Counselling in London

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Photo of Jacqueline Murungi Accred, Psychotherapist in London, England
Jacqueline Murungi Accred
Psychotherapist, MSc, MUKCP
Verified Verified
London SW17
Hello, I'm psychotherapist with over 10 years of extensive training, invaluable skills, knowledge, & experience which has enabled me to work effectively with different ages, races & genders on different concerns. This includes helping you to get to the deep root of what is causing your anxiety, depression, identity issues, guilt, fear, shame, stress, trauma, PTSD, complex PTSD, inter-generational trauma, abuse, low self esteem & understand unhealthy negative beliefs about yourself, others, life and find a way to move beyond the thoughts & feelings of powerlessness and hopelessness to finding meaning, purpose & appropriate solutions.
Hello, I'm psychotherapist with over 10 years of extensive training, invaluable skills, knowledge, & experience which has enabled me to work effectively with different ages, races & genders on different concerns. This includes helping you to get to the deep root of what is causing your anxiety, depression, identity issues, guilt, fear, shame, stress, trauma, PTSD, complex PTSD, inter-generational trauma, abuse, low self esteem & understand unhealthy negative beliefs about yourself, others, life and find a way to move beyond the thoughts & feelings of powerlessness and hopelessness to finding meaning, purpose & appropriate solutions.
020 3002 7268 View 020 3002 7268
Photo of Daryl Nicholas, Psychotherapist in London, England
Daryl Nicholas
Psychotherapist, MA, MBACP
Verified Verified
London W1G
Are you looking for an exciting and challenging space for self exploration, growth, and development? If so, the comprehensive INSIGHT self-discovery programmes are for you. Gain all-round and in-depth insight into who you are, how you've developed, your current and past relationships, and where you are heading. The INSIGHT programmes have been built to provide more structure, guidance, intensity, and rapid self discovery to allow you to reach your potential. To find out more, including the difference between the INSIGHT programmes and unstructured/open-ended therapy sessions, visit darylnicholas.com/insightprogrammes
Are you looking for an exciting and challenging space for self exploration, growth, and development? If so, the comprehensive INSIGHT self-discovery programmes are for you. Gain all-round and in-depth insight into who you are, how you've developed, your current and past relationships, and where you are heading. The INSIGHT programmes have been built to provide more structure, guidance, intensity, and rapid self discovery to allow you to reach your potential. To find out more, including the difference between the INSIGHT programmes and unstructured/open-ended therapy sessions, visit darylnicholas.com/insightprogrammes
020 3962 0587 View 020 3962 0587
Photo of Simon Burgess, Psychotherapist in London, England
Simon Burgess
Psychotherapist, MBACP
Verified Verified
London W6
Hi, my name is Simon and I work as a Psychotherapist in Private Practice in London. Clients who come to me for help usually have high levels of anxiety or depression and find themselves in repeating patterns within their relationships or at work that make them unhappy. I would offer you a safe, containing space where you could talk about and explore anything that’s difficult or overwhelming. We all have emotional needs and problems often arise when those needs are unmet. I would carefully explore which of your emotional needs were unmet during your childhood and possibly in your present life.
Hi, my name is Simon and I work as a Psychotherapist in Private Practice in London. Clients who come to me for help usually have high levels of anxiety or depression and find themselves in repeating patterns within their relationships or at work that make them unhappy. I would offer you a safe, containing space where you could talk about and explore anything that’s difficult or overwhelming. We all have emotional needs and problems often arise when those needs are unmet. I would carefully explore which of your emotional needs were unmet during your childhood and possibly in your present life.
01748 900754 View 01748 900754
Photo of George Kilmurry, Psychotherapist in London, England
George Kilmurry
Psychotherapist, PsychD, MUKCP
Verified Verified
London W2
I am a psychotherapist in Maida Vale, Stanmore and Aylesbury, also online, who provides a safe, confidential space where you can be heard and work through difficult issues in a way that is comfortable to you. At times, everyone gets overwhelmed. You may be feeling isolated, depressed, live with anxiety, going through a bereavement, or be struggling with a failed relationship of some kind. You may be facing a crisis or a time in your life where meaning, freedom, self-assertion, even awakening and deeper purpose are demanding of your attention.
I am a psychotherapist in Maida Vale, Stanmore and Aylesbury, also online, who provides a safe, confidential space where you can be heard and work through difficult issues in a way that is comfortable to you. At times, everyone gets overwhelmed. You may be feeling isolated, depressed, live with anxiety, going through a bereavement, or be struggling with a failed relationship of some kind. You may be facing a crisis or a time in your life where meaning, freedom, self-assertion, even awakening and deeper purpose are demanding of your attention.
020 4538 4070 View 020 4538 4070
Photo of Dr Xiangkun Zhu in London, England
Dr Xiangkun Zhu
PsychD
Verified Verified
London NW3  (Online Only)
When you're feeling psychologically uncomfortable in any way, you can turn to me, and here's how I can help. Whenever you're dealing with emotional turmoil, inner conflicts, or life's challenges, I'm here as your support system - a dedicated mental health counselor ready to extend a helping hand on your journey.
When you're feeling psychologically uncomfortable in any way, you can turn to me, and here's how I can help. Whenever you're dealing with emotional turmoil, inner conflicts, or life's challenges, I'm here as your support system - a dedicated mental health counselor ready to extend a helping hand on your journey.
020 3835 4338 View 020 3835 4338
Photo of Dr Adam Hastings-Cook, Psychologist in London, England
Dr Adam Hastings-Cook
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London W1U
As a Chartered Clinical Psychologist I practice ISTDP (Intensive Short- Term Dynamic Psychotherapy), which is a highly effective evidence based 'attachment focused therapy' that rapidly addresses your underlying issues at an emotional level. This allows you to pay closer attention to yourself and your emotions in ‘healthier’ ways, enabling you to experience your emotions to their fullest and allowing a natural healing process to occur. This not only brings symptomatic relief but more importantly it enables you to use your feelings to guide your decision making in all areas of your life, allowing you to blossom and reach your full
As a Chartered Clinical Psychologist I practice ISTDP (Intensive Short- Term Dynamic Psychotherapy), which is a highly effective evidence based 'attachment focused therapy' that rapidly addresses your underlying issues at an emotional level. This allows you to pay closer attention to yourself and your emotions in ‘healthier’ ways, enabling you to experience your emotions to their fullest and allowing a natural healing process to occur. This not only brings symptomatic relief but more importantly it enables you to use your feelings to guide your decision making in all areas of your life, allowing you to blossom and reach your full
020 4538 4535 View 020 4538 4535
Photo of Michael Higgins, Counsellor in London, England
Michael Higgins
Counsellor, MA, MBACP
Verified Verified
London SE1
I work with people who are stuck and want to get moving again in some area of their lives. They can be stuck for many reasons, but commonly this is anxiety, depression or life events, including the death of someone close, the loss of a job or illness, to name a few. To address these challenges, I offer a space and time to explore what is bothering you, what the best thing to focus on right now is, and how we can work together to get things moving again.
I work with people who are stuck and want to get moving again in some area of their lives. They can be stuck for many reasons, but commonly this is anxiety, depression or life events, including the death of someone close, the loss of a job or illness, to name a few. To address these challenges, I offer a space and time to explore what is bothering you, what the best thing to focus on right now is, and how we can work together to get things moving again.
020 3823 6819 View 020 3823 6819
Photo of Cath Gillet, Psychotherapist in London, England
Cath Gillet
Psychotherapist, MBACP
Verified Verified
London W4
In my private practice and as a college school counsellor my clients often face stress, anxiety, and sometimes anger. This may lead to experiencing sadness, feeling despaired, alone, worthless. Life can bring us hardships, many of which may develop into anxiety and unwanted behaviour or attitudes as a result of difficult circumstances. I work with my clients to help them make sense of their difficulties and foster acceptance within. I provide an empathic and non-judgmental space in which we will work together towards your mental wellbeing and peace of mind. I offer a mindful approach to counselling tailored to each situation.
In my private practice and as a college school counsellor my clients often face stress, anxiety, and sometimes anger. This may lead to experiencing sadness, feeling despaired, alone, worthless. Life can bring us hardships, many of which may develop into anxiety and unwanted behaviour or attitudes as a result of difficult circumstances. I work with my clients to help them make sense of their difficulties and foster acceptance within. I provide an empathic and non-judgmental space in which we will work together towards your mental wellbeing and peace of mind. I offer a mindful approach to counselling tailored to each situation.
01748 901831 View 01748 901831
Photo of Stephen Little, Counsellor in London, England
Stephen Little
Counsellor, MA, MUKCP
Verified Verified
London E8
I offer a creative, non-judgmental psychotherapeutic relationship in which you can explore your bereavement, significant loss, depression, anxiety or spirituality at your own pace. Bereavement can leave you feeling lost, alone, shattered, stuck, numb, not yourself, fearful of burdening others and feeling unfamiliar to yourself. Depression can be heavy and draining, while anxiety can be too energising and exposing, and both can be isolating and exhausting. Significant losses - of a job, relationship, faith, health, expectations, even illusions (!) - can also be equally challenging as well as opportunities for befriending yourself.
I offer a creative, non-judgmental psychotherapeutic relationship in which you can explore your bereavement, significant loss, depression, anxiety or spirituality at your own pace. Bereavement can leave you feeling lost, alone, shattered, stuck, numb, not yourself, fearful of burdening others and feeling unfamiliar to yourself. Depression can be heavy and draining, while anxiety can be too energising and exposing, and both can be isolating and exhausting. Significant losses - of a job, relationship, faith, health, expectations, even illusions (!) - can also be equally challenging as well as opportunities for befriending yourself.
020 3857 8050 View 020 3857 8050
Photo of Sophie Worthington, Psychotherapist in London, England
Sophie Worthington
Psychotherapist, MA, MBACP
Verified Verified
London W11
Are you looking for a safe and supportive space to explore difficult feelings, relationships, or experiences? We all encounter difficulties at some points in our lives: problems with relationships, anxiety or depression, sexual concerns, low self-esteem, addiction to alcohol or drugs, bereavement, trauma or feelings of anger, grief or panic. As a qualified psychotherapist and counsellor, I offer a non-judgemental, confidential space in which to explore the conflicts and issues that bring you to therapy and to start to address the underlying patterns that may prevent you from moving forward in your life.
Are you looking for a safe and supportive space to explore difficult feelings, relationships, or experiences? We all encounter difficulties at some points in our lives: problems with relationships, anxiety or depression, sexual concerns, low self-esteem, addiction to alcohol or drugs, bereavement, trauma or feelings of anger, grief or panic. As a qualified psychotherapist and counsellor, I offer a non-judgemental, confidential space in which to explore the conflicts and issues that bring you to therapy and to start to address the underlying patterns that may prevent you from moving forward in your life.
020 3974 1299 View 020 3974 1299
Photo of Katarzyna Akhtar, Psychotherapist in London, England
Katarzyna Akhtar
Psychotherapist, MSc, BPC
Verified Verified
London SE13  (Online Only)
I am an experienced psychodynamic psychotherapist and a clinical supervisor. I trained at the Tavistock Clinic and the Society of Analytic Psychology. Alongside my private practice I am a co-director of the United in Crisis Associação based in Lisbon. I have over twenty years of experience of working therapeutically with individuals and groups in a variety of mental health settings including South London & Maudsley NHS Foundation Trust. I provide psychotherapy on a short and long-term basis. I specialise in the treatment of a range of clinical issues, including depression, anxiety, personality difficulties and relationship issues.
I am an experienced psychodynamic psychotherapist and a clinical supervisor. I trained at the Tavistock Clinic and the Society of Analytic Psychology. Alongside my private practice I am a co-director of the United in Crisis Associação based in Lisbon. I have over twenty years of experience of working therapeutically with individuals and groups in a variety of mental health settings including South London & Maudsley NHS Foundation Trust. I provide psychotherapy on a short and long-term basis. I specialise in the treatment of a range of clinical issues, including depression, anxiety, personality difficulties and relationship issues.
020 8059 2419 View 020 8059 2419
Photo of Dimitri Raftopoulos, Psychotherapist in London, England
Dimitri Raftopoulos
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
London W1W
Over the last 14 years I have helped many people achieve a sense of well being, integration and wholeness in their personal & professional life. I can help you achieve the same. Life does not need to be a struggle. The process begins with you taking that scary first step to have an initial session or even just to call me to have a chat. In this first session or chat you can experience me and how I work and if we are a good fit, we can take it from there. I look forward to talking to you.
Over the last 14 years I have helped many people achieve a sense of well being, integration and wholeness in their personal & professional life. I can help you achieve the same. Life does not need to be a struggle. The process begins with you taking that scary first step to have an initial session or even just to call me to have a chat. In this first session or chat you can experience me and how I work and if we are a good fit, we can take it from there. I look forward to talking to you.
020 3879 4670 View 020 3879 4670
Photo of Victoria Kershaw, Psychotherapist in London, England
Victoria Kershaw
Psychotherapist, MSc, UKCP Trainee
Verified Verified
London SW6  (Online Only)
Hi. If you’re here you might be ready to start talking to someone. It can be very daunting opening up and knowing who to talk to. I am a humanistic therapist who focusses on helping people with anxiety, low mood, relationship difficulties and attachment issues, family, trauma, grief, confidence, and self-esteem, although not limited to these areas. Everyone is different and I treat everyone on a case by case basis to build a personal and trusting relationship.
Hi. If you’re here you might be ready to start talking to someone. It can be very daunting opening up and knowing who to talk to. I am a humanistic therapist who focusses on helping people with anxiety, low mood, relationship difficulties and attachment issues, family, trauma, grief, confidence, and self-esteem, although not limited to these areas. Everyone is different and I treat everyone on a case by case basis to build a personal and trusting relationship.
01748 902134 View 01748 902134
Photo of Karen Austin, Psychotherapist in London, England
Karen Austin
Psychotherapist, MSc, MBACP
Verified Verified
London N10
I am an experienced therapist who can give you the time and space to explore and focus on your emotions, needs and potential. You might be a couple stuck in a repeating pattern of arguments or stand offs, not communicating, lacking intimacy and feeling alone. Or an individual struggling with relationships and life, wanting to reach your full potential, gain insight into yourself and connect with others. You might have experienced past trauma, feel in crisis or just want time for yourself to be really listened to. If so, get in touch - I offer a free 20 minute online consultation before we commit to working together.
I am an experienced therapist who can give you the time and space to explore and focus on your emotions, needs and potential. You might be a couple stuck in a repeating pattern of arguments or stand offs, not communicating, lacking intimacy and feeling alone. Or an individual struggling with relationships and life, wanting to reach your full potential, gain insight into yourself and connect with others. You might have experienced past trauma, feel in crisis or just want time for yourself to be really listened to. If so, get in touch - I offer a free 20 minute online consultation before we commit to working together.
020 4530 8404 View 020 4530 8404
Photo of Alecia Anderson, Psychologist in London, England
Alecia Anderson
Psychologist, PsychD, CPsychol
Verified Verified
London E1
I am a Chartered and Registered Counselling Psychologist who adopts a pluralistic framework based on the premise that no one therapeutic approach is superior, and different clients are likely to benefit from different therapeutic methods at different points in time. The pluralistic position puts the client and their needs at the centre of therapy and is based on working collaboratively. I honestly believe that people are experts of themselves but with help from trained professionals they can have a better understanding of themselves and the reason(s) for their behaviours.
I am a Chartered and Registered Counselling Psychologist who adopts a pluralistic framework based on the premise that no one therapeutic approach is superior, and different clients are likely to benefit from different therapeutic methods at different points in time. The pluralistic position puts the client and their needs at the centre of therapy and is based on working collaboratively. I honestly believe that people are experts of themselves but with help from trained professionals they can have a better understanding of themselves and the reason(s) for their behaviours.
020 8106 1939 View 020 8106 1939
Photo of Naila Shah, Counsellor in London, England
Naila Shah
Counsellor, MBACP
Verified Verified
London SW4
I offer a safe and empathic space where you can feel at ease to be yourself and feel truly heard, to be able to explore any difficult thoughts and emotions you may be experiencing. My aim is to help facilitate and to develop greater self awareness in order to promote personal growth in a supportive environment. I have had experience of working with a diverse range of client groups with presenting issues around anxiety, depression, low mood, self-esteem, loss, identity, cultural difference, family and relationships issues.
I offer a safe and empathic space where you can feel at ease to be yourself and feel truly heard, to be able to explore any difficult thoughts and emotions you may be experiencing. My aim is to help facilitate and to develop greater self awareness in order to promote personal growth in a supportive environment. I have had experience of working with a diverse range of client groups with presenting issues around anxiety, depression, low mood, self-esteem, loss, identity, cultural difference, family and relationships issues.
020 3874 1872 View 020 3874 1872
Georgina Lansbury
Psychotherapist, MA, MBACP
Verified Verified
London SW17
I work with any and all difficulties and challenges and struggles that might be faced by children, adolescents, young adults and their carers. I work with neurodivergent young people, having experience of children and teens with diagnoses of ADHD, ASD and OCD, carving out a space where they can feel understood.
I work with any and all difficulties and challenges and struggles that might be faced by children, adolescents, young adults and their carers. I work with neurodivergent young people, having experience of children and teens with diagnoses of ADHD, ASD and OCD, carving out a space where they can feel understood.
020 3974 1395 View 020 3974 1395
Photo of Psychology for Success, Psychologist in London, England
Psychology for Success
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London N9
Do you feel like you are struggling with life? Are you feeling anxious or depressed? Perhaps you are experiencing relationship or work-related problems or have noticed that you tend to fall into the same emotional traps again and again? Taking some time out to explore your thoughts and feelings and develop strategies for moving your life forward could be of long-term benefit to you. I am more than happy to support you with your journey.
Do you feel like you are struggling with life? Are you feeling anxious or depressed? Perhaps you are experiencing relationship or work-related problems or have noticed that you tend to fall into the same emotional traps again and again? Taking some time out to explore your thoughts and feelings and develop strategies for moving your life forward could be of long-term benefit to you. I am more than happy to support you with your journey.
020 8138 0502 View 020 8138 0502
Photo of Dr Juli Jolly, Psychologist in London, England
Dr Juli Jolly
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London SE1
Do you have a good life but still feel that something is missing? Do you experience anxiety, problems in your relationships, low self-esteem, or confusion about your identity, perhaps with no evident cause? Have you lost yourself in your work? Are you trying to make sense of life following a trauma or bereavement? Have you had persistent or severe difficulties despite accessing help? Have you recently received a diagnosis and are struggling to understand what this means for you?
Do you have a good life but still feel that something is missing? Do you experience anxiety, problems in your relationships, low self-esteem, or confusion about your identity, perhaps with no evident cause? Have you lost yourself in your work? Are you trying to make sense of life following a trauma or bereavement? Have you had persistent or severe difficulties despite accessing help? Have you recently received a diagnosis and are struggling to understand what this means for you?
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Photo of Paul G Cooper, Counsellor in London, England
Paul G Cooper
Counsellor, MBACP
Verified Verified
1 Endorsed
London N13
Discovering and being your true self can be the key to sustainable positve mental health. If I am fortunate to work with you, our aim will be to work through the barriers to self-actuallisation whether they be a result of recent life changes or a legacy of longer term issues. We will explore the issues that matter to you whilst maintaining an open mind to the possibilty of any hidden aspects which may be relevant. I offer a safe non-judgemental space and believe that I can work effectively with the uniqueness of your individuality irrespective of gender, age, ethnicity, sexualty, etc. Try a free introductory session to decide.
Discovering and being your true self can be the key to sustainable positve mental health. If I am fortunate to work with you, our aim will be to work through the barriers to self-actuallisation whether they be a result of recent life changes or a legacy of longer term issues. We will explore the issues that matter to you whilst maintaining an open mind to the possibilty of any hidden aspects which may be relevant. I offer a safe non-judgemental space and believe that I can work effectively with the uniqueness of your individuality irrespective of gender, age, ethnicity, sexualty, etc. Try a free introductory session to decide.
020 4538 6253 View 020 4538 6253

See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
58% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.