Counselling in Welwyn Garden City

Photo of Martha Ofori - CleoGatha Counselling and Psychotherapy Services, DCounsPsych, MNCPS Acc., Psychotherapist
CleoGatha Counselling and Psychotherapy Services
Psychotherapist, DCounsPsych, MNCPS Acc.
Verified Verified
1 Endorsed
Welwyn Garden City AL7
I am an empathetic psychotherapist who is passionate about supporting people with most mental health issues including g anxiety, depression, self esteem, confidence, suicidal ideation , self harm, eating disorder, panic attacks and phobias. Children always suffer from bullying in school and on social media as well as having friendship issues. I follow an integrative approach to counselling with an emphasis on Cognitive Behavioural Therapy, Person Centred Approach (Humanistic) and Psychodynamic Approach. The type of modality I use will depend on the issue presented. As a counsellor, I do not offer advice or talk about my experience.
I am an empathetic psychotherapist who is passionate about supporting people with most mental health issues including g anxiety, depression, self esteem, confidence, suicidal ideation , self harm, eating disorder, panic attacks and phobias. Children always suffer from bullying in school and on social media as well as having friendship issues. I follow an integrative approach to counselling with an emphasis on Cognitive Behavioural Therapy, Person Centred Approach (Humanistic) and Psychodynamic Approach. The type of modality I use will depend on the issue presented. As a counsellor, I do not offer advice or talk about my experience.
01438 907173 View 01438 907173
Photo of Sarah Lock, MBACP Accred, Counsellor
Sarah Lock
Counsellor, MBACP Accred
Verified Verified
Welwyn Garden City AL7
I am a counsellor with over 20 years’ experience, working with victims of domestic violence and abuse, bereavement, parents who have suffered a neo natal death, stillbirth, termination of pregnancy and IVF, depression and anxiety, eating disorders, marital and relationship problems, childhood abuse and trauma. I understand how it feels to have had the cards stacked against you throughout your life; how it feels to have a whole set of unhealthy coping mechanisms that need to be firmly challenged before they can change; how it can feel that what people see on the outside is not who you feel yourself to be on the inside.
I am a counsellor with over 20 years’ experience, working with victims of domestic violence and abuse, bereavement, parents who have suffered a neo natal death, stillbirth, termination of pregnancy and IVF, depression and anxiety, eating disorders, marital and relationship problems, childhood abuse and trauma. I understand how it feels to have had the cards stacked against you throughout your life; how it feels to have a whole set of unhealthy coping mechanisms that need to be firmly challenged before they can change; how it can feel that what people see on the outside is not who you feel yourself to be on the inside.
01707 241884 View 01707 241884
Photo of Nozinhle Rosie Gubudu, MBABCP, Psychotherapist
Nozinhle Rosie Gubudu
Psychotherapist, MBABCP
Verified Verified
Welwyn Garden City AL7
I am an experienced CBT Therapist and have been working in this service for more than 10 years. I am a registered mental health nurse since 2002. I work with people who sufer with Depression and anxiety problems such as Social phobias, OCD, GAD, Health anxiety etc. I am also trained in EMDR and Narrative Exposure Therapy. I am passionate about my work treat people with respect while being compassionate as i help them through their problems.
I am an experienced CBT Therapist and have been working in this service for more than 10 years. I am a registered mental health nurse since 2002. I work with people who sufer with Depression and anxiety problems such as Social phobias, OCD, GAD, Health anxiety etc. I am also trained in EMDR and Narrative Exposure Therapy. I am passionate about my work treat people with respect while being compassionate as i help them through their problems.
01707 927932 View 01707 927932
Photo of James Reeve, MBACP, Counsellor
James Reeve
Counsellor, MBACP
Verified Verified
Welwyn Garden City AL8
You may be experiencing difficulties and challenges in your life - with how you are feeling, negative thinking, or struggling to cope. I offer a private, non-judgemental and supportive space to talk, to explore what you are experiencing, and to gain awareness, insights and coping strategies to help you move forward and make changes supportive of your wellbeing. In my private practice I support people struggling with low mood, depression, worry, anxiety, stress, bereavement, loss, low self-esteem, work, and relationship difficulties.
You may be experiencing difficulties and challenges in your life - with how you are feeling, negative thinking, or struggling to cope. I offer a private, non-judgemental and supportive space to talk, to explore what you are experiencing, and to gain awareness, insights and coping strategies to help you move forward and make changes supportive of your wellbeing. In my private practice I support people struggling with low mood, depression, worry, anxiety, stress, bereavement, loss, low self-esteem, work, and relationship difficulties.
01438 584575 View 01438 584575
Photo of Amy LANGSHAW, MSc
Amy LANGSHAW
MSc
Verified Verified
1 Endorsed
Welwyn Garden City AL8
Not accepting new clients
It takes strength and courage to reach out for help, but it can be confusing which profession to go with. I specialise working with anxiety disorders. I work with adults experiencing overwhelming worries, tension or panic, anxiety or low mood; creating short term goals for long term mental well-being. I also support pregnant or new mums experiencing anxiety, overwhelming worries, panic, intrusive thoughts, or social anxiety. Or you maybe a parent and you would like support in managing your child's anxiety using Parent-Led CBT. Working together, we can explore unhelpful thoughts and behaviours, and develop positive coping strategies.
It takes strength and courage to reach out for help, but it can be confusing which profession to go with. I specialise working with anxiety disorders. I work with adults experiencing overwhelming worries, tension or panic, anxiety or low mood; creating short term goals for long term mental well-being. I also support pregnant or new mums experiencing anxiety, overwhelming worries, panic, intrusive thoughts, or social anxiety. Or you maybe a parent and you would like support in managing your child's anxiety using Parent-Led CBT. Working together, we can explore unhelpful thoughts and behaviours, and develop positive coping strategies.
01438 576997 View 01438 576997
Photo of Sarah Buxton, BACP, Counsellor
Sarah Buxton
Counsellor, BACP
Verified Verified
Welwyn Garden City AL8
In our darkest moments, we don’t need solutions or advice. What we yearn for is simply human connection—a quiet presence, a gentle touch. These small gestures are the anchors that hold us steady when life feels too much. Ernest Hemingway's words, my sentiment. I really understand that life is difficult at times. It is not unusual for people to feel the need for some extra support because it doesn’t feel like they are coping. It is hard when we feel we aren’t being successful living up to the demands we make on ourselves and the expectations of people and society around us.
In our darkest moments, we don’t need solutions or advice. What we yearn for is simply human connection—a quiet presence, a gentle touch. These small gestures are the anchors that hold us steady when life feels too much. Ernest Hemingway's words, my sentiment. I really understand that life is difficult at times. It is not unusual for people to feel the need for some extra support because it doesn’t feel like they are coping. It is hard when we feel we aren’t being successful living up to the demands we make on ourselves and the expectations of people and society around us.
01707 927727 View 01707 927727
Photo of Mariette Bothma, MSc, HCPC - Clin. Psych., Psychologist
Mariette Bothma
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
Welwyn Garden City AL8
Do you struggle with your emotions? Or are you struggling in your relationships, whether this is at work, or in your personal life? Or maybe you have experienced a trauma that you have not worked through? Or perhaps you suffer from depression or an anxiety disorder? I offer a safe and compassionate space, where you can contemplate all of these difficulties and reach a deeper understanding of yourself, as well as develop strategies to manage your difficulties. In working with me, you will also be helped to feel more anchored to your values and how you want to show up in your life.
Do you struggle with your emotions? Or are you struggling in your relationships, whether this is at work, or in your personal life? Or maybe you have experienced a trauma that you have not worked through? Or perhaps you suffer from depression or an anxiety disorder? I offer a safe and compassionate space, where you can contemplate all of these difficulties and reach a deeper understanding of yourself, as well as develop strategies to manage your difficulties. In working with me, you will also be helped to feel more anchored to your values and how you want to show up in your life.
01438 584573 View 01438 584573
Photo of Laura Goodall, MBACP, Counsellor
Laura Goodall
Counsellor, MBACP
Verified Verified
1 Endorsed
Welwyn Garden City AL7
Talking to someone who really hears and understands you can be the first step of the journey towards positive change. Maybe you're feeling low and don't know why? Maybe you are trying to overcome big life events and everything has changed around you and you need some support? Perhaps you just don't know why you can't sleep, or why your tears surprise you and you want to know more? The good news is that Gestalt counselling can help.
Talking to someone who really hears and understands you can be the first step of the journey towards positive change. Maybe you're feeling low and don't know why? Maybe you are trying to overcome big life events and everything has changed around you and you need some support? Perhaps you just don't know why you can't sleep, or why your tears surprise you and you want to know more? The good news is that Gestalt counselling can help.
01462 417263 View 01462 417263
Photo of Rachel Marfleet, PsychD, HCPC - Clin. Psych., Psychologist
Rachel Marfleet
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Online Only
I am a Clinical Psychologist with over 20 years experience working with children, adults and families. I have worked in the NHS at Great Ormond Street Hospital, Nottingham Children’s Hospital, and Sheffield Children’s Hospital.
I am a Clinical Psychologist with over 20 years experience working with children, adults and families. I have worked in the NHS at Great Ormond Street Hospital, Nottingham Children’s Hospital, and Sheffield Children’s Hospital.
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Photo of Teresa Pacchiega, MSc, MUKCP, Psychotherapist
Teresa Pacchiega
Psychotherapist, MSc, MUKCP
Verified Verified
Welwyn Garden City AL7
I have over twenty-five years of experience working with individuals, couples and families with a variety of difficulties including relationship strains; life transitions; intense and difficult emotions and experiences; issues around identity, mental health problems and life-long conditions
I have over twenty-five years of experience working with individuals, couples and families with a variety of difficulties including relationship strains; life transitions; intense and difficult emotions and experiences; issues around identity, mental health problems and life-long conditions
01582 377872 View 01582 377872
Photo of Maina Warraich, MBACP, Counsellor
Maina Warraich
Counsellor, MBACP
Verified Verified
Welwyn Garden City AL7
lCounselling for Anxiety and Depressionl Maybe you have anxiety, panic attacks and keep overthinking. You might at times feel numb or completely overwhelmed. Maybe it's having an impact on your relationship with your loved ones and more importantly how you feel about yourself. Things don't have to stay this way. I’m passionate about supporting adults with anxiety and depression. I have experienced how isolating and debilitating it can be. People can say things like “just be positive” or “don’t worry about it”. It can be hard for them to understand that it isn’t as simple as just focusing on something else.
lCounselling for Anxiety and Depressionl Maybe you have anxiety, panic attacks and keep overthinking. You might at times feel numb or completely overwhelmed. Maybe it's having an impact on your relationship with your loved ones and more importantly how you feel about yourself. Things don't have to stay this way. I’m passionate about supporting adults with anxiety and depression. I have experienced how isolating and debilitating it can be. People can say things like “just be positive” or “don’t worry about it”. It can be hard for them to understand that it isn’t as simple as just focusing on something else.
01582 377615 View 01582 377615
Photo of Julie Greenhalgh, BACP, Counsellor
Julie Greenhalgh
Counsellor, BACP
Verified Verified
Welwyn Garden City AL7
On our journey through life, we can become lost and caught up in negative thoughts and feelings. This can change our perception and take us out of balance. It may also affect our well-being by creating problems in our relationships which may lead to anxiety, depression or low self-esteem. Counselling can help us to understand patterns in our life that cause distress and helps to facilitate insights into the core of our thinking, our self belief, our behaviour and the imposed limitations to bring about change. I have experience in working with teenagers and adults with anxiety, depression, loss and bereavement and low self esteem.
On our journey through life, we can become lost and caught up in negative thoughts and feelings. This can change our perception and take us out of balance. It may also affect our well-being by creating problems in our relationships which may lead to anxiety, depression or low self-esteem. Counselling can help us to understand patterns in our life that cause distress and helps to facilitate insights into the core of our thinking, our self belief, our behaviour and the imposed limitations to bring about change. I have experience in working with teenagers and adults with anxiety, depression, loss and bereavement and low self esteem.
01582 349524 View 01582 349524
Photo of Dr Malgorzata Anna Bielawska, HCPC - Clin. Psych., Psychologist
Dr Malgorzata Anna Bielawska
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Welwyn Garden City AL7
If you are struggling with depression, anxiety, emotional or relationship difficulties, bereavement, trauma or any other mental health problem, then finding the right help is important. I have over ten years of experience working as a psychologist. I have been trained in a range of therapeutic interventions and am able to tailor treatment based on individual need. I specialize in working with people experiencing significant emotional issues and/or distress which can get in the way of pursuing their goals and living a valued and meaningful life.
If you are struggling with depression, anxiety, emotional or relationship difficulties, bereavement, trauma or any other mental health problem, then finding the right help is important. I have over ten years of experience working as a psychologist. I have been trained in a range of therapeutic interventions and am able to tailor treatment based on individual need. I specialize in working with people experiencing significant emotional issues and/or distress which can get in the way of pursuing their goals and living a valued and meaningful life.
01438 584528 View 01438 584528
Photo of Dr Sabina Mazoruk, HCPC - Health Psych., Psychologist
Dr Sabina Mazoruk
Psychologist, HCPC - Health Psych.
Verified Verified
Welwyn Garden City AL8
Hi, I'm Sabina. I am a chartered and HCPC accredited Health Psychologist and BABCP accredited Cognitive Behavioural Psychotherapist with several years of experience in mental healh services. I currently hold a senior position in the NHS, and also work in a small private practice in Welwyn, Hertfordhire, and online. I work with a variety of difficulties including stress, emotional dysregulation, relational issues, chronic pain, eating disorders, OCD, trauma, anxiety, addictions, low mood and depression.
Hi, I'm Sabina. I am a chartered and HCPC accredited Health Psychologist and BABCP accredited Cognitive Behavioural Psychotherapist with several years of experience in mental healh services. I currently hold a senior position in the NHS, and also work in a small private practice in Welwyn, Hertfordhire, and online. I work with a variety of difficulties including stress, emotional dysregulation, relational issues, chronic pain, eating disorders, OCD, trauma, anxiety, addictions, low mood and depression.
01438 576925 View 01438 576925
Photo of Nicky Kantura, MBACP, Counsellor
Nicky Kantura
Counsellor, MBACP
Verified Verified
1 Endorsed
Welwyn Garden City AL7
Hi, I'm Nicky, a counsellor who is passionate about supporting mums. Do you feel anxious about having a baby or how your kids are doing at school? Are you feeling lonely and experiencing a sense of loss because your expectations of having a newborn are not matched by reality. This could be the loss of your sense of self or that bonding with your baby has been challenging. Or perhaps you’ve been experiencing problems with your relationships because loved ones can’t understand what you’re going through and you struggle to tell them how you’re feeling?
Hi, I'm Nicky, a counsellor who is passionate about supporting mums. Do you feel anxious about having a baby or how your kids are doing at school? Are you feeling lonely and experiencing a sense of loss because your expectations of having a newborn are not matched by reality. This could be the loss of your sense of self or that bonding with your baby has been challenging. Or perhaps you’ve been experiencing problems with your relationships because loved ones can’t understand what you’re going through and you struggle to tell them how you’re feeling?
01727 634414 View 01727 634414
Photo of Jo Gibson, MBACP, Psychotherapist
Jo Gibson
Psychotherapist, MBACP
Verified Verified
Welwyn Garden City AL7
I am a post graduate qualified BACP registered Psychotherapist and Clinical Supervisor with fifteen years experience. I work using the internal Family Systems and Intimacy from the Inside Out models, with a Humanist and Somatic core training. I work with many different life challenges, and over the years have specialised in trauma, complex trauma, relational trauma and shame. Supporting you to process what has happened to you and move on from your past to live your life fully. I work face to face or online with individuals, couples and groups.
I am a post graduate qualified BACP registered Psychotherapist and Clinical Supervisor with fifteen years experience. I work using the internal Family Systems and Intimacy from the Inside Out models, with a Humanist and Somatic core training. I work with many different life challenges, and over the years have specialised in trauma, complex trauma, relational trauma and shame. Supporting you to process what has happened to you and move on from your past to live your life fully. I work face to face or online with individuals, couples and groups.
01438 300959 View 01438 300959
Photo of Arti Hughes - Cognitive Behavioural Therapist, Arti Hughes, MBABCP, Psychotherapist
Cognitive Behavioural Therapist, Arti Hughes
Psychotherapist, MBABCP
Verified Verified
Welwyn Garden City AL7
I own the BEST google rated private psychology practice in Hertfordshire! We have successfully helped 100’s of clients. I am a BABCP accredited Cognitive Behavioural therapist and Accredited Interpersonal Practitioner. I run a friendly and professional practice. We treat Depression, Obsessive compulsive disorder (OCD), Intrusive thoughts, Social anxiety, Panic attacks, Phobias, Excessive worry/ overwhelmed with anxiety, Post-traumatic stress disorder (PTSD), Health anxiety, Perfectionism, Body dysmorphic disorders (BDD), Eating disorders, Phobias, Agoraphobia, Low self-confidence, & LTC’s. Call now for a free phone consultation!
I own the BEST google rated private psychology practice in Hertfordshire! We have successfully helped 100’s of clients. I am a BABCP accredited Cognitive Behavioural therapist and Accredited Interpersonal Practitioner. I run a friendly and professional practice. We treat Depression, Obsessive compulsive disorder (OCD), Intrusive thoughts, Social anxiety, Panic attacks, Phobias, Excessive worry/ overwhelmed with anxiety, Post-traumatic stress disorder (PTSD), Health anxiety, Perfectionism, Body dysmorphic disorders (BDD), Eating disorders, Phobias, Agoraphobia, Low self-confidence, & LTC’s. Call now for a free phone consultation!
01707 240833 View 01707 240833
Photo of Jo Rowley Jones, MBACP, Counsellor
Jo Rowley Jones
Counsellor, MBACP
Verified Verified
1 Endorsed
Welwyn Garden City AL8
It is my firm belief that as an individual, you have the power to make positive changes in your life, which will enable you to feel happier and more fulfilled. Whether you are experiencing a specific challenge or are seeking a place to be heard, it is my aim to provide a confidential and compassionate space where we can work together to raise awareness and promote positive change.
It is my firm belief that as an individual, you have the power to make positive changes in your life, which will enable you to feel happier and more fulfilled. Whether you are experiencing a specific challenge or are seeking a place to be heard, it is my aim to provide a confidential and compassionate space where we can work together to raise awareness and promote positive change.
01727 326941 View 01727 326941
Photo of Ricky Mark Western, BACP, Counsellor
Ricky Mark Western
Counsellor, BACP
Verified Verified
Welwyn Garden City AL7
You are here because something in your life does not feel how you want it to or maybe how it used to. There is hope in you that you can feel differently or work out what it is you are looking for, or maybe find yourself again. Maybe you just need somewhere to talk confidentially and to feel understood.
You are here because something in your life does not feel how you want it to or maybe how it used to. There is hope in you that you can feel differently or work out what it is you are looking for, or maybe find yourself again. Maybe you just need somewhere to talk confidentially and to feel understood.
01462 413859 View 01462 413859
Photo of Glenda Erwee - The Stevenage Counselling Clinic, DCounsPsych, MBACP, Counsellor
The Stevenage Counselling Clinic
Counsellor, DCounsPsych, MBACP
Verified Verified
Welwyn Garden City AL7
We have a wealth of knowledge with diverse and highly trained counsellors in our team to help you process , heal and work towards a more contented, healthy and stable life and relationship with yourself. We work with a wide range of presentations including depression, anxiety, relationship difficulties, OCD, body image and many many more. We are all passionate about working with people and helping them to reach their full potential at a pace that works for you! We value CPD as vitally important to keep up with the ever evolving and exciting sector of mental health and neuroscience.
We have a wealth of knowledge with diverse and highly trained counsellors in our team to help you process , heal and work towards a more contented, healthy and stable life and relationship with yourself. We work with a wide range of presentations including depression, anxiety, relationship difficulties, OCD, body image and many many more. We are all passionate about working with people and helping them to reach their full potential at a pace that works for you! We value CPD as vitally important to keep up with the ever evolving and exciting sector of mental health and neuroscience.
01438 904207 View 01438 904207
1

See more therapy options for Welwyn Garden City

How does your Counsellor compare?

Number of Counsellors in Welwyn Garden City

50+

Average cost per session

£62

Counsellors in Welwyn Garden City who prioritize treating:

90% Self Esteem
88% Depression
88% Anxiety
78% Relationship Issues
78% Stress
65% Bereavement
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

77% Aviva
62% Bupa
54% AXA PPP

How Counsellors in Welwyn Garden City see their clients

93% In Person and Online
7% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Welwyn Garden City?

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.