Photo of Tom Spacek, MSc, MBABCP, Psychotherapist
Tom Spacek
Psychotherapist, MSc, MBABCP
Verified Verified
I am a fully accredited and experienced Cognitive Behavioural Therapist and supervisor. I pride myself in offering a bespoke service providing evidence-based therapy for depression, PTSD, stress, low self-esteem and a range of anxiety disorders (such as panic disorder, OCD, social anxiety, health anxiety, body dysmorphic disorder and phobias). I have a special interest in applying mindfulness based and compassion-focused treatment across a range of psychological disorders.
I am a fully accredited and experienced Cognitive Behavioural Therapist and supervisor. I pride myself in offering a bespoke service providing evidence-based therapy for depression, PTSD, stress, low self-esteem and a range of anxiety disorders (such as panic disorder, OCD, social anxiety, health anxiety, body dysmorphic disorder and phobias). I have a special interest in applying mindfulness based and compassion-focused treatment across a range of psychological disorders.
01525 302717 View 01525 302717
Photo of Kelly Stallwood, DCounsPsych, MNCPS Acc., Psychotherapist
Kelly Stallwood
Psychotherapist, DCounsPsych, MNCPS Acc.
Verified Verified
1 Endorsed
I am a CPCAB qualified integrative counsellor and psychotherapist. I began my counselling training journey after working for the NHS, where I experienced first hand the challenges in relation to mental health awareness and support. I felt inspired to expand and deepen my knowledge about mental health and provide support to those who want to explore their difficulties and make a positive impact and change for themselves.
I am a CPCAB qualified integrative counsellor and psychotherapist. I began my counselling training journey after working for the NHS, where I experienced first hand the challenges in relation to mental health awareness and support. I felt inspired to expand and deepen my knowledge about mental health and provide support to those who want to explore their difficulties and make a positive impact and change for themselves.
01296 254443 View 01296 254443
Photo of Tim Buckingham, MBACP, Counsellor
Tim Buckingham
Counsellor, MBACP
Verified Verified
Face to face sessions for adults and young people aged 11 +, located between Buckingham and Milton Keynes, in a peaceful countryside setting. Where appropriate, I encourage my clients to take some of their counselling outdoors. This allows you, if you wish, to engage with the healing from nature to complement your therapy and is proving to be very effective. Many of my clients find beneficial outcomes are often achieved in 6 to 10 sessions.
Face to face sessions for adults and young people aged 11 +, located between Buckingham and Milton Keynes, in a peaceful countryside setting. Where appropriate, I encourage my clients to take some of their counselling outdoors. This allows you, if you wish, to engage with the healing from nature to complement your therapy and is proving to be very effective. Many of my clients find beneficial outcomes are often achieved in 6 to 10 sessions.
01280 736305 View 01280 736305
Photo of Emma Spacek, DCounsPsych, MBACP, Counsellor
Emma Spacek
Counsellor, DCounsPsych, MBACP
Verified Verified
I believe, that it is one thing to listen to someone when they speak, but it is another to truly hear what they are saying. In sessions my aim is to offer true warmth and honesty so that we can work together in a trusting therapeutic relationship. My work with clients covers many different aspects such as trauma, abuse, self-harm, bereavement, long term and life changing health issues, relationship difficulties, job dissatisfaction, life changes, depression or simply unexplained feelings of loss, fear and anxiety. Working together, at your pace, we can explore what is troubling you, and uncover any root causes
I believe, that it is one thing to listen to someone when they speak, but it is another to truly hear what they are saying. In sessions my aim is to offer true warmth and honesty so that we can work together in a trusting therapeutic relationship. My work with clients covers many different aspects such as trauma, abuse, self-harm, bereavement, long term and life changing health issues, relationship difficulties, job dissatisfaction, life changes, depression or simply unexplained feelings of loss, fear and anxiety. Working together, at your pace, we can explore what is troubling you, and uncover any root causes
01225 435026 View 01225 435026
Photo of Jenny Edwards, MBACP, Counsellor
Jenny Edwards
Counsellor, MBACP
Verified Verified
1 Endorsed
Thank you for taking time to visit my profile, It is the first step towards change and takes courage. Maybe you're here because you have experienced a difficult past? Perhaps your childhood has left you feeling hurt? Do you feel excluded from others and when you are around other people do you feel like you don’t fit in and find yourself overcompensating to fit in, or question yourself and wonder what is wrong with you? Are you constantly worrying and find it hard to relax around others? Maybe this surfaces anger, jealousy or sadness?
Thank you for taking time to visit my profile, It is the first step towards change and takes courage. Maybe you're here because you have experienced a difficult past? Perhaps your childhood has left you feeling hurt? Do you feel excluded from others and when you are around other people do you feel like you don’t fit in and find yourself overcompensating to fit in, or question yourself and wonder what is wrong with you? Are you constantly worrying and find it hard to relax around others? Maybe this surfaces anger, jealousy or sadness?
01296 254515 View 01296 254515
Photo of Christopher Hann, MBACP, Psychotherapist
Christopher Hann
Psychotherapist, MBACP
Verified Verified
Online Only
I am a BACP registered and experienced counsellor. At the heart of my way of working is a Person-Centred approach. I truly believe that each person knows themselves best, but at times in life can benefit from a warm, non- judgemental and empathic space to explore your own thoughts, feeling and behaviours. Having trained in Trauma Informed counselling, CBT and LGBTQIA+ informed support I draw on various ways of working to suit each person as an individual.
I am a BACP registered and experienced counsellor. At the heart of my way of working is a Person-Centred approach. I truly believe that each person knows themselves best, but at times in life can benefit from a warm, non- judgemental and empathic space to explore your own thoughts, feeling and behaviours. Having trained in Trauma Informed counselling, CBT and LGBTQIA+ informed support I draw on various ways of working to suit each person as an individual.
01280 736316 View 01280 736316
Photo of Philippa Williams - Equine Enlightenment Psychological Services, GMBPsS, Psychologist
Equine Enlightenment Psychological Services
Psychologist, GMBPsS
Verified Verified
Online Only
Currently sessions are available online only. We are able to offer both short and long term therapy for a broad range of needs and goals. We can work together once weekly or more, for an hour or more, alternative weeks/ monthly and one off sessions. We tailor the therapy to your individual needs and goals, combining a structured professional approach that will feel comfortable and safe. As a team of psychologists, psychotherapists and counsellors, we can offer a range of psychological approaches and evidence based therapy to support your healing.
Currently sessions are available online only. We are able to offer both short and long term therapy for a broad range of needs and goals. We can work together once weekly or more, for an hour or more, alternative weeks/ monthly and one off sessions. We tailor the therapy to your individual needs and goals, combining a structured professional approach that will feel comfortable and safe. As a team of psychologists, psychotherapists and counsellors, we can offer a range of psychological approaches and evidence based therapy to support your healing.
07588 695348 View 07588 695348
Photo of Darren Harvey, MBACP, Counsellor
Darren Harvey
Counsellor, MBACP
Verified Verified
3 Endorsed
Whether you’re feeling anxious or low, having relationship or identity issues, or are simply feeling stuck, I am here to offer you support, understanding and help with moving forward. Sometimes it can be uncomfortable sharing our inner world with those closest to us, and we can feel unsure of why we react in certain ways or are struggling with conflicted feelings. I am a qualified psychodynamic counsellor dedicated to offering a safe, confidential, and non-judgmental space where you can bring your authentic self and explore these tensions.
Whether you’re feeling anxious or low, having relationship or identity issues, or are simply feeling stuck, I am here to offer you support, understanding and help with moving forward. Sometimes it can be uncomfortable sharing our inner world with those closest to us, and we can feel unsure of why we react in certain ways or are struggling with conflicted feelings. I am a qualified psychodynamic counsellor dedicated to offering a safe, confidential, and non-judgmental space where you can bring your authentic self and explore these tensions.
01280 733789 View 01280 733789
Photo of Kimberley Bolton, MBACP, Counsellor
Kimberley Bolton
Counsellor, MBACP
Verified Verified
At some point in our lives, we all encounter difficulties. We each have unique experiences of these struggles and at times they can feel overwhelming. You may seek therapy if you feel stressed, anxious or struggle with low mood. You might find yourself affected by current or past experiences. Difficulties related to your relationships, work, or homelife. It may be that you long for a calm, confidential space to be heard and understood. Counselling and psychotherapy can help wherever you are in your life.
At some point in our lives, we all encounter difficulties. We each have unique experiences of these struggles and at times they can feel overwhelming. You may seek therapy if you feel stressed, anxious or struggle with low mood. You might find yourself affected by current or past experiences. Difficulties related to your relationships, work, or homelife. It may be that you long for a calm, confidential space to be heard and understood. Counselling and psychotherapy can help wherever you are in your life.
01296 327584 View 01296 327584
Photo of Tim Lockley, MBACP, Psychotherapist
Tim Lockley
Psychotherapist, MBACP
Verified Verified
​I’m a qualified and BACP registered psychotherapist offering online sessions with individuals. My focus is on creating a safe and supportive environment for clients to explore their thoughts and feelings. I believe in the importance of building a strong therapeutic relationship with my clients, and I work collaboratively with them to help identify and address their unique needs and challenges. My approach is relational, informed by both psychodynamic and person centred theories, which means that I draw from a wide body of theory, exploring how our pasts influence our presents, as well as what is happening in the 'here and now'.
​I’m a qualified and BACP registered psychotherapist offering online sessions with individuals. My focus is on creating a safe and supportive environment for clients to explore their thoughts and feelings. I believe in the importance of building a strong therapeutic relationship with my clients, and I work collaboratively with them to help identify and address their unique needs and challenges. My approach is relational, informed by both psychodynamic and person centred theories, which means that I draw from a wide body of theory, exploring how our pasts influence our presents, as well as what is happening in the 'here and now'.
View
Photo of Anya Amrith, MA, UKCP Trainee, Psychotherapist
Anya Amrith
Psychotherapist, MA, UKCP Trainee
Verified Verified
7 Endorsed
Life can be challenging. It may feel like something is holding you back or perhaps you can’t feel yourself really living. You may have developed coping mechanisms that are negatively impacting your life. Parts of you may feel lost, disconnected or numb whilst you function through your daily life. Talking can be hard to do, even with those around you. I work with adults and young people in a trauma-informed way that is safe, gentle and compassionate to work towards real change. I specialise in eating disorders, sexual abuse, self-esteem, panic attacks, anxiety, depression, autism, ADHD, relationship issues, PTSD/CPTSD and identity.
Life can be challenging. It may feel like something is holding you back or perhaps you can’t feel yourself really living. You may have developed coping mechanisms that are negatively impacting your life. Parts of you may feel lost, disconnected or numb whilst you function through your daily life. Talking can be hard to do, even with those around you. I work with adults and young people in a trauma-informed way that is safe, gentle and compassionate to work towards real change. I specialise in eating disorders, sexual abuse, self-esteem, panic attacks, anxiety, depression, autism, ADHD, relationship issues, PTSD/CPTSD and identity.
01280 733127 View 01280 733127
Photo of Paul Masters, MA, MUKCP, Psychotherapist
Paul Masters
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Serves Area
Hello and welcome. Making the decision to begin therapy or counselling can be anxiety provoking. It is important, therefore, to find the right therapist or counsellor for you, as this is a vital element of the psychotherapeutic process. Finding a therapist or counsellor you feel safe with and with whom you have a sense of connection will enable you to explore the issues you are experiencing. People of all ethnicities and social backgrounds seek therapy for a plethora of reasons, and I welcome patients whatever their culture, ethnicity, nationality, sexual orientation, or gender.
Hello and welcome. Making the decision to begin therapy or counselling can be anxiety provoking. It is important, therefore, to find the right therapist or counsellor for you, as this is a vital element of the psychotherapeutic process. Finding a therapist or counsellor you feel safe with and with whom you have a sense of connection will enable you to explore the issues you are experiencing. People of all ethnicities and social backgrounds seek therapy for a plethora of reasons, and I welcome patients whatever their culture, ethnicity, nationality, sexual orientation, or gender.
020 3962 1621 View 020 3962 1621
Photo of Sally Hartley, PhD, MBACP, Counsellor
Sally Hartley
Counsellor, PhD, MBACP
Verified Verified
1 Endorsed
Serves Area
A warm welcome from me. It can feel a daunting task to start therapy – finding the right person and making contact and meeting for the first time. It is a brave step, and it is the first step to finding a space where you can talk and feel listened to and not feel judged. I work with a people from all walks of life, who are facing a variety of issues.
A warm welcome from me. It can feel a daunting task to start therapy – finding the right person and making contact and meeting for the first time. It is a brave step, and it is the first step to finding a space where you can talk and feel listened to and not feel judged. I work with a people from all walks of life, who are facing a variety of issues.
View
Photo of Hannah Gattrell, MBACP, Counsellor
Hannah Gattrell
Counsellor, MBACP
Verified Verified
Serves Area
Do you often feel overwhelmed? Are you responding anxiously to the world but can’t find a starting point to get a handle on it? I would love to help. Together we can create a space where we can hold the complexity of your experience. I can help you develop the skills and awareness to find the difficult choices and conflicts and start to tackle them. I enjoy working with a neurodiverse clientele and am particularly interested in the intersections in our experience. Where life stages - maybe new parenthood, menopause or retirement - coincide with questions around neurodiversity or a changing understanding of traumas we have faced.
Do you often feel overwhelmed? Are you responding anxiously to the world but can’t find a starting point to get a handle on it? I would love to help. Together we can create a space where we can hold the complexity of your experience. I can help you develop the skills and awareness to find the difficult choices and conflicts and start to tackle them. I enjoy working with a neurodiverse clientele and am particularly interested in the intersections in our experience. Where life stages - maybe new parenthood, menopause or retirement - coincide with questions around neurodiversity or a changing understanding of traumas we have faced.
01295 239721 View 01295 239721
Photo of Marie Liddiard - Asense Therapy - Marie Liddiard, PNCPS Acc., Psychotherapist
Asense Therapy - Marie Liddiard
Psychotherapist, PNCPS Acc.
Verified Verified
Serves Area
I can support you with issues which are having a negative impact on your mental health, including, helping you to overcome trauma, manage anxiety and stress or relationship difficulties, change unhelpful or unwanted habits and gain increased confidence and self-esteem. I am motivated by a deep desire to empower you to overcome challenges, find purpose, make positive changes and achieve greater well-being.
I can support you with issues which are having a negative impact on your mental health, including, helping you to overcome trauma, manage anxiety and stress or relationship difficulties, change unhelpful or unwanted habits and gain increased confidence and self-esteem. I am motivated by a deep desire to empower you to overcome challenges, find purpose, make positive changes and achieve greater well-being.
0191 743 2036 View 0191 743 2036
Photo of Smita Davé, MSc, Psychotherapist
Smita Davé
Psychotherapist, MSc
Verified Verified
Serves Area
I work as a Cognitive Behavioural Psychotherapist in an NHS CAMHS (Child and Adolesecent Services) service and a small private practice. I previously worked as nurse for 15 years in CAMHS and adult secondary care. I comepleted my MSc in CBT in 2015 and since then have worked as a CBT therapist in CAMHS and with adults. In my private practice I work with children, young people and adults with a variety of difficulties including mood and anxiety disorders including trauma focused CBT. I have also recenty trained in EMDR (Eye Movement Desenstization Reprocessing) and offer EMDR to children, young people and adults.
I work as a Cognitive Behavioural Psychotherapist in an NHS CAMHS (Child and Adolesecent Services) service and a small private practice. I previously worked as nurse for 15 years in CAMHS and adult secondary care. I comepleted my MSc in CBT in 2015 and since then have worked as a CBT therapist in CAMHS and with adults. In my private practice I work with children, young people and adults with a variety of difficulties including mood and anxiety disorders including trauma focused CBT. I have also recenty trained in EMDR (Eye Movement Desenstization Reprocessing) and offer EMDR to children, young people and adults.
07956 308774 View 07956 308774
Photo of Dr Morvwen Duncan, HCPC - Clin. Psych., Psychologist
Dr Morvwen Duncan
Psychologist, HCPC - Clin. Psych.
Verified Verified
Serves Area
Dr Morvwen Duncan is a Lead Clinical Psychologist and the founder of The Lotus Psychology Practice. Morvwen worked in research at a range of national and international universities, including Cambridge University and Harvard Medical School, before undertaking her doctorate training and qualifying as a Clinical Psychologist from University College London. Alongside her private clinic, Morvwen works in the NHS as the Lead for the Child and Adolescent Harmful Behaviour Service across Oxford and Buckinghamshire NHS Trust.
Dr Morvwen Duncan is a Lead Clinical Psychologist and the founder of The Lotus Psychology Practice. Morvwen worked in research at a range of national and international universities, including Cambridge University and Harvard Medical School, before undertaking her doctorate training and qualifying as a Clinical Psychologist from University College London. Alongside her private clinic, Morvwen works in the NHS as the Lead for the Child and Adolescent Harmful Behaviour Service across Oxford and Buckinghamshire NHS Trust.
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Photo of Julie Arnold, DCounsPsych, BACP, Psychotherapist
Julie Arnold
Psychotherapist, DCounsPsych, BACP
Verified Verified
Serves Area
Hello, I work with a range of issues, including anxiety and depression. Being heard and accepted for being who you truly are, can feel incredibly empowering. When this is taken away, our thoughts can trigger unhelpful behaviours, increasing low mood. Which in turn can play havoc with our emotions. When we feel lonely and isolated, overwhelming feelings can flood our thoughts and fears. I can offer you a safe, warm, and confidential space to explore any issues that may contribute towards your anxiety and depression. I am here to listen to you in an non-judgemental way, and to support you with any changes you wish to make.
Hello, I work with a range of issues, including anxiety and depression. Being heard and accepted for being who you truly are, can feel incredibly empowering. When this is taken away, our thoughts can trigger unhelpful behaviours, increasing low mood. Which in turn can play havoc with our emotions. When we feel lonely and isolated, overwhelming feelings can flood our thoughts and fears. I can offer you a safe, warm, and confidential space to explore any issues that may contribute towards your anxiety and depression. I am here to listen to you in an non-judgemental way, and to support you with any changes you wish to make.
01442 501237 View 01442 501237
Photo of Joanne Blythen, MBACP, Counsellor
Joanne Blythen
Counsellor, MBACP
Verified Verified
1 Endorsed
Serves Area
Hi, my name is JoJo, and I am a qualified person-centred counsellor based in Buckinghamshire, Milton Keynes. I offer in-person sessions, online counselling, and even walking therapy sessions. I work with individuals aged 14 and above, supporting a wide range of issues, including depression, anxiety, body image, disordered eating, self-harm, sexuality, LGBTQI matters, ADHD, neurodiversity, and challenges related to blended families. My approach focuses on building a trusting relationship, finding areas of connection, and working at a pace that feels right for you.
Hi, my name is JoJo, and I am a qualified person-centred counsellor based in Buckinghamshire, Milton Keynes. I offer in-person sessions, online counselling, and even walking therapy sessions. I work with individuals aged 14 and above, supporting a wide range of issues, including depression, anxiety, body image, disordered eating, self-harm, sexuality, LGBTQI matters, ADHD, neurodiversity, and challenges related to blended families. My approach focuses on building a trusting relationship, finding areas of connection, and working at a pace that feels right for you.
01908 103712 View 01908 103712
Photo of Patricia Downing, MA, MBACP Accred, Counsellor
Patricia Downing
Counsellor, MA, MBACP Accred
Verified Verified
Serves Area
I am based in Stewkley, 5 miles from Leighton Buzzard, about 10 miles from Aylesbury and Milton Keynes. A quiet village location, with a welcoming and private therapy space. You may be looking for a counsellor/psychotherapist who can work with you if you are experiencing depression, anxiety, trauma symptoms, relationship issues or major life changes...with a range of skills and almost 20 years experience of offering therapy, I can provide a safe space to explore and make sense of these challenges.
I am based in Stewkley, 5 miles from Leighton Buzzard, about 10 miles from Aylesbury and Milton Keynes. A quiet village location, with a welcoming and private therapy space. You may be looking for a counsellor/psychotherapist who can work with you if you are experiencing depression, anxiety, trauma symptoms, relationship issues or major life changes...with a range of skills and almost 20 years experience of offering therapy, I can provide a safe space to explore and make sense of these challenges.
01525 304637 View 01525 304637
1

See more therapy options for MK18

How does your Counsellor compare?

Number of Counsellors in MK18

30+

Average cost per session

£60

Counsellors in MK18 who prioritize treating:

100% Anxiety
94% Self Esteem
92% Depression
92% Stress
81% Relationship Issues
75% Coping Skills
64% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

63% Aviva
63% Vitality
63% WPA

How Counsellors in MK18 see their clients

87% In Person and Online
13% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in MK18?

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.