Counselling in Manchester

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Photo of Janet Fengeros, Psychotherapist in Manchester, England
Janet Fengeros
Psychotherapist, MUKCP
Verified Verified
Manchester M21
Waitlist for new clients
You may be experiencing depression, anxiety, or feeling confused that life, and relationships aren't turning out how you expected. We all find ourselves repeating unhelpful or painful patterns of behaviour sometimes, and feel unable to change them. In therapy these patterns are uncovered and you can learn how to change them to be a new, healthier and happier you, to enjoy a fuller life and healthier relationships. If you have not had therapy before give it a try. Everyone can benefit from therapy and improve their quality of life so don't hesitate to take the first step
You may be experiencing depression, anxiety, or feeling confused that life, and relationships aren't turning out how you expected. We all find ourselves repeating unhelpful or painful patterns of behaviour sometimes, and feel unable to change them. In therapy these patterns are uncovered and you can learn how to change them to be a new, healthier and happier you, to enjoy a fuller life and healthier relationships. If you have not had therapy before give it a try. Everyone can benefit from therapy and improve their quality of life so don't hesitate to take the first step
0161 694 6449 View 0161 694 6449
Photo of Mark Owen, Counsellor in Manchester, England
Mark Owen
Counsellor, MA, MBACP
Verified Verified
Manchester M25
My name is Mark Owen and I am a BACP and COSRT registered Counsellor with a degree in Marriage and Family therapy and a Postgraduate Diploma in Integrative Psychotherapy. Since 2012 I have worked in a wide variety of therapeutic settings both private care and within the NHS including, general mental health services, Eating Disorders Clinic, Bereavement Counselling and a Sexual Health Clinic. There are many models of therapy and everyone responds differently to the various methods. Using an Integrative Model of therapy, which means I use a range of different models, allows me to design a more tailor made plan for you.
My name is Mark Owen and I am a BACP and COSRT registered Counsellor with a degree in Marriage and Family therapy and a Postgraduate Diploma in Integrative Psychotherapy. Since 2012 I have worked in a wide variety of therapeutic settings both private care and within the NHS including, general mental health services, Eating Disorders Clinic, Bereavement Counselling and a Sexual Health Clinic. There are many models of therapy and everyone responds differently to the various methods. Using an Integrative Model of therapy, which means I use a range of different models, allows me to design a more tailor made plan for you.
0161 694 6567 View 0161 694 6567
Photo of Urszula T Wozniak, Psychotherapist in Manchester, England
Urszula T Wozniak
Psychotherapist, MBACP
Verified Verified
Manchester M2
Do you get overwhelmed or stuck with your situation, thoughts & feelings? Causing demotivation, unhappiness as well as being emotionally drained due to repeated negative thinking, undesirable feelings, opinions and/or patterns of behaviour affecting your sense of worth or value. I understand with a head full of chaotic thoughts, over thinking or worrying can increase your anxiety, low mood and affect your wellbeing causing obstacles, emotional difficulties & being unable to move on to a better place. Never mind how do you get there, where do you start?
Do you get overwhelmed or stuck with your situation, thoughts & feelings? Causing demotivation, unhappiness as well as being emotionally drained due to repeated negative thinking, undesirable feelings, opinions and/or patterns of behaviour affecting your sense of worth or value. I understand with a head full of chaotic thoughts, over thinking or worrying can increase your anxiety, low mood and affect your wellbeing causing obstacles, emotional difficulties & being unable to move on to a better place. Never mind how do you get there, where do you start?
0161 696 8328 View 0161 696 8328
Photo of Dr Kieran Nolan, Psychotherapist in Manchester, England
Dr Kieran Nolan
Psychotherapist, PhD, MUKCP
Verified Verified
Manchester M21
I have been working full-time as a psychotherapist since 2002 and have over 16,000 clinical hours of experience. Trained in a number of different types of therapy, I offer a huge depth of experience, formerly as a Senior Psychotherapist with a community mental health team (CMHT) within the NHS and now as a psychotherapist in private practice. Additionally, as I have an unusual dual training in Psychoanalytic Psychotherapy and Humanistic & Integrative Psychotherapy, I am uniquely placed to offer a flexible and powerful approach to psychotherapy.
I have been working full-time as a psychotherapist since 2002 and have over 16,000 clinical hours of experience. Trained in a number of different types of therapy, I offer a huge depth of experience, formerly as a Senior Psychotherapist with a community mental health team (CMHT) within the NHS and now as a psychotherapist in private practice. Additionally, as I have an unusual dual training in Psychoanalytic Psychotherapy and Humanistic & Integrative Psychotherapy, I am uniquely placed to offer a flexible and powerful approach to psychotherapy.
0161 524 7962 View 0161 524 7962
Photo of Sarah Hayes, Psychotherapist in Manchester, England
Sarah Hayes
Psychotherapist, BACP
Verified Verified
Manchester M2
At certain points in our lives, we might find ourselves in what may seem like an unbreakable cycle of self-destructive behaviours, overwhelming emotions and a sense of disconnect to those around us, or perhaps even within ourselves. If you’re reading this, it is likely that you currently find yourself somewhere within that cycle or you may have feelings of anxiety, depression or low self-worth. You may be experiencing relationship difficulties, intrusive and obsessive thoughts, self-harm, child-hood trauma or grief. Whatever the reason may be, I just want to firstly remind you that you are not alone.
At certain points in our lives, we might find ourselves in what may seem like an unbreakable cycle of self-destructive behaviours, overwhelming emotions and a sense of disconnect to those around us, or perhaps even within ourselves. If you’re reading this, it is likely that you currently find yourself somewhere within that cycle or you may have feelings of anxiety, depression or low self-worth. You may be experiencing relationship difficulties, intrusive and obsessive thoughts, self-harm, child-hood trauma or grief. Whatever the reason may be, I just want to firstly remind you that you are not alone.
01707 959170 View 01707 959170
Photo of Benjamin Nicholas Bamber, Counsellor in Manchester, England
Benjamin Nicholas Bamber
Counsellor, BACP
Verified Verified
Manchester M14
If you are experiencing a recent bereavement, mental health crisis, behaviour change, addiction, relationship issue or uncertainty surrounding your identity I can help you gain a greater perspective through exploration and deep reflection into your self. It is expected of me to demonstrate empathy, congruence and unconditional positive regard so that you feel safe to share those difficult thoughts, feelings and actions you are experiencing. I am currently only delivering sessions online via video or telephone, however I am happy to do walk and talk therapeutic sessions, outdoors in the South Manchester Area.
If you are experiencing a recent bereavement, mental health crisis, behaviour change, addiction, relationship issue or uncertainty surrounding your identity I can help you gain a greater perspective through exploration and deep reflection into your self. It is expected of me to demonstrate empathy, congruence and unconditional positive regard so that you feel safe to share those difficult thoughts, feelings and actions you are experiencing. I am currently only delivering sessions online via video or telephone, however I am happy to do walk and talk therapeutic sessions, outdoors in the South Manchester Area.
0161 706 2184 View 0161 706 2184
Photo of Rachel T, Psychotherapist in Manchester, England
Rachel T
Psychotherapist, UKCP Trainee
Verified Verified
Manchester M2
Are you struggling with self esteem, anxiety or depressive thoughts? Do you want to gain more control over your thoughts and feelings? Or reduce the impact of challenging everyday events on you; finding your confidence and spontaneity?
Are you struggling with self esteem, anxiety or depressive thoughts? Do you want to gain more control over your thoughts and feelings? Or reduce the impact of challenging everyday events on you; finding your confidence and spontaneity?
01707 241499 View 01707 241499
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 Sarah Bruce, Psychologist in Manchester, England
Sarah Bruce
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Manchester M3
Not accepting new clients
Is anxiety or excessive worry getting in the way for your? Are you stuck in a pattern of negative thinking? Or are you finding it hard to live with a traumatic event? Difficult thoughts and emotions can be overwhelming. This suggests you would benefit from structured therapy to learn some new ways of coping.
Is anxiety or excessive worry getting in the way for your? Are you stuck in a pattern of negative thinking? Or are you finding it hard to live with a traumatic event? Difficult thoughts and emotions can be overwhelming. This suggests you would benefit from structured therapy to learn some new ways of coping.
01707 938825 View 01707 938825
Photo of Daisy Samantha Dixon, Psychotherapist in Manchester, England
Daisy Samantha Dixon
Psychotherapist, DCounsPsych, MBACP
Verified Verified
Manchester M38
I have over 19 years experience working with people - My clients come to me, when they feel overwhelmed, exhausted and in need of support - they can't manage their thoughts, relationships, behaviours alone any longer and they need someone to talk to in a confidential, non-judgmental way. Together we explore, unpick, understand and make changes, so that life can become more manageable, enjoyable and less exhausting. For me, each of my clients are individuals, and its about getting the right balance - seeing what works and what doesn't work for them, promoting change together.
I have over 19 years experience working with people - My clients come to me, when they feel overwhelmed, exhausted and in need of support - they can't manage their thoughts, relationships, behaviours alone any longer and they need someone to talk to in a confidential, non-judgmental way. Together we explore, unpick, understand and make changes, so that life can become more manageable, enjoyable and less exhausting. For me, each of my clients are individuals, and its about getting the right balance - seeing what works and what doesn't work for them, promoting change together.
01942 925346 View 01942 925346
Photo of Kwesi Amesu, Counsellor in Manchester, England
Kwesi Amesu
Counsellor, MBACP
Verified Verified
Manchester M2
In the maze of life's unexpected challenges, I commend your courage in seeking support. I often liken our struggles to a bag of jigsaw puzzle pieces; in counseling, we empty these pieces onto the table and begin turning them right side up. Together, we navigate this intricate puzzle, allowing you to choose which piece to tackle first. It would be my privilege to accompany you on this journey of self-discovery, offering guidance and support as you unravel the mysteries of your life's puzzle.
In the maze of life's unexpected challenges, I commend your courage in seeking support. I often liken our struggles to a bag of jigsaw puzzle pieces; in counseling, we empty these pieces onto the table and begin turning them right side up. Together, we navigate this intricate puzzle, allowing you to choose which piece to tackle first. It would be my privilege to accompany you on this journey of self-discovery, offering guidance and support as you unravel the mysteries of your life's puzzle.
01942 559768 View 01942 559768
Photo of Athina Patsoule, Counsellor in Manchester, England
Athina Patsoule
Counsellor, MBACP
Verified Verified
Manchester M4  (Online Only)
I am a qualified psychotherapist (ECP), registered member of the British Association of Counselling and Psychotherapy (MBACP) with extensive experience in individual, couples and family psychotherapy and parenting counselling, in the United Kingdom and in Greece. I offer online sessions in Greek, French and English.
I am a qualified psychotherapist (ECP), registered member of the British Association of Counselling and Psychotherapy (MBACP) with extensive experience in individual, couples and family psychotherapy and parenting counselling, in the United Kingdom and in Greece. I offer online sessions in Greek, French and English.
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Photo of Amanda Taylor Atwood, Psychotherapist in Manchester, England
Amanda Taylor Atwood
Psychotherapist, PsychD, BACP
Verified Verified
Manchester M21
“ It’s good to talk .... “ Do you need to talk to somebody without being judged or having to justify your feelings. Are feelings of anxiety, fear or depression making everyday life hard to bear. Do you want to understand why you feel or behave the way you do. Then I can help, I am a friendly, approachable psychotherapist and provide confidential therapy in a safe, calm and compassionate environment. I can help you explore your experiences and identify what you would like to change for a happier and more fulfilled life.
“ It’s good to talk .... “ Do you need to talk to somebody without being judged or having to justify your feelings. Are feelings of anxiety, fear or depression making everyday life hard to bear. Do you want to understand why you feel or behave the way you do. Then I can help, I am a friendly, approachable psychotherapist and provide confidential therapy in a safe, calm and compassionate environment. I can help you explore your experiences and identify what you would like to change for a happier and more fulfilled life.
0161 850 7569 View 0161 850 7569
Photo of Neil Hewson - Sports & Performance Therapist in Manchester, England
Neil Hewson - Sports & Performance Therapist
Verified Verified
Manchester M21
I am a dedicated and passionate sports performance mindset coach with extensive experience in both football and athletics. My journey in the realm of sports psychology has been marked by a profound commitment to helping athletes unlock their full potential by mastering the mental aspects of their performance. Throughout my career, I have had the privilege of working with Premier league footballers and world class athletes. These experiences have helped equip me with a versatile skill set to address the diverse needs of athletes.
I am a dedicated and passionate sports performance mindset coach with extensive experience in both football and athletics. My journey in the realm of sports psychology has been marked by a profound commitment to helping athletes unlock their full potential by mastering the mental aspects of their performance. Throughout my career, I have had the privilege of working with Premier league footballers and world class athletes. These experiences have helped equip me with a versatile skill set to address the diverse needs of athletes.
0161 524 7226 View 0161 524 7226
Photo of Tiffany Leung, Psychologist in Manchester, England
Tiffany Leung
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Manchester M1  (Online Only)
I have extensive therapy experiences in supporting a wide range of challenges and all walks of life. I strive to work with you in a way which ensures that you can completely be 'just you'. You can be comfortable to bring any difficulties and unspoken thoughts and feelings to me, and we together find out 'the why(s)' in your life, relationships and in you. We recognize it is not easy, though I devote to building trust, that you can develop your own voice and resilience. We walk together to put listening, understanding and compassion first, before taking changes which are manageable, realistic and sustainable.
I have extensive therapy experiences in supporting a wide range of challenges and all walks of life. I strive to work with you in a way which ensures that you can completely be 'just you'. You can be comfortable to bring any difficulties and unspoken thoughts and feelings to me, and we together find out 'the why(s)' in your life, relationships and in you. We recognize it is not easy, though I devote to building trust, that you can develop your own voice and resilience. We walk together to put listening, understanding and compassion first, before taking changes which are manageable, realistic and sustainable.
0161 850 3557 View 0161 850 3557
Photo of Chi Ko Psychosexual Relationship Therapist, Psychotherapist in Manchester, England
Chi Ko Psychosexual Relationship Therapist
Psychotherapist, MSc, COSRT Accred
Verified Verified
Manchester M3
Chi is a Sex and Relationship Psychotherapist, accredited by BACP and COSRT. He also works with people with sexual addictive behaviour and compulsivity. He has an excellent working knowledge on a range of psychiatric and mental health conditions.
Chi is a Sex and Relationship Psychotherapist, accredited by BACP and COSRT. He also works with people with sexual addictive behaviour and compulsivity. He has an excellent working knowledge on a range of psychiatric and mental health conditions.
0161 696 8319 View 0161 696 8319
Photo of Alex Habens, Psychotherapist in Manchester, England
Alex Habens
Psychotherapist, MBABCP
Verified Verified
Manchester M32  (Online Only)
Not accepting new clients
Please Note, I am currently fully booked. Is anxiety getting in the way of what's important to you? Do you experience unwanted, intrusive thoughts or worries? Perhaps you feel controlled by urges to confess, seek reassurance, avoid things, or check things over and over... I specialise in supporting people with OCD and other common anxiety problems. I have lived experience of OCD and I can help you to make sense of what you're experiencing, develop new insights, and achieve lasting recovery. Whatever your personal reasons for seeking therapy, I'll be committed to supporting you with warmth, acceptance and compassion.
Please Note, I am currently fully booked. Is anxiety getting in the way of what's important to you? Do you experience unwanted, intrusive thoughts or worries? Perhaps you feel controlled by urges to confess, seek reassurance, avoid things, or check things over and over... I specialise in supporting people with OCD and other common anxiety problems. I have lived experience of OCD and I can help you to make sense of what you're experiencing, develop new insights, and achieve lasting recovery. Whatever your personal reasons for seeking therapy, I'll be committed to supporting you with warmth, acceptance and compassion.
0161 524 9218 View 0161 524 9218
Photo of Jacquie Campbell Psychotherapy & Counselling, Psychotherapist in Manchester, England
Jacquie Campbell Psychotherapy & Counselling
Psychotherapist, MBACP
Verified Verified
Manchester M21
Not accepting new clients
X I am not currently accepting new clients X Are you struggling with anxiety due to loss, relationships, work or coming to terms with episodes from your past? Maybe you want to explore why you behave, think or feel as you do, which can lead to positive change or self-acceptance. Have you kept worries to yourself for a while, not sleeping and not sharing how you really feel because you’re frightened that people won’t understand or that you’ll be a burden?
X I am not currently accepting new clients X Are you struggling with anxiety due to loss, relationships, work or coming to terms with episodes from your past? Maybe you want to explore why you behave, think or feel as you do, which can lead to positive change or self-acceptance. Have you kept worries to yourself for a while, not sleeping and not sharing how you really feel because you’re frightened that people won’t understand or that you’ll be a burden?
0161 850 4984 View 0161 850 4984
Photo of Mousumi Sengupta, Counsellor in Manchester, England
Mousumi Sengupta
Counsellor, MBACP
Verified Verified
Manchester M20  (Online Only)
I am a Person Centred Counsellor based in South Manchester, offering a safe, nurturing, confidential and non-judgmental space to help you address your needs, heal, and move forward. My core model, Person Centred therapy which is a humanistic model of counselling that places the client at the center of therapy. My diverse life experience and background in teaching and education inform my Person Centred Approach. I consider it a privilege to see my clients heal, grow, and make long-lasting progress in their life journey.
I am a Person Centred Counsellor based in South Manchester, offering a safe, nurturing, confidential and non-judgmental space to help you address your needs, heal, and move forward. My core model, Person Centred therapy which is a humanistic model of counselling that places the client at the center of therapy. My diverse life experience and background in teaching and education inform my Person Centred Approach. I consider it a privilege to see my clients heal, grow, and make long-lasting progress in their life journey.
0161 524 2089 x0044 View 0161 524 2089 x0044
Photo of Joanne Crook, Counsellor in Manchester, England
Joanne Crook
Counsellor, MBACP Snr. Accred
Verified Verified
1 Endorsed
Manchester M28  (Online Only)
No avail.For over 26 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and as a Clinical Supervisor. Therapy with me will offer time in a reflective space away from family, friends and work, with a skilled therapist. As well as healing, therapy offers a place in which to understand yourself and your place in the world and the opportunity to find a new, more comfortable way of being. I have been a Senior Accredited member of the BACP for 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and a Clinical Supervisor, based in Worsley, Manchester.
No avail.For over 26 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and as a Clinical Supervisor. Therapy with me will offer time in a reflective space away from family, friends and work, with a skilled therapist. As well as healing, therapy offers a place in which to understand yourself and your place in the world and the opportunity to find a new, more comfortable way of being. I have been a Senior Accredited member of the BACP for 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and a Clinical Supervisor, based in Worsley, Manchester.
01890 545510 View 01890 545510

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
86% 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

64% Aviva
59% AXA PPP
47% Vitality

How Counsellors in Manchester see their clients

65% In Person and Online
35% 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.