a qualified counsellor with a strong background in supporting clients through some of life's most challenging experiences. You don’t have to carry it alone. I have worked extensively in the fields of substance misuse, within the prison system (in both the male and female establishments) and in women's refuges for those affected by domestic abuse. I also have experience of working with bereavement, depression, anxiety, self esteem, past abuse, relationship and
0191 743 1755 View 0191 743 1755
Photo of Beverley Ann Colman, Counsellor, MNCPS Acc.
Beverley Ann Colman
Counsellor, MNCPS Acc.
Hello, I’m Bev. Sometimes life can feel overwhelming and when our thoughts are disorganised it can be challenging to see a clear way forward and to make positive and healthy choices. Although it is helpful talking to others, many people feel more comfortable and more able to be fully open, talking to a trained professional. I am an Integrative Person-centered Counsellor and EMDR Practitioner. I have experience in supporting and helping clients overcome mental health issues including; bereavement, anxiety, depression, relationship difficulties and trauma.
Hello, I’m Bev. Sometimes life can feel overwhelming and when our thoughts are disorganised it can be challenging to see a clear way forward and to make positive and healthy choices. Although it is helpful talking to others, many people feel more comfortable and more able to be fully open, talking to a trained professional. I am an Integrative Person-centered Counsellor and EMDR Practitioner. I have experience in supporting and helping clients overcome mental health issues including; bereavement, anxiety, depression, relationship difficulties and trauma.
07446 869552 View 07446 869552
Photo of Samantha Jane Johnson, Counsellor, MNCPS Acc.
Samantha Jane Johnson
Counsellor, MNCPS Acc.
Hi, my name is Samantha Johnson and I am a Person Centred Therapist (PCT) and Cognitive Behavioural therapist (CBT) for children and adults.I have been practising counselling PCT & CBT since 2020. I have previously worked for over 8 years supporting children and adults in educational settings. I have recently worked as a school lead in mental health counselling where I supported children with additional and complex needs, their parents and carers and their wider family. I currently have my own therapy space and offer a free telephone or video consultation in the first instance with all clients.
Hi, my name is Samantha Johnson and I am a Person Centred Therapist (PCT) and Cognitive Behavioural therapist (CBT) for children and adults.I have been practising counselling PCT & CBT since 2020. I have previously worked for over 8 years supporting children and adults in educational settings. I have recently worked as a school lead in mental health counselling where I supported children with additional and complex needs, their parents and carers and their wider family. I currently have my own therapy space and offer a free telephone or video consultation in the first instance with all clients.
0191 743 9755 View 0191 743 9755
Photo of Clara Dawson, Counsellor, MSc, BACP
Clara Dawson
Counsellor, MSc, BACP
I am a relational, emotionally attuned therapist specialising in neurodivergent adults and couples. I work with individuals and couples who are trying to make sense of their lives, identities and relationships. If you've landed here, there's a good chance you're holding a lot. Maybe it looks like: A lifetime of feeling 'too much' or 'not enough', burnout, masking and exhaustion from trying to fit in, relationships that feel confusing and painful. Or the sense that something just isn't right, even if you can't quite name it.
I am a relational, emotionally attuned therapist specialising in neurodivergent adults and couples. I work with individuals and couples who are trying to make sense of their lives, identities and relationships. If you've landed here, there's a good chance you're holding a lot. Maybe it looks like: A lifetime of feeling 'too much' or 'not enough', burnout, masking and exhaustion from trying to fit in, relationships that feel confusing and painful. Or the sense that something just isn't right, even if you can't quite name it.
01202 149797 View 01202 149797
Photo of Dr Sabinna Yasmin Rokib, Psychotherapist, CPsychol
Dr Sabinna Yasmin Rokib
Psychotherapist, CPsychol
My mission at Healing Horizons Therapeutic services is to provide compassionate evidence-based mental health services to our clients. I am committed to helping individuals improve their overall well-being and achieve their personal goals by addressing their unique psychological needs. I strive to create a safe and supportive environment where clients feel comfortable sharing their concerns. I believe in treating every individual with dignity, respect and empathy and tailoring our services to meet their specific needs.
My mission at Healing Horizons Therapeutic services is to provide compassionate evidence-based mental health services to our clients. I am committed to helping individuals improve their overall well-being and achieve their personal goals by addressing their unique psychological needs. I strive to create a safe and supportive environment where clients feel comfortable sharing their concerns. I believe in treating every individual with dignity, respect and empathy and tailoring our services to meet their specific needs.
0191 743 2385 View 0191 743 2385
Photo of Kirsty Jane Laing - Rain Or Shine Counselling , Counsellor, MBACP
I am Kirsty and I am a counsellor that believes every person is unique and I work in way where my approach is tailored to my clients. The therapeutic relationship is one of the most honest open relationship you may ever have. Therefore, me and my clients need to be the right fit for one another. If I am not the counsellor for you still get in touch as I know several counsellors with unique specialised skills. If you would like to know more please visit my website: www.rainorshinecounselling.co.uk
I am Kirsty and I am a counsellor that believes every person is unique and I work in way where my approach is tailored to my clients. The therapeutic relationship is one of the most honest open relationship you may ever have. Therefore, me and my clients need to be the right fit for one another. If I am not the counsellor for you still get in touch as I know several counsellors with unique specialised skills. If you would like to know more please visit my website: www.rainorshinecounselling.co.uk
0191 743 4769 View 0191 743 4769
Photo of Viv Houghton, Counsellor, MBACP
Viv Houghton
Counsellor, MBACP
Hi, My name is Viv, My role as a therapist is to provide space for you to explore your difficulties at your own pace, within a safe and non- judgemental relationship. I am deeply passionate about the work I do and I would feel privileged to accompany you on your path towards healing, growth, and resilience. People come to counselling for a variety of reasons, to help cope with the stresses of everyday life or following a major life change, bereavement or perhaps to understand themselves better.
Hi, My name is Viv, My role as a therapist is to provide space for you to explore your difficulties at your own pace, within a safe and non- judgemental relationship. I am deeply passionate about the work I do and I would feel privileged to accompany you on your path towards healing, growth, and resilience. People come to counselling for a variety of reasons, to help cope with the stresses of everyday life or following a major life change, bereavement or perhaps to understand themselves better.
07761 660755 View 07761 660755

How does your Counsellor compare?

Number of Counsellors in Sunderland

40+

Average cost per session

£60

Counsellors in Sunderland who prioritize treating:

88% Anxiety
83% Depression
81% Self Esteem
81% Stress
75% Relationship Issues
73% Bereavement
71% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

86% Aviva
86% AXA PPP
79% Vitality

How Counsellors in Sunderland see their clients

79% In Person and Online
21% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Sunderland?

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.