Photo of Diana Dan, MSc, GMBPsS, Psychotherapist
Diana Dan
Psychotherapist, MSc, GMBPsS
Verified Verified
At times it feels we are stuck or that we don’t have other options. It can feel that we are powerless and we cannot find ways to pick us up from the floor.
At times it feels we are stuck or that we don’t have other options. It can feel that we are powerless and we cannot find ways to pick us up from the floor.
020 3962 0314 View 020 3962 0314
Photo of Rachel Power, MSc, MBACP, Psychotherapist
Rachel Power
Psychotherapist, MSc, MBACP
Verified Verified
London SE7  (Online Only)
Waitlist for new clients
I offer positive help and support with a range of issues including anxiety, relationship difficulties and career stress, and an understanding that managing meaningful personal and professional relationships can be complex. Qualified as a couple and individual psychotherapist at Tavistock Relationships, with an MSc from the Department of Organisational Psychology, Birkbeck University of London, I am able to work effectively with both couples and individuals. I have recently undertaken further training in the area of counselling for compulsive sexual behaviour.
I offer positive help and support with a range of issues including anxiety, relationship difficulties and career stress, and an understanding that managing meaningful personal and professional relationships can be complex. Qualified as a couple and individual psychotherapist at Tavistock Relationships, with an MSc from the Department of Organisational Psychology, Birkbeck University of London, I am able to work effectively with both couples and individuals. I have recently undertaken further training in the area of counselling for compulsive sexual behaviour.
023 8235 7320 View 023 8235 7320
Photo of Bima Loxley - Loxley Sexology, COSRT General, Psychotherapist
Loxley Sexology
Psychotherapist, COSRT General
Verified Verified
1 Endorsed
London SE7  (Online Only)
I am a queer nonbinary sex and relationship therapist who provides therapy for couples, multiple partnered relationships (ie non monogamy, colleagues, friends, families) and individuals online only. As a Clinical Sexologist and Relationship Therapist I can help you with three sectors: Sex: desire & arousal, sexuality, sexual health, sexual function & pain, low-esteem. Relationships: intimacy, conflict management, infidelity, life changes, family issues. Gender & sexual identity: LGBTQIA+, Kink, gender dysphoria, sex work, diverse relationship styles (nonmonogamy etc). When I reply to your email, please check your junk/spam too!
I am a queer nonbinary sex and relationship therapist who provides therapy for couples, multiple partnered relationships (ie non monogamy, colleagues, friends, families) and individuals online only. As a Clinical Sexologist and Relationship Therapist I can help you with three sectors: Sex: desire & arousal, sexuality, sexual health, sexual function & pain, low-esteem. Relationships: intimacy, conflict management, infidelity, life changes, family issues. Gender & sexual identity: LGBTQIA+, Kink, gender dysphoria, sex work, diverse relationship styles (nonmonogamy etc). When I reply to your email, please check your junk/spam too!
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Photo of Holly Griffiths, MBACP, Counsellor
Holly Griffiths
Counsellor, MBACP
Verified Verified
Not accepting new clients
I prefer to work in an integrative and flexible way as I don't believe in a one size fits all approach to therapy, you're an individual and so the way that we work together will be equally individual. Essentially this means that I will work with you to explore your problems and find emotional balance in your life. I believe that even if you are feeling the lowest you have ever felt things can get better and that you are absolutely able to make changes in your life.
I prefer to work in an integrative and flexible way as I don't believe in a one size fits all approach to therapy, you're an individual and so the way that we work together will be equally individual. Essentially this means that I will work with you to explore your problems and find emotional balance in your life. I believe that even if you are feeling the lowest you have ever felt things can get better and that you are absolutely able to make changes in your life.
020 4538 2563 View 020 4538 2563
Photo of Samuel Harris Farleigh - Art Therapy London, MA
Art Therapy London
MA
Verified Verified
I'm Sam, an Art Psychotherapist using creative expression as a tool to help support you to manage difficulties in you or your child's life. I use art as a way to support the exploration of these difficulties and help express the emotions related to this. I have worked in the NHS with complex mental health issues, as well as mainstream and SEN education. I specialise in working with a range of neurodiversity. Art therapy is suitable for most people and all ages and difficulties regardless previous art experience and skill. We use a wide range of materials and different forms of creative expression.
I'm Sam, an Art Psychotherapist using creative expression as a tool to help support you to manage difficulties in you or your child's life. I use art as a way to support the exploration of these difficulties and help express the emotions related to this. I have worked in the NHS with complex mental health issues, as well as mainstream and SEN education. I specialise in working with a range of neurodiversity. Art therapy is suitable for most people and all ages and difficulties regardless previous art experience and skill. We use a wide range of materials and different forms of creative expression.
07723 460550 View 07723 460550
Photo of Christopher Brown - Click Therapies, MSc, GMBPsS, Psychotherapist
Click Therapies
Psychotherapist, MSc, GMBPsS
Verified Verified
Click Therapies are a small team of UK accredited therapists, nurses and doctors. We are a dedicated online psychological wellbeing service that meets the challenges of the 21st century. We work collaboratively with all our clients to offer a personalised therapy experience to achieve the best recovery outcomes for you. Our service is flexible to meet your needs needs. You can access therapy, anytime, anywhere at your convenience . We deliver evidence based treatments in line with National Guidelines and World Health Organisation. Why not connect with us for your FREE 15min consultation, you have nothing to lose...
Click Therapies are a small team of UK accredited therapists, nurses and doctors. We are a dedicated online psychological wellbeing service that meets the challenges of the 21st century. We work collaboratively with all our clients to offer a personalised therapy experience to achieve the best recovery outcomes for you. Our service is flexible to meet your needs needs. You can access therapy, anytime, anywhere at your convenience . We deliver evidence based treatments in line with National Guidelines and World Health Organisation. Why not connect with us for your FREE 15min consultation, you have nothing to lose...
0117 456 2766 View 0117 456 2766
Photo of Magdalena Rybarczyk, MSc, HCPC - Couns. Psych., Psychologist
Magdalena Rybarczyk
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
I hope that the information you can find here will help you to initiate positive changes in your life. I offer therapy for clients struggling with their emotions, experiencing a crisis, relationship difficulties or career and work related concerns. I am experienced in providing effective therapy for depression, anxiety, trauma, stress, self esteem problems, body image concerns, as well as medically unexplained symptoms, sexual and intimacy problems and other psychological challenges. My way of working is emphatic, flexible and receptive to your individual needs.
I hope that the information you can find here will help you to initiate positive changes in your life. I offer therapy for clients struggling with their emotions, experiencing a crisis, relationship difficulties or career and work related concerns. I am experienced in providing effective therapy for depression, anxiety, trauma, stress, self esteem problems, body image concerns, as well as medically unexplained symptoms, sexual and intimacy problems and other psychological challenges. My way of working is emphatic, flexible and receptive to your individual needs.
020 3763 5265 View 020 3763 5265
Photo of Coral-Lee Laurence, MBACP, Counsellor
Coral-Lee Laurence
Counsellor, MBACP
Verified Verified
London SE7  (Online Only)
How many times have you questioned why you repeat the same actions, find yourself in the same relationships, similar conditions or even ruminating on the same thoughts. We often do things unknowingly and have a deep longing to know why. You long for insight on your past and your present and feel anxious about the future because of this. It is at your worst moments that you seek self introspection, yet you still feel stuck. Perhaps you have self doubt or have uncertainty about where you are or what you want in your life. You have a deep desire to attain the life you dream of but feel that you get in your own way.
How many times have you questioned why you repeat the same actions, find yourself in the same relationships, similar conditions or even ruminating on the same thoughts. We often do things unknowingly and have a deep longing to know why. You long for insight on your past and your present and feel anxious about the future because of this. It is at your worst moments that you seek self introspection, yet you still feel stuck. Perhaps you have self doubt or have uncertainty about where you are or what you want in your life. You have a deep desire to attain the life you dream of but feel that you get in your own way.
01525 664382 View 01525 664382
Photo of Marie Yeo, MBACP, Counsellor
Marie Yeo
Counsellor, MBACP
Verified Verified
I’m a fully qualified integrative counsellor and coach. I help individuals who want more than traditional counselling or coaching can offer alone, providing a safe and confidential space for exploration and growth. Working together, we can explore current and past difficulties, and I can also offer you opportunities to look forward, learning & applying unique tools to tackle whatever the future brings. Working this way allows meaningful healing and lasting change to be achieved. We are all unique and there is no ‘one size fits all’ model. I will always work with you as an individual. I work with people not problems!
I’m a fully qualified integrative counsellor and coach. I help individuals who want more than traditional counselling or coaching can offer alone, providing a safe and confidential space for exploration and growth. Working together, we can explore current and past difficulties, and I can also offer you opportunities to look forward, learning & applying unique tools to tackle whatever the future brings. Working this way allows meaningful healing and lasting change to be achieved. We are all unique and there is no ‘one size fits all’ model. I will always work with you as an individual. I work with people not problems!
020 3834 8742 View 020 3834 8742
Photo of Eden Orfanos Shoro - Integrative Psychotherapist - Clinical Supervisor, MA, HCPC-Art Therap., Psychotherapist
Eden Orfanos Shoro - Integrative Psychotherapist - Clinical Supervisor
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
London SE7  (Online Only)
Sometimes it is difficult to find the words to describe your emotions or what you are experiencing. I hold online sessions where you are invited to use your imagination and creativity to gain insight and explore current challenges; exploring whatever you are struggling with or what you feel is holding you back or challenging your well-being. Through a combination of talking and expression, clients of all ages are empowered to tap into their inner strengths, and to use those strengths to create healthy connections with themselves and others.
Sometimes it is difficult to find the words to describe your emotions or what you are experiencing. I hold online sessions where you are invited to use your imagination and creativity to gain insight and explore current challenges; exploring whatever you are struggling with or what you feel is holding you back or challenging your well-being. Through a combination of talking and expression, clients of all ages are empowered to tap into their inner strengths, and to use those strengths to create healthy connections with themselves and others.
020 3962 2499 View 020 3962 2499
Photo of Dr Emma Larsson-Thomas, HCPC - Clin. Psych., Psychologist
Dr Emma Larsson-Thomas
Psychologist, HCPC - Clin. Psych.
Verified Verified
I am a qualified Clinical Psychologist with over 10 years experience. Individuals coming to see me may be considering therapy for a specific concern or difficulty (e.g. anxiety, depression, relationship difficulties) or have a specific question, event or life transition that needs attention. Others may have noticed that they are stuck in unhelpful and painful patterns. Or perhaps wanting to get to know themselves on a deeper level or change the way they interact with themselves.
I am a qualified Clinical Psychologist with over 10 years experience. Individuals coming to see me may be considering therapy for a specific concern or difficulty (e.g. anxiety, depression, relationship difficulties) or have a specific question, event or life transition that needs attention. Others may have noticed that they are stuck in unhelpful and painful patterns. Or perhaps wanting to get to know themselves on a deeper level or change the way they interact with themselves.
020 3984 9972 View 020 3984 9972
Photo of Luka Hadrych - DBT in Mind Team, MSc, MUKCP, Psychotherapist
DBT in Mind Team
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
We are a team of experienced therapists providing specialist support for people living with emotion regulation difficulties whose challenges get described in the medical world as "borderline personality disorder" (BPD/EUPD). We offer the intensive programmes in Dialectical Behaviour Therapy and Mentalisation Based Treatment and are committed to providing research-based and compassionate therapies developed specifically for intensely-feeling individuals. We are here to support you on your journey toward greater control over your emotions, behaviour and relationships.
We are a team of experienced therapists providing specialist support for people living with emotion regulation difficulties whose challenges get described in the medical world as "borderline personality disorder" (BPD/EUPD). We offer the intensive programmes in Dialectical Behaviour Therapy and Mentalisation Based Treatment and are committed to providing research-based and compassionate therapies developed specifically for intensely-feeling individuals. We are here to support you on your journey toward greater control over your emotions, behaviour and relationships.
020 3870 3919 View 020 3870 3919
Photo of David Banos Smith, PhD, MUKCP, Psychotherapist
David Banos Smith
Psychotherapist, PhD, MUKCP
Verified Verified
I work with people who are you feeling anxious or depressed or uncertain how to live in a way that feels satisfying. With people who have suffered bereavement, the end of a relationship or who are struggling with relationships that aren't working and leave them feeling unhappy. With people who are unhappy at work and feel stuck in a job that isn't what they'd hoped it would be, a job that's too challenging or not challenging enough. With people who are struggling with ways of being sexual, who find it hard to have the kind of sexual relationships they want, to know how to begin, negotiate or end intimate sexual relationships.
I work with people who are you feeling anxious or depressed or uncertain how to live in a way that feels satisfying. With people who have suffered bereavement, the end of a relationship or who are struggling with relationships that aren't working and leave them feeling unhappy. With people who are unhappy at work and feel stuck in a job that isn't what they'd hoped it would be, a job that's too challenging or not challenging enough. With people who are struggling with ways of being sexual, who find it hard to have the kind of sexual relationships they want, to know how to begin, negotiate or end intimate sexual relationships.
020 3974 2905 View 020 3974 2905
Photo of Tom Deitch, BACP, Counsellor
Tom Deitch
Counsellor, BACP
Verified Verified
1 Endorsed
Are you facing challenges in your life which seem impossible to overcome? Maybe you are struggling with intrusive thoughts, feelings of low self-esteem, despair, guilt or shame? Has a bereavement or traumatic incident left you feeling that it’s hard to cope? Do you have a need to be properly heard, perhaps for the first time? We can explore ways in which you can begin to think differently about the obstacles you face, examining your thoughts and feelings with a view to increasing self-awareness and ultimately gaining greater control over your life.
Are you facing challenges in your life which seem impossible to overcome? Maybe you are struggling with intrusive thoughts, feelings of low self-esteem, despair, guilt or shame? Has a bereavement or traumatic incident left you feeling that it’s hard to cope? Do you have a need to be properly heard, perhaps for the first time? We can explore ways in which you can begin to think differently about the obstacles you face, examining your thoughts and feelings with a view to increasing self-awareness and ultimately gaining greater control over your life.
020 3962 1219 View 020 3962 1219
Photo of Laura Rader, MBACP, Counsellor
Laura Rader
Counsellor, MBACP
Verified Verified
Hi. I am an Integrative-Relational therapist, with working experience in the NHS and in private practice. If you struggle with your own or other people’s emotions and you find that you can’t safely express yourself, if you are missing out on the joy of safe connection, we can work together to clarify how you can safely meet your emotional needs and have more satisfactory relationships. We can work on improving your self-esteem, so you can feel confidently yourself when reconnecting to others. Email me today, and let’s find a way to peace, ease and relational harmony together.
Hi. I am an Integrative-Relational therapist, with working experience in the NHS and in private practice. If you struggle with your own or other people’s emotions and you find that you can’t safely express yourself, if you are missing out on the joy of safe connection, we can work together to clarify how you can safely meet your emotional needs and have more satisfactory relationships. We can work on improving your self-esteem, so you can feel confidently yourself when reconnecting to others. Email me today, and let’s find a way to peace, ease and relational harmony together.
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Photo of Joe Pawson, MA, MUKCP, Psychotherapist
Joe Pawson
Psychotherapist, MA, MUKCP
Verified Verified
London SE7  (Online Only)
People come to psychotherapy for all kinds of different reasons. Perhaps a particular issue is making life very difficult, or maybe you have more general feelings of discontentment, unease or unhappiness that you want to address. One-to-one psychotherapy can help by providing a safe, therapeutic space in which you feel able to explore and express difficult thoughts, feelings and memories. This process of deep exploration helps you to grow and develop in areas that have previously felt stuck, painful or have been blocked out.
People come to psychotherapy for all kinds of different reasons. Perhaps a particular issue is making life very difficult, or maybe you have more general feelings of discontentment, unease or unhappiness that you want to address. One-to-one psychotherapy can help by providing a safe, therapeutic space in which you feel able to explore and express difficult thoughts, feelings and memories. This process of deep exploration helps you to grow and develop in areas that have previously felt stuck, painful or have been blocked out.
0117 463 3300 View 0117 463 3300
Photo of Tony Patterson, MBACP, Counsellor
Tony Patterson
Counsellor, MBACP
Verified Verified
1 Endorsed
I have experience working with clients in areas such as stress, anxiety, low self esteem, relationship issues (self or others), sexual identity, sexuality, masculine embodiment, depression. I feel coming to therapy can be daunting as clients often do not know what to expect. I like to talk this through with clients and make sure that they feel safe and secure, and we can build a therapeutic relationship together. I provide a safe, confidential, and non-judgemental space in which the you can explore your thoughts and feelings, allowing you to understand more about yourself and your relationships with others at your own pace.
I have experience working with clients in areas such as stress, anxiety, low self esteem, relationship issues (self or others), sexual identity, sexuality, masculine embodiment, depression. I feel coming to therapy can be daunting as clients often do not know what to expect. I like to talk this through with clients and make sure that they feel safe and secure, and we can build a therapeutic relationship together. I provide a safe, confidential, and non-judgemental space in which the you can explore your thoughts and feelings, allowing you to understand more about yourself and your relationships with others at your own pace.
020 4538 4310 View 020 4538 4310
Photo of Eirini Diathesopoulou, MBACP, Psychotherapist
Eirini Diathesopoulou
Psychotherapist, MBACP
Verified Verified
Welcome! Are you facing life's challenges, feeling overwhelmed, or seeking personal growth and healing? I'm here to support you! I'm Eirini, an Integrative Psychotherapist Psychologist dedicated to your empowerment. I specialise in helping individuals navigate through anxiety, depression, relationship issues, trauma, and self-esteem concerns using a compassionate, person-centered, and evidence-based approach. Whether you're grappling with feelings of inadequacy, navigating relationships, or reflecting on past decisions, together we'll cultivate healthier coping mechanisms and foster lasting positive change in your life.
Welcome! Are you facing life's challenges, feeling overwhelmed, or seeking personal growth and healing? I'm here to support you! I'm Eirini, an Integrative Psychotherapist Psychologist dedicated to your empowerment. I specialise in helping individuals navigate through anxiety, depression, relationship issues, trauma, and self-esteem concerns using a compassionate, person-centered, and evidence-based approach. Whether you're grappling with feelings of inadequacy, navigating relationships, or reflecting on past decisions, together we'll cultivate healthier coping mechanisms and foster lasting positive change in your life.
020 8103 9033 View 020 8103 9033
Photo of Gerry McCarron, MSc, MBABCP, Psychotherapist
Gerry McCarron
Psychotherapist, MSc, MBABCP
Verified Verified
London SE7  (Online Only)
The people I work with suffer from anxiety and depressive disorders. They often experience their negative thoughts as very adhesive and they engage in styles of repetitive negative thinking like worry and rumination that they find hard to control. Often they have reduced their activities or avoided situations to prevent triggering their difficult experiences. They want to gain a better understanding of the nature of their problems and why they persist and receive clear guidance on how to target these factors with focused, evidence-based therapy.
The people I work with suffer from anxiety and depressive disorders. They often experience their negative thoughts as very adhesive and they engage in styles of repetitive negative thinking like worry and rumination that they find hard to control. Often they have reduced their activities or avoided situations to prevent triggering their difficult experiences. They want to gain a better understanding of the nature of their problems and why they persist and receive clear guidance on how to target these factors with focused, evidence-based therapy.
020 3962 1560 View 020 3962 1560
Photo of Oliver John Whitefield, BACP, Counsellor
Oliver John Whitefield
Counsellor, BACP
Verified Verified
Sometimes life’s challenges can feel like too much to handle alone. At those times it can help to have someone professional to talk to in confidence - I offer an understanding, supportive space in which we can work through lifes challenges together. My approach to psychotherapy is both affirming and challenging; supporting you to feel valued and heard whilst enabling you to move past avoidance and fear.
Sometimes life’s challenges can feel like too much to handle alone. At those times it can help to have someone professional to talk to in confidence - I offer an understanding, supportive space in which we can work through lifes challenges together. My approach to psychotherapy is both affirming and challenging; supporting you to feel valued and heard whilst enabling you to move past avoidance and fear.
01582 377335 View 01582 377335

See more therapy options for SE7

How does your Counsellor compare?

Number of Counsellors in SE7

30+

Average cost per session

£75

Counsellors in SE7 who prioritize treating:

90% Anxiety
87% Depression
87% Stress
80% Self Esteem
77% Relationship Issues
63% Family Conflict
63% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

71% Aviva
71% AXA PPP
71% Vitality

How Counsellors in SE7 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

52% Female
42% Male
6% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in SE7?

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.