Counselling in NE20

Photo of Dr Carolyn Law, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Carolyn Law
Psychologist, DCounsPsych, HCPC - Couns. Psych.
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 Dr Anna Day, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Anna Day
Psychologist, PsychD, HCPC - Clin. Psych.
2 Endorsed
Hi, I'm Anna, a Clinical Psychologist and EMDR therapist with over twenty years experience working in the NHS and private practice. Life can be challenging, and I'm here to offer a nurturing and safe space to help you move forward in the way that you would like. I support people with depression, anxiety, trauma, complex trauma, low self esteem, burn out, adjustment to physical health conditions, and attachment and relational difficulties. After suffering with chronic illness myself, I also specialize in supporting people with chronic illness, including ME/CFS, Long Covid and Chronic Lyme's.
Hi, I'm Anna, a Clinical Psychologist and EMDR therapist with over twenty years experience working in the NHS and private practice. Life can be challenging, and I'm here to offer a nurturing and safe space to help you move forward in the way that you would like. I support people with depression, anxiety, trauma, complex trauma, low self esteem, burn out, adjustment to physical health conditions, and attachment and relational difficulties. After suffering with chronic illness myself, I also specialize in supporting people with chronic illness, including ME/CFS, Long Covid and Chronic Lyme's.
01661 520453 View 01661 520453
Photo of Dan Entwisle, Counsellor, MBACP
Dan Entwisle
Counsellor, MBACP
Online Only
I bring more than just academic qualifications to counselling. I also bring my experience from my previous career as a broadcaster to create a unique therapeutic offer. As an integrative therapist I am ready to guide you on your personal path to wellbeing. My style is informal and welcoming. I don't just hear what you have to tell me, I listen and help you find your path by fostering a creative and positve theraputic alliance.
I bring more than just academic qualifications to counselling. I also bring my experience from my previous career as a broadcaster to create a unique therapeutic offer. As an integrative therapist I am ready to guide you on your personal path to wellbeing. My style is informal and welcoming. I don't just hear what you have to tell me, I listen and help you find your path by fostering a creative and positve theraputic alliance.
01661 523724 View 01661 523724
Photo of Lucy Brown, Counsellor, BACP
Lucy Brown
Counsellor, BACP
Hello, My name is Lucy, I am a qualified counsellor and Senior Psychological well-being practitioner for IAPT. I work in an integrative modality meaning the therapy will be led by you and what you would like to focus on. I strongly believe we are the best experts on ourselves but can sometimes become lost along the way and can refind ourselves or answer questions in therapy. I work with different counselling modalities and adapt to what may be more appropriate for you. Additionally, I can implement guided self-help CBT to help with any difficulties in the present and to provide coping strategies/interventions
Hello, My name is Lucy, I am a qualified counsellor and Senior Psychological well-being practitioner for IAPT. I work in an integrative modality meaning the therapy will be led by you and what you would like to focus on. I strongly believe we are the best experts on ourselves but can sometimes become lost along the way and can refind ourselves or answer questions in therapy. I work with different counselling modalities and adapt to what may be more appropriate for you. Additionally, I can implement guided self-help CBT to help with any difficulties in the present and to provide coping strategies/interventions
View
Photo of Michelle Robinson, Counsellor, MBACP
Michelle Robinson
Counsellor, MBACP
Serves Area
Hi there, thanks for checking my profile. Sometimes life events can feel overwhelming and impact us in a myriad of ways. You might be feeling stuck in a rut at work or in a personal relationship and want a space to consider the reasons for this in a safe and non-judgemental relationship. I will work with whatever you bring to therapy and together we will commit to establishing your objectives and through the medium of the therapeutic relationship I will assist you towards resolution. I have experience working with under 18s, the elderly as well as adults.Areas of expertise include life transitions such as death, divorce, retirement.
Hi there, thanks for checking my profile. Sometimes life events can feel overwhelming and impact us in a myriad of ways. You might be feeling stuck in a rut at work or in a personal relationship and want a space to consider the reasons for this in a safe and non-judgemental relationship. I will work with whatever you bring to therapy and together we will commit to establishing your objectives and through the medium of the therapeutic relationship I will assist you towards resolution. I have experience working with under 18s, the elderly as well as adults.Areas of expertise include life transitions such as death, divorce, retirement.
07449 768633 View 07449 768633
Photo of Pete Askew, Counsellor, MA, MBACP
Pete Askew
Counsellor, MA, MBACP
Serves Area
Feeling as though you have lost something of yourself is a lonely and disorientating place to be. A recent experience such as a relationship problem, work related stress, illness, or a bereavement may have brought you to this place, or a negative experience in your past may have contributed to you feeling this way throughout life. Working through these things, and through any symptoms of anxiety, depression, anger, shame, or grief, can help you feel more whole, and to make changes for the future.
Feeling as though you have lost something of yourself is a lonely and disorientating place to be. A recent experience such as a relationship problem, work related stress, illness, or a bereavement may have brought you to this place, or a negative experience in your past may have contributed to you feeling this way throughout life. Working through these things, and through any symptoms of anxiety, depression, anger, shame, or grief, can help you feel more whole, and to make changes for the future.
01661 525154 View 01661 525154
Photo of Sian Barnard Masters Is Cbt - Sian Barnard Psychotherapist , MSc
Sian Barnard Psychotherapist
Verified Verified
Serves Area
I offer a safe and non-judgemental enviroment where I help people solve the problems that they are dealing with. I want my clients to walk away from our time together with the tools to maintain the changes they have worked for and a new found or rediscovered confidence in themselves and life. My therapy is practical, straight forward and it works. Cognitive behaviour therapy was designed for anxiety related issues from panic to OCD. It is perfect for depression or anger issues. As a qualified hypnotherapist I also teach relaxation and mindfillness meditation to those who want that extra dimension to their therapy.
I offer a safe and non-judgemental enviroment where I help people solve the problems that they are dealing with. I want my clients to walk away from our time together with the tools to maintain the changes they have worked for and a new found or rediscovered confidence in themselves and life. My therapy is practical, straight forward and it works. Cognitive behaviour therapy was designed for anxiety related issues from panic to OCD. It is perfect for depression or anger issues. As a qualified hypnotherapist I also teach relaxation and mindfillness meditation to those who want that extra dimension to their therapy.
0191 743 0131 View 0191 743 0131
Photo of Dr Christina Jane Shahabeddin, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Christina Jane Shahabeddin
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Serves Area
Hi, I'm Christina. As a clinical psychologist with over 10 years of post qualification experience, I offer a personal, individual, integrative approach to evidence based therapy for a wide range of psychological, emotional or behavioural difficulties. I use models including EMDR, CBT, Compassion Focussed Therapy (CFT) and Acceptance and Commitment Therapy (ACT), for difficulties including Trauma and PTSD, grief, depression, anxiety, low self esteem, insomnia, pregnancy and birth related complications or trauma.
Hi, I'm Christina. As a clinical psychologist with over 10 years of post qualification experience, I offer a personal, individual, integrative approach to evidence based therapy for a wide range of psychological, emotional or behavioural difficulties. I use models including EMDR, CBT, Compassion Focussed Therapy (CFT) and Acceptance and Commitment Therapy (ACT), for difficulties including Trauma and PTSD, grief, depression, anxiety, low self esteem, insomnia, pregnancy and birth related complications or trauma.
0191 743 0261 View 0191 743 0261
Photo of Dr Jane MacMillan, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Jane MacMillan
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
Taking the first step to finding help can be difficult and confusing. I offer a discrete and compassionate service for individuals wishing to seek professional support and advice for a wide range of mental health issues. We start with a comprehensive assessment and devise a plan for treatment based on your individual needs.
Taking the first step to finding help can be difficult and confusing. I offer a discrete and compassionate service for individuals wishing to seek professional support and advice for a wide range of mental health issues. We start with a comprehensive assessment and devise a plan for treatment based on your individual needs.
0191 743 7644 View 0191 743 7644
Photo of Dr Christine Price, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Christine Price
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
With over 25 years of qualified experience as a Clinical Psychologist, I have treated a wide range of difficulties. Whether you're dealing with professional burn out or mental health issues, my career has been about helping people with all kinds of challenges. These include anxiety and panic; depression; health anxiety; intrusive thoughts, obsessive compulsive disorder; work stress/burn out; personal stress; adjustment to life transitions; coping with chronic illness; relationship issues; bereavement and loss; emotional regulation, self-esteem issues as well as others.
With over 25 years of qualified experience as a Clinical Psychologist, I have treated a wide range of difficulties. Whether you're dealing with professional burn out or mental health issues, my career has been about helping people with all kinds of challenges. These include anxiety and panic; depression; health anxiety; intrusive thoughts, obsessive compulsive disorder; work stress/burn out; personal stress; adjustment to life transitions; coping with chronic illness; relationship issues; bereavement and loss; emotional regulation, self-esteem issues as well as others.
0191 917 4404 View 0191 917 4404
Photo of Jane Spowart, Psychotherapist, MUKCP
Jane Spowart
Psychotherapist, MUKCP
Serves Area
Do you believe that ‘you just have to get on with it’, but you’re finding it hard? Are you struggling with an issue at the moment or troubled by a situation in your past? Feeling sad, anxious, overwhelmed, defeated or 'stuck'? If you need someone to listen to you empathically and without judgement so that you can make sense of what is happening in your life, I can provide a safe place to support you to feel empowered to make positive changes in your life.
Do you believe that ‘you just have to get on with it’, but you’re finding it hard? Are you struggling with an issue at the moment or troubled by a situation in your past? Feeling sad, anxious, overwhelmed, defeated or 'stuck'? If you need someone to listen to you empathically and without judgement so that you can make sense of what is happening in your life, I can provide a safe place to support you to feel empowered to make positive changes in your life.
01670 332490 View 01670 332490
Photo of Sarah Smith, Counsellor, MBACP
Sarah Smith
Counsellor, MBACP
1 Endorsed
Serves Area
Struggling with anxiety, low mood, or life changes? I offer down-to-earth therapy tailored to your needs. Let’s work together to help you feel more like you again. In Newcastle, Hexham and online. In today's world, it’s easy to feel stretched thin, whether in your health, work, relationships, or sense of self. I offer a non-judgemental space where you can pause, reflect, and explore what’s going on for you. Whether you're seeking confidence, connection, or clarity, I am here to support you. My aim is to help you move from just getting through the days to feeling more grounded and fully alive in them.
Struggling with anxiety, low mood, or life changes? I offer down-to-earth therapy tailored to your needs. Let’s work together to help you feel more like you again. In Newcastle, Hexham and online. In today's world, it’s easy to feel stretched thin, whether in your health, work, relationships, or sense of self. I offer a non-judgemental space where you can pause, reflect, and explore what’s going on for you. Whether you're seeking confidence, connection, or clarity, I am here to support you. My aim is to help you move from just getting through the days to feeling more grounded and fully alive in them.
01434 303162 View 01434 303162
Photo of Hettie Isaac, Counsellor, MBACP
Hettie Isaac
Counsellor, MBACP
Serves Area
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 Loveday Elisabeth Koranteng, Psychotherapist, MUKCP
Loveday Elisabeth Koranteng
Psychotherapist, MUKCP
Serves Area
Are you stressed, depressed, anxious, sad or just not feeling yourself? Then counselling might be something that can help you, whether it is a new concern or a long held one. Sometimes emotional pain or life events can temporarily cloud your ability to see possible solutions, leaving you feeling stuck, confused, unhappy, anxious, sad or even shut down. The process of talking about this can gradually make things seem clearer as you make sense of your feelings and your thoughts become more ordered. You can feel change taking place, sometimes to your own surprise and so start to find a way forward that feels right for you.
Are you stressed, depressed, anxious, sad or just not feeling yourself? Then counselling might be something that can help you, whether it is a new concern or a long held one. Sometimes emotional pain or life events can temporarily cloud your ability to see possible solutions, leaving you feeling stuck, confused, unhappy, anxious, sad or even shut down. The process of talking about this can gradually make things seem clearer as you make sense of your feelings and your thoughts become more ordered. You can feel change taking place, sometimes to your own surprise and so start to find a way forward that feels right for you.
01434 307992 View 01434 307992
Photo of Lauren Clarissa Holmes, Counsellor, MBACP
Lauren Clarissa Holmes
Counsellor, MBACP
Serves Area
I’m here to offer a supportive, compassionate space where you can feel truly heard, understood, and empowered. Whether you're dealing with stress, anxiety, relationship struggles or anything else that feels overwhelming, I’m committed to supporting your growth and healing. I believe the answers lie within you. My role is to help you trust in your ability to cope and grow, to cultivate the inner resources you need, and to empower you to make meaningful change in your life. I’ll not just be your therapist—I’ll be your biggest advocate, celebrating both your smallest victories and your biggest breakthroughs along the way.
I’m here to offer a supportive, compassionate space where you can feel truly heard, understood, and empowered. Whether you're dealing with stress, anxiety, relationship struggles or anything else that feels overwhelming, I’m committed to supporting your growth and healing. I believe the answers lie within you. My role is to help you trust in your ability to cope and grow, to cultivate the inner resources you need, and to empower you to make meaningful change in your life. I’ll not just be your therapist—I’ll be your biggest advocate, celebrating both your smallest victories and your biggest breakthroughs along the way.
0191 743 3196 View 0191 743 3196
Photo of Karen J Tate - Outofsynctherapy , Psychotherapist, MSc
Outofsynctherapy
Psychotherapist, MSc
1 Endorsed
Serves Area
Hello Im Karen. How are you feeling today? Are you feeling "outofsync"? Are you experiencing overwhelm, feeling stuck, not feeling connected? Do you have times when you feel really anxious, sad and unfulfilled?Do you have past traumas?Do you notice you have intrusive thoughts, self limiting beliefs and unusual behaviours?I can help you move forward, help you manage your feelings, emotions and anxieties. I use a range of therapeutic approaches including CBT, EMDR, ACT, Mindfulness, EFT and coaching. Im here to help. Online therapy is as good as in person. "Hope is what enables us to keep going in the face of adversity" Jane Goodall.
Hello Im Karen. How are you feeling today? Are you feeling "outofsync"? Are you experiencing overwhelm, feeling stuck, not feeling connected? Do you have times when you feel really anxious, sad and unfulfilled?Do you have past traumas?Do you notice you have intrusive thoughts, self limiting beliefs and unusual behaviours?I can help you move forward, help you manage your feelings, emotions and anxieties. I use a range of therapeutic approaches including CBT, EMDR, ACT, Mindfulness, EFT and coaching. Im here to help. Online therapy is as good as in person. "Hope is what enables us to keep going in the face of adversity" Jane Goodall.
0191 743 2794 View 0191 743 2794
Photo of Armele Philpotts, Psychotherapist, MA, MBACP Accred
Armele Philpotts
Psychotherapist, MA, MBACP Accred
1 Endorsed
Serves Area
When you're going through a challenging time working with someone who has supported others in similar situations is a great way to move forward. I can support you to take some time out of the same old experiences, to invest in yourself so you can be happier and enjoy what life has to offer. It's possible to work with me one to one or in your couple.
When you're going through a challenging time working with someone who has supported others in similar situations is a great way to move forward. I can support you to take some time out of the same old experiences, to invest in yourself so you can be happier and enjoy what life has to offer. It's possible to work with me one to one or in your couple.
0191 743 3173 View 0191 743 3173
Photo of Victoria Beattie - Kalmer Counselling, Psychotherapist, MSc, MBACP Accred
Kalmer Counselling
Psychotherapist, MSc, MBACP Accred
Serves Area
The way we live our lives, how we think, feel and behave can have a huge impact upon us. If we feel stuck, negative about life that’s all we notice, see and attract into our lives. Therapy at Kalmer can change your life! By creating a space to explore you, your needs, your life, dreams and desires you can change your mindset and develop feelings of happiness and positivity. This can help to change everything about your life because if you change you everything around you has to change too. If you want a more fulfilling happy life it starts with you. ‘Like attracts like’
The way we live our lives, how we think, feel and behave can have a huge impact upon us. If we feel stuck, negative about life that’s all we notice, see and attract into our lives. Therapy at Kalmer can change your life! By creating a space to explore you, your needs, your life, dreams and desires you can change your mindset and develop feelings of happiness and positivity. This can help to change everything about your life because if you change you everything around you has to change too. If you want a more fulfilling happy life it starts with you. ‘Like attracts like’
0191 743 0491 View 0191 743 0491
Photo of Dr Sally Conway, Psychologist, HCPC - Clin. Psych.
Dr Sally Conway
Psychologist, HCPC - Clin. Psych.
Serves Area
Not accepting new clients
Do you feel overwhelmed by everyday stress, stuck in overthinking, or weighed down by painful memories? If you’re highly sensitive, or struggling with past hurts or losses, it’s easy to get caught in people-pleasing, perfectionism and emotional exhaustion and to lose a sense of who you are along the way. I offer therapy and coaching designed to help you find calm, set healthy boundaries, heal from past wounds, and reconnect with your authentic self. Together, we’ll create a compassionate, empowering pathway toward greater confidence, emotional freedom, and lasting fulfilment — so you can become who you were always meant to be.
Do you feel overwhelmed by everyday stress, stuck in overthinking, or weighed down by painful memories? If you’re highly sensitive, or struggling with past hurts or losses, it’s easy to get caught in people-pleasing, perfectionism and emotional exhaustion and to lose a sense of who you are along the way. I offer therapy and coaching designed to help you find calm, set healthy boundaries, heal from past wounds, and reconnect with your authentic self. Together, we’ll create a compassionate, empowering pathway toward greater confidence, emotional freedom, and lasting fulfilment — so you can become who you were always meant to be.
01642 130004 View 01642 130004
Photo of Anna Kate Peter, Psychotherapist, MA, MBACP
Anna Kate Peter
Psychotherapist, MA, MBACP
Serves Area
I offer a space where you can feel safe and free to talk about the issues that you are currently facing, knowing that what you say is confidential, and will not be judged. Are you suffering from problems that are hindering you from actively enjoying life? I work with you to find a deeper understanding of what may be causing these problems, working towards raising awareness of why you feel the way you do. This will enable you to make changes in your life and increase your sense of wellbeing.
I offer a space where you can feel safe and free to talk about the issues that you are currently facing, knowing that what you say is confidential, and will not be judged. Are you suffering from problems that are hindering you from actively enjoying life? I work with you to find a deeper understanding of what may be causing these problems, working towards raising awareness of why you feel the way you do. This will enable you to make changes in your life and increase your sense of wellbeing.
01434 629544 View 01434 629544

How does your Counsellor compare?

Number of Counsellors in NE20

20+

Average cost per session

£67

Counsellors in NE20 who prioritize treating:

96% Anxiety
92% Depression
92% Self Esteem
88% Stress
83% Bereavement
79% Relationship Issues
79% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

78% AXA PPP
78% Bupa
67% Aviva

How Counsellors in NE20 see their clients

96% In Person and Online
4% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counselling

How can I find a therapist in NE20?

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.