Counselling in Blackhall Colliery

Photo of Natalie Holmes, MBACP, Counsellor
Natalie Holmes
Counsellor, MBACP
Verified Verified
1 Endorsed
Blackhall Colliery TS27
Hi, I’m Natalie, the therapist at East Durham Counselling. I work with adults and young people in private practice. I’m trained in integrative counselling, which means I have lots of techniques to choose from when deciding what will help my clients the most; I draw from person-centred, psychodynamic and cognitive-behavioural therapies depending on the presenting issues and client's needs. I have experience of working with autism, ADHD, abuse, anxiety, bereavement, depression, domestic violence, eating disorders, OCD, PTSD, relationship issues, self-harm, stress, trauma and dissociation.
Hi, I’m Natalie, the therapist at East Durham Counselling. I work with adults and young people in private practice. I’m trained in integrative counselling, which means I have lots of techniques to choose from when deciding what will help my clients the most; I draw from person-centred, psychodynamic and cognitive-behavioural therapies depending on the presenting issues and client's needs. I have experience of working with autism, ADHD, abuse, anxiety, bereavement, depression, domestic violence, eating disorders, OCD, PTSD, relationship issues, self-harm, stress, trauma and dissociation.
0191 743 9237 View 0191 743 9237

More Therapists Nearby

Photo of Amanda Jane Wilkinson, MBACP, Counsellor
Amanda Jane Wilkinson
Counsellor, MBACP
Verified Verified
Billingham TS23
Hello, I’m Amanda Wilkinson. I’m a therapist and jointly own a non profit making therapy company. I am experienced in working with Autism and relational trauma. I work with children, adults, families and organisations. I am a parent of four children and have a lived experience of parenting children who are neurodivergent. I have over 26 years of experience personally and professionally of different neurological conditions. I work with families who have adopted and looked after children, as well as birth families and individuals. I am NVR trained and work with groups and individuals where there is child to parent violence.
Hello, I’m Amanda Wilkinson. I’m a therapist and jointly own a non profit making therapy company. I am experienced in working with Autism and relational trauma. I work with children, adults, families and organisations. I am a parent of four children and have a lived experience of parenting children who are neurodivergent. I have over 26 years of experience personally and professionally of different neurological conditions. I work with families who have adopted and looked after children, as well as birth families and individuals. I am NVR trained and work with groups and individuals where there is child to parent violence.
01642 045044 View 01642 045044
Photo of Cheryl Parkes, MBACP Accred, Counsellor
Cheryl Parkes
Counsellor, MBACP Accred
Verified Verified
Billingham TS23
Hello, and welcome. I am an BACP (British Association for Counselling and Psychotherapy) Accredited Counsellor. I specialise in Anxiety, Depression, Stress, Panic, Low Self-Esteem, Oncology, End of Life and Grief.
Hello, and welcome. I am an BACP (British Association for Counselling and Psychotherapy) Accredited Counsellor. I specialise in Anxiety, Depression, Stress, Panic, Low Self-Esteem, Oncology, End of Life and Grief.
01642 937762 View 01642 937762
Photo of Kirby Graham, MBACP, Counsellor
Kirby Graham
Counsellor, MBACP
Verified Verified
Hartlepool TS24
Hello, My name is Kirby - BACP Registered Counsellor at Breakfree Counselling. It can be difficult to make the decision to begin therapy but you have taken the first step. I know that making this decision can bring about many feelings and emotions. You mightn't know what to expect from therapy. You mightn't feel that therapy is the right route to take, but I am here to help. Therapy can give you the opportunity to identify your issues and needs and help you to work towards moving forward. If you feel that this is right for you feel free to get in contact for a free no obligation initial consultation.
Hello, My name is Kirby - BACP Registered Counsellor at Breakfree Counselling. It can be difficult to make the decision to begin therapy but you have taken the first step. I know that making this decision can bring about many feelings and emotions. You mightn't know what to expect from therapy. You mightn't feel that therapy is the right route to take, but I am here to help. Therapy can give you the opportunity to identify your issues and needs and help you to work towards moving forward. If you feel that this is right for you feel free to get in contact for a free no obligation initial consultation.
0191 743 7883 View 0191 743 7883
Photo of Suzie Grazier
Suzie Grazier
Verified Verified
1 Endorsed
Hartlepool TS26
I was one of the first children's psychological wellbeing practitioners qualified in the UK and provide support for children and young people struggling with mild to moderate common mental health issues, such as social anxiety, separation anxiety, OCD, panic attacks, phobias, generalised anxiety and low mood. With 3 years experience of working in CAMHS I am aware of the issues that many families face in getting early help for their children. I am passionate about early intervention and believe that getting the right help at the earliest opportunity can make a world of difference long into adulthood.
I was one of the first children's psychological wellbeing practitioners qualified in the UK and provide support for children and young people struggling with mild to moderate common mental health issues, such as social anxiety, separation anxiety, OCD, panic attacks, phobias, generalised anxiety and low mood. With 3 years experience of working in CAMHS I am aware of the issues that many families face in getting early help for their children. I am passionate about early intervention and believe that getting the right help at the earliest opportunity can make a world of difference long into adulthood.
01429 802903 View 01429 802903
Photo of Stephanie Powell, BACP, Counsellor
Stephanie Powell
Counsellor, BACP
Verified Verified
Hartlepool TS25
I am a Psychological Therapist specialising in solution focused therapy. If you are seeking change and positive growth such as developing confidence or healthy self-esteem, we will work strategically to move you towards your goals. Creating a stronger sense of who you are and what you want, will help you to move forward with your life. Many life experiences, however simple or traumatic, can keep us stuck; we will explore and address what needs to be released, healed and developed in order to align you with your most authentic self and best life. My work is a complete integrated approach to mind/body/spirit wellness.
I am a Psychological Therapist specialising in solution focused therapy. If you are seeking change and positive growth such as developing confidence or healthy self-esteem, we will work strategically to move you towards your goals. Creating a stronger sense of who you are and what you want, will help you to move forward with your life. Many life experiences, however simple or traumatic, can keep us stuck; we will explore and address what needs to be released, healed and developed in order to align you with your most authentic self and best life. My work is a complete integrated approach to mind/body/spirit wellness.
01642 061095 View 01642 061095
Photo of Sarah Moran, MBACP Accred, Counsellor
Sarah Moran
Counsellor, MBACP Accred
Verified Verified
Stockton-on-Tees TS20
Hi there, I'm Sarah A qualified Person-Centred Counsellor, and an Imago Relationship Therapist. Using an integrative method - I am experienced in supporting people deal with a number of diverse issues including relationship issues, family issues, low self-esteem, stress, anxiety, depression, bereavement, communication and marital problems.
Hi there, I'm Sarah A qualified Person-Centred Counsellor, and an Imago Relationship Therapist. Using an integrative method - I am experienced in supporting people deal with a number of diverse issues including relationship issues, family issues, low self-esteem, stress, anxiety, depression, bereavement, communication and marital problems.
01642 573268 View 01642 573268
Photo of Andrew Flynn - Talking Spaces UK , MBACP, Counsellor
Talking Spaces UK
Counsellor, MBACP
Verified Verified
Hartlepool TS25
Waitlist for new clients
Empowering men to navigate life's challenges with confidence and clarity. Talking Spaces is an accessible counselling specialist service for men’s mental health, available in person or via Zoom. Generally men by nature are more action focused, so when it comes to managing difficult life events and emotions I use action and solution based therapeutic approaches and interventions when working with men’s mental health issues. Men need a service with the knowledge understand that social and cultural norms and ingrained beliefs about masculinity are one of the main barriers to seeking counselling in the first place.
Empowering men to navigate life's challenges with confidence and clarity. Talking Spaces is an accessible counselling specialist service for men’s mental health, available in person or via Zoom. Generally men by nature are more action focused, so when it comes to managing difficult life events and emotions I use action and solution based therapeutic approaches and interventions when working with men’s mental health issues. Men need a service with the knowledge understand that social and cultural norms and ingrained beliefs about masculinity are one of the main barriers to seeking counselling in the first place.
01429 806967 View 01429 806967
Photo of Hayley Harle - Hayley Harle - BU Therapy , MNCPS Acc., Counsellor
Hayley Harle - BU Therapy
Counsellor, MNCPS Acc.
Verified Verified
Hartlepool TS24
Hello and welcome to my page! After being a part of the military community for over 10 years, I was in close contact with individuals suffering with post-traumatic stress; Flashbacks and nightmares; triggers such as smells, social situations and physical sensations. These symptoms can then cause anxiety, depression, overwhelming feelings of anger and frustration, numbness, lack of sleep, relationship difficulties, substance use, isolation and sadly in some cases suicidal thoughts and attempts.. does any of these sound familiar? Then keep reading see if you think I could be the right fit for you
Hello and welcome to my page! After being a part of the military community for over 10 years, I was in close contact with individuals suffering with post-traumatic stress; Flashbacks and nightmares; triggers such as smells, social situations and physical sensations. These symptoms can then cause anxiety, depression, overwhelming feelings of anger and frustration, numbness, lack of sleep, relationship difficulties, substance use, isolation and sadly in some cases suicidal thoughts and attempts.. does any of these sound familiar? Then keep reading see if you think I could be the right fit for you
01287 550548 View 01287 550548
Photo of Kathleen Whelan - Inukshuk Therapy & Publishing, MA, SNCPS Acc., Psychotherapist
Inukshuk Therapy & Publishing
Psychotherapist, MA, SNCPS Acc.
Verified Verified
2 Endorsed
Wingate TS28
Welcome my name is Kathleen, I am an integrative MA-qualified psychotherapist, author, and supervisor working with young people, adults, and couples. I realise that enquiries into therapy can be a daunting experience for most. I have a specialism in bereavement, yet have worked with a variety of themes; I am here to help. I offer video consultations for 15 minutes to make sure that I can assist you whilst working on the nature of what you wish to bring. I can offer face-to-face sessions also yet this needs to be organised in advance.. I look forward to hearing from you.
Welcome my name is Kathleen, I am an integrative MA-qualified psychotherapist, author, and supervisor working with young people, adults, and couples. I realise that enquiries into therapy can be a daunting experience for most. I have a specialism in bereavement, yet have worked with a variety of themes; I am here to help. I offer video consultations for 15 minutes to make sure that I can assist you whilst working on the nature of what you wish to bring. I can offer face-to-face sessions also yet this needs to be organised in advance.. I look forward to hearing from you.
01429 801370 View 01429 801370
Photo of Deborah Cowell, MNCPS Acc., Counsellor
Deborah Cowell
Counsellor, MNCPS Acc.
Verified Verified
Peterlee SR8
Weekend Clinic Available Now! Are you experiencing life changes that are causing you stress, low moods and anxiety? Are you struggling with your mental health? Are you struggling with past trauma? Perhaps your using substances or alcohol to cope with life’s pressures that are spiralling out of control? Do you feel ready to talk, explore and work through your issues in a safe and confidential space? I can help you address your concerns without any judgement and at your own pace while building a trusting authentic therapeutic relationship.
Weekend Clinic Available Now! Are you experiencing life changes that are causing you stress, low moods and anxiety? Are you struggling with your mental health? Are you struggling with past trauma? Perhaps your using substances or alcohol to cope with life’s pressures that are spiralling out of control? Do you feel ready to talk, explore and work through your issues in a safe and confidential space? I can help you address your concerns without any judgement and at your own pace while building a trusting authentic therapeutic relationship.
0191 743 6562 View 0191 743 6562
Photo of Deborah Williamson - At One Relationship Therapy  , MBACP, Counsellor
At One Relationship Therapy
Counsellor, MBACP
Verified Verified
Stockton-on-Tees TS20
Having problems with relationships? Either the relationship you have with yourself, your partner or your relationship as a parent? If you're struggling in any of these areas and finding that your mind is pre-occupied with troubling thoughts and it's getting in the way of normal enjoyment then I can assure you that it doesn't have to be this way.
Having problems with relationships? Either the relationship you have with yourself, your partner or your relationship as a parent? If you're struggling in any of these areas and finding that your mind is pre-occupied with troubling thoughts and it's getting in the way of normal enjoyment then I can assure you that it doesn't have to be this way.
01325 808148 View 01325 808148
Photo of Karena Serdecka, MSc, MUKCP, Psychotherapist
Karena Serdecka
Psychotherapist, MSc, MUKCP
Verified Verified
Hartlepool TS24
Whether working through significant change, life event or trying to manage/resolve longer term issues which prevent you from thriving and reaching your fullest potential in life, relationships, family or work – I can work with you in a fully supportive, non-judgemental, empathic way. I am a warm, relational and person-centred integrative psychotherapist and EMDR specialist Dip Psych & DPC (child and adolescent), also clinical hypnotherapist (Adult). Additionally -Dip CBT, EFT, Mindfulness, Art and Couples Therapies. I lecture in psychotherapy, psychology and counselling and have worked with clients 5 yrs old to 80yrs+.
Whether working through significant change, life event or trying to manage/resolve longer term issues which prevent you from thriving and reaching your fullest potential in life, relationships, family or work – I can work with you in a fully supportive, non-judgemental, empathic way. I am a warm, relational and person-centred integrative psychotherapist and EMDR specialist Dip Psych & DPC (child and adolescent), also clinical hypnotherapist (Adult). Additionally -Dip CBT, EFT, Mindfulness, Art and Couples Therapies. I lecture in psychotherapy, psychology and counselling and have worked with clients 5 yrs old to 80yrs+.
07445 540791 View 07445 540791
Photo of Calm Together - Calm Together Therapies & Wellness, MSc, MUKCP, Psychotherapist
Calm Together Therapies & Wellness
Psychotherapist, MSc, MUKCP
Verified Verified
Seaham SR7
Welcome to Calm Together, your dedicated specialist therapeutic support service in the Northeast of England! We are here to assist families, young people, and adults on their journey towards healing and well-being. At Calm Together, we understand the importance of mental wellness in today’s fast-paced world. Our goal is to provide you with the support and resources you need to cultivate a peaceful, balanced life. Whether you’re seeking help with stress, looking to improve your mental health, or wanting to build better habits, we’re here to guide you every step of the way.
Welcome to Calm Together, your dedicated specialist therapeutic support service in the Northeast of England! We are here to assist families, young people, and adults on their journey towards healing and well-being. At Calm Together, we understand the importance of mental wellness in today’s fast-paced world. Our goal is to provide you with the support and resources you need to cultivate a peaceful, balanced life. Whether you’re seeking help with stress, looking to improve your mental health, or wanting to build better habits, we’re here to guide you every step of the way.
0191 743 4546 View 0191 743 4546
Photo of Alyson Wright, MNCPS Acc., Counsellor
Alyson Wright
Counsellor, MNCPS Acc.
Verified Verified
Hartlepool TS26
Hello, my name is Alyson and I am an Integrative Therapist; this means that my way of working is adaptable to your needs. I offer a safe, confidential space in which you can be free to address any issues you might have or indeed just to 'offload' life's stresses. Anything you bring to our time together will be treated in a non-judgemental way, with a view to helping you.
Hello, my name is Alyson and I am an Integrative Therapist; this means that my way of working is adaptable to your needs. I offer a safe, confidential space in which you can be free to address any issues you might have or indeed just to 'offload' life's stresses. Anything you bring to our time together will be treated in a non-judgemental way, with a view to helping you.
01429 801385 View 01429 801385
Photo of Leigh Brannon, MA, MBACP Accred, Counsellor
Leigh Brannon
Counsellor, MA, MBACP Accred
Verified Verified
Houghton le Spring DH5
When relationships (business, family or personal) are troubled, we can feel anxious or depressed. Whether its lack of, ending of, difficulties with or changes in relationships, at work or home, our need for human closeness both brings pleasure and causes problems. Maybe change is driven by others, maybe you need something to change but don't know the best way to go about it. Perhaps you’re finding that you’re stuck in a destructive communication pattern and feel like you’re going round in circles. Maybe you don’t really know what you want, but would like to find out. I can help.
When relationships (business, family or personal) are troubled, we can feel anxious or depressed. Whether its lack of, ending of, difficulties with or changes in relationships, at work or home, our need for human closeness both brings pleasure and causes problems. Maybe change is driven by others, maybe you need something to change but don't know the best way to go about it. Perhaps you’re finding that you’re stuck in a destructive communication pattern and feel like you’re going round in circles. Maybe you don’t really know what you want, but would like to find out. I can help.
0191 743 0339 View 0191 743 0339
Photo of Debbie Robinson, MA, BACP, Counsellor
Debbie Robinson
Counsellor, MA, BACP
Verified Verified
Stockton-on-Tees TS21
Welcome to my profile. If you are here then you have made a brave step in seeking support to work through some difficult feelings, emotions, changes or situations you may be encountering. You may be suffering with anxiety that is beginning to take over your day to day life; or thoughts that ruminate in your mind and keep you awake at night. Or maybe you have trauma that has never been healed and is holding you back from achieving the things you want to achieve in life. Reaching out for help can feel challenging but you are here and have cleared the first hurdle and you have come to the right place to get you back on track.
Welcome to my profile. If you are here then you have made a brave step in seeking support to work through some difficult feelings, emotions, changes or situations you may be encountering. You may be suffering with anxiety that is beginning to take over your day to day life; or thoughts that ruminate in your mind and keep you awake at night. Or maybe you have trauma that has never been healed and is holding you back from achieving the things you want to achieve in life. Reaching out for help can feel challenging but you are here and have cleared the first hurdle and you have come to the right place to get you back on track.
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Photo of Faye Fraser - Dr. Faye Fraser, HCPC - Clin. Psych., Psychologist
Dr. Faye Fraser
Psychologist, HCPC - Clin. Psych.
Verified Verified
Durham DH6
Faye is passionate about offering an approachable and professional clinical psychology service that aims to support those who find themselves in emotional distress. Faye can help you identify and achieve your goals for better mental health. This will involve gaining a better understanding of your difficulties, consider what is blocking you from moving forward and causing you to feel stuck, and consider ways to better manage the issue identified.
Faye is passionate about offering an approachable and professional clinical psychology service that aims to support those who find themselves in emotional distress. Faye can help you identify and achieve your goals for better mental health. This will involve gaining a better understanding of your difficulties, consider what is blocking you from moving forward and causing you to feel stuck, and consider ways to better manage the issue identified.
0191 917 4522 View 0191 917 4522
Photo of Jenny Marshall, PsychD, HCPC - Clin. Psych., Psychologist
Jenny Marshall
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Stockton-on-Tees TS20
I work with individuals with a range of difficulties relating to both their relationships with themselves and others. These difficulties may manifest themselves in high levels of self criticism, low self esteem, poor self worth linked with low mood or anxiety amongst other issues. They may also manifest themselves in unrealistic expectations of self or unrelenting standards resulting in high levels of stress and burnout. I have extensive experience in working with trauma and the impact that this can have on both view of self, and on relationships with others including difficulties trusting others.
I work with individuals with a range of difficulties relating to both their relationships with themselves and others. These difficulties may manifest themselves in high levels of self criticism, low self esteem, poor self worth linked with low mood or anxiety amongst other issues. They may also manifest themselves in unrealistic expectations of self or unrelenting standards resulting in high levels of stress and burnout. I have extensive experience in working with trauma and the impact that this can have on both view of self, and on relationships with others including difficulties trusting others.
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Photo of Dr Lindsey Nicholson - Psychological Therapy And Supervision, HCPC - Clin. Psych., Psychologist
Dr Lindsey Nicholson - Psychological Therapy And Supervision
Psychologist, HCPC - Clin. Psych.
Verified Verified
Stockton-on-Tees TS21
I am a HCPC Registered Clinical Psychologist. I have 25 years of NHS and private healthcare experience. I have many years experience of treating a wide array of psychological difficulties, from day to day worries to complex psychological conditions. I provide safe and effective highly specialised psychological assessment and therapy which is tailored to your specific needs. I am highly experienced in using a variety of evidence-based psychological therapies for which I have received doctoral specialist training. I can help you to understand your difficulties and develop ways to move forward.
I am a HCPC Registered Clinical Psychologist. I have 25 years of NHS and private healthcare experience. I have many years experience of treating a wide array of psychological difficulties, from day to day worries to complex psychological conditions. I provide safe and effective highly specialised psychological assessment and therapy which is tailored to your specific needs. I am highly experienced in using a variety of evidence-based psychological therapies for which I have received doctoral specialist training. I can help you to understand your difficulties and develop ways to move forward.
01287 555540 View 01287 555540

How does your Counsellor compare?

Number of Counsellors in Blackhall Colliery

< 10

Counsellors in Blackhall Colliery who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Addiction
100% Child
100% ADHD
100% Chronic Pain

Average years in practice

4 Years

Gender breakdown

100% Female

How Counsellors in Blackhall Colliery see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Blackhall Colliery?

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.