Counselling in Combe Down

Photo of Craig Philip Smith, MBACP, Counsellor
Craig Philip Smith
Counsellor, MBACP
Verified Verified
Combe Down BA2  (Online Only)
I can work with you around family issues, teen problems, child behaviour, ASC issues, illness and disability. I will support, collaborate and try to make sense of what is going on. All things eventually pass - I will offer to weather the storm with you. I won’t be judging you or not taking you seriously. We will work together - and it will be work - but we will also aim to have fun and be creative in our work.
I can work with you around family issues, teen problems, child behaviour, ASC issues, illness and disability. I will support, collaborate and try to make sense of what is going on. All things eventually pass - I will offer to weather the storm with you. I won’t be judging you or not taking you seriously. We will work together - and it will be work - but we will also aim to have fun and be creative in our work.
01225 541093 View 01225 541093
Photo of Heather Coombe, MBACP Accred, Counsellor
Heather Coombe
Counsellor, MBACP Accred
Verified Verified
Combe Down BA2
Not accepting new clients
If you change nothing, nothing changes but it can be hard to know where to begin. I feel it starts with you being heard and valued. Having your story and your feelings witnessed and validated is extraordinarily powerful and provides the catalyst for change. You will gain a clarity and a sense of perspective as well as an understanding of why you behave in the way you do. Talking to me will feel different from talking to a friend or family member. I will offer you insights and reflections, not opinions or solutions. I am interested in you and your experiences and they matter to me, but as I'm not involved I can remain objective.
If you change nothing, nothing changes but it can be hard to know where to begin. I feel it starts with you being heard and valued. Having your story and your feelings witnessed and validated is extraordinarily powerful and provides the catalyst for change. You will gain a clarity and a sense of perspective as well as an understanding of why you behave in the way you do. Talking to me will feel different from talking to a friend or family member. I will offer you insights and reflections, not opinions or solutions. I am interested in you and your experiences and they matter to me, but as I'm not involved I can remain objective.
07968 953384 View 07968 953384
Photo of Tessa Strickland, MA, MUKCP, Psychotherapist
Tessa Strickland
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Combe Down BA2
Are you struggling with a relationship or juggling the competing demands of your private and professional life? Are you feeling stuck and uncertain about how to fulfil your potential? Have you recently lost someone close to you? I first sought help as a young mother and the benefits were so enormous, I chose to train as a psychotherapist myself. I work one-to-one and with couples, helping you to identify patterns in your relationship with others, and with yourself, and establishing ways of changing those patterns that do not serve you.
Are you struggling with a relationship or juggling the competing demands of your private and professional life? Are you feeling stuck and uncertain about how to fulfil your potential? Have you recently lost someone close to you? I first sought help as a young mother and the benefits were so enormous, I chose to train as a psychotherapist myself. I work one-to-one and with couples, helping you to identify patterns in your relationship with others, and with yourself, and establishing ways of changing those patterns that do not serve you.
01225 530240 View 01225 530240
Photo of Louise Earle, MSc, MBACP, Counsellor
Louise Earle
Counsellor, MSc, MBACP
Verified Verified
Combe Down BA2
Finding a therapist can feel like a minefield. Ultimately you probably want to find someone to talk to that you feel comfortable with, and who can of course help. I understand how confusing and nerve-wracking it can be to consider therapy and take the first step. I provide clients with a supportive space in which to unpack their challenges. I will help you to get a better handle on what is happening for you. I have experience of working with anxiety, depression, significant loss and bereavement, childhood and midlife trauma, as well as difficulty understanding feelings.
Finding a therapist can feel like a minefield. Ultimately you probably want to find someone to talk to that you feel comfortable with, and who can of course help. I understand how confusing and nerve-wracking it can be to consider therapy and take the first step. I provide clients with a supportive space in which to unpack their challenges. I will help you to get a better handle on what is happening for you. I have experience of working with anxiety, depression, significant loss and bereavement, childhood and midlife trauma, as well as difficulty understanding feelings.
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Photo of Zoe Feldwick, MSc, MBACP, Counsellor
Zoe Feldwick
Counsellor, MSc, MBACP
Verified Verified
Combe Down BA2
I am an integrative therapeutic counsellor. I do what I do because I love helping clients step away from anxiety, low mood, overwhelm and low self-esteem, and instead step into their power, discovering their potential with kindness and compassion. I work face to face, online and in the outdoors in the countryside surrounding Bath - so if you're a wild soul who loves being outside, I may be the counsellor for you!
I am an integrative therapeutic counsellor. I do what I do because I love helping clients step away from anxiety, low mood, overwhelm and low self-esteem, and instead step into their power, discovering their potential with kindness and compassion. I work face to face, online and in the outdoors in the countryside surrounding Bath - so if you're a wild soul who loves being outside, I may be the counsellor for you!
01225 234538 View 01225 234538

More Therapists Nearby

Photo of Dr Shem Hillman - Dr Shem Hillman (Clinical Psychologist) , HCPC - Clin. Psych., Psychologist
Dr Shem Hillman (Clinical Psychologist)
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Bath BA1
I am a Clinical Psychologist and accredited Cognitive Behavioral Therapy (CBT) psychotherapist, using a range of approaches to help clients navigate life's challenges. Whether you're struggling with anxiety, depression, trauma, self-esteem issues, or stress, I offer a supportive, warm, non-judgmental space to explore your thoughts and emotions. Through evidence-based techniques, I support my clients in developing practical skills to understand and manage negative thinking patterns, build resilience, and nurture self-compassion.
I am a Clinical Psychologist and accredited Cognitive Behavioral Therapy (CBT) psychotherapist, using a range of approaches to help clients navigate life's challenges. Whether you're struggling with anxiety, depression, trauma, self-esteem issues, or stress, I offer a supportive, warm, non-judgmental space to explore your thoughts and emotions. Through evidence-based techniques, I support my clients in developing practical skills to understand and manage negative thinking patterns, build resilience, and nurture self-compassion.
View
Photo of Susie Travis, MBACP, Counsellor
Susie Travis
Counsellor, MBACP
Verified Verified
Bath BA1
I'm an integrative counsellor providing face-to-face and online therapy. I'm currently working a lot with issues around self-esteem, anxiety, relationship struggles and depression. I do a lot of work with students and young adults, as well as with clients who are struggling with burnout, work stress and family dynamics. I will offer a non-judgemental space and walk alongside you as you process emotions and build awareness at your own pace. You may want to talk through something significant that has happened in your life, or you may be feeling stuck, anxious, or overwhelmed in your life now.
I'm an integrative counsellor providing face-to-face and online therapy. I'm currently working a lot with issues around self-esteem, anxiety, relationship struggles and depression. I do a lot of work with students and young adults, as well as with clients who are struggling with burnout, work stress and family dynamics. I will offer a non-judgemental space and walk alongside you as you process emotions and build awareness at your own pace. You may want to talk through something significant that has happened in your life, or you may be feeling stuck, anxious, or overwhelmed in your life now.
01275 402876 View 01275 402876
Photo of Helen Katherine Frost - Helen Frost Psychotherapy, MA, MUKCP, Psychotherapist
Helen Frost Psychotherapy
Psychotherapist, MA, MUKCP
Verified Verified
Bath BA1
Are you feeling stuck or lost? Something isn't right or you want more from life? People come to therapy because of many different issues: feelings that are hard to bear, finding the same situations or relationships keep repeating, wanting change, wanting to find a new way forward. Psychotherapy offers a way to create change from the roots up, exploring yourself at depth to gain greater insight and awareness and to free yourself from patterns that no longer serve you well.
Are you feeling stuck or lost? Something isn't right or you want more from life? People come to therapy because of many different issues: feelings that are hard to bear, finding the same situations or relationships keep repeating, wanting change, wanting to find a new way forward. Psychotherapy offers a way to create change from the roots up, exploring yourself at depth to gain greater insight and awareness and to free yourself from patterns that no longer serve you well.
01225 434562 View 01225 434562
Photo of Rose Sadowski, MA, HCPC-Drama Therap., Psychotherapist
Rose Sadowski
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
1 Endorsed
Bath BA1
Waitlist for new clients
At some point in life we all need some extra support. A caring and non-judgemental space to feel seen and heard in our experience. Someone to walk alongside us on our journey who is separate from our everyday lives, offering professional guidance & reflection. As a therapist, I aim to offer this in a way that feels congruent and helpful for you. I offer a space for you to process and understand your experience safely. When the world around us can often feel confusing and turbulent, the combination of Psychotherapy and creativity can offer containment, insight and the potential for positive change.
At some point in life we all need some extra support. A caring and non-judgemental space to feel seen and heard in our experience. Someone to walk alongside us on our journey who is separate from our everyday lives, offering professional guidance & reflection. As a therapist, I aim to offer this in a way that feels congruent and helpful for you. I offer a space for you to process and understand your experience safely. When the world around us can often feel confusing and turbulent, the combination of Psychotherapy and creativity can offer containment, insight and the potential for positive change.
0117 463 1778 View 0117 463 1778
Photo of Helen Sanderson-Davies, MBACP, Psychotherapist
Helen Sanderson-Davies
Psychotherapist, MBACP
Verified Verified
Bath BA1  (Online Only)
If you are like most people, you are probably considering therapy because you want to change something. This might be the way you feel or behave; it might be how you believe other people see you, or how you see yourself. It might be things you think about or dwell upon, or the way you get on (or don’t) with others. Whatever it is, individual therapy provides a space to talk about what it is you want to change and to learn how to bring that change about. A space that is safe, confidential and non-judgemental. As your therapist I see myself as someone who can support you on all aspects of your life journey.
If you are like most people, you are probably considering therapy because you want to change something. This might be the way you feel or behave; it might be how you believe other people see you, or how you see yourself. It might be things you think about or dwell upon, or the way you get on (or don’t) with others. Whatever it is, individual therapy provides a space to talk about what it is you want to change and to learn how to bring that change about. A space that is safe, confidential and non-judgemental. As your therapist I see myself as someone who can support you on all aspects of your life journey.
01225 434432 View 01225 434432
Photo of Wendy Churchill, MBACP, Counsellor
Wendy Churchill
Counsellor, MBACP
Verified Verified
Bath BA2
I am an MBACP Registered, Relate trained relationship counsellor and psychosexual therapist. I am experienced at working with couples and individuals at every stage in a relationship and am qualified in supporting people with a wide range of sexual issues and dysfunctions. I work with a wide range of problems including communication difficulties, anxiety, depression, divorce, affairs, self esteem, grief, issues of trust, difficulties with the wider family, cultural differences, intimacy issues and sexual dysfunction.
I am an MBACP Registered, Relate trained relationship counsellor and psychosexual therapist. I am experienced at working with couples and individuals at every stage in a relationship and am qualified in supporting people with a wide range of sexual issues and dysfunctions. I work with a wide range of problems including communication difficulties, anxiety, depression, divorce, affairs, self esteem, grief, issues of trust, difficulties with the wider family, cultural differences, intimacy issues and sexual dysfunction.
01761 258239 View 01761 258239
Photo of Sam Fairgrieve, MA, MUKCP, Psychotherapist
Sam Fairgrieve
Psychotherapist, MA, MUKCP
Verified Verified
Bath BA1
I am a UKCP accredited and BACP registered psychotherapist with ten years’ clinical experience working in private practice. I help people to overcome their difficulties so they are free to fully live their lives and reach their potential. I have experience with a wide range of emotional and psychological problems including; depression/low mood; anxiety; panic attacks; overwhelm; relationship difficulties; low self-esteem/low self-confidence; anger management/destructive anger; self-defeating and self-destructive patterns of behaviour; and lack of meaning or purpose.
I am a UKCP accredited and BACP registered psychotherapist with ten years’ clinical experience working in private practice. I help people to overcome their difficulties so they are free to fully live their lives and reach their potential. I have experience with a wide range of emotional and psychological problems including; depression/low mood; anxiety; panic attacks; overwhelm; relationship difficulties; low self-esteem/low self-confidence; anger management/destructive anger; self-defeating and self-destructive patterns of behaviour; and lack of meaning or purpose.
01480 270897 View 01480 270897
Photo of Jacqueline Bailey, PhD, CPsychol, Psychologist
Jacqueline Bailey
Psychologist, PhD, CPsychol
Verified Verified
Bath BA2
I am a health psychologist working as a CBT therapist. Please see my website resolvingpain.co.uk for more information. Or you can email me: jacqueline@resolvingpain.co.uk During these times I can offer therapy via Skype and Zoom too if necessary.
I am a health psychologist working as a CBT therapist. Please see my website resolvingpain.co.uk for more information. Or you can email me: jacqueline@resolvingpain.co.uk During these times I can offer therapy via Skype and Zoom too if necessary.
01225 985387 View 01225 985387
Photo of Ana Garcia, MA, MBABCP, Psychotherapist
Ana Garcia
Psychotherapist, MA, MBABCP
Verified Verified
5 Endorsed
Bath BA1
Hi I’m Ana, an accredited CBT Therapist working with children, young people and adults. I have worked in mental health for almost two decades. Are you feeling stuck, lost or finding things difficult to manage? This may include struggling with waiting lists for support or guidance around Autism and/or ADHD? Are you unsure on what direction to go next or what choices to make? I would encourage you to reach out and get in touch with me. I work with a range of mental health difficulties, and I will work with you to help adapt our work to focus on your own individual needs and experiences, supporting you to achieve your goals.
Hi I’m Ana, an accredited CBT Therapist working with children, young people and adults. I have worked in mental health for almost two decades. Are you feeling stuck, lost or finding things difficult to manage? This may include struggling with waiting lists for support or guidance around Autism and/or ADHD? Are you unsure on what direction to go next or what choices to make? I would encourage you to reach out and get in touch with me. I work with a range of mental health difficulties, and I will work with you to help adapt our work to focus on your own individual needs and experiences, supporting you to achieve your goals.
01225 258839 View 01225 258839
Photo of Yana Zavina-Newman - Spiritual Psychotherapy & Counselling , MSc
Spiritual Psychotherapy & Counselling
MSc
Verified Verified
Bath BA2
Welcome to my page! My journey to Spiritual Psychotherapy and Soul Psychology started 30+ years ago during the extensive study of Yoga, Meditation, and Eastern Philosophy. This led me to become a yoga and meditation teacher to assist others to find their way back 'home' to wholeness of body, mind, and spirit. Eventually I was led to a study of western psychological approaches. I am confident that my experience in the fields of spirituality, yoga and psychology has given me a unique opportunity to be able to access broader layers of human psyche to facilitate deeper levels of healing, soul integration, and self-empowerment.
Welcome to my page! My journey to Spiritual Psychotherapy and Soul Psychology started 30+ years ago during the extensive study of Yoga, Meditation, and Eastern Philosophy. This led me to become a yoga and meditation teacher to assist others to find their way back 'home' to wholeness of body, mind, and spirit. Eventually I was led to a study of western psychological approaches. I am confident that my experience in the fields of spirituality, yoga and psychology has given me a unique opportunity to be able to access broader layers of human psyche to facilitate deeper levels of healing, soul integration, and self-empowerment.
01248 661511 View 01248 661511
Photo of Laura Slaughter, MA, MBACP Accred, Psychotherapist
Laura Slaughter
Psychotherapist, MA, MBACP Accred
Verified Verified
Bath BA2
Therapy offers insight and understanding helping you work towards an awareness of the self. It gives the opportunity to discover inbuilt defence mechanisms that perhaps no longer serve the person you have become as a result of the traumas we all experience in life. Counselling can be a quiet, safe space to breathe and think about your life. Who you are, where you are going and what you wish to gain. It can be a space to grieve the losses you have experienced in your life and the changes that happen throughout your life.
Therapy offers insight and understanding helping you work towards an awareness of the self. It gives the opportunity to discover inbuilt defence mechanisms that perhaps no longer serve the person you have become as a result of the traumas we all experience in life. Counselling can be a quiet, safe space to breathe and think about your life. Who you are, where you are going and what you wish to gain. It can be a space to grieve the losses you have experienced in your life and the changes that happen throughout your life.
01761 258289 View 01761 258289
Photo of Frances Hamilton, MUKCP, Psychotherapist
Frances Hamilton
Psychotherapist, MUKCP
Verified Verified
Bath BA1
Wondering what to do, unsure what or who can help. And how? Whatever is troubling you, whatever is getting you down you don't have to struggle alone. Talking to someone outside your circle of family, friends or even colleagues at work can be the start of a new path. A path where you can discover how you got to this place in your life. And perhaps more importantly what it is you are seeking.
Wondering what to do, unsure what or who can help. And how? Whatever is troubling you, whatever is getting you down you don't have to struggle alone. Talking to someone outside your circle of family, friends or even colleagues at work can be the start of a new path. A path where you can discover how you got to this place in your life. And perhaps more importantly what it is you are seeking.
01225 530259 View 01225 530259
Photo of Richard Palmer Eating Disorder Expert, MNCPS Acc., Counsellor
Richard Palmer Eating Disorder Expert
Counsellor, MNCPS Acc.
Verified Verified
Bath BA1
If you're struggling with food, your body or both, I may be able to help. Life with an eating disorder can feel overwhelming and lonely. You may feel intense anxiety, disgust, shame or embarrassment at yourself or your situation. You may feel that recovery is out of reach, but you're not alone. At my clinic, we understand the complex emotions that come with an eating disorder, whether you’re battling anorexia, bulimia, binge eating disorder, ARFID or another eating disorder. Our warm, compassionate team is here to offer support, helping you or your loved one find a path to healing that’s tailored to your unique journey.
If you're struggling with food, your body or both, I may be able to help. Life with an eating disorder can feel overwhelming and lonely. You may feel intense anxiety, disgust, shame or embarrassment at yourself or your situation. You may feel that recovery is out of reach, but you're not alone. At my clinic, we understand the complex emotions that come with an eating disorder, whether you’re battling anorexia, bulimia, binge eating disorder, ARFID or another eating disorder. Our warm, compassionate team is here to offer support, helping you or your loved one find a path to healing that’s tailored to your unique journey.
01278 619855 View 01278 619855
Photo of Alison Malvisi, MBACP, Counsellor
Alison Malvisi
Counsellor, MBACP
Verified Verified
Bath BA2
I have a genuine passion for helping my clients overcome emotional difficulties, and to achieve personal growth and fulfilment. Our counselling sessions will provide a safe, supportive and confidential environment to help guide you on this journey. My approach is based on the importance of creating a supportive therapeutic relationship where clients feel respected, safe and able to explore their emotions. A holistic approach, exploring the connection between thoughts, feelings and behaviours, allowing a deeper understanding of self, and the ability to navigate life's challenges with new-found resilience.
I have a genuine passion for helping my clients overcome emotional difficulties, and to achieve personal growth and fulfilment. Our counselling sessions will provide a safe, supportive and confidential environment to help guide you on this journey. My approach is based on the importance of creating a supportive therapeutic relationship where clients feel respected, safe and able to explore their emotions. A holistic approach, exploring the connection between thoughts, feelings and behaviours, allowing a deeper understanding of self, and the ability to navigate life's challenges with new-found resilience.
01225 220422 View 01225 220422
Photo of Kirstie Yelland - The Holistic Therapist, MNCPS Acc., Counsellor
The Holistic Therapist
Counsellor, MNCPS Acc.
Verified Verified
Bath BA2
Have you always felt misunderstood or not good enough? Do you feel sad, confused or angry more than you would like ? My clinical background as an advanced nurse practitioner, combined with being a therapist, can give you the platform you need to feel heard, held and understood. Are you curious about the emotional impact of health issues such as menopause, PMS/PMDD, endometriosis, PCOS or fibromyalgia? Do you wonder if you are neurodivergent or are learning to process the joys and difficulties of ADHD and/or autism? Is past trauma holding you back? Are relationships difficult for you? I can help you understand yourself and thrive.
Have you always felt misunderstood or not good enough? Do you feel sad, confused or angry more than you would like ? My clinical background as an advanced nurse practitioner, combined with being a therapist, can give you the platform you need to feel heard, held and understood. Are you curious about the emotional impact of health issues such as menopause, PMS/PMDD, endometriosis, PCOS or fibromyalgia? Do you wonder if you are neurodivergent or are learning to process the joys and difficulties of ADHD and/or autism? Is past trauma holding you back? Are relationships difficult for you? I can help you understand yourself and thrive.
01803 926168 View 01803 926168

See more therapy options for Combe Down

How does your Counsellor compare?

Number of Counsellors in Combe Down

< 10

Counsellors in Combe Down who prioritize treating:

100% Relationship Issues
100% Depression
80% Anxiety
80% Bereavement
80% Self Esteem
80% Stress
60% Parenting

Average years in practice

8 Years

Gender breakdown

75% Female
25% Male

How Counsellors in Combe Down see their clients

80% In Person and Online
20% Online Only
FAQs - About Therapy and Counselling

How can I find a therapist in Combe Down?

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.