Counselling in Gate Helmsley

Photo of Sari Harenwall - York Psychological Therapies, PsychD, HCPC - Clin. Psych., Psychologist
York Psychological Therapies
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Gate Helmsley YO41  (Online Only)
I am Dr Sari Harenwall, a clinical psychologist based in York and online. I have a several years experience working for the NHS, not for profit organisations and privately. I am passionate about reducing human suffering through the provision of evidence-based therapy and coaching to help people build a more fulfilling life. I specialise in integrative physical and mental health including somatisation where emotional pain manifests itself physically. I have an interest in trauma and the impact on the body as well as anxieties, low mood, relationship problems and compassionate leadership.
I am Dr Sari Harenwall, a clinical psychologist based in York and online. I have a several years experience working for the NHS, not for profit organisations and privately. I am passionate about reducing human suffering through the provision of evidence-based therapy and coaching to help people build a more fulfilling life. I specialise in integrative physical and mental health including somatisation where emotional pain manifests itself physically. I have an interest in trauma and the impact on the body as well as anxieties, low mood, relationship problems and compassionate leadership.
01904 929658 View 01904 929658

More Therapists Nearby

Photo of Monika Allen, MUKCP, Psychotherapist
Monika Allen
Psychotherapist, MUKCP
Verified Verified
York YO1
If you want to change your situation on the outside, it’s good to start by looking at what you can change on the inside. Perhaps you have serious difficulties finding peace and joy in your life. Your sense of well-being, physically and mentally, may be reduced or destroyed. You might find yourself sliding into unhealthy or even self-destructive behaviours. Your persistent self-doubt leads to anxiety and depression, causing relationship problems and anger issues. You have a feeling that you do not quite know who you are.  Or perhaps you just know “something is not quite right in my life” but you can’t pinpoint what it is.
If you want to change your situation on the outside, it’s good to start by looking at what you can change on the inside. Perhaps you have serious difficulties finding peace and joy in your life. Your sense of well-being, physically and mentally, may be reduced or destroyed. You might find yourself sliding into unhealthy or even self-destructive behaviours. Your persistent self-doubt leads to anxiety and depression, causing relationship problems and anger issues. You have a feeling that you do not quite know who you are.  Or perhaps you just know “something is not quite right in my life” but you can’t pinpoint what it is.
01469 420934 View 01469 420934
Photo of Kate Barker, HCPC - Clin. Psych., Psychologist
Kate Barker
Psychologist, HCPC - Clin. Psych.
Verified Verified
Pocklington YO42
I am an experienced Clinical Psychologist. I offer assessment and therapy to adults aged 18 and over. I have additional training and qualifications in EMDR, DBT and CFT. I also use an Internal Family System (IFS approach). I have a particular interest and experiences in PTSD and complex trauma but can offer support for a very wide range of difficulties and distress. Please visit my website www.reflecttherapies.com to see more about my approach. I can offer in person and online sessions.
I am an experienced Clinical Psychologist. I offer assessment and therapy to adults aged 18 and over. I have additional training and qualifications in EMDR, DBT and CFT. I also use an Internal Family System (IFS approach). I have a particular interest and experiences in PTSD and complex trauma but can offer support for a very wide range of difficulties and distress. Please visit my website www.reflecttherapies.com to see more about my approach. I can offer in person and online sessions.
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Photo of Julie dimmack - JD Counselling Therapy, DCounsPsych, MBACP, Counsellor
JD Counselling Therapy
Counsellor, DCounsPsych, MBACP
Verified Verified
York YO1
If you are feeling like things are getting you down and preventing you leading your life the way you would like to, perhaps you may feel anxious or depressed and feel you have lost your self-esteem and belief in yourself, this could be through difficult life events like stress, relationship, bereavement or something that happened to you in the past. Taking back control of your life and living the way you want to can be helped with therapy to gain a more positive happier future.
If you are feeling like things are getting you down and preventing you leading your life the way you would like to, perhaps you may feel anxious or depressed and feel you have lost your self-esteem and belief in yourself, this could be through difficult life events like stress, relationship, bereavement or something that happened to you in the past. Taking back control of your life and living the way you want to can be helped with therapy to gain a more positive happier future.
01405 807474 View 01405 807474
Photo of Madeleine Bentley, MA, MBACP Accred, Counsellor
Madeleine Bentley
Counsellor, MA, MBACP Accred
Verified Verified
York YO31
I am an experienced BACP accredited counsellor based in Heworth, York, YO31. I work with people who are finding life, relationships, work and study difficult for many reasons. I am particularly experienced at working with adults aged 18-40, university students and autistic people. In person and online sessions available. Tuesday & Wednesday day times. Sessions can be weekly or fortnightly to suit you.
I am an experienced BACP accredited counsellor based in Heworth, York, YO31. I work with people who are finding life, relationships, work and study difficult for many reasons. I am particularly experienced at working with adults aged 18-40, university students and autistic people. In person and online sessions available. Tuesday & Wednesday day times. Sessions can be weekly or fortnightly to suit you.
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Photo of Tim Arnott, MA, MBACP, Counsellor
Tim Arnott
Counsellor, MA, MBACP
Verified Verified
York YO41
Hi there and thank you for viewing my profile. I am a Masters Qualified BACP Registered Counsellor and Psychotherapist working in Leeds city centre (LS1) and York (YO41). As a therapist I help individuals talk about their feelings, think about their choices and help them to achieve positive changes in their lives through the counselling process. I use an integrative model of counselling & psychotherapy which involves a wide range of counselling theories such as psychodynamic and person-centred therapy.
Hi there and thank you for viewing my profile. I am a Masters Qualified BACP Registered Counsellor and Psychotherapist working in Leeds city centre (LS1) and York (YO41). As a therapist I help individuals talk about their feelings, think about their choices and help them to achieve positive changes in their lives through the counselling process. I use an integrative model of counselling & psychotherapy which involves a wide range of counselling theories such as psychodynamic and person-centred therapy.
07921 101550 View 07921 101550
Photo of Akanksha Wagh, DCounsPsych, UKCP Trainee, Counsellor
Akanksha Wagh
Counsellor, DCounsPsych, UKCP Trainee
Verified Verified
York YO10  (Online Only)
I aim to provide a safe, warm, and non-judgmental space for clients to express and explore any difficulties they might be experiencing. I believe the therapeutic rapport between the therapist and client to be a vehicle for transformation and change. I am very client lead in my work and strive to collaboratively work with clients to tailor my approach to best suit what they require from me. Not one size fits all and no one approach is suited for all clients. I believe this outlook encourages clients fostering their individuality and uniqueness. I hope to help clients to feel empowered, confident, and reconnected with themselves.
I aim to provide a safe, warm, and non-judgmental space for clients to express and explore any difficulties they might be experiencing. I believe the therapeutic rapport between the therapist and client to be a vehicle for transformation and change. I am very client lead in my work and strive to collaboratively work with clients to tailor my approach to best suit what they require from me. Not one size fits all and no one approach is suited for all clients. I believe this outlook encourages clients fostering their individuality and uniqueness. I hope to help clients to feel empowered, confident, and reconnected with themselves.
01482 459073 View 01482 459073
Photo of Nikki McCloud - East Yorkshire Psychology, CPsychol, Psychologist
East Yorkshire Psychology
Psychologist, CPsychol
Verified Verified
York YO1
Dr Nikki McCloud is a Chartered Clinical Psychologist who works with a small group of associates providing specialist assessment and support for both mental and physical health difficulties.
Dr Nikki McCloud is a Chartered Clinical Psychologist who works with a small group of associates providing specialist assessment and support for both mental and physical health difficulties.
01964 770363 View 01964 770363
Photo of Victoria Adam (Trauma Specialist), MBABCP, Psychotherapist
Victoria Adam (Trauma Specialist)
Psychotherapist, MBABCP
Verified Verified
York YO1  (Online Only)
I am passionate about helping people not only to feel better after a therapy session, but also to have insights, techniques, and support to feel better in the long term. I will work with you to understand how your psychological issues developed, what is maintaining them and how you can overcome them, in a safe and supportive way. After each session I will send you an email with key learning, helpful reflections and insights you gained and resources to build on our session across the week. I run my private practice alongside my role in a busy NHS trust where I have delivered psychological therapy and supervision for the past 12 years
I am passionate about helping people not only to feel better after a therapy session, but also to have insights, techniques, and support to feel better in the long term. I will work with you to understand how your psychological issues developed, what is maintaining them and how you can overcome them, in a safe and supportive way. After each session I will send you an email with key learning, helpful reflections and insights you gained and resources to build on our session across the week. I run my private practice alongside my role in a busy NHS trust where I have delivered psychological therapy and supervision for the past 12 years
01757 606900 View 01757 606900
Photo of Karen Michelle Hunt - Root and Flourish Counselling Services, MBACP, Counsellor
Root and Flourish Counselling Services
Counsellor, MBACP
Verified Verified
York YO1
Hello, I appreciate your choice to view my profile. As a counsellor, I am prepared to listen and respond to your immediate concerns. My methodology is shaped by a wide array of real-life experiences and professional credentials.(so how I explain this I'm not a pen pusher text book taught only counsellor) I'm real and I listen to your content and I don't compare it to mine but I have the empathy and true understanding. Feedback from my clients is why I'm your perfect counsellor
Hello, I appreciate your choice to view my profile. As a counsellor, I am prepared to listen and respond to your immediate concerns. My methodology is shaped by a wide array of real-life experiences and professional credentials.(so how I explain this I'm not a pen pusher text book taught only counsellor) I'm real and I listen to your content and I don't compare it to mine but I have the empathy and true understanding. Feedback from my clients is why I'm your perfect counsellor
01723 334245 View 01723 334245
Photo of Richard Kearns, PhD, UKCP Trainee, Psychotherapist
Richard Kearns
Psychotherapist, PhD, UKCP Trainee
Verified Verified
York YO10
Life can sometimes throw unexpected challenges, leaving us feeling lost and uncertain. During these times, seeking help and support can help us gain clarity and move forward. I am a UKCP trainee therapist in advanced training, and I offer a safe and confidential space where we can explore your journey through our therapeutic relationship. Through my compassionate and non-judgmental approach, we can work on developing self-awareness and overcoming feelings of fear, loneliness, pain, and sadness. Everyone has the potential for growth and change, and I am here to help you discover yours.
Life can sometimes throw unexpected challenges, leaving us feeling lost and uncertain. During these times, seeking help and support can help us gain clarity and move forward. I am a UKCP trainee therapist in advanced training, and I offer a safe and confidential space where we can explore your journey through our therapeutic relationship. Through my compassionate and non-judgmental approach, we can work on developing self-awareness and overcoming feelings of fear, loneliness, pain, and sadness. Everyone has the potential for growth and change, and I am here to help you discover yours.
01889 228049 View 01889 228049
Photo of Hazel Williams, MBACP Accred, Counsellor
Hazel Williams
Counsellor, MBACP Accred
Verified Verified
York YO1
Working in York city centre, I am a BACP Accredited Counsellor offering support to adults with a wide range of issues. These are challenging times and issues that have felt manageable or in the past may have come to the surface.Perhaps anxiety and low self-esteem are impacting on daily life. Maybe you are struggling with changes or decisions that feel out of your control, or feelings of isolation. You may need space to heal after distressing life experiences. I aim to provide a safe and confidential space where we can work together to help you make sense of your experiences, thoughts and feelings at a pace that feels right for you.
Working in York city centre, I am a BACP Accredited Counsellor offering support to adults with a wide range of issues. These are challenging times and issues that have felt manageable or in the past may have come to the surface.Perhaps anxiety and low self-esteem are impacting on daily life. Maybe you are struggling with changes or decisions that feel out of your control, or feelings of isolation. You may need space to heal after distressing life experiences. I aim to provide a safe and confidential space where we can work together to help you make sense of your experiences, thoughts and feelings at a pace that feels right for you.
01347 668114 View 01347 668114
Photo of Jess Maynard, MBACP, Psychotherapist
Jess Maynard
Psychotherapist, MBACP
Verified Verified
York YO42
I am an Integrative Therapist offering long-term and short-term therapy, in-person and online. I have a deep appreciation for the importance of relationship, and believe it is instrumental in both the challenges we encounter and how we facilitate change. I take a holistic view of people, and during your therapy journey I will hold space both for who you are as an individual, alongside the socio-cultural context that has shaped and formed your experience. I have worked in specialised clinical services with clients experiencing eating disorders, complex trauma and sexual abuse, amongst a wide range of other difficulties.
I am an Integrative Therapist offering long-term and short-term therapy, in-person and online. I have a deep appreciation for the importance of relationship, and believe it is instrumental in both the challenges we encounter and how we facilitate change. I take a holistic view of people, and during your therapy journey I will hold space both for who you are as an individual, alongside the socio-cultural context that has shaped and formed your experience. I have worked in specialised clinical services with clients experiencing eating disorders, complex trauma and sexual abuse, amongst a wide range of other difficulties.
01377 310957 View 01377 310957
Photo of Sarah Marzillier, PsychD, HCPC - Clin. Psych., Psychologist
Sarah Marzillier
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
York YO30  (Online Only)
Hi, I'm Sarah. I specialise in trauma/PTSD, anxiety and depression, physical health conditions, spirituality and sexual and relationship problems. I am very experienced in third wave CBT, the trauma therapies (including EMDR) and energy psychology. I am polyamory, BDSM and kink aware. I am sex positive and supportive of diverse relationship orientations, sexualities and lifestyles. I have just completed a Certificate in Psychosexual Therapy.
Hi, I'm Sarah. I specialise in trauma/PTSD, anxiety and depression, physical health conditions, spirituality and sexual and relationship problems. I am very experienced in third wave CBT, the trauma therapies (including EMDR) and energy psychology. I am polyamory, BDSM and kink aware. I am sex positive and supportive of diverse relationship orientations, sexualities and lifestyles. I have just completed a Certificate in Psychosexual Therapy.
01904 929110 View 01904 929110
Photo of Sue Jewitt, MA, MBACP, Counsellor
Sue Jewitt
Counsellor, MA, MBACP
Verified Verified
York YO26
I work with women who may be feeling overwhelmed by life's challenges. I have experience of working with a range of emotional experiences, including the impact of past trauma, depression, anxiety, bereavement, domestic abuse, sexual abuse, family issues, self-esteem, life transitions, menopause and fertility issues. I offer a confidential and supportive space to explore your concerns, gain different perspectives and understanding of what you might be feeling. I am an integrative humanistic therapist and work holistically, focusing on emotional experiencing.
I work with women who may be feeling overwhelmed by life's challenges. I have experience of working with a range of emotional experiences, including the impact of past trauma, depression, anxiety, bereavement, domestic abuse, sexual abuse, family issues, self-esteem, life transitions, menopause and fertility issues. I offer a confidential and supportive space to explore your concerns, gain different perspectives and understanding of what you might be feeling. I am an integrative humanistic therapist and work holistically, focusing on emotional experiencing.
01904 929983 View 01904 929983
Photo of Elizabeth Paterson, MBACP Accred, Counsellor
Elizabeth Paterson
Counsellor, MBACP Accred
Verified Verified
York YO1
Hello and a very warm welcome to my profile. Are you feeling stuck, overwhelmed, or just not quite yourself lately? Are you looking to improve your mental health and understand yourself better? Do you long for a space where you feel safe and truly heard? You're in the right place. Life's challenges can sometimes leave us feeling overwhelmed or disconnected, but you don't have to face them alone. As a specialist online person-centred therapist, I am dedicated to helping you enhance your mental well-being and discover your inner strengths. I want to emphasise that your uniqueness is both respected and celebrated here.
Hello and a very warm welcome to my profile. Are you feeling stuck, overwhelmed, or just not quite yourself lately? Are you looking to improve your mental health and understand yourself better? Do you long for a space where you feel safe and truly heard? You're in the right place. Life's challenges can sometimes leave us feeling overwhelmed or disconnected, but you don't have to face them alone. As a specialist online person-centred therapist, I am dedicated to helping you enhance your mental well-being and discover your inner strengths. I want to emphasise that your uniqueness is both respected and celebrated here.
0113 519 0733 View 0113 519 0733
Photo of Irina Yelland, HCPC - Clin. Psych., Psychologist
Irina Yelland
Psychologist, HCPC - Clin. Psych.
Verified Verified
York YO42
I am a Consultant Clinical Psychologist with over 20 years of experience working with children, young people and adults with ASD and ADHD, as well as with a wide range of emotional, behavioural and mental health difficulties. My approach is warm, friendly and professional, and I would never judge you or your problems, no matter how big or small they are. It's important to me that during our work together you feel listened to, understood, supported and encouraged.
I am a Consultant Clinical Psychologist with over 20 years of experience working with children, young people and adults with ASD and ADHD, as well as with a wide range of emotional, behavioural and mental health difficulties. My approach is warm, friendly and professional, and I would never judge you or your problems, no matter how big or small they are. It's important to me that during our work together you feel listened to, understood, supported and encouraged.
01759 487776 View 01759 487776
Photo of Abbie Stanwix, PsychD, MBABCP, Psychotherapist
Abbie Stanwix
Psychotherapist, PsychD, MBABCP
Verified Verified
York YO41
If you are experiencing difficulties that are impacting on your life and have decided to take the step to access some help to make a change to your life, then I can help you. I specialise in working with individuals experiencing difficulties due to depression, anxiety, and trauma, drawing upon my skills as an Accredited Cognitive Behavioural Psychotherapist Practitioner and compassion focused therapy. I work with you to help you gain a better understanding of yourself, difficulties, and strategies to improve how you feel. I offer a warm and confidential space where you can talk openly about your feelings without fear of criticism.
If you are experiencing difficulties that are impacting on your life and have decided to take the step to access some help to make a change to your life, then I can help you. I specialise in working with individuals experiencing difficulties due to depression, anxiety, and trauma, drawing upon my skills as an Accredited Cognitive Behavioural Psychotherapist Practitioner and compassion focused therapy. I work with you to help you gain a better understanding of yourself, difficulties, and strategies to improve how you feel. I offer a warm and confidential space where you can talk openly about your feelings without fear of criticism.
01423 803302 View 01423 803302
Photo of Sharon Simpson, MUKCP, Psychotherapist
Sharon Simpson
Psychotherapist, MUKCP
Verified Verified
Pocklington YO42
I am a UKCP registered Psychoanalytic Psychotherapist and have 23 years experience of working in mental health both within the NHS and tertiary services. I previously trained as a mental health social worker and have extensive experience of working with adults and families who have experienced severe mental health difficulties. Since qualifying as a Psychotherapist, I have specialised in working with people who have personality disorders. I have extensive experience of working with trauma, including complex trauma and PTSD. I have completed a training in group therapy and hold a qualification as a Group Work Practitioner.
I am a UKCP registered Psychoanalytic Psychotherapist and have 23 years experience of working in mental health both within the NHS and tertiary services. I previously trained as a mental health social worker and have extensive experience of working with adults and families who have experienced severe mental health difficulties. Since qualifying as a Psychotherapist, I have specialised in working with people who have personality disorders. I have extensive experience of working with trauma, including complex trauma and PTSD. I have completed a training in group therapy and hold a qualification as a Group Work Practitioner.
07481 344918 View 07481 344918
Photo of Cheryl Squire, MA, MBACP, Counsellor
Cheryl Squire
Counsellor, MA, MBACP
Verified Verified
York YO30
Are you feeling anxious and distressed? At times do you get frustrated, irritated or angry? Do you have painful unwanted memories or struggle to sleep? Are you feeling sad, low or numb? Are you feeling alone or that no one understands you? Are you feeling overwhelmed and struggling to cope? Do you want to feel calmer and more in control? Do you want to understand how your body is reacting and why you can't think straight? Do you want to cope better on a day-to-day basis. As a qualified integrative, relational counsellor I am able to be alongside you and help you to understand your experience.
Are you feeling anxious and distressed? At times do you get frustrated, irritated or angry? Do you have painful unwanted memories or struggle to sleep? Are you feeling sad, low or numb? Are you feeling alone or that no one understands you? Are you feeling overwhelmed and struggling to cope? Do you want to feel calmer and more in control? Do you want to understand how your body is reacting and why you can't think straight? Do you want to cope better on a day-to-day basis. As a qualified integrative, relational counsellor I am able to be alongside you and help you to understand your experience.
01904 929241 View 01904 929241

How does your Counsellor compare?

Number of Counsellors in Gate Helmsley

< 10

Counsellors in Gate Helmsley who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Chronic Pain
100% Life Coaching
100% Bereavement
100% Obsessive-Compulsive (OCD)

Top 3 insurances accepted

100% Any/Out-of-network Insurance
100% Aviva
100% WPA

How Counsellors in Gate Helmsley see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Gate Helmsley?

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.