Counselling in Bristol

View neighbourhoods in Bristol
Photo of Claire Nunan, MSc, SNCPS Acc., Counsellor
Claire Nunan
Counsellor, MSc, SNCPS Acc.
Verified Verified
Bristol BS1  (Online Only)
I’m Claire. I am a Senior Accredited Counsellor providing safe and supportive online counselling sessions. I work with a wide range of people but I specialise in working with individuals from the LGBTQ+ and GSRD community, those who are neurodivergent (or think they might be) as well as Millennials and Gen Z-ers.
I’m Claire. I am a Senior Accredited Counsellor providing safe and supportive online counselling sessions. I work with a wide range of people but I specialise in working with individuals from the LGBTQ+ and GSRD community, those who are neurodivergent (or think they might be) as well as Millennials and Gen Z-ers.
0117 463 4729 View 0117 463 4729
Photo of Katrina Young, MBACP, Counsellor
Katrina Young
Counsellor, MBACP
Verified Verified
Bristol BS34
Hello and welcome. I have particular experience in helping clients who are struggling with a sense of what I call ‘stuckness’, in their life. Are you feeling trapped in a job that doesn’t inspire you to get up every morning? Are you feeling imprisoned in life’s routine and experiencing a sense of emptiness, but are unsure of how to fill that void? Are you quietly asking yourself ‘Who am I?’ You are not alone. I have worked with many individuals with troubles such as these. In a world that seems to be telling us how to look, how to act and even how to feel, it’s no wonder we can find ourselves feeling lost and confused. I can help.
Hello and welcome. I have particular experience in helping clients who are struggling with a sense of what I call ‘stuckness’, in their life. Are you feeling trapped in a job that doesn’t inspire you to get up every morning? Are you feeling imprisoned in life’s routine and experiencing a sense of emptiness, but are unsure of how to fill that void? Are you quietly asking yourself ‘Who am I?’ You are not alone. I have worked with many individuals with troubles such as these. In a world that seems to be telling us how to look, how to act and even how to feel, it’s no wonder we can find ourselves feeling lost and confused. I can help.
0117 463 0633 View 0117 463 0633
Photo of Anna Bulgakova, MSc, MUKCP, Psychotherapist
Anna Bulgakova
Psychotherapist, MSc, MUKCP
Verified Verified
Bristol BS1
Are you looking for change? Do you want to move beyond the pain of your current situation or past traumas? Are you experiencing relationship difficulties and don't know how to go beyond the current situation? Whatever the issues you are facing, I will work with you to help you move towards the place you (both) want to be. I have extensive knowledge of working with clients with a range of mental health difficulties, including people in emotional crisis. I believe that every person has the potential for recovery and growth, with as an individual or within relationship with another person. Transformation is always possible.
Are you looking for change? Do you want to move beyond the pain of your current situation or past traumas? Are you experiencing relationship difficulties and don't know how to go beyond the current situation? Whatever the issues you are facing, I will work with you to help you move towards the place you (both) want to be. I have extensive knowledge of working with clients with a range of mental health difficulties, including people in emotional crisis. I believe that every person has the potential for recovery and growth, with as an individual or within relationship with another person. Transformation is always possible.
0117 325 2694 View 0117 325 2694
Photo of Sandra Elizabeth Wilson - Sandra Wilson Clinical Hypnotherapy, MSc
Sandra Wilson Clinical Hypnotherapy
MSc
Verified Verified
Bristol BS4
Hi, I'm Sandra, a Clinical Hypnotherapist who works with chronic anxiety/panic, PTSD, OCD, sexual problems, low body confidence, low self esteem, hair pulling/skin picking, performance anxiety and school avoidance. I have 40 five star google ratings too! Get in touch for a friendly chat.
Hi, I'm Sandra, a Clinical Hypnotherapist who works with chronic anxiety/panic, PTSD, OCD, sexual problems, low body confidence, low self esteem, hair pulling/skin picking, performance anxiety and school avoidance. I have 40 five star google ratings too! Get in touch for a friendly chat.
0117 325 5737 View 0117 325 5737
Photo of Karen Jones, COSRT Accred, Counsellor
Karen Jones
Counsellor, COSRT Accred
Verified Verified
Bristol BS6  (Online Only)
Hello, my name is Karen. I work with couples and with individuals who are experiencing sexual and/ or relationship difficulties. It may be that you would like to attend therapy sessions on your own to look at a specific sexual issue or to make sense of a problematic relationship history. Alternatively you may be looking for couple sessions to explore and resolve sexual or relational difficulties between you. I am very experienced in all of these areas and I offer a safe, open and non-judgemental space within which to help you find solutions.
Hello, my name is Karen. I work with couples and with individuals who are experiencing sexual and/ or relationship difficulties. It may be that you would like to attend therapy sessions on your own to look at a specific sexual issue or to make sense of a problematic relationship history. Alternatively you may be looking for couple sessions to explore and resolve sexual or relational difficulties between you. I am very experienced in all of these areas and I offer a safe, open and non-judgemental space within which to help you find solutions.
01275 408900 View 01275 408900
Photo of Ana Corral, UKCP Trainee, Psychotherapist
Ana Corral
Psychotherapist, UKCP Trainee
Verified Verified
Bristol BS2
I wanted to give you a warm welcome and acknowledge your effort in taking this first step. It is not easy to start therapy; overcoming any fear you may feel, where to search, which therapist to choose… I would like to invite you to stop for a moment. Close your eyes slowly. Take a deep breath. How do you feel? Where in your body do you feel it? Sometimes life presents us with difficulties that can leave our world upside down. We can end up feeling anxious, depressed, angry, frustrated… Sometimes we just experience a lack of meaning and can’t connect with the life force that makes us feel alive.
I wanted to give you a warm welcome and acknowledge your effort in taking this first step. It is not easy to start therapy; overcoming any fear you may feel, where to search, which therapist to choose… I would like to invite you to stop for a moment. Close your eyes slowly. Take a deep breath. How do you feel? Where in your body do you feel it? Sometimes life presents us with difficulties that can leave our world upside down. We can end up feeling anxious, depressed, angry, frustrated… Sometimes we just experience a lack of meaning and can’t connect with the life force that makes us feel alive.
01275 402946 View 01275 402946
Photo of Jessica Aldridge - Jessica Aldridge Therapy, MA, MBACP, Counsellor
Jessica Aldridge Therapy
Counsellor, MA, MBACP
Verified Verified
2 Endorsed
Bristol BS6
Sometimes life can begin to feel challenging and painful, impacting your inner and outer world. This could be instigated by past traumas, current distressing circumstances or a long-standing mental health condition. Maybe you cannot identify what feels out of place but know that you would like support to explore these emotions and work towards a place of healing. The prospect of entering into therapy can feel like an overwhelming decision, especially in choosing what will best suit your needs. I believe the therapeutic relationship is of the utmost importance, enabling trust and respect, ultimately resulting in lasting change.
Sometimes life can begin to feel challenging and painful, impacting your inner and outer world. This could be instigated by past traumas, current distressing circumstances or a long-standing mental health condition. Maybe you cannot identify what feels out of place but know that you would like support to explore these emotions and work towards a place of healing. The prospect of entering into therapy can feel like an overwhelming decision, especially in choosing what will best suit your needs. I believe the therapeutic relationship is of the utmost importance, enabling trust and respect, ultimately resulting in lasting change.
0117 463 2477 View 0117 463 2477
Photo of Stephen Gallini, MSc, HCPC-Music Therap., Psychotherapist
Stephen Gallini
Psychotherapist, MSc, HCPC-Music Therap.
Verified Verified
Bristol BS7
I am a Psychotherapist and HCPC Registered Music Therapist with an MSc in Clinical Psychology, an MSc in the Psychology of Pathological Addictions, and an MSc in Psychology: Methods and Techniques for Disability Support. I work with individuals facing depression, anxiety, low self-esteem, neurodiversity (e.g. ADH, ADHD), and learning difficulties. My integrative approach combines traditional talking therapies with non-verbal methods like music therapy and mindfulness, fostering growth and well-being in a safe, non-judgmental space. With years of experience, I guide clients towards achieving emotional resilience and self-awareness.
I am a Psychotherapist and HCPC Registered Music Therapist with an MSc in Clinical Psychology, an MSc in the Psychology of Pathological Addictions, and an MSc in Psychology: Methods and Techniques for Disability Support. I work with individuals facing depression, anxiety, low self-esteem, neurodiversity (e.g. ADH, ADHD), and learning difficulties. My integrative approach combines traditional talking therapies with non-verbal methods like music therapy and mindfulness, fostering growth and well-being in a safe, non-judgmental space. With years of experience, I guide clients towards achieving emotional resilience and self-awareness.
0117 456 2147 View 0117 456 2147
Photo of Dr Sara Schamborg, HCPC - Forensic Psych., Psychologist
Dr Sara Schamborg
Psychologist, HCPC - Forensic Psych.
Verified Verified
1 Endorsed
Bristol BS2
Have you been struggling with relationships, your mood and/ or to cope for some time? Do you find that past experiences interfere with your present life? Are you looking for a psychologist that can provide you with a safe and non-judgemental space to explore, understand, and process your life patterns or difficulties? Then you have come to the right place! I can support you to explore and heal from these life patterns or difficulties, as well as to achieve meaningful and lasting change.
Have you been struggling with relationships, your mood and/ or to cope for some time? Do you find that past experiences interfere with your present life? Are you looking for a psychologist that can provide you with a safe and non-judgemental space to explore, understand, and process your life patterns or difficulties? Then you have come to the right place! I can support you to explore and heal from these life patterns or difficulties, as well as to achieve meaningful and lasting change.
View
Photo of Emily Mew, MBACP, Counsellor
Emily Mew
Counsellor, MBACP
Verified Verified
Bristol BS6
Are you looking for an experienced counsellor who will meet you with warmth and acceptance and who will help you to find your own path forwards? I work with a wide range of clients experiencing all sorts of challenges including: anxiety, depression, bereavement, loss, relationship difficulties and low self-esteem. Whatever you bring to counselling, I will see you as a human rather than a list of problems to be solved. I am engaged and caring and will help you to develop a fuller and deeper understanding of yourself and find your way through life's challenges.
Are you looking for an experienced counsellor who will meet you with warmth and acceptance and who will help you to find your own path forwards? I work with a wide range of clients experiencing all sorts of challenges including: anxiety, depression, bereavement, loss, relationship difficulties and low self-esteem. Whatever you bring to counselling, I will see you as a human rather than a list of problems to be solved. I am engaged and caring and will help you to develop a fuller and deeper understanding of yourself and find your way through life's challenges.
0117 456 5169 View 0117 456 5169
Photo of Selena Reid, MA, MUKCP, Psychotherapist
Selena Reid
Psychotherapist, MA, MUKCP
Verified Verified
Bristol BS6
Finding the right therapist can be a daunting process. I believe that it is important for you to feel a positive connection with your therapist if you are to receive the most beneficial experience from Psychotherapy. I believe that the healer is within you, but I also understand that it is difficult for anyone to self heal without support. My purpose is not only to assist you with the healing process, but also to facilitate your change and growth and help you to naturally awaken your own life supporting behaviours.
Finding the right therapist can be a daunting process. I believe that it is important for you to feel a positive connection with your therapist if you are to receive the most beneficial experience from Psychotherapy. I believe that the healer is within you, but I also understand that it is difficult for anyone to self heal without support. My purpose is not only to assist you with the healing process, but also to facilitate your change and growth and help you to naturally awaken your own life supporting behaviours.
0117 463 0164 View 0117 463 0164
Photo of Julia Cadogan, HCPC - Clin. Psych., Psychologist
Julia Cadogan
Psychologist, HCPC - Clin. Psych.
Verified Verified
Bristol BS8
I am an accredited and experienced Clinical Psychologist. I have supported children and adults for many years with a wide range of issues and concerns .These include worries about behaviour , development, anxiety , depression, phobias , appearance concerns and coping with medical conditions, medical trauma and treatment
I am an accredited and experienced Clinical Psychologist. I have supported children and adults for many years with a wide range of issues and concerns .These include worries about behaviour , development, anxiety , depression, phobias , appearance concerns and coping with medical conditions, medical trauma and treatment
View
Photo of Dr Samreen Bhaidani, PhD, MBACP, Counsellor
Dr Samreen Bhaidani
Counsellor, PhD, MBACP
Verified Verified
Bristol BS6
I have over sixteen years of experience working as a counsellor and mentor and now as a counselling psychologist. I have extensive experience of working in the NHS, MIND, Off the Record and students. I offer a calm safe space where together we can find clarity on what has brought you to seek counselling. At times it can be very confusing and frustrating when we can't make sense of our emotions and often feel stuck or overwhelmed. I work collaboratively, cultivating a mindful and inquisitive approach to understand how clients construe their inner reality and life experiences, which paves the way for more fulfilment in daily life.
I have over sixteen years of experience working as a counsellor and mentor and now as a counselling psychologist. I have extensive experience of working in the NHS, MIND, Off the Record and students. I offer a calm safe space where together we can find clarity on what has brought you to seek counselling. At times it can be very confusing and frustrating when we can't make sense of our emotions and often feel stuck or overwhelmed. I work collaboratively, cultivating a mindful and inquisitive approach to understand how clients construe their inner reality and life experiences, which paves the way for more fulfilment in daily life.
07493 544828 View 07493 544828
Photo of Kerstin Pullin, MBACP Accred, Counsellor
Kerstin Pullin
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Bristol BS7
Warm welcome. I'm a EMDR Europe Accredited Practitioner, BACP Accred. Counsellor and Supervisor. Choosing a therapist with whom to connect and build a trusting therapeutic relationship can feel daunting, even risky, yet also empowering and hopeful. What does it feel like to take off masks, shedding protective layers that keep the authentic, vulnerable self safe while navigating through challenging or traumatic times? Together we can explore what you feel ready and safe to share - whether these are current, buried or almost forgotten experiences.
Warm welcome. I'm a EMDR Europe Accredited Practitioner, BACP Accred. Counsellor and Supervisor. Choosing a therapist with whom to connect and build a trusting therapeutic relationship can feel daunting, even risky, yet also empowering and hopeful. What does it feel like to take off masks, shedding protective layers that keep the authentic, vulnerable self safe while navigating through challenging or traumatic times? Together we can explore what you feel ready and safe to share - whether these are current, buried or almost forgotten experiences.
0117 456 5302 View 0117 456 5302
Photo of Leanne Thomas, MBABCP, Psychotherapist
Leanne Thomas
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Bristol BS3
We all have times in our lives when we feel overwhelmed. This can impact on our relationships and other areas of our lives. These feelings may make it difficult to reach our potential or know how to progress. Counselling offers a reflective space which is helpful for building self-awareness in order to work through past or present life challenges. I employ a flexible approach which is informed by your needs. I draw on different theories to create a style of therapy which is individually tailored to you, and your aims. I hope to provide an open and accepting, and genuinely safe and non-judgemental space to reflect without fear.
We all have times in our lives when we feel overwhelmed. This can impact on our relationships and other areas of our lives. These feelings may make it difficult to reach our potential or know how to progress. Counselling offers a reflective space which is helpful for building self-awareness in order to work through past or present life challenges. I employ a flexible approach which is informed by your needs. I draw on different theories to create a style of therapy which is individually tailored to you, and your aims. I hope to provide an open and accepting, and genuinely safe and non-judgemental space to reflect without fear.
0117 456 2204 View 0117 456 2204
Photo of Sarah Jane Brown, MA, BACP, Counsellor
Sarah Jane Brown
Counsellor, MA, BACP
Verified Verified
Bristol BS8
I offer compassionate integrative counselling for individuals and couples, for a range of issues. including anxiety, depression, gender and sexuality issues. as a queer, ENM positive counsellor I am inclusive and respectful of people's lifestyle choices. I can offer face to face counselling in Bristol or zoom sessions at the private practice. I am in supervision. pricing on a sliding scale. I have been in private practise for 4 years and have a Master's degree in contemporary relationship studies and counselling.
I offer compassionate integrative counselling for individuals and couples, for a range of issues. including anxiety, depression, gender and sexuality issues. as a queer, ENM positive counsellor I am inclusive and respectful of people's lifestyle choices. I can offer face to face counselling in Bristol or zoom sessions at the private practice. I am in supervision. pricing on a sliding scale. I have been in private practise for 4 years and have a Master's degree in contemporary relationship studies and counselling.
0117 463 8233 View 0117 463 8233
Photo of Dr Lucy Coonan, PhD, HCPC - Clin. Psych., Psychologist
Dr Lucy Coonan
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Bristol BS7
Do you worry that you're a failure or not good enough? Do you feel low or anxious? These painful thoughts and feelings may show up from time to time, but perhaps you've noticed a significant impact on your relationships and work and you feel stuck, prevented from living fully? I understand that it can be overwhelming to speak to a professional about how you’re feeling. As an HCPC registered Clinical Psychologist, I support clients who may be struggling with anxiety, low mood, stress, burnout, loss/life transitions and 'imposter syndrome'. My approach is warm, non-judgemental and compassionate.
Do you worry that you're a failure or not good enough? Do you feel low or anxious? These painful thoughts and feelings may show up from time to time, but perhaps you've noticed a significant impact on your relationships and work and you feel stuck, prevented from living fully? I understand that it can be overwhelming to speak to a professional about how you’re feeling. As an HCPC registered Clinical Psychologist, I support clients who may be struggling with anxiety, low mood, stress, burnout, loss/life transitions and 'imposter syndrome'. My approach is warm, non-judgemental and compassionate.
View
Photo of Laura Evans, MBABCP, Counsellor
Laura Evans
Counsellor, MBABCP
Verified Verified
Bristol BS3
Hi, I’m Laura and I’m a Cognitive Behavioural (CBT) Therapist and mental health nurse with around 15 years' experience in mental healthcare, CBT and counselling. I have worked within the NHS (including significant child & adolescent mental health (CAMHS) experience), university voluntary and private sectors. I support adults and children who may be struggling with: anxiety (including generalised anxiety disorder, health anxiety, social anxiety), depression and low mood, OCD, phobias, low self-esteem, perfectionism, body image difficulties and body dysmorphia, stress, panic disorder and panic attacks, trauma and sleep difficulties.
Hi, I’m Laura and I’m a Cognitive Behavioural (CBT) Therapist and mental health nurse with around 15 years' experience in mental healthcare, CBT and counselling. I have worked within the NHS (including significant child & adolescent mental health (CAMHS) experience), university voluntary and private sectors. I support adults and children who may be struggling with: anxiety (including generalised anxiety disorder, health anxiety, social anxiety), depression and low mood, OCD, phobias, low self-esteem, perfectionism, body image difficulties and body dysmorphia, stress, panic disorder and panic attacks, trauma and sleep difficulties.
01275 402894 View 01275 402894
Photo of Dr Alice Williams, PsychD, HCPC - Clin. Psych., Psychologist
Dr Alice Williams
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bristol BS6
Hi I'm Alice, I work as a clinical psychologist and have further training in a range of modalities including EMDR.
Hi I'm Alice, I work as a clinical psychologist and have further training in a range of modalities including EMDR.
01275 402933 View 01275 402933
Photo of Freya Bowes, MBACP, Counsellor
Freya Bowes
Counsellor, MBACP
Verified Verified
Bristol BS6  (Online Only)
Hello there, I'm an integrative, Person Centered counsellor, and I've worked with a range of people and their lived experiences. These include anxiety, depression, relational difficulties, loss and navigating life with neurodivergence or gender non-conformity, to name a few. I build my counselling relationships on warmth, kindness, authenticity and mutual trust. What's important to me, is that you feel welcome to bring your whole self to our sessions -and feel confident you can do so without fear of judgement.
Hello there, I'm an integrative, Person Centered counsellor, and I've worked with a range of people and their lived experiences. These include anxiety, depression, relational difficulties, loss and navigating life with neurodivergence or gender non-conformity, to name a few. I build my counselling relationships on warmth, kindness, authenticity and mutual trust. What's important to me, is that you feel welcome to bring your whole self to our sessions -and feel confident you can do so without fear of judgement.
0117 463 2774 View 0117 463 2774
1
...

See more therapy options for Bristol

How does your Counsellor compare?

Number of Counsellors in Bristol

700+

Average cost per session

£60

Counsellors in Bristol who prioritize treating:

91% Anxiety
85% Depression
85% Self Esteem
79% Stress
78% Relationship Issues
69% Trauma and PTSD
63% Bereavement

Average years in practice

8 Years

Top 3 insurances accepted

61% AXA PPP
59% Aviva
47% Bupa

How Counsellors in Bristol see their clients

74% In Person and Online
26% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Bristol?

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.