Counselling in Birkenhead

Photo of Geraldine Davenport - Wirral Counselling Service, MBACP, Counsellor
Wirral Counselling Service
Counsellor, MBACP
Verified Verified
Birkenhead CH43  (Online Only)
Hi, my name is Gerri and I am an experienced relationship counsellor. In these worrying days of Coronavirus, our mental health and well-being is being put under greater strain. The impact of this may be affecting your relationships and family life, you may be feeling anxious, worried about your finances, work or your business. Getting support at this time can make a huge difference to how we cope. I offer counselling to individuals and couples.
Hi, my name is Gerri and I am an experienced relationship counsellor. In these worrying days of Coronavirus, our mental health and well-being is being put under greater strain. The impact of this may be affecting your relationships and family life, you may be feeling anxious, worried about your finances, work or your business. Getting support at this time can make a huge difference to how we cope. I offer counselling to individuals and couples.
0151 317 5053 View 0151 317 5053
Photo of Lee Rowland, MBACP, Counsellor
Lee Rowland
Counsellor, MBACP
Verified Verified
Birkenhead CH41
I am a trusted Psychodynamic/CBT Therapist. I have helped many break through the obstacles holding them back; Life’s too short to be unhappy, unsure or unfulfilled. Let me help you learn and develop better ways to handle the issues that are standing in the way of your goals. I am proficient in issues including, Early Life Experiences, ADHD, Addiction, Alcohol/Drug issues, OCD/Phobias, Anxiety/Depression, Work Related Stress, PTSD, Autistic Spectrum, Bereavement, Anger Management, Domestic Violence, Panic Disorder.
I am a trusted Psychodynamic/CBT Therapist. I have helped many break through the obstacles holding them back; Life’s too short to be unhappy, unsure or unfulfilled. Let me help you learn and develop better ways to handle the issues that are standing in the way of your goals. I am proficient in issues including, Early Life Experiences, ADHD, Addiction, Alcohol/Drug issues, OCD/Phobias, Anxiety/Depression, Work Related Stress, PTSD, Autistic Spectrum, Bereavement, Anger Management, Domestic Violence, Panic Disorder.
0151 453 6765 View 0151 453 6765
Photo of Amrat Singh, CPsychol, Psychologist
Amrat Singh
Psychologist, CPsychol
Verified Verified
1 Endorsed
Birkenhead CH42
I have been in practice for over 16years and have mainly work with Adults having medium to severe mental health difficulties, from anxiety disorders that includes (complex) trauma to persistent depression and mood disorders. One of the main impacts of their difficulties can be disengagement from life as a consequence of entrenched behavioural patterns that keep them stuck and can inadvertently reinforce their problems.
I have been in practice for over 16years and have mainly work with Adults having medium to severe mental health difficulties, from anxiety disorders that includes (complex) trauma to persistent depression and mood disorders. One of the main impacts of their difficulties can be disengagement from life as a consequence of entrenched behavioural patterns that keep them stuck and can inadvertently reinforce their problems.
0151 453 7272 View 0151 453 7272
Photo of Seham Hariz - Mind Clarity CIC, MBACP, Counsellor
Mind Clarity CIC
Counsellor, MBACP
Verified Verified
Birkenhead CH41
We offer a variety of counsellors who have various specialties and languages to fit a range of client needs, desires and wants. We cater to several types of clients whether it be addiction, emotional stress, mental health, or culturally related. We also offer dedicated FREE counselling for Asylum Seekers and Refugees in the Wirral Languages we offer: English, Farsi, Urdu, Russian, Ukrainian, Arabic, Polish, Spanish and Albanian!
We offer a variety of counsellors who have various specialties and languages to fit a range of client needs, desires and wants. We cater to several types of clients whether it be addiction, emotional stress, mental health, or culturally related. We also offer dedicated FREE counselling for Asylum Seekers and Refugees in the Wirral Languages we offer: English, Farsi, Urdu, Russian, Ukrainian, Arabic, Polish, Spanish and Albanian!
0151 453 0532 View 0151 453 0532
Photo of Paul Andrew Holland - Dr Paul Holland, PhD, CPsychol, Psychologist
Dr Paul Holland
Psychologist, PhD, CPsychol
Verified Verified
Birkenhead CH42  (Online Only)
Waitlist for new clients
ADHD and ASD Specialist. Do you or your child have difficulties with executive functioning? Does your child experience behavioural challenges at school and/or at home? I can help you! I am currently working as an Executive Function Coach with young people and adults. This work involves 1:1 coaching as well as check-ins using a variety of vehicles (Skype, E-Mail, Text, Phone). I also work with parents and schools helping children with learning and behavioural difficulties get the most from school. I see clients predominantly online but do sometimes consult in schools.
ADHD and ASD Specialist. Do you or your child have difficulties with executive functioning? Does your child experience behavioural challenges at school and/or at home? I can help you! I am currently working as an Executive Function Coach with young people and adults. This work involves 1:1 coaching as well as check-ins using a variety of vehicles (Skype, E-Mail, Text, Phone). I also work with parents and schools helping children with learning and behavioural difficulties get the most from school. I see clients predominantly online but do sometimes consult in schools.
020 3958 4267 View 020 3958 4267
Photo of Jennifer Shaw - Jen Shaw @ Perseverance Counselling Services, MBACP, Counsellor
Jen Shaw @ Perseverance Counselling Services
Counsellor, MBACP
Verified Verified
Birkenhead CH41
Hello my name is Jen and I am a fully qualified therapist who loves counselling. I have lots of experience working with neurodiverse adults, young people and children so find it easy to adapt my style to suit my clients needs. I have a genuine passion for the work I do, as i enjoy helping people feel better about themselves.
Hello my name is Jen and I am a fully qualified therapist who loves counselling. I have lots of experience working with neurodiverse adults, young people and children so find it easy to adapt my style to suit my clients needs. I have a genuine passion for the work I do, as i enjoy helping people feel better about themselves.
0151 453 0647 View 0151 453 0647
Photo of Helen Murphy, MA, MBACP, Counsellor
Helen Murphy
Counsellor, MA, MBACP
Verified Verified
Birkenhead CH41
Are you a busy person or juggling responsibilities? Intelligent professional counselling offered by dually qualified counsellor / doctor. Suitable for professionals, students, healthcare workers, all ethnicities and ages 18 -108. F2F appointments: Hoylake or Birkenhead, Wirral. Flexible appointments. Video online by request. Qualifications: MA Counselling and Psychotherapy (Distinction), MBACP, FRCP, MBChB, BSc. Topics: including though not limited to Self-out-of-sorts, neurodiversity, family & relationships, work stress, health, bereavement, depression, anxiety. My counselling practice has developed since 2015.
Are you a busy person or juggling responsibilities? Intelligent professional counselling offered by dually qualified counsellor / doctor. Suitable for professionals, students, healthcare workers, all ethnicities and ages 18 -108. F2F appointments: Hoylake or Birkenhead, Wirral. Flexible appointments. Video online by request. Qualifications: MA Counselling and Psychotherapy (Distinction), MBACP, FRCP, MBChB, BSc. Topics: including though not limited to Self-out-of-sorts, neurodiversity, family & relationships, work stress, health, bereavement, depression, anxiety. My counselling practice has developed since 2015.
0151 453 2676 View 0151 453 2676
Photo of Jonathan Fletcher, COSRT General, Psychotherapist
Jonathan Fletcher
Psychotherapist, COSRT General
Verified Verified
1 Endorsed
Birkenhead CH41
Hi, my name is Jonny, and I am a fully qualified psychosexual and relationship therapist registered with COSRT. Embarking on a therapeutic journey can initially feel daunting, but it can become a life-changing and affirming experience. It is my job to provide a safe, empathetic, and non-judgemental space to explore whatever issue is troubling you, although engaging in therapy can be hugely beneficial even without a specific problem.
Hi, my name is Jonny, and I am a fully qualified psychosexual and relationship therapist registered with COSRT. Embarking on a therapeutic journey can initially feel daunting, but it can become a life-changing and affirming experience. It is my job to provide a safe, empathetic, and non-judgemental space to explore whatever issue is troubling you, although engaging in therapy can be hugely beneficial even without a specific problem.
0151 453 2709 View 0151 453 2709
Photo of Holly Driver Dos Santos, MSc, MBABCP, Psychotherapist
Holly Driver Dos Santos
Psychotherapist, MSc, MBABCP
Verified Verified
Birkenhead CH41
I can treat panic, generalised anxiety, social anxiety, phobias, OCD, PTSD, depression and anxiety and low mood associated to low self esteem. I will always offer a psychological assessment as the first CBT session, so can advise at the end of the first session of a provisional diagnosis and whether CBT is likely to help. The therapy is goal- focused, evidence-based, and involves making changes with my support to overcome your difficulties. It can be extremely difficult to know what your goals are when highly anxious or depressed, so I can help you to work out what you are aiming to change. I can help you if aged 16 or above.
I can treat panic, generalised anxiety, social anxiety, phobias, OCD, PTSD, depression and anxiety and low mood associated to low self esteem. I will always offer a psychological assessment as the first CBT session, so can advise at the end of the first session of a provisional diagnosis and whether CBT is likely to help. The therapy is goal- focused, evidence-based, and involves making changes with my support to overcome your difficulties. It can be extremely difficult to know what your goals are when highly anxious or depressed, so I can help you to work out what you are aiming to change. I can help you if aged 16 or above.
0151 453 4586 View 0151 453 4586
Photo of Jessica Young, MSc, MBABCP, Psychotherapist
Jessica Young
Psychotherapist, MSc, MBABCP
Verified Verified
Birkenhead CH41
I'm fully qualified and accredited Cognitive Behavioural Therapist (CBT), an EMDR (Eye Movement Desensitisation & Reprocessing) therapist, a CBT supervisor and owner at Your Therapy with Jess. I am renowned for my warm and non-judgemental approach and my priority is getting your mental health back on track. I am an experienced NHS psychotherapist with 10 years experience delivering CBT and 7 years delivering EMDR. I offer EMDR for PTSD, and CBT for depression and anxiety disorders for clients over 17 years old (both therapies can be in person or remote). I also offer clinical supervision to trainee and qualified CBT therapists.
I'm fully qualified and accredited Cognitive Behavioural Therapist (CBT), an EMDR (Eye Movement Desensitisation & Reprocessing) therapist, a CBT supervisor and owner at Your Therapy with Jess. I am renowned for my warm and non-judgemental approach and my priority is getting your mental health back on track. I am an experienced NHS psychotherapist with 10 years experience delivering CBT and 7 years delivering EMDR. I offer EMDR for PTSD, and CBT for depression and anxiety disorders for clients over 17 years old (both therapies can be in person or remote). I also offer clinical supervision to trainee and qualified CBT therapists.
0151 453 3289 View 0151 453 3289
Photo of Sarah Kay Higginson, BACP, Counsellor
Sarah Kay Higginson
Counsellor, BACP
Verified Verified
Birkenhead CH41
I am a person-centred counsellor who specialises in working with both men and women who have experienced abuse. I work with all forms of abuse including, sexual, intimate, partner and domestic abuse, both recent and historic childhood abuse. I can work both pre- and post-trial and am also currently employed as an Independent Sexual Violence Advisor Assessment Officer with RASA Merseyside to help people access the appropriate practical and emotional support through the criminal justice system.
I am a person-centred counsellor who specialises in working with both men and women who have experienced abuse. I work with all forms of abuse including, sexual, intimate, partner and domestic abuse, both recent and historic childhood abuse. I can work both pre- and post-trial and am also currently employed as an Independent Sexual Violence Advisor Assessment Officer with RASA Merseyside to help people access the appropriate practical and emotional support through the criminal justice system.
07498 461486 View 07498 461486
Photo of Lyndsay MacAulay, MBACP, Counsellor
Lyndsay MacAulay
Counsellor, MBACP
Verified Verified
Birkenhead CH41
Hi, my name is Lyndsay, I specialise in working with kids, teens, and young adults who are dealing with a variety of problems in their lives -school, EBSA, bullying, self-harm, suicidal thoughts, friendships, family break down, identity issues, neurodivergence, social media, anxiety, low mood, depression,or grief and loss to name but a few. I work with recent and historic sexual, emotional and physical abuse and trauma.
Hi, my name is Lyndsay, I specialise in working with kids, teens, and young adults who are dealing with a variety of problems in their lives -school, EBSA, bullying, self-harm, suicidal thoughts, friendships, family break down, identity issues, neurodivergence, social media, anxiety, low mood, depression,or grief and loss to name but a few. I work with recent and historic sexual, emotional and physical abuse and trauma.
0151 453 1319 View 0151 453 1319
Photo of Lucy Hanson, PhD, BACP, Counsellor
Lucy Hanson
Counsellor, PhD, BACP
Verified Verified
Birkenhead CH41
I am a trauma informed Person-Centred counsellor who can work with young people and adults. You may want a space to explore difficult challenges or a chance to reflect on some matters from the past. You may also be looking for support for your child. I also work with young people and adults with neuro-diversity. I offer a warm, accepting, safe space to explore issues and look at your individual experiences.
I am a trauma informed Person-Centred counsellor who can work with young people and adults. You may want a space to explore difficult challenges or a chance to reflect on some matters from the past. You may also be looking for support for your child. I also work with young people and adults with neuro-diversity. I offer a warm, accepting, safe space to explore issues and look at your individual experiences.
0151 453 4557 View 0151 453 4557
Photo of Anna Pluck, MBACP, Counsellor
Anna Pluck
Counsellor, MBACP
Verified Verified
Birkenhead CH43
Anxiety can overwhelm you. You lie awake at night worried about the day ahead and struggle to relax and constantly overthing everything. Even your time off can be filled with dread about what's coming up. It's not just in your head - heart pounding, shakiness and a sinking feeling in your stomach can make you feel really unwell. Sometimes family and friends get impatient telling you to just do it but you just can't and then you end up feeling worse because nobody understands how hard it is.
Anxiety can overwhelm you. You lie awake at night worried about the day ahead and struggle to relax and constantly overthing everything. Even your time off can be filled with dread about what's coming up. It's not just in your head - heart pounding, shakiness and a sinking feeling in your stomach can make you feel really unwell. Sometimes family and friends get impatient telling you to just do it but you just can't and then you end up feeling worse because nobody understands how hard it is.
0151 453 2239 View 0151 453 2239
Photo of Hannah O'Neill, BACP, Counsellor
Hannah O'Neill
Counsellor, BACP
Verified Verified
Birkenhead CH41
You might be struggling with suicidal thoughts, shame, feeling depressed, feeling constantly anxious and on edge. You might have a combination of these along with other issues that you need to work through. What you’re feeling might have been triggered by a traumatic, life altering event or you might not know why you’re feeling this way. Counselling can help from lots of different starting points. You don’t have to be at rock bottom to seek help or maybe that is where you are and that is okay too. You’ve taken the first steps to search for a counsellor. I know it takes a lot of courage, sometimes all you’ve got.
You might be struggling with suicidal thoughts, shame, feeling depressed, feeling constantly anxious and on edge. You might have a combination of these along with other issues that you need to work through. What you’re feeling might have been triggered by a traumatic, life altering event or you might not know why you’re feeling this way. Counselling can help from lots of different starting points. You don’t have to be at rock bottom to seek help or maybe that is where you are and that is okay too. You’ve taken the first steps to search for a counsellor. I know it takes a lot of courage, sometimes all you’ve got.
0151 453 1796 View 0151 453 1796
Photo of Paz Clayton, MSc, MBACP, Psychotherapist
Paz Clayton
Psychotherapist, MSc, MBACP
Verified Verified
Birkenhead CH42
I work with a variety of issues such as depression, anxiety, bereavement, relationship issues, self harm, anger, bullying, self esteem, and more. If you need to find some space to talk to someone about your situation please contact me and I should be able to offer you an appointment within a few days. I provide a free, 30-minute no obligation consultation in which we can look at your main concerns. Whether therapy can help depends, in my opinion, on the relationship between us and how comfortable and safe you feel. I am also available by phone, Google meet or Teams.
I work with a variety of issues such as depression, anxiety, bereavement, relationship issues, self harm, anger, bullying, self esteem, and more. If you need to find some space to talk to someone about your situation please contact me and I should be able to offer you an appointment within a few days. I provide a free, 30-minute no obligation consultation in which we can look at your main concerns. Whether therapy can help depends, in my opinion, on the relationship between us and how comfortable and safe you feel. I am also available by phone, Google meet or Teams.
0151 317 5030 View 0151 317 5030
Photo of Helen Forbes, MA, MBACP, Counsellor
Helen Forbes
Counsellor, MA, MBACP
Verified Verified
Birkenhead CH41
Choosing the right therapist for you is important. You might want to talk to several people before you make your decision. We can chat by phone, or you can come and meet me to help you understand if we're a good fit. We can meet in my garden room, or we can walk and talk in Birkenhead Park.
Choosing the right therapist for you is important. You might want to talk to several people before you make your decision. We can chat by phone, or you can come and meet me to help you understand if we're a good fit. We can meet in my garden room, or we can walk and talk in Birkenhead Park.
0151 453 3478 View 0151 453 3478
Photo of Matthew Kemp, BACP, Counsellor
Matthew Kemp
Counsellor, BACP
Verified Verified
Birkenhead CH25
Are anxiety, relationship challenges, or old traumas weighing you down? As a compassionate and experienced therapist, I’m here to assist. Life can be overwhelming—whether you're dealing with a traumatic event, the loss of someone close, or relationship difficulties, you're not alone. I offer a supportive environment to explore and grow, specialising in cognitive-behavioural and humanistic approaches. If you're unsure where to start, book a free initial consultation to take that first step towards healing. I'm here to help you make the changes you want to make and find acceptance in the things you can't.
Are anxiety, relationship challenges, or old traumas weighing you down? As a compassionate and experienced therapist, I’m here to assist. Life can be overwhelming—whether you're dealing with a traumatic event, the loss of someone close, or relationship difficulties, you're not alone. I offer a supportive environment to explore and grow, specialising in cognitive-behavioural and humanistic approaches. If you're unsure where to start, book a free initial consultation to take that first step towards healing. I'm here to help you make the changes you want to make and find acceptance in the things you can't.
0151 453 2912 View 0151 453 2912
Photo of Anthony Lacey (Msc) - Anthony Lacey Psychotherapy
Anthony Lacey Psychotherapy
Verified Verified
Birkenhead CH25
Are you not feeling like you are getting the most out of life and feel somewhat stuck in some way? Maybe you notice that your over-reacting with certain people or when in certain places or situations? Do you avoid doing certain things due to overwhelming feelings? Are you feeling unhelpful amounts of guilt/shame, feel unsafe in someway or out of control? If so, I can help you work through these by tailoring your sessions to your individual needs so that you learn about your self, start working towards your goal(s) and then start become self-sufficient with regard to what life throws at you.
Are you not feeling like you are getting the most out of life and feel somewhat stuck in some way? Maybe you notice that your over-reacting with certain people or when in certain places or situations? Do you avoid doing certain things due to overwhelming feelings? Are you feeling unhelpful amounts of guilt/shame, feel unsafe in someway or out of control? If so, I can help you work through these by tailoring your sessions to your individual needs so that you learn about your self, start working towards your goal(s) and then start become self-sufficient with regard to what life throws at you.
0151 318 0431 View 0151 318 0431
Photo of Helen Beesley, HCPC - Clin. Psych., Psychologist
Helen Beesley
Psychologist, HCPC - Clin. Psych.
Verified Verified
Birkenhead CH42
I am a Chartered Clinical Psychologist and I provide psychological therapy for adults with emotional difficulties such as depression, anxiety, work stress, bereavement issues, low self-esteem, and those whose problems relate to a history of difficult experiences in childhood or traumatic experiences at any stage in life. An area of specialism is Clinical Health Psychology, helping people whose psychological difficulties relate to dealing with physical illness or injury. We all experience low mood and anxiety at times in our lives. Sometimes this can feel difficult to manage and psychological therapy can help.
I am a Chartered Clinical Psychologist and I provide psychological therapy for adults with emotional difficulties such as depression, anxiety, work stress, bereavement issues, low self-esteem, and those whose problems relate to a history of difficult experiences in childhood or traumatic experiences at any stage in life. An area of specialism is Clinical Health Psychology, helping people whose psychological difficulties relate to dealing with physical illness or injury. We all experience low mood and anxiety at times in our lives. Sometimes this can feel difficult to manage and psychological therapy can help.
0151 541 5346 View 0151 541 5346
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See more therapy options for Birkenhead

How does your Counsellor compare?

Number of Counsellors in Birkenhead

20+

Average cost per session

£55

Counsellors in Birkenhead who prioritize treating:

91% Anxiety
86% Self Esteem
82% Depression
82% Stress
64% Trauma and PTSD
59% Relationship Issues
50% Bereavement

Average years in practice

6 Years

Top 3 insurances accepted

80% Aviva
80% Bupa
60% AXA PPP

How Counsellors in Birkenhead see their clients

91% In Person and Online
9% Online Only

Gender breakdown

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

How can I find a therapist in Birkenhead?

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.