Counselling in SW1Y

Photo of Dominic Palmer-Brown, Psychotherapist, MA, MUKCP
Dominic Palmer-Brown
Psychotherapist, MA, MUKCP
2 Endorsed
London SW1Y
I have experience with clients who are undergoing significant changes and difficulties in personal relationships, employment or life in general. You may have high levels of anxiety or stress; you may be facing, or have been through a separation, divorce or family issues; you may have lost someone close to you through bereavement; perhaps you are experiencing sadness or depression; perfectionism; low self-esteem; or the wide ranging impacts of trauma. The therapy we do together provides a compassionate, confidential space in which to explore your thoughts, emotions, and experiences, with an openness to whatever concerns you bring.
I have experience with clients who are undergoing significant changes and difficulties in personal relationships, employment or life in general. You may have high levels of anxiety or stress; you may be facing, or have been through a separation, divorce or family issues; you may have lost someone close to you through bereavement; perhaps you are experiencing sadness or depression; perfectionism; low self-esteem; or the wide ranging impacts of trauma. The therapy we do together provides a compassionate, confidential space in which to explore your thoughts, emotions, and experiences, with an openness to whatever concerns you bring.
020 3984 9340 View 020 3984 9340
Photo of Charlotte Harding, Psychotherapist, MBACP Accred
Charlotte Harding
Psychotherapist, MBACP Accred
Serves Area
Hello, my name is Charlotte and I am a professionally qualified Psychotherapist, accredited with the BACP and with over 20 years of experience in this field. I work from my private studio on a long or short term basis. I aim to provide a comfortable and safe environment to explore feelings and resolve issues; be they processing traumatic experiences, unhelpful patterns in relationships, feeling unfulfilled in your life... or at this stage you may not know exactly what they are. Whatever your reason for choosing to come to therapy, you will be met with warmth and acceptance with the intention of moving forward positively.
Hello, my name is Charlotte and I am a professionally qualified Psychotherapist, accredited with the BACP and with over 20 years of experience in this field. I work from my private studio on a long or short term basis. I aim to provide a comfortable and safe environment to explore feelings and resolve issues; be they processing traumatic experiences, unhelpful patterns in relationships, feeling unfulfilled in your life... or at this stage you may not know exactly what they are. Whatever your reason for choosing to come to therapy, you will be met with warmth and acceptance with the intention of moving forward positively.
07449 171783 View 07449 171783
Photo of Lucy Palmer, Psychotherapist, MA, MBACP
Lucy Palmer
Psychotherapist, MA, MBACP
Serves Area
Your mind may know you’re safe, but your body says otherwise. You might notice this in your relationships—feeling anxious, avoiding difficult conversations, or struggling to say no. The ways you’ve learned to cope: people-pleasing, overthinking, keeping control, isolating — developed for good reasons. They helped you survive. But eventually those strategies become unbearable. Therapy with me helps you feel safe enough to stop holding back: to disagree, to express anger healthily, to stop being the “good” one, or to risk not being liked.
Your mind may know you’re safe, but your body says otherwise. You might notice this in your relationships—feeling anxious, avoiding difficult conversations, or struggling to say no. The ways you’ve learned to cope: people-pleasing, overthinking, keeping control, isolating — developed for good reasons. They helped you survive. But eventually those strategies become unbearable. Therapy with me helps you feel safe enough to stop holding back: to disagree, to express anger healthily, to stop being the “good” one, or to risk not being liked.
020 4634 6210 View 020 4634 6210
Photo of Anna Mikolajczyk, Psychotherapist, MA, MBACP
Anna Mikolajczyk
Psychotherapist, MA, MBACP
2 Endorsed
London SW1Y
Waitlist for new clients
Hi, I'm Anna. I'm a warm, insightful psychotherapist with an international background. I offer a thoughtful, compassionate space and skilled perspective to address what truly matters to you and make sense of your experiences, to invite meaningful change and greater vitality into your life. Beyond labels and diagnoses, I am interested in who you are, what has happened to you, how you are currently coping, and what you truly need to move forward with more ease. My aim is for you to be seen and understood within a trusted therapeutic relationship, where something new can begin.
Hi, I'm Anna. I'm a warm, insightful psychotherapist with an international background. I offer a thoughtful, compassionate space and skilled perspective to address what truly matters to you and make sense of your experiences, to invite meaningful change and greater vitality into your life. Beyond labels and diagnoses, I am interested in who you are, what has happened to you, how you are currently coping, and what you truly need to move forward with more ease. My aim is for you to be seen and understood within a trusted therapeutic relationship, where something new can begin.
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Photo of Natalia Balaban, MSc
Natalia Balaban
Verified Verified
Online Only
If you’re struggling with anxiety, depression, trauma, or childhood wounds, feeling lost in your professional or personal life, or facing the challenges of separation or single parenting, and all you want is to rebuild your life, you’re not alone—and this is a safe place to begin that journey.
If you’re struggling with anxiety, depression, trauma, or childhood wounds, feeling lost in your professional or personal life, or facing the challenges of separation or single parenting, and all you want is to rebuild your life, you’re not alone—and this is a safe place to begin that journey.
020 3910 6073 View 020 3910 6073
Omnia Therapy LTD
Psychotherapist, MBACP
Online Only
Welcome to Omnia Therapy; we established this service to help people resolve any personal difficulties they may be experiencing. There is much knowledge about mental health and well-being however access to the services required can be difficult. This could be as result of long waiting lists or affordability or simply squeezing in time for sessions people from getting the support necessary. At Omnia therapy, we would like to help others get the support they need, at their convenience and to suit their affordability.
Welcome to Omnia Therapy; we established this service to help people resolve any personal difficulties they may be experiencing. There is much knowledge about mental health and well-being however access to the services required can be difficult. This could be as result of long waiting lists or affordability or simply squeezing in time for sessions people from getting the support necessary. At Omnia therapy, we would like to help others get the support they need, at their convenience and to suit their affordability.
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Photo of Dr Lee Martin, Psychotherapist, MA, MBACP Snr. Accred
Dr Lee Martin
Psychotherapist, MA, MBACP Snr. Accred
Online Only
Hello and Welcome, Life can indeed be difficult at times. Many are struggling with mental health in ways that are no longer manageable. Our past and present hurts, our unprocessed feelings can rise to the surface. We find ourselves thinking, feeling and acting in ways that do not reflect who we want to be. Some of us have Grief, Trauma or Addiction that we just can’t seem to work through. As a Senior Accredited Psychotherapist with a PHD(Hon), Master Degree and EMDR(Accredited), I've seen thousands come through my door, with various presenting issues and undergo genuine transformation, healing and leave with hope for the future.
Hello and Welcome, Life can indeed be difficult at times. Many are struggling with mental health in ways that are no longer manageable. Our past and present hurts, our unprocessed feelings can rise to the surface. We find ourselves thinking, feeling and acting in ways that do not reflect who we want to be. Some of us have Grief, Trauma or Addiction that we just can’t seem to work through. As a Senior Accredited Psychotherapist with a PHD(Hon), Master Degree and EMDR(Accredited), I've seen thousands come through my door, with various presenting issues and undergo genuine transformation, healing and leave with hope for the future.
020 3376 7948 View 020 3376 7948
Photo of Virginia Toole, Counsellor, MBACP
Virginia Toole
Counsellor, MBACP
Online Only
Are you navigating a period where life no longer feels familiar, after loss, separation, relocation, illness, or a major life transition? Perhaps you’ve been holding everything together for a long time, yet quietly feel unmoored, uncertain, or unlike yourself. You don’t have to face this period of change alone. I work with adults facing significant change who want a calm, thoughtful space to make sense of what has shifted. Many of the people I support are capable, reflective individuals who find themselves at an unexpected crossroads — grieving not only what has been lost, but questioning who they are now and how to move forward.
Are you navigating a period where life no longer feels familiar, after loss, separation, relocation, illness, or a major life transition? Perhaps you’ve been holding everything together for a long time, yet quietly feel unmoored, uncertain, or unlike yourself. You don’t have to face this period of change alone. I work with adults facing significant change who want a calm, thoughtful space to make sense of what has shifted. Many of the people I support are capable, reflective individuals who find themselves at an unexpected crossroads — grieving not only what has been lost, but questioning who they are now and how to move forward.
01254 781838 View 01254 781838

More Therapists Nearby

Photo of Melissa Heming, Psychotherapist, MA, MUKCP
Melissa Heming
Psychotherapist, MA, MUKCP
1 Endorsed
London W13
Melissa has a background as a Special Needs Teacher working for ten years in mainstream schools supporting children with specific learning difficulties, in particular ASD, ADHD, Dyslexia and OCD. As a Child and Adolescent Integrative Psychotherapist she uses a variety of techniques and methods, such as art, play, symbol, metaphor and various media, to help children and adolescents who are experiencing difficulties with their emotions or behaviour. Melissa recognises that children and adolescents sometimes struggle to put their feelings into words and therefore supports her clients to express their feelings safely in different ways.
Melissa has a background as a Special Needs Teacher working for ten years in mainstream schools supporting children with specific learning difficulties, in particular ASD, ADHD, Dyslexia and OCD. As a Child and Adolescent Integrative Psychotherapist she uses a variety of techniques and methods, such as art, play, symbol, metaphor and various media, to help children and adolescents who are experiencing difficulties with their emotions or behaviour. Melissa recognises that children and adolescents sometimes struggle to put their feelings into words and therefore supports her clients to express their feelings safely in different ways.
07957 405937 View 07957 405937
Photo of Lina Chen, Psychotherapist, MSc, COSRT Accred
Lina Chen
Psychotherapist, MSc, COSRT Accred
Hertford SG13
I'm an integrative psychotherapist specialising in psychosexual and relationship therapy. I trained with London Diploma in Psychosexual and Relationship Therapy and am a registered member of COSRT. I'm passionate about my work, supporting individuals and couples from all backgrounds including sexual trauma survivors, migrants, LGBTQ+, and GSRD. I offer therapy for a wide range of sexual and relationship issues. I tailor my therapeutic tools and approaches to individual clients’ needs. These include CBT, attachment theory, psychodynamic therapy, imago therapy and existential therapy in addition to a wide range of psychosexual tools.
I'm an integrative psychotherapist specialising in psychosexual and relationship therapy. I trained with London Diploma in Psychosexual and Relationship Therapy and am a registered member of COSRT. I'm passionate about my work, supporting individuals and couples from all backgrounds including sexual trauma survivors, migrants, LGBTQ+, and GSRD. I offer therapy for a wide range of sexual and relationship issues. I tailor my therapeutic tools and approaches to individual clients’ needs. These include CBT, attachment theory, psychodynamic therapy, imago therapy and existential therapy in addition to a wide range of psychosexual tools.
01803 221489 View 01803 221489
Photo of Antonia Caplan, Psychotherapist, MBABCP
Antonia Caplan
Psychotherapist, MBABCP
1 Endorsed
London NW3
I have over a decade of experience using Cognitive Behavioural Therapy and full accreditation. I am also a trained in EMDR offer personalised and supportive care to help you overcome your mental health challenges. Whether you're dealing with Generalised Anxiety Disorder, OCD, Social Anxiety, Health Anxiety, Panic Disorder, Phobias, or PTSD, I have the expertise to help you break free from these debilitating conditions. I'm passionate about helping people make meaningful changes in their lives.
I have over a decade of experience using Cognitive Behavioural Therapy and full accreditation. I am also a trained in EMDR offer personalised and supportive care to help you overcome your mental health challenges. Whether you're dealing with Generalised Anxiety Disorder, OCD, Social Anxiety, Health Anxiety, Panic Disorder, Phobias, or PTSD, I have the expertise to help you break free from these debilitating conditions. I'm passionate about helping people make meaningful changes in their lives.
020 4538 3395 View 020 4538 3395
Photo of Katherine Smith, Psychotherapist, MBABCP
Katherine Smith
Psychotherapist, MBABCP
2 Endorsed
Enfield EN1
Hello, I am Katherine, a trainee Psychotherapist in Transactional Analysis (TA). I offer a warm, collaborative space to explore what’s keeping you stuck and help you move towards a more balanced, fulfilling life. I am also a qualified CBT therapist, with over 10 years experience working in university and mental health services which informs my practice.
Hello, I am Katherine, a trainee Psychotherapist in Transactional Analysis (TA). I offer a warm, collaborative space to explore what’s keeping you stuck and help you move towards a more balanced, fulfilling life. I am also a qualified CBT therapist, with over 10 years experience working in university and mental health services which informs my practice.
020 4530 8347 View 020 4530 8347
Photo of Malini Shummoogum, Counsellor, MSc, MBACP
Malini Shummoogum
Counsellor, MSc, MBACP
1 Endorsed
Purley CR8
I recognise that each individual is unique, drawing on experiences from various family backgrounds, cultures and relationships. Some individuals come with a goal in mind, others want to gain more insight about themselves. Some might feel stuck or feel frustrated or angry with what they are experiencing at present. Some might need support moving forward or to simply feel different/better. I have worked empathically and in a non-judgmental way, for over 20years. I am passionate about helping individuals reach their goals or self develop. I provide a safe and calm space for you to share your thoughts, feelings, issues & reflections.
I recognise that each individual is unique, drawing on experiences from various family backgrounds, cultures and relationships. Some individuals come with a goal in mind, others want to gain more insight about themselves. Some might feel stuck or feel frustrated or angry with what they are experiencing at present. Some might need support moving forward or to simply feel different/better. I have worked empathically and in a non-judgmental way, for over 20years. I am passionate about helping individuals reach their goals or self develop. I provide a safe and calm space for you to share your thoughts, feelings, issues & reflections.
020 3917 4945 View 020 3917 4945
Photo of Kathryn Woodward, Psychotherapist, MA, MBACP
Kathryn Woodward
Psychotherapist, MA, MBACP
Serves Area
Hi, I’m Kathryn – a qualified Integrative Counsellor and Psychotherapist. We all face times in our life when things feel less than easy. For some, a particular aspect of life may feel overwhelming. For others, their entire situation may feel desperate. Some may simply feel that they want an opportunity to understand themselves better, to be the ‘best’ that they can be. Whatever your current experience, Counselling & Psychotherapy gives you the opportunity to ‘unpack’ what is happening for you with a qualified individual, held safely, and in confidence.
Hi, I’m Kathryn – a qualified Integrative Counsellor and Psychotherapist. We all face times in our life when things feel less than easy. For some, a particular aspect of life may feel overwhelming. For others, their entire situation may feel desperate. Some may simply feel that they want an opportunity to understand themselves better, to be the ‘best’ that they can be. Whatever your current experience, Counselling & Psychotherapy gives you the opportunity to ‘unpack’ what is happening for you with a qualified individual, held safely, and in confidence.
01252 986048 View 01252 986048
Photo of Andy Flack, Psychotherapist, MSc, MUKCP
Andy Flack
Psychotherapist, MSc, MUKCP
Serves Area
If you are worrying more than usual, having nightmares or flashbacks to a traumatic event, suffering from disturbed sleep or are more feeling irritable and hyper-vigilant than usual, you may be suffering from a reaction to trauma. If this strikes a cord, visit the website for more information or get in touch by email or phone. I have spent the last twenty years helping clients resolve trauma and anxiety problems and intend to spend the next twenty doing the same. I may be able to help you in London, Cheltenham or worldwide online.
If you are worrying more than usual, having nightmares or flashbacks to a traumatic event, suffering from disturbed sleep or are more feeling irritable and hyper-vigilant than usual, you may be suffering from a reaction to trauma. If this strikes a cord, visit the website for more information or get in touch by email or phone. I have spent the last twenty years helping clients resolve trauma and anxiety problems and intend to spend the next twenty doing the same. I may be able to help you in London, Cheltenham or worldwide online.
020 3870 4638 View 020 3870 4638
Photo of Natalie Satur, Counsellor, MBACP
Natalie Satur
Counsellor, MBACP
1 Endorsed
As a Counsellor, I am committed to supporting adults, young people, and families as they navigate life’s challenges and work towards more fulfilling and connected lives, with a particular focus on adoption, attachment, and psychosexual wellbeing. I am passionate about helping people strengthen relationships, develop deeper self-awareness, and explore their authentic selves emotionally, psychologically, physically, and sexually within a safe, supportive, and non-judgemental therapeutic environment.
As a Counsellor, I am committed to supporting adults, young people, and families as they navigate life’s challenges and work towards more fulfilling and connected lives, with a particular focus on adoption, attachment, and psychosexual wellbeing. I am passionate about helping people strengthen relationships, develop deeper self-awareness, and explore their authentic selves emotionally, psychologically, physically, and sexually within a safe, supportive, and non-judgemental therapeutic environment.
01923 961587 View 01923 961587
Photo of Dawn Hill, Counsellor, MUKCP
Dawn Hill
Counsellor, MUKCP
1 Endorsed
London W4
Hello I'm Dawn, are you recognising something is not right with yourself or somebody you care about? Maybe you're struggling to manage in these difficult times or have been struggling for a long time now? - It's time to seek help by reaching out. I offer a safe relational style of engagement to listen and help identify and deal with what is upsetting your well-being & full life.
Hello I'm Dawn, are you recognising something is not right with yourself or somebody you care about? Maybe you're struggling to manage in these difficult times or have been struggling for a long time now? - It's time to seek help by reaching out. I offer a safe relational style of engagement to listen and help identify and deal with what is upsetting your well-being & full life.
01748 901830 View 01748 901830
Photo of LEONARD O'GRADY, Psychotherapist, MA, BACP
LEONARD O'GRADY
Psychotherapist, MA, BACP
London E8
Over the past 26 years, part of my experience has included helping develop people in international high-performance organizations. Workplace dynamics can bring out the best and the worst in people, sometimes conjuring childhood traumas or overwhelming feelings of anxiety and insecurity which affect self-esteem and other aspects of personal life. Experience in these areas has led me to address the inter-connections between the triggers of anxiety that emerge in social or work settings and one’s early personal history, past experiences and relationships.
Over the past 26 years, part of my experience has included helping develop people in international high-performance organizations. Workplace dynamics can bring out the best and the worst in people, sometimes conjuring childhood traumas or overwhelming feelings of anxiety and insecurity which affect self-esteem and other aspects of personal life. Experience in these areas has led me to address the inter-connections between the triggers of anxiety that emerge in social or work settings and one’s early personal history, past experiences and relationships.
020 3835 2171 View 020 3835 2171
Photo of Annie Pender, Psychotherapist, MA, HCPC-Art Therap.
Annie Pender
Psychotherapist, MA, HCPC-Art Therap.
1 Endorsed
London N1
I am an integrative psychotherapist who is warm and relational, bringing curiosity and creativity to working with you. I facilitate clients to discover the resources inside them to move through life's struggles. Difficult, painful, or confusing experiences can feel hard to make sense of alone, so having space to explore them in new ways and perspectives can help process and digest what is happening. Whether you are feeling stuck, anxious or restricted in your current situation, I provide a safe space for you to reconnect to your inner capacity to live the life you chose with understanding and vitality.
I am an integrative psychotherapist who is warm and relational, bringing curiosity and creativity to working with you. I facilitate clients to discover the resources inside them to move through life's struggles. Difficult, painful, or confusing experiences can feel hard to make sense of alone, so having space to explore them in new ways and perspectives can help process and digest what is happening. Whether you are feeling stuck, anxious or restricted in your current situation, I provide a safe space for you to reconnect to your inner capacity to live the life you chose with understanding and vitality.
020 3962 1856 View 020 3962 1856
Photo of Victoria Kilner, Counsellor, BACP
Victoria Kilner
Counsellor, BACP
Serves Area
I work with adults who feel anxious, overwhelmed, or stuck, often despite being self-aware and trying to cope on their own. You might notice your mind won’t switch off, your body feels on edge, or past experiences are still affecting how you feel and respond day to day. I help you make sense of what’s going on and support you to feel calmer, more grounded, and more in control. I work with issues including grief, trauma, ADHD, burnout, relationship and family difficulties, and challenges around self-esteem and identity.
I work with adults who feel anxious, overwhelmed, or stuck, often despite being self-aware and trying to cope on their own. You might notice your mind won’t switch off, your body feels on edge, or past experiences are still affecting how you feel and respond day to day. I help you make sense of what’s going on and support you to feel calmer, more grounded, and more in control. I work with issues including grief, trauma, ADHD, burnout, relationship and family difficulties, and challenges around self-esteem and identity.
01252 986201 View 01252 986201

How does your Counsellor compare?

Number of Counsellors in SW1Y

< 10

Counsellors in SW1Y who prioritize treating:

100% Self Esteem
88% Anxiety
88% Trauma and PTSD
88% Divorce
88% Stress
88% Complex PTSD
75% Relationship Issues

Average years in practice

18 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% Bupa
100% Aviva

How Counsellors in SW1Y see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counselling

How can I find a therapist in SW1Y?

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.