Counselling in Aylesbury

Photo of Virginie Sussest, MBACP, Counsellor
Virginie Sussest
Counsellor, MBACP
Verified Verified
Aylesbury HP19
Feeling depressed, anxious and unworthy; suffering loss, bereavement, relationship issues, or just wanting to make sense of the world and know yourself better? Counselling can help. As a psychotherapist my main concern is to provide you with an environment where you fell feel safe and accepted. A place where you can speak freely and reflect without be judged regardless of who you are. A safe place where you can grow and blossom - I will not offer advice, but will offer a response appropriate to the material you have shared, perhaps offering a new perspective. Finding the right counsellor is a very important step in a person’s life.
Feeling depressed, anxious and unworthy; suffering loss, bereavement, relationship issues, or just wanting to make sense of the world and know yourself better? Counselling can help. As a psychotherapist my main concern is to provide you with an environment where you fell feel safe and accepted. A place where you can speak freely and reflect without be judged regardless of who you are. A safe place where you can grow and blossom - I will not offer advice, but will offer a response appropriate to the material you have shared, perhaps offering a new perspective. Finding the right counsellor is a very important step in a person’s life.
01296 327585 View 01296 327585
Photo of Annie Kissane, MSc, MBACP Snr. Accred, Psychotherapist
Annie Kissane
Psychotherapist, MSc, MBACP Snr. Accred
Verified Verified
1 Endorsed
Aylesbury HP21
Exploring the possibility of counselling/psychotherapy is a courageous step, one which can enable you to become more fully yourself. Therapy should be a place where you can feel safe and accepted, where you find it easier to share things that are concerning you. It can be a place where you come to find out more about yourself, to challenge yourself and make choices and decisions that lead towards a more positive and hopeful future. Sometimes there is something from our past, an event or an aspect of ourselves, that seems to be holding us back, and therapy can support us in addressing those things too. Be in touch for more info...
Exploring the possibility of counselling/psychotherapy is a courageous step, one which can enable you to become more fully yourself. Therapy should be a place where you can feel safe and accepted, where you find it easier to share things that are concerning you. It can be a place where you come to find out more about yourself, to challenge yourself and make choices and decisions that lead towards a more positive and hopeful future. Sometimes there is something from our past, an event or an aspect of ourselves, that seems to be holding us back, and therapy can support us in addressing those things too. Be in touch for more info...
01296 340612 View 01296 340612
Photo of Dr Elizabeth Howl, PsychD, HCPC - Clin. Psych., Psychologist
Dr Elizabeth Howl
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Aylesbury HP17  (Online Only)
Not accepting new clients
When something unexpected comes into your life, such as a traumatic event, physical health condition, or mental health problem, you can feel like your world has been turned upside down. You might wonder if you will ever get back to being the person you used to be and if you will ever enjoy life again. You might experience anxiety, episodes of panic, struggle with constant negative thoughts, be unable to sleep, isolate yourself and push away those you care most about. Whatever you are struggling with, please get in touch and together we can help you move towards the life you want to lead.
When something unexpected comes into your life, such as a traumatic event, physical health condition, or mental health problem, you can feel like your world has been turned upside down. You might wonder if you will ever get back to being the person you used to be and if you will ever enjoy life again. You might experience anxiety, episodes of panic, struggle with constant negative thoughts, be unable to sleep, isolate yourself and push away those you care most about. Whatever you are struggling with, please get in touch and together we can help you move towards the life you want to lead.
01442 504528 View 01442 504528
Photo of Chrissy Peel, MBACP, Counsellor
Chrissy Peel
Counsellor, MBACP
Verified Verified
1 Endorsed
Aylesbury HP21
When life events past or present become overwhelming, it can feel hard to cope with things alone & often hard to reach out to family or friends. If you are experiencing trauma & PTSD symptoms, such as anxiety, depression, flashbacks, panic attacks, anger issues, self-harm, low self-esteem, disconnection, shame, loss, isolation, we can work together at your pace to help you move through these feelings & behaviours. "Trauma is not what happens to you, it’s what happens inside you as a result of what happened to you. Trauma is that scarring that makes you less flexible, more rigid, less feeling and more defended." (Dr Gabor Mate)
When life events past or present become overwhelming, it can feel hard to cope with things alone & often hard to reach out to family or friends. If you are experiencing trauma & PTSD symptoms, such as anxiety, depression, flashbacks, panic attacks, anger issues, self-harm, low self-esteem, disconnection, shame, loss, isolation, we can work together at your pace to help you move through these feelings & behaviours. "Trauma is not what happens to you, it’s what happens inside you as a result of what happened to you. Trauma is that scarring that makes you less flexible, more rigid, less feeling and more defended." (Dr Gabor Mate)
01442 974608 View 01442 974608
Photo of Tim Lockley, MBACP, Psychotherapist
Tim Lockley
Psychotherapist, MBACP
Verified Verified
Aylesbury HP22
​I’m a qualified and BACP registered psychotherapist offering online sessions with individuals. My focus is on creating a safe and supportive environment for clients to explore their thoughts and feelings. I believe in the importance of building a strong therapeutic relationship with my clients, and I work collaboratively with them to help identify and address their unique needs and challenges. My approach is relational, informed by both psychodynamic and person centred theories, which means that I draw from a wide body of theory, exploring how our pasts influence our presents, as well as what is happening in the 'here and now'.
​I’m a qualified and BACP registered psychotherapist offering online sessions with individuals. My focus is on creating a safe and supportive environment for clients to explore their thoughts and feelings. I believe in the importance of building a strong therapeutic relationship with my clients, and I work collaboratively with them to help identify and address their unique needs and challenges. My approach is relational, informed by both psychodynamic and person centred theories, which means that I draw from a wide body of theory, exploring how our pasts influence our presents, as well as what is happening in the 'here and now'.
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Photo of John Nicholas Lingley, MBACP Accred, Counsellor
John Nicholas Lingley
Counsellor, MBACP Accred
Verified Verified
Aylesbury HP22
I support clients to achieve personal growth and well-being by working collaboratively with their diffculities. These may include childhood traumas such as insecure attachment and complex PTSD which may be result in sufferring from recurring anxiety and depression.
I support clients to achieve personal growth and well-being by working collaboratively with their diffculities. These may include childhood traumas such as insecure attachment and complex PTSD which may be result in sufferring from recurring anxiety and depression.
01442 503434 View 01442 503434
Photo of Thea Brady, PNCPS Acc., Psychotherapist
Thea Brady
Psychotherapist, PNCPS Acc.
Verified Verified
Aylesbury HP19
I have experience working with individuals experiencing various difficulties such as depression, anxiety disorders (social anxiety, health anxiety, OCD), panic, phobias, trauma symptoms, low self-esteem and confidence, relationship/communication breakdowns, stress or a feeling of disconnect from yourself and others. I offer a safe and non-judgmental space to explore difficult emotions or conflicts you may wish to address. I work using a variety of methods whereby I can support by offering alternative coping strategies and techniques in line with CBT or offer reflection to help you increase your awareness of your needs.
I have experience working with individuals experiencing various difficulties such as depression, anxiety disorders (social anxiety, health anxiety, OCD), panic, phobias, trauma symptoms, low self-esteem and confidence, relationship/communication breakdowns, stress or a feeling of disconnect from yourself and others. I offer a safe and non-judgmental space to explore difficult emotions or conflicts you may wish to address. I work using a variety of methods whereby I can support by offering alternative coping strategies and techniques in line with CBT or offer reflection to help you increase your awareness of your needs.
01442 506256 View 01442 506256
Photo of Samantha Cox, MBACP, Counsellor
Samantha Cox
Counsellor, MBACP
Verified Verified
2 Endorsed
Aylesbury HP19
Life can throw some really difficult situations at us and when this happens, it can be difficult to stay positive and cope with everyday life. I believe that counselling should provide you with an opportunity to explore any personal difficulties in a confidential, supportive, and non-judgmental environment. I am an integrative counsellor with a relational approach. My aim is to provide, a counselling space that is a supportive environment in which you will be given the time and space to explore, understand and gain insight into your unique situation. I have several years of experience working with young people from 11 years old.
Life can throw some really difficult situations at us and when this happens, it can be difficult to stay positive and cope with everyday life. I believe that counselling should provide you with an opportunity to explore any personal difficulties in a confidential, supportive, and non-judgmental environment. I am an integrative counsellor with a relational approach. My aim is to provide, a counselling space that is a supportive environment in which you will be given the time and space to explore, understand and gain insight into your unique situation. I have several years of experience working with young people from 11 years old.
01296 323422 View 01296 323422
Photo of Robert Fowler, BACP, Counsellor
Robert Fowler
Counsellor, BACP
Verified Verified
Aylesbury HP21
You may find the decision to come to counselling a difficult one to make, so I offer a phone call to begin with, to find out what you expect or would like to achieve through counselling as well as to reassure you, before we meet in person. Taking that first step may be daunting, so I offer a neutral, relaxed and safe space for therapy within the Aylesbury area. Having worked with Bucks Mind Charity, I have gained experience in working with depression, anxiety, stress, trauma and low self-esteem, working with clients of all ages.
You may find the decision to come to counselling a difficult one to make, so I offer a phone call to begin with, to find out what you expect or would like to achieve through counselling as well as to reassure you, before we meet in person. Taking that first step may be daunting, so I offer a neutral, relaxed and safe space for therapy within the Aylesbury area. Having worked with Bucks Mind Charity, I have gained experience in working with depression, anxiety, stress, trauma and low self-esteem, working with clients of all ages.
01442 504383 View 01442 504383
Photo of Misha Bowden - Haase Cbt Emdr Therapist, MBABCP, Psychotherapist
Misha Bowden - Haase Cbt Emdr Therapist
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Aylesbury HP21
Waitlist for new clients
Whether past memories need addressing, skills that need developing or a current life situation/circumstance that needs processing (or maybe a mixture of all), we can work together to achieve this. Throughout my sessions you will learn more about yourself, regain balance in your life and flourish into the person you want and deserve to be. There is no one size fits all so your individual needs are catered for. Are you interested in Eye Movement Desensitising Therapy (EMDR) or Cognitive Behavioural Therapy (CBT)? If so, we could be a great fit.
Whether past memories need addressing, skills that need developing or a current life situation/circumstance that needs processing (or maybe a mixture of all), we can work together to achieve this. Throughout my sessions you will learn more about yourself, regain balance in your life and flourish into the person you want and deserve to be. There is no one size fits all so your individual needs are catered for. Are you interested in Eye Movement Desensitising Therapy (EMDR) or Cognitive Behavioural Therapy (CBT)? If so, we could be a great fit.
01923 961891 View 01923 961891
Photo of Sharn Jenkins, BACP, Counsellor
Sharn Jenkins
Counsellor, BACP
Verified Verified
1 Endorsed
Aylesbury HP21
Hello, My name is Sharn. I appreciate that taking the first step towards counselling can feel daunting and take courage. Whether you're facing challenges, seeking personal growth, or simply need someone to talk to, I'm here to support you. I am a dedicated and compassionate counsellor committed to supporting you on your journey toward emotional well-being and personal growth. I offer a safe and non-judgmental space for you to explore your thoughts, feelings and any challenges you may face.
Hello, My name is Sharn. I appreciate that taking the first step towards counselling can feel daunting and take courage. Whether you're facing challenges, seeking personal growth, or simply need someone to talk to, I'm here to support you. I am a dedicated and compassionate counsellor committed to supporting you on your journey toward emotional well-being and personal growth. I offer a safe and non-judgmental space for you to explore your thoughts, feelings and any challenges you may face.
01296 929286 View 01296 929286
Photo of Nicola Biggs - Aylesbury Therapy, MNCPS Acc., Counsellor
Aylesbury Therapy
Counsellor, MNCPS Acc.
Verified Verified
Aylesbury HP20
Aylesbury Therapy are fully qualified Counsellors & Psychotherapists with a wealth of experience over a varied range of styles & approaches. We offer a private tailored service to all our clients. Our team cover a number of specialty areas & all our appointments are offered in person. We work with children, teens, adults, couples & families. Our service is open 7 days a week by appointment only. In additions we also run a low cost service with 50 minute sessions for just £25. These sessions are for over 16 year old's only and the therapists are trainees in their final stages of qualification. Get in touch to apply for this service.
Aylesbury Therapy are fully qualified Counsellors & Psychotherapists with a wealth of experience over a varied range of styles & approaches. We offer a private tailored service to all our clients. Our team cover a number of specialty areas & all our appointments are offered in person. We work with children, teens, adults, couples & families. Our service is open 7 days a week by appointment only. In additions we also run a low cost service with 50 minute sessions for just £25. These sessions are for over 16 year old's only and the therapists are trainees in their final stages of qualification. Get in touch to apply for this service.
01296 321185 View 01296 321185
Photo of Pauline Jane Green - Pauline Jayne Counselling, MBACP, Counsellor
Pauline Jayne Counselling
Counsellor, MBACP
Verified Verified
Aylesbury HP22
Hi I'm Pauline, Sometimes life just feels to difficult or painful, you feel heavy hearted, deflated, depressed, anxious, lost, the light at the end of the tunnel is just not there to see and you don’t know how to make changes to feel different. In my experience having someone to talk to who listens, understands, and supports you, is the start to making the changes needed for you to feel different. To work on not only see the light at the end of the dark tunnel, but actually reach it and walk into it.
Hi I'm Pauline, Sometimes life just feels to difficult or painful, you feel heavy hearted, deflated, depressed, anxious, lost, the light at the end of the tunnel is just not there to see and you don’t know how to make changes to feel different. In my experience having someone to talk to who listens, understands, and supports you, is the start to making the changes needed for you to feel different. To work on not only see the light at the end of the dark tunnel, but actually reach it and walk into it.
01296 340130 View 01296 340130
Photo of Louisa Woodford, DCounsPsych, MBACP, Psychotherapist
Louisa Woodford
Psychotherapist, DCounsPsych, MBACP
Verified Verified
2 Endorsed
Aylesbury HP22
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 Lisa Michelle Green - Green Therapy, BACP, Psychotherapist
Green Therapy
Psychotherapist, BACP
Verified Verified
Aylesbury HP20
If you would like someone to listen to you and help you find ways to manage your emotional issues such as depression, anxiety, bereavement, trauma or difficult life events then counselling can help. I work with young people and adults in private practise situated in Aylesbury and Thame. I offer a confidential non-judgemental safe and comfortable environment, allowing my client's to express and explore themselves, their feelings, thoughts and concerns.
If you would like someone to listen to you and help you find ways to manage your emotional issues such as depression, anxiety, bereavement, trauma or difficult life events then counselling can help. I work with young people and adults in private practise situated in Aylesbury and Thame. I offer a confidential non-judgemental safe and comfortable environment, allowing my client's to express and explore themselves, their feelings, thoughts and concerns.
07723 456080 View 07723 456080
Photo of Dr Lisa Matthias, PsychD, CPsychol, Psychologist
Dr Lisa Matthias
Psychologist, PsychD, CPsychol
Verified Verified
Aylesbury HP22  (Online Only)
Not accepting new clients
I am a dedicated and compassionate Counselling Psychologist with over fifteen years of experience working in the NHS and private sector. I have extensive experience of assessing and treating clients (adults, children and groups) across a broad range of NHS healthcare settings. This has included work in GP surgeries, primary care, IAPT and community mental health teams (CMHTs). Within these settings I have provided high quality evidence-based psychological therapies to people who present with a range of mental health difficulties from mild, moderate to severe and enduring.
I am a dedicated and compassionate Counselling Psychologist with over fifteen years of experience working in the NHS and private sector. I have extensive experience of assessing and treating clients (adults, children and groups) across a broad range of NHS healthcare settings. This has included work in GP surgeries, primary care, IAPT and community mental health teams (CMHTs). Within these settings I have provided high quality evidence-based psychological therapies to people who present with a range of mental health difficulties from mild, moderate to severe and enduring.
01296 929653 View 01296 929653
Photo of Natalie McGourty, MBACP, Counsellor
Natalie McGourty
Counsellor, MBACP
Verified Verified
Aylesbury HP17
I am a qualified counsellor helping people with a wide range of issues and have considerable experience supporting people with anxiety. I offer a warm, friendly and confidential space for you to talk through any problems you may be facing, helping you to make sense of things and gain a better understanding of yourself whilst supporting you in any changes you wish to make.
I am a qualified counsellor helping people with a wide range of issues and have considerable experience supporting people with anxiety. I offer a warm, friendly and confidential space for you to talk through any problems you may be facing, helping you to make sense of things and gain a better understanding of yourself whilst supporting you in any changes you wish to make.
01296 340520 View 01296 340520
Photo of Dr Debby Moss, PhD, MBACP, Counsellor
Dr Debby Moss
Counsellor, PhD, MBACP
Verified Verified
2 Endorsed
Aylesbury HP18
Seeking support when life feels hard can be overwhelming. But by reaching out, you have taken the first step. Counselling can help you better understand the changes happening in your life, explore what is important to you, and support you in better communicating your needs to those around you. It can enable you to explore how you can come to sense of acceptance and become more confident with your life choices.
Seeking support when life feels hard can be overwhelming. But by reaching out, you have taken the first step. Counselling can help you better understand the changes happening in your life, explore what is important to you, and support you in better communicating your needs to those around you. It can enable you to explore how you can come to sense of acceptance and become more confident with your life choices.
01296 929268 View 01296 929268
Photo of Lisa Dawn Pyper, MBACP, Counsellor
Lisa Dawn Pyper
Counsellor, MBACP
Verified Verified
Aylesbury HP22
Hello. I run a online counselling practice specifically for woman who identify with being ADHD (diagnosed or undiagnosed ). As a Integrative counsellor, I combine different therapeutic approaches to fit you as a person, depending on your own specific needs and individual personality. I qualified as a Counsellor eighteen years ago at the Iron Mill Institute. I have since supported young people and adults in private practice, secondary schools and housing associations.
Hello. I run a online counselling practice specifically for woman who identify with being ADHD (diagnosed or undiagnosed ). As a Integrative counsellor, I combine different therapeutic approaches to fit you as a person, depending on your own specific needs and individual personality. I qualified as a Counsellor eighteen years ago at the Iron Mill Institute. I have since supported young people and adults in private practice, secondary schools and housing associations.
01442 974571 View 01442 974571
Photo of Allegra Wassef, DCounsPsych, MBACP, Counsellor
Allegra Wassef
Counsellor, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Aylesbury HP22  (Online Only)
Welcome! My name is Allegra and I'm a qualified counsellor with a passion for helping people find inner healing and personal growth. Seeking counselling can feel daunting, but I aim to make the process as comfortable as possible by fostering a safe, judgement-free space. My goal is for you to feel at ease opening up about anything that may be weighing on your mind. Counselling provides a unique opportunity to better understand yourself and why you feel the way you do. By creating a trusting relationship, we can delve into past hurts or current struggles, increasing your self-awareness and equipping you with healthy coping tools.
Welcome! My name is Allegra and I'm a qualified counsellor with a passion for helping people find inner healing and personal growth. Seeking counselling can feel daunting, but I aim to make the process as comfortable as possible by fostering a safe, judgement-free space. My goal is for you to feel at ease opening up about anything that may be weighing on your mind. Counselling provides a unique opportunity to better understand yourself and why you feel the way you do. By creating a trusting relationship, we can delve into past hurts or current struggles, increasing your self-awareness and equipping you with healthy coping tools.
01442 971262 View 01442 971262
1

See more therapy options for Aylesbury

How does your Counsellor compare?

Number of Counsellors in Aylesbury

70+

Average cost per session

£60

Counsellors in Aylesbury who prioritize treating:

94% Anxiety
90% Self Esteem
87% Depression
81% Stress
78% Relationship Issues
72% Trauma and PTSD
68% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

57% Bupa
57% WPA
50% Aviva

How Counsellors in Aylesbury see their clients

88% In Person and Online
12% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Aylesbury?

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.