Counselling in M44

Photo of Eva Rey - Eva Rey Counselling , Counsellor, MSc, MBACP Accred
Eva Rey Counselling
Counsellor, MSc, MBACP Accred
Let’s be real: figuring out life can be exhausting. Maybe you’re doing "fine" on paper, but inside, you’re constantly overthinking, feeling "stuck," or just tired of trying to meet everyone else’s expectations. If you’re looking for a space where you can finally take off the mask and just be, I’m glad you’re here. As an Integrative Counsellor, I don’t believe in "one size fits all" therapy. You’re a unique human, so our sessions will be too. We’ll talk like real people—no clinical jargon, just honest conversation. Whether you’re navigating a big life change or trying to quiet that inner critic.
Let’s be real: figuring out life can be exhausting. Maybe you’re doing "fine" on paper, but inside, you’re constantly overthinking, feeling "stuck," or just tired of trying to meet everyone else’s expectations. If you’re looking for a space where you can finally take off the mask and just be, I’m glad you’re here. As an Integrative Counsellor, I don’t believe in "one size fits all" therapy. You’re a unique human, so our sessions will be too. We’ll talk like real people—no clinical jargon, just honest conversation. Whether you’re navigating a big life change or trying to quiet that inner critic.
0161 524 9662 View 0161 524 9662
Photo of Lindsay Curtis-Standish, Psychotherapist, MBABCP
Lindsay Curtis-Standish
Psychotherapist, MBABCP
You might be feeling overwhelmed like your thoughts are constantly racing, you're stuck in unhelpful patterns, or you keep second-guessing yourself no matter how hard you try. Maybe you’re navigating anxiety, low mood, OCD, or struggling to feel secure in your relationships. It can feel exhausting, isolating, and like you're losing touch with who you are. You’re not alone and you don’t have to figure it all out on your own. I work with people who are ready to understand what’s really holding them back and want to feel more in control, more confident, and more like themselves again. My approach is collaborative, compassionate, and
You might be feeling overwhelmed like your thoughts are constantly racing, you're stuck in unhelpful patterns, or you keep second-guessing yourself no matter how hard you try. Maybe you’re navigating anxiety, low mood, OCD, or struggling to feel secure in your relationships. It can feel exhausting, isolating, and like you're losing touch with who you are. You’re not alone and you don’t have to figure it all out on your own. I work with people who are ready to understand what’s really holding them back and want to feel more in control, more confident, and more like themselves again. My approach is collaborative, compassionate, and
0161 524 7340 View 0161 524 7340
Photo of Charlene Barlow, Psychotherapist, MBACP
Charlene Barlow
Psychotherapist, MBACP
Hello, I'm Charlie. I understand what it's like to live with anxiety and depression. I know how hard it can be to open up, especially when life feels overwhelming. I work with people who are finding life increasingly difficult, and it's no surprise! The pressures of everyday life are rising, and this is having a real impact on our mental health. I have successfully worked with many clients to reduce depression, anxiety and stress. Clients have come to me not being able to sleep, racing thoughts & low motivation. When they leave, they remark how they have gained inner calmness, feel more energy, and are connected to themselves.
Hello, I'm Charlie. I understand what it's like to live with anxiety and depression. I know how hard it can be to open up, especially when life feels overwhelming. I work with people who are finding life increasingly difficult, and it's no surprise! The pressures of everyday life are rising, and this is having a real impact on our mental health. I have successfully worked with many clients to reduce depression, anxiety and stress. Clients have come to me not being able to sleep, racing thoughts & low motivation. When they leave, they remark how they have gained inner calmness, feel more energy, and are connected to themselves.
01925 598126 View 01925 598126
Photo of Anamika Saggar, Counsellor, MBACP
Anamika Saggar
Counsellor, MBACP
Serves Area
We all face Challenges and internal conflicts at some point in our lives; there are three solutions to every problem; Accept it, change it or leave it. If you are reading this profile you are probably on the road of wanting change, you don't have to struggle in silence and the time for change is now. The most important ingredient of change is the acknowledgment of the situation.Sometimes it can be very hard to explain what is going on in your head or your heart when you don't even understand it yourself , this is where speaking to someone with decades of experience makes a difference.
We all face Challenges and internal conflicts at some point in our lives; there are three solutions to every problem; Accept it, change it or leave it. If you are reading this profile you are probably on the road of wanting change, you don't have to struggle in silence and the time for change is now. The most important ingredient of change is the acknowledgment of the situation.Sometimes it can be very hard to explain what is going on in your head or your heart when you don't even understand it yourself , this is where speaking to someone with decades of experience makes a difference.
01538 712369 View 01538 712369
Photo of Kirsty Lucas-Smyth, Psychotherapist, MSc
Kirsty Lucas-Smyth
Psychotherapist, MSc
1 Endorsed
Online Only
I am a qualified CBT Psychotherapist, who supports young people and adults who are struggling with mental health difficulties, such as depression and/or anxiety. I can support you to understand your current difficulties, where they may be stemming from, and what may be impacting upon the way you think, feel and behave. We can identify your goals for therapy together, and what 'feeling better' means for you. Whether you prefer to talk things through, or a more active approach, I will tailor therapy to meet your goals.
I am a qualified CBT Psychotherapist, who supports young people and adults who are struggling with mental health difficulties, such as depression and/or anxiety. I can support you to understand your current difficulties, where they may be stemming from, and what may be impacting upon the way you think, feel and behave. We can identify your goals for therapy together, and what 'feeling better' means for you. Whether you prefer to talk things through, or a more active approach, I will tailor therapy to meet your goals.
0161 524 3182 View 0161 524 3182
Photo of Lucy Grimward, Counsellor, MBACP
Lucy Grimward
Counsellor, MBACP
Online Only
I'm Lucy, a counsellor offering online counselling, and specialise in working with Transgender and LGBTQ clients. I am an out and proud transgender woman, and my mission has always been to offer high quality and accessible counselling to people within the LGBTQ community. I offer a safe and non-judgmental online space where we can build a strong and empathetic therapeutic alliance. Within this we can explore your experiences and the unique issues facing you, without the discrimination and invalidation you may encounter in the world.
I'm Lucy, a counsellor offering online counselling, and specialise in working with Transgender and LGBTQ clients. I am an out and proud transgender woman, and my mission has always been to offer high quality and accessible counselling to people within the LGBTQ community. I offer a safe and non-judgmental online space where we can build a strong and empathetic therapeutic alliance. Within this we can explore your experiences and the unique issues facing you, without the discrimination and invalidation you may encounter in the world.
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More Therapists Nearby

Photo of Teresa Leahy, Psychotherapist, MBACP
Teresa Leahy
Psychotherapist, MBACP
Cheadle SK8
Hi there, I am a psychotherapist in Cheadle Hulme. l love working with people and supporting them to make positive changes in their lives. We all share the desire and drive to be the best person we possibly can and to have healthy, loving relationships. Sometimes life gets in the way and we get stuck in a moment, a thought or a pattern of behaviour. Life can be difficult and the way forward is not always clear. Everyone can benefit from therapy for personal growth, to live in the here-and-now and to better connect with the things that matter to you.
Hi there, I am a psychotherapist in Cheadle Hulme. l love working with people and supporting them to make positive changes in their lives. We all share the desire and drive to be the best person we possibly can and to have healthy, loving relationships. Sometimes life gets in the way and we get stuck in a moment, a thought or a pattern of behaviour. Life can be difficult and the way forward is not always clear. Everyone can benefit from therapy for personal growth, to live in the here-and-now and to better connect with the things that matter to you.
01538 712585 View 01538 712585
Photo of Lisa Marie Meakin - Euxton Counselling Service - Lisa Meakin, Counsellor, MBACP
I offer warm, respectful, non-judgemental space in which you can freely explore your thoughts and feelings, develop a greater understanding of yourself and start to move towards personal growth and an increased sense of well-being. ​ I am a qualified BACP, and work to a strict code of ethics. I believe you deserve to be happy and fulfilled in your life and that you have the ability to make that happen. Life can be challenging and difficult and i am trained to help you through your troubles and to support you making changes in you life.
I offer warm, respectful, non-judgemental space in which you can freely explore your thoughts and feelings, develop a greater understanding of yourself and start to move towards personal growth and an increased sense of well-being. ​ I am a qualified BACP, and work to a strict code of ethics. I believe you deserve to be happy and fulfilled in your life and that you have the ability to make that happen. Life can be challenging and difficult and i am trained to help you through your troubles and to support you making changes in you life.
01257 443774 View 01257 443774
Photo of Zach Cairns, Psychotherapist, MSc, MBABCP
Zach Cairns
Psychotherapist, MSc, MBABCP
I work with people navigating anxiety, low mood, self‑criticism, or the challenges of being neurodivergent in a world that often misunderstands them. I have more than 8 years experience working in CAMHS, Talking therapies and other therapeutic settings supporting young people, families and adults. My clients may be hopeless for change, feeling burnt out, struggling with overwhelming emotions, or parents seeking support for a child whose needs don’t fit the system. They want more than symptom relief, they seek self‑understanding, confidence, and practical strategies that work in real life.
I work with people navigating anxiety, low mood, self‑criticism, or the challenges of being neurodivergent in a world that often misunderstands them. I have more than 8 years experience working in CAMHS, Talking therapies and other therapeutic settings supporting young people, families and adults. My clients may be hopeless for change, feeling burnt out, struggling with overwhelming emotions, or parents seeking support for a child whose needs don’t fit the system. They want more than symptom relief, they seek self‑understanding, confidence, and practical strategies that work in real life.
0161 524 5717 View 0161 524 5717
Photo of Charles Brooks, Counsellor, MSc, MBACP
Charles Brooks
Counsellor, MSc, MBACP
Hello I’m Charlie (he/him), I work with clients who want to feel more confident in who they are and in relationships with others; I have a particular interest in working with the LGBTQ+ community. You might be going through changes in your life and this has raised new questions about who you are or how to be. Maybe they’ve been there for a long time and you’re feeling as though it’s not okay to be you. I imagine you’re good at thinking it all through, considering options and worrying about others, and, maybe somehow your feelings and needs are being missed. To others you seem to be doing well but inside it might feel very different.
Hello I’m Charlie (he/him), I work with clients who want to feel more confident in who they are and in relationships with others; I have a particular interest in working with the LGBTQ+ community. You might be going through changes in your life and this has raised new questions about who you are or how to be. Maybe they’ve been there for a long time and you’re feeling as though it’s not okay to be you. I imagine you’re good at thinking it all through, considering options and worrying about others, and, maybe somehow your feelings and needs are being missed. To others you seem to be doing well but inside it might feel very different.
07721 376450 View 07721 376450
Photo of David Allender Nicklin
David Allender Nicklin
Verified Verified
Hello. I'm David Nicklin and I am a graduate of The Manchester Institute for Psychtherapy with Postgraduate Level 7 Diploma in Transactional Analysis from an Integrative Perspective where I now run my private practice. Transactional Analysis is a variety of psychotherapy which empowers people to make changes in their thinking and in their lives. As your therapist I will listen non-judgementally to your concerns and help you discover the path ahead that is right for you. TA therapy has helped me personally by leading me to a deeper understanding of myself, my life and relationships and freeing me to persue my goals.
Hello. I'm David Nicklin and I am a graduate of The Manchester Institute for Psychtherapy with Postgraduate Level 7 Diploma in Transactional Analysis from an Integrative Perspective where I now run my private practice. Transactional Analysis is a variety of psychotherapy which empowers people to make changes in their thinking and in their lives. As your therapist I will listen non-judgementally to your concerns and help you discover the path ahead that is right for you. TA therapy has helped me personally by leading me to a deeper understanding of myself, my life and relationships and freeing me to persue my goals.
0161 524 0087 View 0161 524 0087
Photo of Debbie Cross, Counsellor, MBACP
Debbie Cross
Counsellor, MBACP
Since qualifying as a person centred counsellor in 2011 I have worked in the voluntary sector and private practice. I am also a qualified mindfulness teacher and can offer mindfulness in our sessions if you feel but would be helpful.
Since qualifying as a person centred counsellor in 2011 I have worked in the voluntary sector and private practice. I am also a qualified mindfulness teacher and can offer mindfulness in our sessions if you feel but would be helpful.
01704 331410 View 01704 331410
Photo of Eve Shipperlee, Psychotherapist, MBACP
Eve Shipperlee
Psychotherapist, MBACP
1 Endorsed
You might look like you’re managing on the outside, but inside feel stuck — going over things in your head, doubting yourself, or carrying a sense of guilt you can’t quite shift. Maybe you feel like you’re not quite “enough”, or that you should have things figured out by now, but something keeps holding you back. Over time, this can leave you feeling disconnected from yourself and unsure how to move forward. I offer a space where you can slow things down, make sense of what’s been building up, and begin to feel more like yourself again.
You might look like you’re managing on the outside, but inside feel stuck — going over things in your head, doubting yourself, or carrying a sense of guilt you can’t quite shift. Maybe you feel like you’re not quite “enough”, or that you should have things figured out by now, but something keeps holding you back. Over time, this can leave you feeling disconnected from yourself and unsure how to move forward. I offer a space where you can slow things down, make sense of what’s been building up, and begin to feel more like yourself again.
01923 311217 View 01923 311217
Photo of Silvia Borsan, Counsellor, MSc, MBACP
Silvia Borsan
Counsellor, MSc, MBACP
As a psychotherapist and counsellor, I work with people who want to overcome depression, anxiety, stress, relationship issues, trauma, and other types of emotional pain. I am here to help you explore and process your experiences so you can get unstuck, find relief from your painful emotions, and live a happier, more satisfying life. I have experience working with various types of emotional distress and my clients usually find relief after just a few sessions. I have an MSc in Integrative Psychotherapy from Manchester Metropolitan University, a BSc in Psychology, and a Level 4 Diploma in Therapeutic Counselling.
As a psychotherapist and counsellor, I work with people who want to overcome depression, anxiety, stress, relationship issues, trauma, and other types of emotional pain. I am here to help you explore and process your experiences so you can get unstuck, find relief from your painful emotions, and live a happier, more satisfying life. I have experience working with various types of emotional distress and my clients usually find relief after just a few sessions. I have an MSc in Integrative Psychotherapy from Manchester Metropolitan University, a BSc in Psychology, and a Level 4 Diploma in Therapeutic Counselling.
0161 524 2145 View 0161 524 2145
Photo of Aurelia De Rocha, Counsellor, MBACP Accred
Aurelia De Rocha
Counsellor, MBACP Accred
Serves Area
If you've got problems, I can help.. As a therapist I am happiest when I am genuinely able to make a difference to someone and help them feel better. I have had a great deal of experience of working with many different people, each one of them with their own unique story, and their own way of seeing the world, each one of them also with the problems that sometimes arise for all of us as human beings trying to live the best we can. Maybe you feel anxious and don't know why? Perhaps you've had things happen that are still affecting you?
If you've got problems, I can help.. As a therapist I am happiest when I am genuinely able to make a difference to someone and help them feel better. I have had a great deal of experience of working with many different people, each one of them with their own unique story, and their own way of seeing the world, each one of them also with the problems that sometimes arise for all of us as human beings trying to live the best we can. Maybe you feel anxious and don't know why? Perhaps you've had things happen that are still affecting you?
07723 486520 View 07723 486520
Photo of Lindsay Cox-Prior - Via Vitae Counselling Services, Counsellor, BACP
Experiencing major changes can be daunting, frustrating and generate fear alongside self-doubt. If you are looking to make changes, face up to change, explore identity and self-esteem or have reached your limits in one or more life areas then you don't have to face this alone. You will have control over your therapy and gain a voice as well as perspective. If you are willing to make the most of what you learn in therapy then you are more likely to make progress that lasts and changes your life for the better. I offer Clinical Supervision and outdoor therapy too. I have worked for GPs, IAPT, hospitals and EAPs.
Experiencing major changes can be daunting, frustrating and generate fear alongside self-doubt. If you are looking to make changes, face up to change, explore identity and self-esteem or have reached your limits in one or more life areas then you don't have to face this alone. You will have control over your therapy and gain a voice as well as perspective. If you are willing to make the most of what you learn in therapy then you are more likely to make progress that lasts and changes your life for the better. I offer Clinical Supervision and outdoor therapy too. I have worked for GPs, IAPT, hospitals and EAPs.
01457 607256 View 01457 607256
Photo of David DuBois, Counsellor, MUKCP
David DuBois
Counsellor, MUKCP
1 Endorsed
Welcome. I’m David, an anxiety and sleep therapist. You’ve taken the first step on your journey to wellness. There may be many reasons why you’ve arrived here. Whatever your reason, and whatever you want to change, you’re in the right place to succeed. I am here to help. I work using Psychotherapy, Counselling, Hypnotherapy and Walk & Talk Therapy in Bolton, Wigan and online. I specialise in working with anxiety and sleep issues, including Generalised Anxiety Disorder (GAD), Social Anxiety Disorder (SAD) and panic attacks. I also work with many other issues including self-esteem, phobias, addictions, negative habits and more.
Welcome. I’m David, an anxiety and sleep therapist. You’ve taken the first step on your journey to wellness. There may be many reasons why you’ve arrived here. Whatever your reason, and whatever you want to change, you’re in the right place to succeed. I am here to help. I work using Psychotherapy, Counselling, Hypnotherapy and Walk & Talk Therapy in Bolton, Wigan and online. I specialise in working with anxiety and sleep issues, including Generalised Anxiety Disorder (GAD), Social Anxiety Disorder (SAD) and panic attacks. I also work with many other issues including self-esteem, phobias, addictions, negative habits and more.
01942 559897 View 01942 559897
Photo of Louise Hill - Inside Out Counselling, Counsellor, MBACP
Hi. Are you feeling overwhelmed, anxious, low, stuck — or like you’ve lost yourself in patterns of putting everyone else first? You might look fine on the outside, but inside you’re exhausted, tangled, and carrying too much alone. I’m an experienced counsellor with 15 years’ practice. I offer a steady, compassionate space where you can slow things down, make sense of what you’re feeling, and understand what your emotions are trying to tell you — because feelings don’t just happen to us; they shape how we cope, choose, and relate.
Hi. Are you feeling overwhelmed, anxious, low, stuck — or like you’ve lost yourself in patterns of putting everyone else first? You might look fine on the outside, but inside you’re exhausted, tangled, and carrying too much alone. I’m an experienced counsellor with 15 years’ practice. I offer a steady, compassionate space where you can slow things down, make sense of what you’re feeling, and understand what your emotions are trying to tell you — because feelings don’t just happen to us; they shape how we cope, choose, and relate.
01744 419666 View 01744 419666
Photo of Antonia Jones, Counsellor, MBACP
Antonia Jones
Counsellor, MBACP
1 Endorsed
Might it be that seeking counselling represents the ultimate form of self-care? Hello and the warmest of welcomes to you. You made it! Those first steps in searching for help take a whole lot of strength and courage. It can be a challenging and vulnerable experience. Are you having difficulties right now and are seeking some support to help navigate your way. Perhaps you feel stuck in life, and are unsure of where you'd like to be. Maybe you are experiencing emotions you don't know where to place. It could be you are grieving the painful loss of a loved one and need to talk about and make sense of how you are feeling.
Might it be that seeking counselling represents the ultimate form of self-care? Hello and the warmest of welcomes to you. You made it! Those first steps in searching for help take a whole lot of strength and courage. It can be a challenging and vulnerable experience. Are you having difficulties right now and are seeking some support to help navigate your way. Perhaps you feel stuck in life, and are unsure of where you'd like to be. Maybe you are experiencing emotions you don't know where to place. It could be you are grieving the painful loss of a loved one and need to talk about and make sense of how you are feeling.
01704 337877 View 01704 337877
Photo of Gabbie Hill, Psychotherapist, MBACP
Gabbie Hill
Psychotherapist, MBACP
While common themes present in the therapy room, such as anxiety. low mood or grief, we are all individuals, and different people want different things from therapy. I am deeply committed to helping people find their way out of difficulties: we can all feel a little lost sometimes when life feels too much and we are overwhelmed. I have passion for restoring clients who are experiencing emotional trauma. I love to work with people who are wanting to understand more about themselves to grow & experience sense of contentment with life from within
While common themes present in the therapy room, such as anxiety. low mood or grief, we are all individuals, and different people want different things from therapy. I am deeply committed to helping people find their way out of difficulties: we can all feel a little lost sometimes when life feels too much and we are overwhelmed. I have passion for restoring clients who are experiencing emotional trauma. I love to work with people who are wanting to understand more about themselves to grow & experience sense of contentment with life from within
01923 961220 View 01923 961220

How does your Counsellor compare?

Number of Counsellors in M44

< 10

Counsellors in M44 who prioritize treating:

83% Depression
83% Anxiety
83% Self Esteem
67% Bereavement
67% Family Conflict
67% Stress
67% Chronic Illness

Average years in practice

11 Years

Top 3 insurances accepted

100% Aviva
50% Health-on-Line
50% Bupa

How Counsellors in M44 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in M44?

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.