Counselling in SE7

Photo of Danai Karvouni, Psychotherapist, MA, HCPC-Drama Therap.
Danai Karvouni
Psychotherapist, MA, HCPC-Drama Therap.
London SE7
Psychotherapy is a courageous and rewarding act toward personal growth, insight and change. My intention as your therapist is to make space for you to explore, process and make sense of your emotions with the aim to get closer to what you wish for in life. To achieve this, you will be invited to both verbal and creative explorations depending on your preference each time. As my interventions tend to be informed by your needs, you can expect to play an active role in your therapy.
Psychotherapy is a courageous and rewarding act toward personal growth, insight and change. My intention as your therapist is to make space for you to explore, process and make sense of your emotions with the aim to get closer to what you wish for in life. To achieve this, you will be invited to both verbal and creative explorations depending on your preference each time. As my interventions tend to be informed by your needs, you can expect to play an active role in your therapy.
020 4572 3192 View 020 4572 3192
Photo of Samuel Harris Farleigh - Art Therapy London, Psychotherapist, MA, HCPC-Art Therap.
Art Therapy London
Psychotherapist, MA, HCPC-Art Therap.
1 Endorsed
London SE7
I'm Sam, an Art Psychotherapist using creative expression as a tool to help support you to manage difficulties in you or your child's life. I use art as a way to support the exploration of these difficulties and help express the emotions related to this. I have worked in the NHS with complex mental health issues, as well as mainstream and SEN education. I specialise in working with a range of neurodiversity. Art therapy is suitable for most people and all ages and difficulties regardless previous art experience and skill. We use a wide range of materials and different forms of creative expression.
I'm Sam, an Art Psychotherapist using creative expression as a tool to help support you to manage difficulties in you or your child's life. I use art as a way to support the exploration of these difficulties and help express the emotions related to this. I have worked in the NHS with complex mental health issues, as well as mainstream and SEN education. I specialise in working with a range of neurodiversity. Art therapy is suitable for most people and all ages and difficulties regardless previous art experience and skill. We use a wide range of materials and different forms of creative expression.
07723 460550 View 07723 460550
Photo of Markus Kitzberger, Psychotherapist, MA, MUKCP
Markus Kitzberger
Psychotherapist, MA, MUKCP
London SE7
Does life feel like its getting on top of you? Could you benefit from a place to take some time-out? At certain times we all experience difficulties and doubt, go through life transitions (career change, divorce, new relationship, mid-life crisis) or discover patterns in our lives that are un-supportive. Seeing a counsellor or psychotherapist can help you face these challenges and turn them into an opportunity for personal growth.
Does life feel like its getting on top of you? Could you benefit from a place to take some time-out? At certain times we all experience difficulties and doubt, go through life transitions (career change, divorce, new relationship, mid-life crisis) or discover patterns in our lives that are un-supportive. Seeing a counsellor or psychotherapist can help you face these challenges and turn them into an opportunity for personal growth.
020 3835 5632 View 020 3835 5632
Photo of Diana Dan, Psychotherapist, MSc, GMBPsS
Diana Dan
Psychotherapist, MSc, GMBPsS
London SE7
Sometimes life feels stuck, like there are no good options left. You might look capable to others, but inside you feel exhausted, overwhelmed, or unsure how to move forward.
Sometimes life feels stuck, like there are no good options left. You might look capable to others, but inside you feel exhausted, overwhelmed, or unsure how to move forward.
020 3962 0314 View 020 3962 0314
Photo of Magdalena Rybarczyk, Psychologist, MSc, HCPC - Couns. Psych.
Magdalena Rybarczyk
Psychologist, MSc, HCPC - Couns. Psych.
London SE7
I hope that the information you can find here will help you to initiate positive changes in your life. I offer therapy for clients struggling with their emotions, experiencing a crisis, relationship difficulties or career and work related concerns. I am experienced in providing effective therapy for depression, anxiety, trauma, stress, self esteem problems, body image concerns, as well as medically unexplained symptoms, sexual and intimacy problems and other psychological challenges. My way of working is emphatic, flexible and receptive to your individual needs.
I hope that the information you can find here will help you to initiate positive changes in your life. I offer therapy for clients struggling with their emotions, experiencing a crisis, relationship difficulties or career and work related concerns. I am experienced in providing effective therapy for depression, anxiety, trauma, stress, self esteem problems, body image concerns, as well as medically unexplained symptoms, sexual and intimacy problems and other psychological challenges. My way of working is emphatic, flexible and receptive to your individual needs.
020 3763 5265 View 020 3763 5265
Photo of Christopher Brown - Click Therapies, Psychotherapist, MSc, GMBPsS
Click Therapies
Psychotherapist, MSc, GMBPsS
London SE7
Click Therapies are a small team of UK accredited therapists, nurses and doctors. We are a dedicated online psychological wellbeing service that meets the challenges of the 21st century. We work collaboratively with all our clients to offer a personalised therapy experience to achieve the best recovery outcomes for you. Our service is flexible to meet your needs needs. You can access therapy, anytime, anywhere at your convenience . We deliver evidence based treatments in line with National Guidelines and World Health Organisation. Why not connect with us for your FREE 15min consultation, you have nothing to lose...
Click Therapies are a small team of UK accredited therapists, nurses and doctors. We are a dedicated online psychological wellbeing service that meets the challenges of the 21st century. We work collaboratively with all our clients to offer a personalised therapy experience to achieve the best recovery outcomes for you. Our service is flexible to meet your needs needs. You can access therapy, anytime, anywhere at your convenience . We deliver evidence based treatments in line with National Guidelines and World Health Organisation. Why not connect with us for your FREE 15min consultation, you have nothing to lose...
0117 456 2766 View 0117 456 2766
Photo of Chris Eggleton, Counsellor, MBACP Accred
Chris Eggleton
Counsellor, MBACP Accred
1 Endorsed
Serves Area
Significant loss may cause us to feel stuck, lost in grief, removed from those around us and the life we thought we had; uncertain, confused, searching for answers. Grief counselling can help us to free ourselves, to re-connect with those around us, to hold close, to remember, to cherish, to see more clearly, to find confidence, and our best way forward. I am a BACP accredited Integrative Counsellor and Grief Work specialist. ​ Whatever the grief experiences that have brought you here today, I offer you a safe, confidential, non-judgemental, grief-focused therapeutic space in which to give your grief words.
Significant loss may cause us to feel stuck, lost in grief, removed from those around us and the life we thought we had; uncertain, confused, searching for answers. Grief counselling can help us to free ourselves, to re-connect with those around us, to hold close, to remember, to cherish, to see more clearly, to find confidence, and our best way forward. I am a BACP accredited Integrative Counsellor and Grief Work specialist. ​ Whatever the grief experiences that have brought you here today, I offer you a safe, confidential, non-judgemental, grief-focused therapeutic space in which to give your grief words.
020 4652 2804 View 020 4652 2804
Photo of Lauran Ware, Psychotherapist, MBACP
Lauran Ware
Psychotherapist, MBACP
2 Endorsed
Serves Area
Hi, I'm Lauran an Psychodynamic Psychotherapist, Emotional and Mental Wellness Therapist, Healer & Teacher. We exist with quiet confidence & inner knowing when our interiority is in alignment with our external lives.  My background in western Psychology has given me an amazing understanding of the diagnostic process, however, I believe true healing comes from looking at our emotional and mental lives and exploring deeply and insightfully the things that keep us emotionally regulated. I am strongly influenced by Jungian and existential schools. I work from Marylebone (W1) and Queens Park London (NW6) London.
Hi, I'm Lauran an Psychodynamic Psychotherapist, Emotional and Mental Wellness Therapist, Healer & Teacher. We exist with quiet confidence & inner knowing when our interiority is in alignment with our external lives.  My background in western Psychology has given me an amazing understanding of the diagnostic process, however, I believe true healing comes from looking at our emotional and mental lives and exploring deeply and insightfully the things that keep us emotionally regulated. I am strongly influenced by Jungian and existential schools. I work from Marylebone (W1) and Queens Park London (NW6) London.
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Photo of Michaela Cadie Hunte - Michaela Hunte, Psychotherapist, MBACP
Michaela Hunte
Psychotherapist, MBACP
2 Endorsed
Serves Area
People often come to me when they are feeling stuck, overwhelmed, or disconnected. They may be facing difficulties in their relationships, going through major life changes, struggling with complex emotional pain, looking to better understand themselves and experience greater stability and emotional well-being in their life.
People often come to me when they are feeling stuck, overwhelmed, or disconnected. They may be facing difficulties in their relationships, going through major life changes, struggling with complex emotional pain, looking to better understand themselves and experience greater stability and emotional well-being in their life.
020 3974 2062 View 020 3974 2062
Photo of Grace Thurgood, Psychotherapist, MBACP
Grace Thurgood
Psychotherapist, MBACP
2 Endorsed
Serves Area
Hi I'm Grace (She/Her), an Integrative Psychotherapist with a passion for helping people live happier lives through better relationships with themselves and others. You might be navigating midlife questions, relationship difficulties, the impact of past experiences, or living with an illness or disability. Maybe you are exploring your sexuality or gender identity or figuring out what it means for you to be neurodivergent. Whatever brings you to therapy, I offer a thoughtful, non-judgemental space where we can explore what's going on for you and how we can work together on your journey of healing and self-discovery.
Hi I'm Grace (She/Her), an Integrative Psychotherapist with a passion for helping people live happier lives through better relationships with themselves and others. You might be navigating midlife questions, relationship difficulties, the impact of past experiences, or living with an illness or disability. Maybe you are exploring your sexuality or gender identity or figuring out what it means for you to be neurodivergent. Whatever brings you to therapy, I offer a thoughtful, non-judgemental space where we can explore what's going on for you and how we can work together on your journey of healing and self-discovery.
020 4634 5527 View 020 4634 5527
Photo of Luka Hadrych - DBT in Mind Team, Psychotherapist, MSc, MUKCP
DBT in Mind Team
Psychotherapist, MSc, MUKCP
1 Endorsed
Serves Area
We are a team of experienced therapists providing specialist support for people living with emotion regulation difficulties whose challenges get described in the medical world as "borderline personality disorder" (BPD/EUPD). We offer the intensive programmes in Dialectical Behaviour Therapy and Mentalisation Based Treatment and are committed to providing research-based and compassionate therapies developed specifically for intensely-feeling individuals. We are here to support you on your journey toward greater control over your emotions, behaviour and relationships.
We are a team of experienced therapists providing specialist support for people living with emotion regulation difficulties whose challenges get described in the medical world as "borderline personality disorder" (BPD/EUPD). We offer the intensive programmes in Dialectical Behaviour Therapy and Mentalisation Based Treatment and are committed to providing research-based and compassionate therapies developed specifically for intensely-feeling individuals. We are here to support you on your journey toward greater control over your emotions, behaviour and relationships.
020 3870 3919 View 020 3870 3919
Photo of Chris Sparvell, Counsellor, MBACP Accred
Chris Sparvell
Counsellor, MBACP Accred
Serves Area
Hi my name is Chris and I have been working as a counsellor for 26 years. As well as having a small private practice, I spent 12 years working in schools with parents who came with a variety of issues - domestic abuse, loss and bereavement, sexual abuse, lack of confidence and self esteem, trauma and adverse childhood experiences. Experience has confirmed for me that a relationship of trust, understanding and empathy needs to be developed before personal growth can start - I feel this is my area of strength.
Hi my name is Chris and I have been working as a counsellor for 26 years. As well as having a small private practice, I spent 12 years working in schools with parents who came with a variety of issues - domestic abuse, loss and bereavement, sexual abuse, lack of confidence and self esteem, trauma and adverse childhood experiences. Experience has confirmed for me that a relationship of trust, understanding and empathy needs to be developed before personal growth can start - I feel this is my area of strength.
020 4652 0247 View 020 4652 0247
Photo of David Banos Smith, Psychotherapist, PhD, MUKCP
David Banos Smith
Psychotherapist, PhD, MUKCP
Serves Area
I work with people who are you feeling anxious or depressed or uncertain how to live in a way that feels satisfying. With people who have suffered bereavement, the end of a relationship or who are struggling with relationships that aren't working and leave them feeling unhappy. With people who are unhappy at work and feel stuck in a job that isn't what they'd hoped it would be, a job that's too challenging or not challenging enough. With people who are struggling with ways of being sexual, who find it hard to have the kind of sexual relationships they want, to know how to begin, negotiate or end intimate sexual relationships.
I work with people who are you feeling anxious or depressed or uncertain how to live in a way that feels satisfying. With people who have suffered bereavement, the end of a relationship or who are struggling with relationships that aren't working and leave them feeling unhappy. With people who are unhappy at work and feel stuck in a job that isn't what they'd hoped it would be, a job that's too challenging or not challenging enough. With people who are struggling with ways of being sexual, who find it hard to have the kind of sexual relationships they want, to know how to begin, negotiate or end intimate sexual relationships.
020 3974 2905 View 020 3974 2905
Photo of Richard Absalom, Psychotherapist, DCounsPsych, MBACP Accred
Richard Absalom
Psychotherapist, DCounsPsych, MBACP Accred
1 Endorsed
Serves Area
Approachable and understanding therapist, with 20 years experience of helping people with relationship, sexual health and mental health concerns. When thoughts are on repeat, or something doesn't feel right, there may not be a quick fix, but I can help untangle the emotional knots and find a way forward. I work with people to gradually understand the deeper patterns and meanings in their emotional lives. Therapy puts words to the feelings, that would otherwise remain painful or unresolved.
Approachable and understanding therapist, with 20 years experience of helping people with relationship, sexual health and mental health concerns. When thoughts are on repeat, or something doesn't feel right, there may not be a quick fix, but I can help untangle the emotional knots and find a way forward. I work with people to gradually understand the deeper patterns and meanings in their emotional lives. Therapy puts words to the feelings, that would otherwise remain painful or unresolved.
01872 304527 View 01872 304527
Photo of Ildiko Victoria Szatmari, Psychotherapist, MSc, MUKCP
Ildiko Victoria Szatmari
Psychotherapist, MSc, MUKCP
Serves Area
Welcome to a safe place to talk. There are many reasons why people reach out for help. It may be connected with relationship difficulties, feeling lonely, suffering a bereavement, experiencing anxiety, panic attacks, struggling with depression, trauma, anger, low self-esteem, or work issues. Sometimes there is nothing specific to name. I am a qualified, registered and experienced therapist, holding a degree in psychology and I have been professionally trained in psychodynamic psychotherapy. I am a member of the professional bodies UKCP and FPC.
Welcome to a safe place to talk. There are many reasons why people reach out for help. It may be connected with relationship difficulties, feeling lonely, suffering a bereavement, experiencing anxiety, panic attacks, struggling with depression, trauma, anger, low self-esteem, or work issues. Sometimes there is nothing specific to name. I am a qualified, registered and experienced therapist, holding a degree in psychology and I have been professionally trained in psychodynamic psychotherapy. I am a member of the professional bodies UKCP and FPC.
020 3870 2948 View 020 3870 2948
Photo of Emma Nagle - Emma Nagle Play Therapy, Counsellor, MBACP
Emma Nagle Play Therapy
Counsellor, MBACP
Serves Area
Hi, I’m Emma! I help children feel calmer when stress, anxiety or anger take over. I’ve been a play and creative arts therapist for over 14 years. Play and creative arts therapy gives children the chance to explore their emotions without pressure or the need to explain themself. As their therapist I reflect and hold their feelings and ensure that they are emotionally and physically safe. This helps children to process what they have been through and also builds resilience, confidence and self-esteem.
Hi, I’m Emma! I help children feel calmer when stress, anxiety or anger take over. I’ve been a play and creative arts therapist for over 14 years. Play and creative arts therapy gives children the chance to explore their emotions without pressure or the need to explain themself. As their therapist I reflect and hold their feelings and ensure that they are emotionally and physically safe. This helps children to process what they have been through and also builds resilience, confidence and self-esteem.
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Photo of Michele Lamonaca, Psychotherapist, MSc, MUKCP
Michele Lamonaca
Psychotherapist, MSc, MUKCP
Serves Area
Welcome, my name is Michele. I'm a registered counsellor and psychotherapist - I help individuals and couples with their emotional health. I have private sector experience as a counsellor and psychotherapist. My focus involves abuse, depression and narcissistic personality disorder, and the specific problems encountered by men, transgender people and women. An initial assessment meeting allows you to see if you feel comfortable with me, discuss what concerns you, ask questions, clarify confidentiality, and determine if therapy could assist you.
Welcome, my name is Michele. I'm a registered counsellor and psychotherapist - I help individuals and couples with their emotional health. I have private sector experience as a counsellor and psychotherapist. My focus involves abuse, depression and narcissistic personality disorder, and the specific problems encountered by men, transgender people and women. An initial assessment meeting allows you to see if you feel comfortable with me, discuss what concerns you, ask questions, clarify confidentiality, and determine if therapy could assist you.
07723 423681 View 07723 423681
Photo of Nicola Vanlint, Psychotherapist, MBACP Accred
Nicola Vanlint
Psychotherapist, MBACP Accred
Serves Area
You don't have to be in crisis to benefit from therapy. Perhaps you're feeling overwhelmed, navigating a life or career transition, struggling with burnout, or simply sensing that something isn't working as well as it could. Walk & Talk therapy offers a relaxed alternative to sitting face-to-face in a room, especially if you’ve never had therapy before. Research suggests that being in nature can help conversations flow, bringing clarity, perspective, and a sense of forward movement. People come feeling overwhelmed, stuck, or mentally busy, wanting space to think more clearly - and often find it makes a real difference.
You don't have to be in crisis to benefit from therapy. Perhaps you're feeling overwhelmed, navigating a life or career transition, struggling with burnout, or simply sensing that something isn't working as well as it could. Walk & Talk therapy offers a relaxed alternative to sitting face-to-face in a room, especially if you’ve never had therapy before. Research suggests that being in nature can help conversations flow, bringing clarity, perspective, and a sense of forward movement. People come feeling overwhelmed, stuck, or mentally busy, wanting space to think more clearly - and often find it makes a real difference.
020 8092 7064 View 020 8092 7064
Photo of Tom Deitch, Counsellor, BACP
Tom Deitch
Counsellor, BACP
1 Endorsed
Serves Area
Are you facing challenges in your life which seem impossible to overcome? Maybe you are struggling with intrusive thoughts, feelings of low self-esteem, despair, guilt or shame? Has a bereavement or traumatic incident left you feeling that it’s hard to cope? Do you seek to reconnect with, or strengthen, your relationship or your sex life? I work with individuals and couples, exploring ways in which you can begin to think differently about the obstacles you face, examining your thoughts and feelings with a view to increasing self-awareness and ultimately gaining greater control over your life.
Are you facing challenges in your life which seem impossible to overcome? Maybe you are struggling with intrusive thoughts, feelings of low self-esteem, despair, guilt or shame? Has a bereavement or traumatic incident left you feeling that it’s hard to cope? Do you seek to reconnect with, or strengthen, your relationship or your sex life? I work with individuals and couples, exploring ways in which you can begin to think differently about the obstacles you face, examining your thoughts and feelings with a view to increasing self-awareness and ultimately gaining greater control over your life.
020 3962 1219 View 020 3962 1219
Photo of Poppy Love Oldham - Poppy - Art Therapy in South East London, Psychotherapist, MA, HCPC-Art Therap.
Poppy - Art Therapy in South East London
Psychotherapist, MA, HCPC-Art Therap.
Serves Area
Art Therapy is suitable for all ages and every stage of life, including people whose lives have been affected by difficult life experiences, systemic inequality and oppression, neurodiversity, illness and/or disability. Being skilled in art or in a craft is not necessary to benefit. Instead, there is a need to be open to the possibilities of the process involved. Like with any therapy, the process can be challenging as uncomfortable feelings and painful memories may emerge. At the heart of the space that we would share is a robust and meaningful relationship which is reliable, affirmative and reflective.
Art Therapy is suitable for all ages and every stage of life, including people whose lives have been affected by difficult life experiences, systemic inequality and oppression, neurodiversity, illness and/or disability. Being skilled in art or in a craft is not necessary to benefit. Instead, there is a need to be open to the possibilities of the process involved. Like with any therapy, the process can be challenging as uncomfortable feelings and painful memories may emerge. At the heart of the space that we would share is a robust and meaningful relationship which is reliable, affirmative and reflective.
020 3826 8571 View 020 3826 8571

How does your Counsellor compare?

Number of Counsellors in SE7

30+

Average cost per session

£80

Counsellors in SE7 who prioritize treating:

91% Anxiety
89% Depression
86% Stress
83% Self Esteem
80% Relationship Issues
69% Family Conflict
63% Bereavement

Average years in practice

13 Years

Top 3 insurances accepted

85% Vitality
77% Aviva
69% AXA PPP

How Counsellors in SE7 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

58% Female
42% Male
FAQs - About Therapy and Counselling

How can I find a therapist in SE7?

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.