Photo of Tanya Levene, DCounsPsych, MBACP, Counsellor
Tanya Levene
Counsellor, DCounsPsych, MBACP
Verified Verified
Hove BN3
Hi I'm Tanya (they/she). I am an experienced integrative Counsellor, Therapist & Supervisor. I work interactively, spiritually & creatively with adults, young people, couples & groups. I'm a warm, open minded person with a good sense of humour. I offer a confidential, respectful, safe space to create an empowering therapeutic relationship where you can explore, question, challenge & break free from self-imposed constraints & beliefs such as fear, lack of self-confidence & anxiety to find the authentic you. I offer short or long term therapy and sessions are 50mins either face 2 face, telephone or online.
Hi I'm Tanya (they/she). I am an experienced integrative Counsellor, Therapist & Supervisor. I work interactively, spiritually & creatively with adults, young people, couples & groups. I'm a warm, open minded person with a good sense of humour. I offer a confidential, respectful, safe space to create an empowering therapeutic relationship where you can explore, question, challenge & break free from self-imposed constraints & beliefs such as fear, lack of self-confidence & anxiety to find the authentic you. I offer short or long term therapy and sessions are 50mins either face 2 face, telephone or online.
01273 092931 View 01273 092931
Photo of Alex Macfarlane - MacfarlaneTherapy, MBACP, Counsellor
MacfarlaneTherapy
Counsellor, MBACP
Verified Verified
1 Endorsed
Hove BN3  (Online Only)
HI, I am a Person-Centred/Humanistic Counsellor, my service MacfarlaneTherapy is based in Brighton & Hove. This is where I offer individual/one on one therapy for 18yrs+. I specialise in working with a few main areas, these are: LGBTQI+, Sexuality & Gender, Trauma, addictions and your relationships.
HI, I am a Person-Centred/Humanistic Counsellor, my service MacfarlaneTherapy is based in Brighton & Hove. This is where I offer individual/one on one therapy for 18yrs+. I specialise in working with a few main areas, these are: LGBTQI+, Sexuality & Gender, Trauma, addictions and your relationships.
01273 032510 View 01273 032510
Photo of Clare Box - Clare Box Counselling, MBACP Accred, Counsellor
Clare Box Counselling
Counsellor, MBACP Accred
Verified Verified
Hove BN3
I believe the first steps towards counselling can be a very daunting prospect. If you are feeling anxious and reluctant about taking that step. I am here to help make the process an easy one. I have worked with many issues such as anxiety, depression, panic attacks, suicidal thoughts, stress, anger, bullying, to name a few. Together we can help to break negative cycles of behaviour or thought patterns. Helping to regain control of your life. Whilst creating a greater understanding as to why this might be occurring. If you find it difficult to talk, then together, we can help to find the words that may be unspeakable.
I believe the first steps towards counselling can be a very daunting prospect. If you are feeling anxious and reluctant about taking that step. I am here to help make the process an easy one. I have worked with many issues such as anxiety, depression, panic attacks, suicidal thoughts, stress, anger, bullying, to name a few. Together we can help to break negative cycles of behaviour or thought patterns. Helping to regain control of your life. Whilst creating a greater understanding as to why this might be occurring. If you find it difficult to talk, then together, we can help to find the words that may be unspeakable.
01273 109748 View 01273 109748
Photo of Jo Hemmings, GMBPsS, Psychologist
Jo Hemmings
Psychologist, GMBPsS
Verified Verified
Hove BN3
Shortlisted for BPS President Elect, 2024 - 26, I am based in welcoming counselling rooms in one of Brighton & Hove's famous Regency Squares, East Sussex, I specialise in relationships, coaching and counselling singles, couples and marriage counselling. I can help with a number of issues including confidence and self-esteem, online and app dating skills for singles and rescuing and repairing relationships for couples and have been described as the most intelligent, sensitive and effective relationship coach in the business. I offer both face to face sessions and Zoom sessions for all clients.
Shortlisted for BPS President Elect, 2024 - 26, I am based in welcoming counselling rooms in one of Brighton & Hove's famous Regency Squares, East Sussex, I specialise in relationships, coaching and counselling singles, couples and marriage counselling. I can help with a number of issues including confidence and self-esteem, online and app dating skills for singles and rescuing and repairing relationships for couples and have been described as the most intelligent, sensitive and effective relationship coach in the business. I offer both face to face sessions and Zoom sessions for all clients.
01273 037783 View 01273 037783
Photo of Paul Vigg, MA, MBACP, Counsellor
Paul Vigg
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Hove BN3
We're living through a strange and uncertain time. Whether this is your first time in therapy or you're continuing on your journey with self-exploration, know that I am available to support you and that change is possible. In my counselling practice, I believe in the transformative potential within each individual. I offer a safe haven for exploration and creative self-discovery. Whether you're navigating through challenges or seeking personal growth, I will accompany you on your journey. I embrace all aspects of your experience – whether it's distress, confusion, or pain, as well as joy, love, and self-acceptance.
We're living through a strange and uncertain time. Whether this is your first time in therapy or you're continuing on your journey with self-exploration, know that I am available to support you and that change is possible. In my counselling practice, I believe in the transformative potential within each individual. I offer a safe haven for exploration and creative self-discovery. Whether you're navigating through challenges or seeking personal growth, I will accompany you on your journey. I embrace all aspects of your experience – whether it's distress, confusion, or pain, as well as joy, love, and self-acceptance.
01273 121192 View 01273 121192
Photo of Dr Ella Davey, DCounsPsych, CPsychol, Psychologist
Dr Ella Davey
Psychologist, DCounsPsych, CPsychol
Verified Verified
2 Endorsed
Hove BN3
If you’re feeling things have now got beyond your control, I can help. You might be feeling this way because of a current situation or by something in the past. Maybe this goes back to childhood. I specialise in emotional difficulty and relational trauma. Perhaps you’re feeling misunderstood and adrift, or that your needs or boundaries play second fiddle to those of others? Do you struggle to stay in control of your emotions or end up feeling hurt without really knowing why? If so, I understand you and I can help you to feel grounded, insightful and better equipped - not just to manage, but to thrive.
If you’re feeling things have now got beyond your control, I can help. You might be feeling this way because of a current situation or by something in the past. Maybe this goes back to childhood. I specialise in emotional difficulty and relational trauma. Perhaps you’re feeling misunderstood and adrift, or that your needs or boundaries play second fiddle to those of others? Do you struggle to stay in control of your emotions or end up feeling hurt without really knowing why? If so, I understand you and I can help you to feel grounded, insightful and better equipped - not just to manage, but to thrive.
01273 032531 View 01273 032531
Photo of Pippa Jackson, MSc, MBACP, Counsellor
Pippa Jackson
Counsellor, MSc, MBACP
Verified Verified
Hove BN3
Hello, I'm Pippa and I have more than 10 years' experience helping stressed and anxious teenagers feel better, build confidence in themselves and find healthier ways to cope. I really understand how all consuming it is when you're worried about your child. They might be worried about school, relationships with friends or family or perhaps feeling on edge, overwhelmed or sad and tearful without knowing why. Sometimes it can be really helpful to have a trusted adult outside the family who can give a supportive space to your young person and guide you all through the process towards feeling better.
Hello, I'm Pippa and I have more than 10 years' experience helping stressed and anxious teenagers feel better, build confidence in themselves and find healthier ways to cope. I really understand how all consuming it is when you're worried about your child. They might be worried about school, relationships with friends or family or perhaps feeling on edge, overwhelmed or sad and tearful without knowing why. Sometimes it can be really helpful to have a trusted adult outside the family who can give a supportive space to your young person and guide you all through the process towards feeling better.
01273 093023 View 01273 093023
Photo of Leon Standing, MA, Counsellor
Leon Standing
Counsellor, MA
Verified Verified
2 Endorsed
Hove BN3
At times life can be difficult. Sometimes it may feel like life isn’t moving forward and you keep repeating the same old patterns and nothing changes. You may be dwelling on the past or worried about the present or the future. You may just be in a place of general unhappiness where you just don’t know what to do. In developing a better understanding of ourselves, increasing our awareness, and learning about how we operate as people we are able to make fresh choices, see new perspectives, change things, move forward and find our full potential. I believe in peoples capacity to thrive when they are given the right conditions to do so.
At times life can be difficult. Sometimes it may feel like life isn’t moving forward and you keep repeating the same old patterns and nothing changes. You may be dwelling on the past or worried about the present or the future. You may just be in a place of general unhappiness where you just don’t know what to do. In developing a better understanding of ourselves, increasing our awareness, and learning about how we operate as people we are able to make fresh choices, see new perspectives, change things, move forward and find our full potential. I believe in peoples capacity to thrive when they are given the right conditions to do so.
01273 037886 View 01273 037886
Photo of Joseph Bailey, MSc, MBACP, Psychotherapist
Joseph Bailey
Psychotherapist, MSc, MBACP
Verified Verified
Hove BN3
I'm a BACP-registered psychodynamic therapist offering open-ended therapy in Brighton and Hove. I work with people from all kinds of backgrounds who are experiencing emotional difficulties and particularly those who are having issues in their relationships at home or work. I take a psychodynamic approach to therapy, which involves working in an exploratory way to understand the root cause of your feelings.
I'm a BACP-registered psychodynamic therapist offering open-ended therapy in Brighton and Hove. I work with people from all kinds of backgrounds who are experiencing emotional difficulties and particularly those who are having issues in their relationships at home or work. I take a psychodynamic approach to therapy, which involves working in an exploratory way to understand the root cause of your feelings.
01273 109896 x44 View 01273 109896 x44
Photo of Amanda Copeland - changing-futures, MA, MUKCP, Psychotherapist
changing-futures
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Hove BN3
I offer outdoor therapy and specialist mental health therapy. I have worked in mental health since 1995 and am an accredited cognitive analytic psychotherapist. I have a wide range of experience in NHS Mental Health Services and I am experienced with both adults and children, adolescents, couples and families in the delivery of evidence based psychological Interventions. I also offer clinic based therapy in my practice in Hove and online therapy
I offer outdoor therapy and specialist mental health therapy. I have worked in mental health since 1995 and am an accredited cognitive analytic psychotherapist. I have a wide range of experience in NHS Mental Health Services and I am experienced with both adults and children, adolescents, couples and families in the delivery of evidence based psychological Interventions. I also offer clinic based therapy in my practice in Hove and online therapy
01273 092270 View 01273 092270
Photo of Kate Winter, BACP, Counsellor
Kate Winter
Counsellor, BACP
Verified Verified
Hove BN3
I am a Psychodynamic Counsellor and I offer therapy to adults experiencing a broad range of difficulties. I am a Registered Member of the British Association for Counselling and Psychotherapy (BACP) and abide by their Code of Ethics. I have worked in a variety of settings including the Police Service and Rape Crisis, and am experienced in working with clients who have experienced trauma in all forms, whether in early years, adult life or both.
I am a Psychodynamic Counsellor and I offer therapy to adults experiencing a broad range of difficulties. I am a Registered Member of the British Association for Counselling and Psychotherapy (BACP) and abide by their Code of Ethics. I have worked in a variety of settings including the Police Service and Rape Crisis, and am experienced in working with clients who have experienced trauma in all forms, whether in early years, adult life or both.
01273 944037 View 01273 944037
Photo of Suzie Edgeley, MSc, MUKCP, Psychotherapist
Suzie Edgeley
Psychotherapist, MSc, MUKCP
Verified Verified
Hove BN3
I believe we have within ourselves all the necessary resources and knowledge to live a full and meaningful life. Counselling can provide the necessary conditions to re-establish that potential. My work is firmly grounded in the Humanistic tradition of believing that you are the expert of your own lived experience. My role is to enquire, respectfully challenge and understand that perspective, which in turn can help to empower you in your everyday life.
I believe we have within ourselves all the necessary resources and knowledge to live a full and meaningful life. Counselling can provide the necessary conditions to re-establish that potential. My work is firmly grounded in the Humanistic tradition of believing that you are the expert of your own lived experience. My role is to enquire, respectfully challenge and understand that perspective, which in turn can help to empower you in your everyday life.
01273 894601 View 01273 894601
Photo of Isabel Monteiro, MSc, MBACP, Psychotherapist
Isabel Monteiro
Psychotherapist, MSc, MBACP
Verified Verified
Hove BN3
Mob: 07557 358139. I work with adults and young people from various nationalities and cultures presenting a wide range of wellbeing issues. Sessions face-to-face, online video and telephone, in English, Portuguese and Spanish. Living and working in the UK for over 25 years. Grounded in the humanistic approach which focus on the human potential for creativity, love, growth, fulfilmentent and wellgeing, I'm committed to helping each of my clients to make sense of their circumstances, identifying choices for change and supporting them during the process of change; or simply supporting them on their self-development journey.
Mob: 07557 358139. I work with adults and young people from various nationalities and cultures presenting a wide range of wellbeing issues. Sessions face-to-face, online video and telephone, in English, Portuguese and Spanish. Living and working in the UK for over 25 years. Grounded in the humanistic approach which focus on the human potential for creativity, love, growth, fulfilmentent and wellgeing, I'm committed to helping each of my clients to make sense of their circumstances, identifying choices for change and supporting them during the process of change; or simply supporting them on their self-development journey.
01273 005881 View 01273 005881
Photo of Selene Rull-Usano, MBACP, Counsellor
Selene Rull-Usano
Counsellor, MBACP
Verified Verified
Hove BN3
Hello I’m Selene. I have 20 years of experience as a counsellor. I am a warm and open-minded person with a good sense of humour. I offer a welcoming and confidential space where we can together create an empowering therapeutic relationship. I believe you are an expert in your own life and my role is to support and challenge you reconnecting with yourself and your strengths. Counselling is an opportunity to give yourself the time and space to imagine who you want to be. Sometimes fear and shame make us stuck and disconnected from others and not able to ask for what we want. Therapy can help you free yourself and open connection.
Hello I’m Selene. I have 20 years of experience as a counsellor. I am a warm and open-minded person with a good sense of humour. I offer a welcoming and confidential space where we can together create an empowering therapeutic relationship. I believe you are an expert in your own life and my role is to support and challenge you reconnecting with yourself and your strengths. Counselling is an opportunity to give yourself the time and space to imagine who you want to be. Sometimes fear and shame make us stuck and disconnected from others and not able to ask for what we want. Therapy can help you free yourself and open connection.
01273 037948 View 01273 037948
Photo of Paula Coppel, BACP, Counsellor
Paula Coppel
Counsellor, BACP
Verified Verified
Hove BN3
Hello, my name is Paula, I am a qualified humanistic counsellor based in East Sussex and I am offering online or face to face counselling in English or Spanish. As a member of the British Association for Counselling and Psychotherapy (BACP) , I offer a non- judgemental and safe space to my clients regardless their background, culture, nationality or identity ; in other words this space aims to build up trust and the connection between us for you to explore and share your problems.
Hello, my name is Paula, I am a qualified humanistic counsellor based in East Sussex and I am offering online or face to face counselling in English or Spanish. As a member of the British Association for Counselling and Psychotherapy (BACP) , I offer a non- judgemental and safe space to my clients regardless their background, culture, nationality or identity ; in other words this space aims to build up trust and the connection between us for you to explore and share your problems.
01273 121226 View 01273 121226
Photo of Cathy Rowland, MSc, MUKCP, Psychotherapist
Cathy Rowland
Psychotherapist, MSc, MUKCP
Verified Verified
Hove BN3
I recognize that sometimes life can feel hard and that it can really help to talk to someone. I offer a calm, empathetic, non- judgmental space in which you can feel heard and begin to make sense of things. Whether you come for short or longer-term work, my wish is that eventually you move forward into a future which feels right for you. I am a sensitive, culturally aware, LGBTQI affirmative practitioner, who works with people from all walks of life and the community. Having completed level 1 of my EMDR training, I also offer these sessions, subject to assessment, at reduced cost.
I recognize that sometimes life can feel hard and that it can really help to talk to someone. I offer a calm, empathetic, non- judgmental space in which you can feel heard and begin to make sense of things. Whether you come for short or longer-term work, my wish is that eventually you move forward into a future which feels right for you. I am a sensitive, culturally aware, LGBTQI affirmative practitioner, who works with people from all walks of life and the community. Having completed level 1 of my EMDR training, I also offer these sessions, subject to assessment, at reduced cost.
01903 251420 View 01903 251420
Photo of Charlotte Leyburn, MA, MBACP, Counsellor
Charlotte Leyburn
Counsellor, MA, MBACP
Verified Verified
Hove BN3
Hello and welcome. I can help with specific issues such as anxiety, depression, relationship issues, bereavement or a more general feeling that things aren't right that you can't quite put your finger on. I am a BACP accredited therapeutic counsellor offering a reduced price exploratory session for us to meet, discuss what you are looking for and importantly, so that you can get a feel for whether working together feels like a good fit for you.
Hello and welcome. I can help with specific issues such as anxiety, depression, relationship issues, bereavement or a more general feeling that things aren't right that you can't quite put your finger on. I am a BACP accredited therapeutic counsellor offering a reduced price exploratory session for us to meet, discuss what you are looking for and importantly, so that you can get a feel for whether working together feels like a good fit for you.
01273 092418 View 01273 092418
Photo of Tania Barros, DCounsPsych, HCPC - Couns. Psych., Psychologist
Tania Barros
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Hove BN3
I have been working as a Counselling Psychologist in clinical and educational settings since 2003 and currently manage a specialist therapeutic service in the voluntary sector. ​ My integrative approach is at the core of my therapeutic philosophy, understanding that each individual is unique and that there is no one size fits all approach to mental health. ​ In my therapeutic work I draw from existential, humanist, psychodynamic, constructivist and systemic frameworks.
I have been working as a Counselling Psychologist in clinical and educational settings since 2003 and currently manage a specialist therapeutic service in the voluntary sector. ​ My integrative approach is at the core of my therapeutic philosophy, understanding that each individual is unique and that there is no one size fits all approach to mental health. ​ In my therapeutic work I draw from existential, humanist, psychodynamic, constructivist and systemic frameworks.
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Photo of Sarah Noble-Jones, MBACP Accred, Counsellor
Sarah Noble-Jones
Counsellor, MBACP Accred
Verified Verified
Hove BN3
Life can sometimes feel overwhelming: anxiety, lack of self-esteem, self-criticism, grief, life changes – are you struggling with issues and difficult feelings that are hard to manage alone, perhaps even more in this current climate? Attentive, respectful and caring therapy can be a powerfully supportive and healing choice towards regaining a sense of hope and purpose. Together we work to gently uncover what you need to be able to live in a more fulfilled, meaningful and satisfying way.
Life can sometimes feel overwhelming: anxiety, lack of self-esteem, self-criticism, grief, life changes – are you struggling with issues and difficult feelings that are hard to manage alone, perhaps even more in this current climate? Attentive, respectful and caring therapy can be a powerfully supportive and healing choice towards regaining a sense of hope and purpose. Together we work to gently uncover what you need to be able to live in a more fulfilled, meaningful and satisfying way.
01273 036139 View 01273 036139
Photo of Tamsin Taylor, MBACP Accred, Counsellor
Tamsin Taylor
Counsellor, MBACP Accred
Verified Verified
Hove BN3
I offer a custom approach to each of my clients. I start with understanding where you are now and the challenges you are facing. Together we can identify the sticking points in order to put a plan in place to help you move forward. I offer an inclusive, safe space with in person or virtual appointments to suit your schedule. Helping people live better lives is my passion. It might mean learning to set boundaries, working through a loss, or a life transition, or helping you change a pattern of behaviour that is keeping you stuck. My goal is to help you feel better so you can live the life you want.
I offer a custom approach to each of my clients. I start with understanding where you are now and the challenges you are facing. Together we can identify the sticking points in order to put a plan in place to help you move forward. I offer an inclusive, safe space with in person or virtual appointments to suit your schedule. Helping people live better lives is my passion. It might mean learning to set boundaries, working through a loss, or a life transition, or helping you change a pattern of behaviour that is keeping you stuck. My goal is to help you feel better so you can live the life you want.
01273 092997 View 01273 092997
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See more therapy options for Hove

How does your Counsellor compare?

Number of Counsellors in Hove

200+

Average cost per session

£60

Counsellors in Hove who prioritize treating:

93% Anxiety
91% Depression
86% Self Esteem
85% Relationship Issues
76% Stress
72% Trauma and PTSD
69% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

69% Aviva
63% AXA PPP
50% Bupa

How Counsellors in Hove see their clients

93% In Person and Online
7% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Hove?

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.