Counselling in Totnes

Photo of David Oxley, MA, MBACP Accred, Psychotherapist
David Oxley
Psychotherapist, MA, MBACP Accred
Verified Verified
Totnes TQ9
Welcome Welcome Welcome! I imagine if you are reading this you are looking for someone who can help with whats troubling you and help you find some answers and relief. I have over 20 years experience helping clients with a wide variety of issues and vulnerabilities and offer a warm, safe, confidential and supportive space.
Welcome Welcome Welcome! I imagine if you are reading this you are looking for someone who can help with whats troubling you and help you find some answers and relief. I have over 20 years experience helping clients with a wide variety of issues and vulnerabilities and offer a warm, safe, confidential and supportive space.
01364 701878 View 01364 701878
Photo of Hannah Claire Hipwell, MA, MBACP, Counsellor
Hannah Claire Hipwell
Counsellor, MA, MBACP
Verified Verified
Totnes TQ9
Are you struggling to cope with day to day life and finding it difficult to move forwards and find happiness? Perhaps you have recently had a relationship breakdown or lost a loved one and are finding the loss unbearable. Alternatively you might be experiencing signs of Anxiety, Depression or Stress which are preventing you from enjoying life and finding purpose. These are all difficult experiences to face on your own and you deserve to find happiness and a better quality of life.
Are you struggling to cope with day to day life and finding it difficult to move forwards and find happiness? Perhaps you have recently had a relationship breakdown or lost a loved one and are finding the loss unbearable. Alternatively you might be experiencing signs of Anxiety, Depression or Stress which are preventing you from enjoying life and finding purpose. These are all difficult experiences to face on your own and you deserve to find happiness and a better quality of life.
01803 220927 View 01803 220927
Photo of Laura Ceclich, MBACP, Counsellor
Laura Ceclich
Counsellor, MBACP
Verified Verified
Totnes TQ9
I am a fully qualified counsellor practising Person-centered counselling in Totnes. I provide in-person counselling sessions for adults aged 18+ and offer professional counselling support, particularly to those affected by bereavement, anxiety, depression, and struggles with self-esteem. I value working compassionately, offering my whole heart to each unique person and counselling relationship. I work with people at a pace that suits them, whether over the long or short term. Some of my clients I have been seeing for years, while others have a specific focus over a set time frame.
I am a fully qualified counsellor practising Person-centered counselling in Totnes. I provide in-person counselling sessions for adults aged 18+ and offer professional counselling support, particularly to those affected by bereavement, anxiety, depression, and struggles with self-esteem. I value working compassionately, offering my whole heart to each unique person and counselling relationship. I work with people at a pace that suits them, whether over the long or short term. Some of my clients I have been seeing for years, while others have a specific focus over a set time frame.
01803 222497 View 01803 222497
Photo of Monika Lewis, MNCPS Acc., Counsellor
Monika Lewis
Counsellor, MNCPS Acc.
Verified Verified
2 Endorsed
Totnes TQ9
I can help with many common troubles, such as anxiety, depression, pain, emotion regulation, self-worth, panic attacks, identity worries, family life, attachment, trauma, abuse and more. Many of the clients I have worked with needed help in seeing, accepting and loving their true self. Often these have been young people and adults with a divergent neurotype, whose feelings and authenticity have been masked for far too long.
I can help with many common troubles, such as anxiety, depression, pain, emotion regulation, self-worth, panic attacks, identity worries, family life, attachment, trauma, abuse and more. Many of the clients I have worked with needed help in seeing, accepting and loving their true self. Often these have been young people and adults with a divergent neurotype, whose feelings and authenticity have been masked for far too long.
01803 229153 View 01803 229153
Photo of Chris Mitchell, PhD, MBACP, Counsellor
Chris Mitchell
Counsellor, PhD, MBACP
Verified Verified
Totnes TQ9
Waitlist for new clients
There are lots of reasons why you might be seeking counselling. You may be anxious or scared. You might be feeling unhappy, perhaps life has lost some of its meaning. You may have lost the sense of who you really are, or feeling guilt and shame. Alternatively, you might be overwhelmed at present, with too many demands on your time and energy. Whether the world seems hostile, lonely or just not quite what you thought it would be, we can work together to make it better.
There are lots of reasons why you might be seeking counselling. You may be anxious or scared. You might be feeling unhappy, perhaps life has lost some of its meaning. You may have lost the sense of who you really are, or feeling guilt and shame. Alternatively, you might be overwhelmed at present, with too many demands on your time and energy. Whether the world seems hostile, lonely or just not quite what you thought it would be, we can work together to make it better.
01803 222936 View 01803 222936
Photo of Annamai Martinot - Annamai Martinot Counselling , MNCPS Acc., Counsellor
Annamai Martinot Counselling
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Totnes TQ9
It takes courage to seek support when life isn’t going well, and we would like to work out why. Counselling can help in difficult times, and also in times when we wish to understand ourselves better. With awareness, we have the choice to change our thoughts, feelings and behaviours. I offer safe, confidential and free from judgement counselling sessions, either face-to-face in the heart of Totnes, South Devon, or online via zoom. I offer a free no obligation initial consultation 30 min phone call to discuss what brings you to counselling, answer any questions you may have and to ensure I'm the right therapist to help you.
It takes courage to seek support when life isn’t going well, and we would like to work out why. Counselling can help in difficult times, and also in times when we wish to understand ourselves better. With awareness, we have the choice to change our thoughts, feelings and behaviours. I offer safe, confidential and free from judgement counselling sessions, either face-to-face in the heart of Totnes, South Devon, or online via zoom. I offer a free no obligation initial consultation 30 min phone call to discuss what brings you to counselling, answer any questions you may have and to ensure I'm the right therapist to help you.
01803 926170 View 01803 926170
Photo of Mark Shanagher, UKCP Trainee, Psychotherapist
Mark Shanagher
Psychotherapist, UKCP Trainee
Verified Verified
Totnes TQ9
Hi, my name is Mark Shanagher and I am a senior trainee in private practice on Dartington Estate, Totnes.
 My approach is collaborative and relational. I am interested in working with you to explore how it is that you ‘do’ you, in what your experience is and in how you might begin to express and experience yourself differently. I have seen how transformation can take place in a setting of compassion, acceptance and non-judgemental listening, and value these qualities in our working relationship.
Hi, my name is Mark Shanagher and I am a senior trainee in private practice on Dartington Estate, Totnes.
 My approach is collaborative and relational. I am interested in working with you to explore how it is that you ‘do’ you, in what your experience is and in how you might begin to express and experience yourself differently. I have seen how transformation can take place in a setting of compassion, acceptance and non-judgemental listening, and value these qualities in our working relationship.
01548 800965 View 01548 800965
Photo of Ollie Frame, MA, MBACP, Counsellor
Ollie Frame
Counsellor, MA, MBACP
Verified Verified
Totnes TQ9
Waitlist for new clients
Hello. I am an experienced integrative therapist offering sessions in blocks of six to eight weeks, focussing on a specific issue in a targeted way. Perhaps you are reading this because you are feeling stuck, overwhelmed, or unsure of the way forward. Perhaps you are having difficulties relating to career, relationships or family life, or with emotions such as anger, anxiety or low mood. You might be struggling with addictions, with life changes or transitions, or you might be suffering with a sense of alienation or a crisis of meaning in your life. If so, I hope you will read on and get in touch if my approach resonates with you.
Hello. I am an experienced integrative therapist offering sessions in blocks of six to eight weeks, focussing on a specific issue in a targeted way. Perhaps you are reading this because you are feeling stuck, overwhelmed, or unsure of the way forward. Perhaps you are having difficulties relating to career, relationships or family life, or with emotions such as anger, anxiety or low mood. You might be struggling with addictions, with life changes or transitions, or you might be suffering with a sense of alienation or a crisis of meaning in your life. If so, I hope you will read on and get in touch if my approach resonates with you.
01803 228071 View 01803 228071
Photo of Daren Messenger, MBABCP, Psychotherapist
Daren Messenger
Psychotherapist, MBABCP
Verified Verified
Totnes TQ9
How do you choose a therapist? Personal recommendations are invaluable and, also, your individual needs might be different. My endeavour is to facilitate your self awareness as well as your awareness of others and situations. Whichever modality of therapy you choose our work together gently directs your awareness to ‘what is happening but, also, to ‘how you are viewing and applying yourself’ when in difficulty. This can be radically different to many ‘non directive’ therapies and can involve real change quite quickly! Professional bodies: UKCP for psychotherapy and psychotherapeutic counselling BABCP for CBT
How do you choose a therapist? Personal recommendations are invaluable and, also, your individual needs might be different. My endeavour is to facilitate your self awareness as well as your awareness of others and situations. Whichever modality of therapy you choose our work together gently directs your awareness to ‘what is happening but, also, to ‘how you are viewing and applying yourself’ when in difficulty. This can be radically different to many ‘non directive’ therapies and can involve real change quite quickly! Professional bodies: UKCP for psychotherapy and psychotherapeutic counselling BABCP for CBT
07866 372021 View 07866 372021
Photo of Joanna Griffin, MSc, BACP, Counsellor
Joanna Griffin
Counsellor, MSc, BACP
Verified Verified
1 Endorsed
Totnes TQ9  (Online Only)
You may be feeling overwhelmed, stuck, or anxious about a particular issue, searching for a way to break free and feel more in control. Perhaps there’s a challenge in your personal life, family, or work environment that’s weighing on you, and you’re looking for to address it in a practical, effective way. Or, as a parent, you might be struggling to support your child’s anxiety and need some direction to help them feel more secure. Whether you’re seeking relief, clarity, or a new way forward, I’m here to support you in finding real solutions that bring a sense of ease and empowerment.
You may be feeling overwhelmed, stuck, or anxious about a particular issue, searching for a way to break free and feel more in control. Perhaps there’s a challenge in your personal life, family, or work environment that’s weighing on you, and you’re looking for to address it in a practical, effective way. Or, as a parent, you might be struggling to support your child’s anxiety and need some direction to help them feel more secure. Whether you’re seeking relief, clarity, or a new way forward, I’m here to support you in finding real solutions that bring a sense of ease and empowerment.
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Photo of Dani Tabb, MNCPS Acc., Counsellor
Dani Tabb
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Totnes TQ9
I provide a safe, friendly therapeutic space to offer you emotional support, whether you are struggling with low mood, anxious feelings, or if you are at a crossroad in your life. As your counsellor, I will stand alongside you, being curious and helping you discover your strength from within. Acceptance and understanding of who we once were, and who we are now, can provide the opportunity for growth.
I provide a safe, friendly therapeutic space to offer you emotional support, whether you are struggling with low mood, anxious feelings, or if you are at a crossroad in your life. As your counsellor, I will stand alongside you, being curious and helping you discover your strength from within. Acceptance and understanding of who we once were, and who we are now, can provide the opportunity for growth.
01803 228239 View 01803 228239
Photo of Thea Platt - Therapy With Thea , MA, UKCP Trainee, Psychotherapist
Therapy With Thea
Psychotherapist, MA, UKCP Trainee
Verified Verified
Totnes TQ9
Do you feel your potential in life is thwarted by past or present difficulties or trauma? Has your equilibrium, confidence and self esteem been undermined by this? Do you feel disempowered and unable to move forward? Sometimes, life's difficulties can prevent us from forming healthy relationships with ourselves and others, and prevent us thriving in life and work, and block creativity. I am a UKCP Psychotherapist in training, working to support people suffering with mental and emotional distress find more ease, balance, meaning and health.
Do you feel your potential in life is thwarted by past or present difficulties or trauma? Has your equilibrium, confidence and self esteem been undermined by this? Do you feel disempowered and unable to move forward? Sometimes, life's difficulties can prevent us from forming healthy relationships with ourselves and others, and prevent us thriving in life and work, and block creativity. I am a UKCP Psychotherapist in training, working to support people suffering with mental and emotional distress find more ease, balance, meaning and health.
01803 926178 View 01803 926178
Photo of Lucy Wallace, MNCPS Acc., Counsellor
Lucy Wallace
Counsellor, MNCPS Acc.
Verified Verified
Totnes TQ9
It can be challenging to share our concerns and fears with others. We often worry that our struggles might be too heavy for our friends and family. I provide a private and secure environment where you can safely explore your thoughts and feelings. There is no timeline for grief, and no loss or challenge is too great to discuss in therapy. You are not required to rush through your healing; this is your personal space to release the weight of life's burdens and reflect on your current and past experiences at your own speed. I offer a nurturing platform and my expertise to support your journey of personal growth and acceptance.
It can be challenging to share our concerns and fears with others. We often worry that our struggles might be too heavy for our friends and family. I provide a private and secure environment where you can safely explore your thoughts and feelings. There is no timeline for grief, and no loss or challenge is too great to discuss in therapy. You are not required to rush through your healing; this is your personal space to release the weight of life's burdens and reflect on your current and past experiences at your own speed. I offer a nurturing platform and my expertise to support your journey of personal growth and acceptance.
01803 221434 View 01803 221434
Photo of Steph Pickerill, MA, UKCP Trainee, Psychotherapist
Steph Pickerill
Psychotherapist, MA, UKCP Trainee
Verified Verified
Totnes TQ9
I offer support and understanding to people struggling in all sorts of ways and I believe everyone has a unique healing journey. I work with people experiencing stress, loss, depression, anxiety, and the many ways mental health can impact day to day life. This can include relationship problems, destructive behaviour patterns, intrusive thoughts and feelings of being blocked, off balance or held back. I work deeply and gently with suffering and pain while allowing for the growth that suffering can bring us to. I believe that therapy should empower you to support your own healing.
I offer support and understanding to people struggling in all sorts of ways and I believe everyone has a unique healing journey. I work with people experiencing stress, loss, depression, anxiety, and the many ways mental health can impact day to day life. This can include relationship problems, destructive behaviour patterns, intrusive thoughts and feelings of being blocked, off balance or held back. I work deeply and gently with suffering and pain while allowing for the growth that suffering can bring us to. I believe that therapy should empower you to support your own healing.
01803 308945 View 01803 308945
Photo of Dr Elene Robson, HCPC - Clin. Psych., Psychologist
Dr Elene Robson
Psychologist, HCPC - Clin. Psych.
Verified Verified
Totnes TQ9  (Online Only)
I have over 20 years of experience working in the NHS, specialising in child and adolescent mental health. This has allowed me to gain extensive experience in working with children, adolescents, young adults, siblings and parents to overcome a wide range of psychological, emotional and behavioural difficulties. I also have a very experienced Family Therapist working alongside me, who is able to work with family and relational difficulties.
I have over 20 years of experience working in the NHS, specialising in child and adolescent mental health. This has allowed me to gain extensive experience in working with children, adolescents, young adults, siblings and parents to overcome a wide range of psychological, emotional and behavioural difficulties. I also have a very experienced Family Therapist working alongside me, who is able to work with family and relational difficulties.
01803 308929 View 01803 308929
Photo of Rah Rivers, MBACP, Psychotherapist
Rah Rivers
Psychotherapist, MBACP
Verified Verified
Totnes TQ9
I see therapy as a close and creative collaboration, where together we can be with what concerns you and find out how are you relating with it. I can support you to understand how you respond to life and how you hold off from it. Let’s find out what happens in you, that limits the possibilities. We do this together, by listening closely, whilst I support you to pay attention to your present experience, because this gets us closer to understanding and is empowering. I trust this is more fruitful than working hard to try to figure things out. It gets below the rounds of thinking you have probably got caught in if you're struggling.
I see therapy as a close and creative collaboration, where together we can be with what concerns you and find out how are you relating with it. I can support you to understand how you respond to life and how you hold off from it. Let’s find out what happens in you, that limits the possibilities. We do this together, by listening closely, whilst I support you to pay attention to your present experience, because this gets us closer to understanding and is empowering. I trust this is more fruitful than working hard to try to figure things out. It gets below the rounds of thinking you have probably got caught in if you're struggling.
01803 222905 View 01803 222905
Photo of Eleanor Franklin, MBACP, Counsellor
Eleanor Franklin
Counsellor, MBACP
Verified Verified
Totnes TQ9  (Online Only)
Anxiety is normal. Yes, I just said that! Yet many of us grow up with the idea that anxious feelings are negative and to be avoided at all costs. I spent years trying to escape my anxiety, which only made it worse. The more I pushed, the more it pushed back, until I spent all my time pushing. It was exhausting, resulting in OCD behaviours and panic attacks. Then I learnt to change my relationship with anxiety. I realised that to be anxious is to be human. I stopped struggling and instead began to work with my anxiety in new ways that gave me more options, both in the moment and in the long term.
Anxiety is normal. Yes, I just said that! Yet many of us grow up with the idea that anxious feelings are negative and to be avoided at all costs. I spent years trying to escape my anxiety, which only made it worse. The more I pushed, the more it pushed back, until I spent all my time pushing. It was exhausting, resulting in OCD behaviours and panic attacks. Then I learnt to change my relationship with anxiety. I realised that to be anxious is to be human. I stopped struggling and instead began to work with my anxiety in new ways that gave me more options, both in the moment and in the long term.
01548 800582 View 01548 800582
Photo of Jamie Gould, MBACP, Counsellor
Jamie Gould
Counsellor, MBACP
Verified Verified
1 Endorsed
Totnes TQ9  (Online Only)
I have a lot of respect for anyone who chooses to begin counselling. It takes courage to be open with someone, and I don't take that for granted. As an Integrative counsellor, I have a range of therapeutic tools to help towards a breakthrough, particularly for clients who live with anxiety, depression, or present difficulties relating to past traumas.​ As human beings, we are wired for survival, and continually adjust to protect ourselves from threats and challenges. As our circumstances change through life, we may notice that the patterns which once kept us safe are now holding us back.
I have a lot of respect for anyone who chooses to begin counselling. It takes courage to be open with someone, and I don't take that for granted. As an Integrative counsellor, I have a range of therapeutic tools to help towards a breakthrough, particularly for clients who live with anxiety, depression, or present difficulties relating to past traumas.​ As human beings, we are wired for survival, and continually adjust to protect ourselves from threats and challenges. As our circumstances change through life, we may notice that the patterns which once kept us safe are now holding us back.
01803 221466 View 01803 221466
Photo of Bundle MacLaren - Bundle MacLaren Psychotherapy, UKCP Trainee, Psychotherapist
Bundle MacLaren Psychotherapy
Psychotherapist, UKCP Trainee
Verified Verified
1 Endorsed
Totnes TQ9
I believe everyone can benefit from psychotherapy and that talking to a professional is the best first step to take if you're struggling. As a UKCP psychotherapist in advanced clinical training and with over 800 hours of clinical experience, I can support you to make sense of your concerns, feelings and behaviours. Starting therapy can feel like a big step so please get in touch for a free consultation where we can talk things through and ensure you get the right support you need. If I don't think I'm the right person for you then I'll signpost you to someone who is.
I believe everyone can benefit from psychotherapy and that talking to a professional is the best first step to take if you're struggling. As a UKCP psychotherapist in advanced clinical training and with over 800 hours of clinical experience, I can support you to make sense of your concerns, feelings and behaviours. Starting therapy can feel like a big step so please get in touch for a free consultation where we can talk things through and ensure you get the right support you need. If I don't think I'm the right person for you then I'll signpost you to someone who is.
01803 308950 View 01803 308950
Photo of Anita Lennox, MNCPS Acc., Counsellor
Anita Lennox
Counsellor, MNCPS Acc.
Verified Verified
Totnes TQ9
I am dedicated to helping Clients navigate life's challenges and achieve personal growth. Whether seeking support for specific issues or aiming for deeper self-understanding, I work with clients who struggle with Anxiety and Stress Management - Self-Development and Self Esteem - Confidence - Fears and Phobias -Emotional Issues - Depression - Relationship Problems - P.T.S.D, - Anger Management- Pain Management - Habit Reversal - Specific Counselling for Women - Women and Menopause - Coaching and more.
I am dedicated to helping Clients navigate life's challenges and achieve personal growth. Whether seeking support for specific issues or aiming for deeper self-understanding, I work with clients who struggle with Anxiety and Stress Management - Self-Development and Self Esteem - Confidence - Fears and Phobias -Emotional Issues - Depression - Relationship Problems - P.T.S.D, - Anger Management- Pain Management - Habit Reversal - Specific Counselling for Women - Women and Menopause - Coaching and more.
01803 222882 View 01803 222882
1

See more therapy options for Totnes

How does your Counsellor compare?

Number of Counsellors in Totnes

60+

Average cost per session

£50

Counsellors in Totnes who prioritize treating:

85% Anxiety
82% Depression
79% Self Esteem
78% Relationship Issues
75% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

56% Aviva
56% AXA PPP
56% WPA

How Counsellors in Totnes see their clients

90% In Person and Online
10% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Totnes?

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.