This book introduces some of the specific contexts in which today’s counsellors and psychotherapists find themselves working. It draws upon the experience of counsellors active in their field and uses relevant examples of the potential pitfalls and rewards of counselling in diverse institutional settings. Counsellors are introduced to the regulatory, legislative, economic, social and cultural considerations relevant to the confidential work between counsellor and client. They are also encouraged to think beyond the therapy room to the institutional context of the encounter with the client while keeping professional identity and integrity at the forefront of their work.