Photo of Anna Tissandier - Dr Anna Tissandier, EMDR Therapy, PsychD, HCPC - Clin. Psych., Psychologist
Dr Anna Tissandier, EMDR Therapy
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Online Only
Not accepting new clients
I am a Chartered Clinical Psychologist and EMDR Europe Accredited Practitioner offering one to one EMDR therapy to adults. In our time together, we would aim to develop a shared understanding of your life - its significant events and relationships - and to explore the ways these may have led to certain strengths and vulnerabilities. This kind of understanding can itself help people to feel very differently, and to start to make changes in their lives. Further and deeper changes become possible when we work on processing difficult events that may still be exerting an influence, and by developing techniques to deepen self-compassion.
I am a Chartered Clinical Psychologist and EMDR Europe Accredited Practitioner offering one to one EMDR therapy to adults. In our time together, we would aim to develop a shared understanding of your life - its significant events and relationships - and to explore the ways these may have led to certain strengths and vulnerabilities. This kind of understanding can itself help people to feel very differently, and to start to make changes in their lives. Further and deeper changes become possible when we work on processing difficult events that may still be exerting an influence, and by developing techniques to deepen self-compassion.
01364 700267 View 01364 700267
Photo of Joyce K McGrath, MBACP, Counsellor
Joyce K McGrath
Counsellor, MBACP
Verified Verified
I am an integrative therapist. My way of working offers attention to the whole of a person - emotions, mind, and body as well as the meanings made of experiences, so sessions are tailor made to suit individual clients. I work with your sense of your experience to meet the needs you have whatever these may be. I have experience of working with all common life issues and specialise in working with bereavement and the feelings, thoughts and changes this brings.
I am an integrative therapist. My way of working offers attention to the whole of a person - emotions, mind, and body as well as the meanings made of experiences, so sessions are tailor made to suit individual clients. I work with your sense of your experience to meet the needs you have whatever these may be. I have experience of working with all common life issues and specialise in working with bereavement and the feelings, thoughts and changes this brings.
01364 701853 View 01364 701853
Photo of Jaime van Weede, MNCPS Acc., Counsellor
Jaime van Weede
Counsellor, MNCPS Acc.
Verified Verified
Serves Area
We are all on our individual journeys and there are times when it can be helpful to share and talk through some of the issues that arise along the way. I can offer you a safe, confidential space in which you can begin to explore some of the issues you are facing. I can offer short or long term counselling, in person, online or on the telephone. I also offer a free initial session so that we can meet and decide whether we would like to work together with no obligation.
We are all on our individual journeys and there are times when it can be helpful to share and talk through some of the issues that arise along the way. I can offer you a safe, confidential space in which you can begin to explore some of the issues you are facing. I can offer short or long term counselling, in person, online or on the telephone. I also offer a free initial session so that we can meet and decide whether we would like to work together with no obligation.
01364 708951 View 01364 708951
Photo of Tiziana Barton, DCounsPsych, MBACP, Counsellor
Tiziana Barton
Counsellor, DCounsPsych, MBACP
Verified Verified
Online Only
I am an experienced therapist and a registered member of BACP (British Association for Counselling & Psychotherapy). I understand that it might be a daunting task to look for a therapist if it is for yourself or for a loved one, but it takes courage and strength to ask for help, and all that is required is to simply make that first step. I am available to answer any questions & to discuss your concerns, issues & needs. Please don’t hesitate to get in touch, no strings attached after our free initial call/meeting.
I am an experienced therapist and a registered member of BACP (British Association for Counselling & Psychotherapy). I understand that it might be a daunting task to look for a therapist if it is for yourself or for a loved one, but it takes courage and strength to ask for help, and all that is required is to simply make that first step. I am available to answer any questions & to discuss your concerns, issues & needs. Please don’t hesitate to get in touch, no strings attached after our free initial call/meeting.
01364 701734 View 01364 701734
Photo of David Oxley, MA, MBACP Accred, Psychotherapist
David Oxley
Psychotherapist, MA, MBACP Accred
Verified Verified
Serves Area
Welcome Welcome Welcome! I imagine if you are reading this you are looking for someone who can help with whats troubling you and help you find some answers and relief. I have over 20 years experience helping clients with a wide variety of issues and vulnerabilities and offer a warm, safe, confidential and supportive space.
Welcome Welcome Welcome! I imagine if you are reading this you are looking for someone who can help with whats troubling you and help you find some answers and relief. I have over 20 years experience helping clients with a wide variety of issues and vulnerabilities and offer a warm, safe, confidential and supportive space.
01364 701878 View 01364 701878
Photo of Bundle MacLaren - Bundle MacLaren Psychotherapy, UKCP Trainee, Psychotherapist
Bundle MacLaren Psychotherapy
Psychotherapist, UKCP Trainee
Verified Verified
Serves Area
I believe everyone can benefit from psychotherapy and that talking to a professional is the best first step to take if you're struggling. As a UKCP psychotherapist in advanced clinical training and with over 800 hours of clinical experience, I can support you to make sense of your concerns, feelings and behaviours. Starting therapy can feel like a big step so please get in touch for a free consultation where we can talk things through and ensure you get the right support you need. If I don't think I'm the right person for you then I'll signpost you to someone who is.
I believe everyone can benefit from psychotherapy and that talking to a professional is the best first step to take if you're struggling. As a UKCP psychotherapist in advanced clinical training and with over 800 hours of clinical experience, I can support you to make sense of your concerns, feelings and behaviours. Starting therapy can feel like a big step so please get in touch for a free consultation where we can talk things through and ensure you get the right support you need. If I don't think I'm the right person for you then I'll signpost you to someone who is.
01803 308950 View 01803 308950
Photo of Dr Joanne Porter Consultant Clinical Psychologist Emdr Practitioner, HCPC - Clin. Psych., Psychologist
Dr Joanne Porter Consultant Clinical Psychologist Emdr Practitioner
Psychologist, HCPC - Clin. Psych.
Verified Verified
Serves Area
Waitlist for new clients
I specialise in working with Adults, CPTSD, Autism, PD, DID, Autism Assessments. I offer short term, ad hoc, or long term therapy. Single or multiple event trauma. People come to me with a variety of conditions and we work together at both a practical and therapeutic level. I will tell you if I feel I am not the therapist for you. I have special interests in CPTSD, Autism and Intellectual Disability. I am experienced in working with LGBTQ+ clients. I specialise in EMDR, IFS, and Psychodynamic approaches. I draw upon Systemic, CBT, ACT and SFT. I offer NICE compliant diagnostic Autism assessments.
I specialise in working with Adults, CPTSD, Autism, PD, DID, Autism Assessments. I offer short term, ad hoc, or long term therapy. Single or multiple event trauma. People come to me with a variety of conditions and we work together at both a practical and therapeutic level. I will tell you if I feel I am not the therapist for you. I have special interests in CPTSD, Autism and Intellectual Disability. I am experienced in working with LGBTQ+ clients. I specialise in EMDR, IFS, and Psychodynamic approaches. I draw upon Systemic, CBT, ACT and SFT. I offer NICE compliant diagnostic Autism assessments.
01752 987270 View 01752 987270
Photo of Annamai Martinot - Annamai Martinot Counselling , MNCPS Acc., Counsellor
Annamai Martinot Counselling
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Serves Area
It takes courage to seek support when life isn’t going well, and we would like to work out why. Counselling can help in difficult times, and also in times when we wish to understand ourselves better. With awareness, we have the choice to change our thoughts, feelings and behaviours. I offer safe, confidential and free from judgement counselling sessions, either face-to-face in the heart of Totnes, South Devon, or online via zoom. I offer a free no obligation initial consultation 30 min phone call to discuss what brings you to counselling, answer any questions you may have and to ensure I'm the right therapist to help you.
It takes courage to seek support when life isn’t going well, and we would like to work out why. Counselling can help in difficult times, and also in times when we wish to understand ourselves better. With awareness, we have the choice to change our thoughts, feelings and behaviours. I offer safe, confidential and free from judgement counselling sessions, either face-to-face in the heart of Totnes, South Devon, or online via zoom. I offer a free no obligation initial consultation 30 min phone call to discuss what brings you to counselling, answer any questions you may have and to ensure I'm the right therapist to help you.
01803 926170 View 01803 926170
Photo of Chris Mitchell, PhD, MBACP, Counsellor
Chris Mitchell
Counsellor, PhD, MBACP
Verified Verified
Serves Area
Waitlist for new clients
There are lots of reasons why you might be seeking counselling. You may be anxious or scared. You might be feeling unhappy, perhaps life has lost some of its meaning. You may have lost the sense of who you really are, or feeling guilt and shame. Alternatively, you might be overwhelmed at present, with too many demands on your time and energy. Whether the world seems hostile, lonely or just not quite what you thought it would be, we can work together to make it better.
There are lots of reasons why you might be seeking counselling. You may be anxious or scared. You might be feeling unhappy, perhaps life has lost some of its meaning. You may have lost the sense of who you really are, or feeling guilt and shame. Alternatively, you might be overwhelmed at present, with too many demands on your time and energy. Whether the world seems hostile, lonely or just not quite what you thought it would be, we can work together to make it better.
01803 222936 View 01803 222936
Photo of Jo Armstrong, MBACP, Counsellor
Jo Armstrong
Counsellor, MBACP
Verified Verified
Serves Area
I am an Integrative Counsellor combining different therapeutic tools and approaches to fit the needs of the client. I worked as a Senior Counsellor and Supervisor at a CIC in Plymouth for many years. I am a member of the British Association for Counselling and Psychotherapy. Counselling is my passion and I feel privileged to have worked with a diverse range of clients over the years. I offer a safe, warm and supportive environment and my natural intuitive ability and creativity serve the therapeutic process.
I am an Integrative Counsellor combining different therapeutic tools and approaches to fit the needs of the client. I worked as a Senior Counsellor and Supervisor at a CIC in Plymouth for many years. I am a member of the British Association for Counselling and Psychotherapy. Counselling is my passion and I feel privileged to have worked with a diverse range of clients over the years. I offer a safe, warm and supportive environment and my natural intuitive ability and creativity serve the therapeutic process.
01364 701866 View 01364 701866
Photo of Thais Lloyd (Tess), MSc, MBACP, Counsellor
Thais Lloyd (Tess)
Counsellor, MSc, MBACP
Verified Verified
Serves Area
Hello, my name is Thais Lloyd, but people call me Tess. I have over 15 years' experience as a counsellor. I am experienced in working with clients with: depression and low mood; anxiety, panic and phobias; difficulties in relationships; loneliness; trauma and abuse; low self-esteem; health-related stress; grief and loss; addiction. Finding a counsellor that you can connect well with can make a real difference to how you feel and to how you deal with what is difficult for you. My aim is to support you to find the relief you seek, make the changes you wish to make, and move forward in your life in a more creative and fulfilling way.
Hello, my name is Thais Lloyd, but people call me Tess. I have over 15 years' experience as a counsellor. I am experienced in working with clients with: depression and low mood; anxiety, panic and phobias; difficulties in relationships; loneliness; trauma and abuse; low self-esteem; health-related stress; grief and loss; addiction. Finding a counsellor that you can connect well with can make a real difference to how you feel and to how you deal with what is difficult for you. My aim is to support you to find the relief you seek, make the changes you wish to make, and move forward in your life in a more creative and fulfilling way.
07493 591515 View 07493 591515

More Therapists Nearby

Photo of Detti Balla, MSc, MBACP, Psychotherapist
Detti Balla
Psychotherapist, MSc, MBACP
Verified Verified
Serves Area
Hi! I am Detti Balla, a BACP registered counsellor, clinical and disaster trauma specialist, and educator in the areas of PTSD, disaster trauma, compassion fatigue, critical incident and stress management and more. My goal is to support and equip you with the tools necessary to overcome any challenges you may be facing, and empower you to overcome/dismantle any barriers that may be holding you back from finding hope and peace in living your life.
Hi! I am Detti Balla, a BACP registered counsellor, clinical and disaster trauma specialist, and educator in the areas of PTSD, disaster trauma, compassion fatigue, critical incident and stress management and more. My goal is to support and equip you with the tools necessary to overcome any challenges you may be facing, and empower you to overcome/dismantle any barriers that may be holding you back from finding hope and peace in living your life.
01747 440067 View 01747 440067
Photo of Catherine Roguski, MA, MBACP, Counsellor
Catherine Roguski
Counsellor, MA, MBACP
Verified Verified
I work ONLINE and Face-to-Face in Topsham. I have over 40 years experience working effectively in private practice as an integrative holistic healthcare practitioner and previously as a nurse in both the NHS and private healthcare specialising in women’s health. My psychotherapeutic counselling practice draws upon several humanistic, psychodynamic and solution focused approaches incorporating the very best techniques including creative ways of working to best fit your needs. I have a lot of life experience both personally and professionally. I am a good listener. I am not easily shocked.
I work ONLINE and Face-to-Face in Topsham. I have over 40 years experience working effectively in private practice as an integrative holistic healthcare practitioner and previously as a nurse in both the NHS and private healthcare specialising in women’s health. My psychotherapeutic counselling practice draws upon several humanistic, psychodynamic and solution focused approaches incorporating the very best techniques including creative ways of working to best fit your needs. I have a lot of life experience both personally and professionally. I am a good listener. I am not easily shocked.
01392 549042 View 01392 549042
Photo of Rebecca Mansell
Rebecca Mansell
Verified Verified
With much lived experience and qualifications in counselling and psychology, I am able to create a safe space for you to confide your difficulties and problems, inviting you to share what concerns you most and in return to provide you with compassion and acceptance.
With much lived experience and qualifications in counselling and psychology, I am able to create a safe space for you to confide your difficulties and problems, inviting you to share what concerns you most and in return to provide you with compassion and acceptance.
01752 395877 View 01752 395877
Photo of Hannah Garner, MNCPS Acc., Counsellor
Hannah Garner
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
I offer a welcoming space when times are difficult; you may need someone to talk to about relationship issues, support with feeling low or anxious, or maybe you'd like to explore feelings about your past. I provide a neuro-affirming space; whether you have a formal diagnosis or are self-diagnosed. My experience includes supporting teenagers, as well as adults. I also have an interest in supporting parents, including those with premature babies; something I have personal experience of. We can work together to help you feel less stressed or worried, to find more balance in life, to notice your strengths, and discover coping skills.
I offer a welcoming space when times are difficult; you may need someone to talk to about relationship issues, support with feeling low or anxious, or maybe you'd like to explore feelings about your past. I provide a neuro-affirming space; whether you have a formal diagnosis or are self-diagnosed. My experience includes supporting teenagers, as well as adults. I also have an interest in supporting parents, including those with premature babies; something I have personal experience of. We can work together to help you feel less stressed or worried, to find more balance in life, to notice your strengths, and discover coping skills.
01803 225424 View 01803 225424
Photo of Tina Welch - Tina Welch Counselling & Psychotherapy, MBACP, Counsellor
Tina Welch Counselling & Psychotherapy
Counsellor, MBACP
Verified Verified
1 Endorsed
With over 25yrs experience as a counsellor/psychotherapist, I have been very privileged to witness many individuals, couples and families make lasting positive changes. I feel very passionate about my work & deeply commit to offering a sincere, caring, confidential & professional space, either online or in my practice rooms at Honiton & Exeter. I believe in working with diversity, each unique person with me is at the core of the work we do together. I aim to understand with true empathy, listen without judgement and to use my skills to help you find a way forward that is right for you, without fear of rejection, criticism or blame.
With over 25yrs experience as a counsellor/psychotherapist, I have been very privileged to witness many individuals, couples and families make lasting positive changes. I feel very passionate about my work & deeply commit to offering a sincere, caring, confidential & professional space, either online or in my practice rooms at Honiton & Exeter. I believe in working with diversity, each unique person with me is at the core of the work we do together. I aim to understand with true empathy, listen without judgement and to use my skills to help you find a way forward that is right for you, without fear of rejection, criticism or blame.
01404 515531 View 01404 515531
Photo of Dr Lynsey Williams, PhD
Dr Lynsey Williams
PhD
Verified Verified
I reply to enquires quickly and will return your message promptly. I am a trained Humanistic therapist, this means I am led by my client’s needs, and work to understand the unique experience of each individual that has led them to seek help. All the clients I see want to resolve difficulties they are experiencing and achieve improvements to their emotional well being and the relationship they have with themselves and others. The skills and approaches developed over the course of my career enable me to adapt to your specific needs.
I reply to enquires quickly and will return your message promptly. I am a trained Humanistic therapist, this means I am led by my client’s needs, and work to understand the unique experience of each individual that has led them to seek help. All the clients I see want to resolve difficulties they are experiencing and achieve improvements to their emotional well being and the relationship they have with themselves and others. The skills and approaches developed over the course of my career enable me to adapt to your specific needs.
01752 982805 View 01752 982805
Photo of Steph Pickerill, MA, UKCP Trainee, Psychotherapist
Steph Pickerill
Psychotherapist, MA, UKCP Trainee
Verified Verified
I offer support and understanding to people struggling in all sorts of ways and I believe everyone has a unique healing journey. I work with people experiencing stress, loss, depression, anxiety, and the many ways mental health can impact day-to-day life. This can include relationship problems, destructive behaviour patterns, intrusive thoughts and feelings of being blocked, off balance or held back. I work deeply and gently with difficulty and emotional pain while allowing for the growth that suffering can bring us to. I believe that therapy should empower you to support your own healing.
I offer support and understanding to people struggling in all sorts of ways and I believe everyone has a unique healing journey. I work with people experiencing stress, loss, depression, anxiety, and the many ways mental health can impact day-to-day life. This can include relationship problems, destructive behaviour patterns, intrusive thoughts and feelings of being blocked, off balance or held back. I work deeply and gently with difficulty and emotional pain while allowing for the growth that suffering can bring us to. I believe that therapy should empower you to support your own healing.
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Photo of Kirstie Yelland - The Holistic Therapist, MNCPS Acc., Counsellor
The Holistic Therapist
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Have you always felt misunderstood or not good enough? Do you feel sad, confused or angry more than you would like ? My clinical background as an advanced nurse practitioner, combined with being a therapist, can give you the platform you need to feel heard, held and understood. Are you curious about the emotional impact of health issues such as menopause, PMS/PMDD, endometriosis, PCOS or fibromyalgia? Do you wonder if you are neurodivergent or are learning to process the joys and difficulties of ADHD and/or autism? Is past trauma holding you back? Are relationships difficult for you? I can help you understand yourself and thrive.
Have you always felt misunderstood or not good enough? Do you feel sad, confused or angry more than you would like ? My clinical background as an advanced nurse practitioner, combined with being a therapist, can give you the platform you need to feel heard, held and understood. Are you curious about the emotional impact of health issues such as menopause, PMS/PMDD, endometriosis, PCOS or fibromyalgia? Do you wonder if you are neurodivergent or are learning to process the joys and difficulties of ADHD and/or autism? Is past trauma holding you back? Are relationships difficult for you? I can help you understand yourself and thrive.
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Photo of Tessa Adkins, PTUK, Counsellor
Tessa Adkins
Counsellor, PTUK
Verified Verified
I'm Tessa a Certified Play Therapy UK (PTUK) Play Therapist and also a trainee Creative Arts Counsellor for Adolescents and Young People. I love my job and feel privileged to be able to work with children, young people and their families/carers in this way. In 2020 I was diagnosed with adult ADHD and I feel my neurodiverse brain plus my experience of growing up knowing I was different helps me to understand certain situations and responses. This plus the fact I had 3 children within 2 years and 9 months helps me to offer a level of understanding and empathy whilst being non-judgmental.
I'm Tessa a Certified Play Therapy UK (PTUK) Play Therapist and also a trainee Creative Arts Counsellor for Adolescents and Young People. I love my job and feel privileged to be able to work with children, young people and their families/carers in this way. In 2020 I was diagnosed with adult ADHD and I feel my neurodiverse brain plus my experience of growing up knowing I was different helps me to understand certain situations and responses. This plus the fact I had 3 children within 2 years and 9 months helps me to offer a level of understanding and empathy whilst being non-judgmental.
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See more therapy options for TQ10

How does your Counsellor compare?

Number of Counsellors in TQ10

10+

Average cost per session

£50

Counsellors in TQ10 who prioritize treating:

91% Anxiety
82% Depression
82% Bereavement
82% Trauma and PTSD
82% Stress
73% Relationship Issues
73% Emotional Disturbance

Average years in practice

13 Years

How Counsellors in TQ10 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in TQ10?

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.