Counselling in Milton Keynes

Photo of Marie Allman - Peace of Mind Therapy, MSc, MBABCP, Psychotherapist
Peace of Mind Therapy
Psychotherapist, MSc, MBABCP
Verified Verified
Milton Keynes MK7
There are times when life can burden people with situations that can leave them feeling overwhelmed, lost, and stuck. We understand how difficult it can be to navigate your way through such challenges and the detriment this can sometimes have on your mental health and wellbeing. We know that sometimes, what is really needed, is a helping hand. That’s why, we are passionate and dedicated to supporting people in their journey and helping them overcome their difficulties and work towards taking positive steps that can help guide them back to leading a satisfying and fulfilling life.
There are times when life can burden people with situations that can leave them feeling overwhelmed, lost, and stuck. We understand how difficult it can be to navigate your way through such challenges and the detriment this can sometimes have on your mental health and wellbeing. We know that sometimes, what is really needed, is a helping hand. That’s why, we are passionate and dedicated to supporting people in their journey and helping them overcome their difficulties and work towards taking positive steps that can help guide them back to leading a satisfying and fulfilling life.
01788 227804 View 01788 227804
Photo of Denise Janvier-Wood, MBACP, Counsellor
Denise Janvier-Wood
Counsellor, MBACP
Verified Verified
Milton Keynes MK10
Waitlist for new clients
If you're feeling overwhelmed, anxious or depressed, maybe you have experienced trauma or have issues with relationships or family. Perhaps you're struggling with low self-esteem and wondering about who you are and how you fit in. You might just feel at a loss and need someone to listen. ​ I can offer you a calm, empathic, confidential space to voice and understand your thoughts, feelings and experiences.
If you're feeling overwhelmed, anxious or depressed, maybe you have experienced trauma or have issues with relationships or family. Perhaps you're struggling with low self-esteem and wondering about who you are and how you fit in. You might just feel at a loss and need someone to listen. ​ I can offer you a calm, empathic, confidential space to voice and understand your thoughts, feelings and experiences.
01788 223255 View 01788 223255
Photo of Andrew Maleknia - Mind Matters More, DCounsPsych, HCPC - Couns. Psych., Psychologist
Mind Matters More
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Milton Keynes MK9
My name is Dr Andrew Maleknia and I am a consultant counselling psychologist with a passion for understanding and helping people. My compassion and desire to help individuals overcome difficulties in meaningful and lasting ways drove me towards choosing an exciting career path in Counselling Psychology. I enjoy being challenged and working to create solutions that meet the needs of those around me. I am a Person Centred Psychologist with additional training in Compassionate Focused Therapy (CFT), Mentalisation (MBT), Cognitive Behaviour Therapy (CBT), Psychodynamic Psychotherapy, Art Therapy and EMDR.
My name is Dr Andrew Maleknia and I am a consultant counselling psychologist with a passion for understanding and helping people. My compassion and desire to help individuals overcome difficulties in meaningful and lasting ways drove me towards choosing an exciting career path in Counselling Psychology. I enjoy being challenged and working to create solutions that meet the needs of those around me. I am a Person Centred Psychologist with additional training in Compassionate Focused Therapy (CFT), Mentalisation (MBT), Cognitive Behaviour Therapy (CBT), Psychodynamic Psychotherapy, Art Therapy and EMDR.
01908 103253 View 01908 103253
Photo of Beth Waters - Your Space Foundation, MBACP Accred, Psychotherapist
Your Space Foundation
Psychotherapist, MBACP Accred
Verified Verified
Milton Keynes MK7
Are you, or a child you know, experiencing mental health difficulties? Finding a Therapist can feel daunting, but Your Space Foundation is here to offer support. Our experienced therapists have specialist training to work with children and young people from the age of 5 who are experiencing a variety of emotional and mental health difficulties, including: emotional and behavioural disorders, trauma, PTSD & Complex PTSD, moderate anxiety and depression, self-harm & suicidal ideation, attachment difficulties, disabilities and neurodivergence.
Are you, or a child you know, experiencing mental health difficulties? Finding a Therapist can feel daunting, but Your Space Foundation is here to offer support. Our experienced therapists have specialist training to work with children and young people from the age of 5 who are experiencing a variety of emotional and mental health difficulties, including: emotional and behavioural disorders, trauma, PTSD & Complex PTSD, moderate anxiety and depression, self-harm & suicidal ideation, attachment difficulties, disabilities and neurodivergence.
01788 221807 View 01788 221807
Photo of Kashina Smith, MSc, MBACP, Counsellor
Kashina Smith
Counsellor, MSc, MBACP
Verified Verified
Milton Keynes MK2  (Online Only)
Are you a parent navigating the complexities of family life? Do you find yourself struggling with anxiety that impacts your daily interactions and overall well-being? You’re not alone, and you don’t have to face these challenges by yourself. I believe in creating a warm and empathetic environment where you feel comfortable sharing your experiences and emotions. You are unique, and I am committed to providing personalised care that respects your individuality and specific needs. Whether you’re facing family conflicts, parenting challenges, or anxiety, I’m here to support you on your journey toward healing and growth.
Are you a parent navigating the complexities of family life? Do you find yourself struggling with anxiety that impacts your daily interactions and overall well-being? You’re not alone, and you don’t have to face these challenges by yourself. I believe in creating a warm and empathetic environment where you feel comfortable sharing your experiences and emotions. You are unique, and I am committed to providing personalised care that respects your individuality and specific needs. Whether you’re facing family conflicts, parenting challenges, or anxiety, I’m here to support you on your journey toward healing and growth.
01908 082390 View 01908 082390
Photo of Laura Alcock, PsychD, HCPC - Clin. Psych., Psychologist
Laura Alcock
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Milton Keynes MK14
Not accepting new clients
I offer assessment and treatment of children and adults for the purposes of understanding difficulties and developing a treatment plan. I work with a range of difficulties including, challenging behaviour, depression, anxiety, panic, OCD, bipolar disorder, trauma, emotional regulation and self-esteem. I offer functional assessments of behaviour in children, to facilitate understanding and management of this. I also offer modified therapeutic interventions to support clients to understand their diagnosis of autism and related emotional well-being.
I offer assessment and treatment of children and adults for the purposes of understanding difficulties and developing a treatment plan. I work with a range of difficulties including, challenging behaviour, depression, anxiety, panic, OCD, bipolar disorder, trauma, emotional regulation and self-esteem. I offer functional assessments of behaviour in children, to facilitate understanding and management of this. I also offer modified therapeutic interventions to support clients to understand their diagnosis of autism and related emotional well-being.
01908 983687 View 01908 983687
Photo of Sharon Beagles, Psychotherapist
Sharon Beagles
Psychotherapist
Verified Verified
1 Endorsed
Milton Keynes MK13
Deciding to have therapy can be a big step so it is understandable that you may feel nervous or apprehensive. In my practice, my aim is to provide a safe place where we can explore whatever you struggle with at your own pace. I also believe that a trusting relationship, built upon authenticity and free from preconceptions and judgment, is an essential ingredient in any work we do together.
Deciding to have therapy can be a big step so it is understandable that you may feel nervous or apprehensive. In my practice, my aim is to provide a safe place where we can explore whatever you struggle with at your own pace. I also believe that a trusting relationship, built upon authenticity and free from preconceptions and judgment, is an essential ingredient in any work we do together.
01908 015410 View 01908 015410
Photo of Sarah's Therapeutic Counselling, MNCPS Acc., Counsellor
Sarah's Therapeutic Counselling
Counsellor, MNCPS Acc.
Verified Verified
Milton Keynes MK11  (Online Only)
Waitlist for new clients
Hello. I am currently offering online counselling sessions. I am an adult counsellor, 18+.I have a particular interest in Autism and ADHD, working in a education setting for past 15 years, with neurodiverse children and young people. I have experience and theories to enable us to explore this together. It will be a journey of ups and downs, challenging if that’s what you need/want, and that’s where I can help support you in these times. I currently volunteer counselling survivors of sexual assault/abuse, and domestic violence.
Hello. I am currently offering online counselling sessions. I am an adult counsellor, 18+.I have a particular interest in Autism and ADHD, working in a education setting for past 15 years, with neurodiverse children and young people. I have experience and theories to enable us to explore this together. It will be a journey of ups and downs, challenging if that’s what you need/want, and that’s where I can help support you in these times. I currently volunteer counselling survivors of sexual assault/abuse, and domestic violence.
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Photo of Coral-Lee Laurence, MBACP, Counsellor
Coral-Lee Laurence
Counsellor, MBACP
Verified Verified
Milton Keynes MK9  (Online Only)
How many times have you questioned why you repeat the same actions, find yourself in the same relationships, similar conditions or even ruminating on the same thoughts. We often do things unknowingly and have a deep longing to know why. You long for insight on your past and your present and feel anxious about the future because of this. It is at your worst moments that you seek self introspection, yet you still feel stuck. Perhaps you have self doubt or have uncertainty about where you are or what you want in your life. You have a deep desire to attain the life you dream of but feel that you get in your own way.
How many times have you questioned why you repeat the same actions, find yourself in the same relationships, similar conditions or even ruminating on the same thoughts. We often do things unknowingly and have a deep longing to know why. You long for insight on your past and your present and feel anxious about the future because of this. It is at your worst moments that you seek self introspection, yet you still feel stuck. Perhaps you have self doubt or have uncertainty about where you are or what you want in your life. You have a deep desire to attain the life you dream of but feel that you get in your own way.
01525 664382 View 01525 664382
Photo of Carolyn Kempster, MBACP, Counsellor
Carolyn Kempster
Counsellor, MBACP
Verified Verified
3 Endorsed
Milton Keynes MK3
Everyone faces difficult situations and painful experiences. As a person-centred counsellor, I offer you the space and time to explore whatever feels important, in a non-judgemental and safe setting. I believe that everyone has the capacity to grow, change, and heal, given the right conditions. Through counselling, I hope to help you feel heard, understood, and empowered. It's important to me to offer authentic warmth and care to clients, and listen with empathy and understanding. Together we can explore ideas and options, helping you to imagine a new way forward.
Everyone faces difficult situations and painful experiences. As a person-centred counsellor, I offer you the space and time to explore whatever feels important, in a non-judgemental and safe setting. I believe that everyone has the capacity to grow, change, and heal, given the right conditions. Through counselling, I hope to help you feel heard, understood, and empowered. It's important to me to offer authentic warmth and care to clients, and listen with empathy and understanding. Together we can explore ideas and options, helping you to imagine a new way forward.
01225 985797 View 01225 985797
Photo of Sian Creegan, MBACP, Counsellor
Sian Creegan
Counsellor, MBACP
Verified Verified
Milton Keynes MK15
Are you fed up with overthinking every interaction & conversation you have? Perhaps you’ve had enough of constantly feeling like nothing you do is ‘good enough’. Are your unhelpful behaviours & habits holding you back in life or in your relationships? Do you need a space to talk freely & openly about your thoughts, feelings & experiences whilst being truly heard in an emphatic and non judgemental way without anyone else’s opinions? You may have pain or trauma in your past that you’ve not yet felt safe to or confident to explore & tackle. Or be looking to proactively set some goals. You might be feeling lost & not sure what you need.
Are you fed up with overthinking every interaction & conversation you have? Perhaps you’ve had enough of constantly feeling like nothing you do is ‘good enough’. Are your unhelpful behaviours & habits holding you back in life or in your relationships? Do you need a space to talk freely & openly about your thoughts, feelings & experiences whilst being truly heard in an emphatic and non judgemental way without anyone else’s opinions? You may have pain or trauma in your past that you’ve not yet felt safe to or confident to explore & tackle. Or be looking to proactively set some goals. You might be feeling lost & not sure what you need.
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Gary Read
Counsellor, MNCPS Acc.
Verified Verified
Milton Keynes MK4
We can sometimes forget to look after ourselves and our own needs as we are busy caring for others. Time spent with a counsellor can allow you the space to talk about and explore any issues or difficulties you may be experiencing. My decision to become a counsellor was based upon a desire to be of help to others and make a difference during distressing times. I feel with my experience and understanding I am well placed to offer support. I truly believe that good mental health and mental wellbeing is essential for all of us.
We can sometimes forget to look after ourselves and our own needs as we are busy caring for others. Time spent with a counsellor can allow you the space to talk about and explore any issues or difficulties you may be experiencing. My decision to become a counsellor was based upon a desire to be of help to others and make a difference during distressing times. I feel with my experience and understanding I am well placed to offer support. I truly believe that good mental health and mental wellbeing is essential for all of us.
01225 435157 View 01225 435157
Photo of Jenna Gleeson, MBACP, Psychotherapist
Jenna Gleeson
Psychotherapist, MBACP
Verified Verified
Milton Keynes MK17
I work with adolescents and young people aged 12-25, with my expertise in working with care experienced young people. I am compassionate, empathetic, understanding and am committed to creating a warm, safe, non-judgemental space in which to explore whatever has brought you to Therapy. When a young person feels heard in an empathic, non-judgemental way, by someone separate from their lives, it allows them the freedom to explore their feelings without fear of being judged.
I work with adolescents and young people aged 12-25, with my expertise in working with care experienced young people. I am compassionate, empathetic, understanding and am committed to creating a warm, safe, non-judgemental space in which to explore whatever has brought you to Therapy. When a young person feels heard in an empathic, non-judgemental way, by someone separate from their lives, it allows them the freedom to explore their feelings without fear of being judged.
01788 228370 View 01788 228370
Photo of Anh Huntington, MBACP, Counsellor
Anh Huntington
Counsellor, MBACP
Verified Verified
Milton Keynes MK10
I offer counselling for individuals and I am also a certified Imago relationship therapist, trained to work with couples and family members. I offer you a safe, confidential space to explore those difficult moments in your life. My work reflects three core beliefs: Being genuine, so you can successfully explore the issues that have brought you to seek help. Being accepting and empathic, giving you the opportunity to increase your self-understanding. Providing a non-judgmental and safe place to share your experiences as we work together. I am warm and understanding towards others. I am also a broad-minded Counsellor.
I offer counselling for individuals and I am also a certified Imago relationship therapist, trained to work with couples and family members. I offer you a safe, confidential space to explore those difficult moments in your life. My work reflects three core beliefs: Being genuine, so you can successfully explore the issues that have brought you to seek help. Being accepting and empathic, giving you the opportunity to increase your self-understanding. Providing a non-judgmental and safe place to share your experiences as we work together. I am warm and understanding towards others. I am also a broad-minded Counsellor.
01788 227951 View 01788 227951
Photo of Marta Helon, MBABCP, Psychotherapist
Marta Helon
Psychotherapist, MBABCP
Verified Verified
Milton Keynes MK19
Not accepting new clients
I'm Marta, an experienced CBT and EMDR psychotherapist. Over many years of my clinical practice I have gained valuable knowledge of how our minds work and how sometimes they can be our greatest oppressors.
I'm Marta, an experienced CBT and EMDR psychotherapist. Over many years of my clinical practice I have gained valuable knowledge of how our minds work and how sometimes they can be our greatest oppressors.
01908 103439 View 01908 103439
Photo of Laura Hans - Laura Hans Therapy, MBABCP, Psychotherapist
Laura Hans Therapy
Psychotherapist, MBABCP
Verified Verified
2 Endorsed
Milton Keynes MK3
Hi, I'm Laura, a CBT & EMDR Therapist & mother of three. I’m on a mission to empower mothers and remind them how important it is to nurture and care for themselves as well as their children. Focussing on mental health and wellbeing, I support mums and mums-to-be on their journey to and through motherhood. Whether it’s your first time or your fifth, bringing a baby into the world is a huge transition. Yes, it’s precious and beautiful, but it can be overwhelming and utterly soul-destroying at times. Wherever you are on your journey, and whatever you’re dealing with, I’m here to guide you through these feelings and out the other side.
Hi, I'm Laura, a CBT & EMDR Therapist & mother of three. I’m on a mission to empower mothers and remind them how important it is to nurture and care for themselves as well as their children. Focussing on mental health and wellbeing, I support mums and mums-to-be on their journey to and through motherhood. Whether it’s your first time or your fifth, bringing a baby into the world is a huge transition. Yes, it’s precious and beautiful, but it can be overwhelming and utterly soul-destroying at times. Wherever you are on your journey, and whatever you’re dealing with, I’m here to guide you through these feelings and out the other side.
01908 103182 View 01908 103182
Photo of Sarah Dunmur, MBACP, Counsellor
Sarah Dunmur
Counsellor, MBACP
Verified Verified
Milton Keynes MK19
Based in Milton Keynes & close to Northampton, I offer a safe space where clients can freely share their experiences without fear of judgment. Whether we meet face to face or online, my focus will be to help you find the answers you need, in order to help yourself through whatever is troubling you. Whether you are suffering from stress or anxiety, depression, sleep deprivation, or perhaps you are a survivor of trauma, my empathetic approach and therapeutic experience will support and guide you to become empowered on your journey toward healing, emotional well-being and renewed resilience.
Based in Milton Keynes & close to Northampton, I offer a safe space where clients can freely share their experiences without fear of judgment. Whether we meet face to face or online, my focus will be to help you find the answers you need, in order to help yourself through whatever is troubling you. Whether you are suffering from stress or anxiety, depression, sleep deprivation, or perhaps you are a survivor of trauma, my empathetic approach and therapeutic experience will support and guide you to become empowered on your journey toward healing, emotional well-being and renewed resilience.
01908 103494 View 01908 103494
Photo of Tracy Harvey, MBACP, Counsellor
Tracy Harvey
Counsellor, MBACP
Verified Verified
Milton Keynes MK17
As a therapist, I work with clients to help them deal with issues such as depression, anxiety and invasive thoughts. I believe that society is quick to label people and say “whats wrong with you?” whereas, I believe we should be asking “What happened to you?” My clients have included survivors of childhood abuse, neglect, sexual assault and those recovering from traumatic-based experiences that have affected their current quality of life. I offer bereavement counselling to help people navigate their pain and find their own way to make sense of their loss. I recognise that, as each person is unique, so is their grieving process.
As a therapist, I work with clients to help them deal with issues such as depression, anxiety and invasive thoughts. I believe that society is quick to label people and say “whats wrong with you?” whereas, I believe we should be asking “What happened to you?” My clients have included survivors of childhood abuse, neglect, sexual assault and those recovering from traumatic-based experiences that have affected their current quality of life. I offer bereavement counselling to help people navigate their pain and find their own way to make sense of their loss. I recognise that, as each person is unique, so is their grieving process.
01296 929266 View 01296 929266
Photo of Jackline Akello Oliech - Salama Counselling Service, BACP, Counsellor
Salama Counselling Service
Counsellor, BACP
Verified Verified
Milton Keynes MK7  (Online Only)
Hello! Thank you for stopping by my profile. I have had the privilege of working with diverse clients facing a wide range of issues. I am committed to providing a warm and safe space where you can freely talk and process your concerns. Looking forward to journeying with you.
Hello! Thank you for stopping by my profile. I have had the privilege of working with diverse clients facing a wide range of issues. I am committed to providing a warm and safe space where you can freely talk and process your concerns. Looking forward to journeying with you.
01788 223269 View 01788 223269
Photo of Caroline McBride, MBACP Accred, Counsellor
Caroline McBride
Counsellor, MBACP Accred
Verified Verified
Milton Keynes MK10
Life can be really difficult at times for all of us and sometimes problems can feel overwhelming. Counselling and Psychotherapy can provide a safe and private space to explore the issues with someone who has enough distance from your life to be along side you whilst you find what it is that you need. I think people come to Counselling when they decide within themselves something in their life needs to change, be that an external change or a change in a way of feeling, I have a decades experience in building meaningful, containing, supportive relationships and can be alongside you whilst you find what it is that you need.
Life can be really difficult at times for all of us and sometimes problems can feel overwhelming. Counselling and Psychotherapy can provide a safe and private space to explore the issues with someone who has enough distance from your life to be along side you whilst you find what it is that you need. I think people come to Counselling when they decide within themselves something in their life needs to change, be that an external change or a change in a way of feeling, I have a decades experience in building meaningful, containing, supportive relationships and can be alongside you whilst you find what it is that you need.
01788 228284 View 01788 228284

See more therapy options for Milton Keynes

How does your Counsellor compare?

Number of Counsellors in Milton Keynes

100+

Average cost per session

£55

Counsellors in Milton Keynes who prioritize treating:

92% Anxiety
85% Depression
83% Self Esteem
79% Stress
74% Relationship Issues
64% Coping Skills
63% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

72% Aviva
66% AXA PPP
59% Vitality

How Counsellors in Milton Keynes see their clients

81% In Person and Online
19% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Milton Keynes?

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.