Counselling in NE33

Photo of Nasima Begum - Art Psychotherapy Pathway, Psychotherapist, MA, HCPC-Art Therap.
Art Psychotherapy Pathway
Psychotherapist, MA, HCPC-Art Therap.
Hello, my name is Nasima Begum. I am a qualified art psychotherapist and the founder of Art Psychotherapy Pathway. We are passionate about supporting the mental health needs of people from deprived and minoritised communities. We understand the importance of diversity and cultural awareness from people of all backgrounds. We strive to foster a safe space where clients can express themselves through art and creativity, helping them to heal and grow.
Hello, my name is Nasima Begum. I am a qualified art psychotherapist and the founder of Art Psychotherapy Pathway. We are passionate about supporting the mental health needs of people from deprived and minoritised communities. We understand the importance of diversity and cultural awareness from people of all backgrounds. We strive to foster a safe space where clients can express themselves through art and creativity, helping them to heal and grow.
0191 743 4623 View 0191 743 4623
Photo of Caroline Jones, Counsellor, MA, MBACP
Caroline Jones
Counsellor, MA, MBACP
Are you feeling overwhelmed, stressed, depressed, anxious or dealing with relationship difficulties...? Experiencing ill health or long term health conditions? Struggling to cope with childhood trauma...? Would you like support to heal, make changes and move forward...? I am a BACP registered Counsellor with over 10 years’ experience of working within the NHS, alongside my own private practice. I have helped hundreds of adults, children and young people overcome a wide range of emotional difficulties. I am an Integrated Therapist using a Person Centred approach, Psychodynamic theory with Cognitive Behavioural Techniques (CBT).
Are you feeling overwhelmed, stressed, depressed, anxious or dealing with relationship difficulties...? Experiencing ill health or long term health conditions? Struggling to cope with childhood trauma...? Would you like support to heal, make changes and move forward...? I am a BACP registered Counsellor with over 10 years’ experience of working within the NHS, alongside my own private practice. I have helped hundreds of adults, children and young people overcome a wide range of emotional difficulties. I am an Integrated Therapist using a Person Centred approach, Psychodynamic theory with Cognitive Behavioural Techniques (CBT).
0191 743 6405 View 0191 743 6405
Photo of Lizz Bennett - Lizz Bennett Psychotherapeutic Counselling , Counsellor, MA, MBACP
Lizz Bennett Psychotherapeutic Counselling
Counsellor, MA, MBACP
1 Endorsed
Serves Area
Looking through so many different profiles can be really overwhelming can't it? We may be using terminology you don't understand, and perhaps you don't really know what you are looking for? Therapy works best if you and I connect, and feel safe and comfortable together, I can share a little about myself, here but if something about my profile feels right for you, I would warmly invite you to get in touch for a free, no pressure introductory call. I'm BACP registered & welcoming you with openness, curiosity and warmth, supporting you to overcome challenges and enabling you to live with more peace, contentment and fulfilment.
Looking through so many different profiles can be really overwhelming can't it? We may be using terminology you don't understand, and perhaps you don't really know what you are looking for? Therapy works best if you and I connect, and feel safe and comfortable together, I can share a little about myself, here but if something about my profile feels right for you, I would warmly invite you to get in touch for a free, no pressure introductory call. I'm BACP registered & welcoming you with openness, curiosity and warmth, supporting you to overcome challenges and enabling you to live with more peace, contentment and fulfilment.
0191 743 2292 View 0191 743 2292
Photo of Louise Anne Henderson, Counsellor, MBACP
Louise Anne Henderson
Counsellor, MBACP
1 Endorsed
Serves Area
I am a Counsellor working from a Person Centred approach integrating Cognitive Behavioural Therapy and Psychodynamic approaches. I provide a safe, professional and confidential space to help support clients and facilitate change during challenging times. I provide services that are unique to your individual needs and can create a bespoke combination of therapies that include Counselling, Coaching and Mindfulness. Services can help you feel empowered, make changes, identify & face challenges head on, gain control over your life, provide greater insight & perspective whilst learning coping strategies and encourage a positive mindset.
I am a Counsellor working from a Person Centred approach integrating Cognitive Behavioural Therapy and Psychodynamic approaches. I provide a safe, professional and confidential space to help support clients and facilitate change during challenging times. I provide services that are unique to your individual needs and can create a bespoke combination of therapies that include Counselling, Coaching and Mindfulness. Services can help you feel empowered, make changes, identify & face challenges head on, gain control over your life, provide greater insight & perspective whilst learning coping strategies and encourage a positive mindset.
07588 702503 View 07588 702503
Photo of Tracy Woodhouse, Counsellor, MNCPS Acc.
Tracy Woodhouse
Counsellor, MNCPS Acc.
Serves Area
Qualified Clinical Supervisor and Counsellor. My driving force is that I care deeply for people who are suffering when their life isn't working as they need it to, but don't know where to start, or even if it is possible to change or do things differently. Are you stuck? I'm here to help. I provide safe, confidential and professional support to facilitate change through difficult times offering Person Centred Counselling, Cognitive Behavioual Therapy and Self Compassion Mindfulness. Contact us for a free no obligation telephone initial consultation. Easily accessible as we are situated on the ground floor.
Qualified Clinical Supervisor and Counsellor. My driving force is that I care deeply for people who are suffering when their life isn't working as they need it to, but don't know where to start, or even if it is possible to change or do things differently. Are you stuck? I'm here to help. I provide safe, confidential and professional support to facilitate change through difficult times offering Person Centred Counselling, Cognitive Behavioual Therapy and Self Compassion Mindfulness. Contact us for a free no obligation telephone initial consultation. Easily accessible as we are situated on the ground floor.
0191 580 4413 View 0191 580 4413
Photo of Dr Gemma Gate, Psychologist, HCPC - Clin. Psych.
Dr Gemma Gate
Psychologist, HCPC - Clin. Psych.
Serves Area
Are you a parent feeling overwhelmed by your child’s big emotions, anxiety, low self-esteem, or challenging behaviour? You’re not alone. I’m a Clinical Psychologist with over 15 years’ experience helping families like yours. Together, we can reduce conflict, strengthen your connection, and help your child feel more secure and confident. Let’s create a calmer, more connected home.
Are you a parent feeling overwhelmed by your child’s big emotions, anxiety, low self-esteem, or challenging behaviour? You’re not alone. I’m a Clinical Psychologist with over 15 years’ experience helping families like yours. Together, we can reduce conflict, strengthen your connection, and help your child feel more secure and confident. Let’s create a calmer, more connected home.
01757 607020 View 01757 607020
Photo of Gabrielle Victoria Christie, Psychotherapist, MSc, MBABCP
Gabrielle Victoria Christie
Psychotherapist, MSc, MBABCP
1 Endorsed
Online Only
Hello, I'm Gabrielle, a dedicated Cognitive Behavioural Therapist (CBT), Registered Mental Health Nurse, EMDR Practitioner, Course lead and Senior Lecturer, with a passion for helping others. I believe that therapy is a collaborative journey where we work together to understand what you are going through.
Hello, I'm Gabrielle, a dedicated Cognitive Behavioural Therapist (CBT), Registered Mental Health Nurse, EMDR Practitioner, Course lead and Senior Lecturer, with a passion for helping others. I believe that therapy is a collaborative journey where we work together to understand what you are going through.
0191 743 2242 View 0191 743 2242
Photo of Beverley Ann Colman, Counsellor, MNCPS Acc.
Beverley Ann Colman
Counsellor, MNCPS Acc.
Serves Area
Waitlist for new clients
Hello, I’m Bev. Sometimes life can feel overwhelming and when our thoughts are disorganised it can be challenging to see a clear way forward and to make positive and healthy choices. Although it is helpful talking to others, many people feel more comfortable and more able to be fully open, talking to a trained professional. I am an Integrative Person-centered Counsellor and EMDR Practitioner. I have experience in supporting and helping clients overcome mental health issues including; bereavement, anxiety, depression, relationship difficulties and trauma.
Hello, I’m Bev. Sometimes life can feel overwhelming and when our thoughts are disorganised it can be challenging to see a clear way forward and to make positive and healthy choices. Although it is helpful talking to others, many people feel more comfortable and more able to be fully open, talking to a trained professional. I am an Integrative Person-centered Counsellor and EMDR Practitioner. I have experience in supporting and helping clients overcome mental health issues including; bereavement, anxiety, depression, relationship difficulties and trauma.
07446 869552 View 07446 869552
Photo of Marie-Anne Issa, Psychologist, PhD, HCPC - Clin. Psych.
Marie-Anne Issa
Psychologist, PhD, HCPC - Clin. Psych.
Online Only
Not accepting new clients
Fear and other emotions, such as shame, as well as as familiar yet unhealthy patterns in our thinking, behaviour, and relationships can keep us stuck. Psychotherapy can help. In my work so far, I’ve witnessed many clients change and find healthier ways to connect to themselves and the world. I have practiced psychotherapy in Beirut and New York City, before coming to London.
Fear and other emotions, such as shame, as well as as familiar yet unhealthy patterns in our thinking, behaviour, and relationships can keep us stuck. Psychotherapy can help. In my work so far, I’ve witnessed many clients change and find healthier ways to connect to themselves and the world. I have practiced psychotherapy in Beirut and New York City, before coming to London.
020 4538 8756 View 020 4538 8756
Photo of Katie Strongman - Space for Reflection, Psychotherapist, MBABCP
Space for Reflection
Psychotherapist, MBABCP
2 Endorsed
Serves Area
It can be really daunting starting therapy and knowing where to begin. I am a compassionate, down to earth therapist and offer a range of therapies that I am fully qualified in. I am happy to offer a free 15 minute telephone consultation to discuss how I might be able to help. I have a lot of experience working with people who are stuck in a cycle of low mood or anxiety, people who have experienced traumatic events and need to heal from symptoms of PTSD and with people who have difficulties stemming from their childhood. If you have a critical inner voice, repeating patterns or feel stuck and overwhelmed then I can help.
It can be really daunting starting therapy and knowing where to begin. I am a compassionate, down to earth therapist and offer a range of therapies that I am fully qualified in. I am happy to offer a free 15 minute telephone consultation to discuss how I might be able to help. I have a lot of experience working with people who are stuck in a cycle of low mood or anxiety, people who have experienced traumatic events and need to heal from symptoms of PTSD and with people who have difficulties stemming from their childhood. If you have a critical inner voice, repeating patterns or feel stuck and overwhelmed then I can help.
0191 743 6819 View 0191 743 6819

More Therapists Nearby

Photo of Christine Halliday, Counsellor, MBABCP
Christine Halliday
Counsellor, MBABCP
1 Endorsed
If you are an individual struggling with where you are in life at the moment and feeling stuck, or you are part of a couple and want to improve your relationship, I can give you the space and time to explore how you got to this place of uncertainty and help you find a way forward.
If you are an individual struggling with where you are in life at the moment and feeling stuck, or you are part of a couple and want to improve your relationship, I can give you the space and time to explore how you got to this place of uncertainty and help you find a way forward.
0191 743 2596 View 0191 743 2596
Photo of Jackie Walton, Psychotherapist, MA, MUKCP
Jackie Walton
Psychotherapist, MA, MUKCP
Durham DH1
Many people who seek counselling and psychotherapy are uncertain about how these services may be able to help them. I offer an initial free telephone consultation to find out more about you and the difficulties you are experiencing to help you decide whether I am the right person to help you. My therapeutic approach is to work collaboratively with you to help you reach a better understanding of the problems you are experiencing and to identify possible ways forward. I have a professional background in mental health nursing and social work with children and families. I currently work as a psychotherapist with adult clients only.
Many people who seek counselling and psychotherapy are uncertain about how these services may be able to help them. I offer an initial free telephone consultation to find out more about you and the difficulties you are experiencing to help you decide whether I am the right person to help you. My therapeutic approach is to work collaboratively with you to help you reach a better understanding of the problems you are experiencing and to identify possible ways forward. I have a professional background in mental health nursing and social work with children and families. I currently work as a psychotherapist with adult clients only.
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Photo of Dr Laura Taylor-Gray, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Laura Taylor-Gray
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Tynemouth NE30
Not accepting new clients
As a Highly Specialist Practitioner Psychologist, I have worked mainly with individuals who have suffered some kind of childhood trauma and I also offer assessments for ADHD & ASD. As a result I have found that individuals with personality issues, CPTSD, mood disorders and neurodiversity feel that I am the best fit for them. The types of clients who are drawn to me tend to have difficulties with rejection, abandonment, being judged and not accepted. I provide the space to counteract that, to develop self-empathy and self-compassion and to simply accept and learn to love who we truly are.
As a Highly Specialist Practitioner Psychologist, I have worked mainly with individuals who have suffered some kind of childhood trauma and I also offer assessments for ADHD & ASD. As a result I have found that individuals with personality issues, CPTSD, mood disorders and neurodiversity feel that I am the best fit for them. The types of clients who are drawn to me tend to have difficulties with rejection, abandonment, being judged and not accepted. I provide the space to counteract that, to develop self-empathy and self-compassion and to simply accept and learn to love who we truly are.
0191 743 9148 View 0191 743 9148
Photo of Susan Ann Stuart, Psychotherapist, MSc, MUKCP
Susan Ann Stuart
Psychotherapist, MSc, MUKCP
Online Only
Maybe you need somebody to speak to? An experienced accredited psychotherapist, counsellor, and supervisor, I have worked for more than twenty years with a wide range of environments (Private Practice, University and NHS settings). Whatever your needs, I will work with you in a safe, calm and confidential way online or by telephone. I am skilled in listening, identifying optimal treatment approaches, and working with symptoms resulting from trauma. I also offer supervision to trainee and qualified psychotherapists and counsellors, EMDR therapists, practitioners and consultants. Mentoring or consultation for allied professionals.
Maybe you need somebody to speak to? An experienced accredited psychotherapist, counsellor, and supervisor, I have worked for more than twenty years with a wide range of environments (Private Practice, University and NHS settings). Whatever your needs, I will work with you in a safe, calm and confidential way online or by telephone. I am skilled in listening, identifying optimal treatment approaches, and working with symptoms resulting from trauma. I also offer supervision to trainee and qualified psychotherapists and counsellors, EMDR therapists, practitioners and consultants. Mentoring or consultation for allied professionals.
0191 743 3096 View 0191 743 3096
Photo of Jessica Lynda Marriott, Psychotherapist, MA, MBACP
Jessica Lynda Marriott
Psychotherapist, MA, MBACP
this is therapy - reimagined for the modern mind. where science meets spirituality to create a space for profound healing across mind, body and soul.healing doesn’t happen through words alone — it happens when the body feels safe enough to let go, to feel, release and rewire. this work isn’t about fixing you, because you’re not broken. it’s about giving you the tools, practices, and presence to trust - feel, move, and express yourself in a way that opens up life again. my job is to walk alongside you until you remember: you’ve had the medicine all along.
this is therapy - reimagined for the modern mind. where science meets spirituality to create a space for profound healing across mind, body and soul.healing doesn’t happen through words alone — it happens when the body feels safe enough to let go, to feel, release and rewire. this work isn’t about fixing you, because you’re not broken. it’s about giving you the tools, practices, and presence to trust - feel, move, and express yourself in a way that opens up life again. my job is to walk alongside you until you remember: you’ve had the medicine all along.
0191 743 1170 View 0191 743 1170
Photo of Dr Joanne Dixon, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Joanne Dixon
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I'm Jo, a Consultant Clinical Psychologist, CAT Practitioner and Supervisor. Lots of people struggle with their mental health at times and feel like they're not enough. Maybe you have a hard time liking yourself, find it hard to get your voice heard and feel like giving up trying or feel like it's only you struggling? We all have lots of messy feelings and I help people make sense of these. I love working alongside people to develop an understanding of what's gone on and how to make changes. I am experienced in been working with people with worry, mood, difficult relationship patterns, trauma and the effects these have on a person.
I'm Jo, a Consultant Clinical Psychologist, CAT Practitioner and Supervisor. Lots of people struggle with their mental health at times and feel like they're not enough. Maybe you have a hard time liking yourself, find it hard to get your voice heard and feel like giving up trying or feel like it's only you struggling? We all have lots of messy feelings and I help people make sense of these. I love working alongside people to develop an understanding of what's gone on and how to make changes. I am experienced in been working with people with worry, mood, difficult relationship patterns, trauma and the effects these have on a person.
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Photo of Dr Clark Davison, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Clark Davison
Psychologist, PsychD, HCPC - Clin. Psych.
Hexham NE46
My name is Dr Clark Davison and I am a Consultant Clinical Psychologist with experience working within the NHS and private sector at a senior level.
My name is Dr Clark Davison and I am a Consultant Clinical Psychologist with experience working within the NHS and private sector at a senior level.
01434 307702 View 01434 307702
Photo of Julie Ann Taksh - Durham Gate Therapy - CBT, Counselling & EMDR, Psychotherapist, MA, MBACP Snr. Accred
Durham Gate Therapy - CBT, Counselling & EMDR
Psychotherapist, MA, MBACP Snr. Accred
Durham DH1
Welcome to my profile. I am a compassionate and highly experienced Senior Accredited Counsellor, Clinical Supervisor, EMDR Consultant, Accredited Cognitive Behaviour Therapist (CBT) and Interpersonal Psychotherapist. In addition to my qualifications I have over 27 years’ experience, which has given me the diverse skills required to work with a wide range of psychological issues. I now specialise in working with adults and and teenagers. I have a particular interest in working with Trauma/PTSD, Depression, Anxiety, Panic, OCD, Worry, Stress, Work Related Issues and Bereavement. I also offer Clinical Supervision to professionals.
Welcome to my profile. I am a compassionate and highly experienced Senior Accredited Counsellor, Clinical Supervisor, EMDR Consultant, Accredited Cognitive Behaviour Therapist (CBT) and Interpersonal Psychotherapist. In addition to my qualifications I have over 27 years’ experience, which has given me the diverse skills required to work with a wide range of psychological issues. I now specialise in working with adults and and teenagers. I have a particular interest in working with Trauma/PTSD, Depression, Anxiety, Panic, OCD, Worry, Stress, Work Related Issues and Bereavement. I also offer Clinical Supervision to professionals.
0191 743 3563 View 0191 743 3563
Photo of Claire McPhail, Counsellor, MBACP
Claire McPhail
Counsellor, MBACP
1 Endorsed
I'm an integrative, trauma-informed counsellor and supervisor based in County Durham. I work 1-1 with adults in person and remotely. I have a relational and collaborative approach. I work predominantly with domestic violence and sexual abuse. I am also a qualified Breathwork Facilitator and Emotional Freedom Technique Practitioner and have a particular interest in the mind-body connection and somatic and creative resources. I am an LGBTQ+ allied therapist and my practice is neurodivergent affirming.
I'm an integrative, trauma-informed counsellor and supervisor based in County Durham. I work 1-1 with adults in person and remotely. I have a relational and collaborative approach. I work predominantly with domestic violence and sexual abuse. I am also a qualified Breathwork Facilitator and Emotional Freedom Technique Practitioner and have a particular interest in the mind-body connection and somatic and creative resources. I am an LGBTQ+ allied therapist and my practice is neurodivergent affirming.
0191 743 9541 View 0191 743 9541
Photo of Genevieve Theresa Buée, Counsellor, MA, MBACP
Genevieve Theresa Buée
Counsellor, MA, MBACP
Hello, I am an experienced therapist offering counselling sessions for adults and young people aged 14 and over. I provide professional insight and perspectives in approaching problems to enhance well being and create an overall positive change in understanding. This helps make meaning out of life in the "here and now" and also provides support with ongoing benefits in making life choices for the future. When situations or context do not have solutions, supporting the process of emotional healing is the focus of therapy.
Hello, I am an experienced therapist offering counselling sessions for adults and young people aged 14 and over. I provide professional insight and perspectives in approaching problems to enhance well being and create an overall positive change in understanding. This helps make meaning out of life in the "here and now" and also provides support with ongoing benefits in making life choices for the future. When situations or context do not have solutions, supporting the process of emotional healing is the focus of therapy.
0191 917 9391 View 0191 917 9391

How does your Counsellor compare?

Number of Counsellors in NE33

10+

Average cost per session

£60

Counsellors in NE33 who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Self Esteem
90% Relationship Issues
90% Coping Skills
90% Stress

Average years in practice

13 Years

Top 3 insurances accepted

67% Any/Out-of-network Insurance
67% Bupa
33% Aetna

How Counsellors in NE33 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 NE33?

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.