Photo of Jane Elizabeth Torrance, MBACP Accred, Counsellor
Jane Elizabeth Torrance
Counsellor, MBACP Accred
Verified Verified
Derby DE65
Hello and Welcome to my information page. I am a counsellor with 20 years experience in a variety of settings. I can offer you a confidential and safe space to enable you to talk about your issues and experiences, so that you can begin to find patterns from the past and make decisions about how you might like to change your future.
Hello and Welcome to my information page. I am a counsellor with 20 years experience in a variety of settings. I can offer you a confidential and safe space to enable you to talk about your issues and experiences, so that you can begin to find patterns from the past and make decisions about how you might like to change your future.
01283 240973 View 01283 240973
Photo of Louise Seys, MBABCP, Psychotherapist
Louise Seys
Psychotherapist, MBABCP
Verified Verified
Derby DE65
I am a fully qualified and accredited Cognitive and Behavioural Psychotherapist. I work predominantly with adults, adolescents and tweens. In addition to CBT, I am trained in ACT, CFT, EMDR and MBCT. I have worked within mental health since 1999. I have a particular interest in working with all the various types of anxiety, low self esteem and trauma. My interpersonal approach is warm, genuine and compassionate. I am a human being too so I have my own experiences of how our minds work and how they get in a mess! I don’t have a website. Please feel free to contact me via text or email if you would like to know more.
I am a fully qualified and accredited Cognitive and Behavioural Psychotherapist. I work predominantly with adults, adolescents and tweens. In addition to CBT, I am trained in ACT, CFT, EMDR and MBCT. I have worked within mental health since 1999. I have a particular interest in working with all the various types of anxiety, low self esteem and trauma. My interpersonal approach is warm, genuine and compassionate. I am a human being too so I have my own experiences of how our minds work and how they get in a mess! I don’t have a website. Please feel free to contact me via text or email if you would like to know more.
01332 410883 View 01332 410883
Photo of Danielle Mills - Pony Partnerships CIC, PhD, MBACP Accred, Psychotherapist
Pony Partnerships CIC
Psychotherapist, PhD, MBACP Accred
Verified Verified
1 Endorsed
Derby DE65
Have you found it difficult to engage in traditional therapy? Do the expectations attached to room based therapy, where we sit face to face, feel overwhelming? We try and work slightly differently to help build a space that feels comfortable for you. We are a neurodivergence affirming, trauma informed practice, and some of are staff are also neurodivergent. We strive to be anti-ableist, antiracist, in support of gender and sexual diversity, and against discrimination in all its forms.
Have you found it difficult to engage in traditional therapy? Do the expectations attached to room based therapy, where we sit face to face, feel overwhelming? We try and work slightly differently to help build a space that feels comfortable for you. We are a neurodivergence affirming, trauma informed practice, and some of are staff are also neurodivergent. We strive to be anti-ableist, antiracist, in support of gender and sexual diversity, and against discrimination in all its forms.
01332 650381 View 01332 650381
Photo of Karin Scott, MA, MBACP, Psychotherapist
Karin Scott
Psychotherapist, MA, MBACP
Verified Verified
Derby DE65
Hello! I am a registered member of the BACP with an MA in Integrative Counselling offering counselling and therapy to individuals, couples and young people. I feel that we all need help sometimes and talking in a safe and confidential space can help you to make changes in your life that will benefit you and your family.
Hello! I am a registered member of the BACP with an MA in Integrative Counselling offering counselling and therapy to individuals, couples and young people. I feel that we all need help sometimes and talking in a safe and confidential space can help you to make changes in your life that will benefit you and your family.
01332 325337 View 01332 325337
Photo of Jo Lawson-Webb - Jo Lawson Counselling and Psychotherapy, MUKCP, Psychotherapist
Jo Lawson Counselling and Psychotherapy
Psychotherapist, MUKCP
Verified Verified
Derby DE65
At times life can become difficult and challenging and you maybe experiencing overwhelming feelings and struggling to know what to do. This may be impacting your day to day life and could be due to, but not limited to, stress, anxiety, low self-esteem, anger, relationship struggles, the impact of loss or traumatic events. Acknowledging this and letting go of elements which no longer benefit you may not be easy. I understand this and also recognise by contacting me you have reached a point where you would like some support, therefore I aim to respond to your enquiry promptly.
At times life can become difficult and challenging and you maybe experiencing overwhelming feelings and struggling to know what to do. This may be impacting your day to day life and could be due to, but not limited to, stress, anxiety, low self-esteem, anger, relationship struggles, the impact of loss or traumatic events. Acknowledging this and letting go of elements which no longer benefit you may not be easy. I understand this and also recognise by contacting me you have reached a point where you would like some support, therefore I aim to respond to your enquiry promptly.
01283 372511 View 01283 372511
Photo of Bridget Knowles, MUKCP, Psychotherapist
Bridget Knowles
Psychotherapist, MUKCP
Verified Verified
Derby DE65
Hello my name is Bridget. You have taken the first step towards finding the support you need at this time in your life. Whatever you are facing, I will offer non-judgmental support in exploring what brings you to therapy. You may be feeling anxious, depressed or confused about where you are right now. Talking and working in a therapeutic relationship can be a healing process.
Hello my name is Bridget. You have taken the first step towards finding the support you need at this time in your life. Whatever you are facing, I will offer non-judgmental support in exploring what brings you to therapy. You may be feeling anxious, depressed or confused about where you are right now. Talking and working in a therapeutic relationship can be a healing process.
019467 60722 View 019467 60722
Photo of Emily Jones, MSc, MUKCP, Psychotherapist
Emily Jones
Psychotherapist, MSc, MUKCP
Verified Verified
10 Endorsed
Derby DE65
I am an experienced psychotherapeutic counsellor working with children and teenagers, from differing ages and levels of understanding, using creative interventions like art and play. Topics and concerns that have been explored include self esteem, worries, anxiety, low mood, self harm, and identity, amongst others.
I am an experienced psychotherapeutic counsellor working with children and teenagers, from differing ages and levels of understanding, using creative interventions like art and play. Topics and concerns that have been explored include self esteem, worries, anxiety, low mood, self harm, and identity, amongst others.
01283 387973 View 01283 387973
Photo of Caroline Bottrill - CBT for Healthy Minds ( Caroline Bottrill ), MSc, MBABCP, Psychotherapist
CBT for Healthy Minds ( Caroline Bottrill )
Psychotherapist, MSc, MBABCP
Verified Verified
Derby DE65
I'm a professional and caring Psychotherapist with 15 years experience of helping my clients overcome depression, anxiety and trauma. If you are feeling anxious, fearful, low or alone, please do not suffer in silence, as my services can provide you with a helping hand. I treat all mental health problems. I have spent 15 years working with GP practices offering private therapy services to their patients . I provide alcohol and drug addiction rehabilitation programmes. I provide programmes for eating disorder recovery . I specialise in binge eating disorder and provide recovery programmes . I offer weight management programmes .
I'm a professional and caring Psychotherapist with 15 years experience of helping my clients overcome depression, anxiety and trauma. If you are feeling anxious, fearful, low or alone, please do not suffer in silence, as my services can provide you with a helping hand. I treat all mental health problems. I have spent 15 years working with GP practices offering private therapy services to their patients . I provide alcohol and drug addiction rehabilitation programmes. I provide programmes for eating disorder recovery . I specialise in binge eating disorder and provide recovery programmes . I offer weight management programmes .
0121 817 3868 View 0121 817 3868
Photo of Angela Terris, DCounsPsych, MNCPS Acc., Counsellor
Angela Terris
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
Derby DE65
Leave anxiety, depression, low self-esteem/confidence, stress, and more behind. With guidance, begin to overcome difficulties, find new perspectives, improve self-belief and worth, and start to feel better about yourself, your life and relationships. There’s no doubt that life can be challenging, especially when things happen out of your control or life isn't living up to your expectations. It’s normal to want to reach out for extra support and objective help where you can go from just surviving to thriving. Lets boost your self-esteem and confidence, find happiness in your life, and strengthen your relationships.
Leave anxiety, depression, low self-esteem/confidence, stress, and more behind. With guidance, begin to overcome difficulties, find new perspectives, improve self-belief and worth, and start to feel better about yourself, your life and relationships. There’s no doubt that life can be challenging, especially when things happen out of your control or life isn't living up to your expectations. It’s normal to want to reach out for extra support and objective help where you can go from just surviving to thriving. Lets boost your self-esteem and confidence, find happiness in your life, and strengthen your relationships.
01543 398436 View 01543 398436
Photo of Sarah Hopton, MSc, MBACP Accred, Psychotherapist
Sarah Hopton
Psychotherapist, MSc, MBACP Accred
Verified Verified
Derby DE65
As an integrative therapist, I am relational in my approach, this style places great emphasis on the relationship between the client and the therapist. I believe the most important part of any therapy is to build a trusting relationship, where you can feel safe and secure so you feel able to share your story and experiences in a confidential, non-judgmental space where you can explore positive and challenging aspects of your life and any change you wish to explore or make. I have personal experience in sexual, physical, emotional and mental abuse; divorce; living with a narcissist; step-parenting; addiction and PTSD.
As an integrative therapist, I am relational in my approach, this style places great emphasis on the relationship between the client and the therapist. I believe the most important part of any therapy is to build a trusting relationship, where you can feel safe and secure so you feel able to share your story and experiences in a confidential, non-judgmental space where you can explore positive and challenging aspects of your life and any change you wish to explore or make. I have personal experience in sexual, physical, emotional and mental abuse; divorce; living with a narcissist; step-parenting; addiction and PTSD.
01283 260108 View 01283 260108
Photo of Sarah Nicola Legg - Blossom Tree Therapy - Sarah Legg, PsychD, MNCPS Acc., Psychotherapist
Blossom Tree Therapy - Sarah Legg
Psychotherapist, PsychD, MNCPS Acc.
Verified Verified
1 Endorsed
Derby DE65
Welcome. You may be going through a difficult time and perhaps you feel that you are unable to resolve these issues alone. Counselling can give you the opportunity to make sense of these issues. I am a qualified Integrative Counsellor offering Individual Therapy sessions. I see people of all ages, either face to face or online., on a short-term basis or long term. I have my own private practice in Allestree, Derby.I work by concentrating on what is important to you and supporting you to gain a fresh perspective through reflecting on and understanding yourself and your present situation.
Welcome. You may be going through a difficult time and perhaps you feel that you are unable to resolve these issues alone. Counselling can give you the opportunity to make sense of these issues. I am a qualified Integrative Counsellor offering Individual Therapy sessions. I see people of all ages, either face to face or online., on a short-term basis or long term. I have my own private practice in Allestree, Derby.I work by concentrating on what is important to you and supporting you to gain a fresh perspective through reflecting on and understanding yourself and your present situation.
01332 215397 View 01332 215397
Photo of Barbara Walker, MBABCP, Psychotherapist
Barbara Walker
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Derby DE65
Hallo I’m Barbara - Cognitive Behavioural Therapist and EMDR Practitioner. You have taken an important step in looking for therapy. I am aware of the challenges you can face in therapy both from my own lived experience and also from working as a therapist. There are challenges but also so many rewards. I aim to provide a safe and supportive space to work together to change your thinking patterns and reduce the current distress you are feeling. I strongly believe in people moving on from difficult life events and developing positive self-esteem and getting the most out of life.
Hallo I’m Barbara - Cognitive Behavioural Therapist and EMDR Practitioner. You have taken an important step in looking for therapy. I am aware of the challenges you can face in therapy both from my own lived experience and also from working as a therapist. There are challenges but also so many rewards. I aim to provide a safe and supportive space to work together to change your thinking patterns and reduce the current distress you are feeling. I strongly believe in people moving on from difficult life events and developing positive self-esteem and getting the most out of life.
01332 215298 View 01332 215298
Photo of Jayne Davies, BACP, Counsellor
Jayne Davies
Counsellor, BACP
Verified Verified
Derby DE65  (Online Only)
Hi my name is Jayne. I have over 18 years’ experience working within a custodial setting and have worked in a therapeutic capacity offering psychosocial support. This includes substance misuse addiction and the subsequent impact on family members and friends. I am a registered member of the British Association of Counselling and Psychotherapy. I have also work as a counsellor for a women's charity providing holistic support for women with complex needs. I offer a non-judgmental safe space online and via telephone for your exploration of self. You only get one you! Let’s look after YOU!
Hi my name is Jayne. I have over 18 years’ experience working within a custodial setting and have worked in a therapeutic capacity offering psychosocial support. This includes substance misuse addiction and the subsequent impact on family members and friends. I am a registered member of the British Association of Counselling and Psychotherapy. I have also work as a counsellor for a women's charity providing holistic support for women with complex needs. I offer a non-judgmental safe space online and via telephone for your exploration of self. You only get one you! Let’s look after YOU!
01246 607041 View 01246 607041
Photo of Aimee Thornton, MA, HCPC-Art Therap., Psychotherapist
Aimee Thornton
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
Derby DE65
Why art therapy? Art therapy is a mode of psychotherapy that uses creative techniques to help individuals express themselves through art, when they can no longer do so verbally. You are not expected to be an artist or have artistic ability, but have the willingness to 'play' and explore with art materials provided within a 'safe' space. An Art Therapist is not here to 'teach' you, but to support you in using art materials in your 'own' way. Art therapy can provide an opportunity for you to explore and overcome issues you may not be able to express verbally using a non-threatening creative process.
Why art therapy? Art therapy is a mode of psychotherapy that uses creative techniques to help individuals express themselves through art, when they can no longer do so verbally. You are not expected to be an artist or have artistic ability, but have the willingness to 'play' and explore with art materials provided within a 'safe' space. An Art Therapist is not here to 'teach' you, but to support you in using art materials in your 'own' way. Art therapy can provide an opportunity for you to explore and overcome issues you may not be able to express verbally using a non-threatening creative process.
01283 907112 View 01283 907112
Photo of Josie Nicholson, MBACP Accred, Psychotherapist
Josie Nicholson
Psychotherapist, MBACP Accred
Verified Verified
Findern DE65
Currently 18 Years in Practice. Being human is mostly hard and life can be cruel. We see it time and time again. Bad things happen to good people, and we suffer. Each and every one of us at some point in our lives, finds ourselves lost and stuck. We can get depressed, anxious, angry, defensive and frightened. We can often avoid the things that bring us pain and as time goes on that list gets longer and longer and our life can feel smaller and smaller. Reaching out for help can be the hardest first step, but it's also the bravest and will prove to be one of the best decisions you will make for yourself.
Currently 18 Years in Practice. Being human is mostly hard and life can be cruel. We see it time and time again. Bad things happen to good people, and we suffer. Each and every one of us at some point in our lives, finds ourselves lost and stuck. We can get depressed, anxious, angry, defensive and frightened. We can often avoid the things that bring us pain and as time goes on that list gets longer and longer and our life can feel smaller and smaller. Reaching out for help can be the hardest first step, but it's also the bravest and will prove to be one of the best decisions you will make for yourself.
07971 958298 View 07971 958298
Photo of Joanna Baker, MHGI, Psychotherapist
Joanna Baker
Psychotherapist, MHGI
Verified Verified
2 Endorsed
Derby DE65
Not accepting new clients
Clients come to see me at The Well-Minded Practice when they want fast, effective new outcomes for depression, anxiety, trauma and to improve their sleep. With extensive experience working with all forms of emotional distress, I always strive to ensure that alongside specific work carried out during appointments, clients have a firm foundation of of understanding and a set of tools to continue to maintain their own emotional health proactively in the future. Using the most up-to-date psychotherapeutic understanding and techniques, I help clients move forward with their lives as swiftly and effectively as possible.
Clients come to see me at The Well-Minded Practice when they want fast, effective new outcomes for depression, anxiety, trauma and to improve their sleep. With extensive experience working with all forms of emotional distress, I always strive to ensure that alongside specific work carried out during appointments, clients have a firm foundation of of understanding and a set of tools to continue to maintain their own emotional health proactively in the future. Using the most up-to-date psychotherapeutic understanding and techniques, I help clients move forward with their lives as swiftly and effectively as possible.
01283 242346 View 01283 242346
Photo of Bobby Bradstock - Serenity Psychotherapy, MSc, MBACP, Psychotherapist
Serenity Psychotherapy
Psychotherapist, MSc, MBACP
Verified Verified
Repton DE65  (Online Only)
I hope you’ve found the right place for you. It’s likely you’ve been a long time of searching. As the Director of Serenity I both manage and run the organisation Nationwide, but also reserve a significant portion of time to working specifically with those who are looking for therapy for long term & chronic health conditions. Particularly therapy for ME patients (Myalgic Encephalemyelitis), therapy for Chronic Fatigue patients, and other autoimmune disorder patients. All sessions are a combination of Online and where necessary, open google docs where you can answer explore work at a time that is suitable for you.
I hope you’ve found the right place for you. It’s likely you’ve been a long time of searching. As the Director of Serenity I both manage and run the organisation Nationwide, but also reserve a significant portion of time to working specifically with those who are looking for therapy for long term & chronic health conditions. Particularly therapy for ME patients (Myalgic Encephalemyelitis), therapy for Chronic Fatigue patients, and other autoimmune disorder patients. All sessions are a combination of Online and where necessary, open google docs where you can answer explore work at a time that is suitable for you.
0121 312 9934 View 0121 312 9934
Photo of Rachel Pink, MSc, BACP, Counsellor
Rachel Pink
Counsellor, MSc, BACP
Verified Verified
Derby DE65
Hello, I'm Rachel. I'm an Integrative Psychotherapist. Are you looking for somewhere to talk and be heard, valued and cared for in a safe, welcoming environment? look no further! I offer a compassionate, non-judgmental approach to counselling and psychotherapy in a safe, calm and welcoming face-to-face and online space. I aim to meet you where you are and bring about healthy change now and in your brighter future. My practice is trauma-informed, and I hold all diagnoses with care and consideration whilst knowing they are not the whole story.
Hello, I'm Rachel. I'm an Integrative Psychotherapist. Are you looking for somewhere to talk and be heard, valued and cared for in a safe, welcoming environment? look no further! I offer a compassionate, non-judgmental approach to counselling and psychotherapy in a safe, calm and welcoming face-to-face and online space. I aim to meet you where you are and bring about healthy change now and in your brighter future. My practice is trauma-informed, and I hold all diagnoses with care and consideration whilst knowing they are not the whole story.
01773 307934 View 01773 307934
Photo of Fay Petcher, MBACP, Counsellor
Fay Petcher
Counsellor, MBACP
Verified Verified
10 Endorsed
Derby DE65
My professional journey spans over two decades. I've dedicated over 20 years to the field of education, where I have played a crucial role in supporting children's mental health to foster resilience. This experience includes two years as a school counsellor and mental health lead, providing students with the guidance and support they need to overcome their challenges. I've also spent five years as a divorce coach, assisting couples and individuals as they navigate the often difficult process of separation and divorce.
My professional journey spans over two decades. I've dedicated over 20 years to the field of education, where I have played a crucial role in supporting children's mental health to foster resilience. This experience includes two years as a school counsellor and mental health lead, providing students with the guidance and support they need to overcome their challenges. I've also spent five years as a divorce coach, assisting couples and individuals as they navigate the often difficult process of separation and divorce.
01283 243307 View 01283 243307
Photo of Sally Todd, MNCPS Acc., Counsellor
Sally Todd
Counsellor, MNCPS Acc.
Verified Verified
10 Endorsed
I am a kind and creative Child Therapist with an unwavering Passion for helping children and adolescents deal with life's crises. With a profound love for nature and a heart full of Patience, I feel I have a rich background as a teacher for primary school-aged children, a nursery and theatre school owner, and a counsellor specialising in supporting individuals through various challenges. I have a particular affinity for working with children who have Special Educational Needs (SEN) and those with attachment issues.
I am a kind and creative Child Therapist with an unwavering Passion for helping children and adolescents deal with life's crises. With a profound love for nature and a heart full of Patience, I feel I have a rich background as a teacher for primary school-aged children, a nursery and theatre school owner, and a counsellor specialising in supporting individuals through various challenges. I have a particular affinity for working with children who have Special Educational Needs (SEN) and those with attachment issues.
01283 387281 View 01283 387281

See more therapy options for DE65

How does your Counsellor compare?

Number of Counsellors in DE65

20+

Average cost per session

£55

Counsellors in DE65 who prioritize treating:

96% Depression
96% Anxiety
88% Coping Skills
83% Stress
79% Bereavement
79% Self Esteem
75% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

67% AXA PPP
50% Health Assured
33% Aviva

How Counsellors in DE65 see their clients

88% In Person and Online
12% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in DE65?

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.