Photo of Dr Anita Goraya, MBBS, MBABCP, Psychotherapist
Dr Anita Goraya
Psychotherapist, MBBS, MBABCP
Verified Verified
3 Endorsed
London N20  (Online Only)
Waitlist for new clients
I have endured and healed from depression and anxiety. After over twenty years as a medical doctor, I now work as a CBT therapist. At 55, a diagnosis of ADHD helped me make sense of my life. Through medical treatment, therapy, meditation, and Buddhist teachings, I have learned to heal myself, turning wounds into scars. I offer a blended approach, using both my professional trainings and personal experience to teach from the scars. If you are an established professional with diagnosed or suspected ADHD and you'd value help in reducing your emotional distress and tackling the daily challenges of llfe, please get in touch.
I have endured and healed from depression and anxiety. After over twenty years as a medical doctor, I now work as a CBT therapist. At 55, a diagnosis of ADHD helped me make sense of my life. Through medical treatment, therapy, meditation, and Buddhist teachings, I have learned to heal myself, turning wounds into scars. I offer a blended approach, using both my professional trainings and personal experience to teach from the scars. If you are an established professional with diagnosed or suspected ADHD and you'd value help in reducing your emotional distress and tackling the daily challenges of llfe, please get in touch.
020 8106 2947 View 020 8106 2947
Photo of Kiren Kaulder, MSc, MBABCP, Psychotherapist
Kiren Kaulder
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
I am an experienced and passionate BABCP accredited Cognitive Behavioural Therapist and EMDR therapist with over 10 years experience. My values are reflected within my clinic; a trustworthy and reliable approach, teaching you in a compassionate way, to feel better and overcome your difficulties. I offer a safe environment to work on your most difficult feelings, thoughts and behaviours using evidence-based techniques at your pace. Alongside private work, I lead a specialist OCD & related disorders service at a private hospital in central London, providing treatment for OCD, body dysmorphia and anxiety disorders.
I am an experienced and passionate BABCP accredited Cognitive Behavioural Therapist and EMDR therapist with over 10 years experience. My values are reflected within my clinic; a trustworthy and reliable approach, teaching you in a compassionate way, to feel better and overcome your difficulties. I offer a safe environment to work on your most difficult feelings, thoughts and behaviours using evidence-based techniques at your pace. Alongside private work, I lead a specialist OCD & related disorders service at a private hospital in central London, providing treatment for OCD, body dysmorphia and anxiety disorders.
020 7078 9409 View 020 7078 9409
Photo of Nooshin Navazani, MSc, GMBPsS, Psychologist
Nooshin Navazani
Psychologist, MSc, GMBPsS
Verified Verified
As a clinical psychologist,I work with adolescents , couples and families and adults of all ages to overcome challenges, build resilience, and create more fulfilling lives. I see therapy as an important opportunity for growth and approach our work together with warmth and enthusiasm. I specialize in working with adolescents struggling with anxiety, depression, drug and alcohol addiction and difficult life transitions in addition to other issues. I have training in Cognitive Behavioral Therapy (CBT) from medical science university of Tehran and schema Matrix treatment Certificate for drug abuse from university of Tehran.
As a clinical psychologist,I work with adolescents , couples and families and adults of all ages to overcome challenges, build resilience, and create more fulfilling lives. I see therapy as an important opportunity for growth and approach our work together with warmth and enthusiasm. I specialize in working with adolescents struggling with anxiety, depression, drug and alcohol addiction and difficult life transitions in addition to other issues. I have training in Cognitive Behavioral Therapy (CBT) from medical science university of Tehran and schema Matrix treatment Certificate for drug abuse from university of Tehran.
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Photo of Dr Anna Wachowska Psychologist, PsychD, HCPC - Couns. Psych., Psychologist
Dr Anna Wachowska Psychologist
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London N20  (Online Only)
I am a Counselling Psychologist and I work in an integrative and holistic way, accounting for both the mind and the body, drawing on different therapeutic approaches in order to meet my client’s needs. However, I tend to use the psychodynamic perspective centrally in my practice, focusing on making key links between the past and the present; this also means that I take into special consideration attachment based wounds, the unconscious factors contributing to the development and maintenance of difficulties as well as the ways in which we relate to ourselves and to others.
I am a Counselling Psychologist and I work in an integrative and holistic way, accounting for both the mind and the body, drawing on different therapeutic approaches in order to meet my client’s needs. However, I tend to use the psychodynamic perspective centrally in my practice, focusing on making key links between the past and the present; this also means that I take into special consideration attachment based wounds, the unconscious factors contributing to the development and maintenance of difficulties as well as the ways in which we relate to ourselves and to others.
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Photo of David Levy, BACP, Counsellor
David Levy
Counsellor, BACP
Verified Verified
To introduce myself – I’m a counsellor specialising in working with ADHD clients and couples, and the challenges which come with navigating diagnosis whether that be the emotional impact, the difficulty in reframing your past, present and future, and the difficult and often drawn-out experience of waiting for assessment, assessment itself, diagnosis, treatment, and medication. I am diagnosed combined-type ADHD and found it enormously beneficial to my work.
To introduce myself – I’m a counsellor specialising in working with ADHD clients and couples, and the challenges which come with navigating diagnosis whether that be the emotional impact, the difficulty in reframing your past, present and future, and the difficult and often drawn-out experience of waiting for assessment, assessment itself, diagnosis, treatment, and medication. I am diagnosed combined-type ADHD and found it enormously beneficial to my work.
07400 321617 View 07400 321617
Photo of Dalilah Baruti - Therapy & Me, MBACP, Psychotherapist
Therapy & Me
Psychotherapist, MBACP
Verified Verified
Maybe you feel as though you are negotiating between intersecting parts of yourself such as your mind, body, heart and soul and you’re finding it difficult to find a balance that feels sincere to you. Perhaps this back and forth is affecting how you behave with your family, friends or partner and you’re finding it difficult to cope. You want to live a life where you can integrate more aspects of yourself and feel more whole, to hear and trust yourself, without fear of feeling shame, feeling seen or even feeling truly known by those who matter most to you.
Maybe you feel as though you are negotiating between intersecting parts of yourself such as your mind, body, heart and soul and you’re finding it difficult to find a balance that feels sincere to you. Perhaps this back and forth is affecting how you behave with your family, friends or partner and you’re finding it difficult to cope. You want to live a life where you can integrate more aspects of yourself and feel more whole, to hear and trust yourself, without fear of feeling shame, feeling seen or even feeling truly known by those who matter most to you.
01992 927914 View 01992 927914
Photo of Sharareh Keyani, MA, MBACP, Counsellor
Sharareh Keyani
Counsellor, MA, MBACP
Verified Verified
Seeking help is not always easy, but it's the first step in helping you find the tools to tackle the challenges life brings. Counselling can help you renew your sense of well-being and discover methods to heal and care for your inner self. Whether you are dealing with a difficult situation, struggling to make sense of what's going on, feeling depressed, stressed out or dealing with painful emotions, therapy can be the key to help you through your journey. My core belief is that most people have a sense of their own well being and know when
Seeking help is not always easy, but it's the first step in helping you find the tools to tackle the challenges life brings. Counselling can help you renew your sense of well-being and discover methods to heal and care for your inner self. Whether you are dealing with a difficult situation, struggling to make sense of what's going on, feeling depressed, stressed out or dealing with painful emotions, therapy can be the key to help you through your journey. My core belief is that most people have a sense of their own well being and know when
020 3962 1221 View 020 3962 1221
Photo of Allan Willis - Dr Allan Willis, HCPC - Ed. Psych., Psychologist
Dr Allan Willis
Psychologist, HCPC - Ed. Psych.
Verified Verified
I work as a psychologist, psychotherapist and hypnotherapist to help people with life challenges make lasting change. My clients come to me with life issues such as anxiety, depression and anger and these are limiting their lives. I help them to identify the barriers in their life and support them to develop positive, effective change.
I work as a psychologist, psychotherapist and hypnotherapist to help people with life challenges make lasting change. My clients come to me with life issues such as anxiety, depression and anger and these are limiting their lives. I help them to identify the barriers in their life and support them to develop positive, effective change.
020 3962 2347 View 020 3962 2347
Photo of Sara Bentwood, PsychD, CPsychol, Psychologist
Sara Bentwood
Psychologist, PsychD, CPsychol
Verified Verified
I am a Clinical Psychologist with over 15 years NHS experience providing highly specialist psychological assessment, formulation and interventions to both children and adolescents, other family members including siblings and parents/carers, as well as adults. I have a great deal of experience working with psychological difficulties such as anxiety including OCD, panic attacks, phobias and social anxiety; depression, low self-esteem and poor body image; behaviour difficulties, anger management, school issues such as bullying and family difficulties as well as difficulties with feeding and sleep.
I am a Clinical Psychologist with over 15 years NHS experience providing highly specialist psychological assessment, formulation and interventions to both children and adolescents, other family members including siblings and parents/carers, as well as adults. I have a great deal of experience working with psychological difficulties such as anxiety including OCD, panic attacks, phobias and social anxiety; depression, low self-esteem and poor body image; behaviour difficulties, anger management, school issues such as bullying and family difficulties as well as difficulties with feeding and sleep.
020 4538 0224 View 020 4538 0224
Photo of Mignon Marks, DCounsPsych, MBACP, Counsellor
Mignon Marks
Counsellor, DCounsPsych, MBACP
Verified Verified
I am a qualified psychotherapeutic counsellor specialising in an integrative approach drawing on Person-Centred theory. I believe that everyone is different and need different considerations. I have personally experienced many of life's challenges and completely understand that everyone's journey is unique to them. I am a fully registered member of BACP, fully insured and DBS checked.
I am a qualified psychotherapeutic counsellor specialising in an integrative approach drawing on Person-Centred theory. I believe that everyone is different and need different considerations. I have personally experienced many of life's challenges and completely understand that everyone's journey is unique to them. I am a fully registered member of BACP, fully insured and DBS checked.
020 3974 1969 View 020 3974 1969
Photo of Dr Angelica Titmus, PsychD, HCPC - Clin. Psych., Psychologist
Dr Angelica Titmus
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Hi, I'm Angelica. I'm a Senior Clinical Psychologist with over 10 years of experience working within the NHS, and 15 years experience working across the charitable and university sector. I am experienced in both working with adults and young people and specialise in working with anxiety and depression. I prioritise creating a warm, open, compassionate and comfortable space in therapy. Therapy can deepen your understanding of yourself and help you to find ways out of negative cycles. You might seek therapy at a time of change, feeling 'stuck', having a specific mental health concern, or just wanting to learn more about yourself.
Hi, I'm Angelica. I'm a Senior Clinical Psychologist with over 10 years of experience working within the NHS, and 15 years experience working across the charitable and university sector. I am experienced in both working with adults and young people and specialise in working with anxiety and depression. I prioritise creating a warm, open, compassionate and comfortable space in therapy. Therapy can deepen your understanding of yourself and help you to find ways out of negative cycles. You might seek therapy at a time of change, feeling 'stuck', having a specific mental health concern, or just wanting to learn more about yourself.
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Photo of Jacqui Avanzato, MBACP Accred, Counsellor
Jacqui Avanzato
Counsellor, MBACP Accred
Verified Verified
WHY ME....? Most profiles correctly tell you they will provide a safe place to work through things that are on your mind. What I also bring is a unique mix of outlook, training and experience drawn from different theories and techniques that will be tailored to meet your individual needs. You are in charge of goals and subject matter (as you are the expert on you!) and I am a curious professional bystander to help you notice, understand & manage what's going on. I encourage awareness and expression of the difficult stuff that might not often come up. I listen but I also ask a lot of questions.
WHY ME....? Most profiles correctly tell you they will provide a safe place to work through things that are on your mind. What I also bring is a unique mix of outlook, training and experience drawn from different theories and techniques that will be tailored to meet your individual needs. You are in charge of goals and subject matter (as you are the expert on you!) and I am a curious professional bystander to help you notice, understand & manage what's going on. I encourage awareness and expression of the difficult stuff that might not often come up. I listen but I also ask a lot of questions.
07480 787435 View 07480 787435
Photo of Mary Mulherin, UKCP Trainee, Psychotherapist
Mary Mulherin
Psychotherapist, UKCP Trainee
Verified Verified
2 Endorsed
Hi, I'm Mary (she/her), I'm passionate about supporting people with anxiety, suicidal thoughts, and relationship issues. Is your mind constantly racing, worrying whether you said or did the right thing? Wondering if people like you? Did you make the right decision? Do you find yourself beating yourself up when you feel like you've got something wrong and find it hard to let go of things. Maybe you find it hard to stand up for yourself. Life can be so overwhelming sometimes we can feel like we don't want to be here. It's exhausting isn't it! I'm guessing you're here because you're fed up and want something to change. I can help you.
Hi, I'm Mary (she/her), I'm passionate about supporting people with anxiety, suicidal thoughts, and relationship issues. Is your mind constantly racing, worrying whether you said or did the right thing? Wondering if people like you? Did you make the right decision? Do you find yourself beating yourself up when you feel like you've got something wrong and find it hard to let go of things. Maybe you find it hard to stand up for yourself. Life can be so overwhelming sometimes we can feel like we don't want to be here. It's exhausting isn't it! I'm guessing you're here because you're fed up and want something to change. I can help you.
01245 950493 View 01245 950493
Photo of Nicholas Antoni Opyrchal, MUKCP, Psychotherapist
Nicholas Antoni Opyrchal
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
I am a counsellor and psychotherapist who is interested in helping clients find a sense of meaning and purpose in their lives, coping with anxiety and depression and helping them find more fulfilling relationships. I enjoy working with people who feel like 'outsiders', and also have a wealth of experience in working with addictions and integrating disturbing experiences - including clients who want to integrate experiences with psychedelic substances, or have recovered from psychosis. I am also interested in working with people who have been in relationships which have been abusive, helping them to learn to move forward into new more healthy relationships.
I am a counsellor and psychotherapist who is interested in helping clients find a sense of meaning and purpose in their lives, coping with anxiety and depression and helping them find more fulfilling relationships. I enjoy working with people who feel like 'outsiders', and also have a wealth of experience in working with addictions and integrating disturbing experiences - including clients who want to integrate experiences with psychedelic substances, or have recovered from psychosis. I am also interested in working with people who have been in relationships which have been abusive, helping them to learn to move forward into new more healthy relationships.
020 3893 2069 View 020 3893 2069
Photo of Marina Prevezer, MSc, MBACP Accred, Psychotherapist
Marina Prevezer
Psychotherapist, MSc, MBACP Accred
Verified Verified
I work in person and online with adolescents and adults. I offer a safe and confidential space to explore emotional difficulties and current situations. I listen without judgement, helping you to make your own decisions, to develop self-reliance, resilience, self-awareness and confidence to effect change. I have significant experience in working with clients who have or think that they have Autism as well as additional educational needs in general.
I work in person and online with adolescents and adults. I offer a safe and confidential space to explore emotional difficulties and current situations. I listen without judgement, helping you to make your own decisions, to develop self-reliance, resilience, self-awareness and confidence to effect change. I have significant experience in working with clients who have or think that they have Autism as well as additional educational needs in general.
07599 200456 View 07599 200456
Photo of Natalia Lockett, MSc, MBACP, Psychotherapist
Natalia Lockett
Psychotherapist, MSc, MBACP
Verified Verified
If you wish to bring clarity to your situation, to change your perspectives and feelings about yourself and your life, to combat your difficulties and to create positive changes for yourself, perhaps the therapy with me could be a first step in the right direction. I provide a professional and confidential space where you can feel welcomed; where your thoughts and feelings can be talked about without a fear of being judged or criticised; where we can explore the reasons that brought you to therapy, your present difficulties and influences from the past; where you can achieve greater insights and understanding of yourself.
If you wish to bring clarity to your situation, to change your perspectives and feelings about yourself and your life, to combat your difficulties and to create positive changes for yourself, perhaps the therapy with me could be a first step in the right direction. I provide a professional and confidential space where you can feel welcomed; where your thoughts and feelings can be talked about without a fear of being judged or criticised; where we can explore the reasons that brought you to therapy, your present difficulties and influences from the past; where you can achieve greater insights and understanding of yourself.
020 4538 7453 View 020 4538 7453
Photo of Tas Franklin, MBACP Accred, Psychotherapist
Tas Franklin
Psychotherapist, MBACP Accred
Verified Verified
Life can sometimes feel hard. You may be struggling with your relationships, work or life in general. If you are finding it difficult to get through this, and to make a change for the better, I can help you. I know how earlier experiences can influence current feelings and actions, and by understanding them yourself you can start to make positive changes. I also have additional training and understanding of working with couples who are experiencing relationship difficulties and anyone who is struggling with loss and grief.
Life can sometimes feel hard. You may be struggling with your relationships, work or life in general. If you are finding it difficult to get through this, and to make a change for the better, I can help you. I know how earlier experiences can influence current feelings and actions, and by understanding them yourself you can start to make positive changes. I also have additional training and understanding of working with couples who are experiencing relationship difficulties and anyone who is struggling with loss and grief.
07480 533998 View 07480 533998
Photo of Georgina Georgiou, MBACP, Counsellor
Georgina Georgiou
Counsellor, MBACP
Verified Verified
1 Endorsed
If you are reading this, it is likely that you have some concerns that you are ready to explore. Taking the step to book your first appointment can be an issue in itself. My aim is to offer you a space to feel safe and heard; a warm, confidential, and non-judgmental environment in which to speak freely and explore what’s happening and what’s possible. I am approachable, understanding, empathetic, and I listen. My training is in Humanistic Integrative Counselling. I have experience in working with emotional and mental health issues, including anxiety, depression, panic attacks, trauma, self-esteem, and feelings of being stuck.
If you are reading this, it is likely that you have some concerns that you are ready to explore. Taking the step to book your first appointment can be an issue in itself. My aim is to offer you a space to feel safe and heard; a warm, confidential, and non-judgmental environment in which to speak freely and explore what’s happening and what’s possible. I am approachable, understanding, empathetic, and I listen. My training is in Humanistic Integrative Counselling. I have experience in working with emotional and mental health issues, including anxiety, depression, panic attacks, trauma, self-esteem, and feelings of being stuck.
020 7870 7152 View 020 7870 7152
Photo of Barbara Elaine Finch, MA, MBACP Accred, Counsellor
Barbara Elaine Finch
Counsellor, MA, MBACP Accred
Verified Verified
I know how hard it can be to reach out and take the first step when you need help. A problem can become so large that it takes over most of your life. It can be something from the past that refuses to stay buried or a current situation that you can't move beyond. Whether it's depression, anxiety, bereavement, stress or a relationship breaking down, you can't see a way out and you feel overwhelmed. Sometimes it's different, you've reached a point in your life when you know that something needs to change, or maybe change is being forced on you. You feel trapped or stuck. You want to live life, but don't know how.
I know how hard it can be to reach out and take the first step when you need help. A problem can become so large that it takes over most of your life. It can be something from the past that refuses to stay buried or a current situation that you can't move beyond. Whether it's depression, anxiety, bereavement, stress or a relationship breaking down, you can't see a way out and you feel overwhelmed. Sometimes it's different, you've reached a point in your life when you know that something needs to change, or maybe change is being forced on you. You feel trapped or stuck. You want to live life, but don't know how.
07445 444029 View 07445 444029
Photo of Selen Dawson, MBACP, Counsellor
Selen Dawson
Counsellor, MBACP
Verified Verified
I have a long career working with those struggling to make sense of their difficulties. The decision to start therapy can be challenging, I therefore provide a space where your experiences can be explored in a compassionate, confidential and collaborative way. At a time when it seems hard to make sense of things in your life that are causing you distress this can be difficult and life can feel unfulfilling.
I have a long career working with those struggling to make sense of their difficulties. The decision to start therapy can be challenging, I therefore provide a space where your experiences can be explored in a compassionate, confidential and collaborative way. At a time when it seems hard to make sense of things in your life that are causing you distress this can be difficult and life can feel unfulfilling.
020 8103 9038 View 020 8103 9038
1

See more therapy options for N20

How does your Counsellor compare?

Number of Counsellors in N20

60+

Average cost per session

£75

Counsellors in N20 who prioritize treating:

92% Anxiety
89% Self Esteem
87% Depression
84% Stress
79% Relationship Issues
76% Bereavement
73% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

86% Aviva
86% AXA PPP
57% Vitality

How Counsellors in N20 see their clients

91% In Person and Online
9% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counselling

How can I find a therapist in N20?

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.