Counselling in Dublin

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Photo of Triona McGearty, Psychotherapist, MSc, MIAHIP
Triona McGearty
Psychotherapist, MSc, MIAHIP
Dublin, County D06
If you are a point in your life, where you are noticing you don't feel like yourself, you are experiencing anxiety, panic attacks, social anxiety, relationship issues. We can sit together and allow time and space to explore what is happening, both mentally and physically. My person centred approach is designed to recognise that you are the expert, it is my role to walk with you in your journey.
If you are a point in your life, where you are noticing you don't feel like yourself, you are experiencing anxiety, panic attacks, social anxiety, relationship issues. We can sit together and allow time and space to explore what is happening, both mentally and physically. My person centred approach is designed to recognise that you are the expert, it is my role to walk with you in your journey.
(01) 267 6603 x60 View (01) 267 6603 x60
Photo of Louise Mary Fallon, Psychotherapist, MA, MIACP
Louise Mary Fallon
Psychotherapist, MA, MIACP
Dublin, County D14
Hi I'm Louise, I am a fully qualified and accredited psychotherapist and I work in accordance with the code of ethics of the IACP, of which I am a member. I use an integrative and person centred approach to support clients with a wide range of concerns including anxiety, loss, bereavement, stress, trauma, depression, self esteem … As an integrative therapist, I see my role as helping clients as they explore their issues and concerns in a supportive, safe and caring environment. I believe that clients hold their own answers and the role of the therapist is to facilitate an understanding of this to allow change and healing to happen.
Hi I'm Louise, I am a fully qualified and accredited psychotherapist and I work in accordance with the code of ethics of the IACP, of which I am a member. I use an integrative and person centred approach to support clients with a wide range of concerns including anxiety, loss, bereavement, stress, trauma, depression, self esteem … As an integrative therapist, I see my role as helping clients as they explore their issues and concerns in a supportive, safe and caring environment. I believe that clients hold their own answers and the role of the therapist is to facilitate an understanding of this to allow change and healing to happen.
(061) 572 524 x29 View (061) 572 524 x29
Photo of Owen Smith, Psychotherapist, MIAHIP
Owen Smith
Psychotherapist, MIAHIP
Dublin, County D02
Are you feeling a little lost – or like you’ve been doing your best to keep going, holding it all in, while something in you feels tired, hurting, or just needs a pause? You don’t have to do it alone. Reaching this page might mean something in you is asking for support – whether in a quiet whisper, or with a roar. Maybe you're overwhelmed or unsure. Maybe something’s been quietly weighing on you, and you're wondering if it’s okay to ask for help. Whatever brings you here, you’re really welcome. You’re not broken or failing — just human. Reaching out isn’t always easy, but it’s a meaningful step — and a quiet kind of courage.
Are you feeling a little lost – or like you’ve been doing your best to keep going, holding it all in, while something in you feels tired, hurting, or just needs a pause? You don’t have to do it alone. Reaching this page might mean something in you is asking for support – whether in a quiet whisper, or with a roar. Maybe you're overwhelmed or unsure. Maybe something’s been quietly weighing on you, and you're wondering if it’s okay to ask for help. Whatever brings you here, you’re really welcome. You’re not broken or failing — just human. Reaching out isn’t always easy, but it’s a meaningful step — and a quiet kind of courage.
(01) 267 6570 x50 View (01) 267 6570 x50
Photo of Laura Kelly-Walsh, Psychotherapist, MIACP
Laura Kelly-Walsh
Psychotherapist, MIACP
Dublin, County D02
I'm an accredited psychotherapist with the Irish Association of Counsellors and Psychotherapists (I.A.C.P). My goal is to help clients reach their full potential, no matter how challenging their histories or current difficulties may be. With a particular interest in human behaviour and neuroscience, I weave the art and science of psychotherapy together to tailor-make treatment plans to reach maximum outcomes for clients.
I'm an accredited psychotherapist with the Irish Association of Counsellors and Psychotherapists (I.A.C.P). My goal is to help clients reach their full potential, no matter how challenging their histories or current difficulties may be. With a particular interest in human behaviour and neuroscience, I weave the art and science of psychotherapy together to tailor-make treatment plans to reach maximum outcomes for clients.
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Photo of Adeline Roche, Psychotherapist, MSc
Adeline Roche
Psychotherapist, MSc
Dublin, County D13
I treat adults (18+) with common mental health problems including Depression, Anxiety, Phobias, Stress, Panic Disorder, Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD). At the moment, therapy sessions are offered by telephone, video or in-person in Dublin. I appreciate that finding the 'right' therapist is hard. If you choose me as your therapist, I'll be supportive, compassionate and non-judgemental. If you're unsure, you may like to read some testimonials on my website or get in touch and we'll arrange an initial phone call to check suitability, free of charge.
I treat adults (18+) with common mental health problems including Depression, Anxiety, Phobias, Stress, Panic Disorder, Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD). At the moment, therapy sessions are offered by telephone, video or in-person in Dublin. I appreciate that finding the 'right' therapist is hard. If you choose me as your therapist, I'll be supportive, compassionate and non-judgemental. If you're unsure, you may like to read some testimonials on my website or get in touch and we'll arrange an initial phone call to check suitability, free of charge.
(01) 267 6595 x89 View (01) 267 6595 x89
Photo of Lubov Grigoryeva, Psychotherapist, DCounsPsych, APCP
Lubov Grigoryeva
Psychotherapist, DCounsPsych, APCP
Dublin, County D07
You might be facing a major change, whether anticipated or unexpected - becoming a parent, going through breakup, adjusting to a new culture, or questioning your sense of self. You may feel stuck or overwhelmed. Many people I work with want to feel more at ease with themselves, even if they’re not sure how. Together we can move toward greater clarity, acceptance, and confidence, so you can live with more freedom to be who you are - welcoming your quirks, contradictions and all the parts of you that don’t always make sense, but still belong.
You might be facing a major change, whether anticipated or unexpected - becoming a parent, going through breakup, adjusting to a new culture, or questioning your sense of self. You may feel stuck or overwhelmed. Many people I work with want to feel more at ease with themselves, even if they’re not sure how. Together we can move toward greater clarity, acceptance, and confidence, so you can live with more freedom to be who you are - welcoming your quirks, contradictions and all the parts of you that don’t always make sense, but still belong.
(01) 263 0697 x26 View (01) 263 0697 x26
Photo of Sandra McQuoid, Psychotherapist, DCounsPsych, MIACP
Sandra McQuoid
Psychotherapist, DCounsPsych, MIACP
Dublin, County D07
Are you aged from age 12 and upwards and suffering with anxiety, depression or panic attacks? Do you find your daily life affected negatively by any of these? I can help. I am an accredited psychotherapist/supervisor and have many years of experience dealing with these types of issues. Do not lose hope . . . things can and will improve with a little bit of work. Contact me to find out how.
Are you aged from age 12 and upwards and suffering with anxiety, depression or panic attacks? Do you find your daily life affected negatively by any of these? I can help. I am an accredited psychotherapist/supervisor and have many years of experience dealing with these types of issues. Do not lose hope . . . things can and will improve with a little bit of work. Contact me to find out how.
(01) 267 6552 x17 View (01) 267 6552 x17
Photo of Danny McNeive, Psychotherapist, MIACP
Danny McNeive
Psychotherapist, MIACP
Dublin, County D22
Life can be complex, and at times it can feel heavy. You might be carrying the weight of anxiety, past experiences, or present challenges that are hard to put into words. Sometimes, what we’re feeling doesn’t make sense straight away — but that doesn’t mean it isn’t valid or worth exploring. Counselling offers a space to pause, reflect, and begin to make sense of what’s happening for you. It’s a place where your experience is taken seriously, and where you won’t be judged for how you feel or what you’ve been through. My approach is collaborative and tailored to you.
Life can be complex, and at times it can feel heavy. You might be carrying the weight of anxiety, past experiences, or present challenges that are hard to put into words. Sometimes, what we’re feeling doesn’t make sense straight away — but that doesn’t mean it isn’t valid or worth exploring. Counselling offers a space to pause, reflect, and begin to make sense of what’s happening for you. It’s a place where your experience is taken seriously, and where you won’t be judged for how you feel or what you’ve been through. My approach is collaborative and tailored to you.
(01) 267 6681 x48 View (01) 267 6681 x48
Photo of Geraldine Carroll, Psychotherapist, MSc, MIAHIP
Geraldine Carroll
Psychotherapist, MSc, MIAHIP
Dublin, County D02
I use an Integrative and Humanistic approach to psychotherapy and counselling and believe in the quality of the therapeutic relationship to provide a safe and supportive space for clients.
I use an Integrative and Humanistic approach to psychotherapy and counselling and believe in the quality of the therapeutic relationship to provide a safe and supportive space for clients.
(01) 267 6527 x50 View (01) 267 6527 x50
Photo of Jim Fox - Three Rock Counselling Metacognitive Therapy (MCT, Psychotherapist, MIACP
Three Rock Counselling Metacognitive Therapy (MCT
Psychotherapist, MIACP
Dublin, County D18
The main therapeutic approaches I use are Metacognitive Therapy, Internal Family System ( IFS Parts Therapy) & Brain Spotting(BSP). I work in my practice helping people who seek therapy for a range of emotional and stress-related issues including stress, anxiety, worry, depression, anger, panic attacks and grief. I endeavour to create a compassionate, non-judgmental and transformative space for my clients and always practice with these values in mind.
The main therapeutic approaches I use are Metacognitive Therapy, Internal Family System ( IFS Parts Therapy) & Brain Spotting(BSP). I work in my practice helping people who seek therapy for a range of emotional and stress-related issues including stress, anxiety, worry, depression, anger, panic attacks and grief. I endeavour to create a compassionate, non-judgmental and transformative space for my clients and always practice with these values in mind.
087 675 6977 View 087 675 6977
Photo of Philip Moore, Psychotherapist, MIACP
Philip Moore
Psychotherapist, MIACP
Dublin, County D14
“The good life is a process, not a state of being. It is a direction, not a destination.” Carl Rogers. The world we live in is constantly challenging, particularly if we are already feeling stressed or anxious. This stress can lead to lasting feelings of sadness, anxiety or depression. But this does not have to be the case. We all have within us the ability to live a more fulfilled and happier life. A good therapist helps realise this potential by facilitating self-discovery and acceptance and using this for emotional growth.
“The good life is a process, not a state of being. It is a direction, not a destination.” Carl Rogers. The world we live in is constantly challenging, particularly if we are already feeling stressed or anxious. This stress can lead to lasting feelings of sadness, anxiety or depression. But this does not have to be the case. We all have within us the ability to live a more fulfilled and happier life. A good therapist helps realise this potential by facilitating self-discovery and acceptance and using this for emotional growth.
(01) 267 6622 x65 View (01) 267 6622 x65
Photo of Sarah Mc Auley - Willow Tree, Psychologist, MSc, CPsychol PSI
Willow Tree
Psychologist, MSc, CPsychol PSI
1 Endorsed
Online Only
Sarah Mc Auley is a Chartered Psychologist PSI and Psychotherapist who has been in Clinical practice in Dublin 3 for over 25 yrs. She is a workaday Psychologist providing Counselling and Psychotherapy services for Adults Children Teenagers Couples and Families and Clinical Supervision for professionals please view her website www.willowtree.ie
Sarah Mc Auley is a Chartered Psychologist PSI and Psychotherapist who has been in Clinical practice in Dublin 3 for over 25 yrs. She is a workaday Psychologist providing Counselling and Psychotherapy services for Adults Children Teenagers Couples and Families and Clinical Supervision for professionals please view her website www.willowtree.ie
(01) 267 6622 x16 View (01) 267 6622 x16
David Gogan
Psychologist, CPsychol PSI
Dublin, County D14
People can experience difficulties or challenges at any point in their lives, such as anxiety, low mood and trauma. At other times, life events like bereavement, the ending of a relationship or unexpected illness can make people feel upset, distressed and confused. The help and support of a clinical psychologist can help ease these painful feelings and work towards adjustment and an improved sense of well-being. If the source of the difficulties are not obvious at first, a psychological assessment can also be helpful.
People can experience difficulties or challenges at any point in their lives, such as anxiety, low mood and trauma. At other times, life events like bereavement, the ending of a relationship or unexpected illness can make people feel upset, distressed and confused. The help and support of a clinical psychologist can help ease these painful feelings and work towards adjustment and an improved sense of well-being. If the source of the difficulties are not obvious at first, a psychological assessment can also be helpful.
(01) 907 9485 View (01) 907 9485
Photo of Shona Young - Self Portrait Art Therapy, Psychotherapist, Pre-Accredited Member IACP
Self Portrait Art Therapy
Psychotherapist, Pre-Accredited Member IACP
1 Endorsed
Dublin, County D06
I’m a qualified art psychotherapist registered with the IACP, specialising in trauma. My work in crisis settings, capital defence, re-entry services, and Trust & Safety teams has shown me how deeply trauma can shape a person’s emotions, body, and relationships. In therapy, my focus is to create a space where you don’t have to relive what happened in order to heal from it. Art therapy is a key part of this process, because it allows you to externalise what feels overwhelming and approach it with more distance and safety than words alone often provide.
I’m a qualified art psychotherapist registered with the IACP, specialising in trauma. My work in crisis settings, capital defence, re-entry services, and Trust & Safety teams has shown me how deeply trauma can shape a person’s emotions, body, and relationships. In therapy, my focus is to create a space where you don’t have to relive what happened in order to heal from it. Art therapy is a key part of this process, because it allows you to externalise what feels overwhelming and approach it with more distance and safety than words alone often provide.
(01) 267 6681 x29 View (01) 267 6681 x29
Photo of Lucy Johnson, Psychotherapist, MA, MIACP
Lucy Johnson
Psychotherapist, MA, MIACP
Dublin, County D04
Do you find yourself saying yes to keep the peace, even when it’s not what you want? Maybe you lie awake replaying conversations, second-guessing yourself. You show up for everyone else, but struggle to be kind to yourself. Maybe somewhere along the way, you’ve started to feel like you’re not quite enough. If any of this feels familiar, you're not alone and it doesn’t have to stay this way. If you’ve spent years putting everyone else first or avoiding conflict, it can leave you feeling like no one really sees you, not even yourself. Therapy with me is a space where you do get to be seen.
Do you find yourself saying yes to keep the peace, even when it’s not what you want? Maybe you lie awake replaying conversations, second-guessing yourself. You show up for everyone else, but struggle to be kind to yourself. Maybe somewhere along the way, you’ve started to feel like you’re not quite enough. If any of this feels familiar, you're not alone and it doesn’t have to stay this way. If you’ve spent years putting everyone else first or avoiding conflict, it can leave you feeling like no one really sees you, not even yourself. Therapy with me is a space where you do get to be seen.
(01) 267 6641 x70 View (01) 267 6641 x70
Photo of Jayson Moran - Jayson Moran Coaching Psychology, Psychologist, MA, MPSI
Jayson Moran Coaching Psychology
Psychologist, MA, MPSI
Dublin, County D04
I specialise in helping entrepreneurs & professionals achieve clarity & plan; feel motivated & confident; reduce stress; stop procrastinating & take action. I support those with a mission - helping you create, build, & achieve better lives, companies and communities by increasing your impact & effectiveness. You have a crucial goal, but you’re not taking action - and you’re not sure why? Maybe, you know it's important - but something is holding you back. You're having trouble getting started. Maybe you’re a bit anxious about it. You might need more clarity - you're not entirely sure how to proceed. You’re not feeling motivated.
I specialise in helping entrepreneurs & professionals achieve clarity & plan; feel motivated & confident; reduce stress; stop procrastinating & take action. I support those with a mission - helping you create, build, & achieve better lives, companies and communities by increasing your impact & effectiveness. You have a crucial goal, but you’re not taking action - and you’re not sure why? Maybe, you know it's important - but something is holding you back. You're having trouble getting started. Maybe you’re a bit anxious about it. You might need more clarity - you're not entirely sure how to proceed. You’re not feeling motivated.
(01) 267 6552 x43 View (01) 267 6552 x43
Photo of Kevin Smith - Clearview Counselling, Psychotherapist, MSc, MIACP
Clearview Counselling
Psychotherapist, MSc, MIACP
1 Endorsed
Dublin, County D11
There are many reasons people go to counselling; to resolve deep rooted problems from the past, help to overcome current challenges and/or worries about the future. Everyone is unique and we can work together to create a counselling journey that’s right for you, in total confidence. This is a supportive, confidential safe space to facilitate your personal growth and change. If you have concerns about your mental health, and need a supportive space to talk though these issues, please get in touch.
There are many reasons people go to counselling; to resolve deep rooted problems from the past, help to overcome current challenges and/or worries about the future. Everyone is unique and we can work together to create a counselling journey that’s right for you, in total confidence. This is a supportive, confidential safe space to facilitate your personal growth and change. If you have concerns about your mental health, and need a supportive space to talk though these issues, please get in touch.
(01) 267 6622 x96 View (01) 267 6622 x96
Photo of Martyna Treacy (Sygula), Psychotherapist, MIACP
Martyna Treacy (Sygula)
Psychotherapist, MIACP
1 Endorsed
Online Only
Are you feeling overwhelmed by anxiety, struggling with depression, or facing challenges in your relationships? Seeking support is a courageous step towards a more fulfilling life. I'm Martyna, and I'm here to help you navigate through life's complexities. I specialize in a humanistic and integrative approach tailored to meet your unique needs. Drawing from cognitive-behavioral, emotion-focused, and mindfulness-based techniques, I create a personalized therapeutic journey. My goal is to provide a safe space where you can explore your thoughts and emotions, fostering self-discovery and empowerment.
Are you feeling overwhelmed by anxiety, struggling with depression, or facing challenges in your relationships? Seeking support is a courageous step towards a more fulfilling life. I'm Martyna, and I'm here to help you navigate through life's complexities. I specialize in a humanistic and integrative approach tailored to meet your unique needs. Drawing from cognitive-behavioral, emotion-focused, and mindfulness-based techniques, I create a personalized therapeutic journey. My goal is to provide a safe space where you can explore your thoughts and emotions, fostering self-discovery and empowerment.
(01) 263 0393 x51 View (01) 263 0393 x51
Photo of Alicja Jedrzejewska, Psychologist, MSc, MPSI
Alicja Jedrzejewska
Psychologist, MSc, MPSI
Online Only
Sometimes, life throws us curveballs and navigating through difficulties can feel overwhelming. Taking that first step towards seeking help may seem daunting but I'm here to offer support and guidance through these challenging times. I understand the courage it takes to reach out, and I'm committed to walking alongside you on your journey towards understanding and personal growth. Together, we can create a safe and nurturing space where you can explore your concerns, find clarity, and build resilience.
Sometimes, life throws us curveballs and navigating through difficulties can feel overwhelming. Taking that first step towards seeking help may seem daunting but I'm here to offer support and guidance through these challenging times. I understand the courage it takes to reach out, and I'm committed to walking alongside you on your journey towards understanding and personal growth. Together, we can create a safe and nurturing space where you can explore your concerns, find clarity, and build resilience.
(01) 267 6570 x85 View (01) 267 6570 x85
Photo of Stephen Curtin, Psychotherapist, MSc, IFPP
Stephen Curtin
Psychotherapist, MSc, IFPP
1 Endorsed
Dublin, County D09
I am a fully accredited and qualified psychoanalytic psychotherapist. A background in healthcare in hospital settings and psychology. I am interested in patterns we engage in, that can become deeply rooted in and sometimes can feel ‘stuck’ in ones life. I am fully qualified and accredited. I am also Registered with the NMBI. I favour exploring the often unconscious meanings of these patterns that we play out in life, through the discussion of relationships, dreams, language and other areas as helpful in bringing issues to the surface especially in self-defeating behaviours that are often resistant to change. MIFPP. MICP.
I am a fully accredited and qualified psychoanalytic psychotherapist. A background in healthcare in hospital settings and psychology. I am interested in patterns we engage in, that can become deeply rooted in and sometimes can feel ‘stuck’ in ones life. I am fully qualified and accredited. I am also Registered with the NMBI. I favour exploring the often unconscious meanings of these patterns that we play out in life, through the discussion of relationships, dreams, language and other areas as helpful in bringing issues to the surface especially in self-defeating behaviours that are often resistant to change. MIFPP. MICP.
087 392 5981 View 087 392 5981

How does your Counsellor compare?

Number of Counsellors in Dublin

600+

Average cost per session

€75

Counsellors in Dublin who prioritize treating:

88% Anxiety
80% Depression
77% Self Esteem
75% Relationship Issues
70% Stress
62% Bereavement
59% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

90% VHI
89% Laya
85% Irish Life

How Counsellors in Dublin see their clients

82% In Person and Online
18% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Dublin?

Search for nearby therapists or counsellors by inputting your city, eircode, 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 eircode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are accredited members of the main professional associations, mainly the Irish Association of Counselling and Psychotherapy (IACP) and the Irish Council for Psychotherapy (ICP). Most Psychologists are accredited members of the Psychological Society of Ireland (PSI).

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 in Ireland, 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 supervised, practical experience that enable them to do so in Ireland. Psychologists have earned a doctoral degree in psychology and many are accredited members of the Psychological Society of Ireland (PSI). Counsellors and Psychotherapists are not required to have a doctoral degree, but to belong to a professional organisation such as the IACP or ICP, they must complete a minimum of an NFQ Level 7 programme with 100 hours of clinical experience and a minimum of 450 hours of post-training clinical experience under clinical supervision.

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 Ireland could cost between €50 – €90 when seeing a counsellor and €75 - €120 or more 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 National Counselling Service (NCS) is a government-funded service that provides short to medium term counselling and psychotherapy for free to individuals who have experienced trauma or abuse. The service can be accessed by GP referral or self-referral.

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 eircode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the IACP, the ICP, or PSI 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 is the potential or known harm to the client or others or when a child is in danger, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.