Counselling in Mayfield

Photo of Janet Ann Rich - Dr Janet Rich Clinical Psychologist , PsychD, HCPC - Clin. Psych., Psychologist
Dr Janet Rich Clinical Psychologist
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Mayfield TN20
Life can be challenging at times and we can struggle to understand why we feel unhappy, worried and disconnected with people close to us. Often being able to talk about these difficult feelings with someone without judgement in full confidence to explore problems, hopes and fears. Whether struggling with anxiety and or depression, reaching out is the first step towards recovery.
Life can be challenging at times and we can struggle to understand why we feel unhappy, worried and disconnected with people close to us. Often being able to talk about these difficult feelings with someone without judgement in full confidence to explore problems, hopes and fears. Whether struggling with anxiety and or depression, reaching out is the first step towards recovery.
01335 218750 View 01335 218750
Photo of Lisa Fogelman - Sussex Counselling & Therapeutic Coach , MBACP, Counsellor
Sussex Counselling & Therapeutic Coach
Counsellor, MBACP
Verified Verified
Mayfield TN20
I am a fully qualified BACP Registered Humanistic Integrative Counsellor and Therapeutic Coach, which basically means that I will use techniques from several different types of therapy that I think are most suitable for individual clients. I’ll be focusing a lot on how you see yourself, how you relate in the world, and how I can support you to develop into being more comfortable with yourself and the world around you.I can facilitate you to understand different aspects of your life, your own behavior and the issues that are preventing you from enjoying life.
I am a fully qualified BACP Registered Humanistic Integrative Counsellor and Therapeutic Coach, which basically means that I will use techniques from several different types of therapy that I think are most suitable for individual clients. I’ll be focusing a lot on how you see yourself, how you relate in the world, and how I can support you to develop into being more comfortable with yourself and the world around you.I can facilitate you to understand different aspects of your life, your own behavior and the issues that are preventing you from enjoying life.
07492 884551 View 07492 884551

More Therapists Nearby

Photo of Rebekah Dervley, PsychD, HCPC - Forensic Psych., Psychologist
Rebekah Dervley
Psychologist, PsychD, HCPC - Forensic Psych.
Verified Verified
Royal Tunbridge Wells TN20
I am Dr Rebekah Dervley, a HCPC registered Psychologist. I am Clinical Lead for Sunstone Psychology - www.sunstonepsychology.co.uk - a psychological therapies service offering UK-wide psychological therapy and clinical supervision. I can offer you a safe and confidential listening space, and work with you to understand your difficulties and help you find a way forward. I specialise in working with trauma, PTSD, and people who exhibit a range of coping behaviours, such as self-harm, addiction, and other behavioural issues. I offer specialist diagnostic assessments for ADHD in children and adults.
I am Dr Rebekah Dervley, a HCPC registered Psychologist. I am Clinical Lead for Sunstone Psychology - www.sunstonepsychology.co.uk - a psychological therapies service offering UK-wide psychological therapy and clinical supervision. I can offer you a safe and confidential listening space, and work with you to understand your difficulties and help you find a way forward. I specialise in working with trauma, PTSD, and people who exhibit a range of coping behaviours, such as self-harm, addiction, and other behavioural issues. I offer specialist diagnostic assessments for ADHD in children and adults.
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Photo of Nyawira Njiraini - Amani Counselling, BACP, Counsellor
Amani Counselling
Counsellor, BACP
Verified Verified
Tunbridge Wells TN20
Sometimes life can be uncertain, and challenging. I believe it is possible to find freedom and hope even in the face of life’s challenges. I am deeply committed to helping you move to a place of well-being, improve relationships by gaining increased self-awareness and emotional intelligence. I am a member of the British Association of Counselling and Psychotherapy (BACP) and follow their ethical code ,and I am committed to non-discriminatory practices and to fostering equality in the therapeutic relationship.
Sometimes life can be uncertain, and challenging. I believe it is possible to find freedom and hope even in the face of life’s challenges. I am deeply committed to helping you move to a place of well-being, improve relationships by gaining increased self-awareness and emotional intelligence. I am a member of the British Association of Counselling and Psychotherapy (BACP) and follow their ethical code ,and I am committed to non-discriminatory practices and to fostering equality in the therapeutic relationship.
01342 659748 View 01342 659748
Photo of Jane Taylor, MBACP Accred, Counsellor
Jane Taylor
Counsellor, MBACP Accred
Verified Verified
Crowborough TN6
I am an Accredited Member of the BACP. This means The British Association of Counselling and Psychotherapy recognises me as an experienced counsellor and psychotherapist who's practice meets their higher standard as a competent, ethical, independent practitioner. I am trained in Humanistic Integrative Counselling and work with adults (18+) experiencing a broad range of personal, emotional or mental health difficulties. For example grief and loss, divorce, redundancy or other major life event, anxiety, depression, illness, family and relationship issues.
I am an Accredited Member of the BACP. This means The British Association of Counselling and Psychotherapy recognises me as an experienced counsellor and psychotherapist who's practice meets their higher standard as a competent, ethical, independent practitioner. I am trained in Humanistic Integrative Counselling and work with adults (18+) experiencing a broad range of personal, emotional or mental health difficulties. For example grief and loss, divorce, redundancy or other major life event, anxiety, depression, illness, family and relationship issues.
01892 362194 View 01892 362194
Photo of Alice Baer, MBACP, Counsellor
Alice Baer
Counsellor, MBACP
Verified Verified
Crowborough TN6
Welcome. I am a qualified counsellor and have experience in working with a variety of issues like trauma, anxiety, depression and relationship problems. I am passionate about supporting autistic and ADHD clients and regularly work with this client group. I can help you to understand and make sense of your feelings and relationships, explore your potential and strengths, and support you to move forward in your life.
Welcome. I am a qualified counsellor and have experience in working with a variety of issues like trauma, anxiety, depression and relationship problems. I am passionate about supporting autistic and ADHD clients and regularly work with this client group. I can help you to understand and make sense of your feelings and relationships, explore your potential and strengths, and support you to move forward in your life.
01732 440939 View 01732 440939
Photo of Lucinda Hazell - LH Counselling and Psychotherapy, MSc, MUKCP, Psychotherapist
LH Counselling and Psychotherapy
Psychotherapist, MSc, MUKCP
Verified Verified
Crowborough TN6
It is common to experience emotional distress in life from time-to-time, but sometimes we need help with managing this. Difficulties can range from a general feeling of low mood or anxiety, the pressure of challenging life events such as loss or relationship-breakdown, or coming to terms with historical events. As a qualified Psychodynamic Psychotherapist, I will provide a safe and supportive environment so that you feel able to explore your current thoughts and feelings by drawing from past experiences. From here, we can try to understand their impact on your present, and consider how you might wish to move forward. ​
It is common to experience emotional distress in life from time-to-time, but sometimes we need help with managing this. Difficulties can range from a general feeling of low mood or anxiety, the pressure of challenging life events such as loss or relationship-breakdown, or coming to terms with historical events. As a qualified Psychodynamic Psychotherapist, I will provide a safe and supportive environment so that you feel able to explore your current thoughts and feelings by drawing from past experiences. From here, we can try to understand their impact on your present, and consider how you might wish to move forward. ​
01335 218973 View 01335 218973
Photo of Rachel Sills Penny-Lanyi, MBACP, Psychotherapist
Rachel Sills Penny-Lanyi
Psychotherapist, MBACP
Verified Verified
Crowborough TN6
I help with clients struggling with many different sorts of emotional and psychological distress, and who simply want to feel better. During therapy, you will feel supported, listened to, understood and believed; able to share your fears, worries and story without judgement, and be listened to with compassion and empathy. I provide a safe, warm, environment for you to get the help and support you need in a non-judgemental and empathic way. Our work together will help you feel better, happier, improve your relationships, be open to new opportunities and choices, and build the life you want.
I help with clients struggling with many different sorts of emotional and psychological distress, and who simply want to feel better. During therapy, you will feel supported, listened to, understood and believed; able to share your fears, worries and story without judgement, and be listened to with compassion and empathy. I provide a safe, warm, environment for you to get the help and support you need in a non-judgemental and empathic way. Our work together will help you feel better, happier, improve your relationships, be open to new opportunities and choices, and build the life you want.
01892 335407 View 01892 335407
Photo of Susanne Fuller, MSc, MUKCP, Psychotherapist
Susanne Fuller
Psychotherapist, MSc, MUKCP
Verified Verified
Crowborough TN6
Therapy is personal journey, unique to you and directed by what you want to achieve; I trained in Relational Transactional Analysis and use this modality to support my clients' growth in self awareness and understanding of the unconscious patterns that have been driving their behaviour. Many clients can't fully articulate what they want from therapy, only that they want things to be different, this is normal, and part of the process of therapy is working with you to discover what you want. On the way we aim to discover what blocks you from achieving your goals and support you in finding new paths to reach your goal.
Therapy is personal journey, unique to you and directed by what you want to achieve; I trained in Relational Transactional Analysis and use this modality to support my clients' growth in self awareness and understanding of the unconscious patterns that have been driving their behaviour. Many clients can't fully articulate what they want from therapy, only that they want things to be different, this is normal, and part of the process of therapy is working with you to discover what you want. On the way we aim to discover what blocks you from achieving your goals and support you in finding new paths to reach your goal.
01342 651034 View 01342 651034
Photo of Helaine Wood - Helaine Wood Counselling & EMDR Services, MBACP, Counsellor
Helaine Wood Counselling & EMDR Services
Counsellor, MBACP
Verified Verified
Crowborough TN6
Do you need an opportunity to help process your thoughts and feelings in a safe, non-judgemental, confidential environment? I can offer you a warm, confidential and trusting relationship. Although what distresses you is the most important factor, I will also discuss with you your lifestyle, health, sleep patterns and other aspects, such as relaxation techniques. Whatever the situation take your first step whether you are anxious, depressed, grieving or feeling bad about yourself. You are the real expert in what is going on for you and what you need. I am here to support you and together we can work through your concerns. ​
Do you need an opportunity to help process your thoughts and feelings in a safe, non-judgemental, confidential environment? I can offer you a warm, confidential and trusting relationship. Although what distresses you is the most important factor, I will also discuss with you your lifestyle, health, sleep patterns and other aspects, such as relaxation techniques. Whatever the situation take your first step whether you are anxious, depressed, grieving or feeling bad about yourself. You are the real expert in what is going on for you and what you need. I am here to support you and together we can work through your concerns. ​
01323 700275 View 01323 700275
Photo of Sue Parker, MBACP, Counsellor
Sue Parker
Counsellor, MBACP
Verified Verified
Crowborough TN6
Welcome to my profile, I work with adolescence & adults with a variety of problems that cause difficulties and may have a knock on effect with your loved ones. We often suffer in silence, truth is talking about your troubles, historical or current, can help to understand yourself better, to live a quality of life that best suits you. I facilitate this process, ensuring working within realistically achievable parameters. I qualified from Wealden Psychology Institute in East Sussex. Registered Member of BACP. I work in secondary schools with 11-18 year olds, I have a private practice offering counselling and supervision.
Welcome to my profile, I work with adolescence & adults with a variety of problems that cause difficulties and may have a knock on effect with your loved ones. We often suffer in silence, truth is talking about your troubles, historical or current, can help to understand yourself better, to live a quality of life that best suits you. I facilitate this process, ensuring working within realistically achievable parameters. I qualified from Wealden Psychology Institute in East Sussex. Registered Member of BACP. I work in secondary schools with 11-18 year olds, I have a private practice offering counselling and supervision.
01892 800671 View 01892 800671
Photo of Katie Greaves - Liberate: Counselling to Empower, MA, MNCPS Acc., Counsellor
Liberate: Counselling to Empower
Counsellor, MA, MNCPS Acc.
Verified Verified
Tunbridge Wells TN20
Every experience shared is an opportunity to feel less alone. It is my firm belief that every person has the power within themselves to make choices and changes, take ownership of their lives, and determine the direction they wish to head. My aim is to promote empowerment, personal change and growth, and provide a non-judgemental space for clients to progress at their own pace. I have both personal and professional experience of working with neurodiversity and I welcome this - as I welcome people of all backgrounds - into my practice.
Every experience shared is an opportunity to feel less alone. It is my firm belief that every person has the power within themselves to make choices and changes, take ownership of their lives, and determine the direction they wish to head. My aim is to promote empowerment, personal change and growth, and provide a non-judgemental space for clients to progress at their own pace. I have both personal and professional experience of working with neurodiversity and I welcome this - as I welcome people of all backgrounds - into my practice.
01435 518057 View 01435 518057
Photo of Catherine Noel, MBACP, Counsellor
Catherine Noel
Counsellor, MBACP
Verified Verified
Crowborough TN6
Are struggling to manage intrusive thoughts, conflicting demands or unsettling emotions? Are you recovering from a career or relationship upset that you didn’t foresee and that leaves you questioning yourself and your next move? Do you feel embarrassed or ashamed about how you feel, maybe believing that you ‘should’ be able to cope alone?
Are struggling to manage intrusive thoughts, conflicting demands or unsettling emotions? Are you recovering from a career or relationship upset that you didn’t foresee and that leaves you questioning yourself and your next move? Do you feel embarrassed or ashamed about how you feel, maybe believing that you ‘should’ be able to cope alone?
01892 352855 View 01892 352855
Photo of Sarah Maynard, PsychD, HCPC - Clin. Psych., Psychologist
Sarah Maynard
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Crowborough TN6  (Online Only)
What would life look like if you were flourishing? Sometimes problems can feel overwhelming to the extent that we can’t imagine life without them. Starting therapy can feel both daunting and hopeful, and finding a therapist and approach that you feel comfortable with is key. As a Clinical Psychologist with over 20 years experience helping people in distress, I work both in the NHS and privately, using a Holistic approach to care for the whole-being; mind and body to rebalance and heal.
What would life look like if you were flourishing? Sometimes problems can feel overwhelming to the extent that we can’t imagine life without them. Starting therapy can feel both daunting and hopeful, and finding a therapist and approach that you feel comfortable with is key. As a Clinical Psychologist with over 20 years experience helping people in distress, I work both in the NHS and privately, using a Holistic approach to care for the whole-being; mind and body to rebalance and heal.
01892 577014 View 01892 577014
Photo of Rob Fletcher, MBABCP, Psychotherapist
Rob Fletcher
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Tunbridge Wells TN20  (Online Only)
Hello, life is hard isn't it? We all need help sometimes, and there's no shame in that. In my work I get alongside people and see the world from their perspective. If I was to work with you, we would spend time understanding the nature of the problem that brought you to therapy. We can work out what is keeping the problem going and what getting better looks like. Therapy helps you to know yourself better and see the patterns that are holding you back and work towards changing them. I am also a supervisor and mentor, particularly for newly qualified therapists. My aim is to help you best an authentic version of your therapeutic self.
Hello, life is hard isn't it? We all need help sometimes, and there's no shame in that. In my work I get alongside people and see the world from their perspective. If I was to work with you, we would spend time understanding the nature of the problem that brought you to therapy. We can work out what is keeping the problem going and what getting better looks like. Therapy helps you to know yourself better and see the patterns that are holding you back and work towards changing them. I am also a supervisor and mentor, particularly for newly qualified therapists. My aim is to help you best an authentic version of your therapeutic self.
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Photo of Sarah Palmer, DCounsPsych, MBACP, Counsellor
Sarah Palmer
Counsellor, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Crowborough TN6
I understand how hard it can be trying to decide which counsellor is right for you and to find a counsellor who you can trust and confide in and feel comfortable enough to be completely open with. ​ We are all drawn to different counsellors and finding the right match is really important. It needs to be someone who you can relate to, who gets you, who listens to the detail and tries to help you uncover and understand how you are feeling in a patient and gentle way. I believe that establishing and building trust is key for the counselling relationship to develop.
I understand how hard it can be trying to decide which counsellor is right for you and to find a counsellor who you can trust and confide in and feel comfortable enough to be completely open with. ​ We are all drawn to different counsellors and finding the right match is really important. It needs to be someone who you can relate to, who gets you, who listens to the detail and tries to help you uncover and understand how you are feeling in a patient and gentle way. I believe that establishing and building trust is key for the counselling relationship to develop.
01892 362320 View 01892 362320
Photo of Kevin Ventris, MBACP, Counsellor
Kevin Ventris
Counsellor, MBACP
Verified Verified
Crowborough TN6
Do you find yourself grappling with the weight of low self-esteem, self-doubt, stress, anxiety, or depression, or facing difficulties such as bereavement, trauma, family issues, the loss of a job or relationship problems and you find yourself personally limited or overwhelmed. Perhaps you may be experiencing familiar distressing situations and begin to wonder why you encounter the same problem over and over again or question the ways you find yourself reacting and relating. Life transitions can also be confusing times, as you ask yourself big questions such as: Who am I? What do I want?
Do you find yourself grappling with the weight of low self-esteem, self-doubt, stress, anxiety, or depression, or facing difficulties such as bereavement, trauma, family issues, the loss of a job or relationship problems and you find yourself personally limited or overwhelmed. Perhaps you may be experiencing familiar distressing situations and begin to wonder why you encounter the same problem over and over again or question the ways you find yourself reacting and relating. Life transitions can also be confusing times, as you ask yourself big questions such as: Who am I? What do I want?
01444 719167 View 01444 719167
Photo of Christina Foxton - Cognitive Clarity, PsychD, MBABCP, Psychotherapist
Cognitive Clarity
Psychotherapist, PsychD, MBABCP
Verified Verified
Tunbridge Wells TN20
Hi my name is Christina. I am a qualified and accredited cognitive behavioural therapist and a certified breathing coach. I am flexible and collaborate and do my utmost to develop and nurture the therapeutic relationship. I work in an exploratory way to understand the problems and to help you recognise how your current thinking styles and behaviours may be adversely affecting you. With this knowledge we can then work on discovering what changes can be made, so that you can start moving towards living a more balanced and fulfilling life.
Hi my name is Christina. I am a qualified and accredited cognitive behavioural therapist and a certified breathing coach. I am flexible and collaborate and do my utmost to develop and nurture the therapeutic relationship. I work in an exploratory way to understand the problems and to help you recognise how your current thinking styles and behaviours may be adversely affecting you. With this knowledge we can then work on discovering what changes can be made, so that you can start moving towards living a more balanced and fulfilling life.
01580 234643 View 01580 234643
Photo of Katherine Poole - Sussex Psychologist-Katherine Poole, MSc, HCPC - Couns. Psych., Psychologist
Sussex Psychologist-Katherine Poole
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
Crowborough TN6
I would love to support you in improving your wellbeing. I have 17 years of experience working as a Chartered Counselling Psychologist (HCPC registered) . You may be experiencing depression, anxiety, trauma, or difficulties in your relationships, you may have problems adjusting to changes or loss in your life. Perhaps you want to focus on personal growth. Some clients want space to talk and reflect, others want active work helping them to make changes, some need to process trauma and heal.
I would love to support you in improving your wellbeing. I have 17 years of experience working as a Chartered Counselling Psychologist (HCPC registered) . You may be experiencing depression, anxiety, trauma, or difficulties in your relationships, you may have problems adjusting to changes or loss in your life. Perhaps you want to focus on personal growth. Some clients want space to talk and reflect, others want active work helping them to make changes, some need to process trauma and heal.
01825 705523 View 01825 705523
Photo of Beverly Lunn - Beverly Lunn Counselling, DCounsPsych, MBACP, Counsellor
Beverly Lunn Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Crowborough TN6
Sometimes life can be challenging for a variety of reasons and talking things through with a trained professional can be life changing in many different ways. I can offer my experience and training to assist my clients through this process to reach the place they want to be. It is not always easy and requires commitment but the results can be enlightening and sometimes life changing.
Sometimes life can be challenging for a variety of reasons and talking things through with a trained professional can be life changing in many different ways. I can offer my experience and training to assist my clients through this process to reach the place they want to be. It is not always easy and requires commitment but the results can be enlightening and sometimes life changing.
01892 362387 View 01892 362387

See more therapy options for Mayfield

How does your Counsellor compare?

Number of Counsellors in Mayfield

< 10

Counsellors in Mayfield who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Domestic Abuse
100% Bereavement
100% Other

Average years in practice

15 Years

Top 3 insurances accepted

50% Cigna and Evernorth
50% Any/Out-of-network Insurance
50% Aviva

How Counsellors in Mayfield see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Mayfield?

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.