Counselling in NP7

Photo of Heather Murray - Heather Murray - Counselling & Psychotherapy , Psychotherapist, MBACP Accred
Have things come to a point in your life where it just feels really difficult to carry on? Do you find that you are anxious, worrying over the future, questioning your neurodiversity? Do your thoughts drift repeatedly into the past, perhaps returning you to trauma or disappointment? Would you really like to be listened to with care and attention? Perhaps it is not advise that you need, just the opportunity to share what you’re going through, and find ways to feel better, more resilient and more able to cope. Perhaps you just want to feel more contented and at peace.
Have things come to a point in your life where it just feels really difficult to carry on? Do you find that you are anxious, worrying over the future, questioning your neurodiversity? Do your thoughts drift repeatedly into the past, perhaps returning you to trauma or disappointment? Would you really like to be listened to with care and attention? Perhaps it is not advise that you need, just the opportunity to share what you’re going through, and find ways to feel better, more resilient and more able to cope. Perhaps you just want to feel more contented and at peace.
01341 408147 View 01341 408147
Photo of Kristian Richings, Counsellor, MBACP
Kristian Richings
Counsellor, MBACP
1 Endorsed
Hello, I’m Kristian. I’m an Integrative Counsellor and Psychotherapist with over thirteen years of experience as a therapist in NHS and charitable settings. I provide help and support to people with all kinds of difficulties; people feeling frustrated, overwhelmed, numb, lost or hopeless. People finding themselves stuck in patterns, or with intrusive thoughts, worries or struggling with difficult emotions. I support people by providing a space to process what’s happened before, what’s happening now and develop coping strategies and skills.
Hello, I’m Kristian. I’m an Integrative Counsellor and Psychotherapist with over thirteen years of experience as a therapist in NHS and charitable settings. I provide help and support to people with all kinds of difficulties; people feeling frustrated, overwhelmed, numb, lost or hopeless. People finding themselves stuck in patterns, or with intrusive thoughts, worries or struggling with difficult emotions. I support people by providing a space to process what’s happened before, what’s happening now and develop coping strategies and skills.
01302 202849 View 01302 202849
Photo of Angela Rees - Angela Rees Counselling & Hypnotherapy, Counsellor, MBACP
Hello, I am Ange and am an integrative therapist, using a number of different approaches when working with clients. I believe that each client is individual so my approach offers the flexibility to tailor our sessions to suit your individual needs. I will support you not only to explore how your history may be impacting your present-day life, but also to look forward to a more purposeful and meaningful future. Clients come to me for many reasons, including grief, low mood, work-related issues, self esteem, relationship difficulties and major life changes.
Hello, I am Ange and am an integrative therapist, using a number of different approaches when working with clients. I believe that each client is individual so my approach offers the flexibility to tailor our sessions to suit your individual needs. I will support you not only to explore how your history may be impacting your present-day life, but also to look forward to a more purposeful and meaningful future. Clients come to me for many reasons, including grief, low mood, work-related issues, self esteem, relationship difficulties and major life changes.
01302 202792 View 01302 202792
Photo of Elizabeth Garnham - Mind Monmouthshire, Counsellor, MUKCP
Mind Monmouthshire
Counsellor, MUKCP
Counselling can be a scary process; our counsellors are skilled at helping you relax so you can talk about the problems you are having at the moment. We will offer you a safe, non-judgemental space to explore the problems you are facing and ways to help you move forward away from them. Within our team we can offer you a wide range of different counselling styles to help you get back on track as soon as possible and away from any emotional distress you have been feeling.
Counselling can be a scary process; our counsellors are skilled at helping you relax so you can talk about the problems you are having at the moment. We will offer you a safe, non-judgemental space to explore the problems you are facing and ways to help you move forward away from them. Within our team we can offer you a wide range of different counselling styles to help you get back on track as soon as possible and away from any emotional distress you have been feeling.
01873 776097 View 01873 776097
Photo of Brandon Kayat - Clarity Mind Therapy, Psychologist, MSc, HCPC - Clin. Psych.
Clarity Mind Therapy
Psychologist, MSc, HCPC - Clin. Psych.
Have you been experiencing a stuck point in your life? Something you may or may not understand but are unsure of how to transcend? Have you struggled with overthinking, tension, relationships with others or some event in your early life that keeps on coming up for you? Are you ready to claim the life you deserve and know is waiting for you? I am experienced with clients who are navigating this transformation from any stage of that incredible journey. Whether you are at the beginning with many problems and symptoms that overwhelm you or you are problem-free and just looking to upgrade your life, I offer the opportunity to transform.
Have you been experiencing a stuck point in your life? Something you may or may not understand but are unsure of how to transcend? Have you struggled with overthinking, tension, relationships with others or some event in your early life that keeps on coming up for you? Are you ready to claim the life you deserve and know is waiting for you? I am experienced with clients who are navigating this transformation from any stage of that incredible journey. Whether you are at the beginning with many problems and symptoms that overwhelm you or you are problem-free and just looking to upgrade your life, I offer the opportunity to transform.
01302 202312 View 01302 202312
Photo of Sarah Langton - Sarah Langton Online Counselling, Counsellor, MNCPS Acc.
I am a fully qualified and registered professional councillor with The National Counselling and Psychotherapy Society (NCPS). As such I offer you a safe, supportive and highly-confidential space to talk openly about any difficulties you are experiencing. Together we can investigate ways to manage/overcome your concerns and difficulties. I have personal experience of being supported by others within the profession and know only too well how valuable this support and encouragement can be. My aim is to support you as you build a brighter and healthier future for yourself.
I am a fully qualified and registered professional councillor with The National Counselling and Psychotherapy Society (NCPS). As such I offer you a safe, supportive and highly-confidential space to talk openly about any difficulties you are experiencing. Together we can investigate ways to manage/overcome your concerns and difficulties. I have personal experience of being supported by others within the profession and know only too well how valuable this support and encouragement can be. My aim is to support you as you build a brighter and healthier future for yourself.
01873 771856 View 01873 771856
Photo of Simon Crompton, Psychotherapist, UKCP Trainee
Simon Crompton
Psychotherapist, UKCP Trainee
1 Endorsed
Hi, and welcome! Starting therapy can take a bit of courage. Often people reach this point because something in life isn’t sitting right anymore, or hasn't been for a long time. My aim is to offer a space where you can pause, take a breath and begin to explore what’s happening, without pressure or judgement. I try to work in a straightforward, human way, not as an expert who has all the answers, but alongside you. For me psychotherapy is not something that is "done" to someone, it's about us working together helping you to make sense of what you’re feeling and how you’ve got to where you are.
Hi, and welcome! Starting therapy can take a bit of courage. Often people reach this point because something in life isn’t sitting right anymore, or hasn't been for a long time. My aim is to offer a space where you can pause, take a breath and begin to explore what’s happening, without pressure or judgement. I try to work in a straightforward, human way, not as an expert who has all the answers, but alongside you. For me psychotherapy is not something that is "done" to someone, it's about us working together helping you to make sense of what you’re feeling and how you’ve got to where you are.
01642 053525 View 01642 053525
Photo of Susannah Humphrey - Root and Rise Therapy, Counsellor, MSc, MBACP
Root and Rise Therapy
Counsellor, MSc, MBACP
I’m Susannah, an Integrative Counsellor offering a calm and supportive space for adults experiencing anxiety, stress, low self-esteem, grief, or trauma. My approach combines Person-Centred and CBT techniques to support you in understanding yourself, building resilience, and making meaningful changes. Together, we can make sense of what’s happening for you, identify patterns that may be keeping you stuck, and develop tools to support your personal growth. You’ll find my style warm, collaborative, and down-to-earth. Clients often describe me as calming, respectful, and easy to talk to.
I’m Susannah, an Integrative Counsellor offering a calm and supportive space for adults experiencing anxiety, stress, low self-esteem, grief, or trauma. My approach combines Person-Centred and CBT techniques to support you in understanding yourself, building resilience, and making meaningful changes. Together, we can make sense of what’s happening for you, identify patterns that may be keeping you stuck, and develop tools to support your personal growth. You’ll find my style warm, collaborative, and down-to-earth. Clients often describe me as calming, respectful, and easy to talk to.
01302 202761 View 01302 202761
Photo of Kym Dalley, Counsellor, MBACP
Kym Dalley
Counsellor, MBACP
You may be currently experiencing a difficulty or loss in your life and feel stuck and unable to move forward. Or are struggling with a range of difficult emotions ? Perhaps, like many others you have had experiences that were traumatic and you are looking to find a way of working past these so that you can move on in your life. You may be feeling depressed, anxious, confused, angry or perhaps lost. We can all experience overwhelming emotions at times in our lives and seeking support can often be daunting but taking that first step is powerful; with the right support, we all have the means to negotiate life’s challenges.
You may be currently experiencing a difficulty or loss in your life and feel stuck and unable to move forward. Or are struggling with a range of difficult emotions ? Perhaps, like many others you have had experiences that were traumatic and you are looking to find a way of working past these so that you can move on in your life. You may be feeling depressed, anxious, confused, angry or perhaps lost. We can all experience overwhelming emotions at times in our lives and seeking support can often be daunting but taking that first step is powerful; with the right support, we all have the means to negotiate life’s challenges.
01443 809875 View 01443 809875
Photo of Joanne Walker, Counsellor, MNCPS Acc.
Joanne Walker
Counsellor, MNCPS Acc.
Whatever you're going through in life counselling provides you with non-judgmental and empathic support. Being seen and heard goes a long way towards starting to feel better. Honest and open communication tends to bring insight and clarity. This promotes growth, which ultimately results in change and acceptance. Reflection can help to make long lasting positive changes to you, your relationships and your future. The space to unburden and review your coping strategies can improve confidence and self-worth. A confidential space also means there's no need to worry about the impact of opening up to those around you.
Whatever you're going through in life counselling provides you with non-judgmental and empathic support. Being seen and heard goes a long way towards starting to feel better. Honest and open communication tends to bring insight and clarity. This promotes growth, which ultimately results in change and acceptance. Reflection can help to make long lasting positive changes to you, your relationships and your future. The space to unburden and review your coping strategies can improve confidence and self-worth. A confidential space also means there's no need to worry about the impact of opening up to those around you.
01446 501445 View 01446 501445
Photo of Eleanor Lewis, Counsellor, MA, MBACP
Eleanor Lewis
Counsellor, MA, MBACP
Hi, my name is Eleanor. I'm a trauma-informed counsellor and psychotherapist offering a down-to-earth, compassionate space to explore whatever brings you here. My approach is integrative, shaped by your unique needs, and rooted in empathy, respect, and genuine human connection. Based in the heart of the Brecon Beacons, I often work outdoors, drawing on the grounding and calming presence of nature. Whether you're facing something difficult or simply looking to understand yourself better, you're welcome here.
Hi, my name is Eleanor. I'm a trauma-informed counsellor and psychotherapist offering a down-to-earth, compassionate space to explore whatever brings you here. My approach is integrative, shaped by your unique needs, and rooted in empathy, respect, and genuine human connection. Based in the heart of the Brecon Beacons, I often work outdoors, drawing on the grounding and calming presence of nature. Whether you're facing something difficult or simply looking to understand yourself better, you're welcome here.
01873 771187 View 01873 771187
Photo of Hayley Male, Counsellor, MBACP
Hayley Male
Counsellor, MBACP
1 Endorsed
Serves Area
At times we all find it hard to cope and need a little help to get back on track. I believe that therapy can help anyone to transform their life. I believe in the human potential for change and improvement and the importance of personal growth. Perhaps you're feeling trapped or blocked by the past, confused knowing there must be more to life but feeling stuck in survival. Maybe you feel in the depths of despair with feelings of stress, depression and anxiety or recently grieving from a bereavement or loss. You know changes need to be made and seeking a safe supportive space to find a greater balance and meaning to life.
At times we all find it hard to cope and need a little help to get back on track. I believe that therapy can help anyone to transform their life. I believe in the human potential for change and improvement and the importance of personal growth. Perhaps you're feeling trapped or blocked by the past, confused knowing there must be more to life but feeling stuck in survival. Maybe you feel in the depths of despair with feelings of stress, depression and anxiety or recently grieving from a bereavement or loss. You know changes need to be made and seeking a safe supportive space to find a greater balance and meaning to life.
01443 706667 View 01443 706667
Photo of Lou Padian, Counsellor, MBACP
Lou Padian
Counsellor, MBACP
Serves Area
HI, I'm Lou, I am passionate about helping people find themselves again. If you are going through a difficult time, don't be alone, we can face whatever you are struggling with together. I listen with an empathic approach offering reflection and support so that you are heard with high regard. I understand how challenging life can become and will support you in finding the power to achieve a more satisfying life. I believe everyone deserves to explore their feelings in a safe space feeling heard, understood and respected because I think each individual has their own answers. Enquiring about therapy is the first step to recovery.
HI, I'm Lou, I am passionate about helping people find themselves again. If you are going through a difficult time, don't be alone, we can face whatever you are struggling with together. I listen with an empathic approach offering reflection and support so that you are heard with high regard. I understand how challenging life can become and will support you in finding the power to achieve a more satisfying life. I believe everyone deserves to explore their feelings in a safe space feeling heard, understood and respected because I think each individual has their own answers. Enquiring about therapy is the first step to recovery.
01432 805395 View 01432 805395
Photo of Bernadette Bustin, Psychologist, CPsychol
Bernadette Bustin
Psychologist, CPsychol
Serves Area
Addiction therapy is a process in which we will co-create a plan that will work for you based on your unique life circumstances, experiences, habits and natural traits. We will also base this on knowledge of how addiction works neurologically in the brain, and draw on evidence-based psychological methods. We can address any addictive or compulsive behaviour including: Alcohol, Drugs, Eating, Sex, Porn, Gambling, Shopping, Exercise, Gaming, Internet, Prescriptions, Social-media, Nicotine, Work, Rage, Plastic-surgery, Self-harm, Tattoos, Risky-activities, Vomiting, Hoarding, Bingeing...
Addiction therapy is a process in which we will co-create a plan that will work for you based on your unique life circumstances, experiences, habits and natural traits. We will also base this on knowledge of how addiction works neurologically in the brain, and draw on evidence-based psychological methods. We can address any addictive or compulsive behaviour including: Alcohol, Drugs, Eating, Sex, Porn, Gambling, Shopping, Exercise, Gaming, Internet, Prescriptions, Social-media, Nicotine, Work, Rage, Plastic-surgery, Self-harm, Tattoos, Risky-activities, Vomiting, Hoarding, Bingeing...
01982 510303 View 01982 510303
Photo of Mary Yeomans, Counsellor, MBACP
Mary Yeomans
Counsellor, MBACP
1 Endorsed
Serves Area
My belief as a practitioner is that as humans we are inherently good, but our circumstances and environment can impact how we view ourselves and others. Often, a person seeks therapy because they feel in conflict, moving between thinking about what they ‘should be’ and what they think they ‘are’. Events throughout life can cause us to challenge these scripts and can bring barriers and obstacles that prevent us living as our authentic selves. My role as counsellor is to offer a non-judgemental, empathic space where these thoughts can be explored and reflected upon safely and collaboratively.
My belief as a practitioner is that as humans we are inherently good, but our circumstances and environment can impact how we view ourselves and others. Often, a person seeks therapy because they feel in conflict, moving between thinking about what they ‘should be’ and what they think they ‘are’. Events throughout life can cause us to challenge these scripts and can bring barriers and obstacles that prevent us living as our authentic selves. My role as counsellor is to offer a non-judgemental, empathic space where these thoughts can be explored and reflected upon safely and collaboratively.
020 3835 4311 View 020 3835 4311
Photo of Clive Oxford, Psychotherapist, SNCPS Acc.
Clive Oxford
Psychotherapist, SNCPS Acc.
Serves Area
Having been in practice for over thirty years, I know that no one REALLY wants to come and see me. I can seem like a last resort. I'm the person you come to when no-one else will do ……and, you have to pay me! You have to talk to someone! Someone who, you are hoping and trusting will understand the gravity of your situation and take you and your experience of life seriously.. So... conversational therapy is what I do; it is my job; what I do for a living; have conversations with people, be with them, helping them through fearful times of doubt, uncertainty and despair. Like walking a tightrope, it’s a risky business!
Having been in practice for over thirty years, I know that no one REALLY wants to come and see me. I can seem like a last resort. I'm the person you come to when no-one else will do ……and, you have to pay me! You have to talk to someone! Someone who, you are hoping and trusting will understand the gravity of your situation and take you and your experience of life seriously.. So... conversational therapy is what I do; it is my job; what I do for a living; have conversations with people, be with them, helping them through fearful times of doubt, uncertainty and despair. Like walking a tightrope, it’s a risky business!
01432 805099 View 01432 805099
Photo of Sandra McElwee, Counsellor, MBACP
Sandra McElwee
Counsellor, MBACP
Serves Area
Hello and welcome to ‘The Big Blue Chair’. I’m Sandra and I’m a fully qualified therapeutic counsellor and registered member of the British Association for Counselling and Psychotherapy.
Hello and welcome to ‘The Big Blue Chair’. I’m Sandra and I’m a fully qualified therapeutic counsellor and registered member of the British Association for Counselling and Psychotherapy.
01633 987146 View 01633 987146
Photo of Loz Varndell, Counsellor, MBACP
Loz Varndell
Counsellor, MBACP
Serves Area
Hi I’m Loz, my pronouns are they/them. I believe that to create a nurturing space where you feel safe and open to explore the challenges that have brought you to counselling, I need to be the most genuine and empathetic version of myself I can be. Sharing my humanness with you is important to me and this is what guided me to become a Person-Centred counsellor. Our sessions will be led by you, allowing you to work at your own pace, while I take a gentle and holding approach to being alongside you through your journey.
Hi I’m Loz, my pronouns are they/them. I believe that to create a nurturing space where you feel safe and open to explore the challenges that have brought you to counselling, I need to be the most genuine and empathetic version of myself I can be. Sharing my humanness with you is important to me and this is what guided me to become a Person-Centred counsellor. Our sessions will be led by you, allowing you to work at your own pace, while I take a gentle and holding approach to being alongside you through your journey.
01323 401923 View 01323 401923
Photo of Sarah Griffiths, Psychotherapist, MBACP
Sarah Griffiths
Psychotherapist, MBACP
Serves Area
Waitlist for new clients
Life can be chaotic, and messy; but we don't have to navigate its challenges alone. I believe in meeting people where they are, as they are - whatever that may look like. Exploring and embracing the unique way we all work, and the challenge of finding what we need to thrive, is at the heart of my approach. I work with a range of human beings experiencing a wide array of concerns. I work with ADHD and Autism, anxiety, self esteem, identity, relationship and communication issues - but this is by no means an exhaustive list. My interest in neurodiversity is in part driven by the discovery in adulthood that I am neurodivergent myself.
Life can be chaotic, and messy; but we don't have to navigate its challenges alone. I believe in meeting people where they are, as they are - whatever that may look like. Exploring and embracing the unique way we all work, and the challenge of finding what we need to thrive, is at the heart of my approach. I work with a range of human beings experiencing a wide array of concerns. I work with ADHD and Autism, anxiety, self esteem, identity, relationship and communication issues - but this is by no means an exhaustive list. My interest in neurodiversity is in part driven by the discovery in adulthood that I am neurodivergent myself.
01341 408142 View 01341 408142
Photo of Arissa Hossain, Psychotherapist, MA, MBACP
Arissa Hossain
Psychotherapist, MA, MBACP
Online Only
Sometimes our experiences, upbringing and relationships, work, matters of self worth, or a multitude of emotions and issues leave us feeling overwhelmed, stuck, isolated, unmotivated, or exhausted. I will support you in navigating your unique experience, developing deeper self-understanding, more spaciousness around your emotions and ways of being, fostering creative flexibility, and a clearer sense of 'you' and what feels meaningful to you. The therapeutic space we create together becomes a place where old patterns can be understood and new ways of being and transformative insight can emerge—without judgement or pressure.
Sometimes our experiences, upbringing and relationships, work, matters of self worth, or a multitude of emotions and issues leave us feeling overwhelmed, stuck, isolated, unmotivated, or exhausted. I will support you in navigating your unique experience, developing deeper self-understanding, more spaciousness around your emotions and ways of being, fostering creative flexibility, and a clearer sense of 'you' and what feels meaningful to you. The therapeutic space we create together becomes a place where old patterns can be understood and new ways of being and transformative insight can emerge—without judgement or pressure.
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How does your Counsellor compare?

Number of Counsellors in NP7

20+

Average cost per session

£60

Counsellors in NP7 who prioritize treating:

95% Anxiety
86% Relationship Issues
86% Depression
86% Self Esteem
82% Stress
68% Bereavement
68% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

100% WPA
67% Bupa
67% Aviva

How Counsellors in NP7 see their clients

91% In Person and Online
9% Online Only

Gender breakdown

76% Female
19% Male
5% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in NP7?

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.