Counselling in SE13

Photo of Dr Maxine King, Psychologist, PsychD, HCPC - Couns. Psych.
Dr Maxine King
Psychologist, PsychD, HCPC - Couns. Psych.
Online Only
I am a highly experienced counselling psychologist and cognitive behavioural psychotherapist who has been in clinical practice since 2004. I offer modern, evidenced-based psychological therapy for adults experiencing emotional and psychological difficulties. I specialise in working with anxiety (including obsessive compulsive disorder, generalised anxiety, panic and post traumatic stress disorder), depression, trauma, low self-esteem and relationship problems.
I am a highly experienced counselling psychologist and cognitive behavioural psychotherapist who has been in clinical practice since 2004. I offer modern, evidenced-based psychological therapy for adults experiencing emotional and psychological difficulties. I specialise in working with anxiety (including obsessive compulsive disorder, generalised anxiety, panic and post traumatic stress disorder), depression, trauma, low self-esteem and relationship problems.
01689 661687 View 01689 661687
Photo of Jennifer Gama, Counsellor, MBACP Accred
Jennifer Gama
Counsellor, MBACP Accred
1 Endorsed
Online Only
Welcome to my profile. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Sometimes life can be a struggle and reaching out can be daunting, it can be helpful to talk with someone that is not connected to your life or the difficulties you are facing. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
Welcome to my profile. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Sometimes life can be a struggle and reaching out can be daunting, it can be helpful to talk with someone that is not connected to your life or the difficulties you are facing. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
020 3004 1632 View 020 3004 1632
Photo of Kamara Katama Atkinson, Psychotherapist, MBACP
Kamara Katama Atkinson
Psychotherapist, MBACP
London SE13
Hi and welcome, my name's Kamara and I'm a qualified counsellor and psychotherapist. I aim to create a safe, non-judgmental space where I hope you’ll feel supported, understood, and empowered to explore your emotions, thoughts, and experiences. My approach to therapy is built on empathy and collaboration. Everyone is unique and deserving of therapy that suits and nurtures them. Whether you would like to bring difficulties from the past and present or worries about the future, we will work together to explore your situation and enable you to gain more self awareness, resilience, and choices.
Hi and welcome, my name's Kamara and I'm a qualified counsellor and psychotherapist. I aim to create a safe, non-judgmental space where I hope you’ll feel supported, understood, and empowered to explore your emotions, thoughts, and experiences. My approach to therapy is built on empathy and collaboration. Everyone is unique and deserving of therapy that suits and nurtures them. Whether you would like to bring difficulties from the past and present or worries about the future, we will work together to explore your situation and enable you to gain more self awareness, resilience, and choices.
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Photo of Maria P Bennett, Psychologist, MSc, GMBPsS
Maria P Bennett
Psychologist, MSc, GMBPsS
Online Only
I am a stress management consultant and CBT practitioner and I specialize in helping clients reduce the impact of negative stress, anxiety and depression.
I am a stress management consultant and CBT practitioner and I specialize in helping clients reduce the impact of negative stress, anxiety and depression.
020 4572 1870 View 020 4572 1870
Photo of Bukola Rominiyi, Counsellor, MBACP
Bukola Rominiyi
Counsellor, MBACP
London SE13
I work with individuals and couples in their 20’s, 30’s and 40’s, of any gender & cultural identity, whose emotions are impacting their health, relationships, work and life. This may look like overthinking, anxiety, poor sleep, catastrophising, loneliness, infidelity, depression or even addictions. I’ve had the privilege of supporting clients through these challenges and seeing real progress. Our work will help process your experiences and gently uncover deeper beliefs and patterns that operate beneath the surface. Whether you’re keen to make changes or just need a nurturing space as you heal, reach out for a chat & see how we fit.
I work with individuals and couples in their 20’s, 30’s and 40’s, of any gender & cultural identity, whose emotions are impacting their health, relationships, work and life. This may look like overthinking, anxiety, poor sleep, catastrophising, loneliness, infidelity, depression or even addictions. I’ve had the privilege of supporting clients through these challenges and seeing real progress. Our work will help process your experiences and gently uncover deeper beliefs and patterns that operate beneath the surface. Whether you’re keen to make changes or just need a nurturing space as you heal, reach out for a chat & see how we fit.
020 3376 6128 View 020 3376 6128
Photo of Regina Arnold, Counsellor, MA, COSRT Accred
Regina Arnold
Counsellor, MA, COSRT Accred
1 Endorsed
Online Only
My intention as your therapist is to both witness you and challenge existing dynamics and beliefs that may not be serving you anymore. All of my training as an integrative therapist and relationship coach are available to you in our sessions. This means we can work exploratively, creatively or more pragmatically - depending on what would best support you. At present, I am only taking on new individual clients as I am at capacity for work with couples. I have day time and early evening availability only, my evenings have a waitlist. I work Monday - Friday and offer sliding scale pricing.
My intention as your therapist is to both witness you and challenge existing dynamics and beliefs that may not be serving you anymore. All of my training as an integrative therapist and relationship coach are available to you in our sessions. This means we can work exploratively, creatively or more pragmatically - depending on what would best support you. At present, I am only taking on new individual clients as I am at capacity for work with couples. I have day time and early evening availability only, my evenings have a waitlist. I work Monday - Friday and offer sliding scale pricing.
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Photo of Tiffani Streete, Counsellor, MNCPS Acc.
Tiffani Streete
Counsellor, MNCPS Acc.
Online Only
Integrative Counsellor specialising in a multiple of therapy approaches such as; Psychodynamic, Humanistic and CBT(Cognitive Behaviour Therapy) to name a few. My use of different therapy approaches, not only allows clients to gain clarity of where they are and where they want to be (in life) but also provides solution based strategies in order for them to conquer their present and past. It’s fulfilling to witness the growth of clients overcoming traumatic and challenging circumstances. It would be a privilege and honour to work with you as I want to witness you evolve in becoming the best you, LIVING YOUR BEST LIFE .
Integrative Counsellor specialising in a multiple of therapy approaches such as; Psychodynamic, Humanistic and CBT(Cognitive Behaviour Therapy) to name a few. My use of different therapy approaches, not only allows clients to gain clarity of where they are and where they want to be (in life) but also provides solution based strategies in order for them to conquer their present and past. It’s fulfilling to witness the growth of clients overcoming traumatic and challenging circumstances. It would be a privilege and honour to work with you as I want to witness you evolve in becoming the best you, LIVING YOUR BEST LIFE .
020 3974 2035 View 020 3974 2035
Photo of Shauntel Morales, Psychotherapist, MA, HCPC-Art Therap.
Shauntel Morales
Psychotherapist, MA, HCPC-Art Therap.
Online Only
Hi, I’m Shauntel – An Art Psychotherapist seeking to create a safe space for self-discovery for all! If you're struggling with stress, anxiety, or feeling stuck, you're not alone. I’m here to offer a safe, welcoming space where you can explore your thoughts and emotions in a way that feels natural—through art. No art skills needed—just an open mind! Whether you prefer talking, creating, or a mix of both, I’ll support you in finding what works best for you. My approach is gentle, creative, and tailored to your needs, helping you gain clarity, confidence, and a sense of calm. If you’re curious about how art therapy can help, let’s
Hi, I’m Shauntel – An Art Psychotherapist seeking to create a safe space for self-discovery for all! If you're struggling with stress, anxiety, or feeling stuck, you're not alone. I’m here to offer a safe, welcoming space where you can explore your thoughts and emotions in a way that feels natural—through art. No art skills needed—just an open mind! Whether you prefer talking, creating, or a mix of both, I’ll support you in finding what works best for you. My approach is gentle, creative, and tailored to your needs, helping you gain clarity, confidence, and a sense of calm. If you’re curious about how art therapy can help, let’s
020 4572 2637 View 020 4572 2637
Photo of Yoona Sorn, Psychotherapist, MA, MBACP Accred
Yoona Sorn
Psychotherapist, MA, MBACP Accred
Online Only
I support clients navigating life's challenges, from daily stress and anxiety to deeper emotional wounds. Many seek help when feeling overwhelmed by anxiety, depression, or mounting pressures affecting their relationships and work. With extensive experience in trauma, gender-based violence, and helping clients process the impacts of racism, I offer a safe, non-judgmental space for healing and growth. My clients often seek not just symptom relief, but a deeper understanding of themselves. Whether you're dealing with recent stress or long-standing concerns, I provide collaborative, empathetic support tailored to your unique needs.
I support clients navigating life's challenges, from daily stress and anxiety to deeper emotional wounds. Many seek help when feeling overwhelmed by anxiety, depression, or mounting pressures affecting their relationships and work. With extensive experience in trauma, gender-based violence, and helping clients process the impacts of racism, I offer a safe, non-judgmental space for healing and growth. My clients often seek not just symptom relief, but a deeper understanding of themselves. Whether you're dealing with recent stress or long-standing concerns, I provide collaborative, empathetic support tailored to your unique needs.
020 4572 1028 View 020 4572 1028
Photo of Soraya Amina Bedja, Psychotherapist, MBACP Accred
Soraya Amina Bedja
Psychotherapist, MBACP Accred
London SE13
Whatever reason brings you here, life is a challenge and therapy can help. With a passion for my work I am dedicated to helping individuals and couples of all ages and backgrounds. I am a 'Person-Centred Relational Therapist' and 'Imago Trained Couple’s Therapist'. I have been practising for over 15 years and specialise in childhood and complex trauma, anxiety, depression, stress, sexual orientation, sexual trauma, bereavement and loss. My work with both couples and individuals involves creating a warm, empathetic, safe space where each person can explore and validate their experience in the relationship with the self and others.
Whatever reason brings you here, life is a challenge and therapy can help. With a passion for my work I am dedicated to helping individuals and couples of all ages and backgrounds. I am a 'Person-Centred Relational Therapist' and 'Imago Trained Couple’s Therapist'. I have been practising for over 15 years and specialise in childhood and complex trauma, anxiety, depression, stress, sexual orientation, sexual trauma, bereavement and loss. My work with both couples and individuals involves creating a warm, empathetic, safe space where each person can explore and validate their experience in the relationship with the self and others.
020 4538 1763 View 020 4538 1763
Photo of Carly Simpson, Counsellor, MBACP
Carly Simpson
Counsellor, MBACP
Online Only
Hi, thanks for taking a look at my profile. I’m a mixed race therapist based in Hither Green and currently working online. I understand that modern life can present us with daily stresses and challenges that can add up and feel like too much. I can support you to work through difficult emotions, loss and change. Are you struggling to work something out? Are there losses in your life that you are yet to come to terms with? Is it impacting your relationships, work or home life? Maybe it’s just a feeling that something is not quite ‘right’ for you at the moment.
Hi, thanks for taking a look at my profile. I’m a mixed race therapist based in Hither Green and currently working online. I understand that modern life can present us with daily stresses and challenges that can add up and feel like too much. I can support you to work through difficult emotions, loss and change. Are you struggling to work something out? Are there losses in your life that you are yet to come to terms with? Is it impacting your relationships, work or home life? Maybe it’s just a feeling that something is not quite ‘right’ for you at the moment.
020 3871 3427 View 020 3871 3427
Stella Nwokolo
Counsellor, MBACP
1 Endorsed
Online Only
Not accepting new clients
You have made a conscious effort and an important decision to seek counseling. You may be struggling to cope with life, or anxious about certain issues in your life which often leads to challenges with work, family, and relationships. Perhaps you need to reflect and work on yourself. I will work with you by telephone, from the comfort of your own home or wherever you consider a safe space. We will explore these issues with the aim of creating greater self-awareness and self-worth to help you understand and cope better.
You have made a conscious effort and an important decision to seek counseling. You may be struggling to cope with life, or anxious about certain issues in your life which often leads to challenges with work, family, and relationships. Perhaps you need to reflect and work on yourself. I will work with you by telephone, from the comfort of your own home or wherever you consider a safe space. We will explore these issues with the aim of creating greater self-awareness and self-worth to help you understand and cope better.
020 3856 3086 View 020 3856 3086
Photo of Sue Sichel, Psychotherapist, MA, HCPC-Art Therap.
Sue Sichel
Psychotherapist, MA, HCPC-Art Therap.
London SE13
I am a fully qualified and experienced psychotherapist and supervisor. My approach is to offer empathetic understanding and non-judgemental listening in a safe space. Everyone is unique and therefore I draw on many different methods to suit each person's needs. My aim is to connect my client with their own inner resources through authenticity and self-empowerment. I offer an integrative arts approach, based on the needs of the client, drawing upon psychodynamic, attachment and trauma therapy to enhance the therapeutic process.
I am a fully qualified and experienced psychotherapist and supervisor. My approach is to offer empathetic understanding and non-judgemental listening in a safe space. Everyone is unique and therefore I draw on many different methods to suit each person's needs. My aim is to connect my client with their own inner resources through authenticity and self-empowerment. I offer an integrative arts approach, based on the needs of the client, drawing upon psychodynamic, attachment and trauma therapy to enhance the therapeutic process.
020 3828 7159 View 020 3828 7159
Photo of Sue Flory - Mewstone Counselling, Counsellor, MBACP Accred
Mewstone Counselling
Counsellor, MBACP Accred
London SE13
Seeking help is not an indication of weakness. Unfortunately, challenges such as anxiety, bereavement, relationship issues, and depression can make life seem overwhelming. If you are reading this profile, you are probably in search of the right counsellor, which can be an intimidating task. . As an accredited member of the BACP, I offer a therapeutic approach tailored to your individual needs and personality, and am happy to discuss your current situation and your expectations from counselling with sensitivity and compassion.
Seeking help is not an indication of weakness. Unfortunately, challenges such as anxiety, bereavement, relationship issues, and depression can make life seem overwhelming. If you are reading this profile, you are probably in search of the right counsellor, which can be an intimidating task. . As an accredited member of the BACP, I offer a therapeutic approach tailored to your individual needs and personality, and am happy to discuss your current situation and your expectations from counselling with sensitivity and compassion.
020 3835 2457 View 020 3835 2457
Photo of Judith Worrell, Counsellor, MBACP Accred
Judith Worrell
Counsellor, MBACP Accred
London SE13
Maybe you are at a point where you wish to understand yourself and your reactions to difficult life events such as trauma, discrimination , loss or illness. Perhaps you are wanting to develop a better relationship with yourself and would like more respect and reciprocity in your relationships with others but feel unsure how you might put this into place? Healing and growth can both exciting and scary. But if you are open to learning from setbacks and making helpful changes, then progress is possible.
Maybe you are at a point where you wish to understand yourself and your reactions to difficult life events such as trauma, discrimination , loss or illness. Perhaps you are wanting to develop a better relationship with yourself and would like more respect and reciprocity in your relationships with others but feel unsure how you might put this into place? Healing and growth can both exciting and scary. But if you are open to learning from setbacks and making helpful changes, then progress is possible.
020 8138 8624 View 020 8138 8624
Photo of Lucas Thumper Gayle, Counsellor, MSc, MBACP
Lucas Thumper Gayle
Counsellor, MSc, MBACP
1 Endorsed
London SE13
My work includes one to one therapy, face to face preferred but will do phone and online therapy, dealing with a broad range of issues that clients may present. By working together, we can look to identify the negative thoughts that prompt the behaviours that impact on your being as well as provide clarity that can allow you to confront, accept and deal with issues that seem a little overwhelming.
My work includes one to one therapy, face to face preferred but will do phone and online therapy, dealing with a broad range of issues that clients may present. By working together, we can look to identify the negative thoughts that prompt the behaviours that impact on your being as well as provide clarity that can allow you to confront, accept and deal with issues that seem a little overwhelming.
020 3818 1036 View 020 3818 1036
Photo of Stefania Panzeri - London Bridge Counselling Stefania , Psychotherapist, MBACP
London Bridge Counselling Stefania
Psychotherapist, MBACP
London SE13
Having therapy can be a difficult decision, especially when you feel low, self-critical, lonely, anxious, not worthy of having this type of care for your own self. The power to feel better and release this pain is within you, and I can help you access it. Together we can learn the best way for you to reach and keep a good self-esteem and mental health. I offer a confidential space in which you can feel understood, cared for, free to talk about anything that you require. I also offer walking therapy sessions, in peaceful green areas in London. For some clients this has proven deeply beneficial, if interested please enquire.
Having therapy can be a difficult decision, especially when you feel low, self-critical, lonely, anxious, not worthy of having this type of care for your own self. The power to feel better and release this pain is within you, and I can help you access it. Together we can learn the best way for you to reach and keep a good self-esteem and mental health. I offer a confidential space in which you can feel understood, cared for, free to talk about anything that you require. I also offer walking therapy sessions, in peaceful green areas in London. For some clients this has proven deeply beneficial, if interested please enquire.
020 4538 2214 View 020 4538 2214
Photo of Peter Lasek, Counsellor, MBACP
Peter Lasek
Counsellor, MBACP
London SE13
As an integrative counsellor with 9 years of experience, I have been dedicated to helping clients improving their mental health, building self awareness, improving emotional regulation, enhancing relationships, resolving problems, promoting personal growth and navigate life challenges. My approach involves three stages 1 - Understanding the roots of the problem, identifying the underlaying causes through comprehensive exploration of a client's thoughts, emotions, behaviours and experiences. 2 - Developing coping strategies 3 - Encouraging clients to practice between the sessions which can help promotes long-term change
As an integrative counsellor with 9 years of experience, I have been dedicated to helping clients improving their mental health, building self awareness, improving emotional regulation, enhancing relationships, resolving problems, promoting personal growth and navigate life challenges. My approach involves three stages 1 - Understanding the roots of the problem, identifying the underlaying causes through comprehensive exploration of a client's thoughts, emotions, behaviours and experiences. 2 - Developing coping strategies 3 - Encouraging clients to practice between the sessions which can help promotes long-term change
01865 951490 View 01865 951490
Photo of Dave Chambers, Counsellor, MSc, MBACP
Dave Chambers
Counsellor, MSc, MBACP
Online Only
I am a qualified person-centred counsellor and psychotherapist offering online counselling to individuals and couples in the UK. My approach is warm and friendly and I work with care and compassion. I offer a safe space, free from judgement, where you can be yourself and explore any issues that may be causing confusion, discomfort or distress. You will decide what we talk about and we will always work at a pace that is comfortable for you. It is important that you feel at ease working with me, so I offer a free first session (50 minutes), so you can see how I work and decide whether you wish to continue.
I am a qualified person-centred counsellor and psychotherapist offering online counselling to individuals and couples in the UK. My approach is warm and friendly and I work with care and compassion. I offer a safe space, free from judgement, where you can be yourself and explore any issues that may be causing confusion, discomfort or distress. You will decide what we talk about and we will always work at a pace that is comfortable for you. It is important that you feel at ease working with me, so I offer a free first session (50 minutes), so you can see how I work and decide whether you wish to continue.
01707 244854 View 01707 244854
Photo of Sharon Anderson, Psychotherapist, MSc, MBACP
Sharon Anderson
Psychotherapist, MSc, MBACP
Online Only
Hi there, these are REALLY trying times so I truly appreciate you taking the brave step to reach out. I'm here, happy to work with you on the journey. My therapy style is warm, interactive, accepting & specific to you. I am internationally trained to MSc level & have worked in the UK & overseas. This means I bring inter/multicultural richness & diversity to our sessions. I am skilled to serve the unique needs of the local & international diaspora & those feeling displaced. I also have clinical & pastoral training (Uk) & a multi faith theology degree offering spiritual counselling for those who desire a faith perspective.
Hi there, these are REALLY trying times so I truly appreciate you taking the brave step to reach out. I'm here, happy to work with you on the journey. My therapy style is warm, interactive, accepting & specific to you. I am internationally trained to MSc level & have worked in the UK & overseas. This means I bring inter/multicultural richness & diversity to our sessions. I am skilled to serve the unique needs of the local & international diaspora & those feeling displaced. I also have clinical & pastoral training (Uk) & a multi faith theology degree offering spiritual counselling for those who desire a faith perspective.
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How does your Counsellor compare?

Number of Counsellors in SE13

80+

Average cost per session

£70

Counsellors in SE13 who prioritize treating:

94% Anxiety
90% Self Esteem
87% Depression
80% Relationship Issues
79% Stress
71% Trauma and PTSD
58% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

50% Aviva
45% AXA PPP
45% Vitality

How Counsellors in SE13 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

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

How can I find a therapist in SE13?

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.