Counselling in Kirkburton

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Photo of Faaizah Hussain - The Golden Thread Therapy, MA, BACP, Counsellor
The Golden Thread Therapy
Counsellor, MA, BACP
Verified Verified
Dewsbury WF13  (Online Only)
I am a qualified therapeutic counsellor, Psychology graduate and registered member of the British Association for Counselling and Psychotherapy, working in line with their ethical framework. I provide empathetic, holistic, trauma -informed therapy to anyone experiencing emotional or psychological distress. This includes helping clients manage mental health problems such as anxiety and depression, improving confidence and self-esteem, navigating complex relationships, treatment for eating disorders and healing from trauma. I also offer support and guidance for those coping with grief/loss and high levels of stress or low mood.
I am a qualified therapeutic counsellor, Psychology graduate and registered member of the British Association for Counselling and Psychotherapy, working in line with their ethical framework. I provide empathetic, holistic, trauma -informed therapy to anyone experiencing emotional or psychological distress. This includes helping clients manage mental health problems such as anxiety and depression, improving confidence and self-esteem, navigating complex relationships, treatment for eating disorders and healing from trauma. I also offer support and guidance for those coping with grief/loss and high levels of stress or low mood.
01924 943519 View 01924 943519
Photo of Dr Rachel Crane, PsychD, HCPC - Clin. Psych., Psychologist
Dr Rachel Crane
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Wakefield WF1
I offer a compassionate and supportive space to work towards goals of effectively handling difficult thoughts, feelings and experiences. I support clients to gain a deeper insight into what is most important and meaningful to them, which helps to make significant changes, fostering personal growth and well-being, creating a rich and values-focused life. I am committed to creating a therapeutic space that is collaborative and non-judgmental and draws on a number of evidence-based models to best suit the needs of each client allowing them to make sense of their difficulties and adopt new ways to cope.
I offer a compassionate and supportive space to work towards goals of effectively handling difficult thoughts, feelings and experiences. I support clients to gain a deeper insight into what is most important and meaningful to them, which helps to make significant changes, fostering personal growth and well-being, creating a rich and values-focused life. I am committed to creating a therapeutic space that is collaborative and non-judgmental and draws on a number of evidence-based models to best suit the needs of each client allowing them to make sense of their difficulties and adopt new ways to cope.
0113 519 1167 View 0113 519 1167
Photo of Rehana Hussain, HCPC - Health Psych., Psychologist
Rehana Hussain
Psychologist, HCPC - Health Psych.
Verified Verified
1 Endorsed
Batley WF17
Hello. I’m Rehana Hussain, a HCPC Registered Health Psychologist for the past 16 years. I am trained in EMDR, CBT, and ACT therapy. I specialise in various types of trauma, anxiety, low mood and long-term illnesses. You may have managed life’s downs effectively up and now find some challenges are overwhelming. I can help you to deal with your difficulties and bring out the best in you despite the stressors that come alongside them.
Hello. I’m Rehana Hussain, a HCPC Registered Health Psychologist for the past 16 years. I am trained in EMDR, CBT, and ACT therapy. I specialise in various types of trauma, anxiety, low mood and long-term illnesses. You may have managed life’s downs effectively up and now find some challenges are overwhelming. I can help you to deal with your difficulties and bring out the best in you despite the stressors that come alongside them.
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Photo of Magdalena Szczurek, MBACP, Counsellor
Magdalena Szczurek
Counsellor, MBACP
Verified Verified
Wakefield WF1
I offer a safe and supportive therapy in confidential settings for Adults, Teenagers and Couples where we can explore any difficulties, distress which you may be experiencing or even dissatisfaction with life. I provide emotional support to those who suffer with all types of mental and domestic health distress (depression, anxiety and stress), relationship issues, trauma, suicide, self-harm as a result have lost their self-confidence and self-worth.I also offer support and guidance for couples who struggle with everyday stress in their lives which could have negative impacts on their relationship, lack of communication and intimacy.
I offer a safe and supportive therapy in confidential settings for Adults, Teenagers and Couples where we can explore any difficulties, distress which you may be experiencing or even dissatisfaction with life. I provide emotional support to those who suffer with all types of mental and domestic health distress (depression, anxiety and stress), relationship issues, trauma, suicide, self-harm as a result have lost their self-confidence and self-worth.I also offer support and guidance for couples who struggle with everyday stress in their lives which could have negative impacts on their relationship, lack of communication and intimacy.
01924 950195 View 01924 950195
Photo of Samantha Jane Rawlings - SJR Counselling, MBACP, Counsellor
SJR Counselling
Counsellor, MBACP
Verified Verified
1 Endorsed
Wakefield WF1
My name is Sam, I am a Person-Centred Counsellor and a registered member of the BACP. I understand how difficult the decision to seek counselling can be through my own experience. You may feel unsure whether it's the right move for your child and how long they can continue to cope on their own. So many questions you may have, you may feel you and your child are a burden to family and friends and don't know who to turn to. Worried about returning to school/college or starting a new one, impacts of Covid, social isolation, family issues and relationships causing anxieties and stress which may affect day to day life, I can help.
My name is Sam, I am a Person-Centred Counsellor and a registered member of the BACP. I understand how difficult the decision to seek counselling can be through my own experience. You may feel unsure whether it's the right move for your child and how long they can continue to cope on their own. So many questions you may have, you may feel you and your child are a burden to family and friends and don't know who to turn to. Worried about returning to school/college or starting a new one, impacts of Covid, social isolation, family issues and relationships causing anxieties and stress which may affect day to day life, I can help.
01977 801654 View 01977 801654
Photo of Stephanie Walker, MBACP, Counsellor
Stephanie Walker
Counsellor, MBACP
Verified Verified
Huddersfield HD4
I specialise in Bereavement Counselling.Have you had a major loss in your life which you are struggling to deal with? Are you unable to express your emotions and make sense of what has happened? Has this life event impacted on all other areas of your life and you are finding it difficult to function?Counselling can be of great benefit to you if this is the case. It helps you to express yourself and work through your grief and in time helps you to gain a different perspective on your situation and learn to have a healthy response to what has happened in your life.Counselling shines a light on the difficult areas of life.
I specialise in Bereavement Counselling.Have you had a major loss in your life which you are struggling to deal with? Are you unable to express your emotions and make sense of what has happened? Has this life event impacted on all other areas of your life and you are finding it difficult to function?Counselling can be of great benefit to you if this is the case. It helps you to express yourself and work through your grief and in time helps you to gain a different perspective on your situation and learn to have a healthy response to what has happened in your life.Counselling shines a light on the difficult areas of life.
01484 240346 View 01484 240346
Photo of Ashleigh Gardner, MA, MBACP, Psychotherapist
Ashleigh Gardner
Psychotherapist, MA, MBACP
Verified Verified
Cleckheaton BD19
Making the first step and looking for a counsellor to work with can feel scary and overwhelming. It’s hard to know what to say or what to expect, especially if you have not had counselling before. Building a safe and trusting relationship with your counsellor is important. It can take time to do this, but it is important that you feel comfortable enough with them in the beginning to start on that journey. I offer a safe space, where you will be truly listened to without expectation or judgement. This allows my clients to feel comfortable in being open and honest so that they can get the most out of their sessions.
Making the first step and looking for a counsellor to work with can feel scary and overwhelming. It’s hard to know what to say or what to expect, especially if you have not had counselling before. Building a safe and trusting relationship with your counsellor is important. It can take time to do this, but it is important that you feel comfortable enough with them in the beginning to start on that journey. I offer a safe space, where you will be truly listened to without expectation or judgement. This allows my clients to feel comfortable in being open and honest so that they can get the most out of their sessions.
0113 519 8625 View 0113 519 8625
Photo of Alyson Wood Bsc (Hons), MNCPS Acc., Counsellor
Alyson Wood Bsc (Hons)
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Wakefield WF1
Finding the right therapist for counselling in itself can be a journey so thank you for taking the time to look through what I can offer you. I offer face to face sessions from my room in Wakefield and I can also offer telephone counselling. Please feel free to e mail me for any more information or call for an assessment.
Finding the right therapist for counselling in itself can be a journey so thank you for taking the time to look through what I can offer you. I offer face to face sessions from my room in Wakefield and I can also offer telephone counselling. Please feel free to e mail me for any more information or call for an assessment.
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Photo of Lynette Procter, MBACP, Counsellor
Lynette Procter
Counsellor, MBACP
Verified Verified
Wakefield WF1
My journey to becoming a counsellor started years ago when I personally experienced positive changes in myself through sharing openly with a person who listened without judgement. I then started my training to become a counsellor in my own right so I could ensure that others would experience the benefits of being seen and heard for who they truly are.
My journey to becoming a counsellor started years ago when I personally experienced positive changes in myself through sharing openly with a person who listened without judgement. I then started my training to become a counsellor in my own right so I could ensure that others would experience the benefits of being seen and heard for who they truly are.
0113 519 4511 View 0113 519 4511
Photo of Lisa Colley, MBACP, Counsellor
Lisa Colley
Counsellor, MBACP
Verified Verified
Ossett WF5
Welcome to my profile. Starting therapy can feel draughting, yet it can be life changing. What brings you here? You may be seeking therapy for a myriad of potential reasons - I work with a range of personal difficulties and life events in a way which is tailored to you as an individual. Perhaps you are struggling with a bereavement or other losses, anxiety or depression, adverse life events, relational difficulties, stress, trauma, an illness or disability, or maybe you can't put your finger on why you feel unhappy/lost/distressed. I work collaboratively with you to understand your difficulties and find a way to move forwards.
Welcome to my profile. Starting therapy can feel draughting, yet it can be life changing. What brings you here? You may be seeking therapy for a myriad of potential reasons - I work with a range of personal difficulties and life events in a way which is tailored to you as an individual. Perhaps you are struggling with a bereavement or other losses, anxiety or depression, adverse life events, relational difficulties, stress, trauma, an illness or disability, or maybe you can't put your finger on why you feel unhappy/lost/distressed. I work collaboratively with you to understand your difficulties and find a way to move forwards.
01924 975609 View 01924 975609
Photo of Pamela Greenwood - Counselling with Pamela, MBACP, Counsellor
Counselling with Pamela
Counsellor, MBACP
Verified Verified
Wakefield WF1  (Online Only)
I can help to support you with your Autism, ADHD. anxiety, depression or other concerns. I want to tell you that you're not alone in feeling unsure . or about talking openly about your feelings. I'd like to offer you the help and support you need. You don't have to feel alone, l can help you work through this time in a safe, trusting and confidential space, without any judgement.
I can help to support you with your Autism, ADHD. anxiety, depression or other concerns. I want to tell you that you're not alone in feeling unsure . or about talking openly about your feelings. I'd like to offer you the help and support you need. You don't have to feel alone, l can help you work through this time in a safe, trusting and confidential space, without any judgement.
01977 800941 View 01977 800941
Photo of Tanya Wardle, MSc
Tanya Wardle
MSc
Verified Verified
Huddersfield HD3
I offer woman-centred, personalised and sensitive support for women who have or are experiencing infertility, miscarriage, a difficult pregnancy, late term loss, a traumatic birth or traumatic postnatal period. The deep emotional wound from these experiences can lead to a downward spiral that impairs your thinking, ability to feel truly happy and live at peace in the moment. But this is not permanent and I can work with you to recover from anxiety, low mood and depression, trauma symptoms, feeling stuck, overwhelm, emotional outbursts or imbalances and relationship struggles with your yourself, partner, child or family.
I offer woman-centred, personalised and sensitive support for women who have or are experiencing infertility, miscarriage, a difficult pregnancy, late term loss, a traumatic birth or traumatic postnatal period. The deep emotional wound from these experiences can lead to a downward spiral that impairs your thinking, ability to feel truly happy and live at peace in the moment. But this is not permanent and I can work with you to recover from anxiety, low mood and depression, trauma symptoms, feeling stuck, overwhelm, emotional outbursts or imbalances and relationship struggles with your yourself, partner, child or family.
01484 627118 View 01484 627118
Photo of Dr Rebecca Szlachcic, HCPC - Clin. Psych., Psychologist
Dr Rebecca Szlachcic
Psychologist, HCPC - Clin. Psych.
Verified Verified
Huddersfield HD1
I am an experienced HCPC Registered Clinical Psychologist working in the NHS and in the private sector. I am a trauma informed therapist, recognising that many people are trying their best to cope and live with the difficult life experiences they have been through. I understand the importance of the therapeutic relationship in finding a ‘good fit’ with a therapist. I enjoy working collaboratively and creatively with individuals and have experience in working with people with mild to severe mental health difficulties including anxiety, depression, PTSD, psychosis and personality difficulties.
I am an experienced HCPC Registered Clinical Psychologist working in the NHS and in the private sector. I am a trauma informed therapist, recognising that many people are trying their best to cope and live with the difficult life experiences they have been through. I understand the importance of the therapeutic relationship in finding a ‘good fit’ with a therapist. I enjoy working collaboratively and creatively with individuals and have experience in working with people with mild to severe mental health difficulties including anxiety, depression, PTSD, psychosis and personality difficulties.
0113 467 9507 View 0113 467 9507
Photo of Roxan E Gardner, MBACP, Counsellor
Roxan E Gardner
Counsellor, MBACP
Verified Verified
Wakefield WF1
It starts with a hello...but I know that starting the conversation can be difficult at times. Life brings its share of challenges but no one needs to suffer in isolation. I am here to walk this journey with you, so you can become a better version of yourself. I am a firm believer that not everyone experiences even the same issue the same way. Therefore, being flexible in dealing with the differing needs of clients, is a necessary skill I have honed over the years.
It starts with a hello...but I know that starting the conversation can be difficult at times. Life brings its share of challenges but no one needs to suffer in isolation. I am here to walk this journey with you, so you can become a better version of yourself. I am a firm believer that not everyone experiences even the same issue the same way. Therefore, being flexible in dealing with the differing needs of clients, is a necessary skill I have honed over the years.
01924 978866 View 01924 978866
Photo of Amanda Bainbridge, MA, MBACP Accred, Psychotherapist
Amanda Bainbridge
Psychotherapist, MA, MBACP Accred
Verified Verified
1 Endorsed
Wakefield WF1
Does something need to change? Have you been feeling overwhelmed or frazzled? Are you juggling responsibilities and finding it difficult to make time for yourself? Do you want to improve your relationships and find more productive ways of communicating? Maybe memories from your past seem to be holding you back and you’ve decided it’s time to confront them, in a safe environment with a professional. Or perhaps you’re looking for a new direction, a sense of feeling more empowered in your life. If any of this sounds familiar, I might be able to help…
Does something need to change? Have you been feeling overwhelmed or frazzled? Are you juggling responsibilities and finding it difficult to make time for yourself? Do you want to improve your relationships and find more productive ways of communicating? Maybe memories from your past seem to be holding you back and you’ve decided it’s time to confront them, in a safe environment with a professional. Or perhaps you’re looking for a new direction, a sense of feeling more empowered in your life. If any of this sounds familiar, I might be able to help…
0113 733 7366 View 0113 733 7366
Photo of Tina Young - Tina Young Counselling Services, BACP, Counsellor
Tina Young Counselling Services
Counsellor, BACP
Verified Verified
Halifax HX4
Hi, I'm Tina and I work using the Person-Centred Approach offering one to one counselling, in a non-judgemental and non-directive way. I advocate this theory as I enjoy helping people realise their potential and become who they want to be! This particularly helps those who are drawn to exploring their own thoughts and feelings. Counselling is not about ‘fixing’ problems as such, it is about changing your understanding and view of the problems, enabling you to work towards living in a way that you find more satisfying.
Hi, I'm Tina and I work using the Person-Centred Approach offering one to one counselling, in a non-judgemental and non-directive way. I advocate this theory as I enjoy helping people realise their potential and become who they want to be! This particularly helps those who are drawn to exploring their own thoughts and feelings. Counselling is not about ‘fixing’ problems as such, it is about changing your understanding and view of the problems, enabling you to work towards living in a way that you find more satisfying.
01422 400611 View 01422 400611
Photo of Rachel Ambrose, MBACP, Counsellor
Rachel Ambrose
Counsellor, MBACP
Verified Verified
Huddersfield HD1
Not accepting new clients
Hi, I’m Rachel welcome to my profile. I work with individuals across the UK aged 18 and over who are experiencing a range of issues including anxiety, depression, bereavement, relational difficulties, problems relating to confidence and self-esteem. Perhaps you are feeling overwhelmed & unable to see a way through; alone with no one to share your difficulties; stressed and 'frazzled' at work; trapped or bored in your current circumstances? Struggling after a bereavement or the end of a relationship? Feeling concerned about worrying or being a burden to loved ones. You may wish to appear stronger than you feel for them.
Hi, I’m Rachel welcome to my profile. I work with individuals across the UK aged 18 and over who are experiencing a range of issues including anxiety, depression, bereavement, relational difficulties, problems relating to confidence and self-esteem. Perhaps you are feeling overwhelmed & unable to see a way through; alone with no one to share your difficulties; stressed and 'frazzled' at work; trapped or bored in your current circumstances? Struggling after a bereavement or the end of a relationship? Feeling concerned about worrying or being a burden to loved ones. You may wish to appear stronger than you feel for them.
01484 598911 View 01484 598911
Photo of Ewelina Monika Ahmed - Fenix CBT Psychotherapy, Autism and OCD Specialist, MBABCP, Psychotherapist
Fenix CBT Psychotherapy, Autism and OCD Specialist
Psychotherapist, MBABCP
Verified Verified
Mirfield WF14
My name is Eve Ahmed I am an owner and Lead Cognitive Behavioural Therapist (BABCP accredited) at Fenix CBT LTD. I utilise my skills and extensive experience to help my clients reach their personal targets and clinical recovery. I am very passionate about the work I do and I love helping people reach their goals. I have ten years of experience working in mental health in public and charity sector with adults and children. I completed BSc undergraduate degree in Psychology, Postgraduate Diploma in CBT and Level 3 Diploma in DBT and I also have (amongst many others) EMDR, ACT and Compassionate Mind training.
My name is Eve Ahmed I am an owner and Lead Cognitive Behavioural Therapist (BABCP accredited) at Fenix CBT LTD. I utilise my skills and extensive experience to help my clients reach their personal targets and clinical recovery. I am very passionate about the work I do and I love helping people reach their goals. I have ten years of experience working in mental health in public and charity sector with adults and children. I completed BSc undergraduate degree in Psychology, Postgraduate Diploma in CBT and Level 3 Diploma in DBT and I also have (amongst many others) EMDR, ACT and Compassionate Mind training.
0113 487 2229 View 0113 487 2229
Photo of Kirsty White, MBABCP, Psychotherapist
Kirsty White
Psychotherapist, MBABCP
Verified Verified
Wakefield WF5
I offer Cognitive Behavioural Therapy, Counselling and EMDR Therapy to Adults, Children and Young People. I work from a private office in Ossett, Flushdyke near Wakefield. I also provide remote support through zoom or telephone and those local, walk and talk therapy. I provide a completely safe and non judgemental space to ensure you have the opportunity to work through any difficulties you are experiencing. I am an Accredited Registered Member of the BACP and BABCP and I adhere to their Code of Ethics & Practice. I attend regular supervision.
I offer Cognitive Behavioural Therapy, Counselling and EMDR Therapy to Adults, Children and Young People. I work from a private office in Ossett, Flushdyke near Wakefield. I also provide remote support through zoom or telephone and those local, walk and talk therapy. I provide a completely safe and non judgemental space to ensure you have the opportunity to work through any difficulties you are experiencing. I am an Accredited Registered Member of the BACP and BABCP and I adhere to their Code of Ethics & Practice. I attend regular supervision.
01924 978930 View 01924 978930
Photo of Stephanie Anne Wardill, MBACP, Counsellor
Stephanie Anne Wardill
Counsellor, MBACP
Verified Verified
Brighouse HD6
Hi there, here's a little about me My name is Stephanie and I offer person centred counselling, in a warm and welcoming environment. I understand how daunting finding a Counsellor can be, but please be reassured of the empathy and understanding I will give in taking your first steps. I am situated in the heart of Brighouse, so great for public transport and ease of parking.
Hi there, here's a little about me My name is Stephanie and I offer person centred counselling, in a warm and welcoming environment. I understand how daunting finding a Counsellor can be, but please be reassured of the empathy and understanding I will give in taking your first steps. I am situated in the heart of Brighouse, so great for public transport and ease of parking.
01422 419544 View 01422 419544

How does your Counsellor compare?

Number of Counsellors in Kirkburton

< 10

Counsellors in Kirkburton who prioritize treating:

How Counsellors in Kirkburton see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Kirkburton?

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.