Counselling in London

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Photo of Basak Jeffreys, MSc, MUKCP, Psychotherapist
Basak Jeffreys
Psychotherapist, MSc, MUKCP
Verified Verified
London W1W
We live in a challenging world. There are times in our lives when we must endure pain, stress and loss whilst holding our business and personal lives together. Some people choose to work through their issues alone, perhaps considering reaching for help is as a sign of weakness. However, all healthy humans require personal connections. Talking with someone who has no relationship to your daily life, willing to listen and understand your concerns can help. I understand the pressures of difficult emotions and circumstances.
We live in a challenging world. There are times in our lives when we must endure pain, stress and loss whilst holding our business and personal lives together. Some people choose to work through their issues alone, perhaps considering reaching for help is as a sign of weakness. However, all healthy humans require personal connections. Talking with someone who has no relationship to your daily life, willing to listen and understand your concerns can help. I understand the pressures of difficult emotions and circumstances.
020 3985 8931 View 020 3985 8931
Photo of Lindsey Thurlow, MSc, MBACP, Psychotherapist
Lindsey Thurlow
Psychotherapist, MSc, MBACP
Verified Verified
London EC1V  (Online Only)
Maybe its hard to find meaning in your current situation or in your relationships. perhaps you feel depressed, anxious or you are experiencing panic attacks. You may be experiencing a bereavement, illness or job loss You may be going through a painful divorce or feeling isolated.
Maybe its hard to find meaning in your current situation or in your relationships. perhaps you feel depressed, anxious or you are experiencing panic attacks. You may be experiencing a bereavement, illness or job loss You may be going through a painful divorce or feeling isolated.
020 3962 1422 View 020 3962 1422
Photo of Correy Oliver - Core Concept , MBACP, Counsellor
Core Concept
Counsellor, MBACP
Verified Verified
London SE1  (Online Only)
I am a fully accredited integrative therapist With a comprehensive background in counselling, I offer a tailored approach to address the diverse needs of my clients who are all unique. My practice is founded on the principles of collaboration and respect I will create a safe and confidential environment where clients can explore their concerns openly and without judgment. Whether you’re navigating life transitions, coping with mental health issues, or seeking personal growth, I am committed to providing you with the support and guidance you need to achieve your goals.
I am a fully accredited integrative therapist With a comprehensive background in counselling, I offer a tailored approach to address the diverse needs of my clients who are all unique. My practice is founded on the principles of collaboration and respect I will create a safe and confidential environment where clients can explore their concerns openly and without judgment. Whether you’re navigating life transitions, coping with mental health issues, or seeking personal growth, I am committed to providing you with the support and guidance you need to achieve your goals.
020 3835 3428 View 020 3835 3428
Photo of Ophra Gilead - Ophra Gilead Therapy, MSc, MBACP Snr. Accred, Psychotherapist
Ophra Gilead Therapy
Psychotherapist, MSc, MBACP Snr. Accred
Verified Verified
London N12
I have worked with issues such as relationships, depression and anxiety, bereavement and loss, family, childhood experiences, gender and cultural identity, infertility and significant life changes such as losing a job or relocation. I have worked for many years for the NHS and in private setting. I work with individuals, couples and family members. I am a qualified and experienced generic, DIT and Infertility supervisor.
I have worked with issues such as relationships, depression and anxiety, bereavement and loss, family, childhood experiences, gender and cultural identity, infertility and significant life changes such as losing a job or relocation. I have worked for many years for the NHS and in private setting. I work with individuals, couples and family members. I am a qualified and experienced generic, DIT and Infertility supervisor.
020 3879 4774 View 020 3879 4774
Photo of Maria Constantinou - Maria Constantinou, MA, MUKCP, Psychotherapist
Maria Constantinou
Psychotherapist, MA, MUKCP
Verified Verified
London SW3
I am a Psychotherapist and 'training analyst' for students in training. I have 20+ years experience of working with anxiety, depression, loss, eating disorders and more. 1st session is FREE for 30 mins. I believe psychotherapy should be available and affordable to everyone. I use sliding scale charges, a quiet, private and confidential space to talk, to express your self. We can explore and uncover the complexity behind the issues, causing your difficulties, distress and unhappiness. We find meaning and understanding and work towards unveiling and promoting a self that is more confident, empowered, assertive and self authorising.
I am a Psychotherapist and 'training analyst' for students in training. I have 20+ years experience of working with anxiety, depression, loss, eating disorders and more. 1st session is FREE for 30 mins. I believe psychotherapy should be available and affordable to everyone. I use sliding scale charges, a quiet, private and confidential space to talk, to express your self. We can explore and uncover the complexity behind the issues, causing your difficulties, distress and unhappiness. We find meaning and understanding and work towards unveiling and promoting a self that is more confident, empowered, assertive and self authorising.
020 3893 2631 View 020 3893 2631
Photo of Naomi Rogers, MA, HCPC-Drama Therap., Psychotherapist
Naomi Rogers
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
London NW6
I’m passionate about empowering women and witnessing them grow in their authenticity, joy and sense of self. For too long women have systematically had their voices, health issues, and experiences minimised and denied. Through Creative Arts Therapy I provide a space for you to connect with your authentic feelings, your body and your creativity. Through therapy insights, solace and validation can be found. People come to therapy for different reasons; you may be needing to process grief, life experiences, women's health issues, creative blocks or hoping to find ways to navigate a dark time. I am here and I am ready to listen.
I’m passionate about empowering women and witnessing them grow in their authenticity, joy and sense of self. For too long women have systematically had their voices, health issues, and experiences minimised and denied. Through Creative Arts Therapy I provide a space for you to connect with your authentic feelings, your body and your creativity. Through therapy insights, solace and validation can be found. People come to therapy for different reasons; you may be needing to process grief, life experiences, women's health issues, creative blocks or hoping to find ways to navigate a dark time. I am here and I am ready to listen.
020 3835 5230 View 020 3835 5230
Photo of Piotr Jusik, MSc, MBACP Accred, Counsellor
Piotr Jusik
Counsellor, MSc, MBACP Accred
Verified Verified
1 Endorsed
London W14  (Online Only)
Do you belong to many cultures? Perhaps working in an international company? Are you a high-flyer who will benefit from a mixture of coaching & counselling? Whether you're struggling with depression, anxiety, relationship problems, stress, anger problems, loneliness, low self-esteem, or navigating major life changes such as changing jobs or moving to a new country, I have successfully helped clients with these issues both in the UK NHS and in my private practice. If you are a multicultural professional working in high-pressure environments wanting to improve your mental health and grow personally, you have come to the right place.
Do you belong to many cultures? Perhaps working in an international company? Are you a high-flyer who will benefit from a mixture of coaching & counselling? Whether you're struggling with depression, anxiety, relationship problems, stress, anger problems, loneliness, low self-esteem, or navigating major life changes such as changing jobs or moving to a new country, I have successfully helped clients with these issues both in the UK NHS and in my private practice. If you are a multicultural professional working in high-pressure environments wanting to improve your mental health and grow personally, you have come to the right place.
020 3667 9837 View 020 3667 9837
Photo of Alessia Vignali, MBACP Accred, Counsellor
Alessia Vignali
Counsellor, MBACP Accred
Verified Verified
London E9
Anxiety, Depression and Stress might be impacting your wellbeing and happiness and you would like to feel able to better manage your emotions. You might be experiencing low self-esteem, low self-worth or going through a difficult time like divorce, job-loss, bereavement, illness or a combination. Substance misuse could have ensued as a way of coping with stress or past traumatic experiences. Relationships might be impaired resulting in trust issues, conflict, infidelity. You might be experiencing sexuality issues like low sexual desire, E.D. or you might want to explore sexuality, kink, polyamorous and open relationships.
Anxiety, Depression and Stress might be impacting your wellbeing and happiness and you would like to feel able to better manage your emotions. You might be experiencing low self-esteem, low self-worth or going through a difficult time like divorce, job-loss, bereavement, illness or a combination. Substance misuse could have ensued as a way of coping with stress or past traumatic experiences. Relationships might be impaired resulting in trust issues, conflict, infidelity. You might be experiencing sexuality issues like low sexual desire, E.D. or you might want to explore sexuality, kink, polyamorous and open relationships.
020 8103 6833 View 020 8103 6833
Photo of Nirosha Sirisena, DCounsPsych, MBACP, Psychotherapist
Nirosha Sirisena
Psychotherapist, DCounsPsych, MBACP
Verified Verified
London E1
Do you experience anxiety, depression, grief, emptiness or anger? Do you feel alone or overwhelmed by these feelings ? Most people do and most people feel they have no other option but to stay feeling that way. The truth is that everyone will experience difficulties and difficult situations either in their personal or work life. Some are harder to deal with on your own. A friendly, experienced, listening ear can really make a positive difference to your life.
Do you experience anxiety, depression, grief, emptiness or anger? Do you feel alone or overwhelmed by these feelings ? Most people do and most people feel they have no other option but to stay feeling that way. The truth is that everyone will experience difficulties and difficult situations either in their personal or work life. Some are harder to deal with on your own. A friendly, experienced, listening ear can really make a positive difference to your life.
020 3835 5899 View 020 3835 5899
Photo of Veronika Kloucek, MA, MBACP Accred, Psychotherapist
Veronika Kloucek
Psychotherapist, MA, MBACP Accred
Verified Verified
London SW20
Many reasons can bring us to therapy whether they are temporary difficulties, long-term struggles or the desire for personal development. I offer a warm, non-judgmental and confidential space in which you can talk openly about any aspects of your life in a way which might not be possible with friends or family. I am here to listen and to work with you so that you can start to make sense of your feelings and create positive change in your life.
Many reasons can bring us to therapy whether they are temporary difficulties, long-term struggles or the desire for personal development. I offer a warm, non-judgmental and confidential space in which you can talk openly about any aspects of your life in a way which might not be possible with friends or family. I am here to listen and to work with you so that you can start to make sense of your feelings and create positive change in your life.
01748 902285 View 01748 902285
Photo of Siomar Ballan, MA, MUKCP, Psychotherapist
Siomar Ballan
Psychotherapist, MA, MUKCP
Verified Verified
London W10
Sometimes we encounter problems that can feel insurmountable and we find ourselves suffering and feeling stuck or overwhelmed. For some, the cause may be a specific event or transition in life. At other times, the roots of our struggles may seem vague, experienced through repeating patterns in our lives, depression, anxiety, unhealthy relationships or addictions. Such experiences can be a call for us to look within and to expand our level of awareness and enable new modes of being that allow us to build deeper, more meaningful relationships with ourselves and others.
Sometimes we encounter problems that can feel insurmountable and we find ourselves suffering and feeling stuck or overwhelmed. For some, the cause may be a specific event or transition in life. At other times, the roots of our struggles may seem vague, experienced through repeating patterns in our lives, depression, anxiety, unhealthy relationships or addictions. Such experiences can be a call for us to look within and to expand our level of awareness and enable new modes of being that allow us to build deeper, more meaningful relationships with ourselves and others.
07723 441193 View 07723 441193
Photo of Jess MacIntyre-Harrison, PsychD, HCPC - Clin. Psych., Psychologist
Jess MacIntyre-Harrison
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London WC1A
I am a Clinical Psychologist with 15 years of experience working with people struggling with complex life & emotional difficulties. Through building a trusting relationship, I aim to sit alongside my clients & empower them in their journeys towards getting to know themselves better, understanding their difficulties, and compassionately making change. I centre compassion and non-judgement in my work, integrating ideas borrowed from Narrative Therapy (NT), Acceptance and Commitment Therapy (ACT), Cognitive-Analytic Therapy (CAT) and body work.
I am a Clinical Psychologist with 15 years of experience working with people struggling with complex life & emotional difficulties. Through building a trusting relationship, I aim to sit alongside my clients & empower them in their journeys towards getting to know themselves better, understanding their difficulties, and compassionately making change. I centre compassion and non-judgement in my work, integrating ideas borrowed from Narrative Therapy (NT), Acceptance and Commitment Therapy (ACT), Cognitive-Analytic Therapy (CAT) and body work.
020 3835 3331 View 020 3835 3331
Photo of Sean Kelly, MBACP, Counsellor
Sean Kelly
Counsellor, MBACP
Verified Verified
London W1W
Hello, at certain times in life we can feel stuck, lost, and uncertain, as if we are on autopilot and not truly connected to ourselves, our partner, our family, or our friends. This can be frustrating and isolating, making it hard to see a way forward. I offer an environment to explore where you are in life and how you'd like to move forward.
Hello, at certain times in life we can feel stuck, lost, and uncertain, as if we are on autopilot and not truly connected to ourselves, our partner, our family, or our friends. This can be frustrating and isolating, making it hard to see a way forward. I offer an environment to explore where you are in life and how you'd like to move forward.
020 7046 1454 View 020 7046 1454
Photo of Maloney Liu, MBACP, Counsellor
Maloney Liu
Counsellor, MBACP
Verified Verified
1 Endorsed
London E8
Here’s the thing: Many of us millennials grew up before people talked much about mental and social fitness (and in some cultures, it’s still not talked about). We’ve had caregivers, teachers, and bosses with their own unhealed wounds, inadvertently perpetuating traumatising conditions. Add in societal norms that overvalue intellectual and economic achievements, systemic oppressions, lack of awareness of neurodiversity . . . Is it any wonder that many of us are left with a kind of psychological malnutrition, some wonky beliefs, and a lot of shame and guilt and mean voices in our head? We can change that. And yes, that includes you.
Here’s the thing: Many of us millennials grew up before people talked much about mental and social fitness (and in some cultures, it’s still not talked about). We’ve had caregivers, teachers, and bosses with their own unhealed wounds, inadvertently perpetuating traumatising conditions. Add in societal norms that overvalue intellectual and economic achievements, systemic oppressions, lack of awareness of neurodiversity . . . Is it any wonder that many of us are left with a kind of psychological malnutrition, some wonky beliefs, and a lot of shame and guilt and mean voices in our head? We can change that. And yes, that includes you.
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Photo of Clark Crewe, MSc, UKCP Trainee, Psychotherapist
Clark Crewe
Psychotherapist, MSc, UKCP Trainee
Verified Verified
London SW3
Therapy can be many things. We are complex beings living complex lives, and there is no one size fits all approach to it. Everyone is influenced by their unique context and experience, and my approach will be tailored to you and your needs. Whatever your reasons for coming, it will be a nurturing place, where we will collaboratively work to better understand yourself, explore your experiences and achieve your goals. I’m passionate about people, and as a therapist I want to inspire confidence, trust, and aim to build a relationship filled with compassion, courage, learning, and some good humour along the way.
Therapy can be many things. We are complex beings living complex lives, and there is no one size fits all approach to it. Everyone is influenced by their unique context and experience, and my approach will be tailored to you and your needs. Whatever your reasons for coming, it will be a nurturing place, where we will collaboratively work to better understand yourself, explore your experiences and achieve your goals. I’m passionate about people, and as a therapist I want to inspire confidence, trust, and aim to build a relationship filled with compassion, courage, learning, and some good humour along the way.
020 4572 1971 View 020 4572 1971
Photo of Michaela Grecu, DCounsPsych, MNCPS Acc., Counsellor
Michaela Grecu
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
1 Endorsed
London SW4
Together we can work through whatever issues you bring, so that you can live up to your full potential, feel fulfilled and make more satisfying life choices. Learning more about your thoughts, behaviours and feelings, will help you in your relationships, work life and home life. Through counselling you may find new perspectives, feel more resilient and be better equipped to deal with all of life's challenges.
Together we can work through whatever issues you bring, so that you can live up to your full potential, feel fulfilled and make more satisfying life choices. Learning more about your thoughts, behaviours and feelings, will help you in your relationships, work life and home life. Through counselling you may find new perspectives, feel more resilient and be better equipped to deal with all of life's challenges.
020 4538 9352 View 020 4538 9352
Photo of Amanda Jayne Eade (Ne Goss) - MD of Harley St Psychotherapy Ltd, MA, MBACP, Psychotherapist
MD of Harley St Psychotherapy Ltd
Psychotherapist, MA, MBACP
Verified Verified
1 Endorsed
London W2
I have been specialising in relationships and couples for over half of my career, and I offer couples sessions in London & online. NEW! Saturday am sessions in London W2 open now. I work 1-1 with anxiety, depression, stress, panic and anything which is making you feel unhappy, to identify the root of the problem and resolve it to help you to become a more contented version of you. If you are nervous, feel free to give me a call and I can put you at ease. If you are a couple, we can set up an initial session and discuss your relationship issues and goals. We can work online, face to face, or we can walk and talk.
I have been specialising in relationships and couples for over half of my career, and I offer couples sessions in London & online. NEW! Saturday am sessions in London W2 open now. I work 1-1 with anxiety, depression, stress, panic and anything which is making you feel unhappy, to identify the root of the problem and resolve it to help you to become a more contented version of you. If you are nervous, feel free to give me a call and I can put you at ease. If you are a couple, we can set up an initial session and discuss your relationship issues and goals. We can work online, face to face, or we can walk and talk.
020 3962 0862 View 020 3962 0862
Sangita Mulji
Psychotherapist, MSc, BPC
Verified Verified
London W11
I am an experienced counsellor and psychotherapist. I offer telephone and webcam appointments. Please contact me if you would like to arrange a confidential meeting to see if my approach might be right for you. You might have a specific problem such as anxiety, depression, relationship difficulties or something very specific that you want to talk about or you might not know exactly what is wrong but would like to take some time to understand yourself better. You don’t have to be a weird person with an unusual problem to have counselling or psychotherapy
I am an experienced counsellor and psychotherapist. I offer telephone and webcam appointments. Please contact me if you would like to arrange a confidential meeting to see if my approach might be right for you. You might have a specific problem such as anxiety, depression, relationship difficulties or something very specific that you want to talk about or you might not know exactly what is wrong but would like to take some time to understand yourself better. You don’t have to be a weird person with an unusual problem to have counselling or psychotherapy
020 3872 2347 View 020 3872 2347
Photo of Catherine Rimmer, MBACP, Counsellor
Catherine Rimmer
Counsellor, MBACP
Verified Verified
1 Endorsed
London W3
This time can feel very fragile both individually and collectively which is hard on most of us. How do we navigate our way through the uncertainty and recognise that in this everchanging and fast paced world we can make our way towards our own sense of certainty? During these moments it can be helpful to have someone to walk alongside you. To listen and tune into what you need and want to say. To be heard by another so that ultimately you can hear yourself. Should you need this support I would be honoured to walk a while with you.
This time can feel very fragile both individually and collectively which is hard on most of us. How do we navigate our way through the uncertainty and recognise that in this everchanging and fast paced world we can make our way towards our own sense of certainty? During these moments it can be helpful to have someone to walk alongside you. To listen and tune into what you need and want to say. To be heard by another so that ultimately you can hear yourself. Should you need this support I would be honoured to walk a while with you.
020 3816 3769 View 020 3816 3769
Photo of Dr Argyro (Iro) Ioannou, PsychD, HCPC - Couns. Psych., Psychologist
Dr Argyro (Iro) Ioannou
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London E1
I am an experienced Chartered Counselling Psychologist, Psychotherapist and Supervisor. I have experience working as a psychotherapist in the NHS and in private practice with clients facing a variety of psychological concerns, ranging in severity and intensity. Holding a Doctorate in Counselling Psychology, and striving for continuous professional development, I offer therapy with the highest level of knowledge and skills. I value your unique and subjective experience and our therapeutic sessions will be tailored to meet your unique needs, offering you the beginning of a healing process and a more fulfilling life.
I am an experienced Chartered Counselling Psychologist, Psychotherapist and Supervisor. I have experience working as a psychotherapist in the NHS and in private practice with clients facing a variety of psychological concerns, ranging in severity and intensity. Holding a Doctorate in Counselling Psychology, and striving for continuous professional development, I offer therapy with the highest level of knowledge and skills. I value your unique and subjective experience and our therapeutic sessions will be tailored to meet your unique needs, offering you the beginning of a healing process and a more fulfilling life.
020 3962 0779 View 020 3962 0779
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See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

90% Anxiety
85% Depression
83% Self Esteem
80% Relationship Issues
78% Stress
66% Trauma and PTSD
62% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

69% Aviva
63% AXA PPP
55% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.