Photo of Hayley Poole - The Purple House Clinic, Rugby, HCPC - Clin. Psych., Psychologist
The Purple House Clinic, Rugby
Psychologist, HCPC - Clin. Psych.
Verified Verified
Rugby CV21
Dr Poole has expertise in working with adults experiencing mental health difficulties including depression, anxiety, post traumatic stress, stress, grief and loss, relationship issues, adjustment difficulties and physical health difficulties (e.g. long term conditions / medical trauma / psychosexual difficulties).
Dr Poole has expertise in working with adults experiencing mental health difficulties including depression, anxiety, post traumatic stress, stress, grief and loss, relationship issues, adjustment difficulties and physical health difficulties (e.g. long term conditions / medical trauma / psychosexual difficulties).
01788 227957 View 01788 227957
Photo of Victoria Harrison - Vicky Harrison, MBACP, Counsellor
Vicky Harrison
Counsellor, MBACP
Verified Verified
Rugby CV21
I understand that seeking a counsellor can feel daunting, please be assured that I welcome you with respect and compassion to build a trusting relationship at a pace that you feel comfortable with. Counselling can be helpful at any stage of life; Life transitions such as reaching a significant age, a change in roles, adjusting to loss, or issues around your own identity can bring up a range of feelings and questions. Perhaps you feel stressed, anxious, depressed or have a feeling that something just isn’t right. This could be due to current issues, or perhaps past events are impacting on your present life.
I understand that seeking a counsellor can feel daunting, please be assured that I welcome you with respect and compassion to build a trusting relationship at a pace that you feel comfortable with. Counselling can be helpful at any stage of life; Life transitions such as reaching a significant age, a change in roles, adjusting to loss, or issues around your own identity can bring up a range of feelings and questions. Perhaps you feel stressed, anxious, depressed or have a feeling that something just isn’t right. This could be due to current issues, or perhaps past events are impacting on your present life.
01788 228917 View 01788 228917
Photo of Julie Elliott, MBACP, Psychotherapist
Julie Elliott
Psychotherapist, MBACP
Verified Verified
Rugby CV21
I work with couples using Emotionally Focussed Therapy. This is attachment oriented and so we work together to understand each of your attachment experiences and styles. To do this we examine your personal attachment history and childhood patterns and then we explore your couples attachment history. The initial focus is on de escalating your process in times of conflict,
I work with couples using Emotionally Focussed Therapy. This is attachment oriented and so we work together to understand each of your attachment experiences and styles. To do this we examine your personal attachment history and childhood patterns and then we explore your couples attachment history. The initial focus is on de escalating your process in times of conflict,
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Photo of Rachel Kemp - The Purple House Clinic Rugby, CPsychol, Psychologist
The Purple House Clinic Rugby
Psychologist, CPsychol
Verified Verified
Rugby CV21
Dr Kemp has expertise in working with adults experiencing mental health difficulties including depression, anxiety, post traumatic stress, grief and loss, adjustment difficulties and physical health difficulties (e.g. long term conditions / medical trauma / psychosexual difficulties).
Dr Kemp has expertise in working with adults experiencing mental health difficulties including depression, anxiety, post traumatic stress, grief and loss, adjustment difficulties and physical health difficulties (e.g. long term conditions / medical trauma / psychosexual difficulties).
01788 227939 View 01788 227939
Photo of Tracey Peabody, DCounsPsych, MBACP, Counsellor
Tracey Peabody
Counsellor, DCounsPsych, MBACP
Verified Verified
Rugby CV21
I am a CBT and Person-Centred counsellor bringing kindness, compassion, and empathy to your emotional needs. Are you overwhelmed, and life is just getting on top of you? Are you struggling with managing difficult emotions; feelings of lack of self-worth, loneliness, or other mental health issues and don’t know where to turn for support? Sometimes we all need a helping hand. By bringing heartfelt empathy to your issues, we can build a powerful and healing therapeutic relationship to help you discover your potential and capacity for change.
I am a CBT and Person-Centred counsellor bringing kindness, compassion, and empathy to your emotional needs. Are you overwhelmed, and life is just getting on top of you? Are you struggling with managing difficult emotions; feelings of lack of self-worth, loneliness, or other mental health issues and don’t know where to turn for support? Sometimes we all need a helping hand. By bringing heartfelt empathy to your issues, we can build a powerful and healing therapeutic relationship to help you discover your potential and capacity for change.
01788 228353 View 01788 228353
Photo of Claire Leonard - Enhancing Futures Ltd, HCPC - Clin. Psych., Psychologist
Enhancing Futures Ltd
Psychologist, HCPC - Clin. Psych.
Verified Verified
Rugby CV21
With over 10 years NHS expertise in mental health, specifically working with people with Autism, Learning Disabilities and other Special Educational Needs, Dr Claire Leonard of Enhancing Futures Ltd offers a person-centred, compassionate support service. Her specialist interests include complex genetic health presentations, attachment difficulties, and supporting siblings. She uses an integrative approach to understanding presentations, building on systemic, compassion-focussed, acceptance-commitment, behavioural and attachment based therapies.
With over 10 years NHS expertise in mental health, specifically working with people with Autism, Learning Disabilities and other Special Educational Needs, Dr Claire Leonard of Enhancing Futures Ltd offers a person-centred, compassionate support service. Her specialist interests include complex genetic health presentations, attachment difficulties, and supporting siblings. She uses an integrative approach to understanding presentations, building on systemic, compassion-focussed, acceptance-commitment, behavioural and attachment based therapies.
01788 229710 View 01788 229710
Photo of Jo Augustus - The Eyris Practice, HCPC-Art Therap., Psychotherapist
The Eyris Practice
Psychotherapist, HCPC-Art Therap.
Verified Verified
Rugby CV21
Waitlist for new clients
The impact of difficult life experiences can adversely affect our mental well-being or interpersonal relationships at any time in our lives.Such life occurances may include truama, a bereavement or experiencing anxiety and depression. I use a person centred approach to develop a therapeutic relationship with you. This helps over time to support you in gaining insight and understanding of the emotional and mental difficulties you're experiencing. I provide a safe space to listen to you and identify the best therapeutic approach to meet your needs.I offer both face to face and online therapy to suit your individual needs.
The impact of difficult life experiences can adversely affect our mental well-being or interpersonal relationships at any time in our lives.Such life occurances may include truama, a bereavement or experiencing anxiety and depression. I use a person centred approach to develop a therapeutic relationship with you. This helps over time to support you in gaining insight and understanding of the emotional and mental difficulties you're experiencing. I provide a safe space to listen to you and identify the best therapeutic approach to meet your needs.I offer both face to face and online therapy to suit your individual needs.
01788 221257 View 01788 221257
Photo of Dr Craig Harris, PsychD, HCPC - Clin. Psych., Psychologist
Dr Craig Harris
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Rugby CV21
I'm a Clinical Psychologist with 8 years of experience in working therapeutically, with extensive training in psychological therapy. I can offer a bespoke experience by integrating different types of therapies to find what is most suitable to you. Approaches I tend to use include, ACT, CFT, CBT, Systemic and Narrative Therapy. I'm here to listen and help make sense of what you are going through in a warm and friendly atmosphere. Whether you're an adult or adolescent, I can work with you to help change your life in a way that's meaningful to you.
I'm a Clinical Psychologist with 8 years of experience in working therapeutically, with extensive training in psychological therapy. I can offer a bespoke experience by integrating different types of therapies to find what is most suitable to you. Approaches I tend to use include, ACT, CFT, CBT, Systemic and Narrative Therapy. I'm here to listen and help make sense of what you are going through in a warm and friendly atmosphere. Whether you're an adult or adolescent, I can work with you to help change your life in a way that's meaningful to you.
01788 226347 View 01788 226347
Photo of John Bernath, MSc, MUKCP, Psychotherapist
John Bernath
Psychotherapist, MSc, MUKCP
Verified Verified
Rugby CV21
Are you seeking a compassionate and experienced therapist to guide you through life's challenges? With over a decade of experience, I provide a safe and empowering environment where you can explore, heal, and take control of your life. Specializing in individual therapy, I also offer expertise in addressing complex issues such as sexual and domestic abuse, trauma, life-limiting illness, and bereavement. These experiences can profoundly impact your well-being, and my goal is to help you navigate these difficulties with empathy and understanding. I’m committed to helping you feel heard, valued, and supported every step of the way.
Are you seeking a compassionate and experienced therapist to guide you through life's challenges? With over a decade of experience, I provide a safe and empowering environment where you can explore, heal, and take control of your life. Specializing in individual therapy, I also offer expertise in addressing complex issues such as sexual and domestic abuse, trauma, life-limiting illness, and bereavement. These experiences can profoundly impact your well-being, and my goal is to help you navigate these difficulties with empathy and understanding. I’m committed to helping you feel heard, valued, and supported every step of the way.
0115 697 1143 View 0115 697 1143
Photo of Hayley Mulhare, MBACP, Psychotherapist
Hayley Mulhare
Psychotherapist, MBACP
Verified Verified
Rugby CV21  (Online Only)
I understand that life can be a struggle, with incredibly difficult and painful experiences encountered along the way. These can have a knock-on effect on how we cope day to day, view ourselves, respond to situations, how we are in relationships and how our mental health is. Things often get pushed to the side rather than dealt with, leaving us with an accumulation of unresolved issues, unfelt pain, and unacknowledged thoughts and feelings.
I understand that life can be a struggle, with incredibly difficult and painful experiences encountered along the way. These can have a knock-on effect on how we cope day to day, view ourselves, respond to situations, how we are in relationships and how our mental health is. Things often get pushed to the side rather than dealt with, leaving us with an accumulation of unresolved issues, unfelt pain, and unacknowledged thoughts and feelings.
01842 773638 View 01842 773638
Photo of Clare Boulton - Clare Boulton -Counsellor / Clinical Supervisor, SNCPS Acc., Psychotherapist
Clare Boulton -Counsellor / Clinical Supervisor
Psychotherapist, SNCPS Acc.
Verified Verified
Rugby CV21
If you want to change a pattern in your life, want to think or feel differently about anything, confidential counselling may be right for you. I am offering you a comfortable and private space so that we can work together through any issues that you may bring to the session. Within this non-judgemental and confidential setting you have time to explore, reflect and understand your emotions, feelings and what is happening to you, wherever you are in your life right now. FREE Initial Consultation, daytime, evening and weekends appointments. Please feel free to get in touch for more information.
If you want to change a pattern in your life, want to think or feel differently about anything, confidential counselling may be right for you. I am offering you a comfortable and private space so that we can work together through any issues that you may bring to the session. Within this non-judgemental and confidential setting you have time to explore, reflect and understand your emotions, feelings and what is happening to you, wherever you are in your life right now. FREE Initial Consultation, daytime, evening and weekends appointments. Please feel free to get in touch for more information.
0116 464 9964 View 0116 464 9964
Photo of Raj Nijjar - Inspire To Achieve , MSc, MBACP, Counsellor
Inspire To Achieve
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Rugby CV21
As an experienced qualified counsellor, I am passionate about establishing a professional therapeutic relationship. I feel this connection enables us to build trust and work collaboratively to explore the difficulties you may be experiencing. A fundamental component of my work is to support clients to find inner peace and balance in life. Also to explore your current situation, find acceptance and bring about meaningful change. Through a process of growth, self-awareness and self-discovery together we can achieve your goals.
As an experienced qualified counsellor, I am passionate about establishing a professional therapeutic relationship. I feel this connection enables us to build trust and work collaboratively to explore the difficulties you may be experiencing. A fundamental component of my work is to support clients to find inner peace and balance in life. Also to explore your current situation, find acceptance and bring about meaningful change. Through a process of growth, self-awareness and self-discovery together we can achieve your goals.
024 7542 6034 View 024 7542 6034
Photo of Catherine Noake, BACP, Counsellor
Catherine Noake
Counsellor, BACP
Verified Verified
Rugby CV21
Life can be hard at times and can leave you feeling isolated and alone. Many current issues are often buried in childhood experiences affecting our thoughts and patterns of behaviour in the present day. Sometimes we just feel "stuck" without knowing the reason why. Exploration of difficult and sometimes painful emotions helps gain an insight into what is causing the psychological distress. We will work with whatever issues you wish to bring, at your pace without pressure or judgement.
Life can be hard at times and can leave you feeling isolated and alone. Many current issues are often buried in childhood experiences affecting our thoughts and patterns of behaviour in the present day. Sometimes we just feel "stuck" without knowing the reason why. Exploration of difficult and sometimes painful emotions helps gain an insight into what is causing the psychological distress. We will work with whatever issues you wish to bring, at your pace without pressure or judgement.
07481 343524 View 07481 343524
Photo of Cara Anne Martin, BACP, Psychotherapist
Cara Anne Martin
Psychotherapist, BACP
Verified Verified
Rugby CV21
Do you have a child or adolescent who is struggling with emotional issues that may now be affecting their behaviour? Are you a fellow sufferer of PMDD looking for support to understand and manage the associated emotional distress this commonly misunderstood condition can cause? Or maybe you're involved with the trauma associated with domestic abuse - this is another area of which I am experienced and able to offer help and support. Sometimes life can seem hopeless leaving you feeling helpless and unsure about the future but together we can find a way out of the darkness.
Do you have a child or adolescent who is struggling with emotional issues that may now be affecting their behaviour? Are you a fellow sufferer of PMDD looking for support to understand and manage the associated emotional distress this commonly misunderstood condition can cause? Or maybe you're involved with the trauma associated with domestic abuse - this is another area of which I am experienced and able to offer help and support. Sometimes life can seem hopeless leaving you feeling helpless and unsure about the future but together we can find a way out of the darkness.
01788 229711 View 01788 229711
Photo of Tracey Marie Cooper - Swan Counselling Services - Tracey Cooper, MBACP, Counsellor
Swan Counselling Services - Tracey Cooper
Counsellor, MBACP
Verified Verified
Rugby CV21
It can seem like the hardest thing to do to access counselling, but it can be life changing if you take that first step. You may not be entirely clear on what you want but just have a feeling that things don't feel right and you have decided that you want to understand what, why and how to refocus and live the life you feel is best for you. Or perhaps you are very aware of a struggle with difficulties, which may already be formally diagnosed by another professional, and you want to regain some control instead of feeling that these issues take over. I can support people in achieving their goals wherever they are in their journey.
It can seem like the hardest thing to do to access counselling, but it can be life changing if you take that first step. You may not be entirely clear on what you want but just have a feeling that things don't feel right and you have decided that you want to understand what, why and how to refocus and live the life you feel is best for you. Or perhaps you are very aware of a struggle with difficulties, which may already be formally diagnosed by another professional, and you want to regain some control instead of feeling that these issues take over. I can support people in achieving their goals wherever they are in their journey.
01455 247702 View 01455 247702
Photo of Kevin Roe, MA, MBACP, Psychotherapist
Kevin Roe
Psychotherapist, MA, MBACP
Verified Verified
Rugby CV21
There are many reasons why you may wish to speak with a counsellor but a desire for some ‘change’ is usually present within our clients. There may be something about you which is being carried from past experiences, feelings about yourself such as low self-worth, or anxiety brought on by relationships with others or circumstances surrounding you which seem to be prevailing an assault on you. You may be suffering from depression or, fears which are seemingly taking control of you. I am trained in Trauma Therapy. Addictions or obsessions are also common reasons for our working with clients.
There are many reasons why you may wish to speak with a counsellor but a desire for some ‘change’ is usually present within our clients. There may be something about you which is being carried from past experiences, feelings about yourself such as low self-worth, or anxiety brought on by relationships with others or circumstances surrounding you which seem to be prevailing an assault on you. You may be suffering from depression or, fears which are seemingly taking control of you. I am trained in Trauma Therapy. Addictions or obsessions are also common reasons for our working with clients.
01926 569954 View 01926 569954
Photo of Sadie Lee lockwood, PsychD, MBACP, Psychotherapist
Sadie Lee lockwood
Psychotherapist, PsychD, MBACP
Verified Verified
Rugby CV21
Considering Counselling can be quite nerve racking. However it is important to remember that if you choose to engage with it and accept that changes can and do happen for the better, it has the potential to be life changing. If you are suffering with low mood, low self esteem, anxiety or indeed something much more specific that needs attention then you should book an initial consultation. My experience covers issues named above but so many more. As a trained Counsellor, and Psychotherapist, I believe our relationship is key to a successful change in self defeating behaviour so you can move on to a positive place.
Considering Counselling can be quite nerve racking. However it is important to remember that if you choose to engage with it and accept that changes can and do happen for the better, it has the potential to be life changing. If you are suffering with low mood, low self esteem, anxiety or indeed something much more specific that needs attention then you should book an initial consultation. My experience covers issues named above but so many more. As a trained Counsellor, and Psychotherapist, I believe our relationship is key to a successful change in self defeating behaviour so you can move on to a positive place.
07481 358661 View 07481 358661
Photo of Sian Duffin, MBACP, Counsellor
Sian Duffin
Counsellor, MBACP
Verified Verified
2 Endorsed
Rugby CV21  (Online Only)
I am Sian (you say it Sharn) and I work from a person-centred approach, which means you are the centre of the work, and we look at the world through your experiences to explore wherever you want to go. I will work with you to create a warm, safe space to share anything you need to say and to explore your experiences and feelings. Maybe you have things you want to say, that you have never said, or never felt understood by anyone. Maybe you feel lost and overwhelmed. Maybe you need a space to process what is happening in your world. I'd like to listen, with no judgement, no shame and with care and kindness, to help you move forwards.
I am Sian (you say it Sharn) and I work from a person-centred approach, which means you are the centre of the work, and we look at the world through your experiences to explore wherever you want to go. I will work with you to create a warm, safe space to share anything you need to say and to explore your experiences and feelings. Maybe you have things you want to say, that you have never said, or never felt understood by anyone. Maybe you feel lost and overwhelmed. Maybe you need a space to process what is happening in your world. I'd like to listen, with no judgement, no shame and with care and kindness, to help you move forwards.
01788 226333 View 01788 226333
Photo of Rita Clare, MHGI, Psychotherapist
Rita Clare
Psychotherapist, MHGI
Verified Verified
Rugby CV21
Are you feeling stuck about the past? Perhaps the present is a source of stress? Or maybe you have a general feeling of uncertainty about the future? I am an empathic and non-judgemental therapist with the benefit of a practical and solution-focused mind. I can help you identify and meet your missing emotional needs so that you can heal and stay mentally balanced; moving you on from states such as stress, anxiety, depression, anger, or addiction. This is a modern therapy with the added advantage of an optional guided imagery at the end of each session, as an extra 'boost' for feeling emotionally calm and in control again.
Are you feeling stuck about the past? Perhaps the present is a source of stress? Or maybe you have a general feeling of uncertainty about the future? I am an empathic and non-judgemental therapist with the benefit of a practical and solution-focused mind. I can help you identify and meet your missing emotional needs so that you can heal and stay mentally balanced; moving you on from states such as stress, anxiety, depression, anger, or addiction. This is a modern therapy with the added advantage of an optional guided imagery at the end of each session, as an extra 'boost' for feeling emotionally calm and in control again.
01604 343091 View 01604 343091
Photo of Dr Kat Sephton, CPsychol, Psychologist
Dr Kat Sephton
Psychologist, CPsychol
Verified Verified
Rugby CV21
Hi, I'm Dr Kat Sephton, HCPC registered and BPS chartered Clinical Psychologist and owner of Renew Psychology. I specialise in Neuropsychology, supporting those with neurological conditions (e.g. MS, Dementia, Parkinson's), stroke, traumatic brain injury, and illness affecting the brain. I provide individual therapy, neuropsychological assessment and rehabilitation, training and consultation. I have more than a decades experience working in mental health and physical health services, hospitals, care homes and in patients own homes.
Hi, I'm Dr Kat Sephton, HCPC registered and BPS chartered Clinical Psychologist and owner of Renew Psychology. I specialise in Neuropsychology, supporting those with neurological conditions (e.g. MS, Dementia, Parkinson's), stroke, traumatic brain injury, and illness affecting the brain. I provide individual therapy, neuropsychological assessment and rehabilitation, training and consultation. I have more than a decades experience working in mental health and physical health services, hospitals, care homes and in patients own homes.
01788 228409 View 01788 228409
1

See more therapy options for CV21

How does your Counsellor compare?

Number of Counsellors in CV21

40+

Average cost per session

£55

Counsellors in CV21 who prioritize treating:

95% Anxiety
91% Depression
91% Self Esteem
84% Relationship Issues
84% Stress
77% Bereavement
72% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

70% Aviva
50% AXA PPP
40% Bupa

How Counsellors in CV21 see their clients

89% In Person and Online
11% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in CV21?

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.