Counselling in Princes Risborough

Photo of Sue Beale, MSc, ACP, Psychotherapist
Sue Beale
Psychotherapist, MSc, ACP
Verified Verified
Princes Risborough HP27
I have worked extensively with children, adolescents and parents within local authorities and within the NHS (CAMHS). I can offer both short term or longer term interventions depending on presenting symptoms and also offer consultations and support to parents. I have had experience working with children and young adults up to the age of 25 with a wide variety of difficulties ranging from separation anxiety, low mood and trauma.
I have worked extensively with children, adolescents and parents within local authorities and within the NHS (CAMHS). I can offer both short term or longer term interventions depending on presenting symptoms and also offer consultations and support to parents. I have had experience working with children and young adults up to the age of 25 with a wide variety of difficulties ranging from separation anxiety, low mood and trauma.
01722 548785 View 01722 548785
Photo of Francesca Marjoram - Talk for Change Therapy , MBACP, Psychotherapist
Talk for Change Therapy
Psychotherapist, MBACP
Verified Verified
Princes Risborough HP27
Hello, and welcome. I am Francesca, a well qualified, experienced and professional psychotherapist supporting individuals to work through feelings of anxiety, depression, relationship problems, anger, grief and loss. Since you are reading this page I imagine you would like some aspects of your life to be different and wondering if I - or therapy - can help you. We come to therapy for a myriad of reasons, perhaps you struggling to like yourself or coming to terms with a trauma or loss and looking to process your experience and see a way forward. Maybe you are struggling with overwhelming feelings of anxiety or depression.
Hello, and welcome. I am Francesca, a well qualified, experienced and professional psychotherapist supporting individuals to work through feelings of anxiety, depression, relationship problems, anger, grief and loss. Since you are reading this page I imagine you would like some aspects of your life to be different and wondering if I - or therapy - can help you. We come to therapy for a myriad of reasons, perhaps you struggling to like yourself or coming to terms with a trauma or loss and looking to process your experience and see a way forward. Maybe you are struggling with overwhelming feelings of anxiety or depression.
01494 977457 View 01494 977457
Photo of Julia Appleton, MBACP, Counsellor
Julia Appleton
Counsellor, MBACP
Verified Verified
Princes Risborough HP27
Because you're here, I imagine that things are feeling difficult. Something specific may be on your mind or it might be something more general; you may be overwhelmed with anxious thoughts, depression or a sense that something just isn't quite right. Perhaps you're struggling with relationships, or trying to deal with a loss or a trauma in your life. Patterns may keep repeating and you don't know how to change them. At times, we all need extra support; there are lots of reasons why people come in to counselling. I work in an Integrative way, to help you to unpick complex feelings you may have about yourself and the way you live now.
Because you're here, I imagine that things are feeling difficult. Something specific may be on your mind or it might be something more general; you may be overwhelmed with anxious thoughts, depression or a sense that something just isn't quite right. Perhaps you're struggling with relationships, or trying to deal with a loss or a trauma in your life. Patterns may keep repeating and you don't know how to change them. At times, we all need extra support; there are lots of reasons why people come in to counselling. I work in an Integrative way, to help you to unpick complex feelings you may have about yourself and the way you live now.
01494 360887 View 01494 360887
Photo of Tom Coates - Cbt Therapist, MBABCP, Psychotherapist
Tom Coates - Cbt Therapist
Psychotherapist, MBABCP
Verified Verified
5 Endorsed
Princes Risborough HP27
Emotional difficulties can make us feel overwhelmed, isolated, and exhausted, affecting our daily lives and overall well-being. If this sounds like you, remember that help is available. I'm Tom, a BABCP accredited Cognitive Behavioural Therapist with over 12 years of experience in clinical practice. Although I work with a range of conditions, including Depression and Anxiety, I have a specialist interest in working with individuals struggling with Obsessive Compulsive Disorder (OCD). My personal battles with OCD and depression allow me to empathise deeply with my clients, enabling me to provide understanding and supportive care.
Emotional difficulties can make us feel overwhelmed, isolated, and exhausted, affecting our daily lives and overall well-being. If this sounds like you, remember that help is available. I'm Tom, a BABCP accredited Cognitive Behavioural Therapist with over 12 years of experience in clinical practice. Although I work with a range of conditions, including Depression and Anxiety, I have a specialist interest in working with individuals struggling with Obsessive Compulsive Disorder (OCD). My personal battles with OCD and depression allow me to empathise deeply with my clients, enabling me to provide understanding and supportive care.
01296 327562 View 01296 327562
Photo of Kate Sarah Brown - Kate Brown Counsellor/Supervisor, MBACP Accred, Counsellor
Kate Brown Counsellor/Supervisor
Counsellor, MBACP Accred
Verified Verified
Princes Risborough HP27
Hello. Are you struggling at the moment? I am an experienced BACP accredited counsellor working with children, young people and adults. I offer a safe and confidential space in which you can explore any problems or issues troubling you. Please contact me if you would like to talk either on the phone or to arrange an initial appointment with no obligation or fees.
Hello. Are you struggling at the moment? I am an experienced BACP accredited counsellor working with children, young people and adults. I offer a safe and confidential space in which you can explore any problems or issues troubling you. Please contact me if you would like to talk either on the phone or to arrange an initial appointment with no obligation or fees.
01494 360895 View 01494 360895
Photo of Nicola Biggs - Aylesbury Therapy, MNCPS Acc., Counsellor
Aylesbury Therapy
Counsellor, MNCPS Acc.
Verified Verified
Princes Risborough HP27
Aylesbury Therapy are fully qualified Counsellors & Psychotherapists with a wealth of experience over a varied range of styles & approaches. We offer a private tailored service to all our clients. Our team cover a number of specialty areas & all our appointments are offered in person. We work with children, teens, adults, couples & families. Our service is open 7 days a week by appointment only. In additions we also run a low cost service with 50 minute sessions for just £25. These sessions are for over 16 year old's only and the therapists are trainees in their final stages of qualification. Get in touch to apply for this service.
Aylesbury Therapy are fully qualified Counsellors & Psychotherapists with a wealth of experience over a varied range of styles & approaches. We offer a private tailored service to all our clients. Our team cover a number of specialty areas & all our appointments are offered in person. We work with children, teens, adults, couples & families. Our service is open 7 days a week by appointment only. In additions we also run a low cost service with 50 minute sessions for just £25. These sessions are for over 16 year old's only and the therapists are trainees in their final stages of qualification. Get in touch to apply for this service.
01296 321185 View 01296 321185
Photo of Chris Meddes, MBACP, Counsellor
Chris Meddes
Counsellor, MBACP
Verified Verified
1 Endorsed
Princes Risborough HP27
When you find yourself dealing with an unexpected life event or feelings that are overwhelming and hard to cope with, I feel it is the power of connection in relationship that can be the greatest source of support. This emphasis on connection allows us to create a therapeutic relationship where focussing on your needs is at the heart of the work together. Having experience of working in private practice, in a secondary school and with elite athletes I aim to support you in understanding your emotions and behaviours, to try to make sense of what may be going on for you underneath the surface.
When you find yourself dealing with an unexpected life event or feelings that are overwhelming and hard to cope with, I feel it is the power of connection in relationship that can be the greatest source of support. This emphasis on connection allows us to create a therapeutic relationship where focussing on your needs is at the heart of the work together. Having experience of working in private practice, in a secondary school and with elite athletes I aim to support you in understanding your emotions and behaviours, to try to make sense of what may be going on for you underneath the surface.
01844 394832 View 01844 394832
Photo of Emily Arlidge (Stress Counsellor), MNCPS Acc., Counsellor
Emily Arlidge (Stress Counsellor)
Counsellor, MNCPS Acc.
Verified Verified
Princes Risborough HP27
Are you just go, go, go? Feeling like it's non-stop? Doing everything for everyone? Perhaps you're struggling to think or focus, almost as if there's something wrong with your brain? Find you have new aches and pains or tension in your body that don't make any sense to you?
Are you just go, go, go? Feeling like it's non-stop? Doing everything for everyone? Perhaps you're struggling to think or focus, almost as if there's something wrong with your brain? Find you have new aches and pains or tension in your body that don't make any sense to you?
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Photo of Phillippa Burton, MSc, MBABCP, Psychotherapist
Phillippa Burton
Psychotherapist, MSc, MBABCP
Verified Verified
Princes Risborough HP27
Hi, I'm Phillippa and I have been working within mental health for nearly 20 years, and specialised in CBT for the last 10 years. I support young people and adults who are feeling low, or who feel very anxious and are overwhelmed by their worries. I work with a range of mental health problems including PTSD, OCD, social anxiety and phobias. CBT can also be of great benefit to those experiencing difficulties with low self-esteem or perfectionism. I bring my experience and training to help you change your relationship with anxiety and depression, and feel empowered and able to do things differently.
Hi, I'm Phillippa and I have been working within mental health for nearly 20 years, and specialised in CBT for the last 10 years. I support young people and adults who are feeling low, or who feel very anxious and are overwhelmed by their worries. I work with a range of mental health problems including PTSD, OCD, social anxiety and phobias. CBT can also be of great benefit to those experiencing difficulties with low self-esteem or perfectionism. I bring my experience and training to help you change your relationship with anxiety and depression, and feel empowered and able to do things differently.
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Photo of Alex Reid, MBACP, Counsellor
Alex Reid
Counsellor, MBACP
Verified Verified
Princes Risborough HP27
If you always seem to be in unhappy relationships; suffer from anxiety or depression; feel angry all the time; are struggling with addictive behaviors; feel in constant emotional pain; or feel like no-one really listens to you properly or notices what you are going through; then I can offer you the time and space to be seen and heard, and start to work through what you are facing.
If you always seem to be in unhappy relationships; suffer from anxiety or depression; feel angry all the time; are struggling with addictive behaviors; feel in constant emotional pain; or feel like no-one really listens to you properly or notices what you are going through; then I can offer you the time and space to be seen and heard, and start to work through what you are facing.
01844 394766 View 01844 394766
Photo of Chrissy Peel, MBACP, Counsellor
Chrissy Peel
Counsellor, MBACP
Verified Verified
1 Endorsed
Princes Risborough HP27
When life events past or present become overwhelming, it can feel hard to cope with things alone & often hard to reach out to family or friends. If you are experiencing trauma & PTSD symptoms, such as anxiety, depression, flashbacks, panic attacks, anger issues, self-harm, low self-esteem, disconnection, shame, loss, isolation, we can work together at your pace to help you move through these feelings & behaviours. "Trauma is not what happens to you, it’s what happens inside you as a result of what happened to you. Trauma is that scarring that makes you less flexible, more rigid, less feeling and more defended." (Dr Gabor Mate)
When life events past or present become overwhelming, it can feel hard to cope with things alone & often hard to reach out to family or friends. If you are experiencing trauma & PTSD symptoms, such as anxiety, depression, flashbacks, panic attacks, anger issues, self-harm, low self-esteem, disconnection, shame, loss, isolation, we can work together at your pace to help you move through these feelings & behaviours. "Trauma is not what happens to you, it’s what happens inside you as a result of what happened to you. Trauma is that scarring that makes you less flexible, more rigid, less feeling and more defended." (Dr Gabor Mate)
01442 974608 View 01442 974608
Photo of Lisa Griffiths - Chrysalis Therapy (Lisa Griffiths), MSc, MBABCP, Psychotherapist
Chrysalis Therapy (Lisa Griffiths)
Psychotherapist, MSc, MBABCP
Verified Verified
Princes Risborough HP27
We can all feel low and anxious from time to time depending on our life situation and/or previous experiences. However sometimes, feeling low and/or anxious can start to impact and interrupt our day to day lives and activities. Therefore, sometimes seeking help from a qualified professional can be helpful to explore the trigger for your mood and/or anxiety. As a committed, professional psychotherapist, your wellbeing is my number one priority. I am happy to guide, support and coach you, to make the choices and changes that will be beneficial for the maintenance of your wellbeing.
We can all feel low and anxious from time to time depending on our life situation and/or previous experiences. However sometimes, feeling low and/or anxious can start to impact and interrupt our day to day lives and activities. Therefore, sometimes seeking help from a qualified professional can be helpful to explore the trigger for your mood and/or anxiety. As a committed, professional psychotherapist, your wellbeing is my number one priority. I am happy to guide, support and coach you, to make the choices and changes that will be beneficial for the maintenance of your wellbeing.
01844 392824 View 01844 392824
Photo of Tanya Lecchi - Inner Citadel, PhD
Inner Citadel
PhD
Verified Verified
Princes Risborough HP27
Inner Citadel is a clinic and training institute founded by Dr Tanya Lecchi (HCPC Clinical Psychologist and Counselling Psychologist). Our mission is to offer evidence-based therapies to people interested in exploring their lived experience in depth, helping our clients manage their clinical symptoms while finding greater authenticity and fulfilment in their daily lives. We offer a safe, quiet and private space.
Inner Citadel is a clinic and training institute founded by Dr Tanya Lecchi (HCPC Clinical Psychologist and Counselling Psychologist). Our mission is to offer evidence-based therapies to people interested in exploring their lived experience in depth, helping our clients manage their clinical symptoms while finding greater authenticity and fulfilment in their daily lives. We offer a safe, quiet and private space.
01865 638842 View 01865 638842

More Therapists Nearby

Photo of Lisa Michelle Green - Green Therapy, BACP, Psychotherapist
Green Therapy
Psychotherapist, BACP
Verified Verified
Haddenham HP17
If you would like someone to listen to you and help you find ways to manage your emotional issues such as depression, anxiety, bereavement, trauma or difficult life events then counselling can help. I work with young people and adults in private practise situated in Aylesbury and Thame. I offer a confidential non-judgemental safe and comfortable environment, allowing my client's to express and explore themselves, their feelings, thoughts and concerns.
If you would like someone to listen to you and help you find ways to manage your emotional issues such as depression, anxiety, bereavement, trauma or difficult life events then counselling can help. I work with young people and adults in private practise situated in Aylesbury and Thame. I offer a confidential non-judgemental safe and comfortable environment, allowing my client's to express and explore themselves, their feelings, thoughts and concerns.
07723 456080 View 07723 456080
Photo of Ian Stockbridge - Hope Therapy & Counselling Services, MBACP Accred, Counsellor
Hope Therapy & Counselling Services
Counsellor, MBACP Accred
Verified Verified
Aylesbury HP17
I am a skilled Counsellor specialising in Cognitive Behavioural Therapy (CBT) and Counseling Supervision. With a Bachelor's degree in CBT, a Diploma in Counselling, and a Level 7 Postgraduate qualification in Counselling Supervision, I am dedicated to providing personalised support for challenges such as anxiety, depression, anger management, relationship issues, self-confidence, and self-esteem. Qualifications: BSc in Cognitive Behavioural Therapy (CBT): My academic foundation equips me with principles and techniques for addressing cognitive and behavioural patterns linked to mental health concerns.
I am a skilled Counsellor specialising in Cognitive Behavioural Therapy (CBT) and Counseling Supervision. With a Bachelor's degree in CBT, a Diploma in Counselling, and a Level 7 Postgraduate qualification in Counselling Supervision, I am dedicated to providing personalised support for challenges such as anxiety, depression, anger management, relationship issues, self-confidence, and self-esteem. Qualifications: BSc in Cognitive Behavioural Therapy (CBT): My academic foundation equips me with principles and techniques for addressing cognitive and behavioural patterns linked to mental health concerns.
07480 559808 View 07480 559808
Photo of Jackie Wybrow, MBACP, Psychotherapist
Jackie Wybrow
Psychotherapist, MBACP
Verified Verified
Aylesbury HP17
Waitlist for new clients
Hello, I am sure this feels like a daunting prospect finding a counsellor that you can share those feelings that have been troubling you and getting in the way of the life you want to lead. I believe the connection between counsellor and client is at the heart of the process. I can offer a safe space where you can explore difficult, complicated or confusing emotions in a warm, confidential, empathic environment. We can work together to gain a greater understanding of those feelings and move forward towards lasting and positive change for your future.
Hello, I am sure this feels like a daunting prospect finding a counsellor that you can share those feelings that have been troubling you and getting in the way of the life you want to lead. I believe the connection between counsellor and client is at the heart of the process. I can offer a safe space where you can explore difficult, complicated or confusing emotions in a warm, confidential, empathic environment. We can work together to gain a greater understanding of those feelings and move forward towards lasting and positive change for your future.
01442 504343 View 01442 504343
Photo of Sumeet Grover, MUKCP, Psychotherapist
Sumeet Grover
Psychotherapist, MUKCP
Verified Verified
Aylesbury HP17
The experience of coming for therapy is an opportunity for you to discover for the first (or subsequent) time in life that you can let go of all the judgements, the fear and hesitation, and begin to talk about what is bothering you. We become wounded within a sense of connectedness - in families, relationships, friendships and society - and paradoxically it is within a sense of connectedness that we can begin to heal. Healing the emotional brain takes time, but it is a creative and deeply fulfilling process that brings wonderful gifts with itself. I help my clients to begin to feel more balanced and calm within their mind and body.
The experience of coming for therapy is an opportunity for you to discover for the first (or subsequent) time in life that you can let go of all the judgements, the fear and hesitation, and begin to talk about what is bothering you. We become wounded within a sense of connectedness - in families, relationships, friendships and society - and paradoxically it is within a sense of connectedness that we can begin to heal. Healing the emotional brain takes time, but it is a creative and deeply fulfilling process that brings wonderful gifts with itself. I help my clients to begin to feel more balanced and calm within their mind and body.
01525 664046 View 01525 664046
Photo of Sarika Prashar, MBACP, Counsellor
Sarika Prashar
Counsellor, MBACP
Verified Verified
Aylesbury HP17
A very warm welcome to you, my name is Sarika and I am a qualified Integrative Counsellor and a registered member of the British Association of Counselling and Psychotherapy (MBACP). I offer talking therapy, art and creative therapy to children, young people and adults. I also offer consultations to parents and carers, these are sessions to support, guide and give practical advice on how you can support your child’s mental health, wellbeing and any other challenges related to parenting. For further information or to book an appointment, feel free to get in touch by phone, text message or via email.
A very warm welcome to you, my name is Sarika and I am a qualified Integrative Counsellor and a registered member of the British Association of Counselling and Psychotherapy (MBACP). I offer talking therapy, art and creative therapy to children, young people and adults. I also offer consultations to parents and carers, these are sessions to support, guide and give practical advice on how you can support your child’s mental health, wellbeing and any other challenges related to parenting. For further information or to book an appointment, feel free to get in touch by phone, text message or via email.
01689 663252 View 01689 663252
Photo of Liz Stacpoole, MBACP, Counsellor
Liz Stacpoole
Counsellor, MBACP
Verified Verified
Aylesbury HP17
Hello, my name is Liz and I am an experienced BACP registered counsellor working in Private Practice & also for the NHS. I am passionate about mental health and making a difference to my clients' lives. Whatever has brought you to counselling, my aim is to provide you with a welcoming, non judgemental and confidential space that allows you to gently explore your feelings and emotions that you may have found hard to share with others. I can support you or your child through these challenging times. I can help you to make sense of your feelings & emotions and empower you to make the changes you need to restore balance in your life.
Hello, my name is Liz and I am an experienced BACP registered counsellor working in Private Practice & also for the NHS. I am passionate about mental health and making a difference to my clients' lives. Whatever has brought you to counselling, my aim is to provide you with a welcoming, non judgemental and confidential space that allows you to gently explore your feelings and emotions that you may have found hard to share with others. I can support you or your child through these challenging times. I can help you to make sense of your feelings & emotions and empower you to make the changes you need to restore balance in your life.
07449 776635 View 07449 776635
Photo of Lyzette Jarvey, MA
Lyzette Jarvey
MA
Verified Verified
Aylesbury HP17
I have a keen interest in working with individuals who are seeking self-awareness. Art Therapy allows expression that is not based on spoken language only. You don't need any artistic skills or any previous experience in creative expression. I hope for clients to learn their own skills and tools to heal and transform and be their best possible self. I know how hard life can be due to situations from past and present that affect us.
I have a keen interest in working with individuals who are seeking self-awareness. Art Therapy allows expression that is not based on spoken language only. You don't need any artistic skills or any previous experience in creative expression. I hope for clients to learn their own skills and tools to heal and transform and be their best possible self. I know how hard life can be due to situations from past and present that affect us.
01844 393947 View 01844 393947

See more therapy options for Princes Risborough

How does your Counsellor compare?

Number of Counsellors in Princes Risborough

10+

Average cost per session

£60

Counsellors in Princes Risborough who prioritize treating:

100% Stress
92% Depression
92% Anxiety
85% Self Esteem
69% Relationship Issues
69% Bereavement
69% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

100% Aviva
100% AXA PPP
50% Cigna and Evernorth

How Counsellors in Princes Risborough see their clients

100% In Person and Online

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Princes Risborough?

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.