Counselling in Birmingham

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Photo of South Birmingham Counselling & Psychotherapy, Psychotherapist in Birmingham, England
South Birmingham Counselling & Psychotherapy
Psychotherapist, MBACP Accred
Verified Verified
Birmingham B13
Hi, and thank you for visiting my profile. Sadness, anxiety, a lack of confidence, difficulty with relationships and many other issues can overwhelm us. Opening up and starting to make sense of thoughts and feelings can be a difficult but very rewarding process. In a confidential and non-judgmental setting I can offer you support exploring any issues you may struggle with. Paying attention to your individual experience and really trying to understand is very important to me. Taking the first step to seeing a therapist can be difficult so feel free to call or email me should you have any questions. Best wishes, Nicolle
Hi, and thank you for visiting my profile. Sadness, anxiety, a lack of confidence, difficulty with relationships and many other issues can overwhelm us. Opening up and starting to make sense of thoughts and feelings can be a difficult but very rewarding process. In a confidential and non-judgmental setting I can offer you support exploring any issues you may struggle with. Paying attention to your individual experience and really trying to understand is very important to me. Taking the first step to seeing a therapist can be difficult so feel free to call or email me should you have any questions. Best wishes, Nicolle
01564 334998 View 01564 334998
Photo of Sara Salih, Counsellor in Birmingham, England
Sara Salih
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Birmingham B12
Life can be challenging at times, and it's important to recognize when you need help. If you're feeling depressed, anxious, overwhelmed, or struggling with relationships, trauma, or grief, taking the step towards therapy is a courageous and vital move towards your well-being. In therapy with me, I will provide you with a safe and non-judgmental space where you can feel comfortable talking freely about what's on your mind.
Life can be challenging at times, and it's important to recognize when you need help. If you're feeling depressed, anxious, overwhelmed, or struggling with relationships, trauma, or grief, taking the step towards therapy is a courageous and vital move towards your well-being. In therapy with me, I will provide you with a safe and non-judgmental space where you can feel comfortable talking freely about what's on your mind.
0121 387 0287 View 0121 387 0287
Photo of James Sedgwick, Psychotherapist in Birmingham, England
James Sedgwick
Psychotherapist, PhD, MUKCP
Verified Verified
Birmingham B13
I am an experienced practitioner with specialisms in brief and medium term work for a variety of problems. If you are feeling low or anxious, struggling with your self-image and your place in the world and you aren't quite sure why things are going wrong for you then I may be able to help. I offer a warm, professional service where I do the best to meet the client as an individual and help them to find their own unique path to a better life. Please note: due to a change in circumstances I am not in a position to offer open ended work at present.
I am an experienced practitioner with specialisms in brief and medium term work for a variety of problems. If you are feeling low or anxious, struggling with your self-image and your place in the world and you aren't quite sure why things are going wrong for you then I may be able to help. I offer a warm, professional service where I do the best to meet the client as an individual and help them to find their own unique path to a better life. Please note: due to a change in circumstances I am not in a position to offer open ended work at present.
0121 817 3920 View 0121 817 3920
Photo of Joe Mimnagh, Psychotherapist in Birmingham, England
Joe Mimnagh
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B29
I entered the world of psychotherapy so I could manage and eventually overcome the painful emotions and thoughts that I had experienced. If this is the case for you, then psychotherapy can help you explore uncomfortable feelings that have held you back from living life to the full. Life often throws the unexpected at us, be it through relationships, either personal or professional, we sometimes find it difficult to cope alone and need the support to help us through this difficult time.
I entered the world of psychotherapy so I could manage and eventually overcome the painful emotions and thoughts that I had experienced. If this is the case for you, then psychotherapy can help you explore uncomfortable feelings that have held you back from living life to the full. Life often throws the unexpected at us, be it through relationships, either personal or professional, we sometimes find it difficult to cope alone and need the support to help us through this difficult time.
0121 728 6469 View 0121 728 6469
Photo of Dr Ed Smith, Psychologist in Birmingham, England
Dr Ed Smith
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Birmingham B1
Hi there! I specialise in working with complex emotional needs using a range of evidence based therapies. My clients have often experienced a range of adverse experiences such as trauma, neglect or emotional abuse and may be experiencing depression, anxiety, low self worth, intense emotionality or difficulty in relationships. I see people for both longer term and time limited therapy. I work well with people who experience shame around their issues or experiences, who are anxious about therapy or who have found previous therapy unhelpful. I also provide supervision and training to other psychologists and institutions.
Hi there! I specialise in working with complex emotional needs using a range of evidence based therapies. My clients have often experienced a range of adverse experiences such as trauma, neglect or emotional abuse and may be experiencing depression, anxiety, low self worth, intense emotionality or difficulty in relationships. I see people for both longer term and time limited therapy. I work well with people who experience shame around their issues or experiences, who are anxious about therapy or who have found previous therapy unhelpful. I also provide supervision and training to other psychologists and institutions.
0121 387 0374 View 0121 387 0374
Photo of Zabrina Wolfe, Counsellor in Birmingham, England
Zabrina Wolfe
Counsellor, MBACP
Verified Verified
1 Endorsed
Birmingham B27
As a qualified integrative counsellor with over five years’ experience, I will walk alongside you on your journey to self-discovery. You may feel you don’t have the answers, or you don’t understand what you are experiencing or that some things are not making sense, and whilst that may be true on the outside, deep within yourself, I believe you have the key to unlock the answers and solutions you are searching for.
As a qualified integrative counsellor with over five years’ experience, I will walk alongside you on your journey to self-discovery. You may feel you don’t have the answers, or you don’t understand what you are experiencing or that some things are not making sense, and whilst that may be true on the outside, deep within yourself, I believe you have the key to unlock the answers and solutions you are searching for.
0121 270 4669 View 0121 270 4669
Photo of Dr Rob Jobe, Psychologist in Birmingham, England
Dr Rob Jobe
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Birmingham B1
I am a highly experienced HCPC registered Clinical Psychologist and Systemic Practitioner; I have over 12 years’ experience of working as a Clinical Psychologist in the NHS. I have worked as a senior member of staff within a variety of Paediatric specialties supporting children, families, adults and professionals. As an experienced Clinical Psychologist and Systemic Practitioner I work with individuals, families and systems in a collaborative way. I aim to work alongside my clients to increase their understanding of issues and empower them to make effective change.
I am a highly experienced HCPC registered Clinical Psychologist and Systemic Practitioner; I have over 12 years’ experience of working as a Clinical Psychologist in the NHS. I have worked as a senior member of staff within a variety of Paediatric specialties supporting children, families, adults and professionals. As an experienced Clinical Psychologist and Systemic Practitioner I work with individuals, families and systems in a collaborative way. I aim to work alongside my clients to increase their understanding of issues and empower them to make effective change.
0121 387 3628 View 0121 387 3628
Photo of Dr Rosalind Brock, Psychologist in Birmingham, England
Dr Rosalind Brock
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Birmingham B38
Hello, I am a Chartered Clinical Psychologist. I can offer you a warm, supportive environment in which to explore and understand the issues that have brought you to therapy. Using evidence-based interventions, we can work collaboratively together towards change. For almost twenty years, I have been working with adults with a variety of difficulties including PTSD, complex trauma, anxiety, depression, OCD, phobia, attachment difficulties, birth trauma, baby loss, childhood or relationship issues and eating difficulties. I have a wealth of experience from both NHS and private settings to draw on to support you.
Hello, I am a Chartered Clinical Psychologist. I can offer you a warm, supportive environment in which to explore and understand the issues that have brought you to therapy. Using evidence-based interventions, we can work collaboratively together towards change. For almost twenty years, I have been working with adults with a variety of difficulties including PTSD, complex trauma, anxiety, depression, OCD, phobia, attachment difficulties, birth trauma, baby loss, childhood or relationship issues and eating difficulties. I have a wealth of experience from both NHS and private settings to draw on to support you.
0121 728 6567 View 0121 728 6567
Photo of Charly Pennicott-Henry - CPH Therapy, Counsellor in Birmingham, England
Charly Pennicott-Henry - CPH Therapy
Counsellor, MNCPS Acc.
Verified Verified
2 Endorsed
Birmingham B42
Hello, how are you really feeling? Anxious? Stressed? Distraught? Concerned? Pondered? Or just not your usual self? Do you question your future relationship with yourself or others? Perhaps you find it hard to say no, and always prioritise others needs and wants, ignoring your own. Maybe assumptions and perceived ideas has become the default way of communicating, or have you checked out and decided saying nothing is best? So many questions, issues and challenges, that we all think and feel at times with a different level of intensity, that needs a safe space where you can reflect and explore your feelings, thoughts and behaviour.
Hello, how are you really feeling? Anxious? Stressed? Distraught? Concerned? Pondered? Or just not your usual self? Do you question your future relationship with yourself or others? Perhaps you find it hard to say no, and always prioritise others needs and wants, ignoring your own. Maybe assumptions and perceived ideas has become the default way of communicating, or have you checked out and decided saying nothing is best? So many questions, issues and challenges, that we all think and feel at times with a different level of intensity, that needs a safe space where you can reflect and explore your feelings, thoughts and behaviour.
0121 387 9705 View 0121 387 9705
Photo of Totam Vitam, Psychotherapist in Birmingham, England
Totam Vitam
Psychotherapist, BACP
Verified Verified
Birmingham B13
Waitlist for new clients
My name is Julie and I love living in the city, the hustle and bustle of life and human connection. I worked in hospitality management for 25 years and understand the pressures of working full time while running a business and a home. I believe that therapy should be an open space for us to come together and work out what is going on and how you can make some changes to make life better.
My name is Julie and I love living in the city, the hustle and bustle of life and human connection. I worked in hospitality management for 25 years and understand the pressures of working full time while running a business and a home. I believe that therapy should be an open space for us to come together and work out what is going on and how you can make some changes to make life better.
0121 827 8994 View 0121 827 8994
Mariyam Farooq
Counsellor, MSc, MBACP
Verified Verified
Birmingham B8
As individuals we can sometimes encounter a range of difficulties and challenging times which can make it tough for us. Therefore, it is crucial to recognise when you need help in these times of difficulty. In therapy with me I will provide you a safe, non-judgemental space where you feel comfortable to talk about anything that is on your mind. I will offer you a safe empathetic space to come and speak to me about any emotions and thoughts that you are feeling. I am fully committed to providing a safe, non-judgemental, and confidential space where you can openly talk about anything that is on your mind.
As individuals we can sometimes encounter a range of difficulties and challenging times which can make it tough for us. Therefore, it is crucial to recognise when you need help in these times of difficulty. In therapy with me I will provide you a safe, non-judgemental space where you feel comfortable to talk about anything that is on your mind. I will offer you a safe empathetic space to come and speak to me about any emotions and thoughts that you are feeling. I am fully committed to providing a safe, non-judgemental, and confidential space where you can openly talk about anything that is on your mind.
0121 817 2882 View 0121 817 2882
Photo of Eloise Jenkins, Psychotherapist in Birmingham, England
Eloise Jenkins
Psychotherapist, BACP
Verified Verified
Birmingham B44  (Online Only)
I am an experienced counsellor and psychotherapist who has completed 4 years of intensive training. I believe that increasing awareness of ourselves, our environment and how we interact with others can improve how we feel and can lead to change. My approach aims to get to the heart of the problem through exploration - whatever the problem may be. By building a trusting relationship and working together I can help you to feel more safe, access your resources and bring possibilities into your awareness. I have considerable experience working with anxiety, stress, shame, bereavement, depression, trauma and relationship issues.
I am an experienced counsellor and psychotherapist who has completed 4 years of intensive training. I believe that increasing awareness of ourselves, our environment and how we interact with others can improve how we feel and can lead to change. My approach aims to get to the heart of the problem through exploration - whatever the problem may be. By building a trusting relationship and working together I can help you to feel more safe, access your resources and bring possibilities into your awareness. I have considerable experience working with anxiety, stress, shame, bereavement, depression, trauma and relationship issues.
0121 752 9141 View 0121 752 9141
Photo of Waqar Azam, Psychotherapist in Birmingham, England
Waqar Waqar Azam
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B28
If you’ve found yourself here searching for a therapist, then I can imagine that you are going through some tough times at the moment. Life can be difficult, and things can get all too much at times. Whether its emotional distress, depression, anxiety or feeling dissatisfied and empty if your life, we all go through these hardships and sometimes need some help to navigate through and overcome these times.
If you’ve found yourself here searching for a therapist, then I can imagine that you are going through some tough times at the moment. Life can be difficult, and things can get all too much at times. Whether its emotional distress, depression, anxiety or feeling dissatisfied and empty if your life, we all go through these hardships and sometimes need some help to navigate through and overcome these times.
0121 726 8224 View 0121 726 8224
Photo of Phinity Therapy, Psychotherapist in Birmingham, England
Phinity Therapy
Psychotherapist, MBACP Accred
Verified Verified
Birmingham B16
We will facilitate open and honest dialogue, so we may explore your concerns, anxieties, pain, trauma, or sadness, and uncover issues you might normally avoid because they feel threatening. This safe confrontation will allow you to learn how to process your challenges in a helpful way which is incredibly powerful, changing how you relate to yourself, others, and your world, thereby offering movement toward healing, growth, and.....joy.
We will facilitate open and honest dialogue, so we may explore your concerns, anxieties, pain, trauma, or sadness, and uncover issues you might normally avoid because they feel threatening. This safe confrontation will allow you to learn how to process your challenges in a helpful way which is incredibly powerful, changing how you relate to yourself, others, and your world, thereby offering movement toward healing, growth, and.....joy.
0121 661 2844 View 0121 661 2844
Photo of Charlotte Povey, Counsellor in Birmingham, England
Charlotte Povey
Counsellor, MBACP
Verified Verified
1 Endorsed
Birmingham B9
Not accepting new clients
Struggles in life are inevitable. Yet feeling overwhelmed by them and not coping isn’t. Sometimes we need extra support and guidance to be able to get past these hurdles. Feeling overwhelmed / worried / anxious? Like you can’t go on anymore? That you aren’t worth it? These are the type of issues that I work with to enable my clients to change this thinking pattern into a more healthier perspective and belief about themselves. To better understand yourself and work towards letting go of the baggage is being carried around on a daily basis. Together we can do this and so much more.
Struggles in life are inevitable. Yet feeling overwhelmed by them and not coping isn’t. Sometimes we need extra support and guidance to be able to get past these hurdles. Feeling overwhelmed / worried / anxious? Like you can’t go on anymore? That you aren’t worth it? These are the type of issues that I work with to enable my clients to change this thinking pattern into a more healthier perspective and belief about themselves. To better understand yourself and work towards letting go of the baggage is being carried around on a daily basis. Together we can do this and so much more.
0121 728 2303 View 0121 728 2303
Photo of Jane Oneill, Psychologist in Birmingham, England
Jane Oneill
Psychologist, HCPC - Couns. Psych.
Verified Verified
Birmingham B14
You feel like you can’t cope, you’re fed up, you’ve had enough. Your life isn’t what you want it to be. Living has become hard and there’s no joy in your world. It’s like everyone else except you is happy. You’re haunted by your past. You think you’ll never be happy again. You feel alone like no one else understands how hard your life is at the moment. On the outside you look fine but inside you feel like you’re dying. Everything you do feels like an act to look like you’re okay. You don’t know how to change things or what to do about it anymore.
You feel like you can’t cope, you’re fed up, you’ve had enough. Your life isn’t what you want it to be. Living has become hard and there’s no joy in your world. It’s like everyone else except you is happy. You’re haunted by your past. You think you’ll never be happy again. You feel alone like no one else understands how hard your life is at the moment. On the outside you look fine but inside you feel like you’re dying. Everything you do feels like an act to look like you’re okay. You don’t know how to change things or what to do about it anymore.
0121 827 8999 View 0121 827 8999
Photo of Sukhjit Dutt, Counsellor in Birmingham, England
Sukhjit Dutt
Counsellor, MBACP
Verified Verified
Birmingham B44  (Online Only)
Hello, My name Sukhi and thank you in advance for looking at my profile. I am a registered member of the BACP and am a Qualified Integrative Counsellor. So are you at a place where everything feels overwhelming? Feeling Lonely, Isolated, Anxious and Lost?, Discontent with Life, Relationships, Work ? Would you like to explore this in a safe space and not feel judged? Are these thoughts and feelings making you feel powerless over everything? Many times we all need a listening ear and a space where what we share is kept confidential. I can offer you a safe and secure place where you will be acknowledged, accepted and be yourself.
Hello, My name Sukhi and thank you in advance for looking at my profile. I am a registered member of the BACP and am a Qualified Integrative Counsellor. So are you at a place where everything feels overwhelming? Feeling Lonely, Isolated, Anxious and Lost?, Discontent with Life, Relationships, Work ? Would you like to explore this in a safe space and not feel judged? Are these thoughts and feelings making you feel powerless over everything? Many times we all need a listening ear and a space where what we share is kept confidential. I can offer you a safe and secure place where you will be acknowledged, accepted and be yourself.
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Photo of Plug-in Therapy - Rajie Sokhi, Psychotherapist in Birmingham, England
Plug-in Therapy - Rajie Sokhi
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B18
As an integrative practitioner, I have researched and worked with various models and approaches over the years and have found a holistic therapeutic process increases the success rate of managing and resolving emotional difficulties. My approach looks at the past, present, and future, and therapy offered is tailored to your unique experiences and needs. I believe the therapeutic relationship is the most important aspect of therapy and I base my relationships with clients on collaboration, trust and partnership. I am dedicated in helping you each step of the way and understand how daunting therapy can be especially for first timers.
As an integrative practitioner, I have researched and worked with various models and approaches over the years and have found a holistic therapeutic process increases the success rate of managing and resolving emotional difficulties. My approach looks at the past, present, and future, and therapy offered is tailored to your unique experiences and needs. I believe the therapeutic relationship is the most important aspect of therapy and I base my relationships with clients on collaboration, trust and partnership. I am dedicated in helping you each step of the way and understand how daunting therapy can be especially for first timers.
0121 726 1287 View 0121 726 1287
Photo of Guided Journey Psychotherapy , Psychotherapist in Birmingham, England
Guided Journey Psychotherapy
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B11
For as long as I can remember, I have always wanted to work within a role where I'm able to help and support others. I see myself as someone who has the ability to demonstrate an attitude of respect and sensitivity towards others. Within my work, I aim to provide a comfortable environment and establish a warm therapeutic relationship, as a believe this is key factor within the therapeutic process For me therapy is like peeling an onion. It is up to you which layer of the onion you want to focus on and in how much detail.
For as long as I can remember, I have always wanted to work within a role where I'm able to help and support others. I see myself as someone who has the ability to demonstrate an attitude of respect and sensitivity towards others. Within my work, I aim to provide a comfortable environment and establish a warm therapeutic relationship, as a believe this is key factor within the therapeutic process For me therapy is like peeling an onion. It is up to you which layer of the onion you want to focus on and in how much detail.
01785 335845 View 01785 335845
Photo of Tahneya Alboraiki, Counsellor in Birmingham, England
Tahneya Alboraiki
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Birmingham B12
I am an qualified integrative counsellor, I use a variety of therapeutic techniques to suit your needs, as I feel one approach does not fit with everyone, therefore I have adopted different approaches. I want to provided you with a safe, honest, and empathic space to explore your thoughts, feelings, and behaviours without Judgement.
I am an qualified integrative counsellor, I use a variety of therapeutic techniques to suit your needs, as I feel one approach does not fit with everyone, therefore I have adopted different approaches. I want to provided you with a safe, honest, and empathic space to explore your thoughts, feelings, and behaviours without Judgement.
0121 312 1462 View 0121 312 1462

See more therapy options for Birmingham

How does your Counsellor compare?

Number of Counsellors in Birmingham

400+

Average cost per session

£60

Counsellors in Birmingham who prioritize treating:

93% Anxiety
89% Depression
85% Self Esteem
82% Stress
79% Relationship Issues
68% Trauma and PTSD
66% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

63% Aviva
57% AXA PPP
48% Bupa

How Counsellors in Birmingham see their clients

66% In Person and Online
34% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Birmingham?

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.