Photo of Dr Hannah Osborne, PsychD, HCPC - Clin. Psych., Psychologist
Dr Hannah Osborne
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Tring HP23
Waitlist for new clients
Hello, I am Dr Hannah Osborne. I am a Consultant Clinical Psychologist specialising in health and emotions. If you are living with a long term health condition, chronic pain or persistent physical symptoms that just don't seem to go away and are finding life hard, I am here to help. I have specialisms in the management of and adjusting to a range of health conditions (pain, fatigue, long covid, functional symptoms, gastro symptoms, cancer, diabetes, neurological conditions), as well as managing stress, anxiety, depression, ptsd and most other emotions that show up when life is tough. I work hard to help you to feel and live better.
Hello, I am Dr Hannah Osborne. I am a Consultant Clinical Psychologist specialising in health and emotions. If you are living with a long term health condition, chronic pain or persistent physical symptoms that just don't seem to go away and are finding life hard, I am here to help. I have specialisms in the management of and adjusting to a range of health conditions (pain, fatigue, long covid, functional symptoms, gastro symptoms, cancer, diabetes, neurological conditions), as well as managing stress, anxiety, depression, ptsd and most other emotions that show up when life is tough. I work hard to help you to feel and live better.
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Photo of Tania Thorn - Dr. Tania Thorn: ADHD & Autism specialist, PsychD, HCPC - Clin. Psych., Psychologist
Dr. Tania Thorn: ADHD & Autism specialist
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Tring HP23  (Online Only)
Waitlist for new clients
I'm a neurodivergent, dual qualified Clinical Psychologist and Family & Couples Therapist with over 25 years experience, including working as a NHS Consultant Clinical Psychologist. I divide my time between a NHS specialist ADHD & Autism Service and my private practice, specialising in neurodiversity in adults. I provide ADHD & Autism screening and diagnosis, utilising validated and structured assessments. I also offer CBT for ADHD group therapy, coaching and evidence based therapy. For neurodivergent people in employment, intervention may be funded by Access to Work.
I'm a neurodivergent, dual qualified Clinical Psychologist and Family & Couples Therapist with over 25 years experience, including working as a NHS Consultant Clinical Psychologist. I divide my time between a NHS specialist ADHD & Autism Service and my private practice, specialising in neurodiversity in adults. I provide ADHD & Autism screening and diagnosis, utilising validated and structured assessments. I also offer CBT for ADHD group therapy, coaching and evidence based therapy. For neurodivergent people in employment, intervention may be funded by Access to Work.
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Photo of Lois Powell, MBACP, Psychotherapist
Lois Powell
Psychotherapist, MBACP
Verified Verified
Tring HP23
In life’s journey we experience many ups and downs with issues we find difficult to cope with. To have someone there who’s warm, supportive and non judgemental can help to make that journey a little easier. To be heard and understood can aid in the process of understanding our inner feelings and emotions and help us to find successful ways of managing the difficulties that life throws at us. I can offer a safe and confidential place for you to share, explore and work through those difficulties which may be causing you distress.
In life’s journey we experience many ups and downs with issues we find difficult to cope with. To have someone there who’s warm, supportive and non judgemental can help to make that journey a little easier. To be heard and understood can aid in the process of understanding our inner feelings and emotions and help us to find successful ways of managing the difficulties that life throws at us. I can offer a safe and confidential place for you to share, explore and work through those difficulties which may be causing you distress.
07447 981987 View 07447 981987
Photo of Claire Meredith, MBACP, Counsellor
Claire Meredith
Counsellor, MBACP
Verified Verified
Tring HP23
There are moments in all our lives when we need some help. As an experienced psychotherapeutic counsellor, I offer safe and caring support through talking therapy. Pressures of life, responsibility, change, loss and unresolved past experience can all impact how we feel. When our personal resources are stretched, even a little extra stress may be overwhelming. I offer a confidential space where you can feel heard, a safe place to focus on your concerns, support and compassion in understanding your individual needs, help with issues including anxiety, depression, self-esteem, identity, relationships, loss and trauma.
There are moments in all our lives when we need some help. As an experienced psychotherapeutic counsellor, I offer safe and caring support through talking therapy. Pressures of life, responsibility, change, loss and unresolved past experience can all impact how we feel. When our personal resources are stretched, even a little extra stress may be overwhelming. I offer a confidential space where you can feel heard, a safe place to focus on your concerns, support and compassion in understanding your individual needs, help with issues including anxiety, depression, self-esteem, identity, relationships, loss and trauma.
01494 360972 View 01494 360972
Photo of Debbie McCool, MNCPS Acc., Counsellor
Debbie McCool
Counsellor, MNCPS Acc.
Verified Verified
Tring HP23
Hello and Welcome, I provide counselling to adults, Couples, teens and young people. We can work together to build self-confidence and empower you to live the life you truly desire. Rather than giving you advice, my approach revolves around active listening and gentle support, encouraging you to uncover fresh perspectives and insights. Together, we will explore your concerns and work towards finding the solutions that align with your unique circumstances. I work with clients facing the demands of a range of issues and emotions. I also work with parents and carers who would like to develop a deeper relationship with their children.
Hello and Welcome, I provide counselling to adults, Couples, teens and young people. We can work together to build self-confidence and empower you to live the life you truly desire. Rather than giving you advice, my approach revolves around active listening and gentle support, encouraging you to uncover fresh perspectives and insights. Together, we will explore your concerns and work towards finding the solutions that align with your unique circumstances. I work with clients facing the demands of a range of issues and emotions. I also work with parents and carers who would like to develop a deeper relationship with their children.
01442 504498 View 01442 504498
Photo of Lucy Hutt, MBACP, Counsellor
Lucy Hutt
Counsellor, MBACP
Verified Verified
1 Endorsed
Tring HP23
If you are hurting, confused, troubled, anxious, alienated, terrified, doubtful of your self-worth, or uncertain as to your identity, then understanding is called for, and I can offer that to you. I will make no judgments about you or your life and will accept and prize you entirely as you are, offering you warmth, empathy and a complete confidence in your ability to progress on a journey of recovery. I believe that we all have the ability to find our own answers and solutions so as to move forward out of distress, but sometimes we need a counsellor to help us get there.
If you are hurting, confused, troubled, anxious, alienated, terrified, doubtful of your self-worth, or uncertain as to your identity, then understanding is called for, and I can offer that to you. I will make no judgments about you or your life and will accept and prize you entirely as you are, offering you warmth, empathy and a complete confidence in your ability to progress on a journey of recovery. I believe that we all have the ability to find our own answers and solutions so as to move forward out of distress, but sometimes we need a counsellor to help us get there.
01494 977312 View 01494 977312
Photo of Kathryn Coulston, MBACP, Counsellor
Kathryn Coulston
Counsellor, MBACP
Verified Verified
Tring HP23
Hello, I hope this information gives you an idea of how I can help you. I believe if we are seen and heard and can express ourselves, we are well placed to enjoy good mental health, but this does not always come easily. I have experience supporting people with anxiety, depression, panic and confusion and when stressful life events impact our ability to cope. I can also support you if you have problems in relationships, pressures at work or school, loss of any kind, or coping with illness or pain. By working together we can explore your needs, deepen your self-awareness and ultimately progress towards healing and recovery.
Hello, I hope this information gives you an idea of how I can help you. I believe if we are seen and heard and can express ourselves, we are well placed to enjoy good mental health, but this does not always come easily. I have experience supporting people with anxiety, depression, panic and confusion and when stressful life events impact our ability to cope. I can also support you if you have problems in relationships, pressures at work or school, loss of any kind, or coping with illness or pain. By working together we can explore your needs, deepen your self-awareness and ultimately progress towards healing and recovery.
01494 326058 View 01494 326058
Photo of Jackie Wybrow, MBACP, Psychotherapist
Jackie Wybrow
Psychotherapist, MBACP
Verified Verified
Tring HP23
Waitlist for new clients
Hello, I am sure this feels like a daunting prospect finding a counsellor that you can share those feelings that have been troubling you and getting in the way of the life you want to lead. I believe the connection between counsellor and client is at the heart of the process. I can offer a safe space where you can explore difficult, complicated or confusing emotions in a warm, confidential, empathic environment. We can work together to gain a greater understanding of those feelings and move forward towards lasting and positive change for your future.
Hello, I am sure this feels like a daunting prospect finding a counsellor that you can share those feelings that have been troubling you and getting in the way of the life you want to lead. I believe the connection between counsellor and client is at the heart of the process. I can offer a safe space where you can explore difficult, complicated or confusing emotions in a warm, confidential, empathic environment. We can work together to gain a greater understanding of those feelings and move forward towards lasting and positive change for your future.
01442 504343 View 01442 504343
Photo of Anja Josefsberg, MBACP, Counsellor
Anja Josefsberg
Counsellor, MBACP
Verified Verified
1 Endorsed
Tring HP23
Hello and welcome to my page. I'm Anja a qualified counsellor and registered BACP member. I offer a warm, respectful and effective approach to improving your mental health. My practice is grounded in evidence-based therapies such as Person-Centered Counselling, Cognitive Behavioural Therapy (CBT), Transactional Analysis and Rewind Trauma Therapy. I work integratively which means that we will choose the best approach based on your wishes, goals and preferences.
Hello and welcome to my page. I'm Anja a qualified counsellor and registered BACP member. I offer a warm, respectful and effective approach to improving your mental health. My practice is grounded in evidence-based therapies such as Person-Centered Counselling, Cognitive Behavioural Therapy (CBT), Transactional Analysis and Rewind Trauma Therapy. I work integratively which means that we will choose the best approach based on your wishes, goals and preferences.
01442 979672 View 01442 979672
Photo of Joanne Inskip, MBACP Accred, Counsellor
Joanne Inskip
Counsellor, MBACP Accred
Verified Verified
Tring HP23
I offer two types of therapy; talking therapy and EMDR. I work using a mainly psychodynamic approach. An approach to therapy which means that we will explore what lies beneath your thoughts, feelings, and behaviours. We will think together about your current and past experiences, and how they may have shaped your beliefs and relationships today. My approach is warm and professional. I believe that talking helps and that therapy opens a door to new understanding and possibilities.
I offer two types of therapy; talking therapy and EMDR. I work using a mainly psychodynamic approach. An approach to therapy which means that we will explore what lies beneath your thoughts, feelings, and behaviours. We will think together about your current and past experiences, and how they may have shaped your beliefs and relationships today. My approach is warm and professional. I believe that talking helps and that therapy opens a door to new understanding and possibilities.
01442 974618 View 01442 974618
Photo of Sharon Deacon, MBACP, Counsellor
Sharon Deacon
Counsellor, MBACP
Verified Verified
1 Endorsed
Tring HP23
Hello, you have made the decision, which may have not been easy, to seek out a Counsellor. I understand that it can be a challenging and daunting experience, but well done for taking the first step. I am a caring and warm and I’m here to listen and walk with you on your journey to better mental health whatever that looks like for you. I’m currently working Face to Face from my garden office in Tring Hertfordshire with Couples, Adults and Children 15+ . I can also work via Teams with Adults.There is parking but no waiting room. I'm also happy to do a home session in certain circumstances within 5 miles.
Hello, you have made the decision, which may have not been easy, to seek out a Counsellor. I understand that it can be a challenging and daunting experience, but well done for taking the first step. I am a caring and warm and I’m here to listen and walk with you on your journey to better mental health whatever that looks like for you. I’m currently working Face to Face from my garden office in Tring Hertfordshire with Couples, Adults and Children 15+ . I can also work via Teams with Adults.There is parking but no waiting room. I'm also happy to do a home session in certain circumstances within 5 miles.
01296 254465 View 01296 254465
Photo of Eleanor (Ellie) Higginson, MBACP, Counsellor
Eleanor (Ellie) Higginson
Counsellor, MBACP
Verified Verified
Tring HP23
Life can be really tough sometimes. During difficult periods it can help to have someone to talk to, a different relationship to that of friends and family. I can offer a safe, confidential space offering a warm, empathic, supportive and non-judgemental environment for us to explore what’s going on for you. The trust and relationship that you have with your therapist is so important and will be the centre of our work together. I am an integrative counsellor trained in humanistic, behavioural and psychodynamic approaches. Working with these different modalities means that we can find the most suitable approach for you.
Life can be really tough sometimes. During difficult periods it can help to have someone to talk to, a different relationship to that of friends and family. I can offer a safe, confidential space offering a warm, empathic, supportive and non-judgemental environment for us to explore what’s going on for you. The trust and relationship that you have with your therapist is so important and will be the centre of our work together. I am an integrative counsellor trained in humanistic, behavioural and psychodynamic approaches. Working with these different modalities means that we can find the most suitable approach for you.
01442 504374 View 01442 504374
Photo of Zahra Treggiden, DCounsPsych, MBACP, Psychotherapist
Zahra Treggiden
Psychotherapist, DCounsPsych, MBACP
Verified Verified
Tring HP23
I am an integrative counsellor and psychotherapist able to provide therapy to suit your individual needs. We may work with any combination of the following approaches that suit your needs best; Attachment theory, Transactional analysis, CBT, Mindfulness, Existentially, psychotherapeutically and The Person Centred approach. The work will be carried out in a non judgemental and confidential space, where you can express your feelings safely and supportively. Counselling can benefit everyone, however considering therapy can be a difficult decision to make, but once you have made that step I will fully support and respect your wishes.
I am an integrative counsellor and psychotherapist able to provide therapy to suit your individual needs. We may work with any combination of the following approaches that suit your needs best; Attachment theory, Transactional analysis, CBT, Mindfulness, Existentially, psychotherapeutically and The Person Centred approach. The work will be carried out in a non judgemental and confidential space, where you can express your feelings safely and supportively. Counselling can benefit everyone, however considering therapy can be a difficult decision to make, but once you have made that step I will fully support and respect your wishes.
07481 337356 View 07481 337356
Photo of Catherine Richardson, MBACP, Psychotherapist
Catherine Richardson
Psychotherapist, MBACP
Verified Verified
Tring HP23
I work using a combination of Humanistic and Cognitive Behavioural (CBT) approaches. I believe that this offers you the best of both worlds. You may feel your life has lost meaning and this can lead to depression, stress or anxiety. This can sometimes be due to unhelpful or negative thinking (cognitive) patterns and together we can work on these. Talking to a professional counsellor can help you process those feelings and move towards a more contented life. I will not judge you and I will always work at your pace. I offer a careful balance of support and gentle challenge.
I work using a combination of Humanistic and Cognitive Behavioural (CBT) approaches. I believe that this offers you the best of both worlds. You may feel your life has lost meaning and this can lead to depression, stress or anxiety. This can sometimes be due to unhelpful or negative thinking (cognitive) patterns and together we can work on these. Talking to a professional counsellor can help you process those feelings and move towards a more contented life. I will not judge you and I will always work at your pace. I offer a careful balance of support and gentle challenge.
07480 579522 View 07480 579522
Photo of Lisa Dawn Pyper, MBACP, Counsellor
Lisa Dawn Pyper
Counsellor, MBACP
Verified Verified
Tring HP23
Hello. My name is Lisa, I offer ADHD, and highly sensitive woman an online counselling service. Kindness, and respect are at the forefront of how I work with you, as an Integrative counsellor, I combine different therapeutic approaches to fit you as a person, depending on your own specific needs and individual personality.
Hello. My name is Lisa, I offer ADHD, and highly sensitive woman an online counselling service. Kindness, and respect are at the forefront of how I work with you, as an Integrative counsellor, I combine different therapeutic approaches to fit you as a person, depending on your own specific needs and individual personality.
01442 974571 View 01442 974571
Photo of Louisa Woodford, DCounsPsych, MBACP, Psychotherapist
Louisa Woodford
Psychotherapist, DCounsPsych, MBACP
Verified Verified
2 Endorsed
Tring HP23
Feeling anxious, unsettled or sad can feel like a lonely place to be in our lives. I work with anxiety and depression and have further experience in working with addiction and abuse. Whether it's a challenging life event, relationship, job or a sense of ongoing unhappiness that feels hard to pin-point, I offer a calm and friendly space in which we can talk through your issues at your pace to explore what you might need. Rather than advise, I gently support you to find the way forward that feels right for you.
Feeling anxious, unsettled or sad can feel like a lonely place to be in our lives. I work with anxiety and depression and have further experience in working with addiction and abuse. Whether it's a challenging life event, relationship, job or a sense of ongoing unhappiness that feels hard to pin-point, I offer a calm and friendly space in which we can talk through your issues at your pace to explore what you might need. Rather than advise, I gently support you to find the way forward that feels right for you.
01296 329372 View 01296 329372
Photo of Sean Heneghan, MBACP, Counsellor
Sean Heneghan
Counsellor, MBACP
Verified Verified
Tring HP23
I'm a counsellor, a cognitive hypnotherapist and an acupuncturist based in Berkhamsted. I have an extensive training in a range of disciplines that can help people with a variety of emotional and physical problems. I use these approaches sometimes alone and sometimes in combination depending on the uniqueness of each client.
I'm a counsellor, a cognitive hypnotherapist and an acupuncturist based in Berkhamsted. I have an extensive training in a range of disciplines that can help people with a variety of emotional and physical problems. I use these approaches sometimes alone and sometimes in combination depending on the uniqueness of each client.
01442 506769 View 01442 506769
Photo of Lucy Ginger
Lucy Ginger
Verified Verified
Tring HP23
Trauma can become locked inside both our mind and body. Past traumatic events can be triggered by many different situations and people that you may encounter. These experiences, if not processed properly in our brains can make living day to day unpleasant, with negative feelings about ourselves, difficulties with anxiety, unexplained fears, avoidance, dissociation and many more distressing experiences. EMDR works to help the brain naturally process the trauma so that it can be left in the past. Please see my website for more details- www.Lucy ginger.co.uk
Trauma can become locked inside both our mind and body. Past traumatic events can be triggered by many different situations and people that you may encounter. These experiences, if not processed properly in our brains can make living day to day unpleasant, with negative feelings about ourselves, difficulties with anxiety, unexplained fears, avoidance, dissociation and many more distressing experiences. EMDR works to help the brain naturally process the trauma so that it can be left in the past. Please see my website for more details- www.Lucy ginger.co.uk
01296 254460 View 01296 254460
Photo of Steffi Lundy, BACP, Counsellor
Steffi Lundy
Counsellor, BACP
Verified Verified
Tring HP23
Welcome! It takes courage to reach out for help, and I want you to know you're not alone. Life can throw some curveballs, and sometimes we all need a safe space to explore what's going on. Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, I'm here to listen and support you. My name is Steffi, and I'm a qualified integrative counsellor/psychotherapist. I offer a safe, non-judgmental space where you can freely explore your thoughts and feelings, without fear of judgment.
Welcome! It takes courage to reach out for help, and I want you to know you're not alone. Life can throw some curveballs, and sometimes we all need a safe space to explore what's going on. Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, I'm here to listen and support you. My name is Steffi, and I'm a qualified integrative counsellor/psychotherapist. I offer a safe, non-judgmental space where you can freely explore your thoughts and feelings, without fear of judgment.
01442 506816 View 01442 506816
Photo of Kim Abercromby, MBACP, Counsellor
Kim Abercromby
Counsellor, MBACP
Verified Verified
Tring HP23
I will offer you a safe warm and compassionate space so that we can build a trusting and therapeutic relationship. I am committed to working with you at your pace and at the level of depth you require to find a way through the struggles you may be faced with. I understand how daunting it can be to reach out for help, so I assure you that I will do my best to make this as comfortable as it can be for you. I am deeply committed to providing you with a genuine counselling service tailored to meet your needs. I offer in person and virtual sessions.
I will offer you a safe warm and compassionate space so that we can build a trusting and therapeutic relationship. I am committed to working with you at your pace and at the level of depth you require to find a way through the struggles you may be faced with. I understand how daunting it can be to reach out for help, so I assure you that I will do my best to make this as comfortable as it can be for you. I am deeply committed to providing you with a genuine counselling service tailored to meet your needs. I offer in person and virtual sessions.
01296 327570 View 01296 327570
1

See more therapy options for Tring

How does your Counsellor compare?

Number of Counsellors in Tring

30+

Average cost per session

£60

Counsellors in Tring who prioritize treating:

95% Anxiety
86% Relationship Issues
86% Depression
86% Self Esteem
84% Stress
78% Bereavement
68% Life Transitions

Average years in practice

7 Years

Top 3 insurances accepted

67% Bupa
50% Cigna and Evernorth
50% Aviva

How Counsellors in Tring see their clients

90% In Person and Online
10% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Tring?

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.