Counselling in Boston

Photo of Ryan Apollo Ryder, MNCPS Acc., Counsellor
Ryan Apollo Ryder
Counsellor, MNCPS Acc.
Verified Verified
2 Endorsed
Boston PE20
My name is Ryan, and I am a Pluralistic counsellor. I also have 41 years of experience as a music teacher helping young people to reach their goals. I can provide you with a safe and supportive environment from which you’ll be listened to and helped to frame the difficult questions. I can help you explore your emotional landscape at a pace that is right for you, without making judgments. Many people experience emotional difficulties at some point in their lives and need to talk through issues to help find a way through. Whatever the issues you are facing, taking the first step can be the hardest.
My name is Ryan, and I am a Pluralistic counsellor. I also have 41 years of experience as a music teacher helping young people to reach their goals. I can provide you with a safe and supportive environment from which you’ll be listened to and helped to frame the difficult questions. I can help you explore your emotional landscape at a pace that is right for you, without making judgments. Many people experience emotional difficulties at some point in their lives and need to talk through issues to help find a way through. Whatever the issues you are facing, taking the first step can be the hardest.
01205 337797 View 01205 337797
Photo of Russell John Woodward - Breakthrough2Change, MSc, PNCPS Acc., Counsellor
Breakthrough2Change
Counsellor, MSc, PNCPS Acc.
Verified Verified
Boston PE22
If you are struggling with anxiety (worry), low mood or depression, relationship problems or distress, or suffering from the effects of trauma, I might be able to help you. I am a psychotherapist (person-centred experiential therapist) with additional training in Emotion Focused Individual therapy & Emotionally Focused Couple therapy. As my approach is emotion focused, my ideal client (individual or couple) would be willing to explore & work-through their painful emotions/feelings within therapy sessions by working with the therapist to achieve better mental, emotional relational well-being & resolution of problematic experiences.
If you are struggling with anxiety (worry), low mood or depression, relationship problems or distress, or suffering from the effects of trauma, I might be able to help you. I am a psychotherapist (person-centred experiential therapist) with additional training in Emotion Focused Individual therapy & Emotionally Focused Couple therapy. As my approach is emotion focused, my ideal client (individual or couple) would be willing to explore & work-through their painful emotions/feelings within therapy sessions by working with the therapist to achieve better mental, emotional relational well-being & resolution of problematic experiences.
01205 336971 View 01205 336971
Photo of Lorna Ellen Day - Lorna Day Counselling, MBACP Accred, Counsellor
Lorna Day Counselling
Counsellor, MBACP Accred
Verified Verified
Boston PE20  (Online Only)
I have trained to counsel my clients online. I know from the work that I have done that it helps people to talk to someone like me. Maybe this is because you don’t know me personally so it is easier to talk of what is bothering you. I can work with you so that you can resolve issues, learn ways of coping , talk about what is upsetting you and get on with the rest of your life feeling more peaceful and less stressed . I work with many issues some of which include bereavement, loss, anger, anxiety, depression, relationships, divorce, sadness.
I have trained to counsel my clients online. I know from the work that I have done that it helps people to talk to someone like me. Maybe this is because you don’t know me personally so it is easier to talk of what is bothering you. I can work with you so that you can resolve issues, learn ways of coping , talk about what is upsetting you and get on with the rest of your life feeling more peaceful and less stressed . I work with many issues some of which include bereavement, loss, anger, anxiety, depression, relationships, divorce, sadness.
01205 333973 View 01205 333973
Photo of Jo Vickers, MNCPS Acc., Psychotherapist
Jo Vickers
Psychotherapist, MNCPS Acc.
Verified Verified
Boston PE21
My aim is to co-create an environment that offers you a place to bring and share your unique experiences and begin to explore and understand how they have impacted you. I believe everyone can benefit from sharing their stories; often being truly heard for the first time. Nonetheless, this can feel odd initially, sat sharing information with a stranger. My creative approach to therapy responds to your individual needs to best support you whist undertaking this. My experience of working with survivors of trauma has been a live demonstration of the impact of previous and current experiences on our health.
My aim is to co-create an environment that offers you a place to bring and share your unique experiences and begin to explore and understand how they have impacted you. I believe everyone can benefit from sharing their stories; often being truly heard for the first time. Nonetheless, this can feel odd initially, sat sharing information with a stranger. My creative approach to therapy responds to your individual needs to best support you whist undertaking this. My experience of working with survivors of trauma has been a live demonstration of the impact of previous and current experiences on our health.
01522 440419 View 01522 440419
Photo of Clare Brown, MSc, MBACP, Psychotherapist
Clare Brown
Psychotherapist, MSc, MBACP
Verified Verified
Boston PE21
Are you finding it hard to connect with people and feel understood? Maybe you’re trying to make sense of a relationship; you used to get on but something’s changed and the idea of talking about it makes your heart race? Or perhaps you have tried but it’s left you feeling ashamed and hurt. Counselling can make room for change.
Are you finding it hard to connect with people and feel understood? Maybe you’re trying to make sense of a relationship; you used to get on but something’s changed and the idea of talking about it makes your heart race? Or perhaps you have tried but it’s left you feeling ashamed and hurt. Counselling can make room for change.
01205 331866 View 01205 331866
Photo of Kroy Gabreil Ryder, MNCPS Acc., Counsellor
Kroy Gabreil Ryder
Counsellor, MNCPS Acc.
Verified Verified
2 Endorsed
Boston PE20
Everybody faces mental well-being challenges in their lifes, this is higher in neurodiverse individuals. I support the challenges faced by people with learning difficulties, this includes but is not limited to Autism, ADHD,Dyslexia,Dyscalculia and Rejection Sensitive Disorder (RSD). You may have a diagnosis or you may just want to explore the possibility of being neurodivergent. I also offer support to parents, partners or family of neurodiverse individuals as it can be hard knowing how to cope with the new needs. Speaking to a counsellor can be a transformative experience for people and can have a positive effect on the individual.
Everybody faces mental well-being challenges in their lifes, this is higher in neurodiverse individuals. I support the challenges faced by people with learning difficulties, this includes but is not limited to Autism, ADHD,Dyslexia,Dyscalculia and Rejection Sensitive Disorder (RSD). You may have a diagnosis or you may just want to explore the possibility of being neurodivergent. I also offer support to parents, partners or family of neurodiverse individuals as it can be hard knowing how to cope with the new needs. Speaking to a counsellor can be a transformative experience for people and can have a positive effect on the individual.
01292 430615 View 01292 430615
Photo of Debbie Pries, BACP, Counsellor
Debbie Pries
Counsellor, BACP
Verified Verified
Boston PE22
Life can be a challenge for any of us at any given time, we can feel out of our depth, scared and generally overwhelmed! Counselling offers you a safe space to explore those struggles and find a way forward, regain balance and calm. As a counsellor I hope to support you on your journey and hopefully help in improving your emotional well being.
Life can be a challenge for any of us at any given time, we can feel out of our depth, scared and generally overwhelmed! Counselling offers you a safe space to explore those struggles and find a way forward, regain balance and calm. As a counsellor I hope to support you on your journey and hopefully help in improving your emotional well being.
01754 802730 View 01754 802730
Photo of Kathy Michelle Morgan, MNCPS Acc., Counsellor
Kathy Michelle Morgan
Counsellor, MNCPS Acc.
Verified Verified
Boston PE21
Hello and welcome, thank you for taking the time to read my profile. I am a Mum of two and a Nanny of three and had my fair share of challenges in life. I studied counselling for four years at university and my learning is very much ongoing I have a passion for people and the mind and believe in positivity for a healthier life. Confidence is not always a given for some people, some of us need to work hard. And for that reason, I provide a safe, calm confidential space to explore what may be going on for you and together I aim to support you to make sense of your feelings and see a way forward from difficulties.
Hello and welcome, thank you for taking the time to read my profile. I am a Mum of two and a Nanny of three and had my fair share of challenges in life. I studied counselling for four years at university and my learning is very much ongoing I have a passion for people and the mind and believe in positivity for a healthier life. Confidence is not always a given for some people, some of us need to work hard. And for that reason, I provide a safe, calm confidential space to explore what may be going on for you and together I aim to support you to make sense of your feelings and see a way forward from difficulties.
01406 431506 View 01406 431506
Photo of Vicki Steadman, MBACP, Counsellor
Vicki Steadman
Counsellor, MBACP
Verified Verified
Boston PE20
There is no right or wrong reason for seeking counselling. It can help individuals learn, grow and understand. It can help people to make sense of circumstances or emotions that they are experiencing. It can offer an opportunity to explore and speak about things which simply aren’t talked about with anyone else. It can be helpful, informative, challenging and emotional. It can be whatever you need it to be. Our work together is driven by you; your experience, your preferences, your needs and your goals. I will seek to understand you and your experiences and what you hope to be different once our work together ends.
There is no right or wrong reason for seeking counselling. It can help individuals learn, grow and understand. It can help people to make sense of circumstances or emotions that they are experiencing. It can offer an opportunity to explore and speak about things which simply aren’t talked about with anyone else. It can be helpful, informative, challenging and emotional. It can be whatever you need it to be. Our work together is driven by you; your experience, your preferences, your needs and your goals. I will seek to understand you and your experiences and what you hope to be different once our work together ends.
01507 304797 View 01507 304797
Photo of Joanne Wilsher-Mills - JWM Counselling, MBACP, Counsellor
JWM Counselling
Counsellor, MBACP
Verified Verified
Boston PE21
Are you feeling overwhelmed with difficult feelings? Have you been through a bereavement or loss that you're struggling to come to terms with? Have you experienced painful and traumatic life events that still impact on you today and stop you living the life you want. Would you like to improve your relationships with the people in your life? You may be struggling with issues life anxiety, depression or low self-worth. My focus is to offer a counselling relationship that is supportive, nurturing and empowering. I can offer practical coping strategies, better insight and understanding as well as help you find your own solutions.
Are you feeling overwhelmed with difficult feelings? Have you been through a bereavement or loss that you're struggling to come to terms with? Have you experienced painful and traumatic life events that still impact on you today and stop you living the life you want. Would you like to improve your relationships with the people in your life? You may be struggling with issues life anxiety, depression or low self-worth. My focus is to offer a counselling relationship that is supportive, nurturing and empowering. I can offer practical coping strategies, better insight and understanding as well as help you find your own solutions.
01529 400960 View 01529 400960
Photo of Sharon Williams - Sharon Williams - Blue Light Counselling, DCounsPsych, MBACP, Counsellor
Sharon Williams - Blue Light Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Boston PE21
Hi, I’m Sharon. Is your work/life balance out of kilter? Finding more stress at every turn? Never catching up on sleep and rest? I too have felt overwhelmed with the pressure and dangers of the job. I have been exhausted after a shift but when my head hits the pillow, I’m wide awake. I’m visualising what I’ve seen and I’m reviewing, wondering if I could have done better. I have felt trapped and stuck in the job and have felt very demotivated and unsupported… I get it. I can offer you unrestricted therapy sessions with no detriment to your career. You decide when to start and when to stop.
Hi, I’m Sharon. Is your work/life balance out of kilter? Finding more stress at every turn? Never catching up on sleep and rest? I too have felt overwhelmed with the pressure and dangers of the job. I have been exhausted after a shift but when my head hits the pillow, I’m wide awake. I’m visualising what I’ve seen and I’m reviewing, wondering if I could have done better. I have felt trapped and stuck in the job and have felt very demotivated and unsupported… I get it. I can offer you unrestricted therapy sessions with no detriment to your career. You decide when to start and when to stop.
01522 302562 View 01522 302562
Photo of Michaela Dunbar - My Easy Therapy, PsychD, HCPC - Clin. Psych., Psychologist
My Easy Therapy
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Boston PE21  (Online Only)
Waitlist for new clients
I'm Dr Michaela Dunbar, Clinical Psychologist and Founder of My Easy Therapy, and what do I know about you? You’re used to accepting your negative thoughts as facts, now they are creating persistent anxiety and low mood, taking you completely away from your values and goals, and affecting your relationships. You probably find it really difficult to sit with uncomfortable emotions like sadness, anxiety or anger and have gotten into a habit of doing things to try to avoid them which ends up making matters worse. Something in you wants to make a change and you know you need support to do it. It's super hard but that's where I come in.
I'm Dr Michaela Dunbar, Clinical Psychologist and Founder of My Easy Therapy, and what do I know about you? You’re used to accepting your negative thoughts as facts, now they are creating persistent anxiety and low mood, taking you completely away from your values and goals, and affecting your relationships. You probably find it really difficult to sit with uncomfortable emotions like sadness, anxiety or anger and have gotten into a habit of doing things to try to avoid them which ends up making matters worse. Something in you wants to make a change and you know you need support to do it. It's super hard but that's where I come in.
020 3974 2373 View 020 3974 2373

More Therapists Nearby

Photo of Jacqueline Burns - The Echelon Scene Ltd, MSc
The Echelon Scene Ltd
MSc
Verified Verified
New York LN4
Our Clients at The Echelon Scene are gay men who are seeking a long-term relationship. They come to us because they simply do not have the time to online date or sit in a crowded bar in Soho. They would rather outsource and have us do the filtering so they are only going out on dates they are excited about. Our Clients are typically busy individuals who are passionate about what they do and excel at work, they range in ages from 30-mid 60s and are based all over the world. The common factors are they are all genuinely seeking a monogamous long-term relationship and are in a positive state of mind for dating.
Our Clients at The Echelon Scene are gay men who are seeking a long-term relationship. They come to us because they simply do not have the time to online date or sit in a crowded bar in Soho. They would rather outsource and have us do the filtering so they are only going out on dates they are excited about. Our Clients are typically busy individuals who are passionate about what they do and excel at work, they range in ages from 30-mid 60s and are based all over the world. The common factors are they are all genuinely seeking a monogamous long-term relationship and are in a positive state of mind for dating.
01748 901494 View 01748 901494
Photo of Caroline M Cakebread, MSc, Psychotherapist
Caroline M Cakebread
Psychotherapist, MSc
Verified Verified
Friskney PE22
Not accepting new clients
Making the decision to come to therapy/counselling can be a difficult and sometimes anxiety provoking one, and finding someone who you feel comfortable with can be a really positive and reassuring start. I offer an initial no commitment session where we can get to know each other a little, and where we can begin to look at what you would like to get out of the work we may do together. Part of the first session will include an outline of how I work, what to expect, discussing a working agreement where we will talk about confidentiality etc, but it is mainly an opportunity to talk and be heard in a non-judgmental space.
Making the decision to come to therapy/counselling can be a difficult and sometimes anxiety provoking one, and finding someone who you feel comfortable with can be a really positive and reassuring start. I offer an initial no commitment session where we can get to know each other a little, and where we can begin to look at what you would like to get out of the work we may do together. Part of the first session will include an outline of how I work, what to expect, discussing a working agreement where we will talk about confidentiality etc, but it is mainly an opportunity to talk and be heard in a non-judgmental space.
01975 522010 View 01975 522010

Online Therapists

Photo of Nisa Farooq, MBACP Accred, Counsellor
Nisa Farooq
Counsellor, MBACP Accred
Verified Verified
Stevenage SG1
Hello! I am Nisa, an accredited Psychodynamic Counsellor and Bereavement Counsellor. In my practice, I have helped clients struggling with anxiety, depression, low mood, low self-esteem, bereavement, childhood abuse, shame, anger, narcissistic injuries, victims of crime, obsessive-compulsive disorder (OCD), body dysmorphia, eating disorder. relational trauma created through family dynamics,.
Hello! I am Nisa, an accredited Psychodynamic Counsellor and Bereavement Counsellor. In my practice, I have helped clients struggling with anxiety, depression, low mood, low self-esteem, bereavement, childhood abuse, shame, anger, narcissistic injuries, victims of crime, obsessive-compulsive disorder (OCD), body dysmorphia, eating disorder. relational trauma created through family dynamics,.
01438 584569 View 01438 584569
Photo of James Ingram, MBACP, Counsellor
James Ingram
Counsellor, MBACP
Verified Verified
Norwich NR3
I offer a professional, in-person or virtual therapeutic service to adults in a calm, relaxing space in central Norwich. My practice as a counsellor revolves around working together in an authentic, transparent and accepting way. Through this, it's hoped you will gain a new understanding / perspective of your experiences and work towards getting closer to your ideal version of yourself. In my practice I strive to provide an inclusive and respectful environment to allow clients to be their authentic selves without fear of judgement.
I offer a professional, in-person or virtual therapeutic service to adults in a calm, relaxing space in central Norwich. My practice as a counsellor revolves around working together in an authentic, transparent and accepting way. Through this, it's hoped you will gain a new understanding / perspective of your experiences and work towards getting closer to your ideal version of yourself. In my practice I strive to provide an inclusive and respectful environment to allow clients to be their authentic selves without fear of judgement.
01603 361118 View 01603 361118
Photo of Samantha Jayne Hurrell -             Counselling and Psychotherapy services, BACP, Counsellor
Counselling and Psychotherapy services
Counsellor, BACP
Verified Verified
York YO24
My name is Samantha Hurrell, I offer Therapeutic Counselling, Supervision, Well-being MOTs and also specialise in working with the NHS with Trauma. Attachment disorders , Couples and Family Therapy.
My name is Samantha Hurrell, I offer Therapeutic Counselling, Supervision, Well-being MOTs and also specialise in working with the NHS with Trauma. Attachment disorders , Couples and Family Therapy.
01904 238373 View 01904 238373
Photo of Shauna Marie Tiffany - Lighthouse Therapy Hub, PTUK Accred, Counsellor
Lighthouse Therapy Hub
Counsellor, PTUK Accred
Verified Verified
1 Endorsed
Leeds LS27
I am a qualified Play therapist, with a passion for supporting children and young people to become the best version of themselves. I am based in Leeds, West Yorkshire and I travel to schools within and around the local area approximately 1hour from Leeds. Play is a child’s natural way of experimenting and is an integral part of childhood development across physical and cognitive domains. Within a session children can express what they are struggling to verbalise . www.lhplaytherapy.co.uk Play supports children and they can discover and practise different ways of understanding and coping with difficult feelings, leading to healthier
I am a qualified Play therapist, with a passion for supporting children and young people to become the best version of themselves. I am based in Leeds, West Yorkshire and I travel to schools within and around the local area approximately 1hour from Leeds. Play is a child’s natural way of experimenting and is an integral part of childhood development across physical and cognitive domains. Within a session children can express what they are struggling to verbalise . www.lhplaytherapy.co.uk Play supports children and they can discover and practise different ways of understanding and coping with difficult feelings, leading to healthier
0113 519 0195 View 0113 519 0195
Photo of David Oldfield, MNCPS Acc., Counsellor
David Oldfield
Counsellor, MNCPS Acc.
Verified Verified
Barnsley S70
I am a qualified integrative therapist, supervisor, and registered MNCPS (Acc.) & MBACP based in Barnsley/Sheffield, working face-to-face and online. A naturally relaxed, warm, and reflective individual, I aim to provide non-judgemental, encouraging support, and to assist in exploring and moving forward with issues causing you difficulty. My experience includes working as a counsellor for services within the charity sector, and with clients experiencing a wide range of issues.
I am a qualified integrative therapist, supervisor, and registered MNCPS (Acc.) & MBACP based in Barnsley/Sheffield, working face-to-face and online. A naturally relaxed, warm, and reflective individual, I aim to provide non-judgemental, encouraging support, and to assist in exploring and moving forward with issues causing you difficulty. My experience includes working as a counsellor for services within the charity sector, and with clients experiencing a wide range of issues.
0114 697 6638 View 0114 697 6638
Photo of Sarah Ward, MNCPS Acc., Counsellor
Sarah Ward
Counsellor, MNCPS Acc.
Verified Verified
Leeds LS10
Down-to-earth, warm and inclusive therapist and counsellor, with over 15 years’ experience in helping people with their mental and emotional health. I’m not a ‘blank slate’ therapist - I won’t sit in silence. I respect that therapy is a significant investment of your time, money and energy, so you can expect that I’ll be invested in you and your journey.
Down-to-earth, warm and inclusive therapist and counsellor, with over 15 years’ experience in helping people with their mental and emotional health. I’m not a ‘blank slate’ therapist - I won’t sit in silence. I respect that therapy is a significant investment of your time, money and energy, so you can expect that I’ll be invested in you and your journey.
07549 083466 View 07549 083466

See more therapy options for Boston

How does your Counsellor compare?

Number of Counsellors in Boston

10+

Average cost per session

£45

Counsellors in Boston who prioritize treating:

92% Anxiety
83% Relationship Issues
83% Depression
75% Self Esteem
67% Bereavement
67% Stress
58% Anger Management

Average years in practice

4 Years

How Counsellors in Boston see their clients

84% In Person and Online
16% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Boston?

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.