Counselling in West Midlands

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Photo of Yvonne Cochrane, Counsellor in West Midlands, England
Yvonne Cochrane
Counsellor, MBACP
Verified Verified
Birmingham B24  (Online Only)
Everyday life can be a challenge for some of us. The experience of life transitions, relationship issues, struggling to cope at work or childhood trauma may leave you with feelings of anxiety, worry and/or helplessness. Counselling may help you recognise these issues, gain an understanding into why and how they develop and given the correct tools, how to identify these triggers, adjust your mindset allowing you to move forward.
Everyday life can be a challenge for some of us. The experience of life transitions, relationship issues, struggling to cope at work or childhood trauma may leave you with feelings of anxiety, worry and/or helplessness. Counselling may help you recognise these issues, gain an understanding into why and how they develop and given the correct tools, how to identify these triggers, adjust your mindset allowing you to move forward.
01675 620447 View 01675 620447
Photo of Mynd Care Psychotherapies, Psychotherapist in West Midlands, England
Mynd Care Psychotherapies
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Here at Mynd Care Psychotherapies we offer a culturally sensitive and diverse evidence based psychological therapy to adults, young people and families. All our clinicians are registered members of the British Association for Behavioural and Cognitive Psychotherapists (BABCP) and the British Association for Counselling and Psychotherapy (BACP) in the united Kingdom. Our therapy is available in English, Arabic, Urdu, Gujrati and other languages based on the client preference.
Here at Mynd Care Psychotherapies we offer a culturally sensitive and diverse evidence based psychological therapy to adults, young people and families. All our clinicians are registered members of the British Association for Behavioural and Cognitive Psychotherapists (BABCP) and the British Association for Counselling and Psychotherapy (BACP) in the united Kingdom. Our therapy is available in English, Arabic, Urdu, Gujrati and other languages based on the client preference.
0121 661 2813 View 0121 661 2813
Photo of Irene Luque, Psychologist in West Midlands, England
Irene Luque
Psychologist, MSc, GMBPsS
Verified Verified
Birmingham B1  (Online Only)
Do you feel you don’t have goals or you can’t achieve them although you have tried everything? Do you feel paralysed or overwhelmed facing certain situations? Do you feel everything is annoying or your anger, sadness or fear last for long time? Do you feel stuck with some thoughts and you can’t stop overthinking them? Do you see these features within a member of your family? I think everyone will feel like this over the course of our lives, even it can be adaptative. However, sometimes we can struggle to find clarity and understanding , at the same time that respect both ourselves and others.
Do you feel you don’t have goals or you can’t achieve them although you have tried everything? Do you feel paralysed or overwhelmed facing certain situations? Do you feel everything is annoying or your anger, sadness or fear last for long time? Do you feel stuck with some thoughts and you can’t stop overthinking them? Do you see these features within a member of your family? I think everyone will feel like this over the course of our lives, even it can be adaptative. However, sometimes we can struggle to find clarity and understanding , at the same time that respect both ourselves and others.
0121 827 8976 View 0121 827 8976
Photo of Dr Caroline Cox, Psychologist in West Midlands, England
Dr Caroline Cox
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I work with those who are looking to improve their psychological wellbeing, lower their stress levels, find ways to manage low mood, anxiety or phobias, increase their self-esteem, or work towards personal development goals. I also work with those who may be struggling with the emotional or psychological impact of living with a health condition, such as managing fatigue and/ or pain, adjusting to diagnosis or treatment and managing difficult feelings.
I work with those who are looking to improve their psychological wellbeing, lower their stress levels, find ways to manage low mood, anxiety or phobias, increase their self-esteem, or work towards personal development goals. I also work with those who may be struggling with the emotional or psychological impact of living with a health condition, such as managing fatigue and/ or pain, adjusting to diagnosis or treatment and managing difficult feelings.
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Photo of Josh Campbell - Ryse Psychology, Psychotherapist in West Midlands, England
Josh Campbell - Ryse Psychology
Psychotherapist, MSc, MUKCP
Verified Verified
Winner of the Midlands Enterprise Award 2023: 'Most Supportive Counselling & Psychotherapy service!' My service is for those who desire some kind of psychological help and change in your life. Life problems, in my view, are most often manifested in our relationship to ourselves, to others and the world. Our early family, friends, and environments tend to impact how we view, interact with, and problem solve in the present day and the patterns we repeat in our lives, for better and worse. How we grew up and our world as adults heavily influence how we think, feel, and cope with the situations we find ourselves in now.
Winner of the Midlands Enterprise Award 2023: 'Most Supportive Counselling & Psychotherapy service!' My service is for those who desire some kind of psychological help and change in your life. Life problems, in my view, are most often manifested in our relationship to ourselves, to others and the world. Our early family, friends, and environments tend to impact how we view, interact with, and problem solve in the present day and the patterns we repeat in our lives, for better and worse. How we grew up and our world as adults heavily influence how we think, feel, and cope with the situations we find ourselves in now.
0121 728 6537 View 0121 728 6537
Photo of Avaly Jones, Counsellor in West Midlands, England
Avaly Jones
Counsellor, COSRT General
Verified Verified
I am a qualified relationship and Psychosexual therapist with over 16 years experience of working with clients in private practice as well as in organisations such as Relate. I have a real passion for the work I do and I’m committed towards helping individuals and couples to work through their issues in a safe and non-judgemental environment. I understand we all have to face difficult moments in life, and so I provide a space for you to work through these challenges and find healthy ways and practical tools to change or manage them.
I am a qualified relationship and Psychosexual therapist with over 16 years experience of working with clients in private practice as well as in organisations such as Relate. I have a real passion for the work I do and I’m committed towards helping individuals and couples to work through their issues in a safe and non-judgemental environment. I understand we all have to face difficult moments in life, and so I provide a space for you to work through these challenges and find healthy ways and practical tools to change or manage them.
0121 312 1491 View 0121 312 1491
Photo of Stewart Kunaka, Psychologist in West Midlands, England
Stewart Kunaka
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Distress in life can bring about: confusion, pain, self-blame, anger, self-blame, isolation, loneliness, negative coping mechanism and many other symptoms. It is important to know that anyone of us can experience mental distress and there are several reasons why this may happen, including: trauma, difficult life events, early life experiences and biological basis. My job is to people make sense of their concerns, and find balance during these difficult times so that they can get to their optimum level of functioning again.
Distress in life can bring about: confusion, pain, self-blame, anger, self-blame, isolation, loneliness, negative coping mechanism and many other symptoms. It is important to know that anyone of us can experience mental distress and there are several reasons why this may happen, including: trauma, difficult life events, early life experiences and biological basis. My job is to people make sense of their concerns, and find balance during these difficult times so that they can get to their optimum level of functioning again.
0121 827 1237 View 0121 827 1237
Photo of Suz West, Counsellor in West Midlands, England
Suz West
Counsellor, MBACP Accred
Verified Verified
Hello I am Suz welcome to my profile. I am an experienced counsellor , psychotherapist and supervisor. I work from Northfield. I offer individual face to face counselling on a long or short term basis. I work in a person centred way working along side my clients. I offer a warm , safe , non judgmental therapeutic relationship and environment. Counselling offers a space to reflect on you and make some sense of your emotions. It will help you to discover your own resources and become more self aware. I work at my clients pace and offer support throughout the counselling process.
Hello I am Suz welcome to my profile. I am an experienced counsellor , psychotherapist and supervisor. I work from Northfield. I offer individual face to face counselling on a long or short term basis. I work in a person centred way working along side my clients. I offer a warm , safe , non judgmental therapeutic relationship and environment. Counselling offers a space to reflect on you and make some sense of your emotions. It will help you to discover your own resources and become more self aware. I work at my clients pace and offer support throughout the counselling process.
0121 728 2353 View 0121 728 2353
Photo of MindCalm Ltd, Psychotherapist in West Midlands, England
MindCalm Ltd
Psychotherapist, MRes, MBABCP
Verified Verified
I commonly work with clients with symptoms of PTSD and/or Eating Disorders. I also work with people with other anxiety disorders and depression. People accessing my support are often looking to come to terms with traumatic events, or may be looking to overcome issues they face with eating such as restricted eating, fear of weight gain or over eating. It may also be that clients are looking for more general stress management, worry management or to address a specific phobia. Overall, however, people are often accessing therapy to achieve a particular set of goals so that they can function better and be happier in themselves.
I commonly work with clients with symptoms of PTSD and/or Eating Disorders. I also work with people with other anxiety disorders and depression. People accessing my support are often looking to come to terms with traumatic events, or may be looking to overcome issues they face with eating such as restricted eating, fear of weight gain or over eating. It may also be that clients are looking for more general stress management, worry management or to address a specific phobia. Overall, however, people are often accessing therapy to achieve a particular set of goals so that they can function better and be happier in themselves.
0121 817 7969 View 0121 817 7969
Photo of Dr Victoria Uwannah, Psychologist in West Midlands, England
Dr Victoria Uwannah
Psychologist, PsychD, CPsychol
Verified Verified
Therapy is a safe space to explore some of the confusing or difficult thoughts and feelings that arise throughout life's challenging phases. Major life transitions, relationship issues, bereavements, self-esteem, low mood or anxiety - these are all themes that are worthwhile addressing in therapy. Additionally therapy can be an investment into understanding yourself further; what causes you to think and act in certain ways as this is the gateway to facilitating meaningful and long-lasting change.
Therapy is a safe space to explore some of the confusing or difficult thoughts and feelings that arise throughout life's challenging phases. Major life transitions, relationship issues, bereavements, self-esteem, low mood or anxiety - these are all themes that are worthwhile addressing in therapy. Additionally therapy can be an investment into understanding yourself further; what causes you to think and act in certain ways as this is the gateway to facilitating meaningful and long-lasting change.
020 3962 2429 View 020 3962 2429
Photo of Alice Stapleton, Counsellor in West Midlands, England
Alice Stapleton
Counsellor, MBACP
Verified Verified
I believe every person is the expert in their own life. Together we can explore the circumstances that are feeling difficult for you, with space to reflect, hear yourself think and take a deeper look at what might be behind what's happening for you. Whether you're feeling stuck, struggling to overcome painful experiences, or feeling trapped in patterns you can't seem to change. I won't tell you what to do, but I will help you to find your own insights and clarity to process your feelings and move forward in ways that work for you.
I believe every person is the expert in their own life. Together we can explore the circumstances that are feeling difficult for you, with space to reflect, hear yourself think and take a deeper look at what might be behind what's happening for you. Whether you're feeling stuck, struggling to overcome painful experiences, or feeling trapped in patterns you can't seem to change. I won't tell you what to do, but I will help you to find your own insights and clarity to process your feelings and move forward in ways that work for you.
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Photo of Helen Bagga, Counsellor in West Midlands, England
Helen Bagga
Counsellor, BACP
Verified Verified
The counselling process supports you looking at and focusing on your issues; this way can lead to viewing things differently or changes in behaviour. Depression, anxiety, relationship issues and bereavement are few of the problems Person-Centred therapy can help with, to find ways to progress and find balance in such difficult times. If unresolved trauma is what has brought you to seek counselling, know that counselling will help you get to the resolution you need.
The counselling process supports you looking at and focusing on your issues; this way can lead to viewing things differently or changes in behaviour. Depression, anxiety, relationship issues and bereavement are few of the problems Person-Centred therapy can help with, to find ways to progress and find balance in such difficult times. If unresolved trauma is what has brought you to seek counselling, know that counselling will help you get to the resolution you need.
01785 907029 View 01785 907029
Photo of Saana Counselling, Counsellor in West Midlands, England
Saana Counselling
Counsellor, MBACP
Verified Verified
Hi, I'm Saana. I recognise that as humans we all suffer from distress occasionally. If you are going through a tough time or feel trapped with anything, I can offer you a safe place to explore what might be impacting your life. I work as an integrative therapist, meaning I use more than one counselling approach to inform and enhance our work together. I believe I can apply some of the understanding and insight I've acquired from helping people in both my personal and professional life to my counselling practice. Working with people has given me the confidence to think that even in the most hopeless situations, change is possible.
Hi, I'm Saana. I recognise that as humans we all suffer from distress occasionally. If you are going through a tough time or feel trapped with anything, I can offer you a safe place to explore what might be impacting your life. I work as an integrative therapist, meaning I use more than one counselling approach to inform and enhance our work together. I believe I can apply some of the understanding and insight I've acquired from helping people in both my personal and professional life to my counselling practice. Working with people has given me the confidence to think that even in the most hopeless situations, change is possible.
0121 817 2886 View 0121 817 2886
Dr. Mihill AT Clear Mind Psychology Center
Psychotherapist, PsychD, MBACP Accred
Verified Verified
I am Dr. Mihill. I am a registered Counselling/Clinical/Health Psychotherapist and an experienced CBT & ACT therapist. Thanks for reading my profile, and congratulations on considering the journey of healing and living a meaningful life! As human beings, we all feel vulnerable and struggle with things at times. Nobody is swimming their way through life smoothly and without bumps. As a psychotherapist , I am your co-traveller. About me: I earned a Psy.D. in Counselling Psychology. I aspire to provide high-quality psychological services.
I am Dr. Mihill. I am a registered Counselling/Clinical/Health Psychotherapist and an experienced CBT & ACT therapist. Thanks for reading my profile, and congratulations on considering the journey of healing and living a meaningful life! As human beings, we all feel vulnerable and struggle with things at times. Nobody is swimming their way through life smoothly and without bumps. As a psychotherapist , I am your co-traveller. About me: I earned a Psy.D. in Counselling Psychology. I aspire to provide high-quality psychological services.
0121 661 3693 View 0121 661 3693
Photo of Dr Francesca, Psychologist in West Midlands, England
Dr Francesca
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I have been working with families, children and adults who have presented with moderate to severe mental health difficulties and emotional distress. I am also interested in trauma and the treatment of self-harm and suicidal behaviours. Over the years, I've supported young people and adults with histories involving early traumas, abuse and neglect. I am qualified in assessing and treating anxiety, depression, personality disorders, eating disorders, attachment disorders and broken relationships.
I have been working with families, children and adults who have presented with moderate to severe mental health difficulties and emotional distress. I am also interested in trauma and the treatment of self-harm and suicidal behaviours. Over the years, I've supported young people and adults with histories involving early traumas, abuse and neglect. I am qualified in assessing and treating anxiety, depression, personality disorders, eating disorders, attachment disorders and broken relationships.
0121 312 1446 View 0121 312 1446
Photo of Red Maple Counselling, Counsellor in West Midlands, England
Red Maple Counselling
Counsellor, MBACP
Verified Verified
1 Endorsed
The relationships and experiences that we have, shape the way that we understand the world around. These can make us feel uneasy, and we need to think out aloud. Having an objective ear can help to better understand ourselves. This can be related to personal relationships, our working life, family challenges, life events and many aspects of the world around us. I offer a space that works ethically, and within the boundaries of confidentiality and safeguarding. I aim to support exploration of how challenges and concerns can be overcome in a collaborative way and at your pace. I offer individual counselling.
The relationships and experiences that we have, shape the way that we understand the world around. These can make us feel uneasy, and we need to think out aloud. Having an objective ear can help to better understand ourselves. This can be related to personal relationships, our working life, family challenges, life events and many aspects of the world around us. I offer a space that works ethically, and within the boundaries of confidentiality and safeguarding. I aim to support exploration of how challenges and concerns can be overcome in a collaborative way and at your pace. I offer individual counselling.
0121 752 9177 View 0121 752 9177
Photo of Parveen Kaur, Psychotherapist in West Midlands, England
Parveen Kaur
Psychotherapist, MSc, MBABCP
Verified Verified
I am a fully accredited and qualified psychotherapist and counsellor, working in both the private and public sector. I have over 14 years of experience working in mental health NHS services and can support people experiencing low mood, depression, generalised anxiety, phobias, PTSD, relationship difficulties, anger, loss, bereavement, trauma, bulimia nervosa, anorexia nervosa, binge eating disorder, OCD, identity and cultural issues. I am able to offer integrative psychotherapy, cognitive behavioural therapy, EMDR or person centred counselling to help people move forward in their lives when they feel stuck or distressed.
I am a fully accredited and qualified psychotherapist and counsellor, working in both the private and public sector. I have over 14 years of experience working in mental health NHS services and can support people experiencing low mood, depression, generalised anxiety, phobias, PTSD, relationship difficulties, anger, loss, bereavement, trauma, bulimia nervosa, anorexia nervosa, binge eating disorder, OCD, identity and cultural issues. I am able to offer integrative psychotherapy, cognitive behavioural therapy, EMDR or person centred counselling to help people move forward in their lives when they feel stuck or distressed.
0121 752 9130 View 0121 752 9130
Photo of Dianne Mee, Psychotherapist in West Midlands, England
Dianne Mee
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
Maybe you had a difficult childhood, suffered neglect, abuse, bullying. Perhaps life became challenging later on. Trauma is a subjective experience, if something upset you at any point then you may be still living with the impact of the trauma. There may be multiple traumatic events in your life which you have been unable to process. Subsequent traumatic events will add to your distress. Untreated trauma inevitably manifests itself as anxiety, depression and other mental health conditions. If you would like to make sense of your life and repair the damage caused by your past then EMDR provides the most humane & effective treatment.
Maybe you had a difficult childhood, suffered neglect, abuse, bullying. Perhaps life became challenging later on. Trauma is a subjective experience, if something upset you at any point then you may be still living with the impact of the trauma. There may be multiple traumatic events in your life which you have been unable to process. Subsequent traumatic events will add to your distress. Untreated trauma inevitably manifests itself as anxiety, depression and other mental health conditions. If you would like to make sense of your life and repair the damage caused by your past then EMDR provides the most humane & effective treatment.
0121 387 3527 View 0121 387 3527
Photo of All in Dew Time Therapy & Supervisory Services, Counsellor in West Midlands, England
All in Dew Time Therapy & Supervisory Services
Counsellor, MSc, MBACP
Verified Verified
Counselling room in Castle Bromwich, Solihull, Birmingham and online UK. Hello, I warmly welcome you to my page for details of my trauma informed services. There can be times in life where things can feel overwhelming and challenging and it may be hard to reach out for the help and support that you deserve and that feels right for you. Reaching out for help and support is always a sign of strength and never weakness. During these challenging times, I am offering low cost counselling and psychotherapy which can be made available immediately for you through telephone, and online with me, through Teams, Zoom, Skype and WhatsApp.
Counselling room in Castle Bromwich, Solihull, Birmingham and online UK. Hello, I warmly welcome you to my page for details of my trauma informed services. There can be times in life where things can feel overwhelming and challenging and it may be hard to reach out for the help and support that you deserve and that feels right for you. Reaching out for help and support is always a sign of strength and never weakness. During these challenging times, I am offering low cost counselling and psychotherapy which can be made available immediately for you through telephone, and online with me, through Teams, Zoom, Skype and WhatsApp.
01675 620925 View 01675 620925
Photo of Tracy Purvis, Counsellor in West Midlands, England
Tracy Purvis
Counsellor, MNCPS Acc.
Verified Verified
Hi and welcome to my profile. I know it can be daunting reaching out for support and you might be wondering whether you will be judged, worried about opening up to a stranger, scared that you might get too overwhelmed with emotions and embarrass yourself and even worried your information will get out once you start talking to me. I want you to know that from personal experience I know taking the first step can be difficult and I understand why you might be scared to do so. You are not alone in how you are feeling and most people who are thinking about counselling can feel this way at the beginning.
Hi and welcome to my profile. I know it can be daunting reaching out for support and you might be wondering whether you will be judged, worried about opening up to a stranger, scared that you might get too overwhelmed with emotions and embarrass yourself and even worried your information will get out once you start talking to me. I want you to know that from personal experience I know taking the first step can be difficult and I understand why you might be scared to do so. You are not alone in how you are feeling and most people who are thinking about counselling can feel this way at the beginning.
0121 661 3179 View 0121 661 3179

See more therapy options for West Midlands

How does your Counsellor compare?

Number of Counsellors in West Midlands

600+

Average cost per session

£60

Counsellors in West Midlands who prioritize treating:

93% Anxiety
87% Depression
86% Self Esteem
82% Stress
78% Relationship Issues
69% Trauma and PTSD
66% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

67% Aviva
59% AXA PPP
49% Bupa

How Counsellors in West Midlands see their clients

70% In Person and Online
30% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in West Midlands?

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.