Counselling in Gullane

Photo of Lynn Artesse, Counsellor, MBACP
Lynn Artesse
Counsellor, MBACP
Serves Area
Individual & Couples Counselling & Clinical Supervision. “Life doesn’t get better by chance, it gets better by change”. At times we can all feel anxious or uncertain of our future. Sometimes we need to make changes in order to improve our situation. However, the prospect of change can feel overwhelming, leaving us feeling disconnected, isolated and lonely. Hearing your thoughts out loud, with a professional, can be an opportunity to gain some clarity and begin the process of change. I truly believe that a small change in the way we think can make a big difference to the way we feel.
Individual & Couples Counselling & Clinical Supervision. “Life doesn’t get better by chance, it gets better by change”. At times we can all feel anxious or uncertain of our future. Sometimes we need to make changes in order to improve our situation. However, the prospect of change can feel overwhelming, leaving us feeling disconnected, isolated and lonely. Hearing your thoughts out loud, with a professional, can be an opportunity to gain some clarity and begin the process of change. I truly believe that a small change in the way we think can make a big difference to the way we feel.
0131 510 3667 View 0131 510 3667
Photo of Klaudia Rzeczkowska - Klaudia New Hope And Change, MSc, Psychotherapist, MCOSCA
Klaudia New Hope And Change, MSc
Psychotherapist, MCOSCA
Serves Area
Warm welcome and well done for taking active steps to take care of your mental health. My name is Klaudia and I am a qualified CBT Therapist. With over 6 years of working with people affected by addictions and 3 years supporting individuals with caring responsibilities, I have experience in working with a wide variety of mental health struggles and comorbidities. I provide a safe and non-judgmental space where I work collaboratively with the clients to improve their quality of life, achieve their goals and improve their symptoms.
Warm welcome and well done for taking active steps to take care of your mental health. My name is Klaudia and I am a qualified CBT Therapist. With over 6 years of working with people affected by addictions and 3 years supporting individuals with caring responsibilities, I have experience in working with a wide variety of mental health struggles and comorbidities. I provide a safe and non-judgmental space where I work collaboratively with the clients to improve their quality of life, achieve their goals and improve their symptoms.
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Photo of Valerie Smith, Counsellor, MBACP Accred
Valerie Smith
Counsellor, MBACP Accred
Serves Area
I have a deep belief in people’s capacity to grow, even through the most difficult circumstances. I can offer you a warm, safe space where you feel at ease to explore what is troubling you and what must change. My focus is on enabling you to find genuine compassion for all parts of your experience, however unwelcome or even frightening. This can be deeply healing. I enjoy working with young people (16 plus) and adults of all ages and a wide range of different life experiences.
I have a deep belief in people’s capacity to grow, even through the most difficult circumstances. I can offer you a warm, safe space where you feel at ease to explore what is troubling you and what must change. My focus is on enabling you to find genuine compassion for all parts of your experience, however unwelcome or even frightening. This can be deeply healing. I enjoy working with young people (16 plus) and adults of all ages and a wide range of different life experiences.
01875 447076 View 01875 447076
Photo of Rebecca Muller, Psychotherapist, MSc, MBABCP
Rebecca Muller
Psychotherapist, MSc, MBABCP
1 Endorsed
Online Only
I’m so glad you’ve found your way here. Choosing to prioritise your wellbeing is a brave step. Maybe something traumatic has happened and, no matter how hard you try, you can’t move past it. You may feel stuck, unsafe, or like you’ve lost the version of yourself you once knew. Perhaps you blame yourself or feel “not good enough.” These thoughts can feel isolating, but they’re common responses to trauma—not reflections of your worth. Therapy offers a safe space to explore these feelings and begin moving toward healing.
I’m so glad you’ve found your way here. Choosing to prioritise your wellbeing is a brave step. Maybe something traumatic has happened and, no matter how hard you try, you can’t move past it. You may feel stuck, unsafe, or like you’ve lost the version of yourself you once knew. Perhaps you blame yourself or feel “not good enough.” These thoughts can feel isolating, but they’re common responses to trauma—not reflections of your worth. Therapy offers a safe space to explore these feelings and begin moving toward healing.
01475 603624 View 01475 603624
Photo of Alana Breen, Psychotherapist, MSc, GMBPsS
Alana Breen
Psychotherapist, MSc, GMBPsS
Online Only
Living with depression, anxiety, or other emotional difficulties can make life feel overwhelming. You may be struggling to cope or wanting to understand patterns in your behaviour — and seeking a safe space where you feel heard and supported. As a qualified psychological therapist working in both the NHS and private practice, I offer compassionate, confidential support to adolescents (12+) and adults facing challenges such as low mood, anxiety disorders including OCD, and more. I also offer consultation and sessions for parents seeking guidance and support.
Living with depression, anxiety, or other emotional difficulties can make life feel overwhelming. You may be struggling to cope or wanting to understand patterns in your behaviour — and seeking a safe space where you feel heard and supported. As a qualified psychological therapist working in both the NHS and private practice, I offer compassionate, confidential support to adolescents (12+) and adults facing challenges such as low mood, anxiety disorders including OCD, and more. I also offer consultation and sessions for parents seeking guidance and support.
01620 670499 View 01620 670499

More Therapists Nearby

Photo of Christiane Kelegher, Psychotherapist, MSc, HCPC-Art Therap.
Christiane Kelegher
Psychotherapist, MSc, HCPC-Art Therap.
4 Endorsed
Online Only
I work in collaboration with my clients to find what they would like to bring into the therapy room and have a particular interest in personal identities and how my clients wish to be seen and accepted in the world. This includes identities around chronic illness and disability, as well as around gender, sexuality and relationship diversity. I do not work as a blank mirror but instead use my knowledge and training to create a dialogue between me and my clients.
I work in collaboration with my clients to find what they would like to bring into the therapy room and have a particular interest in personal identities and how my clients wish to be seen and accepted in the world. This includes identities around chronic illness and disability, as well as around gender, sexuality and relationship diversity. I do not work as a blank mirror but instead use my knowledge and training to create a dialogue between me and my clients.
0191 743 0329 View 0191 743 0329
Photo of Anna Wills, MSc
Anna Wills
Verified Verified
1 Endorsed
Serves Area
Hi I'm Anna. I'm a BAPT Registered Play Therapist and Certified SandStory Therapist providing a safe, warm, & healing space where children and young people can explore their emotions and challenges through play and SandStory therapy. I specialize in helping children process feelings like anxiety, sadness, and anger, or navigate life changes such as loss or family transitions. Using creative, non-verbal approaches tailored to each child, I honor their unique pace and story, fostering resilience and self-awareness. I am committed to helping children and families navigate their journeys with care, compassion, and creativity.
Hi I'm Anna. I'm a BAPT Registered Play Therapist and Certified SandStory Therapist providing a safe, warm, & healing space where children and young people can explore their emotions and challenges through play and SandStory therapy. I specialize in helping children process feelings like anxiety, sadness, and anger, or navigate life changes such as loss or family transitions. Using creative, non-verbal approaches tailored to each child, I honor their unique pace and story, fostering resilience and self-awareness. I am committed to helping children and families navigate their journeys with care, compassion, and creativity.
01506 538432 View 01506 538432
Photo of Richard Stiles, Psychotherapist, MBACP Accred
Richard Stiles
Psychotherapist, MBACP Accred
Serves Area
Are you burned out and overwhelmed? I help adult professionals manage stress and anxiety through talking therapy, presence practice and mindfulness. We can all experience burn out at some point. It's normal and it's nature's way of telling us to slow down. We don't always have the luxury of slowing down but we can learn to feel more connected to ourselves and others.
Are you burned out and overwhelmed? I help adult professionals manage stress and anxiety through talking therapy, presence practice and mindfulness. We can all experience burn out at some point. It's normal and it's nature's way of telling us to slow down. We don't always have the luxury of slowing down but we can learn to feel more connected to ourselves and others.
01276 539433 View 01276 539433
Photo of Mihaela Truica, Psychotherapist, MBACP
Mihaela Truica
Psychotherapist, MBACP
Hi and welcome, My name is Mihaela and I am an experienced Integrative Psychotherapist and Counsellor. I am committed to providing a therapeutic space that is truly collaborative and rooted in compassion. We’ll work flexibly, whether that’s for a few sessions or a longer journey. My commitment is to listen deeply and adapt my approach to make sure the support you get is meaningful and effective for you. I believe that each of us is unique, therefore, it is important for me to tailor my approach to your individual needs so that I can meet you where you are and from there on to begin a healing journey at your own pace.
Hi and welcome, My name is Mihaela and I am an experienced Integrative Psychotherapist and Counsellor. I am committed to providing a therapeutic space that is truly collaborative and rooted in compassion. We’ll work flexibly, whether that’s for a few sessions or a longer journey. My commitment is to listen deeply and adapt my approach to make sure the support you get is meaningful and effective for you. I believe that each of us is unique, therefore, it is important for me to tailor my approach to your individual needs so that I can meet you where you are and from there on to begin a healing journey at your own pace.
01934 316722 View 01934 316722
Photo of Charlotte Gutu, Psychotherapist, MBACP
Charlotte Gutu
Psychotherapist, MBACP
Online Only
Hi, I’m Charlotte. I offer therapy and therapeutic coaching to help you move through self-doubt, fear, and overthinking, and begin living in a way that feels more authentic and aligned. You might have a vision for your future that you just can’t seem to reach or maybe you’ve given up completely on believing it’s ever possible for you. Deep down you know there's more to life, and to you, but fear and insecurity keep you feeling stuck and small. If you're ready to stop letting old stories and beliefs dominate your life and to let the real you shine, I can help.
Hi, I’m Charlotte. I offer therapy and therapeutic coaching to help you move through self-doubt, fear, and overthinking, and begin living in a way that feels more authentic and aligned. You might have a vision for your future that you just can’t seem to reach or maybe you’ve given up completely on believing it’s ever possible for you. Deep down you know there's more to life, and to you, but fear and insecurity keep you feeling stuck and small. If you're ready to stop letting old stories and beliefs dominate your life and to let the real you shine, I can help.
01724 700937 View 01724 700937
Photo of Claudia Miller, Counsellor, MA, MBACP
Claudia Miller
Counsellor, MA, MBACP
I am an integrative counsellor working in person in Edinburgh and online nationwide with adults, children and offering parental consultations. Whether in person or online we will work together to build a warm, safe and confidential space for you to address your present concerns. I have experience of working with and not limited to in adults: anxiety, depression, trauma, relationship issues, family separation, grief, loss, bullying, refugee status, the impact of the menstrual cycle on mental health, agoraphobia, work stress, self-harm and low self-esteem, including that stemming from the impact of social media and online platforms.
I am an integrative counsellor working in person in Edinburgh and online nationwide with adults, children and offering parental consultations. Whether in person or online we will work together to build a warm, safe and confidential space for you to address your present concerns. I have experience of working with and not limited to in adults: anxiety, depression, trauma, relationship issues, family separation, grief, loss, bullying, refugee status, the impact of the menstrual cycle on mental health, agoraphobia, work stress, self-harm and low self-esteem, including that stemming from the impact of social media and online platforms.
0131 381 6592 View 0131 381 6592
Photo of Dr Lucy Anne Abraham - Dr Lucy Abraham, Consultant Clinical Psychologist, Psychologist, HCPC - Clin. Psych.
Dr Lucy Abraham, Consultant Clinical Psychologist
Psychologist, HCPC - Clin. Psych.
Waitlist for new clients
I’m Lucy, I'm Director of Lucy’s Place CIC, an NHS Consultant Clinical Psychologist and registered with the HCPC. I founded Lucy’s Place CIC because I want to offer people holistic person centred care - a place to recover, connect and thrive! I’m experienced in the treatment of a large range of mental health difficulties including depression, anxiety, PTSD and interpersonal problems. My career has focussed largely on complex difficulties, but at Lucy’s Place CIC I am keen to work with anyone that wants gain a better understanding, to make a change in their lives for the better, improve their wellbeing and sense of self.
I’m Lucy, I'm Director of Lucy’s Place CIC, an NHS Consultant Clinical Psychologist and registered with the HCPC. I founded Lucy’s Place CIC because I want to offer people holistic person centred care - a place to recover, connect and thrive! I’m experienced in the treatment of a large range of mental health difficulties including depression, anxiety, PTSD and interpersonal problems. My career has focussed largely on complex difficulties, but at Lucy’s Place CIC I am keen to work with anyone that wants gain a better understanding, to make a change in their lives for the better, improve their wellbeing and sense of self.
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Photo of Naomi Nyamudoka, Counsellor, MBACP
Naomi Nyamudoka
Counsellor, MBACP
Serves Area
I specialise in working with trauma and neurodivergence. I believe the relationship is key to the work and I will offer a warm and safe setting for us to explore what you chose to bring. Being autistic myself I can offer a different way of seeing things for non autistic clients and a shared lived experience for those autistic clients. I offer a non judgemental space for you to explore different parts of yourself. I strive to work in the best way for my clients individually meaning I do not have an agenda in mind other than to be fully present with you.
I specialise in working with trauma and neurodivergence. I believe the relationship is key to the work and I will offer a warm and safe setting for us to explore what you chose to bring. Being autistic myself I can offer a different way of seeing things for non autistic clients and a shared lived experience for those autistic clients. I offer a non judgemental space for you to explore different parts of yourself. I strive to work in the best way for my clients individually meaning I do not have an agenda in mind other than to be fully present with you.
01764 915840 View 01764 915840
Photo of Marie McGeechan, Psychotherapist, MBABCP
Marie McGeechan
Psychotherapist, MBABCP
Serves Area
I specialise in EMDR and CBT and have worked in mental health since 2011. EMDR and CBT are effective psychological therapies in treating a range of anxiety disorders as well as depression. I have worked across a range of psychological settings throughout my career. I am passionate about helping those I work with in a collaborative way, ensuing you feel empowered about your mental health and the work we will do together.
I specialise in EMDR and CBT and have worked in mental health since 2011. EMDR and CBT are effective psychological therapies in treating a range of anxiety disorders as well as depression. I have worked across a range of psychological settings throughout my career. I am passionate about helping those I work with in a collaborative way, ensuing you feel empowered about your mental health and the work we will do together.
01236 800668 View 01236 800668
Photo of Alexandra Tokarczyk, Psychologist, MSc, GMBPsS
Alexandra Tokarczyk
Psychologist, MSc, GMBPsS
Online Only
With 10 years of experience in mental health and an academic background in Psychology I’m a scientist-practitioner providing individual and group coaching for adults. I use evidence-based tools to support you in your personal and professional development. I prioritise client's individual needs, and professional ethics. I use techniques whose effectiveness has been scientifically proven. This might be for you if, you value a science-backed, relational, and human-centred approach. You're looking to make sense of patterns, build resilience, feel supported, and create meaningful, sustainable change in life or work. I work with:
With 10 years of experience in mental health and an academic background in Psychology I’m a scientist-practitioner providing individual and group coaching for adults. I use evidence-based tools to support you in your personal and professional development. I prioritise client's individual needs, and professional ethics. I use techniques whose effectiveness has been scientifically proven. This might be for you if, you value a science-backed, relational, and human-centred approach. You're looking to make sense of patterns, build resilience, feel supported, and create meaningful, sustainable change in life or work. I work with:
0131 381 1565 View 0131 381 1565
Photo of Karen Matthews - Eir Counselling
Eir Counselling
Verified Verified
4 Endorsed
Are you struggling with anxiety, depression, chronic illness, relationship difficulties, problems with your sexual identity, grief, trauma or a feeling of being stuck? Often the difficulties people face in the present are connected to earlier life experiences. By exploring these connections, we can uncover the deeper meanings behind current struggles. I am Dr Karen Matthews, the founder of Eir Counselling. I offer psychodynamic counselling in a safe, non-judgemental and confidential space where together we can work through your struggles towards healing and lasting change.
Are you struggling with anxiety, depression, chronic illness, relationship difficulties, problems with your sexual identity, grief, trauma or a feeling of being stuck? Often the difficulties people face in the present are connected to earlier life experiences. By exploring these connections, we can uncover the deeper meanings behind current struggles. I am Dr Karen Matthews, the founder of Eir Counselling. I offer psychodynamic counselling in a safe, non-judgemental and confidential space where together we can work through your struggles towards healing and lasting change.
01764 915841 View 01764 915841
Photo of Zoe Powell Martin, Counsellor, MSc, MBACP
Zoe Powell Martin
Counsellor, MSc, MBACP
Online Only
Hello, I'm Zoe - it's a pleasure to meet you. I am an experienced LGBTQ+ and University counsellor currently offering online counselling, psychotherapy and pluralistic clinical supervision. I provide a warm, safe and nurturing space to support you on your therapeutic journey. As a therapist, I am committed to ensure that your therapy sessions are co-constructed to meet your individual therapeutic needs. Benefitting from shared-decision making, a focus on therapeutic direction as well as empathy, support, compassion and attention, you can expect a uniquely inclusive and collaborative therapeutic experience.
Hello, I'm Zoe - it's a pleasure to meet you. I am an experienced LGBTQ+ and University counsellor currently offering online counselling, psychotherapy and pluralistic clinical supervision. I provide a warm, safe and nurturing space to support you on your therapeutic journey. As a therapist, I am committed to ensure that your therapy sessions are co-constructed to meet your individual therapeutic needs. Benefitting from shared-decision making, a focus on therapeutic direction as well as empathy, support, compassion and attention, you can expect a uniquely inclusive and collaborative therapeutic experience.
01363 722166 View 01363 722166
Photo of Ross Cairns, Counsellor, MSc, MBACP
Ross Cairns
Counsellor, MSc, MBACP
Tranent EH33
I am an experienced Counsellor / Psychotherapist. My main training is in a humanistic approach and I have added further training over my many years in practice. I have lots of experience across many areas of therapy and client issues but perhaps some of the main issues that I have worked with include Anxiety, Depression & Trauma. I have also worked with many people who have experienced long term abuse both as children and as adults. I have some specialist training in working with Neuro diverse clients and have good experience with Autistic individuals and those with ADHD. I also offer relationship therapy and work with couples.
I am an experienced Counsellor / Psychotherapist. My main training is in a humanistic approach and I have added further training over my many years in practice. I have lots of experience across many areas of therapy and client issues but perhaps some of the main issues that I have worked with include Anxiety, Depression & Trauma. I have also worked with many people who have experienced long term abuse both as children and as adults. I have some specialist training in working with Neuro diverse clients and have good experience with Autistic individuals and those with ADHD. I also offer relationship therapy and work with couples.
01875 444649 View 01875 444649
Photo of Rianda du Preez - Rdp coaching/therapy
Rdp coaching/therapy
Verified Verified
Online Only
I empower individuals and or their parents/carers from 13+ with anxiety, depression, emotional deregulation, ADHD and ASD. If you feel anxious, on edge, always like you are in overdrive, cannot focus and struggle with your day to day activities, I will help you to improve your anxiety, mindset, self-esteem, concentration, focus, self regulation and quality of life. I also coach couples who are struggling with ADHD or the diagnosis of their child and want guidance to empower and build their child's self esteem
I empower individuals and or their parents/carers from 13+ with anxiety, depression, emotional deregulation, ADHD and ASD. If you feel anxious, on edge, always like you are in overdrive, cannot focus and struggle with your day to day activities, I will help you to improve your anxiety, mindset, self-esteem, concentration, focus, self regulation and quality of life. I also coach couples who are struggling with ADHD or the diagnosis of their child and want guidance to empower and build their child's self esteem
01896 809161 View 01896 809161
Photo of Shannon Talbot, Psychotherapist, COSRT General
Shannon Talbot
Psychotherapist, COSRT General
Serves Area
Anxiety around intimacy, relationships, or sexual concerns is incredibly common, and the overarching impact that these issues can have on your health and happiness is often underestimated and undervalued. Forming meaningful and honest connections with people including yourself, and feeling empowered to truly accept and project how you feel, good and bad, is challenging with sex and relationships being no exception. Shedding light on the unconscious and bringing new perspectives to your world can be the seed from which healing and personal development grow.
Anxiety around intimacy, relationships, or sexual concerns is incredibly common, and the overarching impact that these issues can have on your health and happiness is often underestimated and undervalued. Forming meaningful and honest connections with people including yourself, and feeling empowered to truly accept and project how you feel, good and bad, is challenging with sex and relationships being no exception. Shedding light on the unconscious and bringing new perspectives to your world can be the seed from which healing and personal development grow.
020 3994 2120 View 020 3994 2120

How does your Counsellor compare?

Number of Counsellors in Gullane

< 10

Counsellors in Gullane who prioritize treating:

100% Trauma and PTSD
80% Depression
80% Anxiety
80% Self Esteem
60% Other
60% Peer Relationships
60% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

100% Other
100% Bupa
50% Aviva

How Counsellors in Gullane see their clients

60% In Person and Online
40% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Gullane?

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.