Counselling in Thomastown

CBM Counselling & Psychotherapy
Psychotherapist, MA, MIACP
Thomastown, County Kilkenny R95
Maybe you are someone who has tried with some success to deal with your own issues but have reached the threshold of your own ability and now need a counsellor you can build trust with. You like to be independent and looking for professional help is not something you do easily. So maybe Today is the day! Inside yourself you realize the importance of resolving what is happening in your life so you can finally move forwards. You feel it's time to talk to an experienced accredited counsellor who is empathetic, who will listen non-judgmentally and objectively and give you space so you can make the right decisions for yourself.
Maybe you are someone who has tried with some success to deal with your own issues but have reached the threshold of your own ability and now need a counsellor you can build trust with. You like to be independent and looking for professional help is not something you do easily. So maybe Today is the day! Inside yourself you realize the importance of resolving what is happening in your life so you can finally move forwards. You feel it's time to talk to an experienced accredited counsellor who is empathetic, who will listen non-judgmentally and objectively and give you space so you can make the right decisions for yourself.
(01) 267 6681 x93 View (01) 267 6681 x93
Photo of Geraldine Griffin, Psychotherapist, ICP
Geraldine Griffin
Psychotherapist, ICP
Thomastown, County Kilkenny R95
Let’s begin! Even if, at the moment, you are feeling a bit lost or stuck, is it possible that this could be an important turning point in your life? You do not need to do this alone. In difficult times, often the wisest thing to do, is to get professional advice. This fresh perspective from an objective person, with your best interests in mind, is my offer. Now you can do this from the comfort of your home by video call or alternatively you may come to see me in person.
Let’s begin! Even if, at the moment, you are feeling a bit lost or stuck, is it possible that this could be an important turning point in your life? You do not need to do this alone. In difficult times, often the wisest thing to do, is to get professional advice. This fresh perspective from an objective person, with your best interests in mind, is my offer. Now you can do this from the comfort of your home by video call or alternatively you may come to see me in person.
(01) 263 0393 x44 View (01) 263 0393 x44
Photo of Joan Martin, Psychotherapist, MIACP
Joan Martin
Psychotherapist, MIACP
Serves Area
IACP Accredited Integrative Counsellor & Psychotherapist working with Adults & Adolescents based in Kilkenny City. Also, I am a qualified Guidance Counsellor IGC with over 25 years of experience working with adolescents. Full Accreditation with the Irish Association for Counselling and Psychotherapy (IACP). My therapeutic approach is centered around a person-centered model. I completed a Level 9 Certificate in Cognitive Behavioural Therapy (CBT) & have completed training in ASSIST & Understanding Self-Harm with the (HSE). I work with clients online and Face to Face. Studying Specialist Diploma in Neurodiversity Informed Practice.
IACP Accredited Integrative Counsellor & Psychotherapist working with Adults & Adolescents based in Kilkenny City. Also, I am a qualified Guidance Counsellor IGC with over 25 years of experience working with adolescents. Full Accreditation with the Irish Association for Counselling and Psychotherapy (IACP). My therapeutic approach is centered around a person-centered model. I completed a Level 9 Certificate in Cognitive Behavioural Therapy (CBT) & have completed training in ASSIST & Understanding Self-Harm with the (HSE). I work with clients online and Face to Face. Studying Specialist Diploma in Neurodiversity Informed Practice.
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Photo of Sarah Jane Cleary, Psychotherapist, Pre-Accredited Member IACP
Sarah Jane Cleary
Psychotherapist, Pre-Accredited Member IACP
3 Endorsed
Serves Area
I work with clients seeking meaningful and deeper resolutions to their issues, whether those involve relationship challenges, mood changes, existential questions, or a desire for self-understanding. Together we'll explore the underlying causes of these struggles using a psychodynamic approach with the aim of helping you gain insight, heal past wounds, and move towards a more authentic, fulfilling life.
I work with clients seeking meaningful and deeper resolutions to their issues, whether those involve relationship challenges, mood changes, existential questions, or a desire for self-understanding. Together we'll explore the underlying causes of these struggles using a psychodynamic approach with the aim of helping you gain insight, heal past wounds, and move towards a more authentic, fulfilling life.
(01) 230 8537 x36 View (01) 230 8537 x36

More Therapists Nearby

Photo of Samantha Mair, Psychotherapist
Samantha Mair
Psychotherapist
Online Only
I work with adults who feel stuck, overwhelmed, or caught in patterns that are difficult to shift alone. This can include anxiety, low mood, OCD, trauma, or longer-term emotional difficulties. Some people are managing day to day but feel burnt out, disconnected, or struggling with self-esteem. Many are high-functioning and used to coping independently. I work in a neurodiversity-affirming way and aim to bring clarity to what is happening beneath the surface, so change feels more possible. You don’t need a diagnosis to begin therapy.
I work with adults who feel stuck, overwhelmed, or caught in patterns that are difficult to shift alone. This can include anxiety, low mood, OCD, trauma, or longer-term emotional difficulties. Some people are managing day to day but feel burnt out, disconnected, or struggling with self-esteem. Many are high-functioning and used to coping independently. I work in a neurodiversity-affirming way and aim to bring clarity to what is happening beneath the surface, so change feels more possible. You don’t need a diagnosis to begin therapy.
07487 222155 View 07487 222155
Photo of David Maher, Psychotherapist, MIACP
David Maher
Psychotherapist, MIACP
Kilkenny, County R95
I provide support for a variety of mental health concerns. I have many years of experience working in helping professions, particularly with young adults and teenagers. I have supported people suffering from depression and anxiety, as well as victims of abuse, neglect, and sexual assault. I have worked with people with identity problems, self-esteem and confidence issues; always offering the values of respect, acceptance, understanding and compassion. Your mind is the most powerful resource you have. I can help you to learn how to use it to make powerful, lasting changes.
I provide support for a variety of mental health concerns. I have many years of experience working in helping professions, particularly with young adults and teenagers. I have supported people suffering from depression and anxiety, as well as victims of abuse, neglect, and sexual assault. I have worked with people with identity problems, self-esteem and confidence issues; always offering the values of respect, acceptance, understanding and compassion. Your mind is the most powerful resource you have. I can help you to learn how to use it to make powerful, lasting changes.
(01) 267 6692 x41 View (01) 267 6692 x41
Photo of Dr. Bernadette Caffrey-Craig, Psychologist, PhD, CPsychol PSI
Dr. Bernadette Caffrey-Craig
Psychologist, PhD, CPsychol PSI
Serves Area
As a Clinical Psychologist with over 25 years experience, I provide a caring and compassionate approach. At the same time, my work is shaped by sound scientific findings. In essence, I offer a service that uniquely blends science with a warm personable approach. Extensive experience and expertise in working with adults, adolescents, children and families allows me to appreciate each individual's concerns, collaboratively work out therapeutic goals so that the person can lead a more fulfilling life. Progress is tracked and shared with each individual client using "before" and "after" result measures.
As a Clinical Psychologist with over 25 years experience, I provide a caring and compassionate approach. At the same time, my work is shaped by sound scientific findings. In essence, I offer a service that uniquely blends science with a warm personable approach. Extensive experience and expertise in working with adults, adolescents, children and families allows me to appreciate each individual's concerns, collaboratively work out therapeutic goals so that the person can lead a more fulfilling life. Progress is tracked and shared with each individual client using "before" and "after" result measures.
(01) 267 6517 x24 View (01) 267 6517 x24
Photo of Sophie Smyth - SS Psychotherapy, Psychologist, MA, MPSI
SS Psychotherapy
Psychologist, MA, MPSI
Serves Area
I specialize in ADHD, Anxiety, Panic disorders, Relationship breakdown, Life changes and eating disorders. I have a Masters Degree in Counselling and Psychotherapy and also a Bachelors Degree in Psychology. I work collaboratively with my clients, tailoring to each individual while taking time to really listen and to understand the experiences that have shaped them, the challenges they face and the goals that they have. I take the time to understand your experiences, identify patterns that may be holding you back, and explore practical and meaningful ways to move forward.
I specialize in ADHD, Anxiety, Panic disorders, Relationship breakdown, Life changes and eating disorders. I have a Masters Degree in Counselling and Psychotherapy and also a Bachelors Degree in Psychology. I work collaboratively with my clients, tailoring to each individual while taking time to really listen and to understand the experiences that have shaped them, the challenges they face and the goals that they have. I take the time to understand your experiences, identify patterns that may be holding you back, and explore practical and meaningful ways to move forward.
(01) 263 0393 x29 View (01) 263 0393 x29
Photo of Anne Marie O'Reilly, Counsellor, MIACP
Anne Marie O'Reilly
Counsellor, MIACP
Online Only
I offer online counselling and psychotherapy to adults (18+) and couples in Ireland, UK and mainland Europe. No matter what burden or worries you are dealing with, support is available. My counselling training and experience includes: grief, self-esteem, panic attacks, self-harm, suicidal thoughts, adjusting to change, loss of job, relationship challenges, trauma, depression, health challenges and general wellbeing.
I offer online counselling and psychotherapy to adults (18+) and couples in Ireland, UK and mainland Europe. No matter what burden or worries you are dealing with, support is available. My counselling training and experience includes: grief, self-esteem, panic attacks, self-harm, suicidal thoughts, adjusting to change, loss of job, relationship challenges, trauma, depression, health challenges and general wellbeing.
087 991 8404 View 087 991 8404
Photo of Fiona Shortall, Psychotherapist, MA
Fiona Shortall
Psychotherapist, MA
Serves Area
Hi, My name is Fiona and I am currently a pre-accredited Psychotherapist. I have a passion for helping people navigate their circumstances and to become empowered to grow, learn and look after their wellbeing. I aim to offer a space that is welcoming and free of judgment and provides an opportunity to work collaboratively with all clients. If you are looking for guidance on relationship issues, low mood, stress, or self esteem and more I am here to guide you Currently accepting in person in Carlow, Ages 13 years +
Hi, My name is Fiona and I am currently a pre-accredited Psychotherapist. I have a passion for helping people navigate their circumstances and to become empowered to grow, learn and look after their wellbeing. I aim to offer a space that is welcoming and free of judgment and provides an opportunity to work collaboratively with all clients. If you are looking for guidance on relationship issues, low mood, stress, or self esteem and more I am here to guide you Currently accepting in person in Carlow, Ages 13 years +
(01) 230 8537 x32 View (01) 230 8537 x32
Photo of Francesca Iorio, Psychotherapist, MSc
Francesca Iorio
Psychotherapist, MSc
1 Endorsed
Serves Area
I am a fully accredited Psychoanalytic Psychotherapist based in Wexford Town. I work with adults presenting a variety of issues including anxiety, depression, compulsions, relationship issues, trauma, emotional dysregulation, life transitions, eating disorders, self-defeating behaviours. I offer a safe, confidential, and non-judgemental space where to gain a deep understanding of yourself and your psychical life. Through this exploration we will look at the roots of your current struggles and increase your ability to find new ways of dealing with your difficulty.
I am a fully accredited Psychoanalytic Psychotherapist based in Wexford Town. I work with adults presenting a variety of issues including anxiety, depression, compulsions, relationship issues, trauma, emotional dysregulation, life transitions, eating disorders, self-defeating behaviours. I offer a safe, confidential, and non-judgemental space where to gain a deep understanding of yourself and your psychical life. Through this exploration we will look at the roots of your current struggles and increase your ability to find new ways of dealing with your difficulty.
(01) 267 6570 x65 View (01) 267 6570 x65
Photo of Angela Maria Doyle Stuart, Psychotherapist, Pre-Accredited Member IACP
Angela Maria Doyle Stuart
Psychotherapist, Pre-Accredited Member IACP
Kilkenny, County R95
Angela Doyle Stuart is a compassionate and experienced therapist who brings both professional expertise and deep human understanding to her work. She offers a safe, supportive, and non-judgemental space where clients can feel truly heard, understood, and valued. With a genuine belief in each person’s capacity to heal, grow, and move forward, Angela works alongside her clients to help them make sense of their experiences, building resilience and live a life fulfilled.
Angela Doyle Stuart is a compassionate and experienced therapist who brings both professional expertise and deep human understanding to her work. She offers a safe, supportive, and non-judgemental space where clients can feel truly heard, understood, and valued. With a genuine belief in each person’s capacity to heal, grow, and move forward, Angela works alongside her clients to help them make sense of their experiences, building resilience and live a life fulfilled.
(01) 592 4196 x28 View (01) 592 4196 x28
Photo of Veronica Roni Murphy, Psychotherapist, PsychD, MIACP
Veronica Roni Murphy
Psychotherapist, PsychD, MIACP
Serves Area
I am a humanistic therapist, Counselling & psychotherapy helps you find a secure space where painful feelings and concerns can be explored within a confidential and supportive space. In the course of so doing I aim also to help you: reduce any problematic symptoms you may have - e.g. stress, anxiety, depression, irritability Increase your understanding of how, and why, you have become who you are. Develop increased self-awareness, confidence, and contentment. to go forward.
I am a humanistic therapist, Counselling & psychotherapy helps you find a secure space where painful feelings and concerns can be explored within a confidential and supportive space. In the course of so doing I aim also to help you: reduce any problematic symptoms you may have - e.g. stress, anxiety, depression, irritability Increase your understanding of how, and why, you have become who you are. Develop increased self-awareness, confidence, and contentment. to go forward.
(01) 267 6536 x25 View (01) 267 6536 x25
Photo of Erma Barlow - Inner Wisdom, Counsellor
Inner Wisdom
Counsellor
Serves Area
We are happy you are here and that you are taking the first step to getting support and guidance! Erma has a genuine passion for listening, understanding and helping others to find the answers within themselves, in a totally confidential non judgemental setting, that is why she named her business is called " Inner Wisdom". She loves helping clients identify goals & potential solutions to problems which cause emotional turmoil; seek to improve communication & coping skills; strengthen self-esteem; and promote behaviour change & optimal mental health.
We are happy you are here and that you are taking the first step to getting support and guidance! Erma has a genuine passion for listening, understanding and helping others to find the answers within themselves, in a totally confidential non judgemental setting, that is why she named her business is called " Inner Wisdom". She loves helping clients identify goals & potential solutions to problems which cause emotional turmoil; seek to improve communication & coping skills; strengthen self-esteem; and promote behaviour change & optimal mental health.
(01) 267 6692 x81 View (01) 267 6692 x81
Photo of Deirdre Deacon-Gee, Psychotherapist, MIACP
Deirdre Deacon-Gee
Psychotherapist, MIACP
Kilkenny, County R95
I am a qualified psychotherapist with a specific interest working with trauma, domestic abuse and neurodivergence, however I do work with various presentations such as low self esteem, anxiety, depression, bereavement and more. As a passionate therapist I strive to facilitate clients in exploring and reaching personal goals, finding new ways of understanding, being and thinking which will support you in living the happy life you deserve, to find purpose and meaning again and a lust for life. Living your life and not merely existing in it.
I am a qualified psychotherapist with a specific interest working with trauma, domestic abuse and neurodivergence, however I do work with various presentations such as low self esteem, anxiety, depression, bereavement and more. As a passionate therapist I strive to facilitate clients in exploring and reaching personal goals, finding new ways of understanding, being and thinking which will support you in living the happy life you deserve, to find purpose and meaning again and a lust for life. Living your life and not merely existing in it.
087 684 0922 View 087 684 0922
Photo of Judy Ferguson, Psychotherapist, MIACP
Judy Ferguson
Psychotherapist, MIACP
Serves Area
We can all feel a bit stuck sometimes... I offer a safe space to help make meaning and process what we are thinking and why. I work with adults negotiating lifes changing dynamics as their parents age, or own children grow up. I work with adults moving into midlife, issues around self-esteem and finding purpose with a new work/life balance. I also work with clients with difficulties in relationships parenting, anxiety, overwhelm, low mood, loss, bereavement, trauma and pts and learning to feel safe.
We can all feel a bit stuck sometimes... I offer a safe space to help make meaning and process what we are thinking and why. I work with adults negotiating lifes changing dynamics as their parents age, or own children grow up. I work with adults moving into midlife, issues around self-esteem and finding purpose with a new work/life balance. I also work with clients with difficulties in relationships parenting, anxiety, overwhelm, low mood, loss, bereavement, trauma and pts and learning to feel safe.
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Photo of Margaret Mary Walsh Miacp, Psychotherapist, MIACP
Margaret Mary Walsh Miacp
Psychotherapist, MIACP
2 Endorsed
Serves Area
April 2026 Daytime availability and some limited evening availability. Trauma informed counselling available face to face in Waterford and online nationally. Give me a call for a chat about your needs. Visit Website www.suirtherapy.ie to book appointments or text/email/call. Would you like to address negative thoughts? Do you suffer with Anxiety, Stress, Depression, Work Stress, Confidence, Relationships, Bereavement, Injury/illness, Loss issues? Are you experiencing burnout? Is your relationship in difficulty? Would you like to attend one to one counselling? Monday to Friday.
April 2026 Daytime availability and some limited evening availability. Trauma informed counselling available face to face in Waterford and online nationally. Give me a call for a chat about your needs. Visit Website www.suirtherapy.ie to book appointments or text/email/call. Would you like to address negative thoughts? Do you suffer with Anxiety, Stress, Depression, Work Stress, Confidence, Relationships, Bereavement, Injury/illness, Loss issues? Are you experiencing burnout? Is your relationship in difficulty? Would you like to attend one to one counselling? Monday to Friday.
(01) 267 6570 x60 View (01) 267 6570 x60
Photo of Michael J Clancy - MichaelJ/Therapy , Counsellor, APCP
MichaelJ/Therapy
Counsellor, APCP
1 Endorsed
Online Only
Overthinking, ADHD & Relationship Counselling (Online) If your mind rarely switches off, you may find yourself overthinking, replaying conversations, or feeling overwhelmed by your thoughts. Even when you want things to feel calmer, it can be difficult to step out of these patterns. I work with adults experiencing anxiety, ADHD, low self-esteem, and relationship or intimacy concerns, particularly where overthinking and emotional overwhelm begin to impact confidence, connection, and daily life.
Overthinking, ADHD & Relationship Counselling (Online) If your mind rarely switches off, you may find yourself overthinking, replaying conversations, or feeling overwhelmed by your thoughts. Even when you want things to feel calmer, it can be difficult to step out of these patterns. I work with adults experiencing anxiety, ADHD, low self-esteem, and relationship or intimacy concerns, particularly where overthinking and emotional overwhelm begin to impact confidence, connection, and daily life.
(01) 267 6517 x47 View (01) 267 6517 x47
Photo of Martina Cahill, Psychotherapist, MIACP
Martina Cahill
Psychotherapist, MIACP
1 Endorsed
Serves Area
I use an integrative approach with tools to adapt to individual client needs. My commitment and awareness to my own journey in therapy led me into the area of mental health and helping others. I have over 20 years of experience working in the hospitality sector and have always valued working with people. I have experienced personal challenges, namely grief and my diagnosis of chronic health conditions. I am committed to utilising both my training and life experiences, by applying my knowledge and empathy to help others in their own journey.
I use an integrative approach with tools to adapt to individual client needs. My commitment and awareness to my own journey in therapy led me into the area of mental health and helping others. I have over 20 years of experience working in the hospitality sector and have always valued working with people. I have experienced personal challenges, namely grief and my diagnosis of chronic health conditions. I am committed to utilising both my training and life experiences, by applying my knowledge and empathy to help others in their own journey.
087 690 8176 View 087 690 8176
Photo of Laura O’Neill, Psychotherapist, MA, APCP
Laura O’Neill
Psychotherapist, MA, APCP
Online Only
Contact Via WhatsApp/Email. My focuses are relationships, eating disorders, & addiction. In both our relationships with self and others, most long to experience love, belonging & growth. In relationships and in hardships, I see infinite potential for transformation and evolution: through the stuck places, the old patterns, the failed attempts to connect or feel safe. Underneath, the true you is waiting to be heard through the surface ‘symptoms’. If you can recognise where you’re at, you’re halfway there — and rather than just treating the symptoms, together we listen to what’s underneath, and help you to get free from the root.
Contact Via WhatsApp/Email. My focuses are relationships, eating disorders, & addiction. In both our relationships with self and others, most long to experience love, belonging & growth. In relationships and in hardships, I see infinite potential for transformation and evolution: through the stuck places, the old patterns, the failed attempts to connect or feel safe. Underneath, the true you is waiting to be heard through the surface ‘symptoms’. If you can recognise where you’re at, you’re halfway there — and rather than just treating the symptoms, together we listen to what’s underneath, and help you to get free from the root.
089 202 2456 View 089 202 2456

How does your Counsellor compare?

Number of Counsellors in Thomastown

< 10

Counsellors in Thomastown who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Bereavement
100% Stress
75% ADHD
75% Depression
75% Self Esteem

Average years in practice

14 Years

Top 3 insurances accepted

100% Irish Life
100% Laya
100% VHI

How Counsellors in Thomastown see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Thomastown?

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.