Counselling in Manchester

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Photo of Elleen Okotie, Psychotherapist in Manchester, England
Elleen Okotie
Psychotherapist, MA, MBABCP
Verified Verified
1 Endorsed
Manchester M21
I offer a safe space to talk about the things that are getting in the way of you reaching your potential. My goal is to equip you to become your own therapist, so that you can continue your journey of development beyond completing a course of therapy with me.
I offer a safe space to talk about the things that are getting in the way of you reaching your potential. My goal is to equip you to become your own therapist, so that you can continue your journey of development beyond completing a course of therapy with me.
0161 696 1586 View 0161 696 1586
Photo of You Therapies, Psychotherapist in Manchester, England
You Therapies
Psychotherapist, MBACP
Verified Verified
Manchester M3  (Online Only)
Our mental health and wellbeing are paramount to us. It saddens me to sometimes to see what little care we take of it. We see our GP’s as soon as we have a physical ailment. However, tend to ignore how we feel emotionally, forgetting our emotional wellbeing is part of our whole-making. It has been my life long passion to encourage people to put themselves first and follow their dreams. I am a great believer in the power of our mind and what we can achieve if we dare to. We all experience some form of distress in our lives. We feel sad, angry, lonely, depressed, anxious, stressed, grief or even feeling that we cant always explain.
Our mental health and wellbeing are paramount to us. It saddens me to sometimes to see what little care we take of it. We see our GP’s as soon as we have a physical ailment. However, tend to ignore how we feel emotionally, forgetting our emotional wellbeing is part of our whole-making. It has been my life long passion to encourage people to put themselves first and follow their dreams. I am a great believer in the power of our mind and what we can achieve if we dare to. We all experience some form of distress in our lives. We feel sad, angry, lonely, depressed, anxious, stressed, grief or even feeling that we cant always explain.
0161 850 5916 View 0161 850 5916
Photo of Behnam Abdevand, Psychotherapist in Manchester, England
Behnam Abdevand
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Manchester M21
Are you having arguments, conflicts, miscommunication or no communication at all, etc. in your relationship? It's perfectly normal, these are what I deal with everyday, and I help couples to talk and communicate to each other in a different way. I use Imago Relationship Therapy with couples which helps you to improve your relationships and become closer to your partner. My role as an Imago therapist is to teach, support and guide you through the Imago Dialogue to deepen your communication and to make a good connection with each other.
Are you having arguments, conflicts, miscommunication or no communication at all, etc. in your relationship? It's perfectly normal, these are what I deal with everyday, and I help couples to talk and communicate to each other in a different way. I use Imago Relationship Therapy with couples which helps you to improve your relationships and become closer to your partner. My role as an Imago therapist is to teach, support and guide you through the Imago Dialogue to deepen your communication and to make a good connection with each other.
0161 524 1030 View 0161 524 1030
Photo of Esther Webb, Counsellor in Manchester, England
Esther Webb
Counsellor, DCounsPsych, ACC Reg
Verified Verified
Manchester M14
I have been working as a Counsellor for 9 years and have had experience working with a variety of different issues. I love to engage with people from all walks of life and understand that therapy can be a daunting prospect, so I try to create a warm and welcoming environment where you feel safe to share your story. If you are looking for somebody who can help you understand where your struggles come from, as well as help you to develop tools to manage you current feelings and behaviours, then we would work well together. If you have a Christian faith and wish to bring this into the therapy room, then you can feel safe doing so.
I have been working as a Counsellor for 9 years and have had experience working with a variety of different issues. I love to engage with people from all walks of life and understand that therapy can be a daunting prospect, so I try to create a warm and welcoming environment where you feel safe to share your story. If you are looking for somebody who can help you understand where your struggles come from, as well as help you to develop tools to manage you current feelings and behaviours, then we would work well together. If you have a Christian faith and wish to bring this into the therapy room, then you can feel safe doing so.
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Photo of Dov Benyaacov-Kurtzman, Psychotherapist in Manchester, England
Dov Benyaacov-Kurtzman
Psychotherapist
Not Verified Not Verified
Manchester M25  (Online Only)
“I feel like quite a different person! Dov has taught me to learn from myself what's important in life, who's important in life, and that I'm actually one of the most important people in life. I would say that the work has been tremendous! His time, the way in which he helps you to open up and really evaluate what's going on and also his so many years of his own experience passes over to you. So it oozes confidence for you to then feel that "I can also be like that myself", which has been really, really helpful for me. Amanda Marks, London
“I feel like quite a different person! Dov has taught me to learn from myself what's important in life, who's important in life, and that I'm actually one of the most important people in life. I would say that the work has been tremendous! His time, the way in which he helps you to open up and really evaluate what's going on and also his so many years of his own experience passes over to you. So it oozes confidence for you to then feel that "I can also be like that myself", which has been really, really helpful for me. Amanda Marks, London
0161 509 6772 View 0161 509 6772
Photo of Lila Devaney-Khodja, Psychotherapist in Manchester, England
Lila Devaney-Khodja
Psychotherapist, MBACP
Verified Verified
Manchester M21
I offer face-to-face, telephone and online support with a range of issues such as relationship struggles, anxiety, depression and low mood, low self-esteem, big life changes, loss and bereavement, stress, work-life balance, trauma - to name a few. I also offer therapy sessions outside where we can talk whilst walking in nearby natural spaces. My core training is in Transactional Analysis psychotherapy, which provides practical approaches to understanding ourselves in relation to the situations we find ourselves in - so there is some emphasis on self-exploration.
I offer face-to-face, telephone and online support with a range of issues such as relationship struggles, anxiety, depression and low mood, low self-esteem, big life changes, loss and bereavement, stress, work-life balance, trauma - to name a few. I also offer therapy sessions outside where we can talk whilst walking in nearby natural spaces. My core training is in Transactional Analysis psychotherapy, which provides practical approaches to understanding ourselves in relation to the situations we find ourselves in - so there is some emphasis on self-exploration.
01625 468713 View 01625 468713
Photo of Zoe Moss, Psychotherapist in Manchester, England
Zoe Moss
Psychotherapist, MBACP
Verified Verified
Manchester M21
I am a Counsellor and Psychotherapist based in Chorlton, South Manchester, offering in-person, online and walk and talk sessions. You may be struggling with a specific issue or pattern of behaviour and know already what you would like to talk about. Alternatively, you may be feeling anxious or depressed and need support with processing your feelings and emotions. Counselling may be able to offer a fresh perspective, or support you to make changes needed to get you to a better place. I offer space to talk and discuss current and past events. I am very open minded, nonjudgmental and happy to talk about difficult or challenging issues
I am a Counsellor and Psychotherapist based in Chorlton, South Manchester, offering in-person, online and walk and talk sessions. You may be struggling with a specific issue or pattern of behaviour and know already what you would like to talk about. Alternatively, you may be feeling anxious or depressed and need support with processing your feelings and emotions. Counselling may be able to offer a fresh perspective, or support you to make changes needed to get you to a better place. I offer space to talk and discuss current and past events. I am very open minded, nonjudgmental and happy to talk about difficult or challenging issues
0161 524 0976 View 0161 524 0976
Photo of Rebecca Maxwell, Counsellor in Manchester, England
Rebecca Maxwell
Counsellor, MBACP
Verified Verified
Manchester M21  (Online Only)
Perhaps you are feeling overwhelmed, stuck, or worried about something that is happening in your life? I offer a safe and nurturing space for you to explore your emotions and experiences, whatever these may be! As everyone is different, with unique ways of exploring how they are thinking and feeling, I offer sessions that reflect this, tailoring them to best support you. I have helped clients of all ages who are dealing with many different life issues, including anxiety, low-mood, self-confidence, and relationship troubles. I have extensive experience in working with neurodiverse clients or people seeking or waiting for diagnoses.
Perhaps you are feeling overwhelmed, stuck, or worried about something that is happening in your life? I offer a safe and nurturing space for you to explore your emotions and experiences, whatever these may be! As everyone is different, with unique ways of exploring how they are thinking and feeling, I offer sessions that reflect this, tailoring them to best support you. I have helped clients of all ages who are dealing with many different life issues, including anxiety, low-mood, self-confidence, and relationship troubles. I have extensive experience in working with neurodiverse clients or people seeking or waiting for diagnoses.
0161 694 8177 View 0161 694 8177
Photo of Jasmina Frzina (Altogether Human Cic), Psychologist in Manchester, England
Jasmina Frzina (Altogether Human Cic)
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Manchester M21
I like working with individuals and couples – on issues and worries ranging from anxiety, stress, and depression to all types of trauma. Of particular interest is working with people experiencing existential angst or simply feeling "stuck" in one way or another. I like to help people to get "un-stuck" and to take steps towards living their lives in more fulfilling ways, and having healthier, more rewarding relationships.
I like working with individuals and couples – on issues and worries ranging from anxiety, stress, and depression to all types of trauma. Of particular interest is working with people experiencing existential angst or simply feeling "stuck" in one way or another. I like to help people to get "un-stuck" and to take steps towards living their lives in more fulfilling ways, and having healthier, more rewarding relationships.
0161 524 5191 View 0161 524 5191
Photo of Andreea Chirvase, Psychotherapist in Manchester, England
Andreea Chirvase
Psychotherapist, MRes, MBACP
Verified Verified
1 Endorsed
Manchester M13  (Online Only)
As a therapist with an approach rooted in person-centred theory, I believe in your capacity for growth and self-discovery. My role is to provide you with a safe, empathetic, and non-judgmental space to lead your own journey of self-discovery. I practice under the name 'Inner Equilibrium Psychotherapy,' characterised by a commitment to non-judgment, empathy, and individuality. I approach therapy with compassion and warmth, working collaboratively with you to make sense of and untangle challenges such as understanding your emotions, communicating effectively, and embracing and understanding your own vulnerability.
As a therapist with an approach rooted in person-centred theory, I believe in your capacity for growth and self-discovery. My role is to provide you with a safe, empathetic, and non-judgmental space to lead your own journey of self-discovery. I practice under the name 'Inner Equilibrium Psychotherapy,' characterised by a commitment to non-judgment, empathy, and individuality. I approach therapy with compassion and warmth, working collaboratively with you to make sense of and untangle challenges such as understanding your emotions, communicating effectively, and embracing and understanding your own vulnerability.
0161 524 6521 View 0161 524 6521
Photo of Rachael Ingram, Counsellor in Manchester, England
Rachael Ingram
Counsellor, MBACP
Verified Verified
Manchester M3
I understand the daily frustration of living with depression and anxiety. Having had counselling myself, I know how it feels to sit in front of a stranger and talk about my inner most feelings. I'm here to accompany and encourage you on your own personal journey. I specialise in person-centred counselling which means that during a session, you'll work with me by talking through issues, key events, concerns, behaviours and how you’re feeling...anything that’s bothering you. I immerse myself into your world to understand your perspective. I offer a safe and encouraging environment, one where you aren’t judged, so that you feel accept
I understand the daily frustration of living with depression and anxiety. Having had counselling myself, I know how it feels to sit in front of a stranger and talk about my inner most feelings. I'm here to accompany and encourage you on your own personal journey. I specialise in person-centred counselling which means that during a session, you'll work with me by talking through issues, key events, concerns, behaviours and how you’re feeling...anything that’s bothering you. I immerse myself into your world to understand your perspective. I offer a safe and encouraging environment, one where you aren’t judged, so that you feel accept
0161 694 6450 View 0161 694 6450
Photo of Space Therapies, Psychotherapist in Manchester, England
Space Therapies
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Manchester M25
“My therapy is designed to give you the tools and guidance to change the way you think, and help you see things more clearly, so you can be in control of your own progress. I always work at your pace, and my goal is for you to feel as comfortable as possible when opening up. We’re in this together!”
“My therapy is designed to give you the tools and guidance to change the way you think, and help you see things more clearly, so you can be in control of your own progress. I always work at your pace, and my goal is for you to feel as comfortable as possible when opening up. We’re in this together!”
0161 524 3080 View 0161 524 3080
Photo of Andrea Sarah Lawton, Psychotherapist in Manchester, England
Andrea Sarah Lawton
Psychotherapist, MSc, MUKCP
Verified Verified
Manchester M20
People access therapy for many different reasons, but generally we are most likely to reach out for help when our usual coping strategies are no longer effective. At these times it is not always helpful or possible to turn to family or friends, and their well-meaning support may not always help. I will provide a calm and confidential space where you will be able to safely share what is troubling you.
People access therapy for many different reasons, but generally we are most likely to reach out for help when our usual coping strategies are no longer effective. At these times it is not always helpful or possible to turn to family or friends, and their well-meaning support may not always help. I will provide a calm and confidential space where you will be able to safely share what is troubling you.
0161 524 1915 View 0161 524 1915
Photo of South Manchester Psychologist, Psychologist in Manchester, England
South Manchester Psychologist
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Manchester M20
I am an experienced HCPC registered clinical psychologist with over 10 years post-qualification experience. Based in Didsbury, South Manchester, I offer psychological assessment and therapy to young people and adults. I have seen the transformative power of psychological therapy personally and in the hundreds of clients I have worked with over the years so I am passionate about my work. I understand the importance of providing a safe, compassionate and nonjudgemental space for my clients. In my spare time I enjoy spending time with my family, being outdoors, walking and yoga.
I am an experienced HCPC registered clinical psychologist with over 10 years post-qualification experience. Based in Didsbury, South Manchester, I offer psychological assessment and therapy to young people and adults. I have seen the transformative power of psychological therapy personally and in the hundreds of clients I have worked with over the years so I am passionate about my work. I understand the importance of providing a safe, compassionate and nonjudgemental space for my clients. In my spare time I enjoy spending time with my family, being outdoors, walking and yoga.
0161 524 1707 View 0161 524 1707
Photo of Molly Brenda Rudd, Psychotherapist in Manchester, England
Molly Brenda Rudd
Psychotherapist, MBABCP
Verified Verified
Manchester M46  (Online Only)
With 5 yrs experience as a psychological therapist, I am fully trained in CBT and EMDR therapy. I work with people from a range of backgrounds with a focus on the treatment of depression and anxiety disorders such as PTSD and OCD. I also have a particular interest in supporting individuals through the menopause, using CBT techniques. I provide a compassionate and non-judgemental space where clients can explore their thoughts, feelings, and behaviours. My approach is collaborative, and together, we work towards identifying and addressing the root cause of distress, helping you to become your own therapist.
With 5 yrs experience as a psychological therapist, I am fully trained in CBT and EMDR therapy. I work with people from a range of backgrounds with a focus on the treatment of depression and anxiety disorders such as PTSD and OCD. I also have a particular interest in supporting individuals through the menopause, using CBT techniques. I provide a compassionate and non-judgemental space where clients can explore their thoughts, feelings, and behaviours. My approach is collaborative, and together, we work towards identifying and addressing the root cause of distress, helping you to become your own therapist.
01942 914846 View 01942 914846
Photo of Rashmi Vadgama, Counsellor in Manchester, England
Rashmi Vadgama
Counsellor, MBACP
Verified Verified
Manchester M14
Hi I am a person centred counsellor, and clinical supervisor based in South Manchester. I believe the first step to therapy can be the most difficult yet courageous, there are times when we could use some space to process what we are feeling and explore life issues. Allowing yourself permission to reach out and talk to someone can be half the battle. I offer a warm, non-judgemental safe space allowing you to be yourself and be met where you are at with compassion and acceptance.
Hi I am a person centred counsellor, and clinical supervisor based in South Manchester. I believe the first step to therapy can be the most difficult yet courageous, there are times when we could use some space to process what we are feeling and explore life issues. Allowing yourself permission to reach out and talk to someone can be half the battle. I offer a warm, non-judgemental safe space allowing you to be yourself and be met where you are at with compassion and acceptance.
0161 524 4247 View 0161 524 4247
Photo of Gail Fletcher, Psychotherapist in Manchester, England
Gail Fletcher
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Manchester M25
You maybe feeling bereft & lost. Are experiencing feelings which are leaving you distressed & confused. You may be feeling anxious or alone - unsure of where to turn or who can be there beside you. You may have feelings of self-doubt, or lack of self-esteem & confidence. Has there been a traumatic event that you have not been able to share in a safe space? I am here to support you through life's twists & turns, by using Person-Centred and/or Integrative model of therapy, which allows me to design a tailor made plan for you. I offer you a safe non-judgmental space & the opportunity to explore your anxieties, reflect, heal & growth.
You maybe feeling bereft & lost. Are experiencing feelings which are leaving you distressed & confused. You may be feeling anxious or alone - unsure of where to turn or who can be there beside you. You may have feelings of self-doubt, or lack of self-esteem & confidence. Has there been a traumatic event that you have not been able to share in a safe space? I am here to support you through life's twists & turns, by using Person-Centred and/or Integrative model of therapy, which allows me to design a tailor made plan for you. I offer you a safe non-judgmental space & the opportunity to explore your anxieties, reflect, heal & growth.
0161 524 0183 View 0161 524 0183
Photo of Catherine Horton, Counsellor in Manchester, England
Catherine Horton
Counsellor, DCounsPsych, BACP
Verified Verified
Manchester M1
HI, I’m Catherine (she/her), sometimes life can be challenging and everyone experiences times when they may struggle. I offer a calm, confidential and safe space for you to explore your innermost thoughts and feelings and support you through these difficult times. Often past experiences can cause difficulties in the present and together we can explore these in order for you to gain insight and clarity and move forward in your life.
HI, I’m Catherine (she/her), sometimes life can be challenging and everyone experiences times when they may struggle. I offer a calm, confidential and safe space for you to explore your innermost thoughts and feelings and support you through these difficult times. Often past experiences can cause difficulties in the present and together we can explore these in order for you to gain insight and clarity and move forward in your life.
0161 524 6886 View 0161 524 6886
Photo of David Allender Nicklin in Manchester, England
David Allender Nicklin
Verified Verified
Manchester M21
Hello. I'm David Nicklin and I am a graduate of The Manchester Institute for Psychtherapy with Postgraduate Level 7 Diploma in Transactional Analysis from an Integrative Perspective where I now run my private practice. Transactional Analysis is a variety of psychotherapy which empowers people to make changes in their thinking and in their lives. As your therapist I will listen non-judgementally to your concerns and help you discover the path ahead that is right for you. TA therapy has helped me personally by leading me to a deeper understanding of myself, my life and relationships and freeing me to persue my goals.
Hello. I'm David Nicklin and I am a graduate of The Manchester Institute for Psychtherapy with Postgraduate Level 7 Diploma in Transactional Analysis from an Integrative Perspective where I now run my private practice. Transactional Analysis is a variety of psychotherapy which empowers people to make changes in their thinking and in their lives. As your therapist I will listen non-judgementally to your concerns and help you discover the path ahead that is right for you. TA therapy has helped me personally by leading me to a deeper understanding of myself, my life and relationships and freeing me to persue my goals.
0161 524 0087 View 0161 524 0087
Photo of Francesca Rawlinson, Psychotherapist in Manchester, England
Francesca Rawlinson
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
Manchester M1
I am Manchester based, and have therapy rooms in both Northern Quarter and Chorlton. My website is www.upliftedtherapy.co.uk. I am a trauma responsive creative psychotherapist, and EMDR therapist. My experience includes working with adverse experiences and challenges. My approach is empathetic, non-judgemental and person-centred. I specialise in anxiety, attachment and trauma informed care. My work with adults includes working with refugees, students from Liverpool and Chester University, NHS staff members who struggled through the Covid pandemic and corporate private clients.
I am Manchester based, and have therapy rooms in both Northern Quarter and Chorlton. My website is www.upliftedtherapy.co.uk. I am a trauma responsive creative psychotherapist, and EMDR therapist. My experience includes working with adverse experiences and challenges. My approach is empathetic, non-judgemental and person-centred. I specialise in anxiety, attachment and trauma informed care. My work with adults includes working with refugees, students from Liverpool and Chester University, NHS staff members who struggled through the Covid pandemic and corporate private clients.
01707 954064 View 01707 954064

See more therapy options for Manchester

How does your Counsellor compare?

Number of Counsellors in Manchester

800+

Average cost per session

£60

Counsellors in Manchester who prioritize treating:

91% Anxiety
87% Depression
84% Self Esteem
81% Stress
78% Relationship Issues
67% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

63% Aviva
58% AXA PPP
46% Vitality

How Counsellors in Manchester see their clients

64% In Person and Online
36% Online Only

Gender breakdown

71% Female
27% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Manchester?

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.