Counselling in Carlisle

Photo of Laura Reside-Robb, MBACP Accred, Psychotherapist
Laura Reside-Robb
Psychotherapist, MBACP Accred
Verified Verified
Carlisle CA1
Hello, and thanks for visiting. I'm Laura and I'm trained as an Integrative Psychotherapist. I'm a firm believer that each person is uniquely individual, and any therapeutic help they receive should be tailored to them, and their needs.​ Being Integrative means I'm not set on one school of thought, and work with you to find what approach fits best for you. You're in control of the sessions, you can bring whatever issues you'd like to discuss, , we go at a pace you're comfortable with. We'll look at working together to set realistic goals, based on what you'd like to achieve.
Hello, and thanks for visiting. I'm Laura and I'm trained as an Integrative Psychotherapist. I'm a firm believer that each person is uniquely individual, and any therapeutic help they receive should be tailored to them, and their needs.​ Being Integrative means I'm not set on one school of thought, and work with you to find what approach fits best for you. You're in control of the sessions, you can bring whatever issues you'd like to discuss, , we go at a pace you're comfortable with. We'll look at working together to set realistic goals, based on what you'd like to achieve.
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Photo of Alison Goldie, MBACP, Counsellor
Alison Goldie
Counsellor, MBACP
Verified Verified
Carlisle CA4
I studied at Northern Guild and trained in Transactional Analysis. I am a registered member of the British Association of Counselling and Psychotherapy. I work both long and short term to help you reach your personal goals. I also studied to work with couple's with a range of difficulties and presenting issues at The Counselling Academy. I work with adults aged 18 and over, offering both short and long term work to achieve your therapeutic goals, from my home in the Eden Valley. I work with individuals and couples. I am currently undertaking another diploma to train as a Psychosexual Therapist.
I studied at Northern Guild and trained in Transactional Analysis. I am a registered member of the British Association of Counselling and Psychotherapy. I work both long and short term to help you reach your personal goals. I also studied to work with couple's with a range of difficulties and presenting issues at The Counselling Academy. I work with adults aged 18 and over, offering both short and long term work to achieve your therapeutic goals, from my home in the Eden Valley. I work with individuals and couples. I am currently undertaking another diploma to train as a Psychosexual Therapist.
01228 276923 View 01228 276923
Photo of Johanna Lakin, MA, MNCPS Acc., Psychotherapist
Johanna Lakin
Psychotherapist, MA, MNCPS Acc.
Verified Verified
Carlisle CA5
I am a qualified Person-Centred psychotherapist and clinical supervisor. I will provide you a non judgemental, accepting and empathic environment, where we can look more closely at the distress you are feeling and how it is impacting your life. We will explore what your needs are and with that your decisions and potential for growth can become clearer and more fully formed. By creating a trusting therapeutic relationship, we can navigate your thoughts, feelings and experiences (past and present) to better understand how they have worked together to form your understanding of who you are and how you perceive yourself in the world.
I am a qualified Person-Centred psychotherapist and clinical supervisor. I will provide you a non judgemental, accepting and empathic environment, where we can look more closely at the distress you are feeling and how it is impacting your life. We will explore what your needs are and with that your decisions and potential for growth can become clearer and more fully formed. By creating a trusting therapeutic relationship, we can navigate your thoughts, feelings and experiences (past and present) to better understand how they have worked together to form your understanding of who you are and how you perceive yourself in the world.
01228 585119 View 01228 585119
Photo of Alicia Walton, MA
Alicia Walton
Art Therapist, MA
Verified Verified
Carlisle CA3
Art Therapy is an effective way to address personal challenges and develop self understanding, confidence and compassion. It is suitable for all ages and abilities and no art skills are needed to engage with the process. I encourage clients to make use of the materials provided during sessions which can help to externalise and visualise emotions which can be difficult or impossible to express in words. This can enable clients to reflect and process things which they may not even be aware are holding them back.
Art Therapy is an effective way to address personal challenges and develop self understanding, confidence and compassion. It is suitable for all ages and abilities and no art skills are needed to engage with the process. I encourage clients to make use of the materials provided during sessions which can help to externalise and visualise emotions which can be difficult or impossible to express in words. This can enable clients to reflect and process things which they may not even be aware are holding them back.
0117 463 0898 View 0117 463 0898
Photo of Beth Garrett, MBACP Accred, Counsellor
Beth Garrett
Counsellor, MBACP Accred
Verified Verified
Carlisle CA5
If you've found your way to me then life probably isn't all you want it to be at the moment. You've made a good start in seeking help. Sharing a problem can be hugely beneficial and I offer a safe and regular space for you to talk and explore difficult emotions and the things which may be troubling you. It can be a great relief to share your worries and fears with someone who acknowledges your feelings and works towards helping you reach a solution and feel better.
If you've found your way to me then life probably isn't all you want it to be at the moment. You've made a good start in seeking help. Sharing a problem can be hugely beneficial and I offer a safe and regular space for you to talk and explore difficult emotions and the things which may be troubling you. It can be a great relief to share your worries and fears with someone who acknowledges your feelings and works towards helping you reach a solution and feel better.
01228 276404 View 01228 276404
Photo of Ally louise Kenny - New Beginnings Counselling service, MBACP, Psychotherapist
New Beginnings Counselling service
Psychotherapist, MBACP
Verified Verified
Carlisle CA2  (Online Only)
It can very difficult to take the first steps to get help, my aim is to provide you with a trusting caring , and non-judgemental environment. I have many years experience as working as an Integrative Psychotherapist, and specialise in treating addiction, and am fully qualified to work with sexual addiction. I am trauma informed practioner. I have a BA degree in Person Centred Therapy , and a Diploma in Sexual Addiction. I work with the following issues ; Clinical depression, Generalised anxiety disorders, , Suicidal Ideation, depression , Stress, panic attacks, Low self esteem, Bereavement , relationship problems and Gender issues.
It can very difficult to take the first steps to get help, my aim is to provide you with a trusting caring , and non-judgemental environment. I have many years experience as working as an Integrative Psychotherapist, and specialise in treating addiction, and am fully qualified to work with sexual addiction. I am trauma informed practioner. I have a BA degree in Person Centred Therapy , and a Diploma in Sexual Addiction. I work with the following issues ; Clinical depression, Generalised anxiety disorders, , Suicidal Ideation, depression , Stress, panic attacks, Low self esteem, Bereavement , relationship problems and Gender issues.
01228 585242 View 01228 585242
Photo of Ryan Douglas Askey-Jones, MSc, MBABCP, Psychotherapist
Ryan Douglas Askey-Jones
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
Carlisle CA1
Do you want to reclaim your life and lead a life worth living? I can help you get your life back on track. As a highly skilled psychotherapist I can offer you effective, evidence based treatment for a range of problems including depression, anxiety disorders (e.g., OCD, health anxiety, social anxiety panic, phobias), PTSD, complex PTSD and personality disorders.
Do you want to reclaim your life and lead a life worth living? I can help you get your life back on track. As a highly skilled psychotherapist I can offer you effective, evidence based treatment for a range of problems including depression, anxiety disorders (e.g., OCD, health anxiety, social anxiety panic, phobias), PTSD, complex PTSD and personality disorders.
0117 463 5801 View 0117 463 5801
Photo of James Leighton-Burns, Counsellor
James Leighton-Burns
Counsellor
Verified Verified
Carlisle CA4
Summary: Simple, clear, listening. Processing with feedback offered if required. If you need a quick chat, or get something off your chest, shorter sessions are offered. I can cover a number of situations relating to the past, present or future plans and goals. A subject that pops up frequently - empathy or lack of it in several situations. Boundaries, relationships, stress... modern life. Perception, beyond face value, consideration, the who, what, why, when and how. Connection from the past, present and future goals.
Summary: Simple, clear, listening. Processing with feedback offered if required. If you need a quick chat, or get something off your chest, shorter sessions are offered. I can cover a number of situations relating to the past, present or future plans and goals. A subject that pops up frequently - empathy or lack of it in several situations. Boundaries, relationships, stress... modern life. Perception, beyond face value, consideration, the who, what, why, when and how. Connection from the past, present and future goals.
01228 479367 View 01228 479367
Photo of Deborah Pennington, MBACP, Counsellor
Deborah Pennington
Counsellor, MBACP
Verified Verified
Carlisle CA4
I’m an experienced and qualified Person-Centred Counsellor / Psychotherapist. As your counsellor I offer a safe, respectful space for you, where you can explore personal issues and emotions, within a gentle and warm approach. It may be that you are feeling anxious or stressed and would like to explore these in order to move towards a feeling of emotional well being. Perhaps you might want to talk about difficulties at work, with family, personal relationships or sexual difficulties. Counselling can support you to find the resilience to work through these with courage and to find coping methods.
I’m an experienced and qualified Person-Centred Counsellor / Psychotherapist. As your counsellor I offer a safe, respectful space for you, where you can explore personal issues and emotions, within a gentle and warm approach. It may be that you are feeling anxious or stressed and would like to explore these in order to move towards a feeling of emotional well being. Perhaps you might want to talk about difficulties at work, with family, personal relationships or sexual difficulties. Counselling can support you to find the resilience to work through these with courage and to find coping methods.
01743 298038 View 01743 298038
Photo of Dr Rosa Clare Chapman, PhD, MUKCP, Psychotherapist
Dr Rosa Clare Chapman
Psychotherapist, PhD, MUKCP
Verified Verified
Carlisle CA2
Hi! I’m a friendly and experienced psychotherapist who is UKCP and MBACP registered. I believe everyone is capable of change and making the best of their lives. I listen carefully without judgement and provide a safe space to develop a positive and trusting relationship to work through problems and issues. Sometimes these difficulties can be a reaction to a situation or perhaps a more deep rooted issue that affects the way we communicate or behave - possibly we are seeking support for something we are simply unable to fathom alone. Everyone has their own presentation and way of being - we will work together to meet your needs.
Hi! I’m a friendly and experienced psychotherapist who is UKCP and MBACP registered. I believe everyone is capable of change and making the best of their lives. I listen carefully without judgement and provide a safe space to develop a positive and trusting relationship to work through problems and issues. Sometimes these difficulties can be a reaction to a situation or perhaps a more deep rooted issue that affects the way we communicate or behave - possibly we are seeking support for something we are simply unable to fathom alone. Everyone has their own presentation and way of being - we will work together to meet your needs.
0115 647 3371 View 0115 647 3371
Photo of Deborah Louise Brown, BACP, Counsellor
Deborah Louise Brown
Counsellor, BACP
Verified Verified
Carlisle CA1
I work as an integrative counsellor and provide a safe and confidential space for you to talk about any anxieties, concerns or difficulties. Individual therapy can assist with a wide range of difficulties, providing a sense of relief and a renewed sense of hope and possibility for life. I can help with a particular problem or symptom, or help to explore your life more fully in the hope of achieving greater peace of mind.
I work as an integrative counsellor and provide a safe and confidential space for you to talk about any anxieties, concerns or difficulties. Individual therapy can assist with a wide range of difficulties, providing a sense of relief and a renewed sense of hope and possibility for life. I can help with a particular problem or symptom, or help to explore your life more fully in the hope of achieving greater peace of mind.
01946 556787 View 01946 556787
Photo of Mariette van Lieshout, MA
Mariette van Lieshout
MA
Verified Verified
1 Endorsed
Carlisle CA1  (Online Only)
If you feel stuck or at a loss with your life, perhaps due to past or present experiences (for example relationship difficulties, illness, work problems, losses); or if thoughts and emotions are difficult to bear (maybe resulting in feelings of anxiety, depression, loneliness or emptiness), you might benefit from talking – sharing with somebody who is there just for you, unbiased and non-judgemental. We would work at building a therapeutic relationship based on mutual trust and respect so that a safe and protected space can be created.
If you feel stuck or at a loss with your life, perhaps due to past or present experiences (for example relationship difficulties, illness, work problems, losses); or if thoughts and emotions are difficult to bear (maybe resulting in feelings of anxiety, depression, loneliness or emptiness), you might benefit from talking – sharing with somebody who is there just for you, unbiased and non-judgemental. We would work at building a therapeutic relationship based on mutual trust and respect so that a safe and protected space can be created.
013873 40698 View 013873 40698
Photo of Agnieszka Carruthers, MA, MBACP, Counsellor
Agnieszka Carruthers
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Carlisle CA1  (Online Only)
Hello, it is good to have you here. Taking the first step to reach out for support can be daunting. I am a qualified counsellor and I am here to provide you with a safe space where you can express your true self. I believe that a good therapeutic relationship can foster lasting change. Together, we will explore the issues that led you to seek support. I will walk alongside you on your journey, ask questions, and, where appropriate, gently challenge your thinking. In my practice, alongside talking therapy, I use various creative methods like metaphors, images, drawing, and raising awareness of your body responses.
Hello, it is good to have you here. Taking the first step to reach out for support can be daunting. I am a qualified counsellor and I am here to provide you with a safe space where you can express your true self. I believe that a good therapeutic relationship can foster lasting change. Together, we will explore the issues that led you to seek support. I will walk alongside you on your journey, ask questions, and, where appropriate, gently challenge your thinking. In my practice, alongside talking therapy, I use various creative methods like metaphors, images, drawing, and raising awareness of your body responses.
01665 661675 View 01665 661675
Photo of Keith Oulton - Keith Oulton, MA, MUKCP, Psychotherapist
Keith Oulton
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Carlisle CA1  (Online Only)
When I work with clients my aim is to provide you with the space where I can assist you to figure out how to resolve the issues that have brought you to therapy. My approach is to help the skills you need to implement the solutions you need.
When I work with clients my aim is to provide you with the space where I can assist you to figure out how to resolve the issues that have brought you to therapy. My approach is to help the skills you need to implement the solutions you need.
0115 647 7316 View 0115 647 7316
Photo of Estelle Maria Brightwell, MA, HCPC-Art Therap., Psychotherapist
Estelle Maria Brightwell
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Carlisle CA1
Art Psychotherapy can support psychological, emotional, educational, social, physical growth and brain development. Its a client led journey, non intrusive space to express ,communicate, talk and to work through past experience and to explore future goals. Its different to art teaching, you do not have to of had experience in art techniques to benefit from art therapy. We all interact with, process and produce art differently .Every individuals work is original. It can help with a range of things from raising self esteem/confidence, processing past trauma , coping with changes , coping skills, anxiety, sensory.............
Art Psychotherapy can support psychological, emotional, educational, social, physical growth and brain development. Its a client led journey, non intrusive space to express ,communicate, talk and to work through past experience and to explore future goals. Its different to art teaching, you do not have to of had experience in art techniques to benefit from art therapy. We all interact with, process and produce art differently .Every individuals work is original. It can help with a range of things from raising self esteem/confidence, processing past trauma , coping with changes , coping skills, anxiety, sensory.............
01434 303701 View 01434 303701
Photo of Gavin John Greig, MBACP, Counsellor
Gavin John Greig
Counsellor, MBACP
Verified Verified
Carlisle CA1
Gavin Greig Dip.Couns MBACP Registered Counsellor / Psychotherapist / Supervisor. I am very aware that considering starting with a Counsellor is a daunting prospect. Please do not worry, I will be there to listen and support you through whatever it is you are going through. I will provide a safe confidential, non-judgemental space where you can talk through the issues which are causing you trouble. I would like you to be as comfortable as possible. I am offering face to face at my Silloth address. Along on line hours via zoom, and of course standard telephone counselling if preferred.
Gavin Greig Dip.Couns MBACP Registered Counsellor / Psychotherapist / Supervisor. I am very aware that considering starting with a Counsellor is a daunting prospect. Please do not worry, I will be there to listen and support you through whatever it is you are going through. I will provide a safe confidential, non-judgemental space where you can talk through the issues which are causing you trouble. I would like you to be as comfortable as possible. I am offering face to face at my Silloth address. Along on line hours via zoom, and of course standard telephone counselling if preferred.
01234 982543 View 01234 982543
Photo of Dr Emily Haigh Clinical Psychologist, HCPC - Clin. Psych., Psychologist
Dr Emily Haigh Clinical Psychologist
Psychologist, HCPC - Clin. Psych.
Verified Verified
Carlisle CA1
Do you feel like you’ve lost yourself or as though life is a struggle? Are you finding it hard to live life in the way that you want? If so I believe I can help. Through one-to-one therapy sessions, I can support you to find clarity, calm, balance, and the tools to live a more fulfilled life as the very best version of you. I work with a variety of difficulties and have a particular interest and specialism in helping people who may be struggling to adjust to significant life events e.g. becoming a parent, menopausal changes, long term health conditions as well as people who have high standards or may be prone to self-criticism.
Do you feel like you’ve lost yourself or as though life is a struggle? Are you finding it hard to live life in the way that you want? If so I believe I can help. Through one-to-one therapy sessions, I can support you to find clarity, calm, balance, and the tools to live a more fulfilled life as the very best version of you. I work with a variety of difficulties and have a particular interest and specialism in helping people who may be struggling to adjust to significant life events e.g. becoming a parent, menopausal changes, long term health conditions as well as people who have high standards or may be prone to self-criticism.
01253 835243 View 01253 835243
Photo of Dr Jaime Jonsson, HCPC - Clin. Psych., Psychologist
Dr Jaime Jonsson
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Carlisle CA1  (Online Only)
Immediate Availability. Welcome and thank you for visiting the information about my online private practice. I am here to help you with whatever arises in your life, big or small, long term or short term. If you are feeling that you can´t manage, have trouble sleeping, worrying, life feels lonely or it is hard to get up on a morning, I am here to work with you towards a more fulfilling and happier life. I offer an online service which is flexible, compassionate, confidential and friendly.
Immediate Availability. Welcome and thank you for visiting the information about my online private practice. I am here to help you with whatever arises in your life, big or small, long term or short term. If you are feeling that you can´t manage, have trouble sleeping, worrying, life feels lonely or it is hard to get up on a morning, I am here to work with you towards a more fulfilling and happier life. I offer an online service which is flexible, compassionate, confidential and friendly.
0141 280 4672 View 0141 280 4672
Photo of Maureen Seddon - Lakes Trauma Therapy, MSc, Psychotherapist
Lakes Trauma Therapy
Psychotherapist, MSc
Verified Verified
1 Endorsed
Carlisle CA1
Maureen Seddon is an accredited and experienced EMDR Therapist with over 40 years of experience working with people in both the NHS and the private sector. Maureen originally qualified as a general nurse in Liverpool in 1982, training in mental health in 1984. Maureen trained in EMDR as she felt other therapies did not address the original causation of symptoms/triggers without causing further distress. Maureen targets the origin of the trauma in a holistic way.
Maureen Seddon is an accredited and experienced EMDR Therapist with over 40 years of experience working with people in both the NHS and the private sector. Maureen originally qualified as a general nurse in Liverpool in 1982, training in mental health in 1984. Maureen trained in EMDR as she felt other therapies did not address the original causation of symptoms/triggers without causing further distress. Maureen targets the origin of the trauma in a holistic way.
07427 518170 View 07427 518170
Photo of Charlotte Gutu, MSc, MBACP, Psychotherapist
Charlotte Gutu
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Carlisle CA1  (Online Only)
Hey! I’m Charlotte. I’m a therapist with an interest in helping people live with more authenticity, compassion and meaning. I work with people 1:1 and also have offerings at www.groundandascend.com Over my many years in practice, I've helped people make genuine shifts and changes in their lives and I hope to support you in doing the same. Therapy with me is non judgemental, compassionate and dynamic. It’s a space where we can take a look at the difficult stuff together and where I'll support you in growing towards where you want to go.
Hey! I’m Charlotte. I’m a therapist with an interest in helping people live with more authenticity, compassion and meaning. I work with people 1:1 and also have offerings at www.groundandascend.com Over my many years in practice, I've helped people make genuine shifts and changes in their lives and I hope to support you in doing the same. Therapy with me is non judgemental, compassionate and dynamic. It’s a space where we can take a look at the difficult stuff together and where I'll support you in growing towards where you want to go.
0114 303 2719 View 0114 303 2719
1

See more therapy options for Carlisle

How does your Counsellor compare?

Number of Counsellors in Carlisle

20+

Average cost per session

£60

Counsellors in Carlisle who prioritize treating:

100% Anxiety
100% Self Esteem
87% Depression
87% Stress
83% Relationship Issues
83% Bereavement
74% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

78% Aviva
67% AXA PPP
67% Bupa

How Counsellors in Carlisle see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Carlisle?

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.