Counselling in Pershore

Photo of Dr Kirsten Keighley - Dr Kirsten Keighley - Binge Eating Therapist, PhD, MBACP, Counsellor
Dr Kirsten Keighley - Binge Eating Therapist
Counsellor, PhD, MBACP
Verified Verified
Pershore WR10
I specialise in eating disorders and have 17 years’ experience as a behaviour change and obesity prevention scientist at Cambridge University. I support people with binge eating, emotional eating, weight loss struggles, and bulimia. I help clients discover and take charge of their hidden eating triggers and transform their relationship with food. Sessions often focus on getting freedom from constant thoughts about food and weight and escaping the cycle of yo-yo dieting and weight gain. Gain understanding about what has prevented you from recovery in the past so you can overcome that, and live life without restriction or bingeing.
I specialise in eating disorders and have 17 years’ experience as a behaviour change and obesity prevention scientist at Cambridge University. I support people with binge eating, emotional eating, weight loss struggles, and bulimia. I help clients discover and take charge of their hidden eating triggers and transform their relationship with food. Sessions often focus on getting freedom from constant thoughts about food and weight and escaping the cycle of yo-yo dieting and weight gain. Gain understanding about what has prevented you from recovery in the past so you can overcome that, and live life without restriction or bingeing.
01954 776163 View 01954 776163
Photo of Donna Williams - Dogrose Therapies, MNCPS Acc., Counsellor
Dogrose Therapies
Counsellor, MNCPS Acc.
Verified Verified
Pershore WR10
Are you feeling overwhelmed or stressed? Are you dealing with loss, relationship issues or just feeling a bit "stuck"? I am empathetic and will listen to you without judgement, creating a safe, calm, accepting and respectful environment where you feeI heard, supported and so able to share your feelings. Working with you to gently understand the cause of your emotional turmoil, work through any issues, find a space for yourself and ultimately help you to restore your balance of mind, body and spirit. I am a qualified and fully insured holistic therapist offering Counselling, Applied Emotional Freedom Technique and Reiki Treatments.
Are you feeling overwhelmed or stressed? Are you dealing with loss, relationship issues or just feeling a bit "stuck"? I am empathetic and will listen to you without judgement, creating a safe, calm, accepting and respectful environment where you feeI heard, supported and so able to share your feelings. Working with you to gently understand the cause of your emotional turmoil, work through any issues, find a space for yourself and ultimately help you to restore your balance of mind, body and spirit. I am a qualified and fully insured holistic therapist offering Counselling, Applied Emotional Freedom Technique and Reiki Treatments.
01386 574261 View 01386 574261
Photo of Geraldine Sarah Newham - Compass Counselling & Psychotherapy, MBACP, Counsellor
Compass Counselling & Psychotherapy
Counsellor, MBACP
Verified Verified
Pershore WR10
Waitlist for new clients
Not being understood is one of the most painful feelings. Struggling to relate to others, or live in this complicated world is so difficult for so many of us. Making sense of ourselves and finding solutions to longstanding issues – from depression, anxiety, social phobias, low self-esteem, anger management, bereavement, life-stage issues, loss, marital difficulties, relationship struggles, self-harming and suicide and unresolved childhood development challenges? You need not struggle alone; we can explore and discover what choices you have to make changes to your life's personal challenges.
Not being understood is one of the most painful feelings. Struggling to relate to others, or live in this complicated world is so difficult for so many of us. Making sense of ourselves and finding solutions to longstanding issues – from depression, anxiety, social phobias, low self-esteem, anger management, bereavement, life-stage issues, loss, marital difficulties, relationship struggles, self-harming and suicide and unresolved childhood development challenges? You need not struggle alone; we can explore and discover what choices you have to make changes to your life's personal challenges.
01905 676198 View 01905 676198
Photo of Abigail Pamich, PsychD, HCPC - Clin. Psych., Psychologist
Abigail Pamich
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Pershore WR10
I am a professional, compassionate Consultant Clinical Psychologist with twenty year of experience in helping people improve their mental health. I am also the Clinical Director of an established, busy private psychology practice called www.malvernhillsprivatepractice.co.uk based in Malvern, Worcestershire. We have a team of friendly, highly qualified Associates. We see clients for a whole range of difficulties, mild to severe, short to long term - children, adolescents and couples. We see clients daytime, evening and weekends. We also have an ADHD assessment and support service for adults with ADHD.
I am a professional, compassionate Consultant Clinical Psychologist with twenty year of experience in helping people improve their mental health. I am also the Clinical Director of an established, busy private psychology practice called www.malvernhillsprivatepractice.co.uk based in Malvern, Worcestershire. We have a team of friendly, highly qualified Associates. We see clients for a whole range of difficulties, mild to severe, short to long term - children, adolescents and couples. We see clients daytime, evening and weekends. We also have an ADHD assessment and support service for adults with ADHD.
01684 877115 View 01684 877115
Photo of Helen Forrester, MSc, MBACP, Counsellor
Helen Forrester
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Pershore WR10
‘We don’t have to do all of it alone, we were never meant to’ Brene Brown This quote resonates with me and acknowledges that we all have times in our life when we all need support and that we do not need to go through difficult and distressing times alone.
‘We don’t have to do all of it alone, we were never meant to’ Brene Brown This quote resonates with me and acknowledges that we all have times in our life when we all need support and that we do not need to go through difficult and distressing times alone.
01905 679710 View 01905 679710
Photo of Gerry Ritchie, MNCPS Acc., Counsellor
Gerry Ritchie
Counsellor, MNCPS Acc.
Verified Verified
Pershore WR10
Hi, I'm Gerry. If you’re struggling with anxiety, depression, bereavement, anger, shame, guilt, stress, addiction, sexual problems or just that life is too much to cope with then I’m here to help. I am an integrative counsellor with a broad range of counselling and psychotherapy qualifications and experience. I am also BDSM/Kink aware and have experience of working with clients from this community without assuming that their Kink is a pathology. I work in partnership with my clients to find the best way to deal with the problem. Above all, the focus is on you, the client, and what you need to help you feel better.
Hi, I'm Gerry. If you’re struggling with anxiety, depression, bereavement, anger, shame, guilt, stress, addiction, sexual problems or just that life is too much to cope with then I’m here to help. I am an integrative counsellor with a broad range of counselling and psychotherapy qualifications and experience. I am also BDSM/Kink aware and have experience of working with clients from this community without assuming that their Kink is a pathology. I work in partnership with my clients to find the best way to deal with the problem. Above all, the focus is on you, the client, and what you need to help you feel better.
01242 395274 View 01242 395274
Photo of Karol Kosinski - Zen Mind, UKCP Trainee, Counsellor
Zen Mind
Counsellor, UKCP Trainee
Verified Verified
Pershore WR10
I bring over a decade of experience to guide you through self-discovery. There is a difference between pain and suffering. There is a difference in feeling anxious for 12 seconds or 12 hours. These differences can help unveil who you truly are. Although many of us yearn for a life filled with purpose and meaning but find it challenging to release the past. Together, we can delve into what really matters and chart a course toward your ideal life. Don't let stress, burnout or previous struggles deter you. I believe that everyone has the capacity to craft a fulfilling future. Discomfort is temporary, regret is forever, contact me now.
I bring over a decade of experience to guide you through self-discovery. There is a difference between pain and suffering. There is a difference in feeling anxious for 12 seconds or 12 hours. These differences can help unveil who you truly are. Although many of us yearn for a life filled with purpose and meaning but find it challenging to release the past. Together, we can delve into what really matters and chart a course toward your ideal life. Don't let stress, burnout or previous struggles deter you. I believe that everyone has the capacity to craft a fulfilling future. Discomfort is temporary, regret is forever, contact me now.
01905 673189 View 01905 673189

More Therapists Nearby

Photo of Sharon Fox, DCounsPsych, MBACP Accred, Counsellor
Sharon Fox
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
Worcester WR1
Hi, my name is Sharon and I am a Psychotherapist based in Redditch offering face to face, phone and online therapy. I work online with clients from across the UK. I work with adults and young people age 13+ to improve mental health and emotional wellbeing. As a fully qualified and experienced Integrative Therapist and an Accredited member of the British Association of Counsellors and Psychotherapists, I offer a relaxed and supportive space to talk. Whether you are looking for a brief, solution focussed approach or to work for longer on deeper issues, I can provide a safe, confidential environment to explore your concerns.
Hi, my name is Sharon and I am a Psychotherapist based in Redditch offering face to face, phone and online therapy. I work online with clients from across the UK. I work with adults and young people age 13+ to improve mental health and emotional wellbeing. As a fully qualified and experienced Integrative Therapist and an Accredited member of the British Association of Counsellors and Psychotherapists, I offer a relaxed and supportive space to talk. Whether you are looking for a brief, solution focussed approach or to work for longer on deeper issues, I can provide a safe, confidential environment to explore your concerns.
01527 381065 View 01527 381065
Photo of Rhiannon Lewis, MA, MBACP, Counsellor
Rhiannon Lewis
Counsellor, MA, MBACP
Verified Verified
Worcester WR1
I believe that everyone deserves to find peace and contentment in their life, and that gaining greater self-knowledge and understanding is an essential part of the process. I provide a safe and confidential space for you to explore your feelings, thoughts and beliefs at your own pace, in an atmosphere of warmth and compassion. I will hear you without judgement, and help you to make sense of what is troubling you so that you can come to terms with events and learn to value yourself more deeply.
I believe that everyone deserves to find peace and contentment in their life, and that gaining greater self-knowledge and understanding is an essential part of the process. I provide a safe and confidential space for you to explore your feelings, thoughts and beliefs at your own pace, in an atmosphere of warmth and compassion. I will hear you without judgement, and help you to make sense of what is troubling you so that you can come to terms with events and learn to value yourself more deeply.
01905 917312 View 01905 917312
Photo of Paul Tutton, MUKCP, Psychotherapist
Paul Tutton
Psychotherapist, MUKCP
Verified Verified
Worcester WR1
Welcome. Everyone has times in life when their mental health is particularly challenging and they face emotional or psychological difficulties. If that describes you here and now, it can be helpful to seek support to become more aware of the impact of past life experiences, how those events still influence how you are in the world today and explore your thoughts and feelings around options for making changes in the future. Your issues, needs and goals could arise from your working life, personal life or a combination of both. You could be looking for more immediate help or seeking to better understand deeper, long-standing issues.
Welcome. Everyone has times in life when their mental health is particularly challenging and they face emotional or psychological difficulties. If that describes you here and now, it can be helpful to seek support to become more aware of the impact of past life experiences, how those events still influence how you are in the world today and explore your thoughts and feelings around options for making changes in the future. Your issues, needs and goals could arise from your working life, personal life or a combination of both. You could be looking for more immediate help or seeking to better understand deeper, long-standing issues.
01684 211366 View 01684 211366
Photo of Rob Ursell - RJUTherapy, MBACP Accred, Counsellor
RJUTherapy
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Worcester WR5
Couples, families and individuals contact me with relationship-based issues: communication and conflict resolution difficulties, separation, attachment, infidelity and mental health, amongst others. They are looking for a safe, secure, evidenced based therapeutic framework to work on and explore their relationships whilst developing and adopting key insights and tools.
Couples, families and individuals contact me with relationship-based issues: communication and conflict resolution difficulties, separation, attachment, infidelity and mental health, amongst others. They are looking for a safe, secure, evidenced based therapeutic framework to work on and explore their relationships whilst developing and adopting key insights and tools.
01905 672311 View 01905 672311
Photo of Imogen Healy, MSc, MBACP, Counsellor
Imogen Healy
Counsellor, MSc, MBACP
Verified Verified
Worcester WR1
You might be feeling lost and wanting change but are not quite sure how to get there. I work holistically with a range of difficulties such as general and/or social anxiety, depression, low self-esteem, a history of unresolved trauma and relationship difficulties. Through building a good therapeutic relationship, I aim to walk alongside you to explore your situation in more depth and the choices you have about how to move forward. I also offer Christian counselling to people who would appreciate integrating their faith/spirituality into therapy. As a Christian, I work with people from all faiths and backgrounds, and from none.
You might be feeling lost and wanting change but are not quite sure how to get there. I work holistically with a range of difficulties such as general and/or social anxiety, depression, low self-esteem, a history of unresolved trauma and relationship difficulties. Through building a good therapeutic relationship, I aim to walk alongside you to explore your situation in more depth and the choices you have about how to move forward. I also offer Christian counselling to people who would appreciate integrating their faith/spirituality into therapy. As a Christian, I work with people from all faiths and backgrounds, and from none.
01684 211615 View 01684 211615
Photo of Sarah Bower - Dewdrop Counselling Service Sarah Bower, MNCPS Acc., Counsellor
Dewdrop Counselling Service Sarah Bower
Counsellor, MNCPS Acc.
Verified Verified
Worcester WR1
I appreciate how difficult it is when you just don't feel ok, sometimes you know what is causing the problem other times you don't. At times in our lives we encounter emotions that become overwhelming causing anxiety, sadness or anger wether its work, health, marriage, children, parents, or bereavement - you don’t have to suffer this alone. Wether you are male, female young or mature there are issues that arise that are not easy to cope with but this is when I can help you most by unravelling the confusion. I understand its really difficult to seek help but its ok to not be ok, and there is always someone to turn too.
I appreciate how difficult it is when you just don't feel ok, sometimes you know what is causing the problem other times you don't. At times in our lives we encounter emotions that become overwhelming causing anxiety, sadness or anger wether its work, health, marriage, children, parents, or bereavement - you don’t have to suffer this alone. Wether you are male, female young or mature there are issues that arise that are not easy to cope with but this is when I can help you most by unravelling the confusion. I understand its really difficult to seek help but its ok to not be ok, and there is always someone to turn too.
01299 663804 View 01299 663804
Photo of Sue Akehurst, MA, MBACP Snr. Accred, Counsellor
Sue Akehurst
Counsellor, MA, MBACP Snr. Accred
Verified Verified
Worcester WR5  (Online Only)
Not accepting new clients
You might be struggling to make sense of your feelings, wondering how you can possibly get unstuck and fearful of addressing some past issues. I aim to offer a safe therapeutic relationship and can offer specific ways of working with what needs attention.
You might be struggling to make sense of your feelings, wondering how you can possibly get unstuck and fearful of addressing some past issues. I aim to offer a safe therapeutic relationship and can offer specific ways of working with what needs attention.
07480 486112 View 07480 486112
Photo of Alex Georgia Nelson, MBACP, Counsellor
Alex Georgia Nelson
Counsellor, MBACP
Verified Verified
Worcester WR5  (Online Only)
As a client-led therapist, I am guided by you the client. These are your sessions, and I am here to support you. I provide a safe and confidential space, where you can explore your concerns which have brought you to counselling. Sometimes life can become difficult, leaving it hard to navigate daily life. By having someone that can listen fully to you, supporting you to find your understanding, you can regain your confidence to manage daily life effectively.
As a client-led therapist, I am guided by you the client. These are your sessions, and I am here to support you. I provide a safe and confidential space, where you can explore your concerns which have brought you to counselling. Sometimes life can become difficult, leaving it hard to navigate daily life. By having someone that can listen fully to you, supporting you to find your understanding, you can regain your confidence to manage daily life effectively.
01905 674877 View 01905 674877
Photo of Liam Kernan, MNCPS Acc., Counsellor
Liam Kernan
Counsellor, MNCPS Acc.
Verified Verified
Worcester WR4
Liam Kernan Therapy for Men seeks to encourage men to talk about their thoughts and feelings, in a safe space, non-judgmentally and without prejudice. Giving men the emotional literacy skills to assess themselves for harm, to allow them to engage with their emotions and to begin the healing process.
Liam Kernan Therapy for Men seeks to encourage men to talk about their thoughts and feelings, in a safe space, non-judgmentally and without prejudice. Giving men the emotional literacy skills to assess themselves for harm, to allow them to engage with their emotions and to begin the healing process.
01905 953578 View 01905 953578
Photo of Jnanamati Williams, MA, HCPC-Art Therap., Psychotherapist
Jnanamati Williams
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Worcester WR1
I am an art psychotherapist with additional trainings in relational trauma therapy and applied Buddhist psychology. I am also a qualified clinical supervisor. As a therapist with nearly two decades of experience I have worked with children and adults, within family services, hospices, acute mental health and inpatient services, in children's centres and more recently in private practice. I have also as, a socially engaged Buddhist practitioner, worked on overseas projects including in Delhi, Assam and Nepal and in Europe.
I am an art psychotherapist with additional trainings in relational trauma therapy and applied Buddhist psychology. I am also a qualified clinical supervisor. As a therapist with nearly two decades of experience I have worked with children and adults, within family services, hospices, acute mental health and inpatient services, in children's centres and more recently in private practice. I have also as, a socially engaged Buddhist practitioner, worked on overseas projects including in Delhi, Assam and Nepal and in Europe.
07962 234328 View 07962 234328
Photo of Tracy Norman, MBACP, Counsellor
Tracy Norman
Counsellor, MBACP
Verified Verified
Worcester WR1
I work in private practice and in Secondary schools with many mental health issues such as anxiety, self-harm, low mood, gender dysphoria, self-esteem and confidence. In this difficult world, especially after lockdown, there are so many teenagers struggling emotionally and it is affecting confidence, friendships, family life and school. They want to understand how to understand and manage these emotions in order to be able to process them and move forward. I also work with SEND young people, struggling to understand themselves and why they may struggle emotionally.
I work in private practice and in Secondary schools with many mental health issues such as anxiety, self-harm, low mood, gender dysphoria, self-esteem and confidence. In this difficult world, especially after lockdown, there are so many teenagers struggling emotionally and it is affecting confidence, friendships, family life and school. They want to understand how to understand and manage these emotions in order to be able to process them and move forward. I also work with SEND young people, struggling to understand themselves and why they may struggle emotionally.
01275 402988 View 01275 402988
Photo of Elizabeth Barlow - Elizabeth Gibson Counselling, MSc, MBACP, Counsellor
Elizabeth Gibson Counselling
Counsellor, MSc, MBACP
Verified Verified
Worcester WR1
Hello I'm Liz, if you are seeking respectful and compassionate counselling from an experienced person in a calm and pleasant setting, then I'm pleased you've found me. At the heart of my practice is a belief in the importance of the therapist - client relationship. Therefore, I provide an emotionally safe space for us to explore the difficulties you may be experiencing. Through our mutual commitment and using a collaborative way of working, we will be able to make sense of what you are feeling, allowing you to gain a deeper understanding of yourself and find new ways of coping with and responding to your current challenges.
Hello I'm Liz, if you are seeking respectful and compassionate counselling from an experienced person in a calm and pleasant setting, then I'm pleased you've found me. At the heart of my practice is a belief in the importance of the therapist - client relationship. Therefore, I provide an emotionally safe space for us to explore the difficulties you may be experiencing. Through our mutual commitment and using a collaborative way of working, we will be able to make sense of what you are feeling, allowing you to gain a deeper understanding of yourself and find new ways of coping with and responding to your current challenges.
0121 387 0064 View 0121 387 0064
Photo of Dr Lucy Bassil, PsychD, HCPC - Clin. Psych., Psychologist
Dr Lucy Bassil
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Worcester WR1
I am a HCPC registered chartered Clinical Psychologist, working both within the NHS in adult community mental health settings and Private Practice. I have experience of working psychologically with clients across the lifespan and have a specialist interest in working with complex trauma, feelings of shame/self criticism and emotion regulation difficulties. I primarily work within a Compassion Focused Therapy and Psychodynamic Framework; however, I utilise principles from Cognitive Behavioural Therapy and Dialectical Behaviour Therapy to compliment this.
I am a HCPC registered chartered Clinical Psychologist, working both within the NHS in adult community mental health settings and Private Practice. I have experience of working psychologically with clients across the lifespan and have a specialist interest in working with complex trauma, feelings of shame/self criticism and emotion regulation difficulties. I primarily work within a Compassion Focused Therapy and Psychodynamic Framework; however, I utilise principles from Cognitive Behavioural Therapy and Dialectical Behaviour Therapy to compliment this.
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See more therapy options for Pershore

How does your Counsellor compare?

Number of Counsellors in Pershore

< 10

Counsellors in Pershore who prioritize treating:

100% Anxiety
100% Self Esteem
100% Stress
86% Bereavement
86% Divorce
86% Life Transitions
71% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

50% Any/Out-of-network Insurance
50% Aviva
50% Bupa

How Counsellors in Pershore see their clients

100% In Person and Online

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Pershore?

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.