Photo of Fiona Wright, MBACP Accred, Counsellor
Fiona Wright
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Hi, I'm Fiona, I'm an accredited counsellor with over 9 years of experience working in a variety of settings. Whatever difficulties you are experiencing I can provide you with a safe and confidential space to talk through your problems at your own pace. I will listen, without judgement, and be genuine, empathic and respectful, providing a supportive therapeutic relationship which research has shown as essential for effective therapy. I'm an integrative therapist and so adapt my counselling approach to the individual needs of each person. I often draw in elements compassion focused therapy and cognitive behaviour therapy.
Hi, I'm Fiona, I'm an accredited counsellor with over 9 years of experience working in a variety of settings. Whatever difficulties you are experiencing I can provide you with a safe and confidential space to talk through your problems at your own pace. I will listen, without judgement, and be genuine, empathic and respectful, providing a supportive therapeutic relationship which research has shown as essential for effective therapy. I'm an integrative therapist and so adapt my counselling approach to the individual needs of each person. I often draw in elements compassion focused therapy and cognitive behaviour therapy.
0191 580 4200 View 0191 580 4200
Photo of Dr Zoe Marie Gotts, PhD, HCPC - Clin. Psych., Psychologist
Dr Zoe Marie Gotts
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Dr Zoe Gotts PhD, DClinPsy, is a HCPC registered Clinical Psychologist and Behavioural Sleep Medicine Specialist. She works with adults (age 16+) with a range of mental and physical health problems. She offers evidence based psychological assessment and treatment for psychological, emotional and behavioural difficulties, including anxiety, depression, low self-esteem, adjusting to medical conditions, trauma and post-traumatic stress disorder (PTSD). Zoe offers evidence-based therapies including; Cognitive Behavioural Therapy (CBT), EMDR, Compassion Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT).
Dr Zoe Gotts PhD, DClinPsy, is a HCPC registered Clinical Psychologist and Behavioural Sleep Medicine Specialist. She works with adults (age 16+) with a range of mental and physical health problems. She offers evidence based psychological assessment and treatment for psychological, emotional and behavioural difficulties, including anxiety, depression, low self-esteem, adjusting to medical conditions, trauma and post-traumatic stress disorder (PTSD). Zoe offers evidence-based therapies including; Cognitive Behavioural Therapy (CBT), EMDR, Compassion Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT).
01670 331277 View 01670 331277
Photo of James Knox - Tyne Talking Therapies, MBABCP, Counsellor
Tyne Talking Therapies
Counsellor, MBABCP
Verified Verified
I am a qualified and BABCP accredited CBT therapist currently working day to day witth veterans and the armed forces community including family members. I practice CBt flexibly with focus on teh therapeutic relationship and have training and experience in using Compassion ofcissed therapy and Acceptance and Commitment Therapy. I work predominantly with PTD and other anxiety disorders such as panic, OCD, generalzed anxiety disorders and phobias however I believe that therapy can help with any problem as long as we spend time together to understand what it is and how it is working.
I am a qualified and BABCP accredited CBT therapist currently working day to day witth veterans and the armed forces community including family members. I practice CBt flexibly with focus on teh therapeutic relationship and have training and experience in using Compassion ofcissed therapy and Acceptance and Commitment Therapy. I work predominantly with PTD and other anxiety disorders such as panic, OCD, generalzed anxiety disorders and phobias however I believe that therapy can help with any problem as long as we spend time together to understand what it is and how it is working.
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Photo of Victoria Helen Miller - Great Minds Psychology, PsychD, HCPC - Clin. Psych., Psychologist
Great Minds Psychology
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Victoria is a Consultant Clinical Psychologist with over 20 year’s experience in the NHS and private sector. She has a special interest in supporting adults with emotional difficulties that they may face around their physical health conditions. She has has extensive experience of working with anxiety, low mood, adjustment and relationship issues. She also has a special interest in trauma and uses EMDR to formulate and work with adults who have experienced complex or single event traumas.
Victoria is a Consultant Clinical Psychologist with over 20 year’s experience in the NHS and private sector. She has a special interest in supporting adults with emotional difficulties that they may face around their physical health conditions. She has has extensive experience of working with anxiety, low mood, adjustment and relationship issues. She also has a special interest in trauma and uses EMDR to formulate and work with adults who have experienced complex or single event traumas.
0191 743 9628 View 0191 743 9628
Photo of Dr Alan Bowman, HCPC - Clin. Psych., Psychologist
Dr Alan Bowman
Psychologist, HCPC - Clin. Psych.
Verified Verified
Feeling stuck or overwhelmed by life's challenges? I specialise in guiding individuals through pain, trauma, loss, and existential fear. Whether it's bereavement, post-traumatic stress, adapting to change, pursuing personal growth, or feeling lost, I'm here to support you.
Feeling stuck or overwhelmed by life's challenges? I specialise in guiding individuals through pain, trauma, loss, and existential fear. Whether it's bereavement, post-traumatic stress, adapting to change, pursuing personal growth, or feeling lost, I'm here to support you.
0191 607 1134 View 0191 607 1134
Photo of Laura McGuinness, MSc, MBACP, Psychotherapist
Laura McGuinness
Psychotherapist, MSc, MBACP
Verified Verified
Waitlist for new clients
I believe that we all have an innate capacity to grow and change, and that sometimes we need to explore our personal stories to get this moving again. As children we make decisions about ourselves based on our environment; sometimes these beliefs and decisions are unkind and can leave us feeling stuck, depressed or not "good enough". Therapy helps to update these beliefs, letting go of what isn't (and may never have been) ours to carry. I have worked extensively with depression, anxiety, trauma and abuse. I currently also practice as a group therapist in an addiction service. I am BACP & UKCP registered.
I believe that we all have an innate capacity to grow and change, and that sometimes we need to explore our personal stories to get this moving again. As children we make decisions about ourselves based on our environment; sometimes these beliefs and decisions are unkind and can leave us feeling stuck, depressed or not "good enough". Therapy helps to update these beliefs, letting go of what isn't (and may never have been) ours to carry. I have worked extensively with depression, anxiety, trauma and abuse. I currently also practice as a group therapist in an addiction service. I am BACP & UKCP registered.
0191 580 4533 View 0191 580 4533
Photo of Paul Gregory Attinello, PhD
I am a Jungian analyst with a particular interest in individuation, dreams, and the artistic imagination.
I am a Jungian analyst with a particular interest in individuation, dreams, and the artistic imagination.
0191 917 4351 View 0191 917 4351
Photo of Georgia Giannopoulou, DCounsPsych, MUKCP, Psychotherapist
Georgia Giannopoulou
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
I am an experienced Integrative Psychotherapist with Transactional Analysis as my core model working with individuals and couples across genders and orientations. I practice in English and Greek. I work with a range of issues including trauma, stress, issues of identity and existential concerns, life transitions such as immigration, separations, divorce, parenthood, career changes as well as losses, eating and body image issues, relationship difficulties, domestic abuse and explorations of identity and self-actualisation. I am existentially minded and use a range of approaches tailored to the individual in support of their goals.
I am an experienced Integrative Psychotherapist with Transactional Analysis as my core model working with individuals and couples across genders and orientations. I practice in English and Greek. I work with a range of issues including trauma, stress, issues of identity and existential concerns, life transitions such as immigration, separations, divorce, parenthood, career changes as well as losses, eating and body image issues, relationship difficulties, domestic abuse and explorations of identity and self-actualisation. I am existentially minded and use a range of approaches tailored to the individual in support of their goals.
0191 743 1169 View 0191 743 1169
Photo of Stephanie Kelly - Safe Space Psychology - Dr Stephanie Kelly, HCPC - Clin. Psych., Psychologist
Safe Space Psychology - Dr Stephanie Kelly
Psychologist, HCPC - Clin. Psych.
Verified Verified
I am a Clinical Psychologist with experience working with clients struggling with relational difficulties, trauma and other emotional and other psychological difficulties such as complex grief, low mood and anxiety. Working with male, female and non-binary clients, my aim is to personalise all therapeutic approaches to each individual client's specific needs. Over the years, I have worked in a wide variety of settings including acute and secure hospitals, community mental health services as well as in custodial settings with experience supporting adults, adolescents and families.
I am a Clinical Psychologist with experience working with clients struggling with relational difficulties, trauma and other emotional and other psychological difficulties such as complex grief, low mood and anxiety. Working with male, female and non-binary clients, my aim is to personalise all therapeutic approaches to each individual client's specific needs. Over the years, I have worked in a wide variety of settings including acute and secure hospitals, community mental health services as well as in custodial settings with experience supporting adults, adolescents and families.
0191 743 0381 View 0191 743 0381
Photo of Faye Fraser - Dr. Faye Fraser, HCPC - Clin. Psych., Psychologist
Dr. Faye Fraser
Psychologist, HCPC - Clin. Psych.
Verified Verified
Faye is passionate about offering an approachable and professional clinical psychology service that aims to support those who find themselves in emotional distress. Faye can help you identify and achieve your goals for better mental health. This will involve gaining a better understanding of your difficulties, consider what is blocking you from moving forward and causing you to feel stuck, and consider ways to better manage the issue identified.
Faye is passionate about offering an approachable and professional clinical psychology service that aims to support those who find themselves in emotional distress. Faye can help you identify and achieve your goals for better mental health. This will involve gaining a better understanding of your difficulties, consider what is blocking you from moving forward and causing you to feel stuck, and consider ways to better manage the issue identified.
0191 917 4522 View 0191 917 4522
Photo of Sarah Smith, MBACP, Psychotherapist
Sarah Smith
Psychotherapist, MBACP
Verified Verified
Hi, I’m Sarah. My own healing journey led me to become a qualified psychotherapist and yoga teacher - I believe in the process and understand it takes courage to reach out. I have ten years of experience supporting people of different ages and backgrounds in various settings. I am passionate about supporting women to feel less anxious and more confident. I work with stress, anxiety, trauma, loss, change, identity, belonging, self-confidence and relationship issues. I'll be with you 'in the mess' and journey with you towards meaningful change.
Hi, I’m Sarah. My own healing journey led me to become a qualified psychotherapist and yoga teacher - I believe in the process and understand it takes courage to reach out. I have ten years of experience supporting people of different ages and backgrounds in various settings. I am passionate about supporting women to feel less anxious and more confident. I work with stress, anxiety, trauma, loss, change, identity, belonging, self-confidence and relationship issues. I'll be with you 'in the mess' and journey with you towards meaningful change.
0191 743 3588 View 0191 743 3588
Photo of Zain Kazi, MCOSCA, Psychotherapist
Zain Kazi
Psychotherapist, MCOSCA
Verified Verified
Not accepting new clients
I help people work through feeling anxious, stressed, panicky, frustrated or low, whether it is because of a particular problem or life in general. You might be finding less pleasure in the things you used to enjoy, or you find yourself reacting in ways that are not usual for you. Perhaps it has gone on for a while or is affecting your work, relationships, health or other important part of life. My aim in therapy is to help you gain the understanding and tools you need to be able to feel better sustainably.
I help people work through feeling anxious, stressed, panicky, frustrated or low, whether it is because of a particular problem or life in general. You might be finding less pleasure in the things you used to enjoy, or you find yourself reacting in ways that are not usual for you. Perhaps it has gone on for a while or is affecting your work, relationships, health or other important part of life. My aim in therapy is to help you gain the understanding and tools you need to be able to feel better sustainably.
0191 917 5952 View 0191 917 5952
Photo of Dr Kristina Askew Westcott, PsychD, HCPC - Clin. Psych., Psychologist
Dr Kristina Askew Westcott
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Thank you for visiting my profile page. I am a Clinical Psychologist and accredited Cognitive Analytic Therapy (CAT) Practitioner with over 16 years experience working with adults with mental and physical health problems. I offer evidence based psychological assessment and therapy for a wide range of emotional, behavioural and psychological difficulties including anxiety, depression, low self esteem, relationship problems, trauma and post-traumatic stress, adjusting to medical conditions and treatment adherence. I work both individually (age 16+) and with couples.
Thank you for visiting my profile page. I am a Clinical Psychologist and accredited Cognitive Analytic Therapy (CAT) Practitioner with over 16 years experience working with adults with mental and physical health problems. I offer evidence based psychological assessment and therapy for a wide range of emotional, behavioural and psychological difficulties including anxiety, depression, low self esteem, relationship problems, trauma and post-traumatic stress, adjusting to medical conditions and treatment adherence. I work both individually (age 16+) and with couples.
07481 337259 View 07481 337259
Photo of Louise Anne Henderson, MBACP, Counsellor
Louise Anne Henderson
Counsellor, MBACP
Verified Verified
1 Endorsed
I am a Counsellor working from a Person Centred approach integrating Cognitive Behavioural Therapy and Psychodynamic approaches. I provide a safe, professional and confidential space to help support clients and facilitate change during challenging times. I provide services that are unique to your individual needs and can create a bespoke combination of therapies that include Counselling, Coaching and Mindfulness. Services can help you feel empowered, make changes, identify & face challenges head on, gain control over your life, provide greater insight & perspective whilst learning coping strategies and encourage a positive mindset.
I am a Counsellor working from a Person Centred approach integrating Cognitive Behavioural Therapy and Psychodynamic approaches. I provide a safe, professional and confidential space to help support clients and facilitate change during challenging times. I provide services that are unique to your individual needs and can create a bespoke combination of therapies that include Counselling, Coaching and Mindfulness. Services can help you feel empowered, make changes, identify & face challenges head on, gain control over your life, provide greater insight & perspective whilst learning coping strategies and encourage a positive mindset.
07588 702503 View 07588 702503
Photo of Lorna Evans - Lorna Evans | The Mind Movement , MSc, MUKCP, Psychotherapist
Lorna Evans | The Mind Movement
Psychotherapist, MSc, MUKCP
Verified Verified
Hi, I'm Lorna, an experienced psychotherapist (UKCP). I offer you a safe, encouraging, and warm relationship, enabling you to work through present or past issues contributing to your mental and physical well-being. I have extensive experience working with Neurodivergent clients, including ADHD and autism, and I'm neurodivergent.
Hi, I'm Lorna, an experienced psychotherapist (UKCP). I offer you a safe, encouraging, and warm relationship, enabling you to work through present or past issues contributing to your mental and physical well-being. I have extensive experience working with Neurodivergent clients, including ADHD and autism, and I'm neurodivergent.
0191 917 2252 View 0191 917 2252
Photo of Georgia Fragkouli, DCounsPsych, MUKCP, Psychotherapist
Georgia Fragkouli
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
Waitlist for new clients
I am an Integrative Humanistic Psychotherapist and Psychotherapeutic Counsellor with specialisation in adults, children and young people. I am an Accredited Member by UKCP and a Registered Member of BACP. I offer therapy face to face and online. I practice in English and Greek. I work in a relational, attuned, and holistic way with clients. Clients say I am calm, gentle, and warm. In a non-judgmental, safe, caring, and confidential space, i help clients to go through psychological challenges by improving their relationship with themselves and others, as well as cope with everyday stressors and live more fulfilling lives.
I am an Integrative Humanistic Psychotherapist and Psychotherapeutic Counsellor with specialisation in adults, children and young people. I am an Accredited Member by UKCP and a Registered Member of BACP. I offer therapy face to face and online. I practice in English and Greek. I work in a relational, attuned, and holistic way with clients. Clients say I am calm, gentle, and warm. In a non-judgmental, safe, caring, and confidential space, i help clients to go through psychological challenges by improving their relationship with themselves and others, as well as cope with everyday stressors and live more fulfilling lives.
0191 743 6502 View 0191 743 6502
Photo of Kate Fitzgibbon, MA, Counsellor
Kate Fitzgibbon
Counsellor, MA
Verified Verified
I have over 30 years experience, working privately, within the NHS, relate couples counselling, drug & alcohol services, refugee & disability agencies & as a coach. Confidentiality guaranteed. Free telephone consultation. I work face to face, video & telephone calls locally & internationally.
I have over 30 years experience, working privately, within the NHS, relate couples counselling, drug & alcohol services, refugee & disability agencies & as a coach. Confidentiality guaranteed. Free telephone consultation. I work face to face, video & telephone calls locally & internationally.
0191 743 1576 View 0191 743 1576
Photo of Karen J Tate - Outofsynctherapy , MSc, Psychotherapist
Outofsynctherapy
Psychotherapist, MSc
Verified Verified
Newcastle upon Tyne NE2  (Online Only)
Hello Im Karen. How are you feeling today? Are you feeling "outofsync"? Are you experiencing overwhelm, feeling stuck, not feeling connected? Do you have times when you feel really anxious, sad and unfulfilled?Do you have past traumas?Do you notice you have intrusive thoughts, self limiting beliefs and unusual behaviours?I can help you move forward, help you manage your feelings, emotions and anxieties. I use a range of therapeutic approaches including CBT, EMDR, ACT, Mindfulness, SFT and coaching. Im here to help. Online therapy is as good as in person. "Hope is what enables us to keep going in the face of adversity" Jane Goodall.
Hello Im Karen. How are you feeling today? Are you feeling "outofsync"? Are you experiencing overwhelm, feeling stuck, not feeling connected? Do you have times when you feel really anxious, sad and unfulfilled?Do you have past traumas?Do you notice you have intrusive thoughts, self limiting beliefs and unusual behaviours?I can help you move forward, help you manage your feelings, emotions and anxieties. I use a range of therapeutic approaches including CBT, EMDR, ACT, Mindfulness, SFT and coaching. Im here to help. Online therapy is as good as in person. "Hope is what enables us to keep going in the face of adversity" Jane Goodall.
0191 743 2794 View 0191 743 2794
Photo of James Bowness Clarke, PsychD, HCPC - Clin. Psych., Psychologist
James Bowness Clarke
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
I share my time between private practice and working as a Consultant Clinical Psychologist in the NHS. Whilst I typically work with clients who are experiencing anxiety or low mood, I have a special interest in Post-Traumatic Stress Disorder (PTSD), Obsessive Compulsive Disorder (OCD) and Emotionally Unstable Personality Disorder (EUPD). I have extensive experience working in adult mental health and I am qualified in Cognitive Behavior Therapy (CBT), Dialectic Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing Therapy (EMDR). I hold clinics in the evenings in Jesmond.
I share my time between private practice and working as a Consultant Clinical Psychologist in the NHS. Whilst I typically work with clients who are experiencing anxiety or low mood, I have a special interest in Post-Traumatic Stress Disorder (PTSD), Obsessive Compulsive Disorder (OCD) and Emotionally Unstable Personality Disorder (EUPD). I have extensive experience working in adult mental health and I am qualified in Cognitive Behavior Therapy (CBT), Dialectic Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing Therapy (EMDR). I hold clinics in the evenings in Jesmond.
01434 307703 View 01434 307703
Photo of Jeannie Davison, MSc, MUKCP, Psychotherapist
Jeannie Davison
Psychotherapist, MSc, MUKCP
Verified Verified
Are you looking for a warm and supportive therapeutic environment to enable you make changes, heal and grow? I am an experienced UKCP registered counsellor/psychotherapist providing therapy tailored to meet your specific needs. I am qualified to and experienced in working with all mental health issues. I will always ask what the goal of therapy is for you and work with you in planning the best way for us to make sure that this is achieved.
Are you looking for a warm and supportive therapeutic environment to enable you make changes, heal and grow? I am an experienced UKCP registered counsellor/psychotherapist providing therapy tailored to meet your specific needs. I am qualified to and experienced in working with all mental health issues. I will always ask what the goal of therapy is for you and work with you in planning the best way for us to make sure that this is achieved.
0191 917 2246 View 0191 917 2246

See more therapy options for NE2

How does your Counsellor compare?

Number of Counsellors in NE2

50+

Average cost per session

£65

Counsellors in NE2 who prioritize treating:

88% Stress
83% Depression
83% Anxiety
81% Trauma and PTSD
79% Relationship Issues
79% Self Esteem
65% Bereavement

Average years in practice

13 Years

Top 3 insurances accepted

77% Aviva
69% AXA PPP
69% Bupa

How Counsellors in NE2 see their clients

91% In Person and Online
9% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in NE2?

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.