Counselling in London

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Photo of Hinal Patel, Psychotherapist in London, England
Hinal Patel
Psychotherapist, MBABCP
Verified Verified
London WC1A
I specialise in working with depression and anxiety, as well as past traumas, body image issues and low self-esteem. I am especially passionate about supporting people struggling with social anxiety, health anxiety, spiralling worries, OCD and panic attacks. I understand how challenging it can be to navigate life's difficult moments on your own and I am here to help you find the practical tools and strategies to overcome your challenges and live a fulfilling life. I will offer a supportive space where you can explore your thoughts and feelings, and work towards creating positive change in your life.
I specialise in working with depression and anxiety, as well as past traumas, body image issues and low self-esteem. I am especially passionate about supporting people struggling with social anxiety, health anxiety, spiralling worries, OCD and panic attacks. I understand how challenging it can be to navigate life's difficult moments on your own and I am here to help you find the practical tools and strategies to overcome your challenges and live a fulfilling life. I will offer a supportive space where you can explore your thoughts and feelings, and work towards creating positive change in your life.
020 3376 8257 View 020 3376 8257
Photo of The ADHD Therapist, Psychotherapist in London, England
The ADHD Therapist
Psychotherapist, MBACP
Verified Verified
London N1  (Online Only)
MBACP & ADHD Certified Clinical Services Provider. Struggling with ADHD can feel overwhelming, but you're not alone. As someone who lives with ADHD myself, I offer a unique understanding of the challenges you face. My goal as a therapist is to provide compassionate support and practical strategies to help you thrive.
MBACP & ADHD Certified Clinical Services Provider. Struggling with ADHD can feel overwhelming, but you're not alone. As someone who lives with ADHD myself, I offer a unique understanding of the challenges you face. My goal as a therapist is to provide compassionate support and practical strategies to help you thrive.
020 8138 9452 View 020 8138 9452
Photo of Josh Raymond, Psychotherapist in London, England
Josh Raymond
Psychotherapist, MA, MUKCP
Verified Verified
London W2
I am an integrative transpersonal psychotherapist and full clinical member of UKCP. Transpersonal therapy looks across our entire lifespan. What is it like to be us right now; how did we come to be this way; and what do we hope for, fear or dream of for the future? But 'trans' also means 'beyond': who, in our truest selves, are we, and what do we want, beyond all the things that we are told to be and want. ​ The integrative part means that I have also studied psychodynamic, humanistic and existential psychotherapies, as well as CBT. I welcome clients of any or no faith, gender, sexual orientation or psychiatric diagnosis.
I am an integrative transpersonal psychotherapist and full clinical member of UKCP. Transpersonal therapy looks across our entire lifespan. What is it like to be us right now; how did we come to be this way; and what do we hope for, fear or dream of for the future? But 'trans' also means 'beyond': who, in our truest selves, are we, and what do we want, beyond all the things that we are told to be and want. ​ The integrative part means that I have also studied psychodynamic, humanistic and existential psychotherapies, as well as CBT. I welcome clients of any or no faith, gender, sexual orientation or psychiatric diagnosis.
020 3866 2581 View 020 3866 2581
Photo of Joel Robinson Counselling, Counsellor in London, England
Joel Robinson Counselling
Counsellor, MBACP
Verified Verified
London N10
I offer counselling to people who are in some sort of transition in their lives. Often people come to me when they're feeling stuck, isolated or low. I often work with people in their twenties, thirties and forties who are facing some sort of mid-life transition. You might be weighing up what is important to you, and how to take the next steps in your life. I work with people who are often from marginalised groups, for example, LGBTQ+ people and/or people from Black and ethnic minorities. You might want to find out a way to live your life that feels authentic and unblock energy to achieve your goals.
I offer counselling to people who are in some sort of transition in their lives. Often people come to me when they're feeling stuck, isolated or low. I often work with people in their twenties, thirties and forties who are facing some sort of mid-life transition. You might be weighing up what is important to you, and how to take the next steps in your life. I work with people who are often from marginalised groups, for example, LGBTQ+ people and/or people from Black and ethnic minorities. You might want to find out a way to live your life that feels authentic and unblock energy to achieve your goals.
020 4538 1685 View 020 4538 1685
Photo of Lakhita Uppal, Psychologist in London, England
Lakhita Uppal
Psychologist, MSc
Not Verified Not Verified
London N1  (Online Only)
Hi, I’m Lakhita. I hope to provide an open, compassionate, and non-judgemental therapeutic space for you to be able to process, understand and make sense of your experiences. Working together, I aim to see the world through your eyes, always holding in mind parts of your identity that you choose to bring with you, such as your race, culture, gender, and religion. I work in a very humanistic and person-centred way, considering your needs and tailoring evidenced-based therapy to provide you with the skills and tools to support you moving forward with life, and for you to live the most fulfilling version of it.
Hi, I’m Lakhita. I hope to provide an open, compassionate, and non-judgemental therapeutic space for you to be able to process, understand and make sense of your experiences. Working together, I aim to see the world through your eyes, always holding in mind parts of your identity that you choose to bring with you, such as your race, culture, gender, and religion. I work in a very humanistic and person-centred way, considering your needs and tailoring evidenced-based therapy to provide you with the skills and tools to support you moving forward with life, and for you to live the most fulfilling version of it.
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Photo of Aya Training & Development, Psychotherapist in London, England
Aya Training & Development
Psychotherapist, MA, MBACP
Verified Verified
London SE23
Aya Training & Development (ATD) is a complex trauma mental health training provider & group private practice made up of a team of qualified associate therapists. At ATD we are dedicated to offering a culturally sensitive trauma informed approach to talking therapy for individuals groups & couples aged 18 & over. We offer a compassionate inclusive space for you to explore your well-being concerns, with a particular focus on issues related to domestic abuse, racial-cultural identity, childhood, sexual & racial trauma. Therapeutic support is also provided for other well-being and mental health concerns.
Aya Training & Development (ATD) is a complex trauma mental health training provider & group private practice made up of a team of qualified associate therapists. At ATD we are dedicated to offering a culturally sensitive trauma informed approach to talking therapy for individuals groups & couples aged 18 & over. We offer a compassionate inclusive space for you to explore your well-being concerns, with a particular focus on issues related to domestic abuse, racial-cultural identity, childhood, sexual & racial trauma. Therapeutic support is also provided for other well-being and mental health concerns.
07480 549059 x079037 View 07480 549059 x079037
Photo of Emma Osler, Psychotherapist in London, England
Emma Osler
Psychotherapist, MA, BPC
Verified Verified
London W1G
I offer in-person private psychotherapy at Oxford Circus in central London, as well as online or telephone sessions when required. I provide a confidential and non-judgemental space to talk about your difficulties. I work psychodynamically, meaning that as we think together about your experiences, I will help you to understand what may be going on unconsciously. This will include paying attention to how your past may be affecting how you relate to the world now.
I offer in-person private psychotherapy at Oxford Circus in central London, as well as online or telephone sessions when required. I provide a confidential and non-judgemental space to talk about your difficulties. I work psychodynamically, meaning that as we think together about your experiences, I will help you to understand what may be going on unconsciously. This will include paying attention to how your past may be affecting how you relate to the world now.
020 3973 9132 View 020 3973 9132
Photo of Mo Knight-Evans, Psychotherapist in London, England
Mo Knight-Evans
Psychotherapist, MA, BACP
Verified Verified
London SW12
It can really help to talk when we are going through difficult times in our life. Whatever you are facing and however hopeless it may feel. I can help you make better sense of what is going on for you and together we can work towards positive change. As a psychodynamic psychotherapist I have worked with people from different backgrounds and on a range of difficulties including anxiety, depression, self-esteem issues, trauma, personality disorder, ADHD, self-harm, identity problems, relationship difficulties, eating disorders, sexual and emotional abuse, family breakdown and bereavement.
It can really help to talk when we are going through difficult times in our life. Whatever you are facing and however hopeless it may feel. I can help you make better sense of what is going on for you and together we can work towards positive change. As a psychodynamic psychotherapist I have worked with people from different backgrounds and on a range of difficulties including anxiety, depression, self-esteem issues, trauma, personality disorder, ADHD, self-harm, identity problems, relationship difficulties, eating disorders, sexual and emotional abuse, family breakdown and bereavement.
020 3910 8215 View 020 3910 8215
Photo of Lydia Romaine, Psychotherapist in London, England
Lydia Romaine
Psychotherapist, MA, MBACP
Verified Verified
London W4
Not accepting new clients
I am a qualified integrative psychotherapist and counsellor which means I draw on a range of therapeutic approaches which can support us to find our own unique way of working together. I seek to create opportunities to develop a shared understanding of you within your wider social context and endeavour to support you to explore how this, combined with experiences of the past and present, may be impacting your current ways of being. I have experience in supporting people to navigate a broad range of emotional issues. I have worked in private mental health services, charitable organisations and educational settings.
I am a qualified integrative psychotherapist and counsellor which means I draw on a range of therapeutic approaches which can support us to find our own unique way of working together. I seek to create opportunities to develop a shared understanding of you within your wider social context and endeavour to support you to explore how this, combined with experiences of the past and present, may be impacting your current ways of being. I have experience in supporting people to navigate a broad range of emotional issues. I have worked in private mental health services, charitable organisations and educational settings.
01748 902574 View 01748 902574
Photo of Fernanda Wagland, Psychotherapist in London, England
Fernanda Wagland
Psychotherapist, BPC
Verified Verified
London SW1W
More often than not, the roots of emotional problems go deeper than normal awareness can reach, and my role is to enable you to identify, and focus on, some of the destructive ways of relating to yourself and others that might leave you feeling depressed, anxious or alone. ​ Together, we will create a safe and creative environment, which will help you to explore the different aspects of yourself – some which harmoniously coexist, and others that are at odds with each other.
More often than not, the roots of emotional problems go deeper than normal awareness can reach, and my role is to enable you to identify, and focus on, some of the destructive ways of relating to yourself and others that might leave you feeling depressed, anxious or alone. ​ Together, we will create a safe and creative environment, which will help you to explore the different aspects of yourself – some which harmoniously coexist, and others that are at odds with each other.
020 3095 0465 View 020 3095 0465
Photo of Dr Sofia Robleda, Psychologist in London, England
Dr Sofia Robleda
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SE20  (Online Only)
Bienvenidos & Welcome - to Wise Oak Psychology, an intimate, online private psychology practice run by Dr Sofia Robleda, who has over 10 years’ post-doctoral experience in using a range of evidence-based approaches to support adults experiencing depression, anxiety, stress, relationship difficulties, and many other emotional and mental problems. Dr Robleda's values are to be compassionate, professional, and effective. She aims to support people to live a full, meaningful life in accordance to their values and beliefs, and to achieve this in as short a time as possible.
Bienvenidos & Welcome - to Wise Oak Psychology, an intimate, online private psychology practice run by Dr Sofia Robleda, who has over 10 years’ post-doctoral experience in using a range of evidence-based approaches to support adults experiencing depression, anxiety, stress, relationship difficulties, and many other emotional and mental problems. Dr Robleda's values are to be compassionate, professional, and effective. She aims to support people to live a full, meaningful life in accordance to their values and beliefs, and to achieve this in as short a time as possible.
020 3962 0710 View 020 3962 0710
Photo of Holly Griffiths, Counsellor in London, England
Holly Griffiths
Counsellor, MBACP
Verified Verified
London SE7
Not accepting new clients
I prefer to work in an integrative and flexible way as I don't believe in a one size fits all approach to therapy, you're an individual and so the way that we work together will be equally individual. Essentially this means that I will work with you to explore your problems and find emotional balance in your life. I believe that even if you are feeling the lowest you have ever felt things can get better and that you are absolutely able to make changes in your life.
I prefer to work in an integrative and flexible way as I don't believe in a one size fits all approach to therapy, you're an individual and so the way that we work together will be equally individual. Essentially this means that I will work with you to explore your problems and find emotional balance in your life. I believe that even if you are feeling the lowest you have ever felt things can get better and that you are absolutely able to make changes in your life.
020 4538 2563 View 020 4538 2563
Photo of Ruta Zukaite, Counsellor in London, England
Ruta Zukaite
Counsellor, MBACP
Verified Verified
London SE1  (Online Only)
I am an experienced AEDP therapist. My approach is rooted in fostering deep connections and facilitating transformative experiences. I am dedicated to creating a supportive environment where clients feel seen, heard, and understood. Through a blend of attachment theory, neuroscience, and experiential techniques, I guide clients in exploring and processing their emotions in real-time, leading to profound insights and healing. My goal is to empower clients to cultivate greater self-compassion, resilience, and authentic connections in their lives.
I am an experienced AEDP therapist. My approach is rooted in fostering deep connections and facilitating transformative experiences. I am dedicated to creating a supportive environment where clients feel seen, heard, and understood. Through a blend of attachment theory, neuroscience, and experiential techniques, I guide clients in exploring and processing their emotions in real-time, leading to profound insights and healing. My goal is to empower clients to cultivate greater self-compassion, resilience, and authentic connections in their lives.
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Photo of Dr Ollie Hawthorne, Psychologist in London, England
Dr Ollie Hawthorne
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
London SE22
Not accepting new clients
I am a HCPC registered clinical psychologist, with over 10 years of experience in the NHS. I have a particular speciality in working with students and young adults but also work across the life-span. Most of the people I see come because they are feeling unsatisfied with their life, are struggling to meet their expectations of themselves, or are finding that anxiety or depression is getting in the way of work or relationships. Some come because they just want to understand themselves better. My aim is to help you understand what is stuck and, in doing so, help you to feel more free to live life as you would choose.
I am a HCPC registered clinical psychologist, with over 10 years of experience in the NHS. I have a particular speciality in working with students and young adults but also work across the life-span. Most of the people I see come because they are feeling unsatisfied with their life, are struggling to meet their expectations of themselves, or are finding that anxiety or depression is getting in the way of work or relationships. Some come because they just want to understand themselves better. My aim is to help you understand what is stuck and, in doing so, help you to feel more free to live life as you would choose.
020 4524 3140 View 020 4524 3140
Photo of Marcia Gamsu, Psychotherapist in London, England
Marcia Gamsu
Psychotherapist, MA, MBACP Accred
Verified Verified
London NW11
I'm a down to earth, warm and proactive psychotherapist with over 15 years experience of therapy, working with both individuals and couples. I try to be very engaged when I work I work whilst at the same time giving you the space to think in your way and in your own time. I work with depression, anxiety, isolation, life dilemmas and relationship and sexual issues. You may decide to have a one off session, a short course of sessions or longer term therapy. Sessions are usually once a week or once every two weeks.
I'm a down to earth, warm and proactive psychotherapist with over 15 years experience of therapy, working with both individuals and couples. I try to be very engaged when I work I work whilst at the same time giving you the space to think in your way and in your own time. I work with depression, anxiety, isolation, life dilemmas and relationship and sexual issues. You may decide to have a one off session, a short course of sessions or longer term therapy. Sessions are usually once a week or once every two weeks.
07480 537452 View 07480 537452
Photo of Stefania Orsi, Psychotherapist in London, England
Stefania Orsi
Psychotherapist, DCounsPsych, HCPC-Couns. Psych.
Verified Verified
London E1
My main goal is to help people to achieve a better quality of life by helping them to develop awareness and responsibility on their needs and desires. I consider therapy as a creative process between the client and the therapist that starts from a stuck point in life due to a symptom, a feeling of loss, a fear or a transition from one life stage into the next one. For me therapy is not about “to cure something wrong inside us” but an opportunity to transform our dysfunctional way to live.
My main goal is to help people to achieve a better quality of life by helping them to develop awareness and responsibility on their needs and desires. I consider therapy as a creative process between the client and the therapist that starts from a stuck point in life due to a symptom, a feeling of loss, a fear or a transition from one life stage into the next one. For me therapy is not about “to cure something wrong inside us” but an opportunity to transform our dysfunctional way to live.
07449 147170 View 07449 147170
Photo of Verele Anne Vorstman, Psychotherapist in London, England
Verele Anne Vorstman
Psychotherapist, MSc, MBABCP
Verified Verified
London W12
I offer a balanced set of approaches that I can apply to suit your needs. Some people are better helped with insights into their patterns; others may need more skills and again others may feel they do everything right yet they are still unhappy. I strongly believe in trying out new behaviour, as this creates the biggest shifts and minimizes relapse. I integrate lifestyle factors such as nutrition when necessary. When the chemicals aren't right, talking isn't going to lift your mood. We will always explore the source of your issues, relating it to your system, so as to radically release and uproot it and make change more effortless.
I offer a balanced set of approaches that I can apply to suit your needs. Some people are better helped with insights into their patterns; others may need more skills and again others may feel they do everything right yet they are still unhappy. I strongly believe in trying out new behaviour, as this creates the biggest shifts and minimizes relapse. I integrate lifestyle factors such as nutrition when necessary. When the chemicals aren't right, talking isn't going to lift your mood. We will always explore the source of your issues, relating it to your system, so as to radically release and uproot it and make change more effortless.
07533 061114 View 07533 061114
Photo of Simon Burgess, Counsellor in London, England
Simon Burgess
Counsellor, BACP
Verified Verified
London W1G
I specialise in Addiction. I primarily work with addictions to Gambling, Drugs and Alcohol. My approach, the 4Ts combines an assessment, therapy, and managed change, tracked over time. There is more at linkedin.com/in/simonburgess1 “The UK’s leading addiction therapist” where I’ve written over 30 articles covering many aspects of addiction and recovery. My approach is suitable for any addictive behaviour, get in touch and take advantage of a free 30 minute call to assess if it’s right for you.
I specialise in Addiction. I primarily work with addictions to Gambling, Drugs and Alcohol. My approach, the 4Ts combines an assessment, therapy, and managed change, tracked over time. There is more at linkedin.com/in/simonburgess1 “The UK’s leading addiction therapist” where I’ve written over 30 articles covering many aspects of addiction and recovery. My approach is suitable for any addictive behaviour, get in touch and take advantage of a free 30 minute call to assess if it’s right for you.
020 3962 1751 View 020 3962 1751
Photo of Danny Olive, Counsellor in London, England
Danny Olive
Counsellor, MBACP
Verified Verified
London WC1A
I'm an integrative counsellor working both online and in-person with individuals. In addition to helping my clients with various mental and emotional challenges, I have a special interest in working with anxiety, depression, low self-esteem and relationship issues. You may be experiencing relationship problems - with a partner, family and friends or colleagues and wondering why particular patterns keep occurring. Perhaps you are struggling with low self-worth, or that negative voice within you has become so loud that you are finding it difficult to relate to others and the world around you.
I'm an integrative counsellor working both online and in-person with individuals. In addition to helping my clients with various mental and emotional challenges, I have a special interest in working with anxiety, depression, low self-esteem and relationship issues. You may be experiencing relationship problems - with a partner, family and friends or colleagues and wondering why particular patterns keep occurring. Perhaps you are struggling with low self-worth, or that negative voice within you has become so loud that you are finding it difficult to relate to others and the world around you.
020 4538 6486 View 020 4538 6486
Photo of Ildiko Victoria Szatmari, Psychotherapist in London, England
Ildiko Victoria Szatmari
Psychotherapist, MSc, MUKCP
Verified Verified
London SE1
Welcome to a safe place to talk. There are many reasons why people reach out for help. It may be connected with relationship difficulties, feeling lonely, suffering a bereavement, experiencing anxiety, panic attacks, struggling with depression, trauma, anger, low self-esteem, or work issues. Sometimes there is nothing specific to name. I am a qualified, registered and experienced therapist, holding a degree in psychology and I have been professionally trained in psychodynamic psychotherapy. I am a member of the professional bodies UKCP and FPC.
Welcome to a safe place to talk. There are many reasons why people reach out for help. It may be connected with relationship difficulties, feeling lonely, suffering a bereavement, experiencing anxiety, panic attacks, struggling with depression, trauma, anger, low self-esteem, or work issues. Sometimes there is nothing specific to name. I am a qualified, registered and experienced therapist, holding a degree in psychology and I have been professionally trained in psychodynamic psychotherapy. I am a member of the professional bodies UKCP and FPC.
020 3870 2948 View 020 3870 2948

See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
58% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.