Counselling in Sheffield

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Photo of Sara Barron, Psychotherapist in Sheffield, England
Sara Barron
Psychotherapist, MSc, MUKCP
Verified Verified
Sheffield S11
Waitlist for new clients
I work with families, couples and individuals of all ages. I specialise in families where a child presents with an emotional, behavioural or mental health problem. This may include anxiety and low mood, emotional disregulation and attachment issues. I work with families with grown/adult/older children, grandparents and extended family. I have 23 years experience working with children and families in the NHS with a very broad range of complex issues. I offer a holistic approach to therapy, considering lifestyle, diet, exercise, spiritual beliefs, etc.
I work with families, couples and individuals of all ages. I specialise in families where a child presents with an emotional, behavioural or mental health problem. This may include anxiety and low mood, emotional disregulation and attachment issues. I work with families with grown/adult/older children, grandparents and extended family. I have 23 years experience working with children and families in the NHS with a very broad range of complex issues. I offer a holistic approach to therapy, considering lifestyle, diet, exercise, spiritual beliefs, etc.
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Photo of Susan Coldwell Counselling and Supervision Online, Counsellor in Sheffield, England
Susan Coldwell Counselling and Supervision Online
Counsellor, MBACP Accred
Verified Verified
Sheffield S6  (Online Only)
In counselling you can speak to someone in confidence, who will listen as you talk through your thoughts feelings and problems. I offer a safe space where I will work with you to understand your difficulties without criticism or judgement. I can help you explore the things that are causing you trouble and come to a better understanding of yourself. Learning to accept and trust in yourself and your own natural inner resources, you will grow in confidence and self-esteem and draw on your own strengths to bring about real, meaningful change and growth.
In counselling you can speak to someone in confidence, who will listen as you talk through your thoughts feelings and problems. I offer a safe space where I will work with you to understand your difficulties without criticism or judgement. I can help you explore the things that are causing you trouble and come to a better understanding of yourself. Learning to accept and trust in yourself and your own natural inner resources, you will grow in confidence and self-esteem and draw on your own strengths to bring about real, meaningful change and growth.
0114 478 2504 View 0114 478 2504
Photo of Hannah Rebekah Pamplin, Psychotherapist in Sheffield, England
Hannah Rebekah Pamplin
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Sheffield S9
Hello everyone - I'm Hannah and I am an art psychotherapist. Within therapy I aim to create a safe and healing environment to support clients move from surviving to truly living. Sometimes finding the right words to communicate can be really hard so we will use art as an aid for communication. You don't have to be 'good' at art to do art therapy - if you enjoy being creative in any way, shape or foam - You might find art therapy is the right fit for you. I would love the honour of working with you to support your healing journey. I look forward to hearing from you
Hello everyone - I'm Hannah and I am an art psychotherapist. Within therapy I aim to create a safe and healing environment to support clients move from surviving to truly living. Sometimes finding the right words to communicate can be really hard so we will use art as an aid for communication. You don't have to be 'good' at art to do art therapy - if you enjoy being creative in any way, shape or foam - You might find art therapy is the right fit for you. I would love the honour of working with you to support your healing journey. I look forward to hearing from you
0114 697 1701 View 0114 697 1701
Photo of Dr Alex Satchwell, Psychologist in Sheffield, England
Dr Alex Satchwell
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Sheffield S11
Hello, I'm Alex. I am a qualified Clinical Psychologist . I work predominantly in mental health services with people who have a number of difficult experiences (including depression, anxiety, low self-esteem and emotion regulation). Although I'd be happy to discuss with you any presenting difficulties you may be experiencing.
Hello, I'm Alex. I am a qualified Clinical Psychologist . I work predominantly in mental health services with people who have a number of difficult experiences (including depression, anxiety, low self-esteem and emotion regulation). Although I'd be happy to discuss with you any presenting difficulties you may be experiencing.
0114 697 0279 View 0114 697 0279
Photo of Liz Annable, Counsellor in Sheffield, England
Liz Annable
Counsellor, MBACP Accred
Verified Verified
Sheffield S7
If you are finding it hard to work your way through a difficult experience, or struggle to understand your part in painful or repeating experiences, then maybe counselling can help. For almost 20 years I've been offering sensitive listening, tuning in without judgment. This means I accept all of you, including those parts you are not proud of or that might cause you shame or pain or fear. Counselling offers you the opportunity to gain awareness and understanding about them, to increase confidence in your decision making and the freedom to choose afresh if need be.
If you are finding it hard to work your way through a difficult experience, or struggle to understand your part in painful or repeating experiences, then maybe counselling can help. For almost 20 years I've been offering sensitive listening, tuning in without judgment. This means I accept all of you, including those parts you are not proud of or that might cause you shame or pain or fear. Counselling offers you the opportunity to gain awareness and understanding about them, to increase confidence in your decision making and the freedom to choose afresh if need be.
0114 697 4287 View 0114 697 4287
Photo of Sally Moore, Counsellor in Sheffield, England
Sally Moore
Counsellor, MNCPS Acc.
Verified Verified
Sheffield S26
Waitlist for new clients
Are you experiencing any of the following: anxiety, depression, PTSD symptoms, or phobias? Perhaps you are wanting to work out why patterns keep repeating in your relationships, or maybe you are a couple wanting to improve communication and intimacy. I am counsellor and trauma therapist, offering therapy to individuals, couples and groups. My main approach is a type of therapy called Transactional Analysis, which can be used to help us to understand ourselves and our relationships better, and find ways to make the changes we want. I also offer EMDR, a NICE approved therapy, for PTSD, Phobias, Anxiety, and many other issues.
Are you experiencing any of the following: anxiety, depression, PTSD symptoms, or phobias? Perhaps you are wanting to work out why patterns keep repeating in your relationships, or maybe you are a couple wanting to improve communication and intimacy. I am counsellor and trauma therapist, offering therapy to individuals, couples and groups. My main approach is a type of therapy called Transactional Analysis, which can be used to help us to understand ourselves and our relationships better, and find ways to make the changes we want. I also offer EMDR, a NICE approved therapy, for PTSD, Phobias, Anxiety, and many other issues.
0114 478 2078 View 0114 478 2078
Photo of Linda Hardwick, Psychotherapist in Sheffield, England
Linda Hardwick
Psychotherapist, MBABCP
Verified Verified
Sheffield S11
Hello, my name is Linda and I am a CBT therapist and Sensory practitioner. I have over 13 years experience of working in the NHS. Since qualifying in 2009 I have worked with older adults, adults and with children and adolescents in a variety of different settings. These have involved working in educational environments, hospitals and in community mental health teams. The majority of my work has been within Child and Adolescent Mental Health Services (CAMHS). I have worked with children, young people and their families helping them with a wide range of issues. I provide face to face sessions on Thursday afternoons in Sheffield.
Hello, my name is Linda and I am a CBT therapist and Sensory practitioner. I have over 13 years experience of working in the NHS. Since qualifying in 2009 I have worked with older adults, adults and with children and adolescents in a variety of different settings. These have involved working in educational environments, hospitals and in community mental health teams. The majority of my work has been within Child and Adolescent Mental Health Services (CAMHS). I have worked with children, young people and their families helping them with a wide range of issues. I provide face to face sessions on Thursday afternoons in Sheffield.
0114 697 7003 View 0114 697 7003
Photo of Dr David Fong, Psychologist in Sheffield, England
Dr David Fong
Psychologist, CPsychol
Verified Verified
Sheffield S2
I am a principal clinical psychologist, accredited CBT therapist and coach with more than 25 years of post qualification experience, including 17 years in the NHS. I have particular expertise with the 14-18 age range and adults of all ages. I understand that looking for mental health support can be a baffling process; I hope you can be assured by my professional experience, qualifications, associate fellow status in the British Psychological Society, and practioner psychologist status with the HCPC. In addition to therapy, I am excited to be able to offer psychological coaching in my practice - email me for more details.
I am a principal clinical psychologist, accredited CBT therapist and coach with more than 25 years of post qualification experience, including 17 years in the NHS. I have particular expertise with the 14-18 age range and adults of all ages. I understand that looking for mental health support can be a baffling process; I hope you can be assured by my professional experience, qualifications, associate fellow status in the British Psychological Society, and practioner psychologist status with the HCPC. In addition to therapy, I am excited to be able to offer psychological coaching in my practice - email me for more details.
0114 553 9205 View 0114 553 9205
Photo of Mick Dixon, Counsellor in Sheffield, England
Mick Dixon
Counsellor, DCounsPsych, BACP
Verified Verified
Sheffield S8
Hello, my name is Mick Dixon. I am a person-centred psychotherapist. I’m drawn to those concerns that we have regarding our meaning and purpose in the world that can touch us in unique and distinct ways: as melancholy, anxiety, loneliness, unnamed trauma, illness, inertia or as anger, self-criticism or feelings of powerlessness. I am also interested in the the correlation between the body and mental wellbeing and how our environments social, political, biological, physical, impact on us both bodily and psychologically.
Hello, my name is Mick Dixon. I am a person-centred psychotherapist. I’m drawn to those concerns that we have regarding our meaning and purpose in the world that can touch us in unique and distinct ways: as melancholy, anxiety, loneliness, unnamed trauma, illness, inertia or as anger, self-criticism or feelings of powerlessness. I am also interested in the the correlation between the body and mental wellbeing and how our environments social, political, biological, physical, impact on us both bodily and psychologically.
0114 697 6718 View 0114 697 6718
Photo of Jessica Bowler, Psychotherapist in Sheffield, England
Jessica Bowler
Psychotherapist, MNCPS Acc.
Verified Verified
3 Endorsed
Sheffield S13
I am the kind of therapist that wants my clients to develop and reach their full potential, however that may manifest for you. You may be experiencing feelings of anxiety or depression, perhaps you're in a difficult relationship you're struggling to navigate. Or maybe you simply need a safe space to let out your stressors. By pulling on theories and methods from psychodynamic, CBT and person centred counselling, my aim is to get you to a stage where you feel empowered to move forward. I work in a non-judgemental and empathic approach and hope to be a friendly face that you can trust.
I am the kind of therapist that wants my clients to develop and reach their full potential, however that may manifest for you. You may be experiencing feelings of anxiety or depression, perhaps you're in a difficult relationship you're struggling to navigate. Or maybe you simply need a safe space to let out your stressors. By pulling on theories and methods from psychodynamic, CBT and person centred counselling, my aim is to get you to a stage where you feel empowered to move forward. I work in a non-judgemental and empathic approach and hope to be a friendly face that you can trust.
0114 697 4213 View 0114 697 4213
Photo of Helen Levens, Psychotherapist in Sheffield, England
Helen Levens
Psychotherapist, MBACP
Verified Verified
Sheffield S7
People come to see me for all sorts of reasons. They might be having trouble in friendships or relationships, experiencing anxiety or depression, have lost someone close to them, be struggling with low self-esteem or body image issues, engaging in self-harm, or just not feeling quite themselves. Having a place to talk freely and focus on what is important to you can help you to make changes that can improve your life. Therapy can leave you feeling happier and more at ease in your own skin.
People come to see me for all sorts of reasons. They might be having trouble in friendships or relationships, experiencing anxiety or depression, have lost someone close to them, be struggling with low self-esteem or body image issues, engaging in self-harm, or just not feeling quite themselves. Having a place to talk freely and focus on what is important to you can help you to make changes that can improve your life. Therapy can leave you feeling happier and more at ease in your own skin.
0114 478 2249 View 0114 478 2249
Photo of Piotr Slaczka, Counsellor in Sheffield, England
Piotr Slaczka
Counsellor, MBACP
Verified Verified
Sheffield S11  (Online Only)
Hi, I am Piotr. Thank you for taking the time to check my profile. I am an integrative therapeutic counsellor and feel privileged to invite you on the journey of discovery, healing and transformation. I can help you gain clarity and overcome obstacles to living a balanced and fulfilling life. The life we all deserve. I work with people undergoing many different forms of crisis, struggling with depression, anxiety, addictions, eating disorders and various problematic behaviours. I provide a safe, confidential and warm environment where we can explore your difficulties and work towards accepting yourself and change.
Hi, I am Piotr. Thank you for taking the time to check my profile. I am an integrative therapeutic counsellor and feel privileged to invite you on the journey of discovery, healing and transformation. I can help you gain clarity and overcome obstacles to living a balanced and fulfilling life. The life we all deserve. I work with people undergoing many different forms of crisis, struggling with depression, anxiety, addictions, eating disorders and various problematic behaviours. I provide a safe, confidential and warm environment where we can explore your difficulties and work towards accepting yourself and change.
0114 478 2063 View 0114 478 2063
Photo of Charlotte Gutu, Psychotherapist in Sheffield, England
Charlotte Gutu
Psychotherapist, MSc, MBACP
Verified Verified
Sheffield S7  (Online Only)
Hey! I’m Charlotte. I’m a therapist with an interest in helping people in their 20’s and 30’s live with more authenticity, compassion and meaning. Over the years, I've helped many people to make genuine changes in their lives and it's my aim to support you in doing the same. I have particular interest and experience in working with individuals in their 20's and 30's, LGBTQ+ individuals and people of colour.
Hey! I’m Charlotte. I’m a therapist with an interest in helping people in their 20’s and 30’s live with more authenticity, compassion and meaning. Over the years, I've helped many people to make genuine changes in their lives and it's my aim to support you in doing the same. I have particular interest and experience in working with individuals in their 20's and 30's, LGBTQ+ individuals and people of colour.
0114 303 2719 View 0114 303 2719
Photo of Sonia Dixon, Counsellor in Sheffield, England
Sonia Dixon
Counsellor, BACP
Verified Verified
1 Endorsed
Sheffield S8
For the past twenty years, I have worked with various forms of abuse, mainly presenting in relationships; such as physical, emotional and sexual abuse, and have supported individuals to work through experiences of trauma when it intersects with experiences of multiple disadvantages and complex mental health. I have extensive experience also working with anxiety, depression, bereavement and bereavement by suicide, as well as issues such as anger, sadness, shame and relationship issues.
For the past twenty years, I have worked with various forms of abuse, mainly presenting in relationships; such as physical, emotional and sexual abuse, and have supported individuals to work through experiences of trauma when it intersects with experiences of multiple disadvantages and complex mental health. I have extensive experience also working with anxiety, depression, bereavement and bereavement by suicide, as well as issues such as anger, sadness, shame and relationship issues.
01724 514379 View 01724 514379
Photo of Karen Ledger Ltd at KSL Consulting, Psychotherapist in Sheffield, England
Karen Ledger Ltd at KSL Consulting
Psychotherapist, DCounsPsych, MBACP
Verified Verified
Sheffield S10
I am an experienced, therapist, executive coach and supervisor, having started my practice in 1995. I have been on the executive of the BACP and am a published author. My practice is informed by you about what you need and how you would like to work and I will provide the therapeutic relationship for you to get to where you want and need to be. We can work indoors (in Broomhill) or outdoors (at Ringinglow) in the countryside depending on what you prefer.
I am an experienced, therapist, executive coach and supervisor, having started my practice in 1995. I have been on the executive of the BACP and am a published author. My practice is informed by you about what you need and how you would like to work and I will provide the therapeutic relationship for you to get to where you want and need to be. We can work indoors (in Broomhill) or outdoors (at Ringinglow) in the countryside depending on what you prefer.
0114 697 3955 View 0114 697 3955
Photo of Dr Angela Turner, Psychologist in Sheffield, England
Dr Angela Turner
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Sheffield S10
Hello, I am a Consultant Clinical Psychologist, CAT Therapist and Coach. I am passionate about working with people in the way that they find most helpful. We can all find ourselves at a point in our lives when things are not how we’d like them to be. We can be caught up in negative patterns, experience difficult symptoms (such as struggling with sleep or anxiety, feeling low or stressed) and have difficulties with our relationships, work or our health. We may have experienced something traumatic or stressful that we struggle to cope with or find ourselves caught up in a negative situation that we don’t seem to be able to escape.
Hello, I am a Consultant Clinical Psychologist, CAT Therapist and Coach. I am passionate about working with people in the way that they find most helpful. We can all find ourselves at a point in our lives when things are not how we’d like them to be. We can be caught up in negative patterns, experience difficult symptoms (such as struggling with sleep or anxiety, feeling low or stressed) and have difficulties with our relationships, work or our health. We may have experienced something traumatic or stressful that we struggle to cope with or find ourselves caught up in a negative situation that we don’t seem to be able to escape.
0114 303 2889 View 0114 303 2889
Photo of Helen Jolley, Counsellor in Sheffield, England
Helen Jolley
Counsellor
Verified Verified
1 Endorsed
Sheffield S36
I am a registered counsellor in Sheffield offering open ended counselling sessions to adults. The areas I cover locally are Deepcar, Stocksbridge and Hillsborough and I offer both face-to-face and remote sessions (telephone or video call)
I am a registered counsellor in Sheffield offering open ended counselling sessions to adults. The areas I cover locally are Deepcar, Stocksbridge and Hillsborough and I offer both face-to-face and remote sessions (telephone or video call)
0114 697 0434 View 0114 697 0434
Mary Louise Carr
Counsellor, MBACP Accred
Verified Verified
Sheffield S10
Clients coming to see me have usually lost confidence in themselves-some have never had it. They want to feel more positive about their current situation and have a hopeful outlook for the future. Low mood and anxiety can arise for many reasons-sometimes we need to go back into earlier experiences to find out the cause. For others there has been a significant loss-of employment-or the death of a person close to them. All these things trigger a sense of insecurity and struggling to manage we can develop unhelpful behaviours -maybe we drink or eat too much or hurt ourselves in other ways. Counselling helps us find healthier options
Clients coming to see me have usually lost confidence in themselves-some have never had it. They want to feel more positive about their current situation and have a hopeful outlook for the future. Low mood and anxiety can arise for many reasons-sometimes we need to go back into earlier experiences to find out the cause. For others there has been a significant loss-of employment-or the death of a person close to them. All these things trigger a sense of insecurity and struggling to manage we can develop unhelpful behaviours -maybe we drink or eat too much or hurt ourselves in other ways. Counselling helps us find healthier options
0114 697 9979 View 0114 697 9979
Photo of Julia Slek Counselling, Counsellor in Sheffield, England
Julia Slek Counselling
Counsellor, MBACP
Verified Verified
Sheffield S5
Welcome! Are you looking for someone to listen and support you as you navigate through your feelings and challenges? I'm here to help. My name is Julia, and I am a qualified counsellor with a special focus on bereavement counselling. I have spent many years helping clients and their families cope with loss, palliative care, and life-limiting illness. I am also trained to work with clients who are struggling with anxiety, depression, and other challenges.
Welcome! Are you looking for someone to listen and support you as you navigate through your feelings and challenges? I'm here to help. My name is Julia, and I am a qualified counsellor with a special focus on bereavement counselling. I have spent many years helping clients and their families cope with loss, palliative care, and life-limiting illness. I am also trained to work with clients who are struggling with anxiety, depression, and other challenges.
0114 697 6660 View 0114 697 6660
Photo of Carolyn Hart, Psychotherapist in Sheffield, England
Carolyn Hart
Psychotherapist, MA, ACP
Verified Verified
Sheffield S10
I am a consultant child and adolescent psychotherapist with over 25 years of experience in the NHS and NSPCC, treating clients with difficulties including, autism, anxiety, developmental delay, trauma and attachment difficulties. I work with parent-infant pairs, young children, adolescents and young adults. I aim to create a safe, non-judgemental, accepting and nurturing environment. For young children and those who find it difficult to speak, I work through play and the arts. To get a better understanding of how this works, please look at the videos on my website.
I am a consultant child and adolescent psychotherapist with over 25 years of experience in the NHS and NSPCC, treating clients with difficulties including, autism, anxiety, developmental delay, trauma and attachment difficulties. I work with parent-infant pairs, young children, adolescents and young adults. I aim to create a safe, non-judgemental, accepting and nurturing environment. For young children and those who find it difficult to speak, I work through play and the arts. To get a better understanding of how this works, please look at the videos on my website.
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See more therapy options for Sheffield

How does your Counsellor compare?

Number of Counsellors in Sheffield

200+

Average cost per session

£55

Counsellors in Sheffield who prioritize treating:

88% Anxiety
85% Self Esteem
84% Depression
79% Stress
77% Relationship Issues
72% Trauma and PTSD
61% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

60% AXA PPP
58% Bupa
56% Aviva

How Counsellors in Sheffield see their clients

75% In Person and Online
25% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Sheffield?

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.