Photo of Isabelle Kirsch, PsychD, Counsellor
Isabelle Kirsch
Counsellor, PsychD
Verified Verified
London SW18  (Online Only)
Taking the first step to solve intimacy issues can often feel intimidating but from our first call I will help you feel as comfortable as I can. . Through positive-oriented therapy, I help you get to the root cause of the problem and guide you to implement practical solutions. I work extensively with clients struggling with sexual issues such as low sexual desire, anxiety, erectile dysfunction, vaginismus and sex/porn addiction as well as couples looking to fix relationship problems which include communication difficulties, mismatched libido, conflict and betrayal.
Taking the first step to solve intimacy issues can often feel intimidating but from our first call I will help you feel as comfortable as I can. . Through positive-oriented therapy, I help you get to the root cause of the problem and guide you to implement practical solutions. I work extensively with clients struggling with sexual issues such as low sexual desire, anxiety, erectile dysfunction, vaginismus and sex/porn addiction as well as couples looking to fix relationship problems which include communication difficulties, mismatched libido, conflict and betrayal.
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Photo of Emma Jackson, MA, MBACP, Psychotherapist
Emma Jackson
Psychotherapist, MA, MBACP
Verified Verified
London SW18  (Online Only)
Hello, my name is Emma and I am an Integrative Psychotherapist with an MA in Integrative Psychotherapy from Regent’s University London. Central to my practice is the development of an authentic, non-judgemental, trusting relationship with my clients to ensure you feel safe and secure before embarking on this process of exploration and change. My varied training and experience allows me to approach even the most complex presentations using a variety of theoretical approaches in a sensitive and unique way to best suit my client.
Hello, my name is Emma and I am an Integrative Psychotherapist with an MA in Integrative Psychotherapy from Regent’s University London. Central to my practice is the development of an authentic, non-judgemental, trusting relationship with my clients to ensure you feel safe and secure before embarking on this process of exploration and change. My varied training and experience allows me to approach even the most complex presentations using a variety of theoretical approaches in a sensitive and unique way to best suit my client.
020 3856 4396 View 020 3856 4396
Photo of Jack Hicks-Flynn, HCPC - Sport Psych., Psychologist
Jack Hicks-Flynn
Psychologist, HCPC - Sport Psych.
Verified Verified
London SW18
As an accredited & regulated healthcare provider, Mentology aspires to deliver the highest quality provision to each client. Our expertise in high-performance allows us to develop individualised support programmes that facilitate long-term psychological development. Our values of Integrity, Enjoyment & Authenticity are lived out in every interaction. Mentology offers bespoke and evidenced based support within the domains of Performance Psychology, as well as Child & Education Psychology.
As an accredited & regulated healthcare provider, Mentology aspires to deliver the highest quality provision to each client. Our expertise in high-performance allows us to develop individualised support programmes that facilitate long-term psychological development. Our values of Integrity, Enjoyment & Authenticity are lived out in every interaction. Mentology offers bespoke and evidenced based support within the domains of Performance Psychology, as well as Child & Education Psychology.
01748 902681 x44 View 01748 902681 x44
Photo of Dr Harrie Bunker-Smith, PsychD, HCPC - Clin. Psych., Psychologist
Dr Harrie Bunker-Smith
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
London SW18  (Online Only)
I’m a Clinical Psychologist offering a warm and supportive space for those times when it feels like something needs to change and we could really use a hand. Perhaps on paper it looks like we have it all figured out but underneath we don’t feel happy. Or, we have goals we want to achieve but self-doubt, worry or other barriers leave us feeling paralysed. Sometimes the distress call is from our bodies – we are burnt out, stressed or struggling with a health condition. And sometimes events from the past feel like they are consuming our present, or we find ourselves repeating patterns we don't feel work but seem hard to escape.
I’m a Clinical Psychologist offering a warm and supportive space for those times when it feels like something needs to change and we could really use a hand. Perhaps on paper it looks like we have it all figured out but underneath we don’t feel happy. Or, we have goals we want to achieve but self-doubt, worry or other barriers leave us feeling paralysed. Sometimes the distress call is from our bodies – we are burnt out, stressed or struggling with a health condition. And sometimes events from the past feel like they are consuming our present, or we find ourselves repeating patterns we don't feel work but seem hard to escape.
01883 770542 View 01883 770542
Photo of Jo Bealey, BACP, Counsellor
Jo Bealey
Counsellor, BACP
Verified Verified
London SW18  (Online Only)
Are you having more bad days than good? Feeling fed-up, depressed, anxious or grieving and having trouble ‘to shake’ those difficult feelings? Perhaps you are feeling stuck or having trouble with your relationships? We can feel we ‘should’ be able to cope which can be make our differcult feelings more tough and feel very isolating for you too. I know how daunting it can be to share your thoughts and feelings with someone. Before becoming a therapist, I felt the same. Together can create a create a sanctuary, a place where you can ‘come as you are’ and share what is you are experiencing. A time and space, just for you
Are you having more bad days than good? Feeling fed-up, depressed, anxious or grieving and having trouble ‘to shake’ those difficult feelings? Perhaps you are feeling stuck or having trouble with your relationships? We can feel we ‘should’ be able to cope which can be make our differcult feelings more tough and feel very isolating for you too. I know how daunting it can be to share your thoughts and feelings with someone. Before becoming a therapist, I felt the same. Together can create a create a sanctuary, a place where you can ‘come as you are’ and share what is you are experiencing. A time and space, just for you
01252 986046 View 01252 986046
Photo of Tatum White, BPC, Psychotherapist
Tatum White
Psychotherapist, BPC
Verified Verified
London SW18
Hello and welcome. I am an experienced and accredited psychodynamic psychotherapist having worked in both organisations and private practice. I have experience of working with adults across all age groups, from a wide range of backgrounds and cultures. Working together and at your pace, I offer a professional, confidential, non-judgemental, safe space for you to talk about what is troubling you, where you feel heard, and where we can explore your experiences and begin the process of opening up possibilities for lasting change.
Hello and welcome. I am an experienced and accredited psychodynamic psychotherapist having worked in both organisations and private practice. I have experience of working with adults across all age groups, from a wide range of backgrounds and cultures. Working together and at your pace, I offer a professional, confidential, non-judgemental, safe space for you to talk about what is troubling you, where you feel heard, and where we can explore your experiences and begin the process of opening up possibilities for lasting change.
020 3764 2938 View 020 3764 2938
Photo of Kate Bragazzi, MSc, MBACP, Counsellor
Kate Bragazzi
Counsellor, MSc, MBACP
Verified Verified
London SW18
Are you feeling depressed, anxious, or just not yourself? Maybe recent events or past traumas are making it hard for you to cope. I can support you while you explore your concerns which, in turn, can help you find new ways of dealing with your problems, make different life choices, and find a way forward. I have experience working with anxiety, panic attacks, depression, trauma, relationship difficulties, and eating issues. I have a particular interest in work related stress and its impact on mental wellbeing. My approach is relational, so I work with you and at your pace as you explore what you want from life and relationships.
Are you feeling depressed, anxious, or just not yourself? Maybe recent events or past traumas are making it hard for you to cope. I can support you while you explore your concerns which, in turn, can help you find new ways of dealing with your problems, make different life choices, and find a way forward. I have experience working with anxiety, panic attacks, depression, trauma, relationship difficulties, and eating issues. I have a particular interest in work related stress and its impact on mental wellbeing. My approach is relational, so I work with you and at your pace as you explore what you want from life and relationships.
020 4538 7369 View 020 4538 7369
Photo of Chloe Bedford, DCounsPsych, HCPC - Couns. Psych., Psychologist
Chloe Bedford
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
London SW18
Not accepting new clients
I offer therapeutic services to children, adolescents and adults. There are times in life when things can feel overwhelming. and sometimes having someone to talk to, outside of your usual network of family, and friends, can make a huge difference to your wellbeing. I believe that you are the expert in you, and so I will work alongside you and/or your family to help you make the changes you need to feel in control. I have particular experience in working with self-harm and suicidal ideation; eating disorders; depression; anxiety; and trauma.
I offer therapeutic services to children, adolescents and adults. There are times in life when things can feel overwhelming. and sometimes having someone to talk to, outside of your usual network of family, and friends, can make a huge difference to your wellbeing. I believe that you are the expert in you, and so I will work alongside you and/or your family to help you make the changes you need to feel in control. I have particular experience in working with self-harm and suicidal ideation; eating disorders; depression; anxiety; and trauma.
020 4538 1575 View 020 4538 1575
Photo of Fiona Goodacre, MBACP Accred, Psychotherapist
Fiona Goodacre
Psychotherapist, MBACP Accred
Verified Verified
London SW18
Sometimes it’s difficult to share anxieties and concerns with family and friends and this can sometimes create profound sense of loneliness. Whether it be anxiety, depression, pressure at work, relationship or family issues, bereavement, sexual issues, low self-esteem, ADHD/ or Autism diagnosis, or simply an indescribable feeling of flatness. You no longer need to feel alone
Sometimes it’s difficult to share anxieties and concerns with family and friends and this can sometimes create profound sense of loneliness. Whether it be anxiety, depression, pressure at work, relationship or family issues, bereavement, sexual issues, low self-esteem, ADHD/ or Autism diagnosis, or simply an indescribable feeling of flatness. You no longer need to feel alone
020 3949 8875 View 020 3949 8875
Photo of Dr Paul Nicholas Davies, PsychD, HCPC - Clin. Psych., Psychologist
Dr Paul Nicholas Davies
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
London SW18
I specialise in men's mental health and wellbeing. As a clinical psychologist and hypnotherapist trained from within a formal neuroscience background, I seek to get the very best from people who are currently stuck in unhelpful patterns of behaviour. I work from a cognitive behavioral perspective in a goal-oriented manner that seeks to motivate and support the person to resolve and achieve what has remained unfulfilled and unrealised within the individual's life.
I specialise in men's mental health and wellbeing. As a clinical psychologist and hypnotherapist trained from within a formal neuroscience background, I seek to get the very best from people who are currently stuck in unhelpful patterns of behaviour. I work from a cognitive behavioral perspective in a goal-oriented manner that seeks to motivate and support the person to resolve and achieve what has remained unfulfilled and unrealised within the individual's life.
020 3376 8381 View 020 3376 8381
Photo of Ross O'Daly, MBACP, Counsellor
Ross O'Daly
Counsellor, MBACP
Verified Verified
London SW18  (Online Only)
Perhaps you are wondering why choose to work with me or what would this look like? We can begin with exploring what you are going through and look to increase awareness and understanding of the impact of these lived experiences, and possibly identify the origins. Your journey and experiences are unique. You bring your story and together we will navigate the feelings, thoughts, emotions and behaviours, validate the impact and create a clear picture of the change you might hope to achieve. Through this process we can also explore ways you can best implement change for an improved lived experience.
Perhaps you are wondering why choose to work with me or what would this look like? We can begin with exploring what you are going through and look to increase awareness and understanding of the impact of these lived experiences, and possibly identify the origins. Your journey and experiences are unique. You bring your story and together we will navigate the feelings, thoughts, emotions and behaviours, validate the impact and create a clear picture of the change you might hope to achieve. Through this process we can also explore ways you can best implement change for an improved lived experience.
01929 501100 View 01929 501100
Photo of Julia Harries, DCounsPsych, MBACP, Counsellor
Julia Harries
Counsellor, DCounsPsych, MBACP
Verified Verified
London SW18
Waitlist for new clients
You may be considering professional counselling for many different reasons. It may be that you are experiencing emotional difficulty or discomfort as a result of some kind of severe and identifiable trauma or loss or it may be that you have more of a feeling or sense of unease that things are not quite right, or could be better. Some people have a particular experience or challenge they want to work through, for others their goals are less specific and more general. Whatever your situation, professional counselling could help. Please feel free to get in touch.
You may be considering professional counselling for many different reasons. It may be that you are experiencing emotional difficulty or discomfort as a result of some kind of severe and identifiable trauma or loss or it may be that you have more of a feeling or sense of unease that things are not quite right, or could be better. Some people have a particular experience or challenge they want to work through, for others their goals are less specific and more general. Whatever your situation, professional counselling could help. Please feel free to get in touch.
020 4538 8373 View 020 4538 8373
Photo of Nathalia Abreu, MBACP, Psychotherapist
Nathalia Abreu
Psychotherapist, MBACP
Verified Verified
London SW18  (Online Only)
Life can feel overwhelming sometimes... We feel we won't be able to cope and we need help. I am here to tell you 'That is ok, we can work together to make you feel better equipped to deal with the challenges of life'. Therapy can help you work through difficult feelings and to understand the effects those are having in your life. If you are feeling anxious, stressed or overwhelmed and this is affecting you in any way, therapy can be the answer. Doing psychotherapy is a journey where clients can improve their self knowledge and self esteem, being able to have a deeper understanding of themselves and their goals in life.
Life can feel overwhelming sometimes... We feel we won't be able to cope and we need help. I am here to tell you 'That is ok, we can work together to make you feel better equipped to deal with the challenges of life'. Therapy can help you work through difficult feelings and to understand the effects those are having in your life. If you are feeling anxious, stressed or overwhelmed and this is affecting you in any way, therapy can be the answer. Doing psychotherapy is a journey where clients can improve their self knowledge and self esteem, being able to have a deeper understanding of themselves and their goals in life.
020 7123 8546 View 020 7123 8546
Photo of Caroline Lazarus - phoenixcounsellinguk, MBACP, Counsellor
phoenixcounsellinguk
Counsellor, MBACP
Verified Verified
London SW18
I am an integrative counsellor which means I believe the past, especially our relationship (or lack of relationship) with our parents/caregivers shapes the person we are today. As your counsellor aim to provide a safe space for us to work through your issues, recognising and changing unhelpful beliefs with a view to helping you towards becoming your best self. I believe like a phoenix we all have the ability to rise from the ashes and it helps to have a counsellor who you feel is really in your corner.
I am an integrative counsellor which means I believe the past, especially our relationship (or lack of relationship) with our parents/caregivers shapes the person we are today. As your counsellor aim to provide a safe space for us to work through your issues, recognising and changing unhelpful beliefs with a view to helping you towards becoming your best self. I believe like a phoenix we all have the ability to rise from the ashes and it helps to have a counsellor who you feel is really in your corner.
020 8138 0144 View 020 8138 0144
Photo of Charlie Maguire-King, MBACP, Counsellor
Charlie Maguire-King
Counsellor, MBACP
Verified Verified
London SW18  (Online Only)
I help people who are feeling lost, in pain and increasingly unable to cope. I work with people who suffer from debilitating anxiety, depression and trauma and all of the many manifestations these can have in your life such as alcohol and drug abuse, eating disorders and self harm, relationship difficulties, social anxiety, codependency and suicidal thoughts and feelings. Clients I see often, above all else, just want some peace of mind. This often comes alongside self acceptance, healthy relationships with friends and family and a satisfying work life balance.
I help people who are feeling lost, in pain and increasingly unable to cope. I work with people who suffer from debilitating anxiety, depression and trauma and all of the many manifestations these can have in your life such as alcohol and drug abuse, eating disorders and self harm, relationship difficulties, social anxiety, codependency and suicidal thoughts and feelings. Clients I see often, above all else, just want some peace of mind. This often comes alongside self acceptance, healthy relationships with friends and family and a satisfying work life balance.
020 8059 2172 View 020 8059 2172
Photo of Natasha Menoni - Natasha Menoni: ADHD & Autism Specialist, MSc, HCPC - Couns. Psych., Psychologist
Natasha Menoni: ADHD & Autism Specialist
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
London SW18  (Online Only)
I am an HCPC registered Counselling Psychologist dedicated to serving adults who have been diagnosed or believe they might have Autism and/or ADHD. I invite you to work together on a therapeutic journey especially catered to your goals and needs. We can work together to identify and make the most out of your own unique strengths, establish robust coping strategies, and build self-awareness to develop a greater understanding of yourself so you can live a more fulfilling life.
I am an HCPC registered Counselling Psychologist dedicated to serving adults who have been diagnosed or believe they might have Autism and/or ADHD. I invite you to work together on a therapeutic journey especially catered to your goals and needs. We can work together to identify and make the most out of your own unique strengths, establish robust coping strategies, and build self-awareness to develop a greater understanding of yourself so you can live a more fulfilling life.
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Photo of Rosie Summerhayes, MSc, CPsychol, Counsellor
Rosie Summerhayes
Counsellor, MSc, CPsychol
Verified Verified
London SW18
I am a Counselling Psychologist, with 25 years experience, who offers you a space that is confidential and supportive, where you can talk about any aspects of your life that are troubling you. I work with difficulties like anxiety, panic attacks, stress, feeling emotionally overwhelmed, low mood, depression, grieving, relationship difficulties, work place issues, low self esteem, family problems or trauma. You might have past or present experiences affecting you, or you might feel confused in knowing what the problem is.
I am a Counselling Psychologist, with 25 years experience, who offers you a space that is confidential and supportive, where you can talk about any aspects of your life that are troubling you. I work with difficulties like anxiety, panic attacks, stress, feeling emotionally overwhelmed, low mood, depression, grieving, relationship difficulties, work place issues, low self esteem, family problems or trauma. You might have past or present experiences affecting you, or you might feel confused in knowing what the problem is.
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Photo of Donna Mitchell, MA, HCPC - Couns. Psych., Psychologist
Donna Mitchell
Psychologist, MA, HCPC - Couns. Psych.
Verified Verified
London SW18  (Online Only)
Clients often come to me when they are feeling overwhelmed and stressed or in a rut. Together we can figure out what's going on for you and how you would like things to be different. I can help you to develop compassion toward yourself, boosting your self-esteem and facilitating a way for you to move forward with more confidence. We are able to do so much more with our lives and relationships when we are on our own team and I can assist with getting you there.
Clients often come to me when they are feeling overwhelmed and stressed or in a rut. Together we can figure out what's going on for you and how you would like things to be different. I can help you to develop compassion toward yourself, boosting your self-esteem and facilitating a way for you to move forward with more confidence. We are able to do so much more with our lives and relationships when we are on our own team and I can assist with getting you there.
01929 500594 View 01929 500594
Photo of Su-Lin B Yii, HCPC - Clin. Psych., Psychologist
Su-Lin B Yii
Psychologist, HCPC - Clin. Psych.
Verified Verified
London SW18
I enjoy working with people who are keen to know more about how their brain functions, and want to know about how to optimise their thinking abilities. I am also a piano teacher and enjoy integrating musical learning or creativity into therapy, when indicated.
I enjoy working with people who are keen to know more about how their brain functions, and want to know about how to optimise their thinking abilities. I am also a piano teacher and enjoy integrating musical learning or creativity into therapy, when indicated.
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Photo of Nadia Wilkinson, MSc, MBACP, Counsellor
Nadia Wilkinson
Counsellor, MSc, MBACP
Verified Verified
London SW18  (Online Only)
Waitlist for new clients
Dealing with a loss, major change in your life or a new diagnosis? Feeling overwhelmed by trauma from your past or by a current relationship? Experiencing family difficulties and or realising your values are different from the ones you grew up with? At some points in our lives we all need extra support and this is nothing to feel ashamed of, in fact asking for help is one of the bravest things you can do. I offer a warm, empathic and non-judgmental approach in our journey together. This will enable you to explore the sometimes painful feelings, past experiences and stuck patterns of behaviour that may be holding you back.
Dealing with a loss, major change in your life or a new diagnosis? Feeling overwhelmed by trauma from your past or by a current relationship? Experiencing family difficulties and or realising your values are different from the ones you grew up with? At some points in our lives we all need extra support and this is nothing to feel ashamed of, in fact asking for help is one of the bravest things you can do. I offer a warm, empathic and non-judgmental approach in our journey together. This will enable you to explore the sometimes painful feelings, past experiences and stuck patterns of behaviour that may be holding you back.
020 3838 0855 View 020 3838 0855

See more therapy options for SW18

How does your Counsellor compare?

Number of Counsellors in SW18

100+

Average cost per session

£75

Counsellors in SW18 who prioritize treating:

92% Anxiety
87% Depression
85% Self Esteem
81% Relationship Issues
81% Stress
70% Bereavement
66% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

69% Aviva
67% AXA PPP
60% Vitality

How Counsellors in SW18 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counselling

How can I find a therapist in SW18?

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.