Photo of Hettie Isaac, Counsellor, MBACP
Hettie Isaac
Counsellor, MBACP
Verified Verified
I offer in-person talking therapy in Heddon-on-the-Wall where I work from the Rosamund Ammon therapy rooms. Therapy can be the space where we work together to figure out what might be holding you back and what you need more of to lead a more fulfilling life.
I offer in-person talking therapy in Heddon-on-the-Wall where I work from the Rosamund Ammon therapy rooms. Therapy can be the space where we work together to figure out what might be holding you back and what you need more of to lead a more fulfilling life.
01661 521129 View 01661 521129
Photo of Dr Carolyn Law, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Carolyn Law
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Serves Area
Most importantly, I work with people, not diagnoses or labels. I specialise in working with those with a history of trauma, whether that’s one off events such as a car crash, sexual assault or attack, or layers of trauma in the form of childhood neglect/abuse, a military/medical career or an abusive relationship. I try to help my patients overcome their ongoing reactions to this trauma, such as nightmares, flashbacks, intrusive memories, high levels of anxiety and poor sleep. I also work with people experiencing moral injury and survivors guilt. Additionally, those experiencing depression, anxiety, OCD and relationship issues.
Most importantly, I work with people, not diagnoses or labels. I specialise in working with those with a history of trauma, whether that’s one off events such as a car crash, sexual assault or attack, or layers of trauma in the form of childhood neglect/abuse, a military/medical career or an abusive relationship. I try to help my patients overcome their ongoing reactions to this trauma, such as nightmares, flashbacks, intrusive memories, high levels of anxiety and poor sleep. I also work with people experiencing moral injury and survivors guilt. Additionally, those experiencing depression, anxiety, OCD and relationship issues.
01661 523736 View 01661 523736
Photo of Annabel Nicholson, Psychotherapist, MSc, MUKCP
Annabel Nicholson
Psychotherapist, MSc, MUKCP
Verified Verified
Serves Area
I understand that for some people starting therapy may feel daunting. I am interested in building a strong, supportive relationship. My style is warm, genuine, non-judgemental and hopeful. I strongly believe in hope, you may come to therapy feeling ‘hopeless’, if you do, I believe my role is to carry hope, until you are ready to do so yourself. I am interested in people’s stories and finding meaning and making sense of patterns and repetitive unhelpful behaviour. I will encourage self-kindness and quietening internal harsh voices. I may challenge false beliefs about yourself.
I understand that for some people starting therapy may feel daunting. I am interested in building a strong, supportive relationship. My style is warm, genuine, non-judgemental and hopeful. I strongly believe in hope, you may come to therapy feeling ‘hopeless’, if you do, I believe my role is to carry hope, until you are ready to do so yourself. I am interested in people’s stories and finding meaning and making sense of patterns and repetitive unhelpful behaviour. I will encourage self-kindness and quietening internal harsh voices. I may challenge false beliefs about yourself.
0191 625 0178 View 0191 625 0178
Photo of Jill Harper-Hill, Counsellor, BACP
Jill Harper-Hill
Counsellor, BACP
Verified Verified
Online Only
Hello, I'm Jill. Do you feel like you’ve lost touch with your authentic self? Would you like to get to know you better, and learn to embrace all the parts that make up who you are? I have a real passion for working with neurodivergent women, towards understanding the whole picture of who you are and unlock any limiting beliefs that are keeping you stuck. As a late-diagnosed ADHD woman, I have lived experience of the journey of self-rediscovery and of making sense of past experiences and relationships through a completely new lens. I am a counsellor and therapeutic coach and can work with you in a holistic way to meet your needs.
Hello, I'm Jill. Do you feel like you’ve lost touch with your authentic self? Would you like to get to know you better, and learn to embrace all the parts that make up who you are? I have a real passion for working with neurodivergent women, towards understanding the whole picture of who you are and unlock any limiting beliefs that are keeping you stuck. As a late-diagnosed ADHD woman, I have lived experience of the journey of self-rediscovery and of making sense of past experiences and relationships through a completely new lens. I am a counsellor and therapeutic coach and can work with you in a holistic way to meet your needs.
01207 261180 View 01207 261180
Photo of Ewan James Gillon - First Psychology Newcastle, Psychologist, PhD, HCPC - Couns. Psych.
First Psychology Newcastle
Psychologist, PhD, HCPC - Couns. Psych.
Verified Verified
Serves Area
Hello! I am Professor Ewan Gillon, Clinical Director of First Psychology, an independent therapy practice based in Scotland and North East England. Here in Newcastle we have team of highly skilled counsellors, psychotherapists, CBT practitioners and applied psychologists. We offer a variety of therapy options including counselling, CBT, psychotherapy and couples therapy. Our approach is to work in a way that is tailored to your needs, whatever difficulties you are experiencing. We know that coming to therapy can be daunting and we are here to help. Our approach is always kind, friendly, experienced and highly professional.
Hello! I am Professor Ewan Gillon, Clinical Director of First Psychology, an independent therapy practice based in Scotland and North East England. Here in Newcastle we have team of highly skilled counsellors, psychotherapists, CBT practitioners and applied psychologists. We offer a variety of therapy options including counselling, CBT, psychotherapy and couples therapy. Our approach is to work in a way that is tailored to your needs, whatever difficulties you are experiencing. We know that coming to therapy can be daunting and we are here to help. Our approach is always kind, friendly, experienced and highly professional.
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More Therapists Nearby

Photo of Kingsley Boateng, Counsellor, MBACP
Kingsley Boateng
Counsellor, MBACP
Verified Verified
My ideal client feels stuck or overwhelmed in life. They might be dealing with grief, exploring their identity, or struggling in relationships. They want a safe space to express themselves without judgment. They seek confidence, balance, and peace. They want to understand their emotions and find practical ways to move forward. Most importantly, they seek support to face their challenges and regain hope.
My ideal client feels stuck or overwhelmed in life. They might be dealing with grief, exploring their identity, or struggling in relationships. They want a safe space to express themselves without judgment. They seek confidence, balance, and peace. They want to understand their emotions and find practical ways to move forward. Most importantly, they seek support to face their challenges and regain hope.
0191 743 9511 View 0191 743 9511
Photo of Gayle Watts - Turning Tides Psychology, Psychologist, PsychD, HCPC - Clin. Psych.
Turning Tides Psychology
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Whether you have been experiencing difficulties with your mental health for many years, or whether you are going through a challenging situation at the present time, our experienced psychologists can help you to find a way forward. Our psychologists are qualified in working with common mental health difficulties such as anxiety, depression & trauma. We also specialise in working with long term health conditions and adjustment. We use a variety of therapeutic approaches and will work with you to find the right approach for your individual needs. We provide face to face appointments in Newcastle or online appointments.
Whether you have been experiencing difficulties with your mental health for many years, or whether you are going through a challenging situation at the present time, our experienced psychologists can help you to find a way forward. Our psychologists are qualified in working with common mental health difficulties such as anxiety, depression & trauma. We also specialise in working with long term health conditions and adjustment. We use a variety of therapeutic approaches and will work with you to find the right approach for your individual needs. We provide face to face appointments in Newcastle or online appointments.
0191 743 0605 View 0191 743 0605
Photo of Dr Sonia Ahmed, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Sonia Ahmed
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Hi I am Dr Sonia Ahmed, a chartered counselling psychologist who is registered with the Health and Care Professionals Council (HCPC). I have significant experience of working with a range of issues and difficulties, varying from day to day stress to severe mental health issues. These include, but are not limited to, anxiety, depression, stress, grief and loss, relationship issues, amongst others. Furthermore, I have substantial experience working with trauma and PTSD presentations. These can include post-traumatic stress disorder from single event traumas, complex trauma, and developmental trauma.
Hi I am Dr Sonia Ahmed, a chartered counselling psychologist who is registered with the Health and Care Professionals Council (HCPC). I have significant experience of working with a range of issues and difficulties, varying from day to day stress to severe mental health issues. These include, but are not limited to, anxiety, depression, stress, grief and loss, relationship issues, amongst others. Furthermore, I have substantial experience working with trauma and PTSD presentations. These can include post-traumatic stress disorder from single event traumas, complex trauma, and developmental trauma.
0191 743 9138 View 0191 743 9138
Photo of Dr Barbara Medea, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Barbara Medea
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Do you often get overwhelmed with difficult emotions, thoughts or memories and find it hard to cope? Do you ever feel like not fitting in? Do you often beat yourself up or feel like your own worst enemy? I know first hand what it means to deal with these issues and therapy has helped me tremendously with them. I have then trained in evidence-based approaches like CBT to support people like you heal from painful life experiences, learn how to cope with their emotions and thoughts and feel more content within themselves. I am a native Italian psychologist and can also help clients who deal with difficulties related to being an expat.
Do you often get overwhelmed with difficult emotions, thoughts or memories and find it hard to cope? Do you ever feel like not fitting in? Do you often beat yourself up or feel like your own worst enemy? I know first hand what it means to deal with these issues and therapy has helped me tremendously with them. I have then trained in evidence-based approaches like CBT to support people like you heal from painful life experiences, learn how to cope with their emotions and thoughts and feel more content within themselves. I am a native Italian psychologist and can also help clients who deal with difficulties related to being an expat.
0191 743 9442 View 0191 743 9442
Photo of James Leighton-Burns, Counsellor
James Leighton-Burns
Counsellor
Verified Verified
Serves Area
Summary: Simple, clear, listening. Processing with feedback offered if required. If you need a quick chat, or get something off your chest, shorter sessions are offered. I can cover a number of situations relating to the past, present or future plans and goals.
Summary: Simple, clear, listening. Processing with feedback offered if required. If you need a quick chat, or get something off your chest, shorter sessions are offered. I can cover a number of situations relating to the past, present or future plans and goals.
01228 479367 View 01228 479367
Photo of Beck Harrison, Psychotherapist, COSRT General
Beck Harrison
Psychotherapist, COSRT General
Verified Verified
Online Only
Not accepting new clients
Hi, I’m Beck, and I’m a sex and relationship therapist. I am a GSRD specialist, and frequently work with non-monogamy, gender, sexuality and kink; as well as psychosexual and relationship therapy. I am also a neurodiversity affirming therapist, which means that you won't be pathologised for who you are or how your brain works in my practice. I help individuals and intimate partners to create relationships with themselves, each other and sex that they want, in a way that is congruent with their identity.
Hi, I’m Beck, and I’m a sex and relationship therapist. I am a GSRD specialist, and frequently work with non-monogamy, gender, sexuality and kink; as well as psychosexual and relationship therapy. I am also a neurodiversity affirming therapist, which means that you won't be pathologised for who you are or how your brain works in my practice. I help individuals and intimate partners to create relationships with themselves, each other and sex that they want, in a way that is congruent with their identity.
01661 525160 View 01661 525160
Photo of Dr Jenny Paton, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Jenny Paton
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
I am an experienced Consultant Clinical Psychologist in both the NHS and private practice. My approach is all about helping you to understand and improve your mental health . The sessions will be structured and focused toward understanding why you feel the way you do (your own mental health blueprint), how to recognise unhelpful patterns or triggers in everyday life and successful skills to self regulate. You will be equipped, not only to understand why you feel the way you do, but also how to work toward healthier ways of managing your mental health.
I am an experienced Consultant Clinical Psychologist in both the NHS and private practice. My approach is all about helping you to understand and improve your mental health . The sessions will be structured and focused toward understanding why you feel the way you do (your own mental health blueprint), how to recognise unhelpful patterns or triggers in everyday life and successful skills to self regulate. You will be equipped, not only to understand why you feel the way you do, but also how to work toward healthier ways of managing your mental health.
0191 743 7964 View 0191 743 7964
Photo of Ruth Le Masurier, Counsellor, MBACP Accred
Ruth Le Masurier
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Thank you for visiting my profile. My therapeutic style centres around creating a welcoming, confidential and non-judgmental space where you feel safe to be yourself, and where we can work together, talking at your pace, to explore what is on your mind and what is going on for you. People come to counselling for many different reasons. Whether you are struggling with something that is happening currently, or feel impacted by past events, working together in this way can help you gain clarity on what is important to you, help you to find your solutions, help you feel less alone, or simply help you to feel better in yourself.
Thank you for visiting my profile. My therapeutic style centres around creating a welcoming, confidential and non-judgmental space where you feel safe to be yourself, and where we can work together, talking at your pace, to explore what is on your mind and what is going on for you. People come to counselling for many different reasons. Whether you are struggling with something that is happening currently, or feel impacted by past events, working together in this way can help you gain clarity on what is important to you, help you to find your solutions, help you feel less alone, or simply help you to feel better in yourself.
0191 743 7499 View 0191 743 7499
Photo of Laura Reside-Robb, Psychotherapist, MBACP Accred
Laura Reside-Robb
Psychotherapist, MBACP Accred
Verified Verified
Serves Area
Not accepting new clients
Please note I am on maternity leave until May 2025. Hello, and thanks for visiting. I'm Laura and I'm trained as an Integrative Psychotherapist. I'm a firm believer that each person is uniquely individual, and any therapeutic help they receive should be tailored to them, and their needs.​ Being Integrative means I'm not set on one school of thought, and work with you to find what approach fits best for you. You're in control of the sessions, you can bring whatever issues you'd like to discuss, , we go at a pace you're comfortable with. We'll look at working together to set realistic goals, based on what you'd like to achieve.
Please note I am on maternity leave until May 2025. Hello, and thanks for visiting. I'm Laura and I'm trained as an Integrative Psychotherapist. I'm a firm believer that each person is uniquely individual, and any therapeutic help they receive should be tailored to them, and their needs.​ Being Integrative means I'm not set on one school of thought, and work with you to find what approach fits best for you. You're in control of the sessions, you can bring whatever issues you'd like to discuss, , we go at a pace you're comfortable with. We'll look at working together to set realistic goals, based on what you'd like to achieve.
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Photo of Angela Hotchkiss, Counsellor, MA, MBACP
Angela Hotchkiss
Counsellor, MA, MBACP
Verified Verified
Online Only
When it seems like there's nowhere for you to turn; when you feel like you are heading for "rock-bottom" ; you have hit crisis point, or you feel you have lost your direction, no matter what the reason, talking to a counsellor can help you to find your way through your struggle; a way that is right for you.
When it seems like there's nowhere for you to turn; when you feel like you are heading for "rock-bottom" ; you have hit crisis point, or you feel you have lost your direction, no matter what the reason, talking to a counsellor can help you to find your way through your struggle; a way that is right for you.
07723 465604 View 07723 465604
Photo of Heather Gullon, Psychotherapist, MBABCP
Heather Gullon
Psychotherapist, MBABCP
Verified Verified
3 Endorsed
Online Only
Pleased to meet you, I’m Heather, co-owner of C&H Psychotherapies. If you are viewing this profile then things may not be great for you, or your child. You may be a young person yourself and seeking a therapist that you can connect with. A felt sense that you are different, even from a young age, can be incredibly difficult. I offer a safe space for working psychologically with marginalised and oppressed groups; in particular those people who identify as belonging to the LGBTQIA+ communities. Please feel free to visit www.chpsychotherapies.com or call on 0330 043 3970 for more information.
Pleased to meet you, I’m Heather, co-owner of C&H Psychotherapies. If you are viewing this profile then things may not be great for you, or your child. You may be a young person yourself and seeking a therapist that you can connect with. A felt sense that you are different, even from a young age, can be incredibly difficult. I offer a safe space for working psychologically with marginalised and oppressed groups; in particular those people who identify as belonging to the LGBTQIA+ communities. Please feel free to visit www.chpsychotherapies.com or call on 0330 043 3970 for more information.
0330 043 3970 View 0330 043 3970
Photo of Susan Irving, Psychotherapist, MUKCP
Susan Irving
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
Hello,  I'm delighted to introduce myself as a warm and compassionate Psychotherapist, committed to helping you on your journey towards well-being in a confidential and non-judgmental environment. With a wealth of experience spanning over ten years, I've had the privilege of working closely with clients from all walks of life. Working alongside clients experiencing anxiety, depression, relationship challenges, family issues, low self-esteem, grief, and  the impact of trauma.
Hello,  I'm delighted to introduce myself as a warm and compassionate Psychotherapist, committed to helping you on your journey towards well-being in a confidential and non-judgmental environment. With a wealth of experience spanning over ten years, I've had the privilege of working closely with clients from all walks of life. Working alongside clients experiencing anxiety, depression, relationship challenges, family issues, low self-esteem, grief, and  the impact of trauma.
0191 743 0156 View 0191 743 0156
Photo of Heather Guy Ba (Hons) Counselling - AG Lifescapes Children & Adult Counselling, Counsellor, MBACP
AG Lifescapes Children & Adult Counselling
Counsellor, MBACP
Verified Verified
Hello, I am an Integrative counsellor and use a person centred approach. If you suffer stress, anxiety, depression, sleep issues, bereavement, loss and trauma or any other issues, please get in touch. I work with adults as well as children, young people and adolescents. My speciality is Drawing and talking therapy especially with the children and young people. I provide a safe and confidential space for you to talk and explore your thoughts & feelings and help you to come up with solutions to help yourself on your journey to recovery.
Hello, I am an Integrative counsellor and use a person centred approach. If you suffer stress, anxiety, depression, sleep issues, bereavement, loss and trauma or any other issues, please get in touch. I work with adults as well as children, young people and adolescents. My speciality is Drawing and talking therapy especially with the children and young people. I provide a safe and confidential space for you to talk and explore your thoughts & feelings and help you to come up with solutions to help yourself on your journey to recovery.
01388 434576 View 01388 434576
Photo of Sean Mellor, Psychotherapist, MBABCP
Sean Mellor
Psychotherapist, MBABCP
Verified Verified
Online Only
Waitlist for new clients
As a dedicated CBT and EMDR therapist, I am committed to helping my clients. Through evidence-based therapeutic techniques and a compassionate, non-judgmental approach, I work collaboratively with clients to empower them to create positive change in their lives. I help clients identify and challenge negative thought patterns and beliefs that contribute to anxiety, depression, and other mental health difficulties. By teaching clients effective coping strategies and skills, I empower them to manage their emotions and behaviours in a healthier way.
As a dedicated CBT and EMDR therapist, I am committed to helping my clients. Through evidence-based therapeutic techniques and a compassionate, non-judgmental approach, I work collaboratively with clients to empower them to create positive change in their lives. I help clients identify and challenge negative thought patterns and beliefs that contribute to anxiety, depression, and other mental health difficulties. By teaching clients effective coping strategies and skills, I empower them to manage their emotions and behaviours in a healthier way.
01388 217366 View 01388 217366
Photo of Sarah O'Callaghan, Psychotherapist, MBABCP
Sarah O'Callaghan
Psychotherapist, MBABCP
Verified Verified
2 Endorsed
Hello! I'm Sarah a CBT therapist with a range of experience in most areas of mental health over a career that has spanned 18 years with the NHS. I offer treatment to adults across the UK in convenient online sessions and I also offer in person therapy in the north east. I work with anxiety presentations from low self esteem, social anxiety, OCD and health worries among others. I can also support helping people overcome low mood and depression, both by looking at how we can bring about behavioural change and challenging unhelpful thinking styles.
Hello! I'm Sarah a CBT therapist with a range of experience in most areas of mental health over a career that has spanned 18 years with the NHS. I offer treatment to adults across the UK in convenient online sessions and I also offer in person therapy in the north east. I work with anxiety presentations from low self esteem, social anxiety, OCD and health worries among others. I can also support helping people overcome low mood and depression, both by looking at how we can bring about behavioural change and challenging unhelpful thinking styles.
0191 743 1773 View 0191 743 1773

See more therapy options for NE15

How does your Counsellor compare?

Number of Counsellors in NE15

< 10

Counsellors in NE15 who prioritize treating:

60% Depression
60% Anxiety
60% Life Coaching
60% Obsessive-Compulsive (OCD)
60% Trauma and PTSD
60% Anger Management
60% Autism

Average years in practice

4 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% Aviva
100% AXA PPP

How Counsellors in NE15 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in NE15?

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.