Photo of Kate Therese, Psychotherapist in SW10, England
Kate Therese
Psychotherapist, MBACP
Verified Verified
London SW10
Hello, I’m Kate. I am a qualified Psychotherapist specialising in anxiety, depression and women's related issues. This encompasses many of the challenges we face today like societal pressures, career struggles, low self esteem, finding or maintaining meaningful, healthy relationships. I have wide experience with those who identify as women on varying journeys of motherhood, including fertility struggles or being childless by choice, birth trauma or PND, and all the heavy emotions that can accompany those journeys. We can explore the impact these have on your day-to-day life and navigate a way through to a place of empowerment.
Hello, I’m Kate. I am a qualified Psychotherapist specialising in anxiety, depression and women's related issues. This encompasses many of the challenges we face today like societal pressures, career struggles, low self esteem, finding or maintaining meaningful, healthy relationships. I have wide experience with those who identify as women on varying journeys of motherhood, including fertility struggles or being childless by choice, birth trauma or PND, and all the heavy emotions that can accompany those journeys. We can explore the impact these have on your day-to-day life and navigate a way through to a place of empowerment.
01707 241837 View 01707 241837
Photo of Mirriam Ekei Buo, Psychotherapist in SW10, England
Mirriam Ekei Buo
Psychotherapist, MA, MBACP
Verified Verified
London SW10  (Online Only)
Hi, I’m Mirriam, an Integrative Relational Psychotherapist currently seeing clients online. Contact me via email or leave a voicemail to begin the work of exploring ways of authentically being in the world.
Hi, I’m Mirriam, an Integrative Relational Psychotherapist currently seeing clients online. Contact me via email or leave a voicemail to begin the work of exploring ways of authentically being in the world.
020 3667 9553 View 020 3667 9553
Photo of Dr Charlotte Airey, Psychologist in SW10, England
Dr Charlotte Airey
Psychologist, HCPC - Couns. Psych.
Verified Verified
London SW10  (Online Only)
I am a Chartered Counselling Psychologist, registered with the Health and Care Professions Council (HCPC) and a member of the British Psychological Society (BPS). Most of us will experience times in our lives when we need support. Therapy can provide a non-judgemental, emotionally safe and confidential space to help you explore your problems and gain insight into the way you feel and behave. As your therapist, I have no agenda other than your support and emotional wellbeing and seeking support from someone outside your circle of family and friends can mean it feels easier to open up and be honest.
I am a Chartered Counselling Psychologist, registered with the Health and Care Professions Council (HCPC) and a member of the British Psychological Society (BPS). Most of us will experience times in our lives when we need support. Therapy can provide a non-judgemental, emotionally safe and confidential space to help you explore your problems and gain insight into the way you feel and behave. As your therapist, I have no agenda other than your support and emotional wellbeing and seeking support from someone outside your circle of family and friends can mean it feels easier to open up and be honest.
020 4538 4934 View 020 4538 4934
Photo of Ryan B Holmes, Psychologist in SW10, England
Ryan B Holmes
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SW10  (Online Only)
Welcome! My name is Ryan and I am a fully-qualified clinical psychologist registered with the HCPC. I offer a supportive, non-judgemental space where we can think together about the challenges you are currently facing. The approach we will take depends on what brings you to therapy and how therapy works best for you and we will navigate this together. I have extensive experience supporting individuals faced with a spectrum of challenges including, but not limited to, depression, anxiety, trauma and PTSD, addiction, psychosis, and relationship issues. I also have experience supporting LGBTQ+ and neurodivergent individuals.
Welcome! My name is Ryan and I am a fully-qualified clinical psychologist registered with the HCPC. I offer a supportive, non-judgemental space where we can think together about the challenges you are currently facing. The approach we will take depends on what brings you to therapy and how therapy works best for you and we will navigate this together. I have extensive experience supporting individuals faced with a spectrum of challenges including, but not limited to, depression, anxiety, trauma and PTSD, addiction, psychosis, and relationship issues. I also have experience supporting LGBTQ+ and neurodivergent individuals.
020 3917 4349 View 020 3917 4349
Photo of Guy Barbato, Psychotherapist in SW10, England
Guy Barbato
Psychotherapist, PhD, MBACP
Verified Verified
1 Endorsed
London SW10
During these difficult times of coronavirus and lockdown, I am offering sessions via the phone, Skype, and FaceTime. They are accepted methods also within the NHS, where I originally learnt to work with them. I am an integrative counsellor/psychotherapist having worked extensively in the NHS but now work privately. My background in the NHS has made me comfortable working within a multicultural context (LGBT and BME) with a very wide age group of clients (18 -90). I have also studied Cognitive Behavioral Therapy and can offer this separately.
During these difficult times of coronavirus and lockdown, I am offering sessions via the phone, Skype, and FaceTime. They are accepted methods also within the NHS, where I originally learnt to work with them. I am an integrative counsellor/psychotherapist having worked extensively in the NHS but now work privately. My background in the NHS has made me comfortable working within a multicultural context (LGBT and BME) with a very wide age group of clients (18 -90). I have also studied Cognitive Behavioral Therapy and can offer this separately.
024 7693 2104 View 024 7693 2104
Photo of Hannah Reenee Elliott, Psychotherapist in SW10, England
Hannah Reenee Elliott
Psychotherapist, COSRT Accred
Verified Verified
London SW10
Welcome, I am Hannah Elliott. I specialise in sexual wellbeing for women by exploring the challenges faced through womanhood and sexuality.  I see these challenges as a rite of passage and a series of initiations, often presenting themselves through our menstruality, sexuality and sensuality, and ultimately leading us on a path where we have no choice but to slow down and listen to the body. These challenges might show up as pelvic pain, pain on penetration, anxiety around intimacy and communication. I work closely to support women through pregnancy loss, both pre/ post termination and miscarriage.
Welcome, I am Hannah Elliott. I specialise in sexual wellbeing for women by exploring the challenges faced through womanhood and sexuality.  I see these challenges as a rite of passage and a series of initiations, often presenting themselves through our menstruality, sexuality and sensuality, and ultimately leading us on a path where we have no choice but to slow down and listen to the body. These challenges might show up as pelvic pain, pain on penetration, anxiety around intimacy and communication. I work closely to support women through pregnancy loss, both pre/ post termination and miscarriage.
020 4538 2560 View 020 4538 2560
Photo of Farhana Moussa, Psychotherapist in SW10, England
Farhana Moussa
Psychotherapist, MSc, MBACP Accred
Verified Verified
London SW10
In a therapeutic relationship we need to feel safe, where there is trust and unconditional acceptance, to allow us to explore difficult and challenging experiences. I am able to offer you a safe environment which is non-judgemental and a confidential space, this will allow you to explore your experiences to gain better insight. Life can often make us feel that we are unable cope, therefore we can become isolated, alone or set apart from society. I am here to share your exploration, supporting you to access better self-awareness; allowing you to implement good patterns of behaviours, leading to a healthier you.
In a therapeutic relationship we need to feel safe, where there is trust and unconditional acceptance, to allow us to explore difficult and challenging experiences. I am able to offer you a safe environment which is non-judgemental and a confidential space, this will allow you to explore your experiences to gain better insight. Life can often make us feel that we are unable cope, therefore we can become isolated, alone or set apart from society. I am here to share your exploration, supporting you to access better self-awareness; allowing you to implement good patterns of behaviours, leading to a healthier you.
07481 344650 View 07481 344650
Photo of CLiK Therapy, Psychotherapist in SW10, England
CLiK Therapy
Psychotherapist, MA
Verified Verified
London SW10
My Name is Caroline Jench. I am a Gestalt Psychotherapist trained at the Gestalt Therapy Institute in Cracow and hold an MA in Clinical Psychology from SWPS University in Warsaw. I am a member of the EAGT (European Association of Gestalt Therapy), and UKAGP (United Kingdom Association for Gestalt Practitioners). I gained my professional experience working in neurological and psychiatric facilities as well as within the private sector in Warsaw, Paris and now London. My work is supported by regular professional supervision.
My Name is Caroline Jench. I am a Gestalt Psychotherapist trained at the Gestalt Therapy Institute in Cracow and hold an MA in Clinical Psychology from SWPS University in Warsaw. I am a member of the EAGT (European Association of Gestalt Therapy), and UKAGP (United Kingdom Association for Gestalt Practitioners). I gained my professional experience working in neurological and psychiatric facilities as well as within the private sector in Warsaw, Paris and now London. My work is supported by regular professional supervision.
020 3917 4558 View 020 3917 4558
Gabriela Moody
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
London SW10
I see individuals and couples with a variety of needs, ranging from deep psychological and emotional difficulties to a wish to optimize inner resources, life competencies and wellbeing. Distress may arise in response to specific life events, or more generally from difficulties in our private or professional lives. Therapy offers opportunities to be fully heard, to identify obstacles in the way of healing and growth, to generate insights and to develop new life skills. I approach my work with sensitivity to the uniqueness of each individual, and tailor my interventions to best meet their therapeutic goals and sustain positive change.
I see individuals and couples with a variety of needs, ranging from deep psychological and emotional difficulties to a wish to optimize inner resources, life competencies and wellbeing. Distress may arise in response to specific life events, or more generally from difficulties in our private or professional lives. Therapy offers opportunities to be fully heard, to identify obstacles in the way of healing and growth, to generate insights and to develop new life skills. I approach my work with sensitivity to the uniqueness of each individual, and tailor my interventions to best meet their therapeutic goals and sustain positive change.
020 3984 9535 View 020 3984 9535
Photo of Stephanie Boosey, Counsellor in SW10, England
Stephanie Boosey
Counsellor, PNCPS Acc.
Verified Verified
London SW10
I offer affordable counselling helping you to process and move forward.  Initial phone consultation would be free to help you decide if I am the right counsellor for you. I can offer face to face or online therapy sessions, whatever issues you bring such as anxiety, depression, trauma, loss & bereavement, low self-esteem & confidence, relationships and unhappiness with work, home or general unhappiness in a supportive environment offering compassion and kindness.  I have experience working and supporting young people, families and Adults.
I offer affordable counselling helping you to process and move forward.  Initial phone consultation would be free to help you decide if I am the right counsellor for you. I can offer face to face or online therapy sessions, whatever issues you bring such as anxiety, depression, trauma, loss & bereavement, low self-esteem & confidence, relationships and unhappiness with work, home or general unhappiness in a supportive environment offering compassion and kindness.  I have experience working and supporting young people, families and Adults.
01392 321457 View 01392 321457
Photo of Gillian Beckwith, Psychotherapist in SW10, England
Gillian Beckwith
Psychotherapist, MA, COSRT Accred
Verified Verified
London SW10  (Online Only)
Taking a break 23rd May-4th June 2024 inclusive. Fully qualified and highly experienced with all sexual and relational dilemmas, and especially when matters are usually fuelled by anxiety/depression which can come with a sense of loneliness or isolation. I happily work with all kinds of couples or individuals on their relationships and also general personal dilemmas, for example, grief, loss, anxiety, depression and I have done so for a long time. Using a clinical supervisor, I maintain regular sessions about my (anonymised) client work to ensure consistently effective therapy. I have industry-standard insurance.
Taking a break 23rd May-4th June 2024 inclusive. Fully qualified and highly experienced with all sexual and relational dilemmas, and especially when matters are usually fuelled by anxiety/depression which can come with a sense of loneliness or isolation. I happily work with all kinds of couples or individuals on their relationships and also general personal dilemmas, for example, grief, loss, anxiety, depression and I have done so for a long time. Using a clinical supervisor, I maintain regular sessions about my (anonymised) client work to ensure consistently effective therapy. I have industry-standard insurance.
01748 902286 View 01748 902286
Photo of Monika Zsuzsanna Bakonyi, Counsellor in SW10, England
Monika Zsuzsanna Bakonyi
Counsellor, MA, MBACP
Verified Verified
London SW10
I am a BACP Accredited Humanistic Counsellor (BSc (Hons), Metanoia Institute, London) working with teenagers and adults. I am a relational therapist and I believe that it is the trusting relationship between myself and my clients that is the vehicle of therapeutic change. I work in both long and short term contracts.
I am a BACP Accredited Humanistic Counsellor (BSc (Hons), Metanoia Institute, London) working with teenagers and adults. I am a relational therapist and I believe that it is the trusting relationship between myself and my clients that is the vehicle of therapeutic change. I work in both long and short term contracts.
01748 902212 View 01748 902212
Photo of Sophia Monerville, Psychotherapist in SW10, England
Sophia Monerville
Psychotherapist, MA, MBACP Accred
Verified Verified
London SW10  (Online Only)
Together, in our therapeutic relationship, we will explore your own inner conflicts and emotional distress, and examine what these mean in an atmosphere that is confidential, safe and collaborative. The integrative approach I use will give you the opportunity to develop your self-awareness and explore your own potential to create positive changes in your life, as well as improve your sense of well-being
Together, in our therapeutic relationship, we will explore your own inner conflicts and emotional distress, and examine what these mean in an atmosphere that is confidential, safe and collaborative. The integrative approach I use will give you the opportunity to develop your self-awareness and explore your own potential to create positive changes in your life, as well as improve your sense of well-being
020 3667 9627 View 020 3667 9627
Photo of Amy Greiner, Counsellor in SW10, England
Amy Greiner
Counsellor, MBACP
Verified Verified
London SW10  (Online Only)
Specialist in culturally sensitive counselling, identity, depression & self-esteem based issues. I am a non-judgemental counsellor, offering you a safe, trustworthy and supportive space so we might explore what may be holding you back from fully living. You may be feeling; anxious, depressed, unworthy, ashamed, stressed, confused, angry, overwhelmed, sad or lost. Your current situation could be due to a specific incident or a series of influences/events, but whatever the reason you are here now because you are looking for something to change in your life. If this sounds like you let's talk.
Specialist in culturally sensitive counselling, identity, depression & self-esteem based issues. I am a non-judgemental counsellor, offering you a safe, trustworthy and supportive space so we might explore what may be holding you back from fully living. You may be feeling; anxious, depressed, unworthy, ashamed, stressed, confused, angry, overwhelmed, sad or lost. Your current situation could be due to a specific incident or a series of influences/events, but whatever the reason you are here now because you are looking for something to change in your life. If this sounds like you let's talk.
07480 538378 View 07480 538378
Photo of Dr Lucia Giombini, Psychologist in SW10, England
Dr Lucia Giombini
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
London SW10  (Online Only)
I have dedicated the majority of my career as Clinical Psychologist thus far to helping people suffering from various forms of eating disorder, such anorexia nervosa, bulimia nervosa, binge eating disorder or emotional eating. By working with these conditions, I have developed a deeper understanding of the difficulties connected to them, such as different types of anxiety disorders and depression, perfectionism and obsessive-compulsive symptoms. I use different interventions deriving from a wide range of psychological theories, including motivational enhancement therapy, interpersonal therapy and cognitive behavioural therapy. Please, for more information visit my website: www.luciagiombini.com
I have dedicated the majority of my career as Clinical Psychologist thus far to helping people suffering from various forms of eating disorder, such anorexia nervosa, bulimia nervosa, binge eating disorder or emotional eating. By working with these conditions, I have developed a deeper understanding of the difficulties connected to them, such as different types of anxiety disorders and depression, perfectionism and obsessive-compulsive symptoms. I use different interventions deriving from a wide range of psychological theories, including motivational enhancement therapy, interpersonal therapy and cognitive behavioural therapy. Please, for more information visit my website: www.luciagiombini.com
020 3962 0172 View 020 3962 0172
Photo of Dr. Aziz Anzabi, Counsellor in SW10, England
Dr. Aziz Anzabi
Counsellor, PhD, ACC-AC
Verified Verified
London SW10
I have spent several years working with couples therapy, bipolar, depression ,anxiety disorders, addiction, PMS ,infant loss and OCD .I'm committed to providing counselling with the most up-to-date techniques to build a healing and therapeutic relationship with clients. I will help my client to recover from stress, anxiety, trauma and loss. During the sessions I ensure that the relationship between me and the client is a safe and supportive, one in order to allow the client to freely express their problems. Each session will be fully effective in order to help my patients solve or overcome their problem.
I have spent several years working with couples therapy, bipolar, depression ,anxiety disorders, addiction, PMS ,infant loss and OCD .I'm committed to providing counselling with the most up-to-date techniques to build a healing and therapeutic relationship with clients. I will help my client to recover from stress, anxiety, trauma and loss. During the sessions I ensure that the relationship between me and the client is a safe and supportive, one in order to allow the client to freely express their problems. Each session will be fully effective in order to help my patients solve or overcome their problem.
07446 500016 View 07446 500016
Photo of Enas Ismail, Psychotherapist in SW10, England
Enas Ismail
Psychotherapist, MA, MBACP Accred
Verified Verified
London SW10
I am a qualified and experienced Psychotherapist in private practice. I have experience in working with depression, low self esteem, anxiety, relationship problems, gender and sexuality issues, abuse, eating disorders and mental health problems. I have worked with people from a wide range of ethnic backgrounds.
I am a qualified and experienced Psychotherapist in private practice. I have experience in working with depression, low self esteem, anxiety, relationship problems, gender and sexuality issues, abuse, eating disorders and mental health problems. I have worked with people from a wide range of ethnic backgrounds.
020 3962 1210 View 020 3962 1210
Photo of Michela Pucci, Counsellor in SW10, England
Michela Pucci
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
London SW10
I am a Counsellor, Sex and Relationship Therapist. Additionally, I provide both in-person and online EMDR (eye movement desensitisation and reprocessing) therapy for both physical and emotional traumas. I assist couples and individuals in multiple partnerships who struggle with communication and sexual issues. I handle a wide range of psychological issues using an integrative method. Insurances accepted: AXA Health, WPA, AVIVA, Vitality.
I am a Counsellor, Sex and Relationship Therapist. Additionally, I provide both in-person and online EMDR (eye movement desensitisation and reprocessing) therapy for both physical and emotional traumas. I assist couples and individuals in multiple partnerships who struggle with communication and sexual issues. I handle a wide range of psychological issues using an integrative method. Insurances accepted: AXA Health, WPA, AVIVA, Vitality.
020 3917 4582 View 020 3917 4582
Photo of Claire (Montefiore) Mankowitz, Psychotherapist in SW10, England
Claire (Montefiore) Mankowitz
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
London SW10
Not accepting new clients
People may come for therapy because of specific issues such as recent or past trauma, loss, relationship difficulties or for support with making life changes. But often, we don't know why we feel bad about ourselves or our lives - we may simply know we're depressed, anxious, stuck or frustrated. Therapy can provide a safe, non-judgemental space in which to figure out where we are in our lives, and what we need next. For some, this may be a short course of counselling, for others a longer term psychotherapy and yet others may find they need something other than therapy: my job is to support you in making your own decision.
People may come for therapy because of specific issues such as recent or past trauma, loss, relationship difficulties or for support with making life changes. But often, we don't know why we feel bad about ourselves or our lives - we may simply know we're depressed, anxious, stuck or frustrated. Therapy can provide a safe, non-judgemental space in which to figure out where we are in our lives, and what we need next. For some, this may be a short course of counselling, for others a longer term psychotherapy and yet others may find they need something other than therapy: my job is to support you in making your own decision.
020 3856 8449 View 020 3856 8449
Photo of Chengxi Li, Psychologist in SW10, England
Chengxi Li
Psychologist, DCounsPsych, GMBPsS
Verified Verified
London SW10  (Online Only)
Having experienced difficult times in my personal life, I have developed a deep appreciation for the transformative power that exists within each of us. I believe that therapy can serve as a catalyst to unlock this potential for healing. As an integrative practitioner, I incorporate a range of psychological theories and techniques in my practice, guided by research findings and the specific needs and preferences of my clients. I deeply value diversity and recognise that each person's experience is unique.
Having experienced difficult times in my personal life, I have developed a deep appreciation for the transformative power that exists within each of us. I believe that therapy can serve as a catalyst to unlock this potential for healing. As an integrative practitioner, I incorporate a range of psychological theories and techniques in my practice, guided by research findings and the specific needs and preferences of my clients. I deeply value diversity and recognise that each person's experience is unique.
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See more therapy options for SW10

How does your Counsellor compare?

Number of Counsellors in SW10

200+

Average cost per session

£80

Counsellors in SW10 who prioritize treating:

93% Anxiety
87% Depression
85% Self Esteem
81% Stress
80% Relationship Issues
66% Trauma and PTSD
61% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

66% Aviva
55% Vitality
50% AXA PPP

How Counsellors in SW10 see their clients

69% In Person and Online
31% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in SW10?

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.