Counselling in Twickenham

Photo of Annabelle Hird, Counsellor in Twickenham, England
Annabelle Hird
Counsellor, MBACP
Verified Verified
1 Endorsed
Twickenham TW1
Having trained at London's Tavistock and Portman and qualified at The Gestalt Centre, I combine my work with Post Natal Depression Charity, Cocoon Family support, youth counselling charity, Off The Record, and my own private practice. I work with a broad client base presenting with varied issues ranging from feeling sad to generalised anxiety disorder and panic disorder, relationship issues to seasonal affective disorder. I believe in the power of an empathetic, supportive therapeutic relationship.
Having trained at London's Tavistock and Portman and qualified at The Gestalt Centre, I combine my work with Post Natal Depression Charity, Cocoon Family support, youth counselling charity, Off The Record, and my own private practice. I work with a broad client base presenting with varied issues ranging from feeling sad to generalised anxiety disorder and panic disorder, relationship issues to seasonal affective disorder. I believe in the power of an empathetic, supportive therapeutic relationship.
07480 487035 View 07480 487035
Photo of Brigitte Herren, Psychotherapist in Twickenham, England
Brigitte Herren
Psychotherapist, MA, UKCP Trainee
Verified Verified
Twickenham TW1
If and when you are looking for someone to help you talk through a difficult life situation, a tragic loss or a void in your life, it can be a daunting endeavour but it is also a brave step to tackling what may have plagued you for a long time. My experience is that therapy is an effective, insightful and compassionate place to support us on our quest to finding answers and healing. The support of a therapist can be invaluable to help us to come to a deeper understanding of ourselves, the challenges we face and to help us forge a new way forward.
If and when you are looking for someone to help you talk through a difficult life situation, a tragic loss or a void in your life, it can be a daunting endeavour but it is also a brave step to tackling what may have plagued you for a long time. My experience is that therapy is an effective, insightful and compassionate place to support us on our quest to finding answers and healing. The support of a therapist can be invaluable to help us to come to a deeper understanding of ourselves, the challenges we face and to help us forge a new way forward.
01748 902910 View 01748 902910
Photo of Twickenham Therapy Ltd, Psychotherapist in Twickenham, England
Twickenham Therapy Ltd
Psychotherapist, MBACP
Verified Verified
Twickenham TW1
Hello there. When we meet, I'll be interested in listening to your story and more importantly what brings you to therapy. Perhaps you are looking for some sort of peace within yourself or with your situation. Maybe you don't feel right and haven't done for a while but don't feel able to change. Sometimes life can be difficult to cope with. Therapy gives you the opportunity to slow down and reflect upon where you are at. It is a good way to check out how you really feel and the source of your discomfort. If you are looking for change then I will empathically support you through that process.
Hello there. When we meet, I'll be interested in listening to your story and more importantly what brings you to therapy. Perhaps you are looking for some sort of peace within yourself or with your situation. Maybe you don't feel right and haven't done for a while but don't feel able to change. Sometimes life can be difficult to cope with. Therapy gives you the opportunity to slow down and reflect upon where you are at. It is a good way to check out how you really feel and the source of your discomfort. If you are looking for change then I will empathically support you through that process.
01748 902543 View 01748 902543
Photo of Dr Sara Bhattachary, Psychologist in Twickenham, England
Dr Sara Bhattachary
Psychologist, HCPC - Clin. Psych.
Verified Verified
Twickenham TW1
Growing up can be hard and modern life presents many challenges for young people. Perhaps you are a parent, having noticed your child seems sad, withdrawn or not themselves. They may seem worried or anxious. You may be a young person yourself, struggling to manage the unrelenting pressure of society, education, social media, friends and family. Perhaps you are the parent of a much younger child, wanting to learn new ways of managing their behaviour or worries. Whatever your reasons for being here, thank you for visiting my profile. Please get in touch to discuss your concerns and how I can help you to find a new way forward.
Growing up can be hard and modern life presents many challenges for young people. Perhaps you are a parent, having noticed your child seems sad, withdrawn or not themselves. They may seem worried or anxious. You may be a young person yourself, struggling to manage the unrelenting pressure of society, education, social media, friends and family. Perhaps you are the parent of a much younger child, wanting to learn new ways of managing their behaviour or worries. Whatever your reasons for being here, thank you for visiting my profile. Please get in touch to discuss your concerns and how I can help you to find a new way forward.
020 4538 5383 View 020 4538 5383
Photo of Lorraine Ross, Counsellor in Twickenham, England
Lorraine Ross
Counsellor, MBACP
Verified Verified
1 Endorsed
Twickenham TW1
I provide comprehensive counselling services both in-person and online, addressing a diverse range of issues with a particular emphasis on Loss and Bereavement. Offering flexible scheduling, including evening sessions, I understand that taking the first step into counseling can be challenging. For a thoughtful and confidential exploration of your questions, please reach out for a complimentary 15-minute initial consultation. Drawing on four years of experience with Cruse Bereavement charity, I have assisted individuals in navigating their grief and am equipped to address various concerns.
I provide comprehensive counselling services both in-person and online, addressing a diverse range of issues with a particular emphasis on Loss and Bereavement. Offering flexible scheduling, including evening sessions, I understand that taking the first step into counseling can be challenging. For a thoughtful and confidential exploration of your questions, please reach out for a complimentary 15-minute initial consultation. Drawing on four years of experience with Cruse Bereavement charity, I have assisted individuals in navigating their grief and am equipped to address various concerns.
020 3823 6941 View 020 3823 6941
Photo of Sinead M Jones, Psychotherapist in Twickenham, England
Sinead M Jones
Psychotherapist, MA, MBACP
Verified Verified
Twickenham TW2
I am specifically trained, at Masters level, to work therapeutically with children, young people, and families as a counsellor and psychotherapist. I am also a qualified teacher with experience of working with children who have been diagnosed, and or who identify as neurodiverse. In addition to my private practice, I work as a school counsellor and I volunteer in a Youth Counselling Service. My therapeutic approach is integrative, meaning I use the ideas and strategies from a range of therapeutic models, matching the best approach suited specifically to your or your child’s needs.
I am specifically trained, at Masters level, to work therapeutically with children, young people, and families as a counsellor and psychotherapist. I am also a qualified teacher with experience of working with children who have been diagnosed, and or who identify as neurodiverse. In addition to my private practice, I work as a school counsellor and I volunteer in a Youth Counselling Service. My therapeutic approach is integrative, meaning I use the ideas and strategies from a range of therapeutic models, matching the best approach suited specifically to your or your child’s needs.
020 3857 8062 View 020 3857 8062
Photo of Laura Wates, Counsellor in Twickenham, England
Laura Wates
Counsellor, MBACP
Verified Verified
2 Endorsed
Twickenham TW1
Trying to make sense of things can feel hugely overwhelming. A feeling of knowing deep down, things need to be explored. I believe therapy should provide you with a supportive space to call your own. A space to feel comfortable enough to explore those inner most parts. To unpack, process and try things out. To reflect and reframe.
Trying to make sense of things can feel hugely overwhelming. A feeling of knowing deep down, things need to be explored. I believe therapy should provide you with a supportive space to call your own. A space to feel comfortable enough to explore those inner most parts. To unpack, process and try things out. To reflect and reframe.
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Photo of Dr Robert Owen, Psychotherapist in Twickenham, England
Dr Robert Owen
Psychotherapist, PhD, MNCPS Acc.
Verified Verified
1 Endorsed
Twickenham TW2
I'm here to help you get different results. Whether you're experiencing stress, depression, anxiety, anger or low self-esteem, we can work it out - sometimes within just 4 to 6 sessions. ​Maybe you've already identified some repeating patterns in your life that lead you where you don't want - or like - to be; maybe you feel like a puppet on strings, knowing unseen forces are pulling you but unable to identify quite what they are and thus break free? I'll work with you on your behavioural patterns, starting with identifying them (either you can explain them to me or we can identify them together) then looking at their sources and identifying ways of breaking free of them.
I'm here to help you get different results. Whether you're experiencing stress, depression, anxiety, anger or low self-esteem, we can work it out - sometimes within just 4 to 6 sessions. ​Maybe you've already identified some repeating patterns in your life that lead you where you don't want - or like - to be; maybe you feel like a puppet on strings, knowing unseen forces are pulling you but unable to identify quite what they are and thus break free? I'll work with you on your behavioural patterns, starting with identifying them (either you can explain them to me or we can identify them together) then looking at their sources and identifying ways of breaking free of them.
01748 902219 View 01748 902219
Photo of Sheela Hollywood, Psychotherapist in Twickenham, England
Sheela Hollywood
Psychotherapist, MSc, MUKCP
Verified Verified
Twickenham TW2
Whatever your reasons for seeking therapy, I will offer a safe, non-judgemental space, where we can explore the difficulties you are facing. I am calm, warm and open, with a deep respect for your uniquness and individuality. My aim is to build a trusting relationship with you, to help you find the peace, change or growth you seek.
Whatever your reasons for seeking therapy, I will offer a safe, non-judgemental space, where we can explore the difficulties you are facing. I am calm, warm and open, with a deep respect for your uniquness and individuality. My aim is to build a trusting relationship with you, to help you find the peace, change or growth you seek.
020 4538 4825 View 020 4538 4825
Photo of Viola Staron, Counsellor in Twickenham, England
Viola Staron
Counsellor, MBACP Accred
Verified Verified
Twickenham TW2
I am a fully trained BACP Registered and Accredited Counsellor with 20 years of experience in working with adolescents and adults. In my approach I believe that we all have potential for a change and growth. Our natural, human urge is to survive and thrive even in times of total chaos, when trapped in a vicious circle, when lacking motivation and being overwhelmed with despair and negative feelings. In trusting, therapeutic relationship, based on empathy, understanding and lack of judgement we can talk through what we are experiencing and increasingly choose how we respond to the issues and challenges we face in our lives.
I am a fully trained BACP Registered and Accredited Counsellor with 20 years of experience in working with adolescents and adults. In my approach I believe that we all have potential for a change and growth. Our natural, human urge is to survive and thrive even in times of total chaos, when trapped in a vicious circle, when lacking motivation and being overwhelmed with despair and negative feelings. In trusting, therapeutic relationship, based on empathy, understanding and lack of judgement we can talk through what we are experiencing and increasingly choose how we respond to the issues and challenges we face in our lives.
020 3974 1354 View 020 3974 1354
Photo of Hannah Richardson, Counsellor in Twickenham, England
Hannah Richardson
Counsellor, MBACP
Verified Verified
Twickenham TW2
If you're here, your probably finding life tough at the moment. Perhaps your anxiety levels are going through the roof or maybe you're wondering what's happening in your relationships? Perhaps past experiences are getting in the way of you living the way you would like to. Or maybe you just need to talk something through. Therapy can help you find a way forward if you're struggling. If you come to see me, together we will find ways to alleviate your distress, understand what's going on and how, with awareness, things can change.
If you're here, your probably finding life tough at the moment. Perhaps your anxiety levels are going through the roof or maybe you're wondering what's happening in your relationships? Perhaps past experiences are getting in the way of you living the way you would like to. Or maybe you just need to talk something through. Therapy can help you find a way forward if you're struggling. If you come to see me, together we will find ways to alleviate your distress, understand what's going on and how, with awareness, things can change.
020 4538 6706 View 020 4538 6706
Photo of David O'Connor, Counsellor in Twickenham, England
David O'Connor
Counsellor, MNCPS Acc.
Verified Verified
Twickenham TW1
Hello, I am a qualified and accredited psychotherapeutic counsellor. I offer to support clients with a range of issues including abuse, anger, anxiety & stress, addiction, depression, relationship, self-confidence and workplace issues. Clients I see come to counselling for many reasons, to give themselves the opportunity to explore, clarify, gain or increase awareness of difficulties or problems they are experiencing and, or how they may want to change unhelpful patterns of thoughts, feelings or behaviours they are experiencing with a view to finding their new pathway to a more comfortable and satisfying way of being in the world.
Hello, I am a qualified and accredited psychotherapeutic counsellor. I offer to support clients with a range of issues including abuse, anger, anxiety & stress, addiction, depression, relationship, self-confidence and workplace issues. Clients I see come to counselling for many reasons, to give themselves the opportunity to explore, clarify, gain or increase awareness of difficulties or problems they are experiencing and, or how they may want to change unhelpful patterns of thoughts, feelings or behaviours they are experiencing with a view to finding their new pathway to a more comfortable and satisfying way of being in the world.
020 7870 1608 View 020 7870 1608
Rebecca Cobb
Psychotherapist, MA, MUKCP
Verified Verified
Twickenham TW1  (Online Only)
Are you experiencing overwhelming feelings, health problems or a generalized dissatisfaction with your life? Do you feel like you could do with some support to clarify your thoughts and talk through your situation with someone outside of your regular circle of family and friends? Are you experiencing feelings of anxiety, low mood, obsessive thoughts, addictive behaviours or a lack of enjoyment in your work and/or personal life? Are you struggling to come to terms with a health issue or diagnosis that impacts you / your family. Are you seeing yourself as no longer having the energy to be interested in things you used to enjoy?
Are you experiencing overwhelming feelings, health problems or a generalized dissatisfaction with your life? Do you feel like you could do with some support to clarify your thoughts and talk through your situation with someone outside of your regular circle of family and friends? Are you experiencing feelings of anxiety, low mood, obsessive thoughts, addictive behaviours or a lack of enjoyment in your work and/or personal life? Are you struggling to come to terms with a health issue or diagnosis that impacts you / your family. Are you seeing yourself as no longer having the energy to be interested in things you used to enjoy?
01748 900162 View 01748 900162
Photo of Noorien Halari, Psychotherapist in Twickenham, England
Noorien Halari
Psychotherapist, MUKCP
Verified Verified
Twickenham TW2
I understand that seeking therapy can be both comforting and daunting, but it can also be liberating and I commend individuals who reach out for help. Our pain can often be a message that there is something amiss in our lives, and I believe it is important that we listen to that message. Whether you are dealing with a difficult time in your life and need help managing the emotions and thoughts, I aim to assist individuals to better understand the relationship between their feelings and thoughts and explore ways to change maladaptive patterns.
I understand that seeking therapy can be both comforting and daunting, but it can also be liberating and I commend individuals who reach out for help. Our pain can often be a message that there is something amiss in our lives, and I believe it is important that we listen to that message. Whether you are dealing with a difficult time in your life and need help managing the emotions and thoughts, I aim to assist individuals to better understand the relationship between their feelings and thoughts and explore ways to change maladaptive patterns.
01748 901544 View 01748 901544
Photo of Lei Sorvisto in Twickenham, England
Lei Sorvisto
MSc
Verified Verified
Twickenham TW1
In a world where cultural boundaries are increasingly fluid, but personal and professional challenges remain complex, finding a therapist who truly understands your unique context is crucial. If you're navigating the intricacies of expatriate life, feeling lost in uncharted territory, grappling with the pressures of a high-stress career, or seeking a deeper understanding of your multifaceted identity, I am here to guide you through your journey toward mental well-being.
In a world where cultural boundaries are increasingly fluid, but personal and professional challenges remain complex, finding a therapist who truly understands your unique context is crucial. If you're navigating the intricacies of expatriate life, feeling lost in uncharted territory, grappling with the pressures of a high-stress career, or seeking a deeper understanding of your multifaceted identity, I am here to guide you through your journey toward mental well-being.
020 3984 9060 View 020 3984 9060
Photo of David Morris, Counsellor in Twickenham, England
David Morris
Counsellor, MBACP
Verified Verified
1 Endorsed
Twickenham TW1
Whether you have a clear idea of your goals or are currently grappling with uncertainty, Counselling can be instrumental in making sense of life's thoughts, feelings, and experiences. I am flexible and adaptive, tailoring my approach to your pace and therapeutic aims. Whether short or long-term we will identify what best supports you as an individual. I am a fully qualified therapist, registered with the BACP and experienced in working with a wide range of issues. I work in-person in southwest and central London or on-line over Zoom/Teams or another suitable way.
Whether you have a clear idea of your goals or are currently grappling with uncertainty, Counselling can be instrumental in making sense of life's thoughts, feelings, and experiences. I am flexible and adaptive, tailoring my approach to your pace and therapeutic aims. Whether short or long-term we will identify what best supports you as an individual. I am a fully qualified therapist, registered with the BACP and experienced in working with a wide range of issues. I work in-person in southwest and central London or on-line over Zoom/Teams or another suitable way.
020 4538 1841 View 020 4538 1841
Photo of melaniehallowscounselling.co.uk, Counsellor in Twickenham, England
melaniehallowscounselling.co.uk
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
Twickenham TW2
I have worked for the past 7 years for a Children's Mental Health Charity with a particular experience in supporting parents with issues impacting on their parenting and family relationships including separation and divorce, bereavement, domestic abuse, anxiety and depression and low self-esteem. Parents who have engaged in counselling have reported an improvement in their confidence, self-esteem and emotional wellbeing which has impacted on their family relationships. During the Pandemic I have supported many clients through my private practise with issues related to home-working and subsequent anxiety and depression.
I have worked for the past 7 years for a Children's Mental Health Charity with a particular experience in supporting parents with issues impacting on their parenting and family relationships including separation and divorce, bereavement, domestic abuse, anxiety and depression and low self-esteem. Parents who have engaged in counselling have reported an improvement in their confidence, self-esteem and emotional wellbeing which has impacted on their family relationships. During the Pandemic I have supported many clients through my private practise with issues related to home-working and subsequent anxiety and depression.
01748 902526 View 01748 902526
Photo of Briony Barton-Chapple, Counsellor in Twickenham, England
Briony Barton-Chapple
Counsellor, MBACP Accred
Verified Verified
Twickenham TW2
Hello, I'm Briony, a qualified counsellor working with individuals, couples, children and adolescents. Counselling is for anyone who wants a safe, confidential, accepting place to talk about any issue, big or small. Some people come with something specific they want to change, some with unresolved past issues, and others because things just don't feel right, or they don't feel happy.
Hello, I'm Briony, a qualified counsellor working with individuals, couples, children and adolescents. Counselling is for anyone who wants a safe, confidential, accepting place to talk about any issue, big or small. Some people come with something specific they want to change, some with unresolved past issues, and others because things just don't feel right, or they don't feel happy.
01748 901225 View 01748 901225
Photo of TeenMatters, Psychotherapist in Twickenham, England
TeenMatters
Psychotherapist, MSc, MUKCP
Verified Verified
Twickenham TW1
Are you a parent, teenager or child looking for support from an experienced and compassionate counsellor to work through challenges and reach a better place? We offer both counselling and coaching and tailor our service to your needs by working with the individual child or teenager, the parent or both. We are experts in treating common psychological problems faced by young people today. We create a safe and comfortable environment in which they can explore these issues. As well as being highly trained psychotherapists, we are also parents with plenty of real life experience of navigating the challenges that family life can bring.
Are you a parent, teenager or child looking for support from an experienced and compassionate counsellor to work through challenges and reach a better place? We offer both counselling and coaching and tailor our service to your needs by working with the individual child or teenager, the parent or both. We are experts in treating common psychological problems faced by young people today. We create a safe and comfortable environment in which they can explore these issues. As well as being highly trained psychotherapists, we are also parents with plenty of real life experience of navigating the challenges that family life can bring.
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Photo of Anjum Siddique, Counsellor in Twickenham, England
Anjum Siddique
Counsellor, MBACP
Verified Verified
Twickenham TW2
Are you feeling challenged by life? Dealing with the ghosts of your childhood? Looking for a confidential space in which you can safely unpack your current or past painful situations? Life changes can seem overwhelming and difficult, even those desired ones . This can leave you feeling lonely, isolated and despondent. You may feel that you are alone in trying to navigate complex emotions or are struggling to reconnect with the meaning in your life. I can support you using a relational method of counselling to explore what has been happening in your life, and what that means for you.
Are you feeling challenged by life? Dealing with the ghosts of your childhood? Looking for a confidential space in which you can safely unpack your current or past painful situations? Life changes can seem overwhelming and difficult, even those desired ones . This can leave you feeling lonely, isolated and despondent. You may feel that you are alone in trying to navigate complex emotions or are struggling to reconnect with the meaning in your life. I can support you using a relational method of counselling to explore what has been happening in your life, and what that means for you.
020 8059 4031 View 020 8059 4031

See more therapy options for Twickenham

How does your Counsellor compare?

Number of Counsellors in Twickenham

100+

Average cost per session

£70

Counsellors in Twickenham who prioritize treating:

92% Anxiety
87% Depression
82% Relationship Issues
77% Self Esteem
77% Stress
70% Bereavement
60% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

74% Vitality
65% Aviva
62% AXA PPP

How Counsellors in Twickenham see their clients

89% In Person and Online
11% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Twickenham?

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.